Sample records for stroke engines intake

  1. Increasing the volumetric efficiency of Diesel engines by intake pipes

    NASA Technical Reports Server (NTRS)

    List, Hans

    1933-01-01

    Development of a method for calculating the volumetric efficiency of piston engines with intake pipes. Application of this method to the scavenging pumps of two-stroke-cycle engines with crankcase scavenging and to four-stroke-cycle engines. The utility of the method is demonstrated by volumetric-efficiency tests of the two-stroke-cycle engines with crankcase scavenging. Its practical application to the calculation of intake pipes is illustrated by example.

  2. The two-stroke poppet valve engine. Part 1: Intake and exhaust ports flow experimental assessments

    NASA Astrophysics Data System (ADS)

    Kamili Zahidi, M.; Razali Hanipah, M.; Ramasamy, D.; Noor, M. M.; Kadirgama, K.; Rahman, M. M.

    2017-10-01

    A two-stroke poppet valve engine is developed to overcome the common problems in conventional two-stroke engine designs. However, replacing piston control port with poppet valve will resulted different flow behaviour. This paper is looking at experimental assessment on a two-stroke poppet valve engine configuration to investigate the port flow performance. The aims are to evaluate the intake and exhaust coefficient of discharge and assess the twostroke capability of the cylinder head. The results has shown comparable coefficient of discharge values as production engine for the intake while the exhaust has higher values which is favourable for the two-stroke cycle operation.

  3. The causes of unstable engine idle speed and their solutions

    NASA Astrophysics Data System (ADS)

    Yang, Fan

    2018-06-01

    There are many types of engines. The most commonly used engine for automobiles is the internal combustion engine. Internal combustion engines use a four-stroke combustion cycle to convert gasoline into motion. The four-stroke approach, also known as the "Ototo cycle," commemorates Nicklaus Otto, who invented it in 1867. The working cycle of a four-stroke engine consists of four piston strokes, ie, intake stroke, compression stroke, power stroke, and exhaust stroke. This article focuses on the cause of the instability of the four-stroke engine and its solution. There are many reasons for the instability of the engine, so this article will be divided into four areas: intake system, fuel system, ignition system and mechanical structure. Based on the above reasons, the corresponding solution is proposed.

  4. Diesel emission reduction using internal exhaust gas recirculation

    DOEpatents

    He, Xin [Denver, CO; Durrett, Russell P [Bloomfield Hills, MI

    2012-01-24

    A method for controlling combustion in a direct-injection diesel engine includes monitoring a crankshaft rotational position of a cylinder of the engine, monitoring an engine load, determining an intake stroke within the cylinder based upon the crankshaft rotational position, and when the engine load is less than a threshold engine load, opening an exhaust valve for the cylinder during a portion of the intake stroke.

  5. Experimental Evaluation of a Method for Turbocharging Four-Stroke, Single Cylinder, Internal Combustion Engines

    NASA Astrophysics Data System (ADS)

    Buchman, Michael; Winter, Amos

    2015-11-01

    Turbocharging an engine increases specific power, improves fuel economy, reduces emissions, and lowers cost compared to a naturally aspirated engine of the same power output. These advantages make turbocharging commonplace for multi-cylinder engines. Single cylinder engineers are not commonly turbocharged due to the phase lag between the exhaust stroke, which powers the turbocharger, and the intake stroke, when air is pumped into the engine. Our proposed method of turbocharging single cylinder engines is to add an ``air capacitor'' to the intake manifold, an additional volume that acts as a buffer to store compressed air between the exhaust and intake strokes, and smooth out the pressure pulses from the turbocharger. This talk presents experimental results from a single cylinder, turbocharged diesel engine fit with various sized air capacitors. Power output from the engine was measured using a dynamometer made from a generator, with the electrical power dissipated with resistive heating elements. We found that intake air density increases with capacitor size as theoretically predicted, ranging from 40 to 60 percent depending on heat transfer. Our experiment was able to produce 29 percent more power compared to using natural aspiration. These results validated that an air capacitor and turbocharger may be a simple, cost effective means of increasing the power density of single cylinder engines.

  6. Two-stroke engine diagnostics and design

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1992-01-01

    This paper focuses on research and development efforts on two-stroke cycle engines for automotive applications. Partial contents include: Velocity Field Characteristics in Motored Two-Stroke Ported Engines; Flow Vector Measurements at the Scavenging Ports in a Fired Two-Stroke Engine; A Study on Exhaust Dynamic Effect of Two-Stroke Motorcycle Petrol Engine; Characterization of Ignition and Parametric Study of a Two-Stroke-Cycle Direct-Injected Gasoline Engine; LDV Measurements of Intake Port Flow in a Two-Stroke Engine with and without Combustion; Appraisal of Regenerative Blowers for Scavenging of Small 2T S.I. Powerplants; and Development Experience of a Poppet-Valved Two-Stroke Flagship Engine.

  7. Simultaneous Study of Intake and In-Cylinder IC Engine Flow Fields to Provide an Insight into Intake Induced Cyclic Variations

    NASA Astrophysics Data System (ADS)

    Justham, T.; Jarvis, S.; Clarke, A.; Garner, C. P.; Hargrave, G. K.; Halliwell, N. A.

    2006-07-01

    Simultaneous intake and in-cylinder digital particle image velocimetry (DPIV) experimental data is presented for a motored spark ignition (SI) optical internal combustion (IC) engine. Two individual DPIV systems were employed to study the inter-relationship between the intake and in-cylinder flow fields at an engine speed of 1500 rpm. Results for the intake runner velocity field at the time of maximum intake valve lift are compared to incylinder velocity fields later in the same engine cycle. Relationships between flow structures within the runner and cylinder were seen to be strong during the intake stroke but less significant during compression. Cyclic variations within the intake runner were seen to affect the large scale bulk flow motion. The subsequent decay of the large scale motions into smaller scale turbulent structures during the compression stroke appear to reduce the relationship with the intake flow variations.

  8. 40 CFR 92.204 - Designation of engine families.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5... shutters, etc.); (3) The approximate bore and stroke dimensions; (4) The approximate location of the intake...

  9. 40 CFR 92.204 - Designation of engine families.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5... shutters, etc.); (3) The approximate bore and stroke dimensions; (4) The approximate location of the intake...

  10. 40 CFR 1033.230 - Grouping locomotives into engine families.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nominal bore and stroke dimensions. (4) The approximate intake and exhaust event timing and duration... approximate bore and stroke dimensions. (4) The approximate location of the intake and exhaust valves (or...

  11. 40 CFR 92.204 - Designation of engine families.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5... shutters, etc.); (3) The approximate bore and stroke dimensions; (4) The approximate location of the intake...

  12. 40 CFR 92.204 - Designation of engine families.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5... shutters, etc.); (3) The approximate bore and stroke dimensions; (4) The approximate location of the intake...

  13. 40 CFR 92.204 - Designation of engine families.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5... shutters, etc.); (3) The approximate bore and stroke dimensions; (4) The approximate location of the intake...

  14. 40 CFR 94.204 - Designation of engine families.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Combustion chamber design; (6) Bore; (7) Stroke; (8) Number of cylinders, (engines with aftertreatment... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5...

  15. 40 CFR 94.204 - Designation of engine families.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Combustion chamber design; (6) Bore; (7) Stroke; (8) Number of cylinders, (engines with aftertreatment... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5...

  16. 40 CFR 94.204 - Designation of engine families.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Combustion chamber design; (6) Bore; (7) Stroke; (8) Number of cylinders, (engines with aftertreatment... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5...

  17. 40 CFR 94.204 - Designation of engine families.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Combustion chamber design; (6) Bore; (7) Stroke; (8) Number of cylinders, (engines with aftertreatment... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5...

  18. 40 CFR 94.204 - Designation of engine families.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Combustion chamber design; (6) Bore; (7) Stroke; (8) Number of cylinders, (engines with aftertreatment... stroke dimensions; (4) The approximate intake and exhaust event timing and duration (valve or port); (5...

  19. Design and Simulation of a Pressure Wave Supercharger for a Small Two-Stroke Engine

    DTIC Science & Technology

    2014-03-27

    Air at ambient pressure is passed through the compressor where the pressure is increased with the intended purpose of increasing the overall mass flow...rate of air to the intake manifold. For a small two-stroke engine that has little excess energy to spare for the operation of a compressor , the...exhaust gasses from the engine to drive a turbine that is linked via a shaft to a centrifugal compressor which feeds compressed air to the intake

  20. Numerical studies of the formation and destruction of vortices in a motored four-stroke piston-cylinder configuration

    NASA Technical Reports Server (NTRS)

    Schock, H. J.; Sosoka, D. J.; Ramos, J. I.

    1983-01-01

    A finite-difference procedure which solves the conservation equations of mass, momentum, and energy is used to investigate the effects of the compression ratio, engine speed, bore-to-stroke ratio, and air intake flow angle on the turbulent flow field within an axisymmetric piston-cylinder configuration. It is shown that in a four-stroke piston-cylinder configuration, the intake stroke is characterized by the formation of a piston vortex. The piston vortex is stretched during the intake stroke, and the head vortex has an almost constant diameter. For a 0-deg air intake flow angle, both vortices disappear by the end of the compression stroke; for an air intake flow angle of 45 deg, the flow field within the cylinder shows three elongated vortices which persist into the compression stroke and then break up and merge. It is also shown that larger bore-to-stroke ratios give rise to lower turbulent levels than smaller bore-to-stroke ratios and that the turbulent intensity is almost independent of the rpm.

  1. Development of a novel passive top-down uniflow scavenged two-stroke GDI engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ciccarelli, G.; Reynolds, Steve; Oliver, Phillip

    2010-02-15

    The design and performance characteristics of a novel top-down uniflow scavenged gasoline direct-injection two-stroke engine are presented. The novelty of the engine lies in the cylinder head that contains multiple check valves that control scavenging airflow into the cylinder from a supercharged air plenum. When the cylinder pressure drops below the intake plenum pressure during the expansion stroke, air flows into the cylinder through the check valves. During compression the cylinder pressure increases to a level above the intake plenum pressure and the check valves close preventing back-flow into the intake plenum. The engine head design provides asymmetrical intake valvemore » timing without the use of poppet valves and the associated valve-train. In combination with an external Roots-type supercharger that supplies the plenum and exhaust ports at the bottom of the cylinder wall, the novel head provides top-down uniflow air scavenging. Motoring tests indicated that the check valves seal and the peak pressure is governed by the compression ratio. The only drawback observed is that valve closing is delayed as the engine speed increases. In order to investigate the valve dynamics, additional tests were performed in an optically-accessible cold flow test rig that enabled the direct measurement of valve opening and closing time under various conditions. (author)« less

  2. Intake flow modeling in a four stroke diesel using KIVA3

    NASA Technical Reports Server (NTRS)

    Hessel, R. P.; Rutland, C. J.

    1993-01-01

    Intake flow for a dual intake valved diesel engine is modeled using moving valves and realistic geometries. The objectives are to obtain accurate initial conditions for combustion calculations and to provide a tool for studying intake processes. Global simulation parameters are compared with experimental results and show good agreement. The intake process shows a 30 percent difference in mass flows and average swirl in opposite directions across the two intake valves. The effect of the intake process on the flow field at the end of compression is examined. Modeling the intake flow results in swirl and turbulence characteristics that are quite different from those obtained by conventional methods in which compression stroke initial conditions are assumed.

  3. The two-stroke poppet valve engine. Part 2: Numerical investigations of intake and exhaust flow behaviour

    NASA Astrophysics Data System (ADS)

    Kamili Zahidi, M.; Razali Hanipah, M.

    2017-10-01

    A two-stroke poppet valve engine is developed to overcome the common problems in conventional two-stroke engine designs. However, replacing piston control port with poppet valve will resulted different flow behaviour. This paper presents the model and simulation result of three-dimensional (3D) port flow investigation of a two-stroke poppet valve engine. The objective of the investigation is to conduct a numerical investigation on port flow performance of two-stroke poppet valve engine and compare the results obtained from the experimental investigation. The model is to be used for the future numerical study of the engine. The volume flow rate results have been compared with the results obtained experimentally as presented in first part of this paper. The model has shown good agreement in terms of the flow rate at initial and final valve lifts but reduced by about 50% during half-lift region.

  4. PIV measurements of in-cylinder, large-scale structures in a water-analogue Diesel engine

    NASA Astrophysics Data System (ADS)

    Kalpakli Vester, A.; Nishio, Y.; Alfredsson, P. H.

    2016-11-01

    Swirl and tumble are large-scale structures that develop in an engine cylinder during the intake stroke. Their structure and strength depend on the design of the inlet ports and valves, but also on the valve lift history. Engine manufacturers make their design to obtain a specific flow structure that is assumed to give the best engine performance. Despite many efforts, there are still open questions, such as how swirl and tumble depend on the dynamics of the valves/piston as well as how cycle-to-cycle variations should be minimized. In collaboration with Swedish vehicle industry we perform PIV measurements of the flow dynamics during the intake stroke inside a cylinder of a water-analogue engine model having the same geometrical characteristics as a typical truck Diesel engine. Water can be used since during the intake stroke the flow is nearly incompressible. The flow from the valves moves radially outwards, hits the vertical walls of the cylinder, entrains surrounding fluid, moves along the cylinder walls and creates a central backflow, i.e. a tumble motion. Depending on the port and valve design and orientation none, low, or high swirl can be established. For the first time, the effect of the dynamic motion of the piston/valves on the large-scale structures is captured. Supported by the Swedish Energy Agency, Scania CV AB and Volvo GTT, through the FFI program.

  5. An investigation of fluid flow during induction stroke of a water analog model of an IC engine using an innovative optical velocimetry concept: LIPA

    NASA Technical Reports Server (NTRS)

    Stier, Bernd; Falco, R. E.

    1994-01-01

    Optical measurements on an axisymmetrical quartz component engine research model were made to evaluate the flow field encountered during induction. The measurement technique is LIPA (Laser Induced Photochemical Anemometry), a non-intrusive velocimetry concept that provides an investigator of fluid flow with a tool to attain planar information about three-dimensional velocity and vorticity vectors in a single measurement step. The goal of this investigation is to further develop this measurement technique and apply it to study the induction stroke of a water analog model of a four-stroke internal combustion engine. The research conducted in the water analog model is a fundamental scientific inquiry into the flow fields that develop in the induction stroke of an engine at idling engine speeds. As this is the first investigation of its kind using LIPA technique, our goal has been to quantify, in a preliminary manner, the flow field features that develop during the intake stroke. In the process a more comprehensive understanding of the flow field features was developed, and tied to the quantification. The study evaluated the flow field of the intake stroke by estimating fields of velocity and vorticity. On the basis of these data, information about fluid dynamics during induction at engine speeds of 10, 20, and 30 RPM (corresponding to 170, 340, and 510 RPM respectively, when air is the flowing medium) for three different valve lifts was obtained. The overall development of the flow field, its energy content (kinetic, fluctuation) for the different settings of the engine parameters, vorticity information, and cyclic variations have been quantified. These have been discussed in terms of mixing performance.

  6. Resonance vibrations in intake and exhaust pipes of in-line engines III : the inlet process of a four-stroke-cycle engine

    NASA Technical Reports Server (NTRS)

    Lutz, O

    1940-01-01

    Using a previously developed method, the boundary process of four-stroke-cycle engines are set up. The results deviate considerably from those obtained under the assumption that the velocity fluctuation is proportional to the cylinder piston motion. The deviation is less at the position of resonance frequencies. By the method developed, the effect of the resonance vibrations on the volumetric efficiency can be demonstrated.

  7. Adaptive engine injection for emissions reduction

    DOEpatents

    Reitz, Rolf D. : Sun, Yong

    2008-12-16

    NOx and soot emissions from internal combustion engines, and in particular compression ignition (diesel) engines, are reduced by varying fuel injection timing, fuel injection pressure, and injected fuel volume between low and greater engine loads. At low loads, fuel is injected during one or more low-pressure injections occurring at low injection pressures between the start of the intake stroke and approximately 40 degrees before top dead center during the compression stroke. At higher loads, similar injections are used early in each combustion cycle, in addition to later injections which preferably occur between about 90 degrees before top dead center during the compression stroke, and about 90 degrees after top dead center during the expansion stroke (and which most preferably begin at or closely adjacent the end of the compression stroke). These later injections have higher injection pressure, and also lower injected fuel volume, than the earlier injections.

  8. Two stroke homogenous charge compression ignition engine with pulsed air supplier

    DOEpatents

    Clarke, John M.

    2003-08-05

    A two stroke homogenous charge compression ignition engine includes a volume pulsed air supplier, such as a piston driven pump, for efficient scavenging. The usage of a homogenous charge tends to decrease emissions. The use of a volume pulsed air supplier in conjunction with conventional poppet type intake and exhaust valves results in a relatively efficient scavenging mode for the engine. The engine preferably includes features that permit valving event timing, air pulse event timing and injection event timing to be varied relative to engine crankshaft angle. The principle use of the invention lies in improving diesel engines.

  9. In-cylinder flows of a motored four-stroke engine with flat-crown and slightly concave-crown pistons

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Huang, R.F.; Yang, H.S.; Yeh, C.-N.

    2008-04-15

    The temporal and spatial evolution processes of the in-cylinder flow structures and turbulence intensities in the symmetry and offset planes of a motored four-valve, four-stroke engine during the intake and compression strokes are diagnosed by using a particle image velocimeter. Two pistons of different crown shapes (flat-crown and slightly concave-crown pistons) are studied. The inception, establishment, and evolution of the tumbling vortical flow structures during the intake and compression strokes are clearly depicted. Quantitative strengths of the rotating vortical flow motions are presented by a dimensionless parameter, the tumble ratio, which can represent the mean angular velocity of the vorticesmore » in the target plane. The turbulence intensity of the in-cylinder flow is also calculated by using the measured time-varying velocity data. The results show that the flat-crown piston induces higher bulk-averaged tumble ratio and turbulence intensity than the slightly concave-crown piston does because the tumble ratio and turbulence generated by the flat-crown piston in the offset planes during the compression stroke are particularly large. The engine with the flat-crown piston also presents larger torque and power outputs and lower hydrocarbon emission than that with the slightly concave-crown piston. This might be caused by the enhanced combustion in the engine cylinder due to the stronger tumble ratio and turbulence intensity. (author)« less

  10. Engine Valve Actuation For Combustion Enhancement

    DOEpatents

    Reitz, Rolf Deneys; Rutland, Christopher J.; Jhavar, Rahul

    2004-05-18

    A combustion chamber valve, such as an intake valve or an exhaust valve, is briefly opened during the compression and/or power strokes of a 4-stroke combustion cycle in an internal combustion engine (in particular, a diesel or CI engine). The brief opening may (1) enhance mixing withing the combustion chamber, allowing more complete oxidation of particulates to decrease engine emissions; and/or may (2) delay ignition until a more desirable time, potentially allowing a means of timing ignition in otherwise difficult-to-control conditions, e.g., in HCCI (Homogeneous Charge Compression Ignition) conditions.

  11. Engine valve actuation for combustion enhancement

    DOEpatents

    Reitz, Rolf Deneys [Madison, WI; Rutland, Christopher J [Madison, WI; Jhavar, Rahul [Madison, WI

    2008-03-04

    A combustion chamber valve, such as an intake valve or an exhaust valve, is briefly opened during the compression and/or power strokes of a 4-strokes combustion cycle in an internal combustion engine (in particular, a diesel or CI engine). The brief opening may (1) enhance mixing withing the combustion chamber, allowing more complete oxidation of particulates to decrease engine emissions; and/or may (2) delay ignition until a more desirable time, potentially allowing a means of timing ignition in otherwise difficult-to-control conditions, e.g., in HCCI (Homogeneous Charge Compression Ignition) conditions.

  12. Effect of intake pipe on the volumetric efficiency of an internal combustion engine

    NASA Technical Reports Server (NTRS)

    Capetti, Antonio

    1929-01-01

    The writer discusses the phenomena of expansion and compression which alternately take place in the cylinders of four-stroke engines during the induction process at a high mean piston speed due to the inertia and elasticity of the mixture in the intake pipe. The present paper is intended to demonstrate theoretically the existence of a most favorable pipe length for charging.

  13. The effects of engine speed and injection characteristics on the flow field and fuel/air mixing in motored two-stroke diesel engines

    NASA Technical Reports Server (NTRS)

    Nguyen, H. L.; Carpenter, M. H.; Ramos, J. I.

    1987-01-01

    A numerical analysis is presented on the effects of the engine speed, injection angle, droplet distribution function, and spray cone angle on the flow field, spray penetration and vaporization, and turbulence in a turbocharged motored two-stroke diesel engine. The results indicate that the spray penetration and vaporization, velocity, and turbulence kinetic energy increase with the intake swirl angle. Good spray penetration, vaporization, and mixing can be achieved by injecting droplets of diameters between 50 and 100 microns along a 120-deg cone at about 315 deg before top-dead-center for an intake swirl angle of 30 deg. The spray penetration and vaporization were found to be insensitive to the turbulence levels within the cylinder. The results have also indicated that squish is necessary in order to increase the fuel vaporization rate and mixing.

  14. Time Resolved Digital PIV Measurements of Flow Field Cyclic Variation in an Optical IC Engine

    NASA Astrophysics Data System (ADS)

    Jarvis, S.; Justham, T.; Clarke, A.; Garner, C. P.; Hargrave, G. K.; Halliwell, N. A.

    2006-07-01

    Time resolved digital particle image velocimetry (DPIV) experimental data is presented for the in-cylinder flow field development of a motored four stroke spark ignition (SI) optical internal combustion (IC) engine. A high speed DPIV system was employed to quantify the velocity field development during the intake and compression stroke at an engine speed of 1500 rpm. The results map the spatial and temporal development of the in-cylinder flow field structure allowing comparison between traditional ensemble average and cycle average flow field structures. Conclusions are drawn with respect to engine flow field cyclic variations.

  15. Development and modification of a single overhead camshaft 4-valve 4-stroke 135 cc formula varsity race car engine

    NASA Astrophysics Data System (ADS)

    Abdullah, M. A.; Tamaldin, N.; Rusnandi, H.; Manoharan, T.; Samsir, M. A.

    2013-12-01

    The engine that was chosen to be developed and modified is Yamaha LC 135 Single Overhead Camshaft (SOHC) 4-valve 4-stroke 135cc liquid-cooled engine. The engine selection is based on the specification, rule and regulation in UTeM Formula Varsity 2012 (FV 2012). The engine performance is determined by engine operating characteristics. The engine air flow affects the filtration, intake and exhaust systems. The heat from the engine rejected to the surrounding through the active cooling system which has radiator and fan. The selection of the engine is based on weighted decision matrix which consists of reliability, operating and maintenance cost, fuel consumption and weight. The score of the matrix is formulated based on relative weighted factor among the selections. It been compared between Yamaha LC 135 Single Overhead Camshaft (SOHC) 4-valve 4-stroke 135cc liquid-cooled engine, Honda Wave 125 X Air Cooled, 4 Cycle Engine Overhead Camshaft (OHC) and Suzuki Shogun RR 4 stroke air cooled Single Overhead Camshaft (SOHC). The modification is applied to the engine through the simulation and tuning of Capacitor Discharge Ignition (CDI).

  16. Stroke and Nutrition: A Review of Studies

    PubMed Central

    Foroughi, Mehdi; Akhavanzanjani, Mohsen; Maghsoudi, Zahra; Ghiasvand, Reza; Khorvash, Fariborz; Askari, Gholamreza

    2013-01-01

    Background: Stroke is one of the leading causes of death and certainly the major cause of disability in the world. Diet and nutrient has an effective role in prevention and control of the risk of stroke. The aim of this study was to review the studies on the relationship between dietary intake and stroke incidence. Methods: In this study, the terms of “Fat”, “cholesterol”, “antioxidant”, “vitamins”, “salt”, “potassium”, “calcium”, “carbohydrate”, “vegetables”, “fruits”, “meat”, “tea”, “whole grains”, “sugar-sweetened beverages”, “Mediterranean diet”, “dietary approaches to stop hypertension diet (DASH diet)”, “Western diet”, and “stroke” were searched in Pubmed search engine. The observational studies, cohort studies, clinical trial studies, systemic review, and meta-analysis reviews are also included in this study. Results: The study revealed that adherence to theimprovements in nutrition and diet canreducethe incidence ofstroke. Higher antioxidant, vitamins, potassium, calcium, vegetables, fruits, whole grain intake, and adherence to the Mediterranean dietor DASH diet can lower stroke incidence. Conclusions: Adherence to Mediterranean diet or DASH diet and increasing the consumption of antioxidant, vitamins, potassium, calcium food sources, vegetables, fruits, and whole grains intake can lower the risk of stroke. Healthy diet is effective in reducing risk of stroke, however, more studies need to be carried out in this area. PMID:23776719

  17. Engine combustion control at low loads via fuel reactivity stratification

    DOEpatents

    Reitz, Rolf Deneys; Hanson, Reed M; Splitter, Derek A; Kokjohn, Sage L

    2014-10-07

    A compression ignition (diesel) engine uses two or more fuel charges during a combustion cycle, with the fuel charges having two or more reactivities (e.g., different cetane numbers), in order to control the timing and duration of combustion. By appropriately choosing the reactivities of the charges, their relative amounts, and their timing, combustion can be tailored to achieve optimal power output (and thus fuel efficiency), at controlled temperatures (and thus controlled NOx), and with controlled equivalence ratios (and thus controlled soot). At low load and no load (idling) conditions, the aforementioned results are attained by restricting airflow to the combustion chamber during the intake stroke (as by throttling the incoming air at or prior to the combustion chamber's intake port) so that the cylinder air pressure is below ambient pressure at the start of the compression stroke.

  18. Performance and emission characteristics of the thermal barrier coated SI engine by adding argon inert gas to intake mixture.

    PubMed

    Karthikeya Sharma, T

    2015-11-01

    Dilution of the intake air of the SI engine with the inert gases is one of the emission control techniques like exhaust gas recirculation, water injection into combustion chamber and cyclic variability, without scarifying power output and/or thermal efficiency (TE). This paper investigates the effects of using argon (Ar) gas to mitigate the spark ignition engine intake air to enhance the performance and cut down the emissions mainly nitrogen oxides. The input variables of this study include the compression ratio, stroke length, and engine speed and argon concentration. Output parameters like TE, volumetric efficiency, heat release rates, brake power, exhaust gas temperature and emissions of NOx, CO2 and CO were studied in a thermal barrier coated SI engine, under variable argon concentrations. Results of this study showed that the inclusion of Argon to the input air of the thermal barrier coated SI engine has significantly improved the emission characteristics and engine's performance within the range studied.

  19. Engine combustion control at low loads via fuel reactivity stratification

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Reitz, Rolf Deneys; Hanson, Reed M.; Splitter, Derek A.

    A compression ignition (diesel) engine uses two or more fuel charges during a combustion cycle, with the fuel charges having two or more reactivities (e.g., different cetane numbers), in order to control the timing and duration of combustion. By appropriately choosing the reactivities of the charges, their relative amounts, and their timing, combustion can be tailored to achieve optimal power output (and thus fuel efficiency), at controlled temperatures (and thus controlled NOx), and with controlled equivalence ratios (and thus controlled soot). At low load and no load (idling) conditions, the aforementioned results are attained by restricting airflow to the combustionmore » chamber during the intake stroke (as by throttling the incoming air at or prior to the combustion chamber's intake port) so that the cylinder air pressure is below ambient pressure at the start of the compression stroke.« less

  20. Performance and emission characteristics of the thermal barrier coated SI engine by adding argon inert gas to intake mixture

    PubMed Central

    Karthikeya Sharma, T.

    2014-01-01

    Dilution of the intake air of the SI engine with the inert gases is one of the emission control techniques like exhaust gas recirculation, water injection into combustion chamber and cyclic variability, without scarifying power output and/or thermal efficiency (TE). This paper investigates the effects of using argon (Ar) gas to mitigate the spark ignition engine intake air to enhance the performance and cut down the emissions mainly nitrogen oxides. The input variables of this study include the compression ratio, stroke length, and engine speed and argon concentration. Output parameters like TE, volumetric efficiency, heat release rates, brake power, exhaust gas temperature and emissions of NOx, CO2 and CO were studied in a thermal barrier coated SI engine, under variable argon concentrations. Results of this study showed that the inclusion of Argon to the input air of the thermal barrier coated SI engine has significantly improved the emission characteristics and engine’s performance within the range studied. PMID:26644918

  1. Mathematical modeling of a four-stroke resonant engine for micro and mesoscale applications

    NASA Astrophysics Data System (ADS)

    Preetham, B. S.; Anderson, M.; Richards, C.

    2014-12-01

    In order to mitigate frictional and leakage losses in small scale engines, a compliant engine design is proposed in which the piston in cylinder arrangement is replaced by a flexible cavity. A physics-based nonlinear lumped-parameter model is derived to predict the performance of a prototype engine. The model showed that the engine performance depends on input parameters, such as heat input, heat loss, and load on the engine. A sample simulation for a reference engine with octane fuel/air ratio of 0.043 resulted in an indicated thermal efficiency of 41.2%. For a fixed fuel/air ratio, higher output power is obtained for smaller loads and vice-versa. The heat loss from the engine and the work done on the engine during the intake stroke are found to decrease the indicated thermal efficiency. The ratio of friction work to indicated work in the prototype engine is about 8%, which is smaller in comparison to the traditional reciprocating engines.

  2. Variable valve timing in a homogenous charge compression ignition engine

    DOEpatents

    Lawrence, Keith E.; Faletti, James J.; Funke, Steven J.; Maloney, Ronald P.

    2004-08-03

    The present invention relates generally to the field of homogenous charge compression ignition engines, in which fuel is injected when the cylinder piston is relatively close to the bottom dead center position for its compression stroke. The fuel mixes with air in the cylinder during the compression stroke to create a relatively lean homogeneous mixture that preferably ignites when the piston is relatively close to the top dead center position. However, if the ignition event occurs either earlier or later than desired, lowered performance, engine misfire, or even engine damage, can result. The present invention utilizes internal exhaust gas recirculation and/or compression ratio control to control the timing of ignition events and combustion duration in homogeneous charge compression ignition engines. Thus, at least one electro-hydraulic assist actuator is provided that is capable of mechanically engaging at least one cam actuated intake and/or exhaust valve.

  3. Dietary potassium intake and risk of stroke: a dose-response meta-analysis of prospective studies.

    PubMed

    Larsson, Susanna C; Orsini, Nicola; Wolk, Alicja

    2011-10-01

    Potassium intake has been inconsistently associated with risk of stroke. Our aim was to conduct a meta-analysis of prospective studies to assess the relation between potassium intake and stroke risk. Pertinent studies were identified by a search of PubMed from January 1966 through March 2011 and by reviewing the reference lists of retrieved articles. We included prospective studies that reported relative risks with 95% CIs of stroke for ≥3 categories of potassium intake or for potassium intake analyzed as a continuous variable. Study-specific results were pooled using a random-effects model. Ten independent prospective studies, with a total of 8695 stroke cases and 268 276 participants, were included in the meta-analysis. We observed a statistically significant inverse association between potassium intake and risk of stroke. For every 1000-mg/day increase in potassium intake, the risk of stroke decreased by 11% (pooled relative risk, 0.89; 95% CI, 0.83 to 0.97). In the 5 studies that reported results for stroke subtypes, the pooled relative risks were 0.89 (95% CI, 0.81 to 0.97) for ischemic stroke, 0.95 (95% CI, 0.83 to 1.09) for intracerebral hemorrhage, and 1.08 (95% CI, 0.92 to 1.27) for subarachnoid hemorrhage. Dietary potassium intake is inversely associated with risk of stroke, in particular ischemic stroke.

  4. Flavanone Intake Is Inversely Associated with Risk of Incident Ischemic Stroke in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study1234

    PubMed Central

    Goetz, Margarethe E; Judd, Suzanne E; Hartman, Terryl J; McClellan, William; Anderson, Aaron; Vaccarino, Viola

    2016-01-01

    Background: Flavonoids may have beneficial cerebrovascular effects, but evidence from racially and geographically representative cohorts in comprehensive flavonoid databases is lacking. Given racial and geographic disparities in stroke incidence, representative cohort studies are needed. Objectives: We evaluated the association between flavonoid intake and incident ischemic stroke in a biracial, national cohort using updated flavonoid composition tables and assessed differences in flavonoid intake by sex, race, and region of residence. Methods: We evaluated 20,024 participants in the REGARDS (REasons for Geographic and Racial Differences in Stroke) study, a biracial prospective study. Participants with stroke history or missing dietary data were excluded. Flavonoid intake was estimated by using a Block98 food frequency questionnaire and the USDA’s Provisional Flavonoid Addendum and Proanthocyanidin Database. Associations between quintiles of flavonoid intake and incident ischemic stroke were evaluated by using Cox proportional hazards models, adjusting for confounders. Results: Over 6.5 y, 524 acute ischemic strokes occurred. Flavanone intake was lower in the Southeastern United States but higher in blacks than in whites. After multivariable adjustment, flavanone intake was inversely associated with incident ischemic stroke (HR: 0.72; 95% CI: 0.55, 0.95; P-trend = 0.03). Consumption of citrus fruits and juices was inversely associated with incident ischemic stroke (HR: 0.69; 95% CI: 0.53, 0.91; P-trend = 0.02). Total flavonoids and other flavonoid subclasses were not associated with incident ischemic stroke. There was no statistical interaction with sex, race, or region for any flavonoid measure. Conclusions: Greater consumption of flavanones, but not total or other flavonoid subclasses, was inversely associated with incident ischemic stroke. Associations did not differ by sex, race, or region for the association; however, regional differences in flavanone intake may contribute to regional disparities in ischemic stroke incidence. Higher flavanone intake in blacks suggests that flavanone intake is not implicated in racial disparities in ischemic stroke incidence. PMID:27655760

  5. Flavanone Intake Is Inversely Associated with Risk of Incident Ischemic Stroke in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study.

    PubMed

    Goetz, Margarethe E; Judd, Suzanne E; Hartman, Terryl J; McClellan, William; Anderson, Aaron; Vaccarino, Viola

    2016-11-01

    Flavonoids may have beneficial cerebrovascular effects, but evidence from racially and geographically representative cohorts in comprehensive flavonoid databases is lacking. Given racial and geographic disparities in stroke incidence, representative cohort studies are needed. We evaluated the association between flavonoid intake and incident ischemic stroke in a biracial, national cohort using updated flavonoid composition tables and assessed differences in flavonoid intake by sex, race, and region of residence. We evaluated 20,024 participants in the REGARDS (REasons for Geographic and Racial Differences in Stroke) study, a biracial prospective study. Participants with stroke history or missing dietary data were excluded. Flavonoid intake was estimated by using a Block98 food frequency questionnaire and the USDA's Provisional Flavonoid Addendum and Proanthocyanidin Database. Associations between quintiles of flavonoid intake and incident ischemic stroke were evaluated by using Cox proportional hazards models, adjusting for confounders. Over 6.5 y, 524 acute ischemic strokes occurred. Flavanone intake was lower in the Southeastern United States but higher in blacks than in whites. After multivariable adjustment, flavanone intake was inversely associated with incident ischemic stroke (HR: 0.72; 95% CI: 0.55, 0.95; P-trend = 0.03). Consumption of citrus fruits and juices was inversely associated with incident ischemic stroke (HR: 0.69; 95% CI: 0.53, 0.91; P-trend = 0.02). Total flavonoids and other flavonoid subclasses were not associated with incident ischemic stroke. There was no statistical interaction with sex, race, or region for any flavonoid measure. Greater consumption of flavanones, but not total or other flavonoid subclasses, was inversely associated with incident ischemic stroke. Associations did not differ by sex, race, or region for the association; however, regional differences in flavanone intake may contribute to regional disparities in ischemic stroke incidence. Higher flavanone intake in blacks suggests that flavanone intake is not implicated in racial disparities in ischemic stroke incidence. © 2016 American Society for Nutrition.

  6. Assessment of the effect of gaseous fuel delivery mode on thermal efficiency and fuel losses during the valve overlap period in a dual-fuel compression ignition engine

    NASA Astrophysics Data System (ADS)

    Skrzek, T.

    2016-09-01

    The paper describes the effect of dual fuelling of single cylinder AVL test CI engine with the use of two ways of gas delivery to the engine manifold. The engine was fuelled diesel oil and propane. For all the tests, gas consumption was maintained at the same level. In the first mode the gas was delivered by injector located under inlet valve. In the second method, there was used a mixer fitted to the intake manifold. The paper compares the results of thermal efficiency and emissions of propane in the exhaust for both fuelling modes. Research clearly show how important it is to synchronize the injector opening time of the intake stroke. This is especially important for supercharged engines in which there is a valve overlap.

  7. Numerical simulation of the flow field and fuel sprays in an IC engine

    NASA Technical Reports Server (NTRS)

    Nguyen, H. L.; Schock, H. J.; Ramos, J. I.; Carpenter, M. H.; Stegeman, J. D.

    1987-01-01

    A two-dimensional model for axisymmetric piston-cylinder configurations is developed to study the flow field in two-stroke direct-injection Diesel engines under motored conditions. The model accounts for turbulence by a two-equation model for the turbulence kinetic energy and its rate of dissipation. A discrete droplet model is used to simulate the fuel spray, and the effects of the gas phase turbulence on the droplets is considered. It is shown that a fluctuating velocity can be added to the mean droplet velocity every time step if the step is small enough. Good agreement with experimental data is found for a range of ambient pressures in Diesel engine-type microenvironments. The effects of the intake swirl angle in the spray penetration, vaporization, and mixing in a uniflow-scavenged two-stroke Diesel engine are analyzed. It is found that the swirl increases the gas phase turbulence levels and the rates of vaporization.

  8. Vortex motion in axisymmetric piston-cylinder configurations

    NASA Technical Reports Server (NTRS)

    Shih, T. I. P.; Smith, G. E.; Springer, G. S.

    1982-01-01

    By using the Beam and Warming implicit-factored method of solution of the Navier-Stokes equations, velocities were calculated inside axisymmetric piston cylinder configurations during the intake and compression strokes. Results are presented in graphical form which show the formation, growth and breakup of those vortices which form during the intake stroke by the jet issuing from the valve. It is shown that at bore-to-stroke ratio of less than unity, the vortices may breakup during the intake stroke. It is also shown that vortices which do not breakup during the intake stroke coalesce during the compression stroke.

  9. Constant speed control of four-stroke micro internal combustion swing engine

    NASA Astrophysics Data System (ADS)

    Gao, Dedong; Lei, Yong; Zhu, Honghai; Ni, Jun

    2015-09-01

    The increasing demands on safety, emission and fuel consumption require more accurate control models of micro internal combustion swing engine (MICSE). The objective of this paper is to investigate the constant speed control models of four-stroke MICSE. The operation principle of the four-stroke MICSE is presented based on the description of MICSE prototype. A two-level Petri net based hybrid model is proposed to model the four-stroke MICSE engine cycle. The Petri net subsystem at the upper level controls and synchronizes the four Petri net subsystems at the lower level. The continuous sub-models, including breathing dynamics of intake manifold, thermodynamics of the chamber and dynamics of the torque generation, are investigated and integrated with the discrete model in MATLAB Simulink. Through the comparison of experimental data and simulated DC voltage output, it is demonstrated that the hybrid model is valid for the four-stroke MICSE system. A nonlinear model is obtained from the cycle average data via the regression method, and it is linearized around a given nominal equilibrium point for the controller design. The feedback controller of the spark timing and valve duration timing is designed with a sequential loop closing design approach. The simulation of the sequential loop closure control design applied to the hybrid model is implemented in MATLAB. The simulation results show that the system is able to reach its desired operating point within 0.2 s, and the designed controller shows good MICSE engine performance with a constant speed. This paper presents the constant speed control models of four-stroke MICSE and carries out the simulation tests, the models and the simulation results can be used for further study on the precision control of four-stroke MICSE.

  10. Dietary Intake of α-Linolenic Acid Is Not Appreciably Associated with Risk of Ischemic Stroke among Middle-Aged Danish Men and Women.

    PubMed

    Bork, Christian S; Venø, Stine K; Lundbye-Christensen, Søren; Jakobsen, Marianne U; Tjønneland, Anne; Schmidt, Erik B; Overvad, Kim

    2018-06-01

    Intake of the plant-derived omega-3 (n-3) fatty acid α-linolenic acid (ALA) may reduce the risk of ischemic stroke. We have investigated the associations between dietary intake of ALA and the risk of ischemic stroke and ischemic stroke subtypes. This was a follow-up study. A total of 57,053 participants aged 50-64 y were enrolled into the Danish Diet, Cancer and Health cohort between 1993 and 1997. Intake of ALA was assessed by a validated semiquantitative food frequency questionnaire. Potential incident cases of ischemic stroke were identified in the Danish National Patient Register, validated, and classified into subtypes based on assumed etiology. Statistical analyses were performed via Cox proportional hazard regression with adjustment for established ischemic stroke risk factors. A total of 1859 ischemic stroke cases were identified during a median of 13.5 y of follow-up. In multivariable analyses using restricted cubic splines adjusting for traditional risk factors for ischemic stroke, we observed no clear associations between dietary intake of ALA and the risk of total ischemic stroke or any of its subtypes including ischemic stroke due to large artery atherosclerosis, ischemic stroke due to small-vessel occlusion, and ischemic stroke due to cardio-embolism. Dietary intake of ALA was neither consistently nor appreciably associated with the risk of ischemic stroke or ischemic stroke subtypes among middle-aged Danish men and women. This study was registered at clinicaltrials.gov as NCT03258983.

  11. Factors Predicting Recovery of Oral Intake in Stroke Survivors with Dysphagia in a Convalescent Rehabilitation Ward.

    PubMed

    Ikenaga, Yasunori; Nakayama, Sayaka; Taniguchi, Hiroki; Ohori, Isao; Komatsu, Nahoko; Nishimura, Hitoshi; Katsuki, Yasuo

    2017-05-01

    Percutaneous endoscopic gastrostomy may be performed in dysphagic stroke patients. However, some patients regain complete oral intake without gastrostomy. This study aimed to investigate the predictive factors of intake, thereby determining gastrostomy indications. Stroke survivors admitted to our convalescent rehabilitation ward who underwent gastrostomy or nasogastric tube placement from 2009 to 2015 were divided into 2 groups based on intake status at discharge. Demographic data and Functional Independence Measure (FIM), Dysphagia Severity Scale (DSS), National Institutes of Health Stroke Scale, and Glasgow Coma Scale (GCS) scores on admission were compared between groups. We evaluated the factors predicting intake using a stepwise logistic regression analysis. Thirty-four patients recovered intake, whereas 38 achieved incomplete intake. Mean age was lower, mean body mass index (BMI) was higher, and mean time from stroke onset to admission was shorter in the complete intake group. The complete intake group had less impairment in terms of GCS, FIM, and DSS scores. In the stepwise logistic regression analysis, BMI, FIM-cognitive score, and DSS score were significant independent factors predicting intake. The formula of BMI × .26 + FIM cognitive score × .19 + DSS score × 1.60 predicted recovery of complete intake with a sensitivity of 88.2% and a specificity of 84.2%. Stroke survivors with dysphagia with a high BMI and FIM-cognitive and DSS scores tended to recover oral intake. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  12. Fuel-air mixing and combustion in a two-dimensional Wankel engine

    NASA Technical Reports Server (NTRS)

    Shih, T. I.-P.; Schock, H. J.; Ramos, J. I.

    1987-01-01

    A two-equation turbulence model, an algebraic grid generalization method, and an approximate factorization time-linearized numerical technique are used to study the effects of mixture stratification at the intake port and gaseous fuel injection on the flow field and fuel-air mixing in a two-dimensional rotary engine model. The fuel distribution in the combustion chamber is found to be a function of the air-fuel mixture fluctuations at the intake port. It is shown that the fuel is advected by the flow field induced by the rotor and is concentrated near the leading apex during the intake stroke, while during compression, the fuel concentration is highest near the trailing apex and is lowest near the rotor. It is also found that the fuel concentration near the trailing apex and rotor is small except at high injection velocities.

  13. Increasing Reliability of a Small 2-Stroke Internal Combustion Engine for Dynamically Changing Altitudes

    DTIC Science & Technology

    2012-03-01

    63 Figure 20: New 3 inch stainless pipe used as an intake manifold...speed range of 1,000 RPM to 4,000 RPM. Six electric heaters with a total capacity of 900 W were used to heat the inlet air allowing a maximum...of the engine volume and had a gummy diaphragm attached to reduce pressure and flow pulsations to allow for more accurate air flow measurements

  14. Serum potassium level and dietary potassium intake as risk factors for stroke.

    PubMed

    Green, D M; Ropper, A H; Kronmal, R A; Psaty, B M; Burke, G L

    2002-08-13

    Numerous studies have found that low potassium intake and low serum potassium are associated with increased stroke mortality, but data regarding stroke incidence have been limited. Serum potassium levels, dietary potassium intake, and diuretic use in relation to risk for stroke in a prospectively studied cohort were investigated. The study comprised 5,600 men and women older than 65 years who were free of stroke at enrollment. Baseline data included serum potassium level, dietary potassium intake, and diuretic use. Participants were followed for 4 to 8 years, and the incidence and types of strokes were recorded. Low serum potassium was defined as less than 4.1 mEq/L, and low potassium intake as less than 2.4 g/d. Among diuretic users, there was an increased risk for stroke associated with lower serum potassium (relative risk [RR]: 2.5, p < 0.0001). Among individuals not taking diuretics, there was an increased risk for stroke associated with low dietary potassium intake (RR: 1.5, p < 0.005). The small number of diuretic users with lower serum potassium and atrial fibrillation had a 10-fold greater risk for stroke compared with those with higher serum potassium and normal sinus rhythm. A lower serum potassium level in diuretic users, and low potassium intake in those not taking diuretics were associated with increased stroke incidence among older individuals. Lower serum potassium was associated with a particularly high risk for stroke in the small number of diuretic users with atrial fibrillation. Further study is required to determine if modification of these factors would prevent strokes.

  15. Longitudinal Change of Perceived Salt Intake and Stroke Risk in a Chinese Population.

    PubMed

    Li, Yun; Huang, Zhe; Jin, Cheng; Xing, Aijun; Liu, Yesong; Huangfu, Chunmei; Lichtenstein, Alice H; Tucker, Katherine L; Wu, Shouling; Gao, Xiang

    2018-06-01

    Data for a relationship between salt intake and stroke have been inconsistent. This inconstancy could be because of the majority of studies evaluated salt intake at a single time point, which may be insufficient to accurately characterize salt intake throughout the observation period. Included were 77 605 participants from the Kailuan study. We assessed perceived salt intake via questionnaire in 2006, 2008, and 2010. Salt intake trajectories from 2006 to 2010 were identified using latent mixture models. Incident stroke cases were identified from 2010 to 2015 and confirmed by review of medical records. Cox proportional hazards model was used to examine the association between salt intake trajectories and stroke risk after adjusting for possible confounders, including age, sex, lifestyle, social economic status, body mass index, use of medicines, blood pressure, and lipoprotein profiles. Identified were 5 distinct salt intake trajectories: moderate-stable (n=59 241), moderate-decreasing (n=9268), moderate-increasing (n=2975), low-increasing (n=2879), and high-decreasing (n=3242). During the 5-year follow-up period, there were 1564 incident strokes cases. Compared with individuals with the moderate-stable salt intake trajectory, individuals with moderate-decreasing salt intake trajectory had significantly lower cerebral infarction stroke risk (adjusted hazard ratio, 0.76; 95% confidence interval, 0.63-0.92) but not intracerebral hemorrhage risk (adjusted hazard ratio, 0.84; 95% confidence interval, 0.55-1.29). Further adjustment for 2006 or 2010 perceived salt intakes generated similar results. When baseline perceived salt intake only was used as the exposure, a significant dose-response relationship between higher perceived salt intake and higher stroke risk was observed ( P trend=0.006). Change in salt intake was associated with the stroke risk. These data support the dietary recommendation to the reduction of salt intake. © 2018 American Heart Association, Inc.

  16. Dietary flavonoid intake and the risk of stroke: a dose-response meta-analysis of prospective cohort studies

    PubMed Central

    Tang, Zhenyu; Li, Min; Zhang, Xiaowei; Hou, Wenshang

    2016-01-01

    Objective To clarify and quantify the potential association between intake of flavonoids and risk of stroke. Design Meta-analysis of prospective cohort studies. Data source Studies published before January 2016 identified through electronic searches using PubMed, Embase and the Cochrane Library. Eligibility criteria for selecting studies Prospective cohort studies with relative risks and 95% CIs for stroke according to intake of flavonoids (assessed as dietary intake). Results The meta-analysis yielded 11 prospective cohort studies involving 356 627 participants and more than 5154 stroke cases. The pooled estimate of the multivariate relative risk of stroke for the highest compared with the lowest dietary flavonoid intake was 0.89 (95% CI 0.82 to 0.97; p=0.006). Dose-response analysis indicated that the summary relative risk of stroke for an increase of 100 mg flavonoids consumed per day was 0.91 (95% CI 0.77 to 1.08) without heterogeneity among studies (I2=0%). Stratifying by follow-up duration, the relative risk of stroke for flavonoid intake was 0.89 (95% CI 0.81 to 0.99) in studies with more than 10 years of follow-up. Conclusions Results from this meta-analysis suggest that higher dietary flavonoid intake may moderately lower the risk of stroke. PMID:27279473

  17. Numerical simulation of the flow and fuel-air mixing in an axisymmetric piston-cylinder arrangement

    NASA Technical Reports Server (NTRS)

    Shih, T. I. P.; Smith, G. E.; Springer, G. S.

    1982-01-01

    The implicit factored method of Beam and Warming was employed to describe the flow and the fuel-air mixing in an axisymmetric piston-cylinder configuration during the intake and compression strokes. The governing equations were established on the basis of laminar flow. The increased mixing due to turbulence was simulated by appropriately chosen effective transport properties. Calculations were performed for single-component gases and for two-component gases and for two-component gas mixtures. The flow field was calculated as functions of time and position for different geometries, piston speeds, intake-charge-to-residual-gas-pressure ratios, and species mass fractions of the intake charge. Results are presented in graphical form which show the formation, growth, and break-up of those vortices which form during the intake stroke and the mixing of fuel and air throughout the intake and compression strokes. It is shown that at bore-to-stroke ratio of less than unity, the vortices may break-up during the intake stroke. It is also shown that vortices which do not break-up during the intake stroke coalesce during the compression stroke. The results generated were compared to existing numerical solutions and to available experimental data.

  18. Modification and performance evaluation of a mono-valve engine

    NASA Astrophysics Data System (ADS)

    Behrens, Justin W.

    A four-stroke engine utilizing one tappet valve for both the intake and exhaust gas exchange processes has been built and evaluated. The engine operates under its own power, but has a reduced power capacity than the conventional 2-valve engine. The reduction in power is traced to higher than expected amounts of exhaust gases flowing back into the intake system. Design changes to the cylinder head will fix the back flow problems, but the future capacity of mono-valve engine technology cannot be estimated. The back flow of exhaust gases increases the exhaust gas recirculation (EGR) rate and deteriorates combustion. Intake pressure data shows the mono-valve engine requires an advanced intake valve closing (IVC) time to prevent back flow of charge air. A single actuation camshaft with advanced IVC was tested in the mono-valve engine, and was found to improve exhaust scavenging at TDC and nearly eliminated all charge air back flow at IVC. The optimum IVC timing is shown to be approximately 30 crank angle degrees after BDC. The mono-valve cylinder head utilizes a rotary valve positioned above the tappet valve. The open spaces inside the rotary valveand between the rotary valve and tappet valve represent a common volume that needs to be reduced in order to reduce the base EGR rate. Multiple rotary valve configurations were tested, and the size of the common volume was found to have no effect on back flow but a direct effect on the EGR rate and engine performance. The position of the rotary valve with respect to crank angle has a direct effect on the scavenging process. Optimum scavenging occurs when the intake port is opened just after TDC.

  19. Race and Region Are Associated with Nutrient Intakes among Black and White Men in the United States12

    PubMed Central

    Newby, P. K.; Noel, Sabrina E.; Grant, Rachael; Judd, Suzanne; Shikany, James M.; Ard, Jamy

    2011-01-01

    Stroke mortality rates and prevalence of several chronic diseases are higher in Southern populations and blacks in the US. This study examined the relationships of race (black, white) and region (Stroke Belt, Stroke Buckle, other) with selected nutrient intakes among black and white American men (n = 9229). The Block 98 FFQ assessed dietary intakes and multivariable linear regression analysis was used to examine whether race and region were associated with intakes of fiber, saturated fat, trans fat, sodium, potassium, magnesium, calcium, and cholesterol. Race and region were significant predictors of most nutrient intakes. Black men consumed 1.00% lower energy from saturated fat compared with white men [multivariable-adjusted β: 1.00% (95% CI = −0.88, −1.13)]. A significant interaction between race and region was detected for trans fat (P < 0.0001), where intake was significantly lower among black men compared with white men only in the Stroke Belt [multivariable-adjusted β: −0.21 (95% CI = −0.11, −0.31)]. Among black men, intakes of sodium, potassium, magnesium, and calcium were lower, whereas cholesterol was higher, compared with white men (P < 0.05 for all). Comparing regions, men in the Stroke Buckle had the lowest intakes of fiber, potassium, magnesium, and calcium compared with those in the Stroke Belt and other regions; men in both the Stroke Buckle and Stroke Belt had higher intakes of cholesterol compared with those in other regions (P < 0.005 for all). Given these observed differences in dietary intakes, more research is needed to understand if and how they play a role in the health disparities and chronic disease risks observed among racial groups and regions in the US. PMID:21178088

  20. Hybrid Automotive Engine Using Ethanol-Burning Miller Cycle

    NASA Technical Reports Server (NTRS)

    Weinstein, Leonard

    2004-01-01

    A proposed hybrid (internal-combustion/ electric) automotive engine system would include as its internal-combustion subsystem, a modified Miller-cycle engine with regenerative air preheating and with autoignition like that of a Diesel engine. The fuel would be ethanol and would be burned lean to ensure complete combustion. Although the proposed engine would have a relatively low power-to-weight ratio compared to most present engines, this would not be the problem encountered if this engine were used in a non-hybrid system since hybrid systems require significantly lower power and thus smaller engines than purely internal-combustion-engine-driven vehicles. The disadvantage would be offset by the advantages of high fuel efficiency, low emission of nitrogen oxides and particulate pollutants, and the fact that ethanol is a renewable fuel. The original Miller-cycle engine, named after its inventor, was patented in the 1940s and is the basis of engines used in some modern automobiles, but is not widely known. In somewhat oversimplified terms, the main difference between a Miller-cycle engine and a common (Otto-cycle) automobile engine is that the Miller-cycle engine has a longer expansion stroke while retaining the shorter compression stroke. This is accomplished by leaving the intake valve open for part of the compression stroke, whereas in the Otto cycle engine, the intake valve is kept closed during the entire compression stroke. This greater expansion ratio makes it possible to extract more energy from the combustion process without expending more energy for compression. The net result is greater efficiency. In the proposed engine, the regenerative preheating would be effected by running the intake air through a heat exchanger connected to the engine block. The regenerative preheating would offer two advantages: It would ensure reliable autoignition during operation at low ambient temperature and would help to cool the engine, thereby reducing the remainder of the power needed for cooling and thereby further contributing to efficiency. An electrical resistance air preheater might be needed to ensure autoignition at startup and during a short warmup period. Because of the autoignition, the engine could operate without either spark plugs or glow plugs. Ethanol burns relatively cleanly and has been used as a motor fuel since the invention of internal-combustion engines. However, the energy content of ethanol per unit weight of ethanol is less than that of Diesel fuel or gasoline, and ethanol has a higher heat of vaporization. Because the Miller cycle offers an efficiency close to that of the Diesel cycle, burning ethanol in a Miller-cycle engine gives about as much usable output energy per unit volume of fuel as does burning gasoline in a conventional gasoline automotive engine. Because of the combination of preheating, running lean, and the use of ethyl alcohol, the proposed engine would generate less power per unit volume than does a conventional automotive gasoline engine. Consequently, for a given power level, the main body of the proposed engine would be bulkier. However, because little or no exhaust cleanup would be needed, the increase in bulk of the engine could be partially offset by the decrease in bulk of the exhaust system. The regenerative preheating also greatly reduces the external engine cooling requirement, and would translate to reduced engine bulk. It may even be possible to accomplish the remaining cooling of the engine by use of air only, eliminating the bulk and power consumption of a water cooling system. The combination of a Miller-cycle engine with regenerative air preheating, ethyl alcohol fuel, and hybrid operation could result in an automotive engine system that satisfies the need for a low pollution, high efficiency, and simple engine with a totally renewable fuel.

  1. The influence of mixture preparation in the intake port on the performance of a spark-ignited four-stroke engine

    NASA Astrophysics Data System (ADS)

    Daniels, Charles Howard

    An experimental technique is developed for evaluating the influence of mixture preparation in the intake port on the performance of a spark ignited engine. The preparation components studied are fuel vapor, droplets, and liquid streams. The fuel in these three distinct forms are produced and varied in a specially designed mixture preparation system, which delivers an air/fuel mixture to a test cylinder of an engine. Incorporated in the preparation system are devices for measuring the flow rates of fuel in these forms. A method of estimating the vapor concentration of a gasoline in the preparation channel by the use of simple temperature measurements is also presented. The effect of these fuel forms on in-cylinder pressure performance and exhaust gas concentrations are investigated in a 1.9 L Ford engine. A matrix of engine operations are studied along with two gasolines of different volatilities. The results of this investigation show that the operation of the engine at low speeds and low manifold absolute pressures is most susceptible to the effects mixture preparation. For those engine operating conditions affected, the results show that by increasing the amount of fuel in liquid stream form, the performance of the engine is generally diminished. In addition, 'equivalent' mixtures resulting from a conventional injector and a pneumatic atomizer in the intake port are identified relative to engine performance.

  2. Intake of antioxidants and B vitamins is inversely associated with ischemic stroke and cerebral atherosclerosis

    PubMed Central

    Choe, Hansaem; Hwang, Ji-Yun; Yun, Jin A; Kim, Ji-Myung; Song, Tae-Jin; Chang, Namsoo; Kim, Yong-Jae

    2016-01-01

    BACKGROUND/OBJECTIVES This study was conducted to examine relationships between dietary habits and intakes of antioxidants and B vitamins and the risk of ischemic stroke, and to compare dietary factors according to the presence of cerebral artery atherosclerosis and stroke subtypes. SUBJECTS/METHODS A total of 147 patients and 144 control subjects were recruited consecutively in the metropolitan area of Seoul, Korea. Sixty participants each in the case and control groups were included in analyses after 1:1 frequency matching. In addition, 117 acute ischemic stroke patients were classified into subtypes according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) guidelines. Dietary intake was measured using a semi-quantitative food frequency questionnaire composed of 111 food items and plasma lipid and homocysteine levels were analyzed. RESULTS When compared with control subjects, stroke patients had unfavorable dietary behaviors and lower intakes of fruits (73.1 ± 83.2 g vs. 230.9 ± 202.1 g, P < 0.001), vegetables (221.1 ± 209.0 g vs. 561.7 ± 306.6 g, P < 0.001), and antioxidants, including vitamins C, E, B6, β-carotene, and folate. The intakes of fruits, vegetables, vitamin C, and folate were inversely associated with the risk of ischemic stroke after adjusting for confounding factors. Intakes of vegetables, vitamins C, B6, B12, and folate per 1,000 kcal were lower in ischemic stroke with cerebral atherosclerosis than in those without. Overall vitamin B12 intake per 1,000 kcal differed according to the TOAST classification (P = 0.004), but no differences among groups existed based on the post-hoc test. CONCLUSIONS When compared with control subjects, ischemic stroke patients, particularly those with cerebral atherosclerosis, had unfavorable dietary intake, which may have contributed to the development of ischemic stroke. These results indicate that proper dietary recommendations are important for the prevention of ischemic stroke. PMID:27698959

  3. Intake of antioxidants and B vitamins is inversely associated with ischemic stroke and cerebral atherosclerosis.

    PubMed

    Choe, Hansaem; Hwang, Ji-Yun; Yun, Jin A; Kim, Ji-Myung; Song, Tae-Jin; Chang, Namsoo; Kim, Yong-Jae; Kim, Yuri

    2016-10-01

    This study was conducted to examine relationships between dietary habits and intakes of antioxidants and B vitamins and the risk of ischemic stroke, and to compare dietary factors according to the presence of cerebral artery atherosclerosis and stroke subtypes. A total of 147 patients and 144 control subjects were recruited consecutively in the metropolitan area of Seoul, Korea. Sixty participants each in the case and control groups were included in analyses after 1:1 frequency matching. In addition, 117 acute ischemic stroke patients were classified into subtypes according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) guidelines. Dietary intake was measured using a semi-quantitative food frequency questionnaire composed of 111 food items and plasma lipid and homocysteine levels were analyzed. When compared with control subjects, stroke patients had unfavorable dietary behaviors and lower intakes of fruits (73.1 ± 83.2 g vs. 230.9 ± 202.1 g, P < 0.001), vegetables (221.1 ± 209.0 g vs. 561.7 ± 306.6 g, P < 0.001), and antioxidants, including vitamins C, E, B 6 , β-carotene, and folate. The intakes of fruits, vegetables, vitamin C, and folate were inversely associated with the risk of ischemic stroke after adjusting for confounding factors. Intakes of vegetables, vitamins C, B 6 , B 12 , and folate per 1,000 kcal were lower in ischemic stroke with cerebral atherosclerosis than in those without. Overall vitamin B 12 intake per 1,000 kcal differed according to the TOAST classification ( P = 0.004), but no differences among groups existed based on the post-hoc test. When compared with control subjects, ischemic stroke patients, particularly those with cerebral atherosclerosis, had unfavorable dietary intake, which may have contributed to the development of ischemic stroke. These results indicate that proper dietary recommendations are important for the prevention of ischemic stroke.

  4. Dietary intakes of glutamic acid and glycine are associated with stroke mortality in Japanese adults.

    PubMed

    Nagata, Chisato; Wada, Keiko; Tamura, Takashi; Kawachi, Toshiaki; Konishi, Kie; Tsuji, Michiko; Nakamura, Kozue

    2015-04-01

    Dietary intakes of glutamic acid and glycine have been reported to be associated with blood pressure. However, the link between intakes of these amino acids and stroke has not been studied. We aimed to examine the association between glutamic acid and glycine intakes and the risk of mortality from stroke in a population-based cohort study in Japan. The analyses included 29,079 residents (13,355 men and 15,724 women) of Takayama City, Japan, who were aged 35-101 y and enrolled in 1992. Their body mass index ranged from 9.9 to 57.4 kg/m(2). Their diets were assessed by a validated food frequency questionnaire. Deaths from stroke were ascertained over 16 y. During follow-up, 677 deaths from stroke (328 men and 349 women) were identified. A high intake of glutamic acid in terms of a percentage of total protein was significantly associated with a decreased risk of mortality from total stroke in women after controlling for covariates; the HR (95% CI) for the highest vs. lowest quartile was 0.72 (0.53, 0.98; P-trend: 0.03). Glycine intake was significantly associated with an increased risk of mortality from total and ischemic stroke in men without history of hypertension at baseline; the HRs (95% CIs) for the highest vs. lowest tertile were 1.60 (0.97, 2.51; P-trend: 0.03) and 1.88 (1.01, 3.52; P-trend: 0.02), respectively. There was no association between animal or vegetable protein intake and mortality from total and any subtype of stroke. The data suggest that glutamic acid and glycine intakes may be associated with risk of stroke mortality. Given that this is an initial observation, our results need to be confirmed. © 2015 American Society for Nutrition.

  5. Dietary fibre intake and risk of ischaemic and haemorrhagic stroke in the UK Women's Cohort Study.

    PubMed

    Threapleton, D E; Burley, V J; Greenwood, D C; Cade, J E

    2015-04-01

    Stroke risk is modifiable through many risk factors, one being healthy dietary habits. Fibre intake was associated with a reduced stroke risk in recent meta-analyses; however, data were contributed by relatively few studies, and few examined different stroke types. A total of 27,373 disease-free women were followed up for 14.4 years. Diet was assessed with a 217-item food frequency questionnaire and stroke cases were identified using English Hospital Episode Statistics and mortality records. Survival analysis was applied to assess the risk of total, ischaemic or haemorrhagic stroke in relation to fibre intake. A total of 135 haemorrhagic and 184 ischaemic stroke cases were identified in addition to 138 cases where the stroke type was unknown or not recorded. Greater intake of total fibre, higher fibre density and greater soluble fibre, insoluble fibre and fibre from cereals were associated with a significantly lower risk for total stroke. For total stroke, the hazard ratio per 6 g/day total fibre intake was 0.89 (95% confidence intervals: 0.81-0.99). Different findings were observed for haemorrhagic and ischaemic stroke in healthy-weight or overweight women. Total fibre, insoluble fibre and cereal fibre were inversely associated with haemorrhagic stroke risk in overweight/obese participants, and in healthy-weight women greater cereal fibre was associated with a lower ischaemic stroke risk. In non-hypertensive women, higher fibre density was associated with lower ischaemic stroke risk. Greater total fibre and fibre from cereals are associated with a lower stroke risk, and associations were more consistent with ischaemic stroke. The different observations by stroke type, body mass index group or hypertensive status indicates potentially different mechanisms.

  6. Prospective observational study of isoflavone and the risk of stroke recurrence: potential clinical implications beyond vascular function.

    PubMed

    Chan, Y-H; Lau, K-K; Yiu, K-H; Siu, C-W; Chan, H-T; Li, S-W; Tam, S; Lam, T-H; Lau, C-P; Tse, H-F

    2012-04-01

    Whether isoflavone has any effect on recurrent cardiovascular events is unknown. To investigate the relations between isoflavone intake and the risk of stroke recurrence. We recruited 127 consecutive patients with prior history of atherothrombotic/ hemorrhagic stroke (mean age: 67 ± 11 years, 69% male) and prospectively followed up for a mean duration of 30 months. Stroke recurrence and major adverse cardiovascular events (MACE) were documented. Brachial flow-mediated dilatation (FMD) was measured using high-resolution ultrasound. Isoflavone intake was estimated using a validated food frequency questionnaire. Median isoflavone intake was 6.9 (range: 2.1 - 14.5) mg/day. Isoflavone intake was independently associated with increased FMD (Pearson R=0.23, p=0.012). At 30 months, there were 10 stroke recurrence and 12 MACE. Kaplan-Meier analysis showed that patients with isoflavone intake higher than median value had significantly longer median stroke recurrence-free survival time (19.0 [range: 10.4 - 27.6] mth versus 5.0 [range: 4.1 - 5.9] mth, p=0.021) and MACE-free survival time (19.0 [range: 10.4 - 27.6] mth versus 4.0 [range: 2.4 - 5.6] mth, p=0.013). Using multivariate cox regression, higher isoflavone intake was an independent predictor for lower risk of stroke recurrence (hazards ratio 0.18 [95%CI: 0.03 - 0.95], risk reduction 82%, p=0.043) and MACE (hazards ratio 0.16 [95%CI: 0.03 - 0.84], risk reduction 84%, p=0.030). Higher isoflavone intake in stroke patients was associated with prolonged recurrence-free survival, and reduced risk of stroke recurrence and MACE independent of baseline vascular function. Whether isoflavone may confer clinically significant secondary protection in stroke patients should be further investigated in a randomized controlled trial.

  7. Potassium intake and risk of stroke in women with hypertension and nonhypertension in the Women's Health Initiative.

    PubMed

    Seth, Arjun; Mossavar-Rahmani, Yasmin; Kamensky, Victor; Silver, Brian; Lakshminarayan, Kamakshi; Prentice, Ross; Van Horn, Linda; Wassertheil-Smoller, Sylvia

    2014-10-01

    Dietary potassium has been associated with lower risk of stroke, but there are little data on dietary potassium effects on different stroke subtypes or in older women with hypertension and nonhypertension. The study population consisted of 90 137 postmenopausal women aged 50 to 79 at enrollment, free of stroke history at baseline, followed up prospectively for an average of 11 years. Outcome variables were total, ischemic, and hemorrhagic stroke, and all-cause mortality. Incidence was compared across quartiles of dietary potassium intake, and hazard ratios were obtained from Cox proportional hazards models after adjusting for potential confounding variables, and in women with hypertension and nonhypertension separately. Mean dietary potassium intake was 2611 mg/d. Highest quartile of potassium intake was associated with lower incidence of ischemic and hemorrhagic stroke and total mortality. Multivariate analyses comparing highest to lowest quartile of potassium intake indicated a hazard ratio of 0.90 (95% confidence interval, 0.85-0.95) for all-cause mortality, 0.88 (95% confidence interval, 0.79-0.98) for all stroke, and 0.84 (95% confidence interval, 0.74-0.96) for ischemic stroke. The effect on ischemic stroke was more apparent in women with nonhypertension among whom there was a 27% lower risk with hazard ratio of 0.73 (95% confidence interval, 0.60-0.88), interaction P<0.10. There was no association with hemorrhagic stroke. High potassium intake is associated with a lower risk of all stroke and ischemic stroke, as well as all-cause mortality in older women, particularly those who are not hypertensive. © 2014 American Heart Association, Inc.

  8. Potassium intake and risk of stroke in hypertensive and non-hypertensive women in the Women’s Health Initiative

    PubMed Central

    Seth, Arjun; Mossavar-Rahmani, Yasmin; Kamensky, Victor; Silver, Brian; Lakshminarayan, Kamakshi; Prentice, Ross; Van Horn, Linda; Wassertheil-Smoller, Sylvia

    2014-01-01

    Background and Purpose Dietary potassium has been associated with lower risk of stroke but there is little data on dietary potassium effects on different stroke subtypes or in older hypertensive and non-hypertensive women. Methods The study population consisted of 90,137 postmenopausal women aged 50–79 at enrollment, free of stroke history at baseline, followed prospectively for an average of 11 years. Outcome variables were total, ischemic, and hemorrhagic stroke, and all-cause mortality. Incidence was compared across quartiles of dietary potassium intake and hazard ratios were obtained from Cox proportional hazards models after adjusting for potential confounding variables, and in hypertensive and non-hypertensive women separately. Results Mean dietary potassium intake was 2611 mg/day. Highest quartile of potassium intake was associated with lower incidence of ischemic and hemorrhagic stroke, and total mortality. Multivariate analyses comparing highest to lowest quartile of potassium intake, indicated a hazard ratio (HR) for all-cause mortality of 0.90 (95% CI: 0.85 – 0.95), for all stroke of HR=0.88 (95% CI: 0.79 – 0.98), and for ischemic stroke of 0.84 (95% CI: 0.74 – 0.96). The effect on ischemic stroke was more apparent in non-hypertensive women among whom there was a 27% lower risk with HR of 0.73 (95% CI: 0.60 – 0.88), interaction p-value <.10. There was no association with hemorrhagic stroke. Conclusions High potassium intake is associated with a lower risk of all stroke and ischemic stroke as well as all-cause mortality in older women, particularly those who are not hypertensive. PMID:25190445

  9. Relations between dietary sodium and potassium intakes and mortality from cardiovascular disease: the Japan Collaborative Cohort Study for Evaluation of Cancer Risks.

    PubMed

    Umesawa, Mitsumasa; Iso, Hiroyasu; Date, Chigusa; Yamamoto, Akio; Toyoshima, Hideaki; Watanabe, Yoshiyuki; Kikuchi, Shogo; Koizumi, Akio; Kondo, Takaaki; Inaba, Yutaka; Tanabe, Naohito; Tamakoshi, Akiko

    2008-07-01

    Limited evidence is available about the relations between sodium and potassium intakes and cardiovascular disease in the general population. The objective was to investigate relations between sodium and potassium intakes and cardiovascular disease in Asian populations whose mean sodium intake is generally high. Between 1988 and 1990, a total of 58,730 Japanese subjects (n = 23,119 men and 35,611 women) aged 40-79 y with no history of stroke, coronary heart disease, or cancer completed a lifestyle questionnaire including food intake frequency under the Japan Collaborative Cohort Study for Evaluation of Cancer Risk sponsored by the Ministry of Education, Sports and Science. After 745,161 person-years of follow-up, we documented 986 deaths from stroke (153 subarachnoid hemorrhages, 227 intraparenchymal hemorrhages, and 510 ischemic strokes) and 424 deaths from coronary heart disease. Sodium intake was positively associated with mortality from total stroke, ischemic stroke, and total cardiovascular disease. The multivariable hazard ratio for the highest versus the lowest quintiles of sodium intake after adjustment for age, sex, and cardiovascular disease risk factors was 1.55 (95% CI: 1.21, 2.00; P for trend < 0.001) for total stroke, 2.04 (95% CI: 1.41, 2.94; P for trend < 0.001) for ischemic stroke, and 1.42 (95% CI: 1.20, 1.69; P for trend < 0.001) for total cardiovascular disease. Potassium intake was inversely associated with mortality from coronary heart disease and total cardiovascular disease. The multivariable hazard ratio for the highest versus the lowest quintiles of potassium intake was 0.65 (95% CI: 0.39, 1.06; P for trend = 0.083) for coronary heart disease and 0.73 (95% CI: 0.59, 0.92; P for trend = 0.018) for total cardiovascular disease, and these associations were more evident for women than for men. A high sodium intake and a low potassium intake may increase the risk of mortality from cardiovascular disease.

  10. ILIDS measurements of the evaporation of fuel droplets during the intake and compression strokes in a firing lean burn engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Skippon, S.M.; Tagaki, Y.

    1996-09-01

    The evaporation of fuel droplets is an important factor in determining the quality of mixture preparation in lean-burn engines, particularly when using open-valve injection timing, which results in large in-cylinder droplet populations. Interferometric Laser Imaging for Droplet Sizing (ILIDS) has been used to measure the in-cylinder droplet size distribution and fuel volume in the droplet phase as a function of crank angle for a typical full boiling range gasoline and three single component fuels with different boiling points: iso-pentane, iso-octane, and xylene, representing the volatilities of the light end, mid-range and heavy ends of a typical gasoline. The measurements weremore » made under firing conditions, with both open and closed valve injection timing, and at two different coolant temperatures, representing simulated cold start and fully warmed up conditions. A specially built single cylinder research engine was used, equipped with a transparent sapphire cylinder to provide all-round sidewall optical access to the cylinder interior. The engine had a four-valve leanburn head, swirl control valve and air-assisted injector. The experimental arrangements for ILIDS in a firing engine, and the optical access engine itself, are discussed in detail. The results showed significant differences in the rates of evaporation of the three fuel components: iso-pentane evaporated fully very early in the induction stroke, iso-octane droplets persisted longer, and xylene droplets persisted to the end of the compression stroke.« less

  11. A Method for Turbocharging Four-Stroke Single Cylinder Engines

    NASA Astrophysics Data System (ADS)

    Buchman, Michael; Winter, Amos

    2014-11-01

    Turbocharging is not conventionally used with single cylinder engines due to the timing mismatch between when the turbo is powered and when it can deliver air to the cylinder. The proposed solution involves a fixed, pressurized volume - which we call an air capacitor - on the intake side of the engine between the turbocharger and intake valves. The capacitor acts as a buffer and would be implemented as a new style of intake manifold with a larger volume than traditional systems. This talk will present the flow analysis used to determine the optimal size for the capacitor, which was found to be four to five times the engine capacity, as well as its anticipated contributions to engine performance. For a capacitor sized for a one-liter engine, the time to reach operating pressure was found to be approximately two seconds, which would be acceptable for slowly accelerating applications and steady state applications. The air density increase that could be achieved, compared to ambient air, was found to vary between fifty percent for adiabatic compression and no heat transfer from the capacitor, to eighty percent for perfect heat transfer. These increases in density are proportional to, to first order, the anticipated power increases that could be realized. This material is based upon work supported by the National Science Foundation Graduate Research Fellowship under Grant No. 1122374.

  12. In-cylinder air-flow characteristics of different intake port geometries using tomographic PIV

    NASA Astrophysics Data System (ADS)

    Agarwal, Avinash Kumar; Gadekar, Suresh; Singh, Akhilendra Pratap

    2017-09-01

    For improving the in-cylinder flow characteristics of intake air/charge and for strengthening the turbulence intensity, specific intake port geometries have shown significant potential in compression ignition engines. In this experimental study, effects of intake port geometries on air-flow characteristics were investigated using tomographic particle imaging velocimetry (TPIV). Experiments were performed using three experimental conditions, namely, swirl port open (SPO), tangential port open (TPO), and both port open (BPO) configurations in a single cylinder optical research engine. Flow investigations were carried out in a volumetric section located in the middle of the intake and exhaust valves. Particle imaging velocimetry (PIV) images were captured using two high speed cameras at a crank angle resolution of 2° in the intake and compression strokes. The captured PIV images were then pre-processed and post-processed to obtain the final air-flow-field. Effects of these two intake ports on flow-field are presented for air velocity, vorticity, average absolute velocity, and turbulent kinetic energy. Analysis of these flow-fields suggests the dominating nature of the swirl port over the tangential port for the BPO configuration and higher rate of flow energy dissipation for the TPO configuration compared to the SPO and BPO configurations. These findings of TPIV investigations were experimentally verified by combustion and particulate characteristics of the test engine in thermal cylinder head configuration. Combustion results showed that the SPO configuration resulted in superior combustion amongst all three port configurations. Particulate characteristics showed that the TPO configuration resulted in higher particulate compared to other port configurations.

  13. Dietary Sodium to Potassium Ratio and Risk of Stroke in a Multiethnic Urban Population: The Northern Manhattan Study.

    PubMed

    Willey, Joshua; Gardener, Hannah; Cespedes, Sandino; Cheung, Ying K; Sacco, Ralph L; Elkind, Mitchell S V

    2017-11-01

    There is growing evidence that increased dietary sodium (Na) intake increases the risk of vascular diseases, including stroke, at least in part via an increase in blood pressure. Higher dietary potassium (K), seen with increased intake of fruits and vegetables, is associated with lower blood pressure. The goal of this study was to determine the association of a dietary Na:K with risk of stroke in a multiethnic urban population. Stroke-free participants from the Northern Manhattan Study, a population-based cohort study of stroke incidence, were followed-up for incident stroke. Baseline food frequency questionnaires were analyzed for Na and K intake. We estimated the hazard ratios and 95% confidence intervals for the association of Na:K with incident total stroke using multivariable Cox proportional hazards models. Among 2570 participants with dietary data (mean age, 69±10 years; 64% women; 21% white; 55% Hispanic; 24% black), the mean Na:K ratio was 1.22±0.43. Over a mean follow-up of 12 years, there were 274 strokes. In adjusted models, a higher Na:K ratio was associated with increased risk for stroke (hazard ratio, 1.6; 95% confidence interval, 1.2-2.1) and specifically ischemic stroke (hazard ratio, 1.6; 95% confidence interval, 1.2-2.1). Na:K intake is an independent predictor of stroke risk. Further studies are required to understand the joint effect of Na and K intake on risk of cardiovascular disease. © 2017 American Heart Association, Inc.

  14. A Collection of Papers in the Aerospace Sciences

    DTIC Science & Technology

    1982-06-01

    An example is the case of a vehicle entering the earth’s atmosphere . In order to relate frustum transition location with tip bluntness phenomena some...results are shown in Fig. 14 for the inviscid flr.,w during the intake stroke of a conventional size engine operating at atmosphere conditions...theoretical and experimental efforts have been presented concerning the propagation of laser beams through natural atmospheric turbulence; however, in th

  15. Alcohol intake in relation to non-fatal and fatal coronary heart disease and stroke: EPIC-CVD case-cohort study.

    PubMed

    Ricci, Cristian; Wood, Angela; Muller, David; Gunter, Marc J; Agudo, Antonio; Boeing, Heiner; van der Schouw, Yvonne T; Warnakula, Samantha; Saieva, Calogero; Spijkerman, Annemieke; Sluijs, Ivonne; Tjønneland, Anne; Kyrø, Cecilie; Weiderpass, Elisabete; Kühn, Tilman; Kaaks, Rudolf; Sánchez, Maria-Jose; Panico, Salvatore; Agnoli, Claudia; Palli, Domenico; Tumino, Rosario; Engström, Gunnar; Melander, Olle; Bonnet, Fabrice; Boer, Jolanda M A; Key, Timothy J; Travis, Ruth C; Overvad, Kim; Verschuren, W M Monique; Quirós, J Ramón; Trichopoulou, Antonia; Papatesta, Eleni-Maria; Peppa, Eleni; Iribas, Conchi Moreno; Gavrila, Diana; Forslund, Ann-Sofie; Jansson, Jan-Håkan; Matullo, Giuseppe; Arriola, Larraitz; Freisling, Heinz; Lassale, Camille; Tzoulaki, Ioanna; Sharp, Stephen J; Forouhi, Nita G; Langenberg, Claudia; Saracci, Rodolfo; Sweeting, Michael; Brennan, Paul; Butterworth, Adam S; Riboli, Elio; Wareham, Nick J; Danesh, John; Ferrari, Pietro

    2018-05-29

    To investigate the association between alcohol consumption (at baseline and over lifetime) and non-fatal and fatal coronary heart disease (CHD) and stroke. Multicentre case-cohort study. A study of cardiovascular disease (CVD) determinants within the European Prospective Investigation into Cancer and nutrition cohort (EPIC-CVD) from eight European countries. 32 549 participants without baseline CVD, comprised of incident CVD cases and a subcohort for comparison. Non-fatal and fatal CHD and stroke (including ischaemic and haemorrhagic stroke). There were 9307 non-fatal CHD events, 1699 fatal CHD, 5855 non-fatal stroke, and 733 fatal stroke. Baseline alcohol intake was inversely associated with non-fatal CHD, with a hazard ratio of 0.94 (95% confidence interval 0.92 to 0.96) per 12 g/day higher intake. There was a J shaped association between baseline alcohol intake and risk of fatal CHD. The hazard ratios were 0.83 (0.70 to 0.98), 0.65 (0.53 to 0.81), and 0.82 (0.65 to 1.03) for categories 5.0-14.9 g/day, 15.0-29.9 g/day, and 30.0-59.9 g/day of total alcohol intake, respectively, compared with 0.1-4.9 g/day. In contrast, hazard ratios for non-fatal and fatal stroke risk were 1.04 (1.02 to 1.07), and 1.05 (0.98 to 1.13) per 12 g/day increase in baseline alcohol intake, respectively, including broadly similar findings for ischaemic and haemorrhagic stroke. Associations with cardiovascular outcomes were broadly similar with average lifetime alcohol consumption as for baseline alcohol intake, and across the eight countries studied. There was no strong evidence for interactions of alcohol consumption with smoking status on the risk of CVD events. Alcohol intake was inversely associated with non-fatal CHD risk but positively associated with the risk of different stroke subtypes. This highlights the opposing associations of alcohol intake with different CVD types and strengthens the evidence for policies to reduce alcohol consumption. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  16. Relationship Between Dietary Vitamin D and Deaths From Stroke and Coronary Heart Disease: The Japan Collaborative Cohort Study.

    PubMed

    Sheerah, Haytham A; Eshak, Ehab S; Cui, Renzhe; Imano, Hironori; Iso, Hiroyasu; Tamakoshi, Akiko

    2018-02-01

    There is growing evidence about the importance of vitamin D for cardiovascular health. Therefore, we examined the relationship between dietary vitamin D intake and risk of mortality from stroke and coronary heart disease in Japanese population. A prospective study encompassing 58 646 healthy Japanese adults (23 099 men and 35  547 women) aged of 40 to 79 years in whom dietary vitamin D intake was determined via a self-administered food frequency questionnaire. The median follow-up period was 19.3 years (1989-2009). The hazard ratios and 95% confidence intervals of mortality were calculated using categories of vitamin D intake. During 965 970 person-years of follow-up, 1514 stroke and 702 coronary heart disease deaths were documented. Vitamin D intake was inversely associated with risk of mortality from total stroke especially intraparenchymal hemorrhage but not from coronary heart disease; the multivariable hazard ratios (95% confidence intervals) for the highest (≥440 IU/d) versus lowest (<110 IU/D) categories of vitamin D intake were 0.70 (0.54-0.91; P for trend=0.04) for total stroke and 0.66 (0.46-0.96; P for trend=0.04) for intraparenchymal hemorrhage. Dietary vitamin D intake seems to be inversely associated with mortality from stroke. © 2018 American Heart Association, Inc.

  17. Dietary calcium intake and risk of cardiovascular disease, stroke, and fracture in a population with low calcium intake.

    PubMed

    Kong, Sung Hye; Kim, Jung Hee; Hong, A Ram; Cho, Nam H; Shin, Chan Soo

    2017-07-01

    Background: The role of dietary calcium intake in cardiovascular disease (CVD), stroke, and fracture is controversial. Most previous reports have evaluated populations with high calcium intake. Objective: We aimed to evaluate whether high dietary calcium intake was associated with the risk of CVD, stroke, and fracture in a population with low calcium intake. Design: In a prospective cohort study beginning in 2001 in Ansung-Ansan, Korea, 2158 men and 2153 women aged >50 y were evaluated for all-cause mortality, CVD, stroke, and fractures over a median 9-y follow-up. Results: During follow-up, 242 and 100 deaths, 149 and 150 CVD events, 58 and 82 stroke events, and 211 and 292 incident fractures occurred in men and women, respectively. The first quartiles of energy-adjusted dietary calcium intake were 249 mg/d (IQR: 169 mg/d) in men and 209 mg/d (IQR: 161 mg/d) in women. Both men and women with higher dietary calcium intake tended to have higher fat, protein, sodium, phosphorus, fruit, and vegetable intakes. In men, outcomes were not significantly associated with dietary calcium intake with or without adjustments, and CVD risk tended to increase with increasing energy-adjusted dietary calcium intake, but this was not statistically significant ( P = 0.078 and P = 0.093 with and without adjustment, respectively). In women, CVD risk and dietary calcium intake showed a U-shaped association; the HRs (95% CIs) without adjustment relative to the first quartile were 0.71 (0.47, 1.07), 0.57 (0.36, 0.88), and 0.52 (0.33, 0.83) for quartiles 2, 3, and 4, respectively, and the values after adjustment were 0.70 (0.45, 1.07), 0.51 (0.31, 0.81), and 0.49 (0.29, 0.83) for quartiles 2, 3, and 4, respectively. Conclusion: In Korean women, increased dietary calcium intake was associated with a decreased CVD risk, but it did not influence the risk of stroke or fracture. © 2017 American Society for Nutrition.

  18. Malnutrition risk predicts recovery of full oral intake among older adult stroke patients undergoing enteral nutrition: Secondary analysis of a multicentre survey (the APPLE study).

    PubMed

    Nishioka, Shinta; Okamoto, Takatsugu; Takayama, Masako; Urushihara, Maki; Watanabe, Misuzu; Kiriya, Yumiko; Shintani, Keiko; Nakagomi, Hiromi; Kageyama, Noriko

    2017-08-01

    Whether malnutrition risk correlates with recovery of swallowing function of convalescent stroke patients is unknown. This study was conducted to clarify whether malnutrition risks predict achievement of full oral intake in convalescent stroke patients undergoing enteral nutrition. We conducted a secondary analysis of 466 convalescent stroke patients, aged 65 years or over, who were undergoing enteral nutrition. Patients were extracted from the "Algorithm for Post-stroke Patients to improve oral intake Level; APPLE" study database compiled at the Kaifukuki (convalescent) rehabilitation wards. Malnutrition risk was determined by the Geriatric Nutritional Risk Index as follows: severe (<82), moderate (82 to <92), mild (92 to <98), and no malnutrition risks (≥98). Swallowing function was assessed by Fujishima's swallowing grade (FSG) on admission and discharge. The primary outcome was achievement of full oral intake, indicated by FSG ≥ 7. Binary logistic regression analysis was performed to identify predictive factors, including malnutrition risk, for achieving full oral intake. Estimated hazard risk was computed by Cox's hazard model. Of the 466 individuals, 264 were ultimately included in this study. Participants with severe malnutrition risk showed a significantly lower proportion of achievement of full oral intake than lower severity groups (P = 0.001). After adjusting for potential confounders, binary logistic regression analysis showed that patients with severe malnutrition risk were less likely to achieve full oral intake (adjusted odds ratio: 0.232, 95% confidence interval [95% CI]: 0.047-1.141). Cox's proportional hazard model revealed that severe malnutrition risk was an independent predictor of full oral intake (adjusted hazard ratio: 0.374, 95% CI: 0.166-0.842). Compared to patients who did not achieve full oral intake, patients who achieved full oral intake had significantly higher energy intake, but there was no difference in protein intake and weight change. Severe malnutrition risk independently predicts the achievement of full oral intake in convalescent stroke patients undergoing enteral nutrition. Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  19. Intakes of magnesium, potassium, and calcium and the risk of stroke among men.

    PubMed

    Adebamowo, Sally N; Spiegelman, Donna; Flint, Alan J; Willett, Walter C; Rexrode, Kathryn M

    2015-10-01

    Intakes of magnesium, potassium, and calcium have been inversely associated with the incidence of hypertension, a known risk factor for stroke. However, only a few studies have examined intakes of these cations in relation to risk of stroke. The aim of this study was to investigate whether high intake of magnesium, potassium, and calcium is associated with reduced stroke risk among men. We prospectively examined the associations between intakes of magnesium, potassium, and calcium from diet and supplements, and the risk of incident stroke among 42 669 men in the Health Professionals Follow-up Study, aged 40 to 75 years and free of diagnosed cardiovascular disease and cancer at baseline in 1986. We calculated the hazard ratio of total, ischemic, and haemorrhagic strokes by quintiles of each cation intake, and of a combined dietary score of all three cations, using multivariate Cox proportional hazard models. During 24 years of follow-up, 1547 total stroke events were documented. In multivariate analyses, the relative risks and 95% confidence intervals of total stroke for men in the highest vs. lowest quintile were 0·87 (95% confidence interval, 0·74-1·02; P, trend = 0·04) for dietary magnesium, 0·89 (95% confidence interval, 0·76-1·05; P, trend = 0·10) for dietary potassium, and 0·89 (95% confidence interval, 0·75-1·04; P, trend = 0·25) for dietary calcium intake. The relative risk of total stroke for men in the highest vs. lowest quintile was 0·74 (95% confidence interval, 0·59-0·93; P, trend = 0·003) for supplemental magnesium, 0·66 (95% confidence interval, 0·50-0·86; P, trend = 0·002) for supplemental potassium, and 1·01 (95% confidence interval, 0·84-1·20; P, trend = 0·83) for supplemental calcium intake. For total intake (dietary and supplemental), the relative risk of total stroke for men in the highest vs. lowest quintile was 0·83 (95% confidence interval, 0·70-0·99; P, trend = 0·04) for magnesium, 0·88 (95% confidence interval, 0·75-4; P, trend = 6) for potassium, and 3 (95% confidence interval, 79-09; P, trend = 84) for calcium. Men in the highest quintile for a combined dietary score of all three cations had a multivariate relative risk of 0·79 (95% confidence interval, 0·67-0·92; P, trend = 0·008) for total stroke, compared with those in the lowest. A diet rich in magnesium, potassium, and calcium may contribute to reduced risk of stroke among men. Because of significant collinearity, the independent contribution of each cation is difficult to define. © 2015 World Stroke Organization.

  20. Whole Grain Consumption and Risk of Ischemic Stroke: Results From 2 Prospective Cohort Studies.

    PubMed

    Juan, Juan; Liu, Gang; Willett, Walter C; Hu, Frank B; Rexrode, Kathryn M; Sun, Qi

    2017-12-01

    Higher intake of whole grains may exert cardiometabolic benefits, although findings on stroke risk are inconclusive. The potentially differential effects of individual whole grain foods on ischemic stroke have not been examined. We analyzed whole grain consumption in relation to ischemic stroke among 71 750 women from the Nurses' Health Study and 42 823 men from the Health Professionals Follow-up Study who were free of cardiovascular disease, diabetes mellitus, and cancer at baseline (1984 and 1986, respectively) through 2010 using a Cox proportional hazards model. Validated semiquantitative food frequency questionnaires were used to assess consumption of whole grain intake, including whole grain cold breakfast cereal, dark bread, oatmeal, brown rice, popcorn, bran, and germ. Self-reported incident cases of ischemic stroke were confirmed through medical record review. During 2 820 128 person-years of follow-up in the 2 cohorts, 2458 cases of ischemic stroke were identified and confirmed. Intake of total whole grains was not associated with risk of ischemic stroke after adjustment for covariates: the pooled hazard ratio (95% confidence interval) comparing extreme intake levels was 1.04 (0.91-1.19). However, intake of whole grain cold breakfast cereal and total bran was inversely associated with ischemic stroke after multivariate adjustment: the pooled hazard ratios (95% confidence intervals) were 0.88 (0.80-0.96; P trend =0.008) and 0.89 (0.79-1.00; P trend =0.004), respectively. Other whole grain foods were not associated with a lower risk of ischemic stroke. Although overall consumption of whole grains was not associated with lower risk of ischemic stroke, greater consumption of whole grain cold breakfast cereal and bran was significantly associated with a lower risk of ischemic stroke. More studies are needed to replicate these associations between individual whole grain foods and risk of ischemic stroke among other populations. © 2017 American Heart Association, Inc.

  1. Dietary choline and betaine; associations with subclinical markers of cardiovascular disease risk and incidence of CVD, coronary heart disease and stroke: the Jackson Heart Study.

    PubMed

    Millard, Heather R; Musani, Solomon K; Dibaba, Daniel T; Talegawkar, Sameera A; Taylor, Herman A; Tucker, Katherine L; Bidulescu, Aurelian

    2018-02-01

    Several mechanisms have been described through which dietary intake of choline and its derivative betaine may be associated in both directions with subclinical atherosclerosis. We assessed the association of dietary intake of choline and betaine with cardiovascular risk and markers of subclinical cardiovascular disease. Data from 3924 Jackson Heart Study (JHS) African-American participants with complete food frequency questionnaire at baseline and follow-up measurements of heart disease measures were used. Multivariable linear regression models were employed to assess associations between choline and betaine intake with carotid intima-media thickness, coronary artery calcium, abdominal aortic calcium and left ventricular mass. Cox proportional hazards regression models were used to estimate associations with time to incident coronary heart disease (CHD), ischemic stroke and cardiovascular disease (CVD). During an average nine years of follow-up, 124 incident CHD events, 75 incident stroke events and 153 incident CVD events were documented. In women, greater choline intake was associated with lower left ventricular mass (p = 0.0006 for trend across choline quartiles) and with abdominal aortic calcium score. Among all JHS participants, there was a statistically significant inverse association between dietary choline intake and incident stroke, β = -0.33 (p = 0.04). Betaine intake was associated with greater risk of incident CHD when comparing the third quartile of intake with the lowest quartile of intake (HR 1.89, 95 % CI 1.14, 3.15). Among our African-American participants, higher dietary choline intake was associated with a lower risk of incident ischemic stroke, and thus putative dietary benefits. Higher dietary betaine intake was associated with a nonlinear higher risk of incident CHD.

  2. Dietary sodium, sodium-to-potassium ratio, and risk of stroke: A systematic review and nonlinear dose-response meta-analysis.

    PubMed

    Jayedi, Ahmad; Ghomashi, Farnoosh; Zargar, Mahdieh Sadat; Shab-Bidar, Sakineh

    2018-06-01

    The association of high sodium intake with risk of stroke has been accepted. But considering the proposed J/U-shaped association between sodium intake and risk of all-cause mortality, the shape of the dose-response relationship has not been determined yet. This study aimed to test the dose-response association of dietary sodium and sodium-to-potassium ratio with risk of stroke in adults aged 18 years or older. We performed a systematic search using PubMed and Scopus, from database inception up to October 2017. Prospective and retrospective observational studies reporting risk estimates of stroke for three or more quantitative categories of dietary sodium or sodium-to-potassium ratio were included. Studies that reported results as continuous were also included. Two independent authors extracted the information and assessed the quality of included studies. Pooled relative risk (RR) was calculated using a random-effects model. Publication bias was tested. Sensitivity and subgroup analyses were done. Of initial 20,412 studies identified, 14 prospective cohort studies, one case-cohort study, and one case-control study (total n = 261,732) with 10,150 cases of stroke were included. The Pooled RRs of stroke were 1.06 (95%CI: 1.02, 1.10; I 2  = 60%, n = 14 studies) for a 1 gr/d increment in dietary sodium intake, and 1.22 (95%CI: 1.04, 1.41; I 2  = 60%, n = 5 studies) for a one-unit increment in dietary sodium-to-potassium ratio (mmol/mmol). The risk of stroke increased linearly with increasing dietary sodium intake, and also along with the increase in dietary sodium-to-potassium ratio. No evidence of a J/U-shaped association was found in the analyses of total stroke, stroke incidence, and stroke mortality. High sodium intake was associated with a somewhat worse prognosis among Asian countries as compared to westerns. Higher sodium intake and higher dietary sodium-to-potassium ratio were associated with a higher risk of stroke. Reducing dietary sodium-to-potassium ratio can be considered as a supplementary approach in parallel with the decrease in sodium intake in order to decrease stroke risk. The interpretation of the results is limited by observational nature of studies examined. Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  3. Substitution of Linoleic Acid for Other Macronutrients and the Risk of Ischemic Stroke.

    PubMed

    Venø, Stine K; Schmidt, Erik B; Jakobsen, Marianne U; Lundbye-Christensen, Søren; Bach, Flemming W; Overvad, Kim

    2017-12-01

    Ischemic stroke is a major health problem worldwide, but the influence of dietary factors on stroke risk is not well known. This study aimed to investigate the risk of ischemic stroke and its subtypes with a higher intake from linoleic acid and a concomitant lower intake from saturated fatty acids, monounsaturated fatty acids, or glycemic carbohydrates. In the Danish prospective Diet, Cancer, and Health Study of 57 053 participants aged 50 to 64 years at baseline, information on diet was collected using a validated semiquantitative food frequency questionnaire. Information on ischemic stroke was obtained from the Danish National Patient Register, and cases were all validated and subclassified according to the TOAST (Trial of ORG 10172 in Acute Stroke Treatment) classification. Substitution of linoleic acid for saturated fatty acid, monounsaturated fatty acid, or glycemic carbohydrates was investigated in relation to the risk of ischemic stroke and subtypes. Cox proportional hazards regression was used to estimate the associations with ischemic stroke adjusting for appropriate confounders. During 13.5 years of follow-up 1879 participants developed ischemic stroke. A slightly lower risk of ischemic stroke was found with a 5% higher intake of linoleic acid and a concomitant lower intake of saturated fatty acid (hazard ratio, 0.98; 95% confidence interval, 0.83-1.16), monounsaturated fatty acid (hazard ratio, 0.80; 95% confidence interval, 0.63-1.02), and glycemic carbohydrates (hazard ratio, 0.92; 95% confidence interval, 0.78-1.09), although not statistically significant. Similar patterns of association were found for large-artery atherosclerosis and small-vessel occlusions. This study suggests that replacing saturated fatty acid, glycemic carbohydrate, or monounsaturated fatty acid with linoleic acid may be associated with a lower risk of ischemic stroke. © 2017 American Heart Association, Inc.

  4. Sugar- and artificially-sweetened beverages and the risks of incident stroke and dementia: A prospective cohort study

    PubMed Central

    Pase, Matthew P.; Himali, Jayandra J.; Beiser, Alexa S.; Aparicio, Hugo J.; Satizabal, Claudia L.; Vasan, Ramachandran S.; Seshadri, Sudha; Jacques, Paul F.

    2017-01-01

    Background and purpose Sugar- and artificially-sweetened beverage intake have been linked to cardiometabolic risk factors, which increase the risk of cerebrovascular disease and dementia. We examined whether sugar- or artificially-sweetened beverage consumption were associated with the prospective risks of incident stroke or dementia in the community-based Framingham Heart Study Offspring cohort. Methods We studied 2888 participants aged over 45 for incident stroke (mean age 62 [SD, 9] years; 45% men) and 1484 participants aged over 60 for incident dementia (mean age 69 [SD, 6] years; 46% men). Beverage intake was quantified using a food frequency questionnaire at cohort examinations 5 (1991–1995), 6 (1995–1998) and 7 (1998–2001). We quantified recent consumption at examination 7 and cumulative consumption by averaging across examinations. Surveillance for incident events commenced at examination 7 and continued for 10-years. We observed 97 cases of incident stroke (82 ischemic) and 81 cases of incident dementia (63 consistent with Alzheimer’s disease [AD]). Results After adjustments for age, sex, education (for analysis of dementia), caloric intake, diet quality, physical activity and smoking, higher recent and higher cumulative intake of artificially-sweetened soft drinks were associated with an increased risk of ischemic stroke, all-cause dementia, and AD dementia. When comparing daily cumulative intake to <1 per week (reference), the hazard ratios were 2.96 (95% CI, 1.26–6.97) for ischemic stroke and 2.89 (95% CI, 1.18–7.07) for AD. Sugar-sweetened beverages were not associated with stroke or dementia. Conclusions Artificially-sweetened soft drink consumption was associated with a higher risk of stroke and dementia. PMID:28428346

  5. The Importance of Assessing Nutritional Status to Ensure Optimal Recovery during the Chronic Phase of Stroke.

    PubMed

    Serra, Monica C

    2018-01-01

    Despite evidence that many of the consequences of stroke that hinder recovery (i.e., obesity, muscle atrophy, and functional declines) have nutritionally modifiable behavior components, little attention has been focused on the significance of nutrition beyond the acute phase of stroke. This literature review summarizes the evidence for and against the influence of nutrition on optimal recovery and rehabilitation in chronic (>6 months) stroke. The literature, which is mainly limited to cross-sectional studies, suggests that a suboptimal nutritional status, including an excess caloric intake, reduced protein intake, and micronutrient deficiencies, particularly the B-vitamins, vitamin D, and omega 3 fatty acids, may have deleterious effects on metabolic, physical, and psychological functioning in chronic stroke survivors. Careful evaluation of dietary intake, especially among those with eating disabilities and preexisting malnutrition, may aid in the identification of individuals at increased nutritional risk through which early intervention may benefit recovery and rehabilitation and prevent further complications after stroke.

  6. A case-control study on red meat consumption and risk of stroke among a group of Iranian adults.

    PubMed

    Saneei, Parvane; Saadatnia, Mohammad; Shakeri, Forough; Beykverdi, Masumeh; Keshteli, Ammar Hassanzadeh; Esmaillzadeh, Ahmad

    2015-04-01

    We aimed to examine the association between red meat consumption and stroke in a group of Iranian adults. A hospital-based case-control study. The study included stroke patients and hospital-based controls. Usual dietary intakes of participants were assessed by means of a validated 168-item semi-quantitative FFQ. Total red meat consumption was calculated by summing up the consumption of red, processed and visceral meats. One hundred and ninety-five cases were stroke patients hospitalized in the neurology ward and 195 controls were recruited from patients hospitalized in other wards with no history of cerebrovascular diseases or neurological disorders. Participants with stroke were older, more likely to be male and less likely to be obese. Individuals in the highest tertile of red meat intake were 119 % more likely to have stroke (OR=2·19; 95% CI 1·33, 3·60) compared with those in the lowest tertile. After controlling for age, sex and total energy intake, the association between red meat consumption and stroke was strengthened (OR=2·72; 95% CI 1·53, 4·83). This association remained significant even after further controlling for physical activity and smoking as well as dietary intakes. Additional adjustments for BMI, diabetes, hypertension and hyperlipidaemia did not influence the association significantly (OR=2·51; 95 % CI 1·19, 5·09). Consumption of red meat was associated with greater odds of having stroke in a group of Iranian adults.

  7. Association between executive and food functions in the acute phase after stroke.

    PubMed

    Mourão, Aline Mansueto; Vicente, Laélia Cristina Caseiro; Abreu, Mery Natali Silva; Chaves, Tatiana Simões; Sant'Anna, Romeu Vale; Braga, Marcela Aline Fernandes; Meira, Fidel Castro Alves de; de Souza, Leonardo Cruz; Miranda, Aline Silva de; Rachid, Milene Alvarenga; Teixeira, Antônio Lucio

    2018-03-01

    Purpose To investigate potential associations among executive, physical and food functions in the acute phase after stroke. Methods This is a cross-sectional study that evaluated 63 patients admitted to the stroke unit of a public hospital. The exclusion criteria were other neurological and/or psychiatric diagnoses. The tools for evaluation were: Mini-Mental State Examination and Frontal Assessment Battery for cognitive functions; Alberta Stroke Program Early CT Score for quantification of brain injury; National Institutes of Health Stroke Scale for neurological impairment; Modified Rankin Scale for functionality, and the Functional Oral Intake Scale for food function. Results The sample comprised 34 men (54%) and 29 women with a mean age of 63.6 years. The Frontal Assessment Battery was significantly associated with the other scales. In multivariate analysis, executive function was independently associated with the Functional Oral Intake Scale. Conclusion Most patients exhibited executive dysfunction that significantly compromised oral intake.

  8. Vitamin K

    MedlinePlus

    ... risk a heart disease in people at high risk for this condition. Dietary intake of vitamin K1 has not been linked ... arthritis medicine alone. Stroke. Population research suggests that dietary intake of vitamin K1 is not linked with a reduced risk of stroke. Bruises. Burns. Scars. Spider veins. Stretch ...

  9. Selection of NIR H2O absorption transitions for in-cylinder measurement of temperature in IC engines

    NASA Astrophysics Data System (ADS)

    Zhou, Xin; Liu, Xiang; Jeffries, Jay B.; Hanson, Ronald K.

    2005-12-01

    The water vapour spectrum in the 1.25-1.65 µm region is systematically analysed to find the best absorption transitions for sensitive measurement of in-cylinder gas temperature over short paths in an internal combustion engine. The strategy to select the optimum wavelength regions and absorption line combinations is developed for the time-varying pressures and temperatures expected during the compression portion of an engine cycle. We have identified 14 transitions of water vapour in this spectral region as promising for this application. From these transitions, 16 potential line pairs were considered for a wavelength-modulated absorption sensor for in-cylinder gas temperature during the compression stroke. Expected performance is modelled for the intake portion of two engine cycles that produce extreme temperature and pressure variations during compression.

  10. Fish consumption and risk of stroke, coronary heart disease, and cardiovascular mortality in a Dutch population with low fish intake.

    PubMed

    Hengeveld, L M; Praagman, J; Beulens, J W J; Brouwer, I A; van der Schouw, Y T; Sluijs, I

    2018-05-22

    Fish consumption of at least 1 portion/week is related to lower cardiovascular disease (CVD) risk. It is uncertain whether a less frequent intake is also beneficial and whether the type of fish matters. We investigated associations of very low intakes of total, fatty, and lean fish, compared with no fish intake, with 18-year incidences of stroke, coronary heart disease (CHD), and CVD mortality. Data were used from 34,033 participants, aged 20-70 years, of the EPIC-Netherlands cohort. Baseline (1993-1997) fish consumption was estimated using a food frequency questionnaire. We compared any fish consumption, <1 portion/week (<100 g) and ≥1 portion/week to non-fish consumption. During 18 follow-up years, 753 stroke events, 2134 CHD events, and 540 CVD deaths occurred. Among the fish consumers (~92%) median intakes of total, lean, and fatty fish were 57.9, 32.9, and 10.7 g/week, respectively. Any fish consumption compared with non-consumption was not associated with incidences of stroke, CHD, MI, and CVD mortality. Furthermore, consumption of <1 portion/week of total, fatty, or lean fish was not associated with any CVD outcome, as compared with non-consumption. Consumption of ≥1 portion/week of lean fish (HR: 0.70, 95% CI: 0.57-0.86) and of fatty fish (HR: 0.63, 95% CI: 0.39-1.02) were associated with lower incidence of ischaemic stroke. Baseline fish consumption of <1 portion/week, regardless of the type of fish, was unrelated to incidences of stroke, CHD, and CVD mortality in this Dutch cohort. Consumption of ≥1 portion/week of fatty or of lean fish reduced the incidence of ischaemic stroke.

  11. Engine flow visualization using a copper vapor laser

    NASA Technical Reports Server (NTRS)

    Regan, Carolyn A.; Chun, Kue S.; Schock, Harold J., Jr.

    1987-01-01

    A flow visualization system has been developed to determine the air flow within the combustion chamber of a motored, axisymmetric engine. The engine has been equipped with a transparent quartz cylinder, allowing complete optical access to the chamber. A 40-Watt copper vapor laser is used as the light source. Its beam is focused down to a sheet approximately 1 mm thick. The light plane is passed through the combustion chamber, and illuminates oil particles which were entrained in the intake air. The light scattered off of the particles is recorded by a high speed rotating prism movie camera. A movie is then made showing the air flow within the combustion chamber for an entire four-stroke engine cycle. The system is synchronized so that a pulse generated by the camera triggers the laser's thyratron. The camera is run at 5,000 frames per second; the trigger drives one laser pulse per frame. This paper describes the optics used in the flow visualization system, the synchronization circuit, and presents results obtained from the movie. This is believed to be the first published study showing a planar observation of airflow in a four-stroke piston-cylinder assembly. These flow visualization results have been used to interpret flow velocity measurements previously obtained with a laser Doppler velocimetry system.

  12. The long-term nutritional status in stroke patients and its predictive factors.

    PubMed

    Paquereau, Julie; Allart, Etienne; Romon, Monique; Rousseaux, Marc

    2014-07-01

    Malnutrition is common in the first few months after stroke and contributes to a poor overall outcome. We analyzed long-term weight changes and their predictive factors. A total of 71 first-ever stroke patients were included in the study and examined (1) their weight on admission to the acute stroke unit (usual weight [UW]), on admission to the rehabilitation unit, on discharge from the rehabilitation unit, and then 1 year or more after the stroke (median time: 2.5 years), (2) the presence of malnutrition after stroke, and (3) possible predictive factors, namely, sociodemographic factors, clinical characteristics (concerning the stroke, the patient's current neurologic status and the presence of diabetes mellitus and depression), and the present nutritional state (including eating difficulties, anorexia, and changes in food intake and food preferences). Body weight fell (4.0 kg) during the patients' stay in the stroke unit, increased moderately in the rehabilitation unit (2.0 kg), and returned to the UW by the long-term measurement. However, at the last observation, 40.1% of the patients weighed markedly less than their UW, 38.0% weighed markedly more, and 21.1% were relatively stable. Predictors of weight change were a change in preferences for sweet food products and a change in food intake. Malnutrition was frequent (47.9%) and associated with reduced food intake, residence in an institution, and diabetes mellitus. Malnutrition was highly prevalent, with an important role of change in food intake and food preferences, which could result from brain lesions and specific regimens. Living in an institution needs consideration, as its negative effects can be prevented. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  13. Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh--A case control study.

    PubMed

    Riaz, B K; Chowdhury, S H; Karim, M N; Feroz, S; Selim, S; Rahman, M R

    2015-04-01

    The risk factor profiles, management and outcome have significant difference between stroke subsets. Aim of this study was to investigate the risk for the two most common subtypes of stroke in Bangladeshi population. Seventy cases of hemorrhagic stroke (HS) and 105 cases of confirmed ischemic stroke (IS) were recruited from the Shaheed Suhrawardy Medical College Hospital (ShSMCH) and Dhaka Medical College Hospital between January-June 2011. Total 171 age, sex matched controls were selected from the hospitalized patients with history of no stroke ever. Average hemorrhagic stroke patients (60.4 ± 12.3 years) were younger than both ischemic strokes (63.5 ± 13 years). Family history of premature cardiovascular death was found more in HS patients (p = 0.001). Multivariate logistic regression showed, in IS model 'less fruit consumption (OR 4.6), table salt intake (OR 8.15), psychosocial stress (OR 3.5), abnormal ECG (OR 3.6) and Increased WHR (OR 6.9) appeared as significant predictors adjusted for all potential candidate confounders. In HS model less fruit consumption (OR 5.0), table salt intake (OR 9.9), Stress (OR 4.1), family history of cardiovascular disease (CVD) death (OR 11.3), hypertension (OR 43), aspirin intake (OR 4.5) and increased WHR (OR 3.7) remained as significant predictors.

  14. Liquid sprays and flow studies in the direct-injection diesel engine under motored conditions

    NASA Technical Reports Server (NTRS)

    Nguyen, Hung Lee; Carpenter, Mark H.; Ramos, Juan I.; Schock, Harold J.; Stegeman, James D.

    1988-01-01

    A two dimensional, implicit finite difference method of the control volume variety, a two equation model of turbulence, and a discrete droplet model were used to study the flow field, turbulence levels, fuel penetration, vaporization, and mixing in diesel engine environments. The model was also used to study the effects of engine speed, injection angle, spray cone angle, droplet distribution, and intake swirl angle on the flow field, spray penetration and vaporization, and turbulence in motored two-stroke diesel engines. It is shown that there are optimum conditions for injection, which depend on droplet distribution, swirl, spray cone angle, and injection angle. The optimum conditions result in good spray penetration and vaporization and in good fuel mixing. The calculation presented clearly indicates that internal combustion engine models can be used to assess, at least qualitatively, the effects of injection characteristics and engine operating conditions on the flow field and on the spray penetration and vaporization in diesel engines.

  15. 40 CFR 90.103 - Exhaust emission standards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... incremental weight of a four stroke engine or the incremental weight of a two stroke engine having enhanced... of a four stroke or enhanced two stroke engine having the same, less or very similar power to two stroke engines that could otherwise be used to power the equipment and remain within the weight...

  16. 40 CFR 90.103 - Exhaust emission standards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... incremental weight of a four stroke engine or the incremental weight of a two stroke engine having enhanced... of a four stroke or enhanced two stroke engine having the same, less or very similar power to two stroke engines that could otherwise be used to power the equipment and remain within the weight...

  17. 40 CFR 90.103 - Exhaust emission standards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... incremental weight of a four stroke engine or the incremental weight of a two stroke engine having enhanced... of a four stroke or enhanced two stroke engine having the same, less or very similar power to two stroke engines that could otherwise be used to power the equipment and remain within the weight...

  18. 40 CFR 90.103 - Exhaust emission standards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... incremental weight of a four stroke engine or the incremental weight of a two stroke engine having enhanced... of a four stroke or enhanced two stroke engine having the same, less or very similar power to two stroke engines that could otherwise be used to power the equipment and remain within the weight...

  19. 40 CFR 90.103 - Exhaust emission standards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... incremental weight of a four stroke engine or the incremental weight of a two stroke engine having enhanced... of a four stroke or enhanced two stroke engine having the same, less or very similar power to two stroke engines that could otherwise be used to power the equipment and remain within the weight...

  20. Choline and Betaine Intakes Are Not Associated with Cardiovascular Disease Mortality Risk in Japanese Men and Women.

    PubMed

    Nagata, Chisato; Wada, Keiko; Tamura, Takashi; Konishi, Kie; Kawachi, Toshiaki; Tsuji, Michiko; Nakamura, Kozue

    2015-08-01

    Dietary intakes of betaine and choline may reduce the risk of cardiovascular disease; however, epidemiologic evidence is limited. Seafood is a rich source of betaine and is a popular traditional food in Japan. We examined the associations of betaine and choline intakes with cardiovascular disease mortality in a population-based cohort study in Japan. Study subjects were 13,355 male and 15,724 female residents of Takayama City, Japan, who were aged ≥35 y and enrolled in 1992. Their diets were assessed by a validated food frequency questionnaire. Deaths from coronary heart disease and stroke were identified from death certificates over 16 y. Multivariable-adjusted HRs were computed by using Cox regression models. During follow-up, we documented 308 deaths from coronary heart disease and 676 deaths from stroke (393 from ischemic and 153 from hemorrhagic strokes). Compared with the lowest quartile, the second, third, and highest quartiles of betaine intake were significantly associated with a decreased risk of mortality from coronary heart disease in men after controlling for covariates. The HRs were 0.58 (95% CI: 0.36, 0.93), 0.62 (95% CI: 0.39, 0.998), and 0.60 (95% CI: 0.37, 0.97), respectively. The trend was not statistically significant (P = 0.08). There was no significant association between betaine intake and the risk of mortality from ischemic stroke. In women, betaine intake was unrelated risk of mortality from coronary heart disease and stroke (P = 0.32 and 0.73, respectively, for interaction by sex). There was no significant association between choline intake and cardiovascular disease mortality risk in men or women. Overall, we found no clear evidence of significant associations between choline and betaine intakes and cardiovascular disease mortality risk in Japanese men and women. © 2015 American Society for Nutrition.

  1. Highly efficient 6-stroke engine cycle with water injection

    DOEpatents

    Szybist, James P; Conklin, James C

    2012-10-23

    A six-stroke engine cycle having improved efficiency. Heat is recovered from the engine combustion gases by using a 6-stroke engine cycle in which combustion gases are partially vented proximate the bottom-dead-center position of the fourth stroke cycle, and water is injected proximate the top-dead-center position of the fourth stroke cycle.

  2. Quantitative measurements of in-cylinder gas composition in a controlled auto-ignition combustion engine

    NASA Astrophysics Data System (ADS)

    Zhao, H.; Zhang, S.

    2008-01-01

    One of the most effective means to achieve controlled auto-ignition (CAI) combustion in a gasoline engine is by the residual gas trapping method. The amount of residual gas and mixture composition have significant effects on the subsequent combustion process and engine emissions. In order to obtain quantitative measurements of in-cylinder residual gas concentration and air/fuel ratio, a spontaneous Raman scattering (SRS) system has been developed recently. The optimized optical SRS setups are presented and discussed. The temperature effect on the SRS measurement is considered and a method has been developed to correct for the overestimated values due to the temperature effect. Simultaneous measurements of O2, H2O, CO2 and fuel were obtained throughout the intake, compression, combustion and expansion strokes. It shows that the SRS can provide valuable data on this process in a CAI combustion engine.

  3. Dietary glycemic index, glycemic load, and refined carbohydrates are associated with risk of stroke: a prospective cohort study in urban Chinese women.

    PubMed

    Yu, Danxia; Zhang, Xianglan; Shu, Xiao-Ou; Cai, Hui; Li, Honglan; Ding, Ding; Hong, Zhen; Xiang, Yong-Bing; Gao, Yu-Tang; Zheng, Wei; Yang, Gong

    2016-11-01

    Epidemiologic evidence on dietary carbohydrates and stroke risk remains controversial. Very few prospective cohort studies have been conducted in Asian populations, who usually consume a high-carbohydrate diet and have a high burden of stroke. We examined dietary glycemic index (GI), glycemic load (GL), and intakes of refined and total carbohydrates in relation to risks of total, ischemic, and hemorrhagic stroke and stroke mortality. This study included 64,328 Chinese women, aged 40-70 y, with no history of cardiovascular disease, diabetes, or cancer. A validated, interviewer-administered food-frequency questionnaire was used to assess usual dietary intakes at baseline and during follow-up. Incident stroke cases and deaths were identified via follow-up interviews and death registries and were confirmed by review of medical records and death certificates. During mean follow-ups of 10 y for stroke incidence and 12 y for stroke mortality, we ascertained 2991 stroke cases (2750 ischemic and 241 hemorrhagic) and 609 stroke deaths. After potential confounders were controlled for, we observed significant positive associations of dietary GI and GL with total stroke risk; multivariable-adjusted HRs (95% CIs) for high compared with low levels (90th compared with 10th percentile) were 1.19 (1.04, 1.36) for GI and 1.27 (1.04, 1.54) for GL (both P-linearity < 0.05 and P-overall significance < 0.05). Similar linear associations were found for ischemic stroke, but the associations with hemorrhagic stroke appeared to be J-shaped. Similar trends of positive associations with stroke risks were suggested for refined carbohydrates but not for total carbohydrates. No significant associations were found for stroke mortality after multivariable adjustment. Our results suggest that high dietary GI and GL, primarily due to high intakes of refined grains, are associated with increased risks of total, ischemic, and hemorrhagic stroke in middle-aged and older urban Chinese women. © 2016 American Society for Nutrition.

  4. Design and experimental investigations on six-stroke SI engine using acetylene with water injection.

    PubMed

    Gupta, Keshav; Suthar, Kishanlal; Jain, Sheetal Kumar; Agarwal, Ghanshyam Das; Nayyar, Ashish

    2018-06-02

    In the present study, a four-stroke cycle gasoline engine is redesigned and converted into a six-stroke cycle engine and experimental study has been conducted using gasoline and acetylene as fuel with water injection at the end of the recompression stroke. Acetylene has been used as an alternative fuel along with gasoline and performance of the six-stroke spark ignition (SI) engine with these two fuels has been studied separately and compared. Brake power and thermal efficiency are found to be 5.18 and 1.55% higher with acetylene as compared to gasoline in the six-stroke engine. However, thermal efficiency is found to be 45% higher with acetylene in the six-stroke engine as compared to four-stroke SI engine. The CO and HC emissions were found to be reduced by 13.33 and 0.67% respectively with acetylene as compared to gasoline due to better combustion of acetylene. The NO x emission was reduced by 5.65% with acetylene due to lower peak temperature by water injection. The experimental results showed better engine performance and emissions with acetylene as fuel in the six-stroke engine.

  5. 40 CFR 90.104 - Compliance with emission standards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Volume Engine Families Engine class Two-stroke engines 1 HC+NOX CO Four-stroke engines HC+NOX CO Engines...). Class IV 1.1 1.1 1.5 1.1 Class V 1.1 1.1 1.5 1.1 1 Two-stroke technologies to which these assigned deterioration factors apply include conventional two-strokes, compression wave designs, and stratified...

  6. 40 CFR 90.104 - Compliance with emission standards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Volume Engine Families Engine class Two-stroke engines 1 HC+NOX CO Four-stroke engines HC+NOX CO Engines...). Class IV 1.1 1.1 1.5 1.1 Class V 1.1 1.1 1.5 1.1 1 Two-stroke technologies to which these assigned deterioration factors apply include conventional two-strokes, compression wave designs, and stratified...

  7. 40 CFR 90.104 - Compliance with emission standards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Volume Engine Families Engine class Two-stroke engines 1 HC+NOX CO Four-stroke engines HC+NOX CO Engines...). Class IV 1.1 1.1 1.5 1.1 Class V 1.1 1.1 1.5 1.1 1 Two-stroke technologies to which these assigned deterioration factors apply include conventional two-strokes, compression wave designs, and stratified...

  8. 40 CFR 90.104 - Compliance with emission standards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Volume Engine Families Engine class Two-stroke engines 1 HC+NOX CO Four-stroke engines HC+NOX CO Engines...). Class IV 1.1 1.1 1.5 1.1 Class V 1.1 1.1 1.5 1.1 1 Two-stroke technologies to which these assigned deterioration factors apply include conventional two-strokes, compression wave designs, and stratified...

  9. 40 CFR 90.104 - Compliance with emission standards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Volume Engine Families Engine class Two-stroke engines 1 HC+NOX CO Four-stroke engines HC+NOX CO Engines...). Class IV 1.1 1.1 1.5 1.1 Class V 1.1 1.1 1.5 1.1 1 Two-stroke technologies to which these assigned deterioration factors apply include conventional two-strokes, compression wave designs, and stratified...

  10. High Dietary Glycemic Load is Associated with Poor Functional Outcome in Patients with Acute Cerebral Infarction.

    PubMed

    Song, Tae Jin; Chang, Yoonkyung; Chun, Min Young; Lee, Chan Young; Kim, A Ram; Kim, Yuri; Kim, Yong Jae

    2018-04-01

    Elevated postprandial blood glucose is a critical risk factor for stroke. The dietary glycemic load (GL) and glycemic index (GI) are frequently used as markers of the postprandial blood glucose response to estimate the overall glycemic effect of diets. We hypothesized that high dietary GL, GI, or total carbohydrate intake is associated with a poor functional outcome in patients with acute ischemic stroke. We prospectively included 263 first-ever ischemic stroke patients who completed a semiquantitative food-frequency questionnaire. The dietary GL, GI, and total carbohydrate intake were investigated by examining the average frequency of intake during the previous year based on reference amounts for various food items. Poor functional outcome was defined as a score on the modified Rankin Scale (mRS) of ≥3 at 3 months after stroke. The patients were aged 65.4±11.7 years (mean±standard deviation), and 58.2% of them were male. A multivariate analysis adjusted for age, sex, marital status, prestroke mRS score, diabetes mellitus, hyperlipidemia, body mass index, triglycerides, low-density lipoprotein, hemoglobin A1c, stroke classification, and National Institutes of Health Stroke Scale score, early neurological deterioration, and high-grade white-matter hyperintensities revealed that the dietary GL and total carbohydrate intake were associated with a poor functional outcome, with odds ratios for the top quartile relative to the bottom quartile of 28.93 (95% confidence interval=2.82-296.04) and 36.84 (95% confidence interval=2.99-453.42), respectively (p for trend=0.002 and 0.002, respectively). In contrast, high dietary GI was not associated with a poor functional outcome (p for trend=0.481). Increased dietary GL and carbohydrate intake were associated with a poor short-term functional outcome after an acute ischemic stroke. Copyright © 2018 Korean Neurological Association.

  11. Relationship between tap water hardness, magnesium, and calcium concentration and mortality due to ischemic heart disease or stroke in The Netherlands.

    PubMed

    Leurs, Lina J; Schouten, Leo J; Mons, Margreet N; Goldbohm, R Alexandra; van den Brandt, Piet A

    2010-03-01

    Conflicting results on the relationship between the hardness of drinking water and mortality related to ischemic heart disease (IHD) or stroke have been reported. We investigated the possible association between tap water calcium or magnesium concentration and total hardness and IHD mortality or stroke mortality. In 1986, a cohort of 120,852 men and women aged 5569 years provided detailed information on dietary and other lifestyle habits. Follow-up for mortality until 1996 was established by linking data from the Central Bureau of Genealogy and Statistics Netherlands. We calculated tap water hardness for each postal code using information obtained from all pumping stations in the Netherlands. Tap water hardness was categorized as soft [< 1.5 mmol/L calcium carbonate (CaCO3)], medium hard (1.62.0 mmol/L CaCO3), and hard (> 2.0 mmol/L CaCO3). The multivariate case-cohort analysis was based on 1,944 IHD mortality and 779 stroke mortality cases and 4,114 subcohort members. For both men and women, we observed no relationship between tap water hardness and IHD mortality [hard vs. soft water: hazard ratio (HR) = 1.03; 95% confidence interval (CI), 0.851.28 for men and HR = 0.93; 95% CI, 0.711.21 for women) and stroke mortality (hard vs. soft water HR = 0.90; 95% CI, 0.661.21 and HR = 0.86; 95% CI, 0.621.20, respectively). For men with the 20% lowest dietary magnesium intake, an inverse association was observed between tap water magnesium intake and stroke mortality (HR per 1 mg/L intake = 0.75; 95% CI, 0.610.91), whereas for women with the 20% lowest dietary magnesium intake, the opposite was observed. We found no evidence for an overall significant association between tap water hardness, magnesium or calcium concentrations, and IHD mortality or stroke mortality. More research is needed to investigate the effect of tap water magnesium on IHD mortality or stroke mortality in subjects with low dietary magnesium intake.

  12. Gasdynamic modeling and parametric study of mesoscale internal combustion swing engine/generator systems

    NASA Astrophysics Data System (ADS)

    Gu, Yongxian

    The demand of portable power generation systems for both domestic and military applications has driven the advances of mesoscale internal combustion engine systems. This dissertation was devoted to the gasdynamic modeling and parametric study of the mesoscale internal combustion swing engine/generator systems. First, the system-level thermodynamic modeling for the swing engine/generator systems has been developed. The system performance as well as the potentials of both two- and four-stroke swing engine systems has been investigated based on this model. Then through parameterc studies, the parameters that have significant impacts on the system performance have been identified, among which, the burn time and spark advance time are the critical factors related to combustion process. It is found that the shorter burn time leads to higher system efficiency and power output and the optimal spark advance time is about half of the burn time. Secondly, the turbulent combustion modeling based on levelset method (G-equation) has been implemented into the commercial software FLUENT. Thereafter, the turbulent flame propagation in a generic mesoscale combustion chamber and realistic swing engine chambers has been studied. It is found that, in mesoscale combustion engines, the burn time is dominated by the mean turbulent kinetic energy in the chamber. It is also shown that in a generic mesoscale combustion chamber, the burn time depends on the longest distance between the initial ignition kernel to its walls and by changing the ignition and injection locations, the burn time can be reduced by a factor of two. Furthermore, the studies of turbulent flame propagation in real swing engine chambers show that the combustion can be enhanced through in-chamber turbulence augmentation and with higher engine frequency, the burn time is shorter, which indicates that the in-chamber turbulence can be induced by the motion of moving components as well as the intake gas jet flow. The burn time for current two-stroke swing engine is estimated as about 2.5 ms, which can be used in the prescribed burned mass fraction profile that follows the Wiebe's function. Finally, a 2D CFD code for compressible flow has been developed to study wave interactions in the engine and header system. It is found that with realistic working conditions, for a two-stroke swing engine, certain expansion waves can be created by the exhaust gas flows and the chamber pressure can reach as low as 5 psi below one atmosphere, which helps fill fresh reactant charge. The results also show that to obtain appropriate header tuning for the current two-stroke swing engine, the length of the header neck is about 40 cm.

  13. Combined Electrical Stimulation and Exercise for Swallow Rehabilitation Post-Stroke: A Pilot Randomized Control Trial

    ERIC Educational Resources Information Center

    Sproson, Lise; Pownall, Sue; Enderby, Pam; Freeman, Jenny

    2018-01-01

    Background: Dysphagia is common after stroke, affecting up to 50% of patients initially. It can lead to post-stroke pneumonia, which causes 30% of stroke-related deaths, a longer hospital stay and poorer health outcomes. Dysphagia care post-stroke generally focuses on the management of symptoms, via modified oral intake textures and adapted…

  14. Study of the propensity for hemorrhage in Hispanic Americans with stroke.

    PubMed

    Frey, James L; Jahnke, Heidi K; Goslar, Pamela W

    2008-01-01

    Multiple sources document a higher proportion of intraparenchymal hemorrhage (HEM) in Hispanic (HIS) than white (WHI) patients with stroke. We sought an explanation for this phenomenon through analysis of multiple variables in our hospital-based stroke population. We performed univariate and multivariate analysis of risk factors in our HIS and WHI patients with stroke to identify differences that might account for a greater propensity for HEM in HIS patients. Multivariate analysis disclosed that the risk of HEM correlated significantly with untreated hypertension (HTN), HIS ethnicity, and heavy alcohol intake. A negative correlation was found for hyperlipidemia and diabetes. Our HIS patients with stroke had a greater prevalence of untreated HTN and heavy alcohol intake, with HIS men being at greatest risk. HIS patients with stroke in our hospital-based population appear relatively more prone to HEM than do WHI patients. This risk correlates with a greater likelihood of having untreated HTN and heavy alcohol intake, more so for HIS men. The explanation appears to be a relative lack of health awareness and involvement in our health care system. The possibility that HIS ethnicity itself constitutes a biological risk factor for HEM remains a matter of speculation. Validation of this work with community data should lead to remediation through a community-based effort.

  15. Whole milk consumption and risk of cardiovascular disease and mortality: Isfahan Cohort Study.

    PubMed

    Talaei, Mohammad; Hosseini, Naeimeh; van Dam, Rob M; Sadeghi, Masoumeh; Oveisgharan, Shahram; Dianatkhah, Minoo; Sarrafzadegan, Nizal

    2017-11-18

    The association between milk intake and cardiovascular disease (CVD) and mortality risk is still controversial but data from Middle-Eastern populations are scarce. We aimed to study these associations in an Iranian population. We used the Isfahan Cohort Study, a population-based prospective study of 6504 adult Iranians. In this analysis, we included 5432 participants free of CVD at baseline with at least one follow-up. Data on whole milk intake and other dietary factors were collected by a food frequency questionnaire at baseline. Cox proportional hazard regression was used to predict risk of CVD events, comprising coronary heart disease (CHD) and stroke, and mortality according to frequency of whole milk intake with adjustment for other potential confounders. During a median 10.9 years of follow-up, we documented 705 new cases of CVD comprising 564 CHD and 141 stroke cases. Compared with non-consumers, less than daily intake of whole milk was significantly associated with lower risk of CVD (HR 0.80, 95% CI 0.65-0.97), CHD (HR 0.81, 95% CI 0.65-0.99), and a non-significant lower risk of stroke (HR 0.79, 95% CI 0.50-1.27). Daily intake of whole milk was not significantly associated with CVD (HR 1.25, 95% CI 0.89-1.75), CHD, and stroke, but was associated with higher risk of all-cause mortality (HR 1.54, 95% CI 1.04-2.29). Less than daily intake of whole milk was associated with a statistically significant, although modest, lower risk of CVD compared with non-consumption, but this potential benefit may not extend to daily intake in this population.

  16. Small Engine Repair. Two-Stroke and Four-Stroke Cycle.

    ERIC Educational Resources Information Center

    Hires, Bill; And Others

    This curriculum guide is intended to assist persons teaching a course in repairing two- and four-stroke cycle small engines. Addressed in the individual units of instruction are the following topics: safety, tools, fasteners, and measurement techniques; basic small engine theory (engine identification and inspection, basic engine principles and…

  17. A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial.

    PubMed

    Brown, Devin L; Conley, Kathleen M; Sánchez, Brisa N; Resnicow, Kenneth; Cowdery, Joan E; Sais, Emma; Murphy, Jillian; Skolarus, Lesli E; Lisabeth, Lynda D; Morgenstern, Lewis B

    2015-10-01

    The Stroke Health and Risk Education Project was a cluster-randomized, faith-based, culturally sensitive, theory-based multicomponent behavioral intervention trial to reduce key stroke risk factor behaviors in Hispanics/Latinos and European Americans. Ten Catholic churches were randomized to intervention or control group. The intervention group received a 1-year multicomponent intervention (with poor adherence) that included self-help materials, tailored newsletters, and motivational interviewing counseling calls. Multilevel modeling, accounting for clustering within subject pairs and parishes, was used to test treatment differences in the average change since baseline (ascertained at 6 and 12 months) in dietary sodium, fruit and vegetable intake, and physical activity, measured using standardized questionnaires. A priori, the trial was considered successful if any one of the 3 outcomes was significant at the 0.05/3 level. Of 801 subjects who consented, 760 completed baseline data assessments, and of these, 86% completed at least one outcome assessment. The median age was 53 years; 84% subjects were Hispanic/Latino; and 64% subjects were women. The intervention group had a greater increase in fruit and vegetable intake than the control group (0.25 cups per day [95% confidence interval: 0.08, 0.42], P=0.002), a greater decrease in sodium intake (-123.17 mg/d [-194.76, -51.59], P=0.04), but no difference in change in moderate- or greater-intensity physical activity (-27 metabolic equivalent-minutes per week [-526, 471], P=0.56). This multicomponent behavioral intervention targeting stroke risk factors in predominantly Hispanics/Latinos was effective in increasing fruit and vegetable intake, reaching its primary end point. The intervention also seemed to lower sodium intake. Church-based health promotions can be successful in primary stroke prevention efforts. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01378780. © 2015 American Heart Association, Inc.

  18. Dietary fried fish intake increases risk of CVD: the REasons for Geographic And Racial Differences in Stroke (REGARDS) study.

    PubMed

    Nahab, Fadi; Pearson, Keith; Frankel, Michael R; Ard, Jamy; Safford, Monika M; Kleindorfer, Dawn; Howard, Virginia J; Judd, Suzanne

    2016-12-01

    The objective of the present study was to examine the relationship of dietary fried fish consumption and risk of cardiovascular events and all-cause mortality. Prospective cohort study among participants of the REasons for Geographic And Racial Differences in Stroke (REGARDS) study who resided in the USA. The primary outcome measures included the hazard ratios (HR) of incident CVD including first incident fatal or non-fatal ischaemic stroke or myocardial infarction and all-cause mortality, based on cumulative average fish consumption ascertained at baseline. Participants (n 16 479) were enrolled between 2003 and 2007, completed the self-administered Block98 FFQ and were free of CVD at baseline. There were 700 cardiovascular events over a mean follow-up of 5·1 years. After adjustment for sociodemographic variables, health behaviours and other CVD risk factors, participants eating ≥2 servings fried fish/week (v. <1 serving/month) were at a significantly increased risk of cardiovascular events (HR=1·63; 95 % CI 1·11, 2·40). Intake of non-fried fish was not associated with risk of incident CVD. There was no association found with dietary fried or non-fried fish intake and cardiovascular or all-cause mortality. Fried fish intake of two or more servings per week is associated with an increased risk of cardiovascular events. Given the increased intake of fried fish in the stroke belt and among African Americans, these data suggest that dietary fried fish intake may contribute to geographic and racial disparities in CVD.

  19. 40 CFR 86.096-24 - Test vehicles and engines.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... each engine listed in paragraphs (a)(3)(i) (A) through (G) of this section. (A) The bore and stroke. (B... conducted first. Within each combination, the engine that features the highest fuel feed per stroke... combinations, then one military engine is also selected. The engine with the highest fuel feed per stroke is...

  20. Initial testing of a variable-stroke Stirling engine

    NASA Technical Reports Server (NTRS)

    Thieme, L. G.

    1985-01-01

    In support of the U.S. Department of Energy's Stirling Engine Highway Vehicle Systems Program, NASA Lewis Research Center is evaluating variable-stroke control for Stirling engines. The engine being tested is the Advenco Stirling engine; this engine was manufactured by Philips Research Laboratories of the Netherlands and uses a variable-angle swash-plate drive to achieve variable stroke operation. The engine is described, initial steady-state test data taken at Lewis are presented, a major drive system failure and subsequent modifications are described. Computer simulation results are presented to show potential part-load efficiency gains with variable-stroke control.

  1. Carbon Nanostructure of Diesel Soot Particles Emitted from 2 and 4 Stroke Marine Engines Burning Different Fuels.

    PubMed

    Lee, Won-Ju; Park, Seul-Hyun; Jang, Se-Hyun; Kim, Hwajin; Choi, Sung Kuk; Cho, Kwon-Hae; Cho, Ik-Soon; Lee, Sang-Min; Choi, Jae-Hyuk

    2018-03-01

    Diesel soot particles were sampled from 2-stroke and 4-stroke engines that burned two different fuels (Bunker A and C, respectively), and the effects of the engine and fuel types on the structural characteristics of the soot particle were analyzed. The carbon nanostructures of the sampled particles were characterized using various techniques. The results showed that the soot sample collected from the 4-stroke engine, which burned Bunker C, has a higher degree of order of the carbon nanostructure than the sample collected from the 2-stroke engine, which burned Bunker A. Furthermore, the difference in the exhaust gas temperatures originating from the different engine and fuel types can affect the nanostructure of the soot emitted from marine diesel engines.

  2. 40 CFR 204.55-2 - Requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... parameters): (A) Engine type. (1) Gasoline—two stroke cycle (2) Gasoline—four stroke cycle (3) Diesel—two stroke cycle (4) Diesel—four stroke cycle (5) Rotary—Wankel (6) Turbine (7) Other (B) Engine manufacturer...

  3. 40 CFR 204.55-2 - Requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... use more parameters): (A) Engine type. (1) Gasoline—two stroke cycle (2) Gasoline—four stroke cycle (3) Diesel—two stroke cycle (4) Diesel—four stroke cycle (5) Rotary—Wankel (6) Turbine (7) Other (B) Engine...

  4. 40 CFR 204.55-2 - Requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... use more parameters): (A) Engine type. (1) Gasoline—two stroke cycle (2) Gasoline—four stroke cycle (3) Diesel—two stroke cycle (4) Diesel—four stroke cycle (5) Rotary—Wankel (6) Turbine (7) Other (B) Engine...

  5. Two-stroke S.I. engine competitive to four-stroke engine in terms of the exhaust emission

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Pavletic, R.; Trenc, F.

    1994-09-01

    A model engine with disintegrated working cycle was built. Its operation is not autonomous; compression of the working air is performed separately outside the engine by the compressed-air line supply. Pre-compressed charge together with the injected fuel is introduced in the combustion chamber. The model engine makes possible to determine indicated performance characteristics and its emission capability. Effective measured engine characteristics are of course not comparable with those obtained by a practical engine. The model presented is a two-stroke cycle engine. Exhaust emission picture of the presented engine is comparable with the emission of a modern four-stroke engine. 2 refs.,more » 13 figs., 2 tabs.« less

  6. Sodium intake among U.S. school-aged children - United States, 2009-2010

    USDA-ARS?s Scientific Manuscript database

    A national health objective is to reduce average U.S. sodium intake to 2,300 mg daily to help prevent high blood pressure, a major cause of heart disease and stroke. Identifying common contributors to sodium intake among children can help reduction efforts. Average sodium intake, sodium consumed p...

  7. Risk factors of young ischemic stroke in Qatar.

    PubMed

    Khan, Fahmi Yousef

    2007-11-01

    There is limited information about risk factors of young ischemic stroke in Qatar. The aim of this study was to describe the risk factors and subtypes of young ischemic stroke among Qatari and non-Qatari residents. Hospital based prospective observational study involving all young adults (15-45 years of age) admitted to Hamad General Hospital with first-ever ischemic stroke from September 2004 to September 2005. A stroke was defined according to WHO criteria. Stroke was confirmed in 40 (32 males and 8 females). Their ages ranged from 17 to 44 years (mean 37.1+/-13.27). Thirty (75%) of the patients were non-Qatari. The most common risk factors were hypertension 16 (40%), diabetes mellitus 13 (32.5%), hypercholesterolemia 11 (27.5%), smoking 11 (27.5%), and alcohol intake 9 (22.5%). Regarding stroke subtypes, lacunar stroke syndrome (LACS) was diagnosed in 17 (42.5%), total anterior circulation stroke syndrome (TACS) in 16 (40%), partial anterior circulation stroke syndrome (PACS) in 5 (12.5%) and posterior circulation stroke syndrome (POCS) in 2 (5%). Partial anterior circulation stroke syndrome (PACS) was observed with a higher frequency in Qatari patients compared with non-Qataris (p=0.009), whereas total anterior circulation stroke syndrome (TACS) was observed more in non-Qatari than in Qatari patients (p=0.03). Average hospital stay was 18 days. In-hospital mortality was 2.5%. The risk factors of ischemic stroke in young adults are numerous. The most common were hypertension, diabetes mellitus, hypercholesterolemia, smoking and alcohol intake. Only one Indonesian male patient with POCS died in the hospital.

  8. ACUTE BEHAVORIAL EFFECTS FROM EXPOSURE TO TWO-STROKE ENGINE EXHAUST

    EPA Science Inventory

    Benefits of changing from two-stroke to four-stroke engines (and other remedial requirements) can be evaluated (monetized) from the standpoint of acute behavioral effects of human exposure to exhaust from these engines. The monetization process depends upon estimates of the magn...

  9. 40 CFR 90.107 - Application for certification.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., manufacturers of two-stroke lawnmower engines must submit with their application for a certificate of conformity: (i) For model year 1997, information establishing the highest number of two-stroke lawnmower engines... production and projected production for the current year. (2) In model year 1997, two-stroke lawnmower engine...

  10. 40 CFR 90.107 - Application for certification.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., manufacturers of two-stroke lawnmower engines must submit with their application for a certificate of conformity: (i) For model year 1997, information establishing the highest number of two-stroke lawnmower engines... production and projected production for the current year. (2) In model year 1997, two-stroke lawnmower engine...

  11. 40 CFR 90.107 - Application for certification.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., manufacturers of two-stroke lawnmower engines must submit with their application for a certificate of conformity: (i) For model year 1997, information establishing the highest number of two-stroke lawnmower engines... production and projected production for the current year. (2) In model year 1997, two-stroke lawnmower engine...

  12. 40 CFR 90.107 - Application for certification.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., manufacturers of two-stroke lawnmower engines must submit with their application for a certificate of conformity: (i) For model year 1997, information establishing the highest number of two-stroke lawnmower engines... production and projected production for the current year. (2) In model year 1997, two-stroke lawnmower engine...

  13. Multivitamin use and risk of stroke mortality: the Japan collaborative cohort study.

    PubMed

    Dong, Jia-Yi; Iso, Hiroyasu; Kitamura, Akihiko; Tamakoshi, Akiko

    2015-05-01

    An effect of multivitamin supplement on stroke risk is uncertain. We aimed to examine the association between multivitamin use and risk of death from stroke and its subtypes. A total of 72 180 Japanese men and women free from cardiovascular diseases and cancers at baseline in 1988 to 1990 were followed up until December 31, 2009. Lifestyles including multivitamin use were collected using self-administered questionnaires. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) of total stroke and its subtypes in relation to multivitamin use. During a median follow-up of 19.1 years, we identified 2087 deaths from stroke, including 1148 ischemic strokes and 877 hemorrhagic strokes. After adjustment for potential confounders, multivitamin use was associated with lower but borderline significant risk of death from total stroke (HR, 0.87; 95% confidence interval, 0.76-1.01), primarily ischemic stroke (HR, 0.80; 95% confidence interval, 0.63-1.01), but not hemorrhagic stroke (HR, 0.96; 95% confidence interval, 0.78-1.18). In a subgroup analysis, there was a significant association between multivitamin use and lower risk of mortality from total stroke among people with fruit and vegetable intake <3 times/d (HR, 0.80; 95% confidence interval, 0.65-0.98). That association seemed to be more evident among regular users than casual users. Similar results were found for ischemic stroke. Multivitamin use, particularly frequent use, was associated with reduced risk of total and ischemic stroke mortality among Japanese people with lower intake of fruits and vegetables. © 2015 American Heart Association, Inc.

  14. Protein supplementation may enhance the spontaneous recovery of neurological alterations in patients with ischaemic stroke.

    PubMed

    Aquilani, Roberto; Scocchi, Marco; Iadarola, Paolo; Franciscone, Piero; Verri, Manuela; Boschi, Federica; Pasini, Evasio; Viglio, Simona

    2008-12-01

    To determine whether protein supplementation could enhance neurological recovery in subacute patients with ischaemic stroke. Alimentation-independent patients with ischaemic stroke were randomly allocated to either 21 days of protein supplementation (protein-supplemented group; n=20) or to a spontaneous diet only (control group; n=21) in order to investigate the recovery of neurological changes (measured using the National Institute of Health (NIH) Stroke Scale). Tertiary care rehabilitation in Italy. Forty-two patients (27 male and 15 female; 66.4 +/- 11 years) 16 +/-2 days after the acute event. Supplementation with a hyperproteic nutritional formula (10% protein). NIH Stroke Scale and protein intake. At admission to rehabilitation, both groups of patients were homogeneous for demographic, clinical and functional characteristics. After 21 days from the start of the protocol, the NIH Stroke Scale was found to be enhanced in the group with supplemental proteins (-4.4 +/- 1.5 score versus -3 +/- 1.4 of control group; P<0.01). When expressed as difference (triangle up) between baseline and 21 days, the NIH Stroke Scale correlated negatively with change in protein intake (g/day) (r=-0.50, P= 0.001) and positively with change in carbohydrate/protein ratio (r = +0.40, P=0.01) Protein supplementation may enhance neurological recovery in subacute patients with ischaemic stroke.

  15. Carotenoids as Potential Antioxidant Agents in Stroke Prevention: A Systematic Review

    PubMed Central

    Bahonar, Ahmad; Saadatnia, Mohammad; Khorvash, Fariborz; Maracy, Mohammadreza; Khosravi, Alireza

    2017-01-01

    Stroke and other cerebrovascular diseases are among the most common causes of death worldwide. Prevention of modifiable risk factors is a cost-effective approach to decrease the risk of stroke. Oxidative stress is regarded as the major flexible operative agent in ischemic brain damage. This review presents recent scientific advances in understanding the role of carotenoids as antioxidants in lowering stroke risk based on observational studies. We searched Medline using the following terms: (Carotenoids [MeSH] OR Carotenes [tiab] OR Carotene [tiab] OR “lycopene [Supplementary Concept]” [MeSH] OR lycopene [tiab] OR beta-Carotene [tiab]) AND (stroke [MeSH] OR stroke [tiab] OR “Cerebrovascular Accident” [tiab] OR “Cerebrovascular Apoplexy” [tiab] OR “Brain Vascular Accident” [tiab] OR “Cerebrovascular Stroke” [tiab]) AND (“oxidative stress” [MeSH] OR “oxidative stress”[tiab]). This search considered papers that had been published between 2000 and 2017. Recent studies indicated that high dietary intake of six main carotenoids (i.e., lycopene, <- and®-carotene, lutein, zeaxanthin, and astaxanthin) was associated with reduced risk of stroke and other cardiovascular outcomes. However, the main mechanism of the action of these nutrients was not identified, and multiple mechanisms except antioxidant activity were suggested to be involved in the observed beneficial effects. The dietary intake of six major carotenoids should be promoted as this may have a substantial positive effect on stroke prevention and stroke mortality reduction. PMID:28983399

  16. Association between consumption of soy and risk of cardiovascular disease: A meta-analysis of observational studies.

    PubMed

    Yan, Zhaoli; Zhang, Xinyue; Li, Chunlin; Jiao, Shouchun; Dong, Wenyao

    2017-05-01

    Background The relationships between dietary intake of soy foods and risk of cardiovascular disease are uncertain. The aims of this study were to evaluate and summarize the evidence on the association between consumption of soy and risk of cardiovascular disease (including stroke and coronary heart disease). Methods We systematically searched the MEDLINE and EMBASE databases from their inception up to 22 February 2016. We included only observational studies, and used random-effects models to calculate summary relative risks (SRRs) and 95% confidence intervals (CIs). Results A total of 10 prospective cohort and seven case-control studies met the inclusion criteria. There were a total of 17,269 cardiovascular disease events, including 6265 stroke events, 10,806 coronary heart disease events, and 198 other cardiovascular disease events. A significant negative association was shown between soy intake and risk of cardiovascular disease (SRR = 0.84 95% CI: 0.75-0.94; p heterogeneity <0.001, I 2  = 71.4%). Subgroup meta-analyses indicated that a statistically significant protective effect was primarily observed in case-control studies and in Asian populations. There was a borderline significant association between intake of tofu and the risk of cardiovascular disease (SRR = 0.80, 95% CI: 0.64-1.00). A significant negative association was shown for the association between soy intake and risk of stroke (SRR = 0.82, 95% CI: 0.68-0.99) and coronary heart disease (SRR = 0.83, 95% CI: 0.72-0.95). There were no associations between soy isoflavones consumption and risk of cardiovascular disease, stroke, and coronary heart disease. Conclusion Overall evidence indicated that consumption of soy was negatively associated with the risk of cardiovascular disease, stroke, and coronary heart disease risk.

  17. Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke.

    PubMed

    Mituuti, Cláudia T; Bianco, Vinicius C; Bentim, Cláudia G; de Andrade, Eduardo C; Rubo, José H; Berretin-Felix, Giédre

    2015-01-01

    According to the literature, the occurrence of dysphagia is high in cases of stroke, and its severity can be enhanced by loss of teeth and the use of poorly fitting prostheses. To verify that the status of oral health influences the level of oral intake and the degree of swallowing dysfunction in elderly patients with stroke in chronic phase. Thirty elderly individuals affected by stroke in chronic phase participated. All subjects underwent assessment of their oral condition, with classification from the Functional Oral Intake Scale (FOIS) and nasoendoscopic swallowing assessment to classify the degree of dysphagia. The statistical analysis examined a heterogeneous group (HG, n=30) and two groups designated by the affected body part, right (RHG, n=8) and left (LHG, n=11), excluding totally dentate or edentulous individuals without rehabilitation with more than one episode of stroke. There was a negative correlation between the need for replacement prostheses and the FOIS scale for the HG (P=0.02) and RHG (P=0.01). Differences in FOIS between types of prostheses of the upper dental arch in the LHG (P=0.01) and lower dental arch in the RHG (P=0.04). A negative correlation was found between the number of teeth present and the degree of dysfunction in swallowing liquid in the LHG (P=0.05). There were differences in the performance in swallowing solids between individuals without prosthesis and those with partial prosthesis in the inferior dental arch (P=0.04) for the HG. The need for replacement prostheses, type of prostheses, and the number of teeth of elderly patients poststroke in chronic phase showed an association with the level of oral intake and the degree of oropharyngeal dysphagia.

  18. Determination of geographic variance in stroke prevalence using Internet search engine analytics.

    PubMed

    Walcott, Brian P; Nahed, Brian V; Kahle, Kristopher T; Redjal, Navid; Coumans, Jean-Valery

    2011-06-01

    Previous methods to determine stroke prevalence, such as nationwide surveys, are labor-intensive endeavors. Recent advances in search engine query analytics have led to a new metric for disease surveillance to evaluate symptomatic phenomenon, such as influenza. The authors hypothesized that the use of search engine query data can determine the prevalence of stroke. The Google Insights for Search database was accessed to analyze anonymized search engine query data. The authors' search strategy utilized common search queries used when attempting either to identify the signs and symptoms of a stroke or to perform stroke education. The search logic was as follows: (stroke signs + stroke symptoms + mini stroke--heat) from January 1, 2005, to December 31, 2010. The relative number of searches performed (the interest level) for this search logic was established for all 50 states and the District of Columbia. A Pearson product-moment correlation coefficient was calculated from the statespecific stroke prevalence data previously reported. Web search engine interest level was available for all 50 states and the District of Columbia over the time period for January 1, 2005-December 31, 2010. The interest level was highest in Alabama and Tennessee (100 and 96, respectively) and lowest in California and Virginia (58 and 53, respectively). The Pearson correlation coefficient (r) was calculated to be 0.47 (p = 0.0005, 2-tailed). Search engine query data analysis allows for the determination of relative stroke prevalence. Further investigation will reveal the reliability of this metric to determine temporal pattern analysis and prevalence in this and other symptomatic diseases.

  19. Sodium and potassium intake among U.S. adults, National Health and Nutrition Examination Survey, 2003-2008

    USDA-ARS?s Scientific Manuscript database

    The 2010 Dietary Guidelines recommend Americans reduce sodium intake and choose foods that contain potassium to decrease the risk of hypertension and subsequent heart disease and stroke. We estimated the distributions of usual daily sodium and potassium intakes by sociodemographic and health charact...

  20. Smart phone video game simulation of parent-child interaction: Learning skills for effective vegetable parenting

    USDA-ARS?s Scientific Manuscript database

    Higher levels of vegetable intake have been associated with decreased risks of heart disease, diabetes, stroke, several cancers, and possibly obesity, but vegetable intake is generally low. Preference is an important determinant of vegetable intake, and food preferences are initiated early in life, ...

  1. Assessing U.S. sodium intake through dietary data and urine biomarkers

    USDA-ARS?s Scientific Manuscript database

    Sodium intake is directly related to blood pressure, a primary risk factor for heart disease and stroke. Reducing intake is estimated to save billions in U.S. health care dollars annually. Current public health recommendations and efforts targeting sodium reductions make accurate monitoring of pop...

  2. Industrial Education. "Small Engines".

    ERIC Educational Resources Information Center

    Parma City School District, OH.

    Part of a series of curriculum guides dealing with industrial education in junior high schools, this guide provides the student with information and manipulative experiences on small gasoline engines. Included are sections on shop adjustment, safety, small engines, internal combustion, engine construction, four stroke engines, two stroke engines,…

  3. Exhaust emissions of low level blend alcohol fuels from two-stroke and four-stroke marine engines

    NASA Astrophysics Data System (ADS)

    Sevik, James M., Jr.

    The U.S. Renewable Fuel Standard mandates that by 2022, 36 billion gallons of renewable fuels must be produced on a yearly basis. Ethanol production is capped at 15 billion gallons, meaning 21 billion gallons must come from different alternative fuel sources. A viable alternative to reach the remainder of this mandate is iso-butanol. Unlike ethanol, iso-butanol does not phase separate when mixed with water, meaning it can be transported using traditional pipeline methods. Iso-butanol also has a lower oxygen content by mass, meaning it can displace more petroleum while maintaining the same oxygen concentration in the fuel blend. This research focused on studying the effects of low level alcohol fuels on marine engine emissions to assess the possibility of using iso-butanol as a replacement for ethanol. Three marine engines were used in this study, representing a wide range of what is currently in service in the United States. Two four-stroke engine and one two-stroke engine powered boats were tested in the tributaries of the Chesapeake Bay, near Annapolis, Maryland over the course of two rounds of weeklong testing in May and September. The engines were tested using a standard test cycle and emissions were sampled using constant volume sampling techniques. Specific emissions for two-stroke and four-stroke engines were compared to the baseline indolene tests. Because of the nature of the field testing, limited engine parameters were recorded. Therefore, the engine parameters analyzed aside from emissions were the operating relative air-to-fuel ratio and engine speed. Emissions trends from the baseline test to each alcohol fuel for the four-stroke engines were consistent, when analyzing a single round of testing. The same trends were not consistent when comparing separate rounds because of uncontrolled weather conditions and because the four-stroke engines operate without fuel control feedback during full load conditions. Emissions trends from the baseline test to each alcohol fuel for the two-stroke engine were consistent for all rounds of testing. This is due to the fact the engine operates open-loop, and does not provide fueling compensation when fuel composition changes. Changes in emissions with respect to the baseline for iso-butanol were consistent with changes for ethanol. It was determined iso-butanol would make a viable replacement for ethanol.

  4. Dietary intake, nutritional status and rehabilitation outcomes of stroke patients in hospital.

    PubMed

    Nip, W F R; Perry, L; McLaren, S; Mackenzie, A

    2011-10-01

    Nutrition affects rehabilitation through its influence on physical and mental functioning, although little attention has been paid to effects on rehabilitation outcomes. The present study aimed to describe nutritional status and food consumption in stroke patients within 2 weeks of hospital admission and before discharge, as well as to investigate the effects of nutritional and dietary factors on rehabilitation outcomes. One hundred patients from a consecutive cohort admitted to a metropolitan hospital with acute stroke were recruited and assessed by a single researcher, with 38 reassessed at discharge. Nutritional status was assessed using Mini-Nutritional Assessment and anthropometric indices and dietary intake was assessed by 1-day weighed dietary records. Rehabilitation outcomes were changes in Barthel index scores and the rehabilitation efficiency index. Few (n = 9; 10%) consumed ≥100% of the estimated average requirement (EAR) for energy within 2 weeks of admission and 13 (33%) had energy intakes <50% of EAR before discharge. A small but increasing proportion (7% at admission, 13% at discharge) were identified as being malnourished across the inpatient stay. Younger age, lower Barthel index and a higher energy intake in the early stages of admission predicted the extent and rate of restoration of functional abilities by discharge (F = 7.503, P = 0.001; F = 14.558, P < 0.001). Given a general finding of nutritional deterioration identified for these patients, as well as the identification of energy intake as a modifiable influence on the extent and rate of recovery, there is clearly scope for the multidisciplinary development of nutritional support for stroke patients to improve rehabilitation outcomes. © 2011 The Authors. Journal of Human Nutrition and Dietetics © 2011 The British Dietetic Association Ltd.

  5. The incidence of dysphagia in patients receiving cerebral reperfusion therapy poststroke.

    PubMed

    Ribeiro, Priscila W; Cola, Paula C; Gatto, Ana R; da Silva, Roberta G; Luvizutto, Gustavo J; Braga, Gabriel P; Schelp, Arthur O; de Arruda Henry, Maria A C; Bazan, Rodrigo

    2014-07-01

    The high prevalence of dysphagia after stroke leads to increased mortality, and cerebral reperfusion therapy has been effective in reducing neurologic deficits. The aim of this study was to investigate the severity and evolution of dysphagia and the occurrence of pneumonia in patients submitted to cerebral reperfusion therapy. Seventy ischemic stroke patients were evaluated. Of these, 35 patients (group 1) were submitted to cerebral reperfusion therapy and 35 (group 2) did not receive thrombolytic treatment. The following were evaluated: severity of dysphagia by means of videofluoroscopy, evolution of oral intake rate by means of the Functional Oral Intake Scale, and the occurrence of pneumonia by international protocol. The relation between the severity of dysphagia and the occurrence of pneumonia with the treatment was evaluated through the chi-square test; the daily oral intake rate and its relation to the treatment were assessed by the Mann-Whitney test and considered significant if P is less than .05. The moderate and severe degrees of dysphagia were more frequent (P=.013) among the patients who were not submitted to cerebral reperfusion therapy. The daily oral intake evolved independently of the treatment type, without statistical significance when compared between the groups, whereas pneumonia occurred more frequently in group 2 (28%) in relation to group 1 (11%) and was associated with the worst degrees of dysphagia (P=.045). We can conclude that there is improvement in the oral intake rate in both groups, with lower severity of dysphagia and occurrence of pneumonia in ischemic stroke patients submitted to cerebral reperfusion therapy. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  6. Recent Development of the Two-Stroke Engine. II - Design Features. 2; Design Features

    NASA Technical Reports Server (NTRS)

    Zeman, J.

    1945-01-01

    Completing the first paper dealing with charging methods and arrangements, the present paper discusses the design forms of two-stroke engines. Features which largely influence piston running are: (a) The shape and surface condition of the sliding parts. (b) The cylinder and piston materials. (c) Heat conditions in the piston, and lubrication. There is little essential difference between four-stroke and two-stroke engines with ordinary pistons. In large engines, for example, are always found separately cast or welded frames in which the stresses are taken up by tie rods. Twin piston and timing piston engines often differ from this design. Examples can be found in many engines of German or foreign make. Their methods of operation will be dealt with in the third part of the present paper, which also includes the bibliography. The development of two-stroke engine design is, of course, mainly concerned with such features as are inherently difficult to master; that is, the piston barrel and the design of the gudgeon pin bearing. Designers of four-stroke engines now-a-days experience approximately the same difficulties, since heat stresses have increased to the point of influencing conditions in the piston barrel. Features which notably affect this are: (a) The material. (b) Prevailing heat conditions.

  7. Rotary vane type IC engine with built-in scavenging air blower

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chang, V.

    This patent describes a rotary internal combustion engine. This engine consists of: a housing assembly including three sections and having a single common power shaft, the three sections being integrally connected together and operatively connected together into a unitary self-contained engine, air and fuel mixture intake conduit means communicatively connected to a first of the three sections, means in the first section to perform admission and compression of the air and fuel mixture admitted from the conduit means, means to convey the compressed air and fuel mixture to a second of the three sections. A single internal partition wall meansmore » between the first and second sections, and the air and fuel mixture conveys means consisting of a port formed in the partition wall means. In the second section the compressed air is ignited with a fuel mixture and to permit expansion of the ignited air and fuel mixture to thereby furnish power strokes to the power shaft. In the second section for exhausting the gaseous products of combustion, air blower in the third of the three sections driven by the power shaft.« less

  8. A Highly Efficient Six-Stroke Internal Combustion Engine Cycle with Water Injection for In-Cylinder Exhaust Heat Recovery

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Conklin, Jim; Szybist, James P

    2010-01-01

    A concept is presented here that adds two additional strokes to the four-stroke Otto or Diesel cycle that has the potential to increase fuel efficiency of the basic cycle. The engine cycle can be thought of as a 4 stroke Otto or Diesel cycle followed by a 2-stroke heat recovery steam cycle. Early exhaust valve closing during the exhaust stroke coupled with water injection are employed to add an additional power stroke at the end of the conventional four-stroke Otto or Diesel cycle. An ideal thermodynamics model of the exhaust gas compression, water injection at top center, and expansion wasmore » used to investigate this modification that effectively recovers waste heat from both the engine coolant and combustion exhaust gas. Thus, this concept recovers energy from two waste heat sources of current engine designs and converts heat normally discarded to useable power and work. This concept has the potential of a substantial increase in fuel efficiency over existing conventional internal combustion engines, and under appropriate injected water conditions, increase the fuel efficiency without incurring a decrease in power density. By changing the exhaust valve closing angle during the exhaust stroke, the ideal amount of exhaust can be recompressed for the amount of water injected, thereby minimizing the work input and maximizing the mean effective pressure of the steam expansion stroke (MEPsteam). The value of this exhaust valve closing for maximum MEPsteam depends on the limiting conditions of either one bar or the dew point temperature of the expansion gas/moisture mixture when the exhaust valve opens to discard the spent gas mixture in the sixth stroke. The range of MEPsteam calculated for the geometry of a conventional gasoline spark-ignited internal combustion engine and for plausible water injection parameters is from 0.75 to 2.5 bars. Typical combustion mean effective pressures (MEPcombustion) of naturally aspirated gasoline engines are up to 10 bar, thus this concept has the potential to significantly increase the engine efficiency and fuel economy while not resulting in a decrease in power density.« less

  9. Research on cylinder processes of gasoline homogenous charge compression ignition (HCCI) engine

    NASA Astrophysics Data System (ADS)

    Cofaru, Corneliu

    2017-10-01

    This paper is designed to develop a HCCI engine starting from a spark ignition engine platform. The engine test was a single cylinder, four strokes provided with carburetor. The results of experimental research on this version were used as a baseline for the next phase of the work. After that, the engine was modified for a HCCI configuration, the carburetor was replaced by a direct fuel injection system in order to control precisely the fuel mass per cycle taking into account the measured intake air-mass. To ensure that the air - fuel mixture auto ignite, the compression ratio was increased from 9.7 to 11.5. The combustion process in HCCI regime is governed by chemical kinetics of mixture of air-fuel, rein ducted or trapped exhaust gases and fresh charge. To modify the quantities of trapped burnt gases, the exchange gas system was changed from fixed timing to variable valve timing. To analyze the processes taking place in the HCCI engine and synthesizing a control system, a model of the system which takes into account the engine configuration and operational parameters are needed. The cylinder processes were simulated on virtual model. The experimental research works were focused on determining the parameters which control the combustion timing of HCCI engine to obtain the best energetic and ecologic parameters.

  10. Calcium supplement intake and risk of cardiovascular disease in women.

    PubMed

    Paik, J M; Curhan, G C; Sun, Q; Rexrode, K M; Manson, J E; Rimm, E B; Taylor, E N

    2014-08-01

    Some recent reports suggest that calcium supplement use may increase risk of cardiovascular disease. In a prospective cohort study of 74,245 women in the Nurses' Health Study with 24 years of follow-up, we found no independent associations between supplemental calcium intake and risk of incident coronary heart disease (CHD) and stroke. Some recent reports suggest that calcium supplements may increase cardiovascular disease (CVD) risk. The objective was to examine the independent associations between calcium supplement use and risk of CVD. We conducted a prospective cohort study of supplemental calcium use and incident CVD in 74,245 women in the Nurses' Health Study (1984-2008) free of CVD and cancer at baseline. Calcium supplement intake was assessed every 4 years. Outcomes were incident CHD (nonfatal or fatal MI) and stroke (ischemic or hemorrhagic), confirmed by medical record review. During 24 years of follow-up, 4,565 cardiovascular events occurred (2,709 CHD and 1,856 strokes). At baseline, women who took calcium supplements had higher levels of physical activity, smoked less, and had lower trans fat intake compared with those who did not take calcium supplements. After multivariable adjustment for age, body mass index, dietary calcium, vitamin D intake, and other CVD risk factors, the relative risk of CVD for women taking >1,000 mg/day of calcium supplements compared with none was 0.82 (95% confidence interval [CI] 0.74 to 0.92; p for trend <0.001). For women taking >1,000 mg/day of calcium supplements compared with none, the multivariable-adjusted relative risk for CHD was 0.71 (0.61 to 0.83; p for trend < 0.001) and for stroke was 1.03 (0.87 to 1.21; p for trend = 0.61). The relative risks were similar in analyses limited to non-smokers, women without hypertension, and women who had regular physical exams. Our findings do not support the hypothesis that calcium supplement intake increases CVD risk in women.

  11. Using the Two-Stroke Engine to Develop Technological Literacy

    ERIC Educational Resources Information Center

    Preble, Brian C.

    2018-01-01

    The two-stroke engine is an engineering marvel that has been incorporated into many aspects of modern-day life. While many seek to eliminate the two-stroke, others seek to revive this simple and effective power plant, aiming to make it more environmentally friendly and fuel-efficient. If successful, improvements could be far-reaching and…

  12. Racial and geographic differences in fish consumption

    PubMed Central

    Le, A.; Judd, S.; Frankel, M.R.; Ard, J.; Newby, P.K.; Howard, V.J.

    2011-01-01

    Background: Omega-3 fatty acids from fish have been shown to have favorable effects on platelet aggregation, blood pressure, lipid profile, endothelial function, and ischemic stroke risk, but there are limited data on racial and geographic differences in fish consumption. Methods: Reasons for Geographic and Racial Differences in Stroke (REGARDS) is a national cohort study that recruited 30,239 participants age ≥45 years with oversampling from the southeastern Stroke Belt and Buckle and African Americans (AAs). Centralized phone interviewers obtained medical histories and in-home examiners measured weight and height. Dietary data for this cross-sectional analysis were collected using the self-administered Block98 Food Frequency Questionnaire (FFQ). Adequate intake of nonfried fish was defined as consumption of ≥2 servings per week based on American Heart Association guidelines. After excluding the top and bottom 1% of total energy intake and individuals who did not answer 85% or more of questions on the FFQ, the analysis included 21,675 participants. Results: Only 5,022 (23%) participants consumed ≥2 servings per week of nonfried fish. In multivariable analysis, factors associated with inadequate intake of nonfried fish included living in the Stroke Belt (vs non-Belt) (odds ratio [OR] 0.83, 95% confidence interval [CI] 0.77–0.90) and living in the Stroke Buckle (vs non-Belt) (OR 0.89, 95% CI 0.81–0.98); factors associated with ≥2 servings per week of fried fish included being AA (vs white) (OR 3.59, 95% CI 3.19–4.04), living in the Stroke Belt (vs non-Belt) (OR 1.32, 95% CI 1.17–1.50), and living in the Stroke Buckle (vs non-Belt) (OR 1.17, 95% CI 1.00–1.36). Conclusions: Differential consumption of fish may contribute to the racial and geographic disparities in stroke. PMID:21178096

  13. 40 CFR 205.155 - Motorcycle class and manufacturer abbreviation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... separate combinations of the following parameters: (1) Engine type: (i) Gasoline—two stroke. (ii) Gasoline—four stroke. (iii) Gasoline—rotary. (iv) Other. (2) Engine displacement. (3) Engine configuration: (i...

  14. 40 CFR 205.155 - Motorcycle class and manufacturer abbreviation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... separate combinations of the following parameters: (1) Engine type: (i) Gasoline—two stroke. (ii) Gasoline—four stroke. (iii) Gasoline—rotary. (iv) Other. (2) Engine displacement. (3) Engine configuration: (i...

  15. 40 CFR 205.155 - Motorcycle class and manufacturer abbreviation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... separate combinations of the following parameters: (1) Engine type: (i) Gasoline—two stroke. (ii) Gasoline—four stroke. (iii) Gasoline—rotary. (iv) Other. (2) Engine displacement. (3) Engine configuration: (i...

  16. 40 CFR 205.155 - Motorcycle class and manufacturer abbreviation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... separate combinations of the following parameters: (1) Engine type: (i) Gasoline—two stroke. (ii) Gasoline—four stroke. (iii) Gasoline—rotary. (iv) Other. (2) Engine displacement. (3) Engine configuration: (i...

  17. 40 CFR 205.155 - Motorcycle class and manufacturer abbreviation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... separate combinations of the following parameters: (1) Engine type: (i) Gasoline—two stroke. (ii) Gasoline—four stroke. (iii) Gasoline—rotary. (iv) Other. (2) Engine displacement. (3) Engine configuration: (i...

  18. Testing of a variable-stroke Stirling engine

    NASA Technical Reports Server (NTRS)

    Thieme, Lanny G.; Allen, David J.

    1986-01-01

    Testing of a variable-stroke Stirling engine at NASA Lewis has been completed. In support of the DOE Stirling Engine Highway Vehicle Systems Program, the engine was tested for about 70 hours total with both He and H2 as working fluids over a range of pressures and strokes. A direct comparison was made of part-load efficiencies obtained with variable-stroke (VS) and variable-pressure operation. Two failures with the variable-angle swash-plate drive system limited testing to low power levels. These failures are not thought to be caused by problems inherent with the VS concept but do emphasize the need for careful design in the area of the crossheads.

  19. Testing of a variable-stroke Stirling engine

    NASA Technical Reports Server (NTRS)

    Thieme, L. G.; Allen, D. J.

    1986-01-01

    Testing of a variable-stroke Stirling engine at NASA Lewis has been completed. In support of the DOE Stirling Engine Highway Vehicle Systems Program, the engine was tested for about 70 hours total with both He and H2 working fluids over a range of pressures and strokes. A direct comparison was made of part-load efficiencies obtained with variable-stroke (VS) and variable-pressure operation. Two failures with the variable-angle swash-plate drive system limited testing to low power levels. These failures are not thought to be caused by problems inherent with the VS concept but do emphasize the need for careful design in the area of the crossheads.

  20. Dietary soy and natto intake and cardiovascular disease mortality in Japanese adults: the Takayama study.

    PubMed

    Nagata, Chisato; Wada, Keiko; Tamura, Takashi; Konishi, Kie; Goto, Yuko; Koda, Sachi; Kawachi, Toshiyuki; Tsuji, Michiko; Nakamura, Kozue

    2017-02-01

    Whether soy intake is associated with a decreased risk of cardiovascular disease (CVD) remains unclear. A traditional Japanese soy food, natto, contains a potent fibrinolytic enzyme. However, its relation to CVD has not been studied. We aimed to examine the association of CVD mortality with the intake of natto, soy protein, and soy isoflavones in a population-based cohort study in Japan. The study included 13,355 male and 15,724 female Takayama Study participants aged ≥35 y. At recruitment in 1992, each subject was administered a validated semiquantitative food-frequency questionnaire. Deaths from CVD were ascertained over 16 y. A total of 1678 deaths from CVD including 677 stroke and 308 ischemic heart disease occurred during follow-up. The highest quartile of natto intake compared with the lowest intake was significantly associated with a decreased risk of mortality from total CVD after control for covariates: the HR was 0.75 (95% CI: 0.64, 0.88, P-trend = 0.0004). There were no significant associations between the risk of mortality from total CVD and intakes of total soy protein, total soy isoflavone, and soy protein or soy isoflavone from soy foods other than natto. The highest quartiles of total soy protein and natto intakes were significantly associated with a decreased risk of mortality from total stroke (HR = 0.75, 95% CI: 0.57, 0.99, P-trend = 0.03 and HR = 0.68, 95% CI: 0.52, 0.88, P-trend = 0.0004, respectively). The highest quartile of natto intake was also significantly associated with a decreased risk of mortality from ischemic stroke (HR = 0.67, 95% CI:0.47, 0.95, P-trend = 0.03). Data suggest that natto intake may contribute to the reduction of CVD mortality. © 2017 American Society for Nutrition.

  1. Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women.

    PubMed

    Mink, Pamela J; Scrafford, Carolyn G; Barraj, Leila M; Harnack, Lisa; Hong, Ching-Ping; Nettleton, Jennifer A; Jacobs, David R

    2007-03-01

    Dietary flavonoids may have beneficial cardiovascular effects in human populations, but epidemiologic study results have not been conclusive. We used flavonoid food composition data from 3 recently available US Department of Agriculture databases to improve estimates of dietary flavonoid intake and to evaluate the association between flavonoid intake and cardiovascular disease (CVD) mortality. Study participants were 34 489 postmenopausal women in the Iowa Women's Health Study who were free of CVD and had complete food-frequency questionnaire information at baseline. Intakes of total flavonoids and 7 subclasses were categorized into quintiles, and food sources were grouped into frequency categories. Proportional hazards rate ratios (RR) were computed for CVD, coronary heart disease (CHD), stroke, and total mortality after 16 y of follow-up. After multivariate adjustment, significant inverse associations were observed between anthocyanidins and CHD, CVD, and total mortality [RR (95% CI) for any versus no intake: 0.88 (0.78, 0.99), 0.91 (0.83, 0.99), and 0.90 (0.86, 0.95)]; between flavanones and CHD [RR for highest quintile versus lowest: 0.78 (0.65, 0.94)]; and between flavones and total mortality [RR for highest quintile versus lowest: 0.88 (0.82, 0.96)]. No association was found between flavonoid intake and stroke mortality. Individual flavonoid-rich foods associated with significant mortality reduction included bran (added to foods; associated with stroke and CVD); apples or pears or both and red wine (associated with CHD and CVD); grapefruit (associated with CHD); strawberries (associated with CVD); and chocolate (associated with CVD). Dietary intakes of flavanones, anthocyanidins, and certain foods rich in flavonoids were associated with reduced risk of death due to CHD, CVD, and all causes.

  2. 30 CFR 250.610 - Diesel engine air intakes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Diesel engine air intakes. 250.610 Section 250... Operations § 250.610 Diesel engine air intakes. No later than May 31, 1989, diesel engine air intakes shall be equipped with a device to shut down the diesel engine in the event of runaway. Diesel engines...

  3. 30 CFR 250.610 - Diesel engine air intakes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 2 2014-07-01 2014-07-01 false Diesel engine air intakes. 250.610 Section 250... Operations § 250.610 Diesel engine air intakes. No later than May 31, 1989, diesel engine air intakes shall be equipped with a device to shut down the diesel engine in the event of runaway. Diesel engines...

  4. 40 CFR 1065.125 - Engine intake air.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Engine intake air. 1065.125 Section... ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.125 Engine intake air. (a) Use the intake-air system installed on the engine or one that represents a typical in-use configuration. This includes the...

  5. 40 CFR 1065.125 - Engine intake air.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Engine intake air. 1065.125 Section... ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.125 Engine intake air. (a) Use the intake-air system installed on the engine or one that represents a typical in-use configuration. This includes the...

  6. 40 CFR 1065.125 - Engine intake air.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Engine intake air. 1065.125 Section... ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.125 Engine intake air. (a) Use the intake-air system installed on the engine or one that represents a typical in-use configuration. This includes the...

  7. 40 CFR 89.325 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 21 2013-07-01 2013-07-01 false Engine intake air temperature... Test Equipment Provisions § 89.325 Engine intake air temperature measurement. (a) Engine intake air temperature measurement must be made within 122 cm of the engine. The measurement location must be made either...

  8. 40 CFR 91.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 20 2014-07-01 2013-07-01 true Engine intake air temperature... Provisions § 91.309 Engine intake air temperature measurement. (a) Engine intake air temperature measurement... the supply system or in the air stream entering the engine. (b) The temperature measurements must be...

  9. 40 CFR 91.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 21 2012-07-01 2012-07-01 false Engine intake air temperature... Provisions § 91.309 Engine intake air temperature measurement. (a) Engine intake air temperature measurement... the supply system or in the air stream entering the engine. (b) The temperature measurements must be...

  10. 40 CFR 89.325 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 20 2011-07-01 2011-07-01 false Engine intake air temperature... Test Equipment Provisions § 89.325 Engine intake air temperature measurement. (a) Engine intake air temperature measurement must be made within 122 cm of the engine. The measurement location must be made either...

  11. 40 CFR 91.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 21 2013-07-01 2013-07-01 false Engine intake air temperature... Provisions § 91.309 Engine intake air temperature measurement. (a) Engine intake air temperature measurement... the supply system or in the air stream entering the engine. (b) The temperature measurements must be...

  12. 40 CFR 89.325 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 20 2014-07-01 2013-07-01 true Engine intake air temperature... Test Equipment Provisions § 89.325 Engine intake air temperature measurement. (a) Engine intake air temperature measurement must be made within 122 cm of the engine. The measurement location must be made either...

  13. 40 CFR 91.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 20 2011-07-01 2011-07-01 false Engine intake air temperature... Provisions § 91.309 Engine intake air temperature measurement. (a) Engine intake air temperature measurement... the supply system or in the air stream entering the engine. (b) The temperature measurements must be...

  14. 40 CFR 89.325 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 21 2012-07-01 2012-07-01 false Engine intake air temperature... Test Equipment Provisions § 89.325 Engine intake air temperature measurement. (a) Engine intake air temperature measurement must be made within 122 cm of the engine. The measurement location must be made either...

  15. 40 CFR 1065.230 - Raw exhaust flow meter.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... sample NMHC downstream of the cooling for compression-ignition engines, 2-stroke spark-ignition engines, and 4-stroke spark-ignition engines below 19 kW. (3) If cooling causes aqueous condensation, do not...

  16. 40 CFR 1065.230 - Raw exhaust flow meter.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... sample NMHC downstream of the cooling for compression-ignition engines, 2-stroke spark-ignition engines, and 4-stroke spark-ignition engines below 19 kW. (3) If cooling causes aqueous condensation, do not...

  17. 40 CFR 205.157-2 - Compliance with standards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... manufacturer may use more parameters): (A) Engine type: (1) Gasoline-two stroke; (2) gasoline-four stroke; (3) gasoline-rotary; and (4) other. (B) Engine displacement. (C) Engine configuration: (1) Number of cylinders...

  18. High Ethanol Fuel Endurance: A Study of the Effects of Running Gasoline with 15% Ethanol Concentration in Current Production Outboard Four-Stroke Engines and Conventional Two-Stroke Outboard Marine Engines

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hilbert, D.

    2011-10-01

    Three Mercury Marine outboard marine engines were evaluated for durability using E15 fuel -- gasoline blended with 15% ethanol. Direct comparison was made to operation on E0 (ethanol-free gasoline) to determine the effects of increased ethanol on engine durability. Testing was conducted using a 300-hour wide-open throttle (WOT) test protocol, a typical durability cycle used by the outboard marine industry. Use of E15 resulted in reduced CO emissions, as expected for open-loop, non-feedback control engines. HC emissions effects were variable. Exhaust gas and engine operating temperatures increased as a consequence of leaner operation. Each E15 test engine exhibited some deteriorationmore » that may have been related to the test fuel. The 9.9 HP, four-stroke E15 engine exhibited variable hydrocarbon emissions at 300 hours -- an indication of lean misfire. The 300HP, four-stroke, supercharged Verado engine and the 200HP, two-stroke legacy engine tested with E15 fuel failed to complete the durability test. The Verado engine failed three exhaust valves at 285 endurance hours while the 200HP legacy engine failed a main crank bearing at 256 endurance hours. All E0-dedicated engines completed the durability cycle without incident. Additional testing is necessary to link the observed engine failures to ethanol in the test fuel.« less

  19. Vegetable and fruit intake and mortality from chronic disease in New Zealand.

    PubMed

    Tobias, Martin; Turley, Maria; Stefanogiannis, Niki; Vander Hoorn, Stephen; Lawes, Carlene; Mhurchu, Cliona Ni; Rodgers, Anthony

    2006-02-01

    To estimate mortality attributable to inadequate vegetable and fruit intake in New Zealand in 1997, and the burden of disease that could be avoided in 2011 if modest increases in vegetable and fruit intake were to occur. Comparative risk assessment methodology was used to estimate both attributable and avoidable mortality due to inadequate vegetable and fruit consumption (< 600 g/day). Vegetables and fruit were defined as all fresh, frozen, canned, dried or juiced vegetables and fruit, except potatoes, nuts, seeds and pulses. Disease outcomes assessed were mortality from ischaemic heart disease, ischaemic stroke, and lung, oesophageal, stomach and colorectal cancers. In 1997, mean vegetable and fruit intake was 420 g/day in males and 404 g/day in females. Inadequate vegetable and fruit intake is estimated to have contributed to 1,559 deaths (6% of all deaths) in that year, including 1,171 from ischaemic heart disease, 179 from ischaemic stroke and 209 from cancer. Modest increases in vegetable and fruit intake (40 g/day above the historic trend) could prevent 334 deaths each year from 2011, mostly from ischaemic heart disease. Inadequate vegetable and fruit intake is an important cause of mortality in New Zealand. Small increases in vegetable and fruit intake could have a major impact on population health within a decade.

  20. External combustion engine having an asymmetrical CAM

    NASA Astrophysics Data System (ADS)

    Duva, Anthony W.

    1994-11-01

    An external combustion engine having an asymmetrical cam is the focus of this patent. The engine includes a combustion chamber for generating a high-pressure, energized gas from a monopropellant fuel and an even number of cylinders for receiving sequentially the energized gas through the rotary valve, the gas performing work on a piston disposed within each cylinder. The pistons transfer energy to a drive shaft through a connection to the asymmetrically shaped cam. The cam is shaped having two identical halves, each half having a power and an exhaust stroke. The identical halves provide that opposing cylinders are in thermodynamic balance, thus reducing rocking vibrations and torque pulsations. Having opposing pistons within the same thermodynamic cycle allows piston stroke to be reduced while maintaining displacement comparable to an engine having individual cycle positions. The reduced stroke diminishes gas flow velocity thus reducing flow induced noise. The power and exhaust strokes within each identical half of the cam are asymmetrical in that the power stroke is of greater duration than the exhaust stroke. The shape and length of the power stroke is optimized for increased efficiency.

  1. 40 CFR 1065.230 - Raw exhaust flow meter.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... sample NMHC downstream of the cooling for compression-ignition engines, two-stroke spark-ignition engines, or four-stroke spark-ignition engines at or below 19 kW. (3) The cooling must not cause aqueous...

  2. Stroke: roles of B vitamins, homocysteine and antioxidants.

    PubMed

    Sánchez-Moreno, Concepción; Jiménez-Escrig, Antonio; Martín, Antonio

    2009-06-01

    In the present review concerning stroke, we evaluate the roles of B vitamins, homocysteine and antioxidant vitamins. Stroke is a leading cause of death in developed countries. However, current therapeutic strategies for stroke have been largely unsuccessful. Several studies have reported important benefits on reducing the risk of stroke and improving the post-stroke-associated functional declines in patients who ate foods rich in micronutrients, including B vitamins and antioxidant vitamins E and C. Folic acid, vitamin B6 and vitamin B12 are all cofactors in homocysteine metabolism. Growing interest has been paid to hyperhomocysteinaemia as a risk factor for CVD. Hyperhomocysteinaemia has been linked to inadequate intake of vitamins, particularly to B-group vitamins and therefore may be amenable to nutritional intervention. Hence, poor dietary intake of folate, vitamin B6 and vitamin B12 are associated with increased risk of stroke. Elevated consumption of fruits and vegetables appears to protect against stroke. Antioxidant nutrients have important roles in cell function and have been implicated in processes associated with ageing, including vascular, inflammatory and neurological damage. Plasma vitamin E and C concentrations may serve as a biological marker of lifestyle or other factors associated with reduced stroke risk and may be useful in identifying those at high risk of stroke. After reviewing the observational and intervention studies, there is an incomplete understanding of mechanisms and some conflicting findings; therefore the available evidence is insufficient to recommend the routine use of B vitamins, vitamin E and vitamin C for the prevention of stroke. A better understanding of mechanisms, along with well-designed controlled clinical trials will allow further progress in this area.

  3. The Tracer Gas Method of Determining the Charging Efficiency of Two-stroke-cycle Diesel Engines

    NASA Technical Reports Server (NTRS)

    Schweitzer, P H; Deluca, Frank, Jr

    1942-01-01

    A convenient method has been developed for determining the scavenging efficiency or the charging efficiency of two-stroke-cycle engines. The method consists of introducing a suitable tracer gas into the inlet air of the running engine and measuring chemically its concentration both in the inlet and exhaust gas. Monomethylamine CH(sub 3)NH(sub 2) was found suitable for the purpose as it burns almost completely during combustion, whereas the "short-circuited" portion does not burn at all and can be determined quantitatively in the exhaust. The method was tested both on four-stroke and on two-stroke engines and is considered accurate within 1 percent.

  4. 40 CFR 1065.125 - Engine intake air.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Engine intake air. 1065.125 Section 1065.125 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.125 Engine intake air. (a) Use the intake-air...

  5. 40 CFR 1065.125 - Engine intake air.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... engines with multiple intakes with separate humidity measurements at each intake, use a flow-weighted average humidity for NOX corrections. If individual flows of each intake are not measured, use good engineering judgment to estimate a flow-weighted average humidity. (3) Temperature. Good engineering judgment...

  6. Is It Safe to Reduce Water Intake in the Overactive Bladder Population? A Systematic Review.

    PubMed

    Wood, Lauren N; Markowitz, Melissa A; Parameshwar, Pooja S; Hannemann, Alex J; Ogawa, Shellee L; Anger, Jennifer T; Eilber, Karyn S

    2018-03-01

    Overactive bladder imposes a significant socioeconomic burden on the health care system. It is a commonly held belief that increased fluid intake (8 glasses of water per day) is beneficial for health. However, increased fluid intake exacerbates overactive bladder symptoms. Thus, it is imperative that clinicians appropriately educate patients for whom increased water intake may be detrimental (women with overactive bladder), in contrast to patients with comorbidities that necessitate increased water intake (nephrolithiasis). We systematically reviewed the literature to determine the potential health advantages of increased water intake and identify specific subpopulations that need increased hydration. We systematically reviewed published articles from 1972 through 2017 on PubMed® and the Cochrane Library. The data were reviewed independently by 2 individuals. Studies were included if they explored water intake in relation to the risk of a particular disease. Level 1 evidence supported increased fluid intake in patients with nephrolithiasis. There was no available evidence to support increased fluid intake in patients with cardiovascular disease, constipation, venous thromboembolism, headaches, cognitive function or bladder cancer. Dehydration may exacerbate some conditions, specifically chronic constipation and headache intensity. Increased fluid intake may have a role in preventing stroke recurrence but not in preventing primary stroke. The available reviewed literature suggests no benefit to drinking 8 glasses of water per day in patients without nephrolithiasis. Also, excess fluid intake can exacerbate symptoms of overactive bladder. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  7. Validation of the Chinese Version of the Functional Oral Intake Scale (FOIS) Score in the Assessment of Acute Stroke Patients with Dysphagia.

    PubMed

    Zhou, Hongzhen; Zhu, Yafang; Zhang, Xiaomei

    2017-01-01

    This study aimed to validate the Chinese version of the Functional Oral Intake Scale (FOIS) score in acute stroke patients with dysphagia. A sample of 128 consecutive patients with acute stroke, admitted to Department of Neurology from April to October in 2016, completed the FOIS. The interrater reliability, criterion validity, discriminant validity, cross validation, and the sensitivity of FOIS scale were evaluated. Results showed that rater agreements were excellent for FOIS (Kw = 0.881, p < 0.001). A highly negative correlation between FOIS and WST (water swallow test) was detected (r = -0.937, p < 0.001). There was significant difference for FOIS level of patients with different evaluation outcomes (χ2 = 126.551, p < 0.001). The FOIS evaluation results were significantly correlated with two physiological measures of swallowing. The Chinese version of the FOIS score is a reliable scale for evaluating the level of oral feeding function in patients with acute stroke.

  8. 30 CFR 250.610 - Diesel engine air intakes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Diesel engine air intakes. 250.610 Section 250... Well-Workover Operations § 250.610 Diesel engine air intakes. No later than May 31, 1989, diesel engine air intakes shall be equipped with a device to shut down the diesel engine in the event of runaway...

  9. The effects of Pilates exercise on cardiopulmonary function in the chronic stroke patients: a randomized controlled trials.

    PubMed

    Lim, Hee Sung; Yoon, Sukhoon

    2017-05-01

    [Purpose] The purpose of this study was to examine the effect of modified Pilates exercise on cardiopulmonary function in chronic stroke patients. [Subjects and Methods] Twenty participants (age, 62.7 ± 7.3 years; height, 163.3 ± 8.5 cm; weight, 68.8 ± 10.3 kg) were recruited for this study, and randomly allocated to the modified Pilates exercise group (n=10) or the control group (n=10). Graded submaximal treadmill exercise test was used to examine the status of patients' cardiopulmonary function, based on maximal oxygen intake, at the end of a patient's exercise tolerance limit. [Results] The resting heart rates, maximal oxygen intake, and maximal oxygen intake per kilogram were significantly different after 8 weeks of modified Pilates exercise. In addition, these variables were also significantly different between the Pilates and control groups after 8 weeks. [Conclusion] This study has demonstrated that 8 weeks of modified Pilates exercise program can have a positive influence on patients with chronic stroke, potentially by enhancing the cardiopulmonary function, which may have positive implications for increasing their functional ability.

  10. 40 CFR 89.325 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Engine intake air temperature measurement. 89.325 Section 89.325 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Test Equipment Provisions § 89.325 Engine intake air temperature measurement. (a) Engine intake air...

  11. Health Gain by Salt Reduction in Europe: A Modelling Study

    PubMed Central

    Hendriksen, Marieke A. H.; van Raaij, Joop M. A.; Geleijnse, Johanna M.; Breda, Joao; Boshuizen, Hendriek C.

    2015-01-01

    Excessive salt intake is associated with hypertension and cardiovascular diseases. Salt intake exceeds the World Health Organization population nutrition goal of 5 grams per day in the European region. We assessed the health impact of salt reduction in nine European countries (Finland, France, Ireland, Italy, Netherlands, Poland, Spain, Sweden and United Kingdom). Through literature research we obtained current salt intake and systolic blood pressure levels of the nine countries. The population health modeling tool DYNAMO-HIA including country-specific disease data was used to predict the changes in prevalence of ischemic heart disease and stroke for each country estimating the effect of salt reduction through its effect on blood pressure levels. A 30% salt reduction would reduce the prevalence of stroke by 6.4% in Finland to 13.5% in Poland. Ischemic heart disease would be decreased by 4.1% in Finland to 8.9% in Poland. When salt intake is reduced to the WHO population nutrient goal, it would reduce the prevalence of stroke from 10.1% in Finland to 23.1% in Poland. Ischemic heart disease would decrease by 6.6% in Finland to 15.5% in Poland. The number of postponed deaths would be 102,100 (0.9%) in France, and 191,300 (2.3%) in Poland. A reduction of salt intake to 5 grams per day is expected to substantially reduce the burden of cardiovascular disease and mortality in several European countries. PMID:25826317

  12. 30 CFR 250.610 - Diesel engine air intakes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false Diesel engine air intakes. 250.610 Section 250.610 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR... Operations § 250.610 Diesel engine air intakes. No later than May 31, 1989, diesel engine air intakes shall...

  13. 30 CFR 250.510 - Diesel engine air intakes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Diesel engine air intakes. 250.510 Section 250.510 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF... Well-Completion Operations § 250.510 Diesel engine air intakes. Diesel engine air intakes must be...

  14. 30 CFR 250.510 - Diesel engine air intakes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false Diesel engine air intakes. 250.510 Section 250.510 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR... Operations § 250.510 Diesel engine air intakes. Diesel engine air intakes must be equipped with a device to...

  15. 30 CFR 250.510 - Diesel engine air intakes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Diesel engine air intakes. 250.510 Section 250.510 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR... Operations § 250.510 Diesel engine air intakes. Diesel engine air intakes must be equipped with a device to...

  16. 30 CFR 250.510 - Diesel engine air intakes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 2 2014-07-01 2014-07-01 false Diesel engine air intakes. 250.510 Section 250.510 Mineral Resources BUREAU OF SAFETY AND ENVIRONMENTAL ENFORCEMENT, DEPARTMENT OF THE INTERIOR... Operations § 250.510 Diesel engine air intakes. Diesel engine air intakes must be equipped with a device to...

  17. 40 CFR 91.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... measurement. 91.309 Section 91.309 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Provisions § 91.309 Engine intake air temperature measurement. (a) Engine intake air temperature measurement must be made within 100 cm of the air-intake of the engine. The measurement location must be either in...

  18. 40 CFR 90.310 - Engine intake air humidity measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Engine intake air humidity measurement... Emission Test Equipment Provisions § 90.310 Engine intake air humidity measurement. This section refers to... for the engine intake air, the ambient test cell humidity measurement may be used. (a) Humidity...

  19. 30 CFR 36.23 - Engine intake system.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Engine intake system. 36.23 Section 36.23... EQUIPMENT Construction and Design Requirements § 36.23 Engine intake system. (a) Construction. The intake... operator's compartment, to shut off the air supply to the engine. This valve shall be constructed to permit...

  20. 30 CFR 36.23 - Engine intake system.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Engine intake system. 36.23 Section 36.23... EQUIPMENT Construction and Design Requirements § 36.23 Engine intake system. (a) Construction. The intake... operator's compartment, to shut off the air supply to the engine. This valve shall be constructed to permit...

  1. Race and region have independent and synergistic effects on dietary intakes in black and white women

    PubMed Central

    2012-01-01

    Background Few studies have examined the effects of race and region on dietary intakes and the evidence on racial and regional disparities among women is limited. We aimed to examine whether race and region were associated with nutrient intakes among black and white women living in the Stroke Belt, Stroke Buckle, and Other regions in the United States. We hypothesized that significant differences would be observed among population sub-groups and that the effects of race on dietary intakes would vary across regions. Methods This study included dietary data from 12,105 women from the Reasons for Geographic and Racial Differences in Stroke study (United States). Dietary data were collected using the Block 98 food frequency questionnaire. Results Blacks consumed 1.05% lower energy from saturated fat (95% CI: -0.95, -1.16), and intakes were also lower in the Buckle (β = -0.20; 95% CI: -0.08, -0.32) and Belt (β = -0.35; 95% CI: -0.24, -0.46) compared to the Other regions. Within each region, sodium, potassium, and magnesium intakes were all lower among black women compared to white women (P <0.05 for all); intakes were significantly lower among blacks living in the Belt and Buckle compared to those in the Other regions. Significant interactions between race and region were detected for trans fat, calcium, and cholesterol (P <0.05 for all), where black women in the Other regions consumed the lowest dietary cholesterol and calcium while black women in the Belt consumed the lowest trans fat. Conclusions Race and region were significantly associated with nutrient intakes in a large study of black and non-Hispanic white women in the United States. Intakes of trans fat, calcium, and cholesterol among black and white women differed across regions. Race and region thus interact to impact dietary intakes, and their effects may be mediated by such factors as the broader food environment and food availability as well as food customs and culture. Race, region, and their correlates should therefore be considered together when examining diet and disease associations and planning dietary advice for population sub-groups. PMID:22500645

  2. Role of dietary salt and potassium intake in cardiovascular health and disease: a review of the evidence.

    PubMed

    Aaron, Kristal J; Sanders, Paul W

    2013-09-01

    The objective of this review was to provide a synthesis of the evidence on the effect of dietary salt and potassium intake on population blood pressure, cardiovascular disease, and mortality. Dietary guidelines and recommendations are outlined, current controversies regarding the evidence are discussed, and recommendations are made on the basis of the evidence. Designed search strategies were used to search various databases for available studies. Randomized trials of the effect of dietary salt intake reduction or increased potassium intake on blood pressure, target organ damage, cardiovascular disease, and mortality were included. Fifty-two publications from January 1, 1990, to January 31, 2013, were identified for inclusion. Consideration was given to variations in the search terms used and the spelling of terms so that studies were not overlooked, and search terms took the following general form: (dietary salt or dietary sodium or [synonyms]) and (dietary potassium or [synonyms]) and (blood pressure or hypertension or vascular disease or heart disease or chronic kidney disease or stroke or mortality or [synonyms]). Evidence from these studies demonstrates that high salt intake not only increases blood pressure but also plays a role in endothelial dysfunction, cardiovascular structure and function, albuminuria and kidney disease progression, and cardiovascular morbidity and mortality in the general population. Conversely, dietary potassium intake attenuates these effects, showing a linkage to reduction in stroke rates and cardiovascular disease risk. Various subpopulations, such as overweight and obese individuals and aging adults, exhibit greater sensitivity to the effects of reduced salt intake and may gain the most benefits. A diet that includes modest salt restriction while increasing potassium intake serves as a strategy to prevent or control hypertension and decrease cardiovascular morbidity and mortality. Thus, the body of evidence supports population-wide sodium intake reduction and recommended increases in dietary potassium intake as outlined by current guidelines as an essential public health effort to prevent kidney disease, stroke, and cardiovascular disease. Copyright © 2013 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  3. 40 CFR 1065.240 - Dilution air and diluted exhaust flow meters.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements... interval. You may use the difference between a diluted exhaust flow meter and a dilution air meter to... compression-ignition engines, 2-stroke spark-ignition engines, and 4-stroke spark-ignition engines below 19 kW...

  4. 40 CFR 1065.240 - Dilution air and diluted exhaust flow meters.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements... interval. You may use the difference between a diluted exhaust flow meter and a dilution air meter to... compression-ignition engines, two-stroke spark-ignition engines, or four-stroke spark-ignition engines at or...

  5. 40 CFR 1065.240 - Dilution air and diluted exhaust flow meters.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements... interval. You may use the difference between a diluted exhaust flow meter and a dilution air meter to... compression-ignition engines, 2-stroke spark-ignition engines, and 4-stroke spark-ignition engines below 19 kW...

  6. 40 CFR 1065.240 - Dilution air and diluted exhaust flow meters.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements... interval. You may use the difference between a diluted exhaust flow meter and a dilution air meter to... compression-ignition engines, 2-stroke spark-ignition engines, and 4-stroke spark-ignition engines below 19 kW...

  7. Dietary Protein Sources and the Risk of Stroke in Men and Women

    PubMed Central

    Bernstein, Adam M.; Pan, An; Rexrode, Kathryn M.; Stampfer, Meir; Hu, Frank B.; Mozaffarian, Dariush; Willett, Walter C.

    2012-01-01

    Background and Purpose Few dietary protein sources have been studied prospectively in relation to stroke. We examined the relation between foods that are major protein sources and risk of stroke. Methods We prospectively followed 84,010 women aged 30–55 years at baseline and 43,150 men aged 40–75 years at baseline without diagnosed cancer, diabetes, or cardiovascular disease. Diet was assessed repeatedly by a standardized and validated questionnaire. We examined the association between protein sources and incidence of stroke using a proportional hazard model adjusted for stroke risk factors. Results During 26 and 22 years of follow-up in women and men, respectively, we documented 2,633 and 1,397 strokes, respectively. In multivariable analyses, higher intake of red meat was associated with an elevated risk of stroke, while a higher intake of poultry was associated with lower risk. In models estimating the effects of exchanging different protein sources, compared to one serving/day of red meat, one serving/day of poultry was associated with a 27% (95% CI: 12% to 39%) lower risk of stroke, nuts with a 17% (95% CI: 4% to 27%) lower risk, fish with a 17% (95% CI: 0% to 30%) lower risk, low-fat dairy with an 11% (95% CI: 5% to 17%) lower risk, and whole-fat dairy with a 10% (95% CI: 4% to 16%) lower risk. We did not see significant associations with exchanging legumes or eggs for red meat. Conclusions These data suggest that stroke risk may be reduced by replacing red meat with other dietary sources of protein. PMID:22207512

  8. 30 CFR 36.23 - Engine intake system.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Engine intake system. 36.23 Section 36.23... EQUIPMENT Construction and Design Requirements § 36.23 Engine intake system. (a) Construction. The intake... intake system without permanent deformation and shall prevent the propagation of flame through the joint...

  9. 40 CFR 89.326 - Engine intake air humidity measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Engine intake air humidity measurement... Test Equipment Provisions § 89.326 Engine intake air humidity measurement. (a) Humidity conditioned air... type of intake air supply, the humidity measurements must be made within the intake air supply system...

  10. 30 CFR 250.610 - Diesel engine air intakes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Diesel engine air intakes. 250.610 Section 250.610 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE OIL AND GAS AND... engine air intakes. No later than May 31, 1989, diesel engine air intakes shall be equipped with a device...

  11. 30 CFR 250.510 - Diesel engine air intakes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Diesel engine air intakes. 250.510 Section 250.510 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE OIL AND GAS AND... engine air intakes. Diesel engine air intakes must be equipped with a device to shut down the diesel...

  12. Association of Dietary Factors with Progression of AA in Stroke/TIA Patients.

    PubMed

    Kodumuri, Nishanth; Giamberardino, Lauren; Hinderliter, Alan; Sen, Souvik

    2016-06-01

    To investigate the effect of dietary factors such as calorie intake and dietary fats on the progression of aortic arch atheroma (AA). In stroke/TIA patients, progression of AA is associated with recurrent vascular events. Consecutive patients with measurable (>1 mm) AA atheroma on baseline transesophageal echocardiogram (TEE) evaluation consented to a protocol mandated follow-up TEE at 12 months. Patients that had adequate paired AA images were assessed for progression, defined as Δ ≥ 1 grade worsening (based on plaque thickness over 12 months). Stroke risk factors and fasting lipid profile were assessed at baseline. The patient's nutritional intake was measured at baseline using the Gladys Block Food Frequency Questionnaire. One-hundred-nine patients (70 strokes, 33 TIAs) had sequential TEEs, of whom 27% (N=30) progressed and 73% (N=79) did not. Patients with progression had higher daily calorie (1778 ± 623 vs. 1378 ± 406 Calories, p=0.008), fat (76 ± 33 vs. 52 ± 23 grams, p=0.0002), carbohydrate (208 ± 78 vs. 169 ± 57 grams, p=0.01) and protein (73 ± 26 vs. 57 ± 21 grams, p=0.005) intake. On Further analysis among different fats showed a higher consumption of saturated fats (25 ± 12 vs. 17 ±8 grams, p=0.00051) as well as unsaturated fats (44 ± 20 vs. 30 ± 13 grams, p=0.002). These differences remained significant after we adjusted for the medication use. However the significance of these differences was attenuated after adjusting for the calorie intake. Cholesterol consumption did not differ between the progression and no-progression group (262 ± 125 vs. 213 ± 149 mg, p=0.2). Calorie intake plays a significant role in the progression of AA. Further studies are needed to confirm these findings and determine the specific dietary modifications that may prevent AA progression and associated recurrent vascular events.

  13. How Can Diet Influence the Risk of Stroke?

    PubMed Central

    Medeiros, Fernanda; Casanova, Marcela de Abreu; Fraulob, Julio Cesar; Trindade, Michelle

    2012-01-01

    Cerebrovascular diseases are the second cause of mortality in the world, and hypertension is considered a main risk factor for occurrence of stroke. The mechanisms responsible for the increased stroke risk remain unclear. However, dietary interventions have been applied in the management and treatment of their risk factors, which include increased blood pressure levels, obesity, diabetes, and dyslipidemia. Further studies should be conducted to assess the effects of carotenoids, flavonoids, n-3 polyunsaturated fats, and lower salt and high glycemic index intake in risk of stroke. PMID:22693656

  14. Experimental investigation of homogeneous charge compression ignition combustion of biodiesel fuel with external mixture formation in a CI engine.

    PubMed

    Ganesh, D; Nagarajan, G; Ganesan, S

    2014-01-01

    In parallel to the interest in renewable fuels, there has also been increased interest in homogeneous charge compression ignition (HCCI) combustion. HCCI engines are being actively developed because they have the potential to be highly efficient and to produce low emissions. Even though HCCI has been researched extensively, few challenges still exist. These include controlling the combustion at higher loads and the formation of a homogeneous mixture. To obtain better homogeneity, in the present investigation external mixture formation method was adopted, in which the fuel vaporiser was used to achieve excellent HCCI combustion in a single cylinder air-cooled direct injection diesel engine. In continuation of our previous works, in the current study a vaporised jatropha methyl ester (JME) was mixed with air to form a homogeneous mixture and inducted into the cylinder during the intake stroke to analyze the combustion, emission and performance characteristics. To control the early ignition of JME vapor-air mixture, cooled (30 °C) Exhaust gas recirculation (EGR) technique was adopted. The experimental result shows 81% reduction in NOx and 72% reduction in smoke emission.

  15. Dedicated EGR engine with dynamic load control

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hayman, Alan W.; McAlpine, Robert S.; Keating, Edward J.

    An internal combustion engine comprises a first engine bank and a second engine bank. A first intake valve is disposed in an intake port of a cylinder of the first engine bank, and is configured for metering the first flow of combustion air by periodically opening and closing according to a first intake valve lift and duration characteristic. A variable valve train control mechanism is configured for affecting the first intake valve lift and duration characteristic. Either a lift or duration of the first intake valve is modulated so as to satisfy an EGR control criterion.

  16. Associations of Biomarker-Calibrated Sodium and Potassium Intakes With Cardiovascular Disease Risk Among Postmenopausal Women.

    PubMed

    Prentice, Ross L; Huang, Ying; Neuhouser, Marian L; Manson, JoAnn E; Mossavar-Rahmani, Yasmin; Thomas, Fridtjof; Tinker, Lesley F; Allison, Matthew; Johnson, Karen C; Wassertheil-Smoller, Sylvia; Seth, Arjun; Rossouw, Jacques E; Shikany, James; Carbone, Laura D; Martin, Lisa W; Stefanick, Marcia L; Haring, Bernhard; Van Horn, Linda

    2017-11-01

    Studies of the associations of sodium and potassium intakes with cardiovascular disease incidence often rely on self-reported dietary data. In the present study, self-reported intakes from postmenopausal women at 40 participating US clinical centers are calibrated using 24-hour urinary excretion measures in cohorts from the Women's Health Initiative, with follow-up from 1993 to 2010. The incidence of hypertension was positively related to (calibrated) sodium intake and to the ratio of sodium to potassium. The sodium-to-potassium ratio was associated with cardiovascular disease incidence during an average follow-up period of 12 years. The estimated hazard ratio for a 20% increase in the sodium-to-potassium ratio was 1.13 (95% confidence interval (CI): 1.04, 1.22) for coronary heart disease, 1.20 (95% CI: 1.01, 1.42) for heart failure, and 1.11 (95% CI: 1.04, 1.19) for a composite cardiovascular disease outcome. The association with total stroke was not significant, but it was positive for ischemic stroke and inverse for hemorrhagic stroke. Aside from hemorrhagic stroke, corresponding associations of cardiovascular disease with sodium and potassium jointly were positive for sodium and inverse for potassium, although some were not statistically significant. Specifically, for coronary heart disease, the hazard ratios for 20% increases were 1.11 (95% CI: 0.95, 1.30) for sodium and 0.85 (95% CI: 0.73, 0.99) for potassium; and corresponding values for heart failure were 1.36 (95% CI: 1.02, 1.82) for sodium and 0.90 (95% CI: 0.69, 1.18) for potassium. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. CHARACTERIZATION OF EMISSIONS FROM HAND-HELD TWO-STROKE ENGINES

    EPA Science Inventory

    Despite their extremely high organic and particulate matter emission rates, two-stroke engines remain among the least studied of engine types. Such studies are rare because they are costly to perform. Results reported in this paper were obtained using a facility that shares e...

  18. Assessment of total efficiency in adiabatic engines

    NASA Astrophysics Data System (ADS)

    Mitianiec, W.

    2016-09-01

    The paper presents influence of ceramic coating in all surfaces of the combustion chamber of SI four-stroke engine on working parameters mainly on heat balance and total efficiency. Three cases of engine were considered: standard without ceramic coating, fully adiabatic combustion chamber and engine with different thickness of ceramic coating. Consideration of adiabatic or semi-adiabatic engine was connected with mathematical modelling of heat transfer from the cylinder gas to the cooling medium. This model takes into account changeable convection coefficient based on the experimental formulas of Woschni, heat conductivity of multi-layer walls and also small effect of radiation in SI engines. The simulation model was elaborated with full heat transfer to the cooling medium and unsteady gas flow in the engine intake and exhaust systems. The computer program taking into account 0D model of engine processes in the cylinder and 1D model of gas flow was elaborated for determination of many basic engine thermodynamic parameters for Suzuki DR-Z400S 400 cc SI engine. The paper presents calculation results of influence of the ceramic coating thickness on indicated pressure, specific fuel consumption, cooling and exhaust heat losses. Next it were presented comparisons of effective power, heat losses in the cooling and exhaust systems, total efficiency in function of engine rotational speed and also comparison of temperature inside the cylinder for standard, semi-adiabatic and full adiabatic engine. On the basis of the achieved results it was found higher total efficiency of adiabatic engines at 2500 rpm from 27% for standard engine to 37% for full adiabatic engine.

  19. Clerget 100 hp heavy-oil engine

    NASA Technical Reports Server (NTRS)

    Leglise, Pierre

    1931-01-01

    A complete technical description of the Clerget heavy-oil engine is presented along with the general characteristics. The general characteristics are: 9 cylinders, bore 120 mm, stroke 130 mm, four-stroke cycle engine, rated power limited to 100 hp at 1800 rpm; weight 228 kg; propeller with direct drive and air cooling. Moving parts, engine block, and lubrication are all presented.

  20. Recurrence risk after noncardioembolic mild ischemic stroke in a Japanese population.

    PubMed

    Kono, Yuji; Yamada, Sumio; Kamisaka, Kenta; Araki, Amane; Fujioka, Yusuke; Yasui, Keizo; Hasegawa, Yasuhiro; Koike, Yasuo

    2011-01-01

    This study aimed to identify the recurrence rate and risk factors or clinical variables predictive of vascular events after mild ischemic stroke (IS). From December 2006 to September 2007, patients with acute IS with a modified Rankin Scale of 0∼1 were consecutively enrolled in this study. Variables including sex, family history of vascular disease, age, height, weight, stroke subtype, blood pressure, lipid profile, fasting glucose, HbA1c, smoking, alcohol consumption, exercise habits, waist circumference, ankle-brachial pressure index, salt intake and physical activity were assessed. The primary outcome was stroke recurrence or other vascular events such as myocardial infarction, angina pectoris, and peripheral artery disease. Survival curves were calculated by Kaplan-Meier survival analysis, and hazard ratios for recurrence were determined by univariate and multivariate Cox proportional hazards regression models. A total of 102 mild IS patients (78 men and 24 women, mean age 64 years) were successfully followed for 3 years. Of those 102 patients, 25 (24.5%) had stroke recurrence, and 4 (3.9%) had a coronary event. Among the variables studied, abnormal ankle-brachial pressure index, metabolic syndrome, stroke subtypes, salt intake and poor lifestyle management were significant independent predictors of stroke recurrence or cardiovascular events. In mild IS patients within 3 years after onset, not only pathophysiological factors but also lifestyle factors can aid in the identification of patients at high risk for recurrence. Copyright © 2011 S. Karger AG, Basel.

  1. Three-dimensional transient numerical simulation for intake process in the engine intake port-valve-cylinder system.

    PubMed

    Luo, Ma-Ji; Chen, Guo-Hua; Ma, Yuan-Hao

    2003-01-01

    This paper presents a KIVA-3 code based numerical model for three-dimensional transient intake flow in the intake port-valve-cylinder system of internal combustion engine using body-fitted technique, which can be used in numerical study on internal combustion engine with vertical and inclined valves, and has higher calculation precision. A numerical simulation (on the intake process of a two-valve engine with a semi-sphere combustion chamber and a radial intake port) is provided for analysis of the velocity field and pressure field of different plane at different crank angles. The results revealed the formation of the tumble motion, the evolution of flow field parameters and the variation of tumble ratios as important information for the design of engine intake system.

  2. [Coffee can protect against disease].

    PubMed

    Hermansen, Kjeld; Krogholm, Kirstine Suszkiewicz; Bech, Bodil Hammer; Dragsted, Lars Ove; Hyldstrup, Lars; Jørgensen, Kasper; Larsen, Mogens Lytken; Tjønneland, Anne Marie

    2012-09-24

    A moderate daily intake of 3-4 cups of coffee has convincing protective effects against development of type 2 diabetes and Parkinson's disease. The literature also indicates that moderate coffee intake reduces the risk of stroke, the overall risk of cancer, Alzheimer's disease, suicide and depression. However, pregnant women, people suffering from anxiety disorder and persons with a low calcium intake should restrain from moderate or high intake of coffee due to uncertainty regarding potential negative effects on pregnancy, anxiety and risk of osteoporosis, respectively.

  3. Exertional heat stroke and acute liver failure: a late dysfunction

    PubMed Central

    Carvalho, Ana Sofia; Rodeia, Simão C; Silvestre, Joana; Póvoa, Pedro

    2016-01-01

    Heat stroke (HS) is defined as a severe elevation of core body temperature along with central nervous system dysfunction. Exertional heat stroke (EHS) with acute liver failure (ALF) is a rare condition. The authors report the case of a 25-year-old man with a history of cognitive enhancers’ intake who developed hyperthermia and neurological impairment while running an outdoor marathon. The patient was cooled and returned to normal body temperature after 6 h. He subsequently developed ALF and was transferred to the intensive care unit. Over-the-counter drug intake may have been related to heat intolerance and contributed to the event. The patient was successfully treated with conservative measures. In the presence of EHS, it is crucial to act promptly with aggressive total body cooling, in order to prevent progression of the clinical syndrome. Liver function must also be monitored, since it can be a late organ dysfunction. PMID:26969359

  4. Association Between Macrominerals Intake and Changes in Internal Carotid Artery-Intima Media Thickness in POST Ischemic Stroke Patients

    NASA Astrophysics Data System (ADS)

    Pudjonarko, Dwi; Tugasworo, Dodik; Silaen, Rumintang

    2017-02-01

    Carotid Intima Media Thickness (C-IMT) has been widely used as marker for atherosclerosis. Previous studies on minerals intake and its association with C-IMT revealed various. Most of the studies showed inconsistent results. The aim of this study is to determine wether macro minerals intake is related to internal carotid-intima media thickness (IC-IMT). This is a longitudinal study, pre test post test design conducted in Neurology clinic, Kariadi hospital, Semarang from June to December 2014. Subjects were 22 post ischemic stroke patients. Minerals intake and IC-IMT was measured using Food Frequency Questionnaire and Duplex Carotid Ultrasonography. Statistical analysis was performed using Chi-Square, Fisher Exact and Logistic Regression test. Subjects included in this study were 17 male subjects (77.3%) and 5 female subjects (22.7%). Mean of IC-IMT in female subjects was found to be higher than in male. Mean of total IC-IMT was increased after a period of six months (0.96±0.80 to 0.97±0.21 mm). There were significant association between calcium as well as sodium intakes and IC-IMT. In contrast, there were no association between magnesium as well as potassium intake and IC-IMT. Multivariate analysis suggest that sodium intake (OR=26.828) was the most influencing factor for IC-IMT, followed by calcium intake (OR=0.042). Calcium as well as potassium intake were independently associated with IC-IMT. Magnecium as well as sodium intake were not independently associated with IC-IMT changes. Sodium intake was the most influencing variable to IC-IMT changes, followed by calcium intake.

  5. Experimental analysis on thermally coated diesel engine with neem oil methyl ester and its blends

    NASA Astrophysics Data System (ADS)

    Karthickeyan, V.

    2018-07-01

    Depletion of fossil fuel has created a threat to the nation's energy policy, which in turn led to the development of new source renewable of energy. Biodiesel was considered as the most promising alternative to the traditional fossil fuel. In the present study, raw neem oil was considered as a principle source for the production of biodiesel and converted into Neem Oil Methyl Ester (NOME) using two stage transesterification process. The chemical compositions of NOME was analysed using Fourier Transform Infra-Red Spectroscopy (FTIR) and Gas Chromatography- Mass Spectrometry (GC-MS). Baseline readings were recorded with diesel, 25NOME (25% NOME with 75% diesel) and 50NOME (50% NOME with 50% diesel) in a direct injection, four stroke, water cooled diesel engine. Thermal Barrier Coating (TBC) was considered as a better technique for emission reduction in direct injection diesel engine. In the present study, Partially Stabilized Zirconia (PSZ) was used as a TBC material to coat the combustion chamber components like cylinder head, piston head and intake and exhaust valves. In coated engine, 25NOME showed better brake thermal efficiency and declined brake specific fuel consumption than 50NOME. Decreased exhaust emissions like CO, HC and smoke were observed with 25NOME in coated engine except NOx.

  6. Experimental analysis on thermally coated diesel engine with neem oil methyl ester and its blends

    NASA Astrophysics Data System (ADS)

    Karthickeyan, V.

    2018-01-01

    Depletion of fossil fuel has created a threat to the nation's energy policy, which in turn led to the development of new source renewable of energy. Biodiesel was considered as the most promising alternative to the traditional fossil fuel. In the present study, raw neem oil was considered as a principle source for the production of biodiesel and converted into Neem Oil Methyl Ester (NOME) using two stage transesterification process. The chemical compositions of NOME was analysed using Fourier Transform Infra-Red Spectroscopy (FTIR) and Gas Chromatography- Mass Spectrometry (GC-MS). Baseline readings were recorded with diesel, 25NOME (25% NOME with 75% diesel) and 50NOME (50% NOME with 50% diesel) in a direct injection, four stroke, water cooled diesel engine. Thermal Barrier Coating (TBC) was considered as a better technique for emission reduction in direct injection diesel engine. In the present study, Partially Stabilized Zirconia (PSZ) was used as a TBC material to coat the combustion chamber components like cylinder head, piston head and intake and exhaust valves. In coated engine, 25NOME showed better brake thermal efficiency and declined brake specific fuel consumption than 50NOME. Decreased exhaust emissions like CO, HC and smoke were observed with 25NOME in coated engine except NOx. [Figure not available: see fulltext.

  7. Cyclic variations of fuel-droplet distribution during the early intake stroke of a lean-burn stratified-charge spark-ignition engine

    NASA Astrophysics Data System (ADS)

    Aleiferis, P. G.; Hardalupas, Y.; Taylor, A. M. K. P.; Ishii, K.; Urata, Y.

    2005-11-01

    Lean-burn spark-ignition engines exhibit higher efficiency and lower specific emissions in comparison with stoichiometrically charged engines. However, as the air-to-fuel (A/F) ratio of the mixture is made leaner than stoichiometric, cycle-by-cycle variations in the early stages of in-cylinder combustion, and subsequent indicated mean effective pressure (IMEP), become more pronounced and limit the range of lean-burn operation. Viable lean-burn engines promote charge stratification, the mixture near the spark plug being richer than the cylinder volume averaged value. Recent work has shown that cycle-by-cycle variations in the early stages of combustion in a stratified-charge engine can be associated with variations in both the local value of A/F ratio near the spark plug around ignition timing, as well as in the volume averaged value of the A/F ratio. The objective of the current work was to identify possible sources of such variability in A/F ratio by studying the in-cylinder field of fuel-droplet distribution during the early intake stroke. This field was visualised in an optical single-cylinder 4-valve pentroof-type spark-ignition engine by means of laser-sheet illumination in planes parallel to the cylinder head gasket 6 and 10 mm below the spark plug. The engine was run with port-injected isooctane at 1500 rpm with 30% volumetric efficiency and air-to-fuel ratio corresponding to both stoichiometric firing (A/F=15, Φ =1.0) and mixture strength close to the lean limit of stable operation (A/F=22, Φ =0.68). Images of Mie intensity scattered by the cloud of fuel droplets were acquired on a cycle-by-cycle basis. These were studied in order to establish possible correlations between the cyclic variations in size, location and scattered-light intensity of the cloud of droplets with the respective variations in IMEP. Because of the low level of Mie intensity scattered by the droplets and because of problems related to elastic scattering on the walls of the combustion chamber, as well as problems related to engine “rocking” at the operating conditions close to the misfire limit, the acquired images were processed for background subtraction by using a PIV-based data correction algorithm. After this processing, the arrival and leaving timings of fuel droplets into the illuminated plane were found not to vary significantly on a cycle-by-cycle basis but the recorded cycle-by-cycle variations in Mie intensity suggested that the amount of fuel in the cylinder could have been 6 26% greater for the “strong” cycles with IMEP 115% higher than the average IMEP, than the ones imaged for “weak” cycles at less than 85% the average IMEP. This would correspond to a maximum cyclic variability in the in-cylinder equivalence ratio Φ of the order of 0.17.

  8. The effects of Pilates exercise on cardiopulmonary function in the chronic stroke patients: a randomized controlled trials

    PubMed Central

    Lim, Hee Sung; Yoon, Sukhoon

    2017-01-01

    [Purpose] The purpose of this study was to examine the effect of modified Pilates exercise on cardiopulmonary function in chronic stroke patients. [Subjects and Methods] Twenty participants (age, 62.7 ± 7.3 years; height, 163.3 ± 8.5 cm; weight, 68.8 ± 10.3 kg) were recruited for this study, and randomly allocated to the modified Pilates exercise group (n=10) or the control group (n=10). Graded submaximal treadmill exercise test was used to examine the status of patients’ cardiopulmonary function, based on maximal oxygen intake, at the end of a patient’s exercise tolerance limit. [Results] The resting heart rates, maximal oxygen intake, and maximal oxygen intake per kilogram were significantly different after 8 weeks of modified Pilates exercise. In addition, these variables were also significantly different between the Pilates and control groups after 8 weeks. [Conclusion] This study has demonstrated that 8 weeks of modified Pilates exercise program can have a positive influence on patients with chronic stroke, potentially by enhancing the cardiopulmonary function, which may have positive implications for increasing their functional ability. PMID:28603381

  9. Barriers to Fruit and Vegetable Intake among College Students

    ERIC Educational Resources Information Center

    Samples, Evangeline Yvonne

    2017-01-01

    Numerous studies suggest that most college students consume inadequate amounts of fruits and vegetables. In turn, such poor dietary habits predispose collegians to develop obesity, heart disease, and diabetes. Fruit and vegetable intake provides psychological benefits throughout the lifespan; reduces the risks for heart disease, stroke, and…

  10. Two-stroke-cycle engines for airplanes

    NASA Technical Reports Server (NTRS)

    Jalbert, J

    1926-01-01

    Now that the two-stroke-cycle engine has begun to make its appearance in automobiles, it is important to know what services we have a right to expect of it in aeronautics, what conditions must be met by engines of this type for use on airplanes and what has been accomplished.

  11. 40 CFR 205.55-2 - Compliance with standards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... following parameters (a manufacturer may use more parameters): (a) Engine type. (1) Gasoline—two stroke cycle. (2) Gasoline—four stroke cycle. (3) Diesel—two stroke cycle. (4) Diesel—four stroke cycle. (5...

  12. 40 CFR 205.55-2 - Compliance with standards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... following parameters (a manufacturer may use more parameters): (a) Engine type. (1) Gasoline—two stroke cycle. (2) Gasoline—four stroke cycle. (3) Diesel—two stroke cycle. (4) Diesel—four stroke cycle. (5...

  13. Crank case scavenging of two-stroke-cycle engines

    NASA Technical Reports Server (NTRS)

    List, Hans

    1929-01-01

    This report presents the results of tests on two-stroke-cycle Diesel engines to determine the efficiency of the crank case scavenging pump. It was determined that efficiencies were between 95 and 100%.

  14. Flex-Fuel Two-Stroke Snowmobile: Development of a Flex-Fuel, Two-Stroke, Direct-Injection Snowmobile for Use in the Clean Snowmobile Challenge and National Parks

    DOT National Transportation Integrated Search

    2009-09-01

    The University of Idaho's entry into the 2009 SAE Clean Snowmobile Challenge (CSC) was a semi-direct-injection (SDI) two-stroke powered REV-XP snowmobile modified to use flex fuel. The flex fuel engine produces stock engine power on any blend of etha...

  15. Contemporary thinking in stroke prevention and management.

    PubMed

    Bryan, Jenny

    Stroke is the third largest cause of death in the UK, after heart disease and cancer, and the largest single cause of severe adult disability (Stroke Association, 2003). Specialist and consultant stroke nurses are playing a growing role in rapid assessment clinics and acute care, as well as in coordinating rehabilitation and other follow-up services, including secondary prevention clinics. Health promotion to reduce the risk of stroke is also an important consideration and an area where nurses can play a leading role. Risk prevention measures and behaviours include physical activity, and cutting down on smoking and alcohol intake. A healthy diet is also a major factor in reducing stroke risk. This year Stoke Awareness Week, which starts on 29 September, is focusing on the importance of eating a colourful variety of fruit and vegetables, with the message: 'Eat a rainbow. Beat a stroke'.

  16. Lightweight two-stroke cycle aircraft diesel engine technology enablement program, volume 3

    NASA Technical Reports Server (NTRS)

    Freen, P. D.; Berenyi, S. G.; Brouwers, A. P.; Moynihan, M. E.

    1985-01-01

    An experimental Single Cylinder Test Engine Program is conducted to confirm the analytically projected performance of a two-stroke cycle diesel engine for aircraft applications. Testing confirms the ability of a proposed 4-cylinder version of such an engine to reach the target power at altitude in a highly turbocharged configuration. The experimental program defines all necessary parameters to permit design of a multicylinder engine for eventual flight applications.

  17. Lightweight two-stroke cycle aircraft diesel engine technology enablement program, volume 2

    NASA Technical Reports Server (NTRS)

    Freen, P. D.; Berenyi, S. G.; Brouwers, A. P.; Moynihan, M. E.

    1985-01-01

    An experimental Single Cylinder Test Engine Program is conducted to confirm the analytically projected performance of a two-stroke cycle diesel engine for aircraft applications. Testing confirms the ability of a proposed 4-cylinder version of such an engine to reach the target power at altitude in a highly turbocharged configuration. The experimental program defines all necessary parameters to permit a design of a multicylinder engine for eventual flight applications.

  18. 40 CFR 91.310 - Engine intake air humidity measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Engine intake air humidity measurement... Provisions § 91.310 Engine intake air humidity measurement. This section refers to engines which are supplied... air, the ambient testcell humidity measurement may be used. (a) Humidity conditioned air supply. Air...

  19. Side branch absorber for exhaust manifold of two-stroke internal combustion engine

    DOEpatents

    Harris, Ralph E [San Antonio, TX; Broerman, III, Eugene L.; Bourn, Gary D [Laramie, WY

    2011-01-11

    A method of improving scavenging operation of a two-stroke internal combustion engine. The exhaust pressure of the engine is analyzed to determine if there is a pulsation frequency. Acoustic modeling is used to design an absorber. An appropriately designed side branch absorber may be attached to the exhaust manifold.

  20. Laser-induced breakdown ignition in a gas fed two-stroke engine

    NASA Astrophysics Data System (ADS)

    Loktionov, E. Y.; Pasechnikov, N. A.; Telekh, V. D.

    2018-01-01

    Laser-induced ignition for internal combustion engines is investigated intensively after demonstration of a compact ‘laser plug’ possibility. Laser spark benefits as compared to traditional spark plugs are higher compression rate, and possibility of almost any fuel ignition, so lean mixtures burning with lower temperatures could reduce harmful exhausts (NO x , CH, etc). No need in electrode and possibility for multi-point, linear or circular ignition can make combustion even more effective. Laser induced combustion wave appears faster and is more stable in time, than electric one, so can be used for ramjets, chemical thrusters, and gas turbines. To the best of our knowledge, we have performed laser spark ignition of a gas fed two-stroke engine for the first time. Combustion temperature and pressure, exhaust composition, ignition timing were investigated at laser and compared to a regular electric spark ignition in a two-stroke model engine. Presented results show possibility for improvement of two-stroke engines performance, in terms of rotation rate increase and NO x emission reduction. Such compact engines using locally mined fuel could be highly demanded in remote Arctic areas.

  1. Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus: a systematic review and meta-analysis.

    PubMed

    Micha, Renata; Wallace, Sarah K; Mozaffarian, Dariush

    2010-06-01

    Meat consumption is inconsistently associated with development of coronary heart disease (CHD), stroke, and diabetes mellitus, limiting quantitative recommendations for consumption levels. Effects of meat intake on these different outcomes, as well as of red versus processed meat, may also vary. We performed a systematic review and meta-analysis of evidence for relationships of red (unprocessed), processed, and total meat consumption with incident CHD, stroke, and diabetes mellitus. We searched for any cohort study, case-control study, or randomized trial that assessed these exposures and outcomes in generally healthy adults. Of 1598 identified abstracts, 20 studies met inclusion criteria, including 17 prospective cohorts and 3 case-control studies. All data were abstracted independently in duplicate. Random-effects generalized least squares models for trend estimation were used to derive pooled dose-response estimates. The 20 studies included 1 218 380 individuals and 23 889 CHD, 2280 stroke, and 10 797 diabetes mellitus cases. Red meat intake was not associated with CHD (n=4 studies; relative risk per 100-g serving per day=1.00; 95% confidence interval, 0.81 to 1.23; P for heterogeneity=0.36) or diabetes mellitus (n=5; relative risk=1.16; 95% confidence interval, 0.92 to 1.46; P=0.25). Conversely, processed meat intake was associated with 42% higher risk of CHD (n=5; relative risk per 50-g serving per day=1.42; 95% confidence interval, 1.07 to 1.89; P=0.04) and 19% higher risk of diabetes mellitus (n=7; relative risk=1.19; 95% confidence interval, 1.11 to 1.27; P<0.001). Associations were intermediate for total meat intake. Consumption of red and processed meat were not associated with stroke, but only 3 studies evaluated these relationships. Consumption of processed meats, but not red meats, is associated with higher incidence of CHD and diabetes mellitus. These results highlight the need for better understanding of potential mechanisms of effects and for particular focus on processed meats for dietary and policy recommendations.

  2. System and method for conditioning intake air to an internal combustion engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sellnau, Mark C.

    A system for conditioning the intake air to an internal combustion engine includes a means to boost the pressure of the intake air to the engine and a liquid cooled charge air cooler disposed between the output of the boost means and the charge air intake of the engine. Valves in the coolant system can be actuated so as to define a first configuration in which engine cooling is performed by coolant circulating in a first coolant loop at one temperature, and charge air cooling is performed by coolant flowing in a second coolant loop at a lower temperature. Themore » valves can be actuated so as to define a second configuration in which coolant that has flowed through the engine can be routed through the charge air cooler. The temperature of intake air to the engine can be controlled over a wide range of engine operation.« less

  3. Computational studies of an intake manifold for restricted engine application

    NASA Astrophysics Data System (ADS)

    Prasetyo, Bagus Dwi; Ubaidillah, Maharani, Elliza Tri; Setyohandoko, Gabriel; Idris, Muhammad Idzdihar

    2018-02-01

    The Formula Society of Automotive Engineer (FSAE) student competition is an international contest for a vehicle that entirely designed and built by students from various universities. The engine design in the Formula SAE competition has to comply a tight regulation. Concerning the engine intake line, an air restrictor of circular cross-section less than 20 mm must be fitted between the throttle valve and the engine inlet. The throat is aimed to limit the engine air flow rate as it strongly influences the volumetric efficiency and then the maximum power. This article focuses on the design of the engine intake system of the Bengawan FSAE team vehicle to optimize the engine power output and its stability. The performance of engine intake system is studied through computational fluid dynamics (CFD). The objective of CFD is to know the pressure, velocity, and airflow of the air intake manifold for the best performance of the engine. The three-dimensional drawing of the intake manifold was made, and CFD simulation was conducted using ANSYS FLUENT. Two models were studied. The result shows that the different design produces a different value of the velocity of airflow and the kind of flow type.

  4. Calcium Supplement Intake and Risk of Cardiovascular Disease in Women

    PubMed Central

    Paik, Julie M.; Curhan, Gary C.; Sun, Qi; Rexrode, Kathryn M.; Manson, JoAnn E.; Rimm, Eric B.; Taylor, Eric N.

    2014-01-01

    Background Some recent reports suggest that calcium supplements may increase cardiovascular disease (CVD) risk. Purpose The objective was to examine the independent associations between calcium supplement use and risk of CVD. Methods We conducted a prospective cohort study of supplemental calcium use and incident CVD in 74,245 women in the Nurses' Health Study (1984–2008) free of CVD and cancer at baseline. Calcium supplement intake was assessed every four years. Outcomes were incident coronary heart disease (CHD) (nonfatal or fatal MI) and stroke (ischemic or hemorrhagic), confirmed by medical record review. Results During 24 years of follow-up, 4,565 cardiovascular events occurred (2,709 CHD and 1,856 strokes). At baseline, women who took calcium supplements had higher levels of physical activity, smoked less, and had lower trans fat intake compared with those who did not take calcium supplements. After multivariable adjustment for age, body mass index, dietary calcium, vitamin D intake, and other CVD risk factors, the relative risk of CVD for women taking >1,000mg/day of calcium supplements compared with none was 0.82 (95% CI 0.74 to 0.92; p for trend <0.001). For women taking >1,000mg/day of calcium supplements compared with none, the multivariable-adjusted relative risk for CHD was 0.71 (0.61 to 0.83; p for trend<0.001) and for stroke was 1.03 (0.87 to 1.21; p for trend=0.61). The relative risks were similar in analyses limited to non-smokers, women without hypertension, and women who had regular physical exams. Conclusions Our findings do not support the hypothesis that calcium supplement intake increases CVD risk in women. PMID:24803331

  5. Substitutions of dairy product intake and risk of stroke: a Danish cohort study.

    PubMed

    Laursen, Anne Sofie Dam; Dahm, Christina Catherine; Johnsen, Søren Paaske; Tjønneland, Anne; Overvad, Kim; Jakobsen, Marianne Uhre

    2018-02-01

    Low fat dairy products are part of dietary guidelines to prevent stroke. However, epidemiological evidence is inconclusive with regard to the association between dairy products and stroke. We therefore investigated associations for substitutions between dairy product subgroups and risk of total stroke and stroke subtypes. We included 55,211 Danish men and women aged 50-64 years without previous stroke. Baseline diet was assessed by a food frequency questionnaire. Cases were identified through a national register and subsequently verified. The associations were analyzed using Cox proportional hazard regression. During a median follow-up of 13.4 years, we identified 2272 strokes, of which 1870 were ischemic (318 large artery atherosclerotic, 839 lacunar, 102 cardioembolic, 98 other determined types, 513 of unknown type), 389 were hemorrhages (273 intracerebral, 116 subarachnoid) and 13 of unknown etiology. Substitution of semi-skimmed fermented milk or cheese for whole-fat fermented milk was associated with a higher rate of ischemic stroke [semi-skimmed fermented milk: hazard ratio (HR) = 1.20 (95% confidence interval (CI) 0.99-1.45), cheese: HR = 1.14 (95% CI 0.98-1.31) per serving/day substituted] and substitutions of whole-fat fermented milk for low-fat milk, whole-fat milk or buttermilk were associated with a lower rate [low-fat milk: HR = 0.85 (95% CI 0.74-0.99), whole-fat milk: HR = 0.84 (95% CI 0.71-0.98) and buttermilk: HR = 0.83 (95% CI 0.70-0.99)]. We observed no associations for substitutions between dairy products and hemorrhagic stroke. Our results suggest that intake of whole-fat fermented milk as a substitution for semi-skimmed fermented milk, cheese, buttermilk or milk, regardless of fat content, is associated with a lower rate of ischemic stroke.

  6. Filling America's fiber intake gap: Summary of a roundtable to probe realistic solutions with a focus on grain-based foods

    USDA-ARS?s Scientific Manuscript database

    Current fiber intakes are alarmingly low, with long-term implications for public health related to risk of coronary heart disease, stroke, hypertension, certain gastrointestinal disorders, obesity, and the continuum of metabolic dysfunctions including prediabetes and type 2 diabetes. With more than ...

  7. Monitoring sodium content of restaurant foods: Public health challenges and opportunities

    USDA-ARS?s Scientific Manuscript database

    Excess sodium intake is a major preventable risk factor for high blood pressure, a leading cause for heart disease and stroke. The majority of sodium intake comes from packaged and restaurant foods. At present, data on the sodium content of restaurant foods is limited. The purpose of this study i...

  8. Functional Restoration for the Stroke Survivor: Informing the Efforts of Engineers

    PubMed Central

    Patton, James; Smal, Steven L.; Rymer, William Zev

    2009-01-01

    As bioengineers begin to notice the importance of therapy in the recovery from stroke and other brain injuries, new technologies will be increasingly conceived, adapted, and designed to improve the patient’s road to recovery. What is clear from engineering history, however, is that the best engineering efforts are often built on strong scientific foundations. In an effort to inform engineers with the necessary background on cutting edge research in the field of stroke and motor recovery, this article summarizes the views of several experts in the field as a result of a workshop held in 2006 on the topic. Here we elaborate on several areas relevant to this goal, including the pathophysiology of stroke and stroke recovery, the biomechanics, the secondary peripheral changes in muscle and other tissue, and the results of neuroimaging studies. One conclusion is that the current state of knowledge is now ripe for research using machines but that highly sophisticated robotic devices may not yet be needed. Instead, what may be needed is basic evidence that shows a difference in one therapeutic strategy over another. PMID:19158061

  9. Low intakes of carotene, vitamin B2 , pantothenate and calcium predict cognitive decline among elderly patients with diabetes mellitus: The Japanese Elderly Diabetes Intervention Trial.

    PubMed

    Araki, Atsushi; Yoshimura, Yukio; Sakurai, Takashi; Umegaki, Hiroyuki; Kamada, Chiemi; Iimuro, Satoshi; Ohashi, Yasuo; Ito, Hideki

    2017-08-01

    The present study aimed to examine whether nutrient intakes predicted cognitive decline among elderly patients with diabetes mellitus. This study evaluated data from a 6-year prospective follow up of 237 elderly patients (aged ≥65 years) with diabetes mellitus, and the associations of baseline nutrient intakes with cognitive decline. Cognitive decline was defined as a ≥2-point decrease in the Mini-Mental State Examination (MMSE) score. Intakes of food and nutrients were assessed using a validated food frequency questionnaire, and were compared between patients with cognitive decline and intact cognition. Analysis of covariance and logistic regression analysis were used to compare the changes in the MMSE score during the follow up among intake tertile groups for each nutrient. Compared with men with intact cognition, the men with cognitive decline had lower baseline intakes of calcium, vitamin A, vitamin B 2 , pantothenate, soluble fiber, green vegetables and milk. However, no significant associations between cognitive decline and nutrient intakes were observed among women. After adjusting for age, body mass index, glycated hemoglobin levels, history of severe hypoglycemia, previous stroke and baseline MMSE score, we found that cognitive decline was significantly associated with low intakes of carotene, vitamin B 2 , pantothenate, calcium and green vegetables. Multiple logistic regression analysis showed that intakes of nutrients and green vegetables predicted cognitive decline after adjusting for age, body mass index, glycated hemoglobin levels, baseline MMSE score, and incident stroke during the follow up. These findings suggest that sufficient intakes of carotene, vitamin B 2 , pantothenate, calcium and vegetables could help prevent cognitive decline among elderly men with diabetes mellitus. Geriatr Gerontol Int 2017; 17: 1168-1175. © 2016 Japan Geriatrics Society.

  10. [Secondary prevention of ischemic non cardioembolic stroke].

    PubMed

    Armario, Pedro; Pinto, Xavier; Soler, Cristina; Cardona, Pere

    2015-01-01

    Stroke patients are at high risk for recurrence or new occurrence of other cardiovascular events or cardiovascular mortality. It is estimated that a high percentage of non-cardioembolic ischemic stroke can be prevented by a suitable modification of lifestyle (diet and exercise), reducing blood pressure (BP) with antihypertensive medication, platelet aggregation inhibitors, statins and high intake reducing consumption of. Unfortunately the degree of control of the different risk factors in secondary prevention of stroke is low. The clinical practice guidelines show clear recommendations with corresponding levels of evidence, but only if implemented in a general way they will get a better primary and secondary stroke prevention. Copyright © 2014 Sociedad Española de Arteriosclerosis. Published by Elsevier España. All rights reserved.

  11. Internal combustion engine using premixed combustion of stratified charges

    DOEpatents

    Marriott, Craig D [Rochester Hills, MI; Reitz, Rolf D [Madison, WI

    2003-12-30

    During a combustion cycle, a first stoichiometrically lean fuel charge is injected well prior to top dead center, preferably during the intake stroke. This first fuel charge is substantially mixed with the combustion chamber air during subsequent motion of the piston towards top dead center. A subsequent fuel charge is then injected prior to top dead center to create a stratified, locally richer mixture (but still leaner than stoichiometric) within the combustion chamber. The locally rich region within the combustion chamber has sufficient fuel density to autoignite, and its self-ignition serves to activate ignition for the lean mixture existing within the remainder of the combustion chamber. Because the mixture within the combustion chamber is overall premixed and relatively lean, NO.sub.x and soot production are significantly diminished.

  12. Reducing population salt intake worldwide: from evidence to implementation.

    PubMed

    He, Feng J; MacGregor, Graham A

    2010-01-01

    Raised blood pressure is a major cause of cardiovascular disease, responsible for 62% of stroke and 49% of coronary heart disease. There is overwhelming evidence that dietary salt is the major cause of raised blood pressure and that a reduction in salt intake lowers blood pressure, thereby, reducing blood pressure-related diseases. Several lines of evidence including ecological, population, and prospective cohort studies, as well as outcome trials, demonstrate that a reduction in salt intake is related to a lower risk of cardiovascular disease. Increasing evidence also suggests that a high salt intake may directly increase the risk of stroke, left ventricular hypertrophy, and renal disease; is associated with obesity through soft drink consumption; is related to renal stones and osteoporosis; is linked to the severity of asthma; and is probably a major cause of stomach cancer. In most developed countries, a reduction in salt intake can be achieved by a gradual and sustained reduction in the amount of salt added to foods by the food industry. In other countries where most of the salt consumed comes from salt added during cooking or from sauces, a public health campaign is needed to encourage consumers to use less salt. Several countries have already reduced salt intake. The challenge now is to spread this out to all other countries. A modest reduction in population salt intake worldwide will result in a major improvement in public health. Copyright 2010 Elsevier Inc. All rights reserved.

  13. A discussion of the several types of two-stroke-cycle engines

    NASA Technical Reports Server (NTRS)

    Venediger, Herbert J

    1935-01-01

    This report discusses different types of two-stroke engines as well as the three most important design factors: volume of scavenge and charge delivery, scavenging process (scavenging result), and result of charge. Some of the types of engines discussed include: single cylinder with crank-chamber scavenge pump and auxiliary suction piston linked to working connecting rod; and two cylinder engines with a rotary scavenge pump arrangement. Three and four cylinder engines are also discussed in various designs.

  14. Controlling exhaust gas recirculation

    DOEpatents

    Zurlo, James Richard [Madison, WI; Konkle, Kevin Paul [West Bend, WI; May, Andrew [Milwaukee, WI

    2012-01-31

    In controlling an engine, an amount of an intake charge provided, during operation of the engine, to a combustion chamber of the engine is determined. The intake charge includes an air component, a fuel component and a diluent component. An amount of the air component of the intake charge is determined. An amount of the diluent component of the intake charge is determined utilizing the amount of the intake charge, the amount of the air component and, in some instances, the amount of the fuel component. An amount of a diluent supplied to the intake charge is adjusted based at least in part on the determined amount of diluent component of the intake charge.

  15. Investigation of the Behavior of Fuel in the Intake Manifold and its Relation to S. I. Engines, 1980-1983

    NASA Astrophysics Data System (ADS)

    Servati, Hamid Beyragh

    A liquid fuel film formation on the walls of an intake manifold adversely affects the engine performance and alters the overall air/fuel ratio from that scheduled by a fuel injector or carburetor and leads to adverse effects in vehicle driveability, exhaust emissions, and fuel economy. In this dissertation, the intake manifold is simulated by a horizontal circular duct. A model is provided to predict the rate of deposition and evaporation of the droplets in the intake manifold. The liquid fuel flow rate into the cylinders, mean film velocity and film thickness are determined as functions of engine parameters for both steady and transient operating conditions of the engine. A mathematical engine model is presented to simulate the dynamic interactions of the various engine components such as the air/fuel inlet element, intake manifold, combustion, dynamics and exhaust emissions. Inputs of the engine model are the intake manifold pressure and temperature, throttle angle, and air/fuel ratio. The observed parameters are the histories of fuel film thickness and velocity, fuel consumption, engine speed, engine speed hesitation time, and histories of CO, CO(,2), NO(,x), CH(,n), and O(,2). The effects of different air/fuel ratio control strategies on engine performance and observed parameters are also shown.

  16. 40 CFR 90.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 21 2013-07-01 2013-07-01 false Engine intake air temperature... Emission Test Equipment Provisions § 90.309 Engine intake air temperature measurement. (a) The measurement...) The temperature measurements must be accurate to within ±2 °C. ...

  17. 40 CFR 90.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 20 2014-07-01 2013-07-01 true Engine intake air temperature... Emission Test Equipment Provisions § 90.309 Engine intake air temperature measurement. (a) The measurement...) The temperature measurements must be accurate to within ±2 °C. ...

  18. 40 CFR 90.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 20 2011-07-01 2011-07-01 false Engine intake air temperature... Emission Test Equipment Provisions § 90.309 Engine intake air temperature measurement. (a) The measurement...) The temperature measurements must be accurate to within ±2 °C. ...

  19. 40 CFR 90.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 21 2012-07-01 2012-07-01 false Engine intake air temperature... Emission Test Equipment Provisions § 90.309 Engine intake air temperature measurement. (a) The measurement...) The temperature measurements must be accurate to within ±2 °C. ...

  20. Dietary magnesium intake and the risk of cardiovascular disease, type 2 diabetes, and all-cause mortality: a dose-response meta-analysis of prospective cohort studies.

    PubMed

    Fang, Xuexian; Wang, Kai; Han, Dan; He, Xuyan; Wei, Jiayu; Zhao, Lu; Imam, Mustapha Umar; Ping, Zhiguang; Li, Yusheng; Xu, Yuming; Min, Junxia; Wang, Fudi

    2016-12-08

    Although studies have examined the association between dietary magnesium intake and health outcome, the results are inconclusive. Here, we conducted a dose-response meta-analysis of prospective cohort studies in order to investigate the correlation between magnesium intake and the risk of cardiovascular disease (CVD), type 2 diabetes (T2D), and all-cause mortality. PubMed, EMBASE, and Web of Science were searched for articles that contained risk estimates for the outcomes of interest and were published through May 31, 2016. The pooled results were analyzed using a random-effects model. Forty prospective cohort studies totaling more than 1 million participants were included in the analysis. During the follow-up periods (ranging from 4 to 30 years), 7678 cases of CVD, 6845 cases of coronary heart disease (CHD), 701 cases of heart failure, 14,755 cases of stroke, 26,299 cases of T2D, and 10,983 deaths were reported. No significant association was observed between increasing dietary magnesium intake (per 100 mg/day increment) and the risk of total CVD (RR: 0.99; 95% CI, 0.88-1.10) or CHD (RR: 0.92; 95% CI, 0.85-1.01). However, the same incremental increase in magnesium intake was associated with a 22% reduction in the risk of heart failure (RR: 0.78; 95% CI, 0.69-0.89) and a 7% reduction in the risk of stroke (RR: 0.93; 95% CI, 0.89-0.97). Moreover, the summary relative risks of T2D and mortality per 100 mg/day increment in magnesium intake were 0.81 (95% CI, 0.77-0.86) and 0.90 (95% CI, 0.81-0.99), respectively. Increasing dietary magnesium intake is associated with a reduced risk of stroke, heart failure, diabetes, and all-cause mortality, but not CHD or total CVD. These findings support the notion that increasing dietary magnesium might provide health benefits.

  1. Amphetamine-associated ischemic stroke: clinical presentation and proposed pathogenesis.

    PubMed

    De Silva, Deidre Anne; Wong, Meng Cheong; Lee, Moi Pin; Chen, Christopher Li-Hsian; Chang, Hui Meng

    2007-01-01

    We report a young lady with acute left middle cerebral artery infarction after acute intake of amphetamine. This is the first case report of amphetamine-induced ischemic stroke with serial angiography and transcranial color-coded Doppler studies. The temporal sequence of stenosis of at least 3 weeks with subsequent complete resolution by 3 months and a "beaded" appearance on angiography support vasculitis or vasospasm as the pathogenesis of ischemic stroke in this patient. The presence of microembolic signals supports acute thrombosis at the site of vasculitis/vasospasm with distal embolism.

  2. Multicylinder Diesel Engine Tests with Unstabilized Water-in-Fuel Emulsions

    DOT National Transportation Integrated Search

    1981-06-01

    Two diesel engines representative of the four-stroke cycle and two-stroke cycle main propulsion units installed in U.S. Coast Guard WPB class cutters were operated in a test environment in an attempt to demonstrate significant fuel savings associated...

  3. Factors Associated With Intestinal Constipation in Chronic Patients With Stroke Sequelae Undergoing Rehabilitation.

    PubMed

    Engler, Tânia Mara Nascimento de Miranda; Aguiar, Márcia Helena de Assis; Furtado, Íris Aline Brito; Ribeiro, Samile Pereira; de Oliveira, Pérola; Mello, Paulo Andrade; Padula, Marcele Pescuma Capeletti; Beraldo, Paulo Sérgio Siebra

    The objective of this study was to define which stroke-related factors constitute independent variables in the incidence of intestinal constipation (IC) of chronic patients admitted to a hospital rehabilitation program. All patients consecutively admitted for rehabilitation were recruited for the study. In the Poisson multiple regression analysis using a hierarchical model, sociodemographic variables, comorbidities, medication, previous history of constipation, life habits, and stroke-related variables were considered for defining factors associated with IC. A 31% prevalence (95% confidence interval [CI]: 25.3-37.1) of IC was detected. Among the factors associated, female gender (adjusted prevalence ratio [PRadjusted] = 1.79; 95% CI: 1.20-2.68), intestinal complaints prior to stroke (PRadjusted = 3.71; 95% CI: 2.60-5.31), intake of less than 800 ml of fluid per day (PRadjusted = 1.72; 95% CI: 1.20- 2.45), age greater than 65 years at brain injury (PRadjusted = 1.67; 95% CI: 1.01-2.75), and partially impaired anterior brain circulation (PRadjusted = 3.35; 95% CI: 1.02-10.97) were associated with IC. Female gender, elderly, prior history of IC, low fluid intake, and partial impairment of anterior brain circulation were factors independently associated with IC in stroke survivors undergoing rehabilitation. These findings require further validation and may serve toward improving bowel retraining programs for this patient group.

  4. 40 CFR 90.309 - Engine intake air temperature measurement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Engine intake air temperature measurement. 90.309 Section 90.309 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Emission Test Equipment Provisions § 90.309 Engine intake air temperature measurement. (a) The measurement...

  5. Changing Face of Stroke: Implications for Occupational Therapy Practice

    PubMed Central

    Wolf, Timothy J.; Baum, Carolyn; Connor, Lisa Tabor

    2010-01-01

    Stroke is one of the most life-altering syndromes affecting the world population. Rehabilitation for people experiencing stroke is focused almost exclusively on self-care activities and being able to return home and has little to no focus on work rehabilitation or community reintegration. The Cognitive Rehabilitation Research Group (CRRG) at the Washington University School of Medicine in St. Louis was formed with the vision of improving everyday life for people after stroke by translating knowledge from neuroscience into treatment programs for productive living. Descriptive analysis of the intake assessment from the CRRG Clinical Core (N = 7,740) revealed three important findings: The age at stroke is decreasing, most strokes are neurologically mild to moderate in nature, and discharge placement decisions are being made largely on the basis of measures of impairment. The changes in the stroke population require occupational therapy to expand rehabilitation beyond the acute management of stroke to address full participation in work, family, and community life. PMID:19785261

  6. Impact and risk factors of post-stroke bone fracture

    PubMed Central

    Huo, Kang; Hashim, Syed I; Yong, Kimberley L Y; Su, Hua; Qu, Qiu-Min

    2016-01-01

    Bone fracture occurs in stroke patients at different times during the recovery phase, prolonging recovery time and increasing medical costs. In this review, we discuss the potential risk factors for post-stroke bone fracture and preventive methods. Most post-stroke bone fractures occur in the lower extremities, indicating fragile bones are a risk factor. Motor changes, including posture, mobility, and balance post-stroke contribute to bone loss and thus increase risk of bone fracture. Bone mineral density is a useful indicator for bone resorption, useful to identify patients at risk of post-stroke bone fracture. Calcium supplementation was previously regarded as a useful treatment during physical rehabilitation. However, recent data suggests calcium supplementation has a negative impact on atherosclerotic conditions. Vitamin D intake may prevent osteoporosis and fractures in patients with stroke. Although drugs such as teriparatide show some benefits in preventing osteoporosis, additional clinical trials are needed to determine the most effective conditions for post-stroke applications. PMID:26929915

  7. Fire Engine Support and On-scene Time in Prehospital Stroke Care - A Prospective Observational Study.

    PubMed

    Puolakka, Tuukka; Väyrynen, Taneli; Erkkilä, Elja-Pekka; Kuisma, Markku

    2016-06-01

    Introduction On-scene time (OST) previously has been shown to be a significant component of Emergency Medical Services' (EMS') operational delay in acute stroke. Since stroke patients are managed routinely by two-person ambulance crews, increasing the number of personnel available on the scene is a possible method to improve their performance. Hypothesis Using fire engine crews to support ambulances on the scene in acute stroke is hypothesized to be associated with a shorter OST. All patients transported to hospital as thrombolysis candidates during a one-year study period were registered by the ambulance crews using a case report form that included patient characteristics and operational EMS data. Seventy-seven patients (41 [53%] male; mean age of 68.9 years [SD=15]; mean Glasgow Coma Score [GCS] of 15 points [IQR=14-15]) were eligible for the study. Forty-five cases were managed by ambulance and fire engine crews together and 32 by the ambulance crews alone. The median ambulance response time was seven minutes (IQR=5-10) and the fire engine response time was six minutes (IQR=5-8). The number of EMS personnel on the scene was six (IQR=5-7) and two (IQR=2-2), and the OST was 21 minutes (IQR=18-26) and 24 minutes (IQR=20-32; P =.073) for the groups, respectively. In a following regression analysis, using stroke as the dispatch code was the only variable associated with short (<22 minutes) OST with an odds ratio of 3.952 (95% CI, 1.279-12.207). Dispatching fire engine crews to support ambulances in acute stroke care was not associated with a shorter on-scene stay when compared to standard management by two-person ambulance crews alone. Using stroke as the dispatch code was the only variable that was associated independently with a short OST. Puolakka T , Väyrynen T , Erkkilä E-P , Kuisma M . Fire engine support and on-scene time in prehospital stroke care - a prospective observational study. Prehosp Disaster Med. 2016;31(3):278-281.

  8. Method and apparatus for reducing cold-phase emissions by utilizing oxygen-enriched intake air

    DOEpatents

    Poola, Ramesh B.; Sekar, Ramanujam R.; Stork, Kevin C.

    1997-01-01

    An oxygen-enriched air intake control system for an internal combustion engine includes air directing apparatus to control the air flow into the intake of the engine. During normal operation of the engine, ambient air flowing from an air filter of the engine flows through the air directing apparatus into the intake of the engine. In order to decrease the amount of carbon monoxide (CO) and hydrocarbon (HC) emissions that tend to be produced by the engine during a short period of time after the engine is started, the air directing apparatus diverts for a short period of time following the start up of the engine at least a portion of the ambient air from the air filter through a secondary path. The secondary path includes a selectively permeable membrane through which the diverted portion of the ambient air flows. The selectively permeable membrane separates nitrogen and oxygen from the diverted air so that oxygen enriched air containing from about 23% to 25% oxygen by volume is supplied to the intake of the engine.

  9. EMISSIONS FROM TWO OUTBOARD ENGINES OPERATING ON REFORMULATED GASOLINE CONTAINING MTBE

    EPA Science Inventory

    Air and water pollutant emissions were measured from two 9.9 HP outboard engines: a two-stroke Evinrude and its four-stroke Honda counterpart. In addition to the measurement of regulated air pollutants, speciated organic pollutants and particulate matter emissions were determi...

  10. Crank case scavenging of a two-stroke-cycle engine

    NASA Technical Reports Server (NTRS)

    Holm, Otto

    1928-01-01

    Experiments with a two-stroke-cycle, crank case scavenging engine. Effect of systematic variation of the height of the scavenge and exhaust ports on the scavenging, as determined by gas analysis. The best results were obtained under conditions differing from the usual ones.

  11. Recent Development of the Two-Stroke Engine. 2 - Design Features

    DTIC Science & Technology

    1945-05-01

    NATIONALADVISORYCOMMI~EE FOR AERONAUTICS. TECHNICAL MEMORANDUM No, 1082 R~CENT DEVELOPMENT OX’ THE TWO–STROKE ENGTNE II - DES IGN l’llATURliS By J...MEMORANDUM . ... . ,., . ,.!. .,, .,- ... —--— — FOR AERONAUTICS ‘ NO. 1082 , > ,. RECENT DEVELOPMENT OF THE TWO-STROKE ENGINE II - DESIGN FEATURES* ,“” By...lUOTE: Reprint of R.T.P.3 Translation No. 2382; issued by the Ministry of Aircraft Production, London, England. II: ._: 2 NACA TM NO. 1082 (=“) The

  12. Integrated exhaust gas recirculation and charge cooling system

    DOEpatents

    Wu, Ko-Jen

    2013-12-10

    An intake system for an internal combustion engine comprises an exhaust driven turbocharger configured to deliver compressed intake charge, comprising exhaust gas from the exhaust system and ambient air, through an intake charge conduit and to cylinders of the internal combustion engine. An intake charge cooler is in fluid communication with the intake charge conduit. A cooling system, independent of the cooling system for the internal combustion engine, is in fluid communication with the intake charge cooler through a cooling system conduit. A coolant pump delivers a low temperature cooling medium from the cooling system to and through the intake charge cooler for the transfer of heat from the compressed intake charge thereto. A low temperature cooler receives the heated cooling medium through the cooling system conduit for the transfer or heat therefrom.

  13. Lightweight two-stroke cycle aircraft diesel engine technology enablement program, volume 1

    NASA Technical Reports Server (NTRS)

    Freen, P. D.; Berenyi, S. G.; Brouwers, A. P.; Moynihan, M. E.

    1985-01-01

    An experimental Single Cylinder Test Engine Program is conducted to confirm the analytically projected performance of a two-stroke cycle diesel engine for aircraft applications. The test engine delivered 78kW indicated power from 1007cc displacement, operating at 3500 RPM on Schnuerle loop scavenged two-stroke cycle. Testing confirms the ability of a proposed 4-cylinder version of such an engine to reach the target power at altitude, in a highly turbocharged configuration. The experimental program defines all necessary parameters to permit design of a multicylinder engine for eventual flight applications; including injection system requirement, turbocharging, heat rejection, breathing, scavenging, and structural requirements. The multicylinder engine concept is configured to operate with an augmented turbocharger, but with no primary scavenge blower. The test program is oriented to provide a balanced turbocharger compressor to turbine power balance without an auxiliary scavenging system. Engine cylinder heat rejection to the ambient air has been significantly reduced and the minimum overall turbocharger efficiency required is within the range of commercially available turbochargers. Analytical studies and finite element modeling is made of insulated configurations of the engines - including both ceramic and metallic versions. A second generation test engine is designed based on current test results.

  14. Intake port

    DOEpatents

    Mendler, Edward Charles

    2005-02-01

    The volumetric efficiency and power of internal combustion engines is improved with an intake port having an intake nozzle, a venturi, and a surge chamber. The venturi is located almost halfway upstream the intake port between the intake valves and the intake plenum enabling the venturi throat diameter to be exceptionally small for providing an exceptionally high ram velocity and an exceptionally long and in turn high efficiency diffuser flowing into the surge chamber. The intake port includes an exceptionally large surge chamber volume for blow down of the intake air into the working cylinder of the engine.

  15. Stroke Health and Risk Education (SHARE): Design, methods, and theoretical basis

    PubMed Central

    Brown, Devin L.; Conley, Kathleen M.; Resnicow, Kenneth; Murphy, Jillian; Sánchez, Brisa N.; Cowdery, Joan E.; Sais, Emma; Lisabeth, Lynda D.; Skolarus, Lesli E.; Zahuranec, Darin B.; Williams, Geoffrey C.; Morgenstern, Lewis B.

    2012-01-01

    Background Stroke is a disease with tremendous individual, family, and societal impact across all race/ethnic groups. Mexican Americans, the largest subgroup of Hispanic Americans, are at even higher risk of stroke than European Americans. Aim To test the effectiveness of a culturally sensitive, church-based, multicomponent, motivational enhancement intervention for Mexican Americans and European Americans in reducing stroke risk factors. Methods Participants enroll in family or friendship pairs, from the same Catholic church in the Corpus Christi Texas area, and are encouraged to change diet and physical activity behaviors and provide support for behavior change to their partners. Churches are randomized to either the intervention or control group. Goal enrollment for each of the 10 participating churches is 40 participant pairs. The intervention consists of self-help materials (including a motivational short film, cookbook/healthy eating guide, physical activity guide with pedometer, and photonovella), five motivational interviewing calls, two tailored newsletters, parish health promotion activities and environmental changes, and a peer support workshop where participants learn to provide autonomy supportive counseling to their partner. SHARE’s three primary outcomes are self-reported sodium intake, fruit and vegetable intake, and level of physical activity. Participants complete questionnaires and have measurements at baseline, six months, and twelve months. Persistence testing is performed at 18 months in the intervention group. PMID:22421317

  16. 40 CFR 91.416 - Intake air flow measurement specifications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Intake air flow measurement... Procedures § 91.416 Intake air flow measurement specifications. (a) If used, the engine intake air flow measurement method used must have a range large enough to accurately measure the air flow over the engine...

  17. Evaluation of scavenging in two-stroke-cycle engines

    NASA Technical Reports Server (NTRS)

    Venediger, Herbert J

    1934-01-01

    The viewpoints are discussed, according to which the scavenging of two-stroke-cycle engines can be evaluated, and the relations between scavenging pressure and the quantity of the scavenging medium required, as also between the scavenging pressure and the revolution speed, are developed. It is further shown that the power increase is limited by the scavenging process, so that further researches are desirable for qualitative improvement. These results lead to several conclusions regarding the propulsion of motor vehicles by the two-stroke-cycle engines. Lastly, attention is called to the fundamental defect of the two-dimensional treatment of the scavenging process and to the consequent distinction between the two-dimensional and three-dimensional scavenging-type efficiency.

  18. Nutrition for brain recovery after ischemic stroke: an added value to rehabilitation.

    PubMed

    Aquilani, Roberto; Sessarego, Paolo; Iadarola, Paolo; Barbieri, Annalisa; Boschi, Federica

    2011-06-01

    In patients who undergo rehabilitation after ischemic stroke, nutrition strategies are adopted to provide tube-fed individuals with adequate nutrition and/or to avoid the body wasting responsible for poor functional outcome and prolonged stay in the hospital. Investigations have documented that nutrition interventions can enhance the recovery of neurocognitive function in individuals with ischemic stroke. Experimental studies have shown that protein synthesis is suppressed in the ischemic penumbra. In clinical studies on rehabilitation patients designed to study the effects of counteracting or limiting this reduction of protein synthesis by providing protein supplementation, patients receiving such supplementation had enhanced recovery of neurocognitive function. Cellular damage in cerebral ischemia is also partly caused by oxidative damage secondary to free radical formation and lipid peroxidation. Increased oxidative stress negatively affects a patient's life and functional prognosis. Some studies have documented that nutrition supplementation with B-group vitamins may mitigate oxidative damage after acute ischemic stroke. Experimental investigations have also shown that cerebral ischemia changes synaptic zinc release and that acute ischemia increases zinc release, aggravating neuronal injury. In clinical practice, patients with ischemic stroke were found to have a lower than recommended dietary intake of zinc. Patients in whom daily zinc intake was normalized had better recovery of neurological deficits than subjects given a placebo. The aim of this review is to highlight those brain metabolic alterations susceptible to nutrition correction in clinical practice. The mechanisms underlying the relationship between cerebral ischemia and nutrition metabolic conditions are discussed.

  19. Health benefits of dietary fiber.

    PubMed

    Anderson, James W; Baird, Pat; Davis, Richard H; Ferreri, Stefanie; Knudtson, Mary; Koraym, Ashraf; Waters, Valerie; Williams, Christine L

    2009-04-01

    Dietary fiber intake provides many health benefits. However, average fiber intakes for US children and adults are less than half of the recommended levels. Individuals with high intakes of dietary fiber appear to be at significantly lower risk for developing coronary heart disease, stroke, hypertension, diabetes, obesity, and certain gastrointestinal diseases. Increasing fiber intake lowers blood pressure and serum cholesterol levels. Increased intake of soluble fiber improves glycemia and insulin sensitivity in non-diabetic and diabetic individuals. Fiber supplementation in obese individuals significantly enhances weight loss. Increased fiber intake benefits a number of gastrointestinal disorders including the following: gastroesophageal reflux disease, duodenal ulcer, diverticulitis, constipation, and hemorrhoids. Prebiotic fibers appear to enhance immune function. Dietary fiber intake provides similar benefits for children as for adults. The recommended dietary fiber intakes for children and adults are 14 g/1000 kcal. More effective communication and consumer education is required to enhance fiber consumption from foods or supplements.

  20. Kerosene-base fuels in small gasoline engines. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Failla, C.C.; Pouring, A.A.

    1991-01-01

    This document presents the results of an engineering study to demonstrate the technology for converting small gasoline spark-ignited engines, to burn kerosene type fuels to power small generators (0.5 to 3.0 kw). Commercially available (plus those in the developmental stage), reciprocating, two-stroke, four stroke and rotary engines were evaluated for their conversion potential. Unique combustion systems were identified and trade-off studies conducted on engine type, combustion systems, and modification required to burn kerosene type fuels, with special emphasis given to minimizing life cycle cost. Recommendations for the most feasible system are given.

  1. Optimal control of the power adiabatic stroke of an optomechanical heat engine.

    PubMed

    Bathaee, M; Bahrampour, A R

    2016-08-01

    We consider the power adiabatic stroke of the Otto optomechanical heat engine introduced in Phys. Rev. Lett. 112, 150602 (2014)PRLTAO0031-900710.1103/PhysRevLett.112.150602. We derive the maximum extractable work of both optomechanical normal modes in the minimum time while the system experiences quantum friction effects. We show that the total work done by the system in the power adiabatic stroke is optimized by a bang-bang control. The time duration of the power adiabatic stroke is of the order of the inverse of the effective optomechanical-coupling coefficient. The optimal phase-space trajectory of the Otto cycle for both optomechanical normal modes is also obtained.

  2. [Blood lipids and adaptation to stress as risk factors for stroke prevention].

    PubMed

    Anders, I; Esterbauer, E; Fink, A; Ladurner, G; Huemer, M; Wranek, U

    2000-01-01

    Do stroke prevention patients with increased blood-fat-protein compounds (total cholesterol, HDL- and LDL cholesterol and triglyceride) have a different method of coping than patients with normal blood fat? 1159 stroke prevention patients participated in the following stroke risk investigations at this hospital: biographical and risk factor-orientated anamnesis, a neurological status investigation, a laboratory investigation, a sonographic investigation and a psychological investigation. The differences in the coping strategies of those patients with normal and those with higher blood-fat-protein compounds were investigated. Patients with higher total cholesterol showed significantly higher values in the avoidance of stress situations (sig. 0.041) and a stronger tendency towards escapist behaviour (sig. 0.05). Patients with normal HDL cholesterol values indicated a tendency (sig. 0.07) to higher values in positive self-instruction in comparison to patients with reduced HDL cholesterol values. Those prevention patients with higher LDL values showed a tendency (sig. 0.08) to higher values in the intake of narcotic substances (nicotine, alcohol, tranquillisers, pharmaceutical agents). Patients with increased triglyceride indicated significantly higher values in coping by compensation (eating, shopping, reward behaviour, watching TV; sig. 0.037) and the intake of narcotic substances (sig. 0.044). Prevention patients with higher total cholesterol, LDL/HDL, or triglyceride values showed significantly different coping strategies in comparison to those patients with normal values. Increased avoidance and escapism behaviour and also compensation and the abuse of narcotic substances could be seen in connection with an increase in the risk of a stroke. In contrast, a constructive coping strategy such as positive self-instruction could reduce the risk of a stroke, which goes along with normal HDL cholesterol.

  3. Engine Air Intake Manifold Having Built In Intercooler

    DOEpatents

    Freese, V, Charles E.

    2000-09-12

    A turbocharged V type engine can be equipped with an exhaust gas recirculation cooler integrated into the intake manifold, so as to achieve efficiency, cost reductions and space economization improvements. The cooler can take the form of a tube-shell heat exchanger that utilizes a cylindrical chamber in the air intake manifold as the heat exchanger housing. The intake manifold depends into the central space formed by the two banks of cylinders on the V type engine, such that the central space is effectively utilized for containing the manifold and cooler.

  4. Potassium and Health123

    PubMed Central

    Weaver, Connie M.

    2013-01-01

    Potassium was identified as a shortfall nutrient by the Dietary Guidelines for Americans 2010 Advisory Committee. The committee concluded that there was a moderate body of evidence of the association between potassium intake and blood pressure reduction in adults, which in turn influences the risk of stroke and coronary heart disease. Evidence is also accumulating of the protective effect of adequate dietary potassium on age-related bone loss and reduction of kidney stones. These benefits depend on organic anions associated with potassium as occurs in foods such as fruits and vegetables, in contrast to similar blood pressure-lowering benefits of potassium chloride. Benefits to blood pressure and bone health may occur at levels below current recommendations for potassium intake, especially from diet, but dose-response trials are needed to confirm this. Nevertheless, intakes considerably above current levels are needed for optimal health, and studies evaluating small increases in fruit and vegetable intake on bone and heart outcomes for short periods have had disappointing results. In modern societies, Western diets have led to a decrease in potassium intake with reduced consumption of fruits and vegetables with a concomitant increase in sodium consumption through increased consumption of processed foods. Consumption of white vegetables is associated with decreased risk of stroke, possibly related to their high potassium content. Potatoes are the highest source of dietary potassium, but the addition of salt should be limited. Low potassium-to-sodium intake ratios are more strongly related to cardiovascular disease risk than either nutrient alone. This relationship deserves further attention for multiple target tissue endpoints. PMID:23674806

  5. Fluid Intake Related to Brain Edema in Acute Middle Cerebral Artery Infarction.

    PubMed

    Dharmasaroja, Pornpatr A

    2016-02-01

    Evidence of the appropriate amount of fluid intake during the first few days after acute stroke was scarce. Concerns were raised in patients with acute malignant middle cerebral infarction, who tended to have malignant brain edema later. The purpose of the study was to evaluate the effect of fluid intake on the occurrence of malignant brain edema in patients with acute middle cerebral artery infarction. Patients with acute middle cerebral artery infarction who had National Institute of Health Stroke Scale (NIHSS) score of at least 15 were included. Baseline characteristics and amount of fluid intake during the first few days were compared in patients with and without malignant brain edema. One hundred ninety-three patients were studied. Mean NIHSS score was 20. Malignant brain edema occurred in 69 patients (36%). Higher amount of fluid intake (>1650 ml or >28 ml/kg/day or >93% of daily maintenance fluid) showed a significant association with malignant brain edema (OR = 13.86, 95% CI 5.11-37.60, p value <0.001). Decompressive surgery was performed in 35 patients (18%). With mean follow-up of 12 months, 49 patients (49/184, 27%) had favorable outcomes (modified Rankin scale (mRS) 0-2) at final follow-up. Seventy-nine patients (79/184, 43%) died. In the subgroup of patients with malignant brain edema, 39 patients (39/65, 60%) died and only 11% (7/65 patients) had favorable outcome. High amount of fluid intake in the first few days of acute middle cerebral infarction was related to the occurrence of malignant brain edema.

  6. Malnutrition in Patients with Acute Stroke

    PubMed Central

    Bouziana, Stella D.; Tziomalos, Konstantinos

    2011-01-01

    Stroke is a devastating event that carries a potential for long-term disability. Malnutrition is frequently observed in patients with stroke, and dysphagia contributes to malnutrition risk. During both the acute phase of stroke and rehabilitation, specific nutritional interventions in the context of a multidisciplinary team effort can enhance the recovery of neurocognitive function. Early identification and management of malnutrition with dietary modifications or specific therapeutic strategies to ensure adequate nutritional intake should receive more attention, since poor nutritional status appears to exacerbate brain damage and to contribute to adverse outcome. The main purpose of nutritional intervention should be the prevention or treatment of complications resulting from energy-protein deficit. This paper reviews the evaluation and management of malnutrition and the use of specialized nutrition support in patients with stroke. Emphasis is given to enteral tube and oral feeding and to strategies to wean from tube feeding. PMID:22254136

  7. The effects of socioeconomic status on stroke risk and outcomes.

    PubMed

    Marshall, Iain J; Wang, Yanzhong; Crichton, Siobhan; McKevitt, Christopher; Rudd, Anthony G; Wolfe, Charles D A

    2015-12-01

    The latest evidence on socioeconomic status and stroke shows that stroke not only disproportionately affects low-income and middle-income countries, but also socioeconomically deprived populations within high-income countries. These disparities are reflected not only in risk of stroke but also in short-term and long-term outcomes after stroke. Increased average levels of conventional risk factors (eg, hypertension, hyperlipidaemia, excessive alcohol intake, smoking, obesity, and sedentary lifestyle) in populations with low socioeconomic status account for about half of these effects. In many countries, evidence shows that people with lower socioeconomic status are less likely to receive good-quality acute hospital and rehabilitation care than people with higher socioeconomic status. For clinical practice, better implementation of well established treatments, effective management of risk factors, and equity of access to high-quality acute stroke care and rehabilitation will probably reduce inequality substantially. Overcoming barriers and adapting evidence-based interventions to different countries and health-care settings remains a research priority. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. 77 FR 67263 - Airworthiness Directives; Airbus Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ... flight cycles. US Airways stated that the engine inlet cowl inspection should follow Airbus Mandatory... months after the engine air intake cowl has accumulated 5,000 total flight cycles. (2) For any engine air... the same airplane has accumulated 5,000 flight cycles or less since the engine air intake cowl was...

  9. Exhaust gas recirculation system for an internal combustion engine

    DOEpatents

    Wu, Ko-Jen

    2013-05-21

    An exhaust gas recirculation system for an internal combustion engine comprises an exhaust driven turbocharger having a low pressure turbine outlet in fluid communication with an exhaust gas conduit. The turbocharger also includes a low pressure compressor intake and a high pressure compressor outlet in communication with an intake air conduit. An exhaust gas recirculation conduit fluidly communicates with the exhaust gas conduit to divert a portion of exhaust gas to a low pressure exhaust gas recirculation branch extending between the exhaust gas recirculation conduit and an engine intake system for delivery of exhaust gas thereto. A high pressure exhaust gas recirculation branch extends between the exhaust gas recirculation conduit and the compressor intake and delivers exhaust gas to the compressor for mixing with a compressed intake charge for delivery to the intake system.

  10. Fluidity of the dietary fatty acid profile and risk of coronary heart disease and ischemic stroke: Results from the EPIC-Netherlands cohort study.

    PubMed

    Sluijs, I; Praagman, J; Boer, J M A; Verschuren, W M M; van der Schouw, Y T

    2017-09-01

    The fluidity of dietary fatty acids consumed has been suggested to inversely affect coronary heart disease (CHD) risk. Lipophilic index (LI) represents overall fluidity of the dietary fatty acid profile. Lipophilic load (LL) represents a combination of overall fluidity and absolute intake of dietary fatty acids. We investigated the relations of dietary LI and LL with risk of CHD and ischemic stroke (iStroke). We used data from the prospective EPIC-NL study, including 36,520 participants aged 20-70 years. LI and LL were calculated using dietary intake data estimated with a validated FFQ. Incident CHD (n = 2348) and iStroke (n = 479) cases were obtained through linkage to national registers during 15 years follow-up. LI and LL were not associated with CHD risk (HRs highest-versus-lowest-quartiles : 0.93 [95%CI: 0.83, 1.04], and 0.92 [95%CI: 0.79, 1.07], respectively), and neither with iStroke risk (HRs 1.15 (95%CI: 0.89, 1.48), and 0.98 (95%CI: 0.70, 1.38), respectively). Original fatty acid classes (SFA, MUFA and PUFA), and LI and LL stratified by these fatty acid classes, were overall not related to CHD and ischemic stroke either. In this Dutch population, neither the overall fluidity of the dietary fatty acid profile (LI), nor the combined fluidity and amount of fatty acids consumed (LL) were related to CHD or iStroke risk. Dietary LI and LL may have limited added value above original fatty acid classes and food sources in establishing the relation of fatty acid consumption with CVD. Copyright © 2017 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

  11. Dietary Potassium: a Key Mediator of the Cardiovascular Response to Dietary Sodium Chloride

    PubMed Central

    Kanbay, Mehmet; Bayram, Yeter; Solak, Yalcin; Sanders, Paul W.

    2014-01-01

    Potassium and sodium share a yin/yang relationship in the regulation of blood pressure (BP). BP is directly associated with the total body sodium and negatively correlated with the total body potassium. Epidemiologic, experimental, and clinical studies have demonstrated that potassium is a significant regulator of BP and further improves cardiovascular outcomes. Hypertensive cardiovascular damage, stroke and stroke-related death are accelerated by salt intake but could be prevented by increased dietary potassium intake. The antihypertensive effect of potassium supplementation appears to occur through several mechanisms that include regulation of vascular sensitivity to catecholamines, promotion of natriuresis, limiting plasma renin activity, and improving endothelial function. In the absence of chronic kidney disease, the combined evidence supports a diet high in potassium content serves a vasculoprotective function, especially in the setting of salt-sensitive hypertension and prehypertension. PMID:23735420

  12. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zentgraf, Florian; Baum, Elias; Dreizler, Andreas

    Planar particle image velocimetry (PIV) and tomographic PIV (TPIV) measurements are utilized to analyze turbulent statistical theory quantities and the instantaneous turbulence within a single-cylinder optical engine. Measurements are performed during the intake and mid-compression stroke at 800 and 1500 RPM. TPIV facilitates the evaluation of spatially resolved Reynolds stress tensor (RST) distributions, anisotropic Reynolds stress invariants, and instantaneous turbulent vortical structures. The RST analysis describes distributions of individual velocity fluctuation components that arise from unsteady turbulent flow behavior as well as cycle-to-cycle variability (CCV). A conditional analysis, for which instantaneous PIV images are sampled by their tumble center location,more » reveals that CCV and turbulence have similar contributions to RST distributions at the mean tumble center, but turbulence is dominant in regions peripheral to the tumble center. Analysis of the anisotropic Reynolds stress invariants reveals the spatial distribution of axisymmetric expansion, axisymmetric contraction, and 3D isotropy within the cylinder. Findings indicate that the mid-compression flow exhibits a higher tendency toward 3D isotropy than the intake flow. A novel post-processing algorithm is utilized to classify the geometry of instantaneous turbulent vortical structures and evaluate their frequency of occurrence within the cylinder. Findings are coupled with statistical theory quantities to provide a comprehensive understanding of the distribution of turbulent velocity components, the distribution of anisotropic states of turbulence, and compare the turbulent vortical flow distribution that is theoretically expected to what is experimentally observed. The analyses reveal requisites of important turbulent flow quantities and discern their sensitivity to the local flow topography and engine operation.« less

  13. Chocolate Consumption and Risk of Coronary Heart Disease, Stroke, and Diabetes: A Meta-Analysis of Prospective Studies

    PubMed Central

    Yuan, Sheng; Li, Xia; Jin, Yalei; Lu, Jinping

    2017-01-01

    Although epidemiological studies have examined the role of chocolate in preventing cardiometabolic disease, the results remain inconsistent. Herein, we conducted a meta-analysis of prospective studies to determine the association between chocolate intake and risk of coronary heart disease (CHD), stroke, and diabetes. A systematical search in PubMed and Embase through March 2017, together with reference scrutiny of relevant literatures, was performed to identify eligible studies. Relative risks (RRs) and 95% confidence intervals (CIs) were pooled using random effect models. Fourteen prospective studies of primary prevention with 508,705 participants were finally included, with follow-up durations ranging from 5 to 16 years. The summary RRs for the highest versus lowest chocolate consumption were 0.90 (95% CI: 0.82–0.97; n = 6) for CHD, 0.84 (95% CI: 0.78–0.90; n = 7) for stroke, and 0.82 (95% CI: 0.70–0.96; n = 5) for diabetes. Dose–response meta-analysis suggested a nonlinear association of chocolate consumption with all outcomes. For both CHD and stroke, there was little additional risk reduction when consuming chocolate ≥3 servings/week (one serving was defined as 30 g of chocolate). For diabetes, the peak protective effect of chocolate emerged at 2 servings/week (RR: 0.75, 95% CI: 0.63–0.89), with no benefit observed when increasing consumption above 6 servings/week. In conclusion, chocolate intake is associated with decreased risks of CHD, stroke, and diabetes. Consuming chocolate in moderation (≤6 servings/week) may be optimal for preventing these disorders. PMID:28671591

  14. Chocolate Consumption and Risk of Coronary Heart Disease, Stroke, and Diabetes: A Meta-Analysis of Prospective Studies.

    PubMed

    Yuan, Sheng; Li, Xia; Jin, Yalei; Lu, Jinping

    2017-07-02

    Although epidemiological studies have examined the role of chocolate in preventing cardiometabolic disease, the results remain inconsistent. Herein, we conducted a meta-analysis of prospective studies to determine the association between chocolate intake and risk of coronary heart disease (CHD), stroke, and diabetes. A systematical search in PubMed and Embase through March 2017, together with reference scrutiny of relevant literatures, was performed to identify eligible studies. Relative risks (RRs) and 95% confidence intervals (CIs) were pooled using random effect models. Fourteen prospective studies of primary prevention with 508,705 participants were finally included, with follow-up durations ranging from 5 to 16 years. The summary RRs for the highest versus lowest chocolate consumption were 0.90 (95% CI: 0.82-0.97; n = 6) for CHD, 0.84 (95% CI: 0.78-0.90; n = 7) for stroke, and 0.82 (95% CI: 0.70-0.96; n = 5) for diabetes. Dose-response meta-analysis suggested a nonlinear association of chocolate consumption with all outcomes. For both CHD and stroke, there was little additional risk reduction when consuming chocolate ≥3 servings/week (one serving was defined as 30 g of chocolate). For diabetes, the peak protective effect of chocolate emerged at 2 servings/week (RR: 0.75, 95% CI: 0.63-0.89), with no benefit observed when increasing consumption above 6 servings/week. In conclusion, chocolate intake is associated with decreased risks of CHD, stroke, and diabetes. Consuming chocolate in moderation (≤6 servings/week) may be optimal for preventing these disorders.

  15. Stroke Health and Risk Education (SHARE): design, methods, and theoretical basis.

    PubMed

    Brown, Devin L; Conley, Kathleen M; Resnicow, Kenneth; Murphy, Jillian; Sánchez, Brisa N; Cowdery, Joan E; Sais, Emma; Lisabeth, Lynda D; Skolarus, Lesli E; Zahuranec, Darin B; Williams, Geoffrey C; Morgenstern, Lewis B

    2012-07-01

    Stroke is a disease with tremendous individual, family, and societal impact across all race/ethnic groups. Mexican Americans, the largest subgroup of Hispanic Americans, are at even higher risk of stroke than European Americans. To test the effectiveness of a culturally sensitive, church-based, multi-component, motivational enhancement intervention for Mexican Americans and European Americans in reducing stroke risk factors. Participants enroll in family or friendship pairs, from the same Catholic church in the Corpus Christi Texas area, and are encouraged to change diet and physical activity behaviors and provide support for behavior change to their partners. Churches are randomized to either the intervention or control group. Goal enrollment for each of the 10 participating churches is 40 participant pairs. The intervention consists of self-help materials (including a motivational short film, cookbook/healthy eating guide, physical activity guide with pedometer, and photonovella), five motivational interviewing calls, two tailored newsletters, parish health promotion activities and environmental changes, and a peer support workshop where participants learn to provide autonomy supportive counseling to their partner. SHARE's three primary outcomes are self-reported sodium intake, fruit and vegetable intake, and level of physical activity. Participants complete questionnaires and have measurements at baseline, six months, and twelve months. Persistence testing is performed at 18 months in the intervention group. The trial is registered with clinicaltrials.gov (NCT01378780). Copyright © 2012 Elsevier Inc. All rights reserved.

  16. Modeling and control of fuel distribution in a dual-fuel internal combustion engine leveraging late intake valve closings

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kassa, Mateos; Hall, Carrie; Ickes, Andrew

    Advanced internal combustion engines, although generally more efficient than conventional combustion engines, often encounter limitations in multi-cylinder applications due to variations in the combustion process encountered across cylinders and between cycles. This study leverages experimental data from an inline 6-cylinder heavy-duty dual fuel engine equipped with exhaust gas recirculation (EGR), a variable geometry turbocharger, and a fully-flexible variable intake valve actuation system to study cylinder-to-cylinder variations in power production and the underlying uneven fuel distribution that causes these variations. The engine is operated with late intake valve closure timings in a dual-fuel combustion mode in which a high reactivity fuelmore » is directly injected into the cylinders and a low reactivity fuel is port injected into the cylinders. Both dual fuel implementation and late intake valve closing (IVC) timings have been shown to improve thermal efficiency. However, experimental data from this study reveal that when late IVC timings are used on a multi-cylinder dual fuel engine a significant variation in IMEP across cylinders results and as such, leads to efficiency losses. The difference in IMEP between the different cylinders ranges from 9% at an IVC of 570°ATDC to 38% at an IVC of 610°ATDC and indicates an increasingly uneven fuel distribution. These experimental observations along with engine simulation models developed using GT-Power have been used to better understand the distribution of the port injected fuel across cylinders under various operating conditions on such dual fuel engines. This study revealed that the fuel distribution across cylinders in this dual fuel application is significantly affected by changes in the effective compression ratio as determined by the intake valve close timing as well as the design of the intake system (specifically the length of the intake runners). Late intake valve closures allow a portion of the trapped air and port injected fuel to flow back out of the cylinders into the intake manifold. The fuel that is pushed back in the intake manifold is then unevenly redistributed across the cylinders largely due to the dominating direction of the flow in the intake manifold. The effects of IVC as well as the impact of intake runner length on fuel distribution were quantitatively analyzed and a model was developed that can be used to accurately predict the fuel distribution of the port injected fuel at different operating conditions with an average estimation error of 1.5% in cylinder-specific fuel flow.« less

  17. A population-based dietary intervention trial in a high-risk area for stomach cancer and stroke: changes in intakes and related biomarkers.

    PubMed

    Takashashi, Yoshiko; Sasaki, Satoshi; Takahashi, Masako; Okubo, Shunji; Hayashi, Masato; Tsugane, Shoichiro

    2003-11-01

    Dietary intervention is one of the important fields in cancer and cardiovascular disease prevention. The Hiraka Dietary Intervention Study is a community-based randomized cross-over trial designed to develop an effective dietary modification tool and system in an area with high mortality of stomach cancer and stroke. The subjects were 550 healthy volunteers and were randomized into two groups with tailored dietary education to decrease sodium intake and to increase vitamin C and carotene intakes either in the first year (intervention group) or in the second year (control group). Dietary changes were assessed using a validated self-administered diet history questionnaire, fasting blood samples, and 48-hour urine samples, which were obtained before and after the one year period. During the first year, changes differed significantly between the intervention and control group for both dietary sodium intake (-384 and +255 mg/day, intervention and control respectively, p < 0.001) and urinary sodium excretion (-1003 and -84 mg/day, p < 0.001). Although favorable net changes were also observed in dietary carotene (+418 and +220 mug/day, p < 0.05) and vitamin C (+13 and +2 mg/day, p < 0.05), the serum level differences were modest (+13 and -25 mg/L, p = 0.09 for carotene, +0.1 and -0.5 mg/L, p = 0.07 for ascorbic acid). The present dietary intervention strategy effectively decreased sodium and increased carotene and vitamin C intakes, although the former was more distinct.

  18. Evaluation of Diesel Engine Performance with Intake and Exhaust System Throttling : Volume 2. Appendix 1.

    DOT National Transportation Integrated Search

    1975-11-01

    The appendix to the preceding volume presents the data for the subject diesel engine noise study, including an engine sound power level analysis and sound spectrums showing the effect of intake and exhaust restrictions.

  19. Design and Control of a Proof-of-Concept Active Jet Engine Intake Using Shape Memory Alloy Actuators

    NASA Technical Reports Server (NTRS)

    Song, Gangbing; Ma, Ning; Penney, Nicholas; Barr, Todd; Lee, Ho-Jun; Arnold, Steven M.

    2004-01-01

    The design and control of a novel proof-of-concept active jet engine intake using Nickel-Titanium (Ni-Ti or Nitinol) shape memory alloy (SMA) wire actuators is used to demonstrate the potential of an adaptive intake to improve the fuel efficiency of a jet engine. The Nitinol SMA material is selected for this research due to the material's ability to generate large strains of up to 5 percent for repeated operations, a high power-to-weight ratio, electrical resistive actuation, and easy fabrication into a variety of shapes. The proof-of-concept engine intake employs an overlapping leaf design arranged in a concentric configuration. Each leaf is mounted on a supporting bar that rotates upon actuation by SMA wires electrical resistive heating. Feedback control is enabled through the use of a laser range sensor to detect the movement of a leaf and determine the radius of the intake area. Due to the hysteresis behavior inherent in SMAs, a nonlinear robust controller is used to direct the SMA wire actuation. The controller design utilizes the sliding-mode approach to compensate for the nonlinearities associated with the SMA actuator. Feedback control experiments conducted on a fabricated proof-of-concept model have demonstrated the capability to precisely control the intake area and achieve up to a 25 percent reduction in intake area. The experiments demonstrate the feasibility of engine intake area control using the proposed design.

  20. Self-report of stroke, transient ischemic attack, or stroke symptoms and risk of future stroke in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study

    PubMed Central

    Judd, Suzanne E; Kleindorfer, Dawn O; McClure, Leslie A; Rhodes, J. David; Howard, George; Cushman, Mary; Howard, Virginia J.

    2013-01-01

    Background and Purpose History of stroke and Transient Ischemic Attack (TIA) are documented risk factors for subsequent stroke and all-cause mortality. Recent reports suggest increased risk among those reporting stroke symptoms absent stroke or TIA. However, the relative magnitude of increased stroke risk has not been described across the symptomatic spectrum: 1) asymptomatic (Asx), 2) stroke symptoms only (SS), 3) TIA, 4) stroke in the distant past (DS), and 5) recent stroke (RS). Methods Between 2003–2007 the REasons for Geographic And Racial Differences in Stroke (REGARDS) study enrolled 30,239 black and white Americans aged 45+. DS and RS were defined as self-report of physician diagnosis of stroke >5 or <5 years before baseline, respectively. SS was defined as a history of any of six sudden onset stroke symptoms absent TIA/stroke diagnosis. Kaplan-Meier and proportional hazards analysis were used to contrast stroke risk differences. Results Over 5.0 ± 1.72 years of follow up, 737 strokes were validated. Compared to Asx persons, those with SS, TIA, DS and RS all had increased risk of future stroke. After adjustment for age, race, sex, income, education, alcohol intake, current smoking, and a history of diabetes, hypertension, myocardial infarction, atrial fibrillation, and dyslipidemia, there was 1.20-fold (not statistically significant) increased stroke risk for SS (95% CI 0.96, 1.51), 1.73-fold for TIA (95% CI 1.27, 2.36), 2.23-fold for DS (95% CI 1.61, 3.09) and 2.85-fold for RS (95% CI 2.16, 3.76). Discussion Results suggest a spectrum of risk from stroke symptoms to TIA, distant stroke, and recent stroke, and imply a need for establishing these categories in health screenings to manage risk for future stroke, reinforcing the clinical importance of stroke history including the presence of stroke symptoms. PMID:23233382

  1. Calcium Supplements: A Risk Factor for Heart Attack?

    MedlinePlus

    ... increased risk of heart attack, stroke or other cardiovascular diseases from taking calcium supplements for men only. Other ... et al. Calcium supplement intake and risk of cardiovascular disease in women. Osteoporosis International. 2014;25:2047. Waldman ...

  2. Dietary potassium: a key mediator of the cardiovascular response to dietary sodium chloride.

    PubMed

    Kanbay, Mehmet; Bayram, Yeter; Solak, Yalcin; Sanders, Paul W

    2013-01-01

    Potassium and sodium share a yin/yang relationship in the regulation of blood pressure (BP). BP is directly associated with the total body sodium and negatively correlated with the total body potassium. Epidemiologic, experimental, and clinical studies have shown that potassium is a significant regulator of BP and further improves cardiovascular outcomes. Hypertensive cardiovascular damage, stroke, and stroke-related death are accelerated by salt intake but might be curbed by increasing dietary potassium intake. The antihypertensive effect of potassium supplementation appears to occur through several mechanisms that include regulation of vascular sensitivity to catecholamines, promotion of natriuresis, limiting plasma renin activity, and improving endothelial function. In the absence of chronic kidney disease, the combined evidence suggests that a diet rich in potassium content serves a vasculoprotective function, particularly in the setting of salt-sensitive hypertension and prehypertension. Copyright © 2013 American Society of Hypertension. All rights reserved.

  3. Self-report of stroke, transient ischemic attack, or stroke symptoms and risk of future stroke in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study.

    PubMed

    Judd, Suzanne E; Kleindorfer, Dawn O; McClure, Leslie A; Rhodes, J David; Howard, George; Cushman, Mary; Howard, Virginia J

    2013-01-01

    History of stroke and transient ischemic attack (TIA) are documented risk factors for subsequent stroke and all-cause mortality. Recent reports suggest increased risk among those reporting stroke symptoms absent stroke or TIA. However, the relative magnitude of increased stroke risk has not been described across the symptomatic spectrum: (1) asymptomatic, (2) stroke symptoms (SS) only, (3) TIA, (4) distant stroke (DS), and (5) recent stroke (RS). Between 2003 and 2007, the REasons for Geographic And Racial Differences in Stroke (REGARDS) study enrolled 30 239 black and white Americans ≥45 years of age. DS and RS were defined as self-report of physician diagnosis of stroke >5 or <5 years before baseline, respectively. SS was defined as a history of any of 6 sudden onset stroke symptoms absent TIA/stroke diagnosis. Kaplan-Meier and proportional hazards analysis were used to contrast stroke risk differences. Over 5.0±1.72 years of follow-up, 737 strokes were validated. Compared with asymptomatic persons, those with SS, TIA, DS, and RS all had increased risk of future stroke. After adjustment for age, race, sex, income, education, alcohol intake, current smoking, and a history of diabetes mellitus, hypertension, myocardial infarction, atrial fibrillation, and dyslipidemia, there was 1.20-fold (not statistically significant) increased stroke risk for SS (95% CI, 0.96-1.51), 1.73-fold for TIA (95% CI, 1.27-2.36), 2.23-fold for DS (95% CI, 1.61- 3.09), and 2.85-fold for RS (95% CI, 2.16-3.76). Results suggest a spectrum of risk from stroke symptoms to TIA, DS, and RS, and imply a need for establishing these categories in health screenings to manage risk for future stroke, reinforcing the clinical importance of stroke history including the presence of stroke symptoms.

  4. Dietary patterns are associated with incident stroke and contribute to excess risk of stroke in black Americans.

    PubMed

    Judd, Suzanne E; Gutiérrez, Orlando M; Newby, P K; Howard, George; Howard, Virginia J; Locher, Julie L; Kissela, Brett M; Shikany, James M

    2013-12-01

    Black Americans and residents of the Southeastern United States are at increased risk of stroke. Diet is one of many potential factors proposed that might explain these racial and regional disparities. Between 2003 and 2007, the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study enrolled 30 239 black and white Americans aged≥45 years. Dietary patterns were derived using factor analysis and foods from food frequency data. Incident strokes were adjudicated using medical records by a team of physicians. Cox-proportional hazards models were used to examine risk of stroke. During 5.7 years, 490 incident strokes were observed. In a multivariable-adjusted analysis, greater adherence to the plant-based pattern was associated with lower stroke risk (hazard ratio, 0.71; 95% confidence interval, 0.56-0.91; Ptrend=0.005). This association was attenuated after addition of income, education, total energy intake, smoking, and sedentary behavior. Participants with a higher adherence to the Southern pattern experienced a 39% increased risk of stroke (hazard ratio, 1.39; 95% confidence interval, 1.05, 1.84), with a significant (P=0.009) trend across quartiles. Including Southern pattern in the model mediated the black-white risk of stroke by 63%. These data suggest that adherence to a Southern style diet may increase the risk of stroke, whereas adherence to a more plant-based diet may reduce stroke risk. Given the consistency of finding a dietary effect on stroke risk across studies, discussing nutrition patterns during risk screening may be an important step in reducing stroke.

  5. Prevalence, risk factors and secondary prevention of stroke recurrence in eight countries from south, east and southeast asia: a scoping review.

    PubMed

    Chin, Y Y; Sakinah, H; Aryati, A; Hassan, B M

    2018-04-01

    In most Asian countries, stroke is one of the major causes of mortality. A stroke event is life-changing for stroke survivors, which results in either mortality or disability. Therefore, this study comprehensively focuses on prevalence, risk factors, and secondary prevention for stroke recurrence identified in South, East, and Southeast Asian countries. This scoping review uses the methodological framework of Arksey and O'Malley. A comprehensive search of academic journals (English) on this topic published from 2007 to 2017 was conducted. A total of 22 studies were selected from 585 studies screened from the electronic databases. First-year stroke recurrence rates are in the range of 2.2% to 25.4%. Besides that, modifiable risk factors are significantly associated with pathophysiological factors (hypertension, ankle-brachial pressure index, atherogenic dyslipidaemia, diabetes mellitus, metabolic syndrome, and atrial fibrillation) and lifestyle factors (obesity, smoking, physical inactivity, and high salt intake). Furthermore, age, previous history of cerebrovascular events, and stroke subtype are also significant influence risk factors for recurrence. A strategic secondary prevention method for recurrent stroke is health education along with managing risk factors through a combination of appropriate lifestyle intervention and pharmacological therapy. To prevent recurrent stroke, health intervention should be geared towards changing lifestyle to embody a healthier approach to life. This is of great importance to public health and stroke survivors' quality of life.

  6. Truck Noise VIB : A Baseline Study of the Parameters Affecting Diesel Engine Intake and Exhaust Silencer Design

    DOT National Transportation Integrated Search

    1974-01-01

    A survey of diesel engine, truck, intake system, and exhaust system manufacturers was made for the purpose of compiling detailed information on all major mass-produced diesel engines currently used in the United States for trucks and buses, and on ex...

  7. 77 FR 37344 - Airworthiness Directives; Airbus Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-21

    ... reports of extensive damage to engine air intake cowls as a result of acoustic panel collapse. This proposed AD would require repetitive inspections of the three inner acoustic panels of both engine air... finding extensive damage to engine air intake cowls as a result of acoustic panel collapse, most probably...

  8. Diets enriched in whey or casein improve energy balance and prevent morbidity and renal damage in salt-loaded and high-fat-fed spontaneously hypertensive stroke-prone rats.

    PubMed

    Singh, Arashdeep; Pezeshki, Adel; Zapata, Rizaldy C; Yee, Nicholas J; Knight, Cameron G; Tuor, Ursula I; Chelikani, Prasanth K

    2016-11-01

    High-fat diets induce obesity and increase risks of diabetes and cardiovascular and renal disorders. Whey- or casein-enriched diets decrease food intake and weight gain; however, their cardiovascular and renal benefits are unclear. We determined whether whey- and casein-enriched diets improve energy balance and are protective against renal damage and morbidity associated with stroke in an obesogenic and hypertensive experimental setting. We also assessed whether the hypophagic effects of these diets were due to reduced diet preference. In experiment 1, spontaneously hypertensive stroke-prone rats were randomized to (a) control (CON; 14% kcal protein, 33% fat), (b) whey (WHY; 40% protein, 33% fat), (c) casein (CAS; 40% protein, 33% fat) or (d) chow (CHW; 24% protein, 13% fat) for 12 weeks with 1% salt in drinking water for CON, WHY and CAS groups. Our results demonstrated that both WHY and CAS produced short-term hypophagia, moderately increased energy expenditure and decreased respiratory quotient, body weight and lean mass, with effects of WHY being more prolonged. Further, only WHY decreased fat mass and blood pressure. Importantly, both WHY and CAS prevented morbidity associated with stroke and decreased indices of renal inflammation (tumor necrosis factor-α, interleukin-6) and damage (osteopontin, renal lesions). In experiment 2, following four initial conditioning trials, the preference for CON, WHY or CAS diet was determined. Both WHY and CAS decreased food intake during conditioning and decreased preference. In conclusion, diets enriched in whey or casein improved energy balance, increased survival and prevented renal damage in salt-loaded and high-fat-fed spontaneously hypertensive stroke-prone rats. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Soft drinks and sweetened beverages and the risk of cardiovascular disease and mortality: a systematic review and meta-analysis.

    PubMed

    Narain, A; Kwok, C S; Mamas, M A

    2016-10-01

    Soft drink consumption is associated with adverse health behaviours that predispose to adverse cardiovascular risk factor profiles; however, it is unclear whether their intake independently leads to an increased risk of cardiovascular events and mortality. We conducted a systematic review and meta-analysis to evaluate this. Medline and EMBASE were searched in July 2015 for studies that considered soft drink intake and risk of mortality, myocardial infarction (MI) or stroke. Pooled risk ratios (RRs) for adverse outcomes were calculated using inverse variance with a random effects model, and heterogeneity was assessed using the I 2 statistic. A total of seven prospective cohort studies with 308,420 participants (age range 34-75 years) were included in the review. The pooled results suggest a greater risk of stroke (RR 1.13, 95% CI 1.02-1.24), and MI (RR 1.22, 95% CI 1.14-1.30), but not vascular events with incremental increase in sugar-sweetened beverage (SSB) consumption. With incremental increase in artificially sweetened beverage (ASB) consumption, there was a greater risk of stroke (RR 1.08, 95% CI 1.03-1.14), but not vascular events or MI. In the evaluation of high vs. low SSB, there was a greater risk of MI (RR 1.19, 95% CI 1.09-1.31) but not stroke, vascular events or mortality. For ASB, there was a significantly greater risk of stroke (RR 1.14, 95% CI 1.04-1.26) and vascular events (RR 1.44, 95% CI 1.02-2.03) but not MI or mortality. Our results suggest an association between consumption of sugar-sweetened and ASBs and cardiovascular risk, although consumption may be a surrogate for adverse health behaviours. © 2016 John Wiley & Sons Ltd.

  10. Stroke in Latin America: Burden of Disease and Opportunities for Prevention.

    PubMed

    Avezum, Álvaro; Costa-Filho, Francisco F; Pieri, Alexandre; Martins, Sheila O; Marin-Neto, José A

    2015-12-01

    The epidemiological transition in Latin America toward older urban dwelling adults has led to the rise in cardiovascular risk factors and an increase in morbidity and mortality rates related to both stroke and myocardial infarction. As a result, there is an immediate need for effective actions resulting in better detection and control of cardiovascular risk factors that will ultimately reduce cardiovascular disease burden. Data from case-control studies have identified the following risk factors associated with stroke: hypertension; smoking; abdominal obesity; diet; physical activity; diabetes; alcohol intake; psychosocial factors; cardiac causes; and dyslipidemia. In addition to its high mortality, patients who survive after a stroke present quite frequently with marked physical and functional disability. Because stroke is the leading cause of death in most Latin American countries and also because it is a clearly preventable cause of death and disability, simple, affordable, and efficient strategies must be urgently implemented in Latin America. Copyright © 2015 World Heart Federation (Geneva). Published by Elsevier B.V. All rights reserved.

  11. Involvement of arterial baroreflex in the protective effect of dietary restriction against stroke

    PubMed Central

    Liu, Ai-Jun; Guo, Jin-Min; Liu, Wei; Su, Feng-Yun; Zhai, Qi-Wei; Mehta, Jawahar L; Wang, Wei-Zhong; Su, Ding-Feng

    2013-01-01

    Dietary restriction (DR) protects against neuronal dysfunction and degeneration, and reduces the risk of ischemic stroke. This study examined the role of silent information regulator T1 (SIRT1) and arterial baroreflex in the beneficial effects of DR against stroke, using two distinct stroke models: stroke-prone spontaneously hypertensive rats (SP-SHRs) and Sprague-Dawley (SD) rats with middle cerebral artery occlusion (MCAO). Sirt1 knockout (KO) mice were used to examine the involvement of sirt1. Sinoaortic denervation was used to inactivate arterial baroreflex. Dietary restriction was defined as 40% reduction of dietary intake. Briefly, DR prolonged the life span of SP-SHRs and reduced the infarct size induced by MCAO. Dietary restriction also improved the function arterial baroreflex, decreased the release of proinflammatory cytokines, and reduced end-organ damage. The beneficial effect of DR on stroke was markedly attenuated by blunting arterial baroreflex. Lastly, the infarct area in sirt1 KO mice was significantly larger than in the wild-type mice. However, the beneficial effect of DR against ischemic injury was still apparent in sirt1 KO mice. Accordingly, arterial baroreflex, but not sirt1, is important in the protective effect of DR against stroke. PMID:23443169

  12. Habitual chocolate consumption and risk of cardiovascular disease among healthy men and women.

    PubMed

    Kwok, Chun Shing; Boekholdt, S Matthijs; Lentjes, Marleen A H; Loke, Yoon K; Luben, Robert N; Yeong, Jessica K; Wareham, Nicholas J; Myint, Phyo K; Khaw, Kay-Tee

    2015-08-01

    To examine the association between chocolate intake and the risk of future cardiovascular events. We conducted a prospective study using data from the European Prospective Investigation into Cancer (EPIC)-Norfolk cohort. Habitual chocolate intake was quantified using the baseline food frequency questionnaire (1993-1997) and cardiovascular end points were ascertained up to March 2008. A systematic review was performed to evaluate chocolate consumption and cardiovascular outcomes. A total of 20,951 men and women were included in EPIC-Norfolk analysis (mean follow-up 11.3±2.8 years, median 11.9 years). The percentage of participants with coronary heart disease (CHD) in the highest and lowest quintile of chocolate consumption was 9.7% and 13.8%, and the respective rates for stroke were 3.1% and 5.4%. The multivariate-adjusted HR for CHD was 0.88 (95% CI 0.77 to 1.01) for those in the top quintile of chocolate consumption (16-99 g/day) versus non-consumers of chocolate intake. The corresponding HR for stroke and cardiovascular disease (cardiovascular disease defined by the sum of CHD and stroke) were 0.77 (95% CI 0.62 to 0.97) and 0.86 (95% CI 0.76 to 0.97). The propensity score matched estimates showed a similar trend. A total of nine studies with 157,809 participants were included in the meta-analysis. Higher compared to lower chocolate consumption was associated with significantly lower CHD risk (five studies; pooled RR 0.71, 95% CI 0.56 to 0.92), stroke (five studies; pooled RR 0.79, 95% CI 0.70 to 0.87), composite cardiovascular adverse outcome (two studies; pooled RR 0.75, 95% CI 0.54 to 1.05), and cardiovascular mortality (three studies; pooled RR 0.55, 95% CI 0.36 to 0.83). Cumulative evidence suggests that higher chocolate intake is associated with a lower risk of future cardiovascular events, although residual confounding cannot be excluded. There does not appear to be any evidence to say that chocolate should be avoided in those who are concerned about cardiovascular risk. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  13. Mediterranean diet in healthy lifestyle and prevention of stroke.

    PubMed

    Demarin, Vida; Lisak, Marijana; Morović, Sandra

    2011-03-01

    Several studies demonstrated the beneficial and preventive role of Mediterranean diet in the occurrence of cardiovascular diseases, chronic neurodegenerative diseases and neoplasms, obesity and diabetes. In randomized intervention trials, Mediterranean diet improved endothelial function and significantly reduced waist circumference, plasma glucose, serum insulin and homeostasis model assessment score in metabolic syndrome. Several studies support favorable effects of Mediterranean diet on plasma lipid profile: reduction of total and plasma LDL cholesterol levels, plasma triglyceride levels, and apo-B and VLDL concentrations, and an increase in plasma HDL cholesterol levels. This effect is associated with increased plasma antioxidant capacity, improved endothelial function, reduced insulin resistance, and reduced incidence of the metabolic syndrome. The beneficial impact of fish consumption on the risk of cardiovascular diseases is the result of synergistic effects of nutrients in fish. Fish is considered an excellent source of protein with low saturated fat, nutritious trace elements, long-chain omega-3 polyunsaturated fatty acids (LCn3PUFAs), and vitamins D and B. Fish consumption may be inversely associated with ischemic stroke but not with hemorrhagic stroke because of the potential antiplatelet aggregation property of LCn3PUFAs. Total stroke risk reduction was statistically significant for fish intake once per week, while the risk of stroke was lowered by 31% in individuals who ate fish 5 times or more per week. In the elderly, moderate consumption of tuna/other fish, but not fried fish, was associated with lower prevalence of subclinical infarcts and white matter abnormalities on MRI examination. Dietary intake of omega-3 fatty acids in a moderate-to-high range does not appear to be associated with reduced plaque, but is negatively associated with carotid artery intima-media thickness. Greater adherence to Mediterranean diet is associated with significant reduction in overall mortality, mortality from cardiovascular diseases and stroke, incidence of or mortality from cancer, and incidence of Parkinson's disease and Alzheimer's disease and mild cognitive impairment.

  14. Dietary flavonoid intake and incident coronary heart disease: the REasons for Geographic and Racial Differences in Stroke (REGARDS) study12

    PubMed Central

    Goetz, Margarethe E; Judd, Suzanne E; Safford, Monika M; Hartman, Terryl J; McClellan, William M; Vaccarino, Viola

    2016-01-01

    Background: Flavonoids are dietary polyphenolic compounds with a variety of proposed beneficial cardiovascular effects, but rigorous prospective studies that examine the association between flavonoid intake and incident coronary heart disease (CHD) in geographically and racially diverse US samples are limited. Objective: With the use of the new, expanded USDA flavonoid database, we assessed the association between total flavonoid and flavonoid subclass intakes with incident CHD in a biracial and geographically diverse cohort, as well as effect modification by age, sex, race, and region of residence. Design: Participants were 16,678 black and white men and women enrolled in the REGARDS (REasons for Geographic and Racial Differences in Stroke) study, a national prospective cohort study. All participants were without CHD at baseline, and all completed a Block98 food-frequency questionnaire. Flavonoid intakes were estimated from USDA flavonoid databases, which were recently improved to address missing values for cooked foods and to adjust for flavonoid losses due to processing. Incident CHD events were participant reported and adjudicated by experts. Quintiles of flavonoid intake were examined as predictors of incident CHD by using Cox proportional hazards regression to obtain HRs. Tests for trend used the quintile medians. Results: Over a mean ± SD follow-up of 6.0 ± 1.9 y, 589 CHD events occurred. High flavonoid intake was associated with self-identified white race, exercise, not smoking, more education, and higher income. In models that adjusted for sociodemographic, health behavior, and dietary factors, there was an inverse association between anthocyanidin and proanthocyanidin intakes and incident CHD (HRs for quintile 5 compared with quintile 1—anthocyanidins: 0.71; 95% CI: 0.52, 0.98; P-trend = 0.04; proanthocyanidins: 0.63; 95% CI: 0.47, 0.84; P-trend = 0.02). There was no association between total flavonoid or other flavonoid subclass intakes and incident CHD. Conclusions: Reported anthocyanidin and proanthocyanidin intakes were inversely associated with incident CHD. There was no significant effect modification by age, sex, race, or region of residence. PMID:27655439

  15. Dietary flavonoid intake and incident coronary heart disease: the REasons for Geographic and Racial Differences in Stroke (REGARDS) study.

    PubMed

    Goetz, Margarethe E; Judd, Suzanne E; Safford, Monika M; Hartman, Terryl J; McClellan, William M; Vaccarino, Viola

    2016-11-01

    Flavonoids are dietary polyphenolic compounds with a variety of proposed beneficial cardiovascular effects, but rigorous prospective studies that examine the association between flavonoid intake and incident coronary heart disease (CHD) in geographically and racially diverse US samples are limited. With the use of the new, expanded USDA flavonoid database, we assessed the association between total flavonoid and flavonoid subclass intakes with incident CHD in a biracial and geographically diverse cohort, as well as effect modification by age, sex, race, and region of residence. Participants were 16,678 black and white men and women enrolled in the REGARDS (REasons for Geographic and Racial Differences in Stroke) study, a national prospective cohort study. All participants were without CHD at baseline, and all completed a Block98 food-frequency questionnaire. Flavonoid intakes were estimated from USDA flavonoid databases, which were recently improved to address missing values for cooked foods and to adjust for flavonoid losses due to processing. Incident CHD events were participant reported and adjudicated by experts. Quintiles of flavonoid intake were examined as predictors of incident CHD by using Cox proportional hazards regression to obtain HRs. Tests for trend used the quintile medians. Over a mean ± SD follow-up of 6.0 ± 1.9 y, 589 CHD events occurred. High flavonoid intake was associated with self-identified white race, exercise, not smoking, more education, and higher income. In models that adjusted for sociodemographic, health behavior, and dietary factors, there was an inverse association between anthocyanidin and proanthocyanidin intakes and incident CHD (HRs for quintile 5 compared with quintile 1-anthocyanidins: 0.71; 95% CI: 0.52, 0.98; P-trend = 0.04; proanthocyanidins: 0.63; 95% CI: 0.47, 0.84; P-trend = 0.02). There was no association between total flavonoid or other flavonoid subclass intakes and incident CHD. Reported anthocyanidin and proanthocyanidin intakes were inversely associated with incident CHD. There was no significant effect modification by age, sex, race, or region of residence. © 2016 American Society for Nutrition.

  16. Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study.

    PubMed

    Dehghan, Mahshid; Mente, Andrew; Zhang, Xiaohe; Swaminathan, Sumathi; Li, Wei; Mohan, Viswanathan; Iqbal, Romaina; Kumar, Rajesh; Wentzel-Viljoen, Edelweiss; Rosengren, Annika; Amma, Leela Itty; Avezum, Alvaro; Chifamba, Jephat; Diaz, Rafael; Khatib, Rasha; Lear, Scott; Lopez-Jaramillo, Patricio; Liu, Xiaoyun; Gupta, Rajeev; Mohammadifard, Noushin; Gao, Nan; Oguz, Aytekin; Ramli, Anis Safura; Seron, Pamela; Sun, Yi; Szuba, Andrzej; Tsolekile, Lungiswa; Wielgosz, Andreas; Yusuf, Rita; Hussein Yusufali, Afzal; Teo, Koon K; Rangarajan, Sumathy; Dagenais, Gilles; Bangdiwala, Shrikant I; Islam, Shofiqul; Anand, Sonia S; Yusuf, Salim

    2017-11-04

    The relationship between macronutrients and cardiovascular disease and mortality is controversial. Most available data are from European and North American populations where nutrition excess is more likely, so their applicability to other populations is unclear. The Prospective Urban Rural Epidemiology (PURE) study is a large, epidemiological cohort study of individuals aged 35-70 years (enrolled between Jan 1, 2003, and March 31, 2013) in 18 countries with a median follow-up of 7·4 years (IQR 5·3-9·3). Dietary intake of 135 335 individuals was recorded using validated food frequency questionnaires. The primary outcomes were total mortality and major cardiovascular events (fatal cardiovascular disease, non-fatal myocardial infarction, stroke, and heart failure). Secondary outcomes were all myocardial infarctions, stroke, cardiovascular disease mortality, and non-cardiovascular disease mortality. Participants were categorised into quintiles of nutrient intake (carbohydrate, fats, and protein) based on percentage of energy provided by nutrients. We assessed the associations between consumption of carbohydrate, total fat, and each type of fat with cardiovascular disease and total mortality. We calculated hazard ratios (HRs) using a multivariable Cox frailty model with random intercepts to account for centre clustering. During follow-up, we documented 5796 deaths and 4784 major cardiovascular disease events. Higher carbohydrate intake was associated with an increased risk of total mortality (highest [quintile 5] vs lowest quintile [quintile 1] category, HR 1·28 [95% CI 1·12-1·46], p trend =0·0001) but not with the risk of cardiovascular disease or cardiovascular disease mortality. Intake of total fat and each type of fat was associated with lower risk of total mortality (quintile 5 vs quintile 1, total fat: HR 0·77 [95% CI 0·67-0·87], p trend <0·0001; saturated fat, HR 0·86 [0·76-0·99], p trend =0·0088; monounsaturated fat: HR 0·81 [0·71-0·92], p trend <0·0001; and polyunsaturated fat: HR 0·80 [0·71-0·89], p trend <0·0001). Higher saturated fat intake was associated with lower risk of stroke (quintile 5 vs quintile 1, HR 0·79 [95% CI 0·64-0·98], p trend =0·0498). Total fat and saturated and unsaturated fats were not significantly associated with risk of myocardial infarction or cardiovascular disease mortality. High carbohydrate intake was associated with higher risk of total mortality, whereas total fat and individual types of fat were related to lower total mortality. Total fat and types of fat were not associated with cardiovascular disease, myocardial infarction, or cardiovascular disease mortality, whereas saturated fat had an inverse association with stroke. Global dietary guidelines should be reconsidered in light of these findings. Full funding sources listed at the end of the paper (see Acknowledgments). Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Determinants of handicap after stroke: the North East Melbourne Stroke Incidence Study (NEMESIS).

    PubMed

    Sturm, Jonathan W; Donnan, Geoffrey A; Dewey, Helen M; Macdonell, Richard A L; Gilligan, Amanda K; Thrift, Amanda G

    2004-03-01

    Handicap, although more relevant to the patient than impairment or disability, has received little attention in people with stroke. The aim of this study was to identify, in an unselected population, factors determining handicap at 2 years after stroke. All first-ever cases of stroke in a population of 306 631 over a 1-year period were assessed. Stroke severity, comorbidity, and demographic information was recorded. Among survivors, 2-year poststroke handicap was assessed with the London Handicap Scale. Disability, physical impairment, depression, anxiety, living arrangements, and recurrent stroke at 2 years were documented. If necessary, proxy assessments were obtained, except for mood. Linear regression analyses were performed to identify factors independently associated with handicap. First, all assessments (proxy and nonproxy) were examined; then, the nonproxy assessments were used to examine the effects of mood. Of 266 patients with incident stroke who were alive at 2 years, 226 (85%) were assessed. Significant determinants of handicap on univariable analysis were age, female sex, socioeconomic status, alcohol intake, stroke subtype, initial stroke severity; 2-year physical impairment, disability, depression and anxiety scores; institutionalization; and recurrent stroke. On multivariable analysis, the independent determinants of handicap were age and 2-year physical impairment and disability. In analysis restricted to nonproxy data, depression and anxiety were also independently associated with handicap. Age, concurrent disability, and physical impairment were more important determinants of handicap than other demographic factors or initial stroke severity. Because depression and anxiety were independently associated with handicap, their treatment may potentially reduce handicap in stroke patients.

  18. Comprehensive Outpatient Rehabilitation Program: Hospital-Based Stroke Outpatient Rehabilitation.

    PubMed

    Rice, Danielle; Janzen, Shannon; McIntyre, Amanda; Vermeer, Julianne; Britt, Eileen; Teasell, Robert

    2016-05-01

    Few studies have considered the effectiveness of outpatient rehabilitation programs for stroke patients. The objective of this study was to assess the effectiveness of a hospital-based interdisciplinary outpatient stroke rehabilitation program with respect to physical functioning, mobility, and balance. The Comprehensive Outpatient Rehabilitation Program provides a hospital-based interdisciplinary approach to stroke rehabilitation in Southwestern Ontario. Outcome measures from physiotherapy and occupational therapy sessions were available at intake and discharge from the program. A series of paired sample t-tests were performed to assess patient changes between time points for each outcome measure. A total of 271 patients met the inclusion criteria for analysis (56.1% male; mean age = 62.9 ± 13.9 years). Significant improvements were found between admission and discharge for the Functional Independence Measure, grip strength, Chedoke-McMaster Stroke Assessment, two-minute walk test, maximum walk test, Timed Up and Go, Berg Balance Scale, and one-legged stance (P < .003 for all). The findings indicate that an interdisciplinary rehabilitation program was effective at improving the physical functioning, mobility, and balance of individuals after a stroke. A hospital-based, stroke-specific rehabilitation program should be considered when patients continue to experience deficits after inpatient rehabilitation. Copyright © 2016 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  19. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Dempsey, Adam B.; Curran, Scott; Wagner, Robert M.

    Gasoline compression ignition concepts with the majority of the fuel being introduced early in the cycle are known as partially premixed combustion (PPC). Previous research on single- and multi-cylinder engines has shown that PPC has the potential for high thermal efficiency with low NOx and soot emissions. A variety of fuel injection strategies has been proposed in the literature. These injection strategies aim to create a partially stratified charge to simultaneously reduce NOx and soot emissions while maintaining some level of control over the combustion process through the fuel delivery system. The impact of the direct injection strategy to createmore » a premixed charge of fuel and air has not previously been explored, and its impact on engine efficiency and emissions is not well understood. This paper explores the effect of sweeping the direct injected pilot timing from -91° to -324° ATDC, which is just after the exhaust valve closes for the engine used in this study. During the sweep, the pilot injection consistently contained 65% of the total fuel (based on command duration ratio), and the main injection timing was adjusted slightly to maintain combustion phasing near top dead center. A modern four cylinder, 1.9 L diesel engine with a variable geometry turbocharger, high pressure common rail injection system, wide included angle injectors, and variable swirl actuation was used in this study. The pistons were modified to an open bowl configuration suitable for highly premixed combustion modes. The stock diesel injection system was unmodified, and the gasoline fuel was doped with a lubricity additive to protect the high pressure fuel pump and the injectors. The study was conducted at a fixed speed/load condition of 2000 rpm and 4.0 bar brake mean effective pressure (BMEP). The pilot injection timing sweep was conducted at different intake manifold pressures, swirl levels, and fuel injection GTP-15-1067, Dempsey 2 pressures. The gasoline used in this study has relatively high fuel reactivity with a research octane number of 68. The results of this experimental campaign indicate that the highest brake thermal efficiency and lowest emissions are achieved simultaneously with the earliest pilot injection timings (i.e., during the intake stroke).« less

  20. Dietary Fibers and Cardiometabolic Diseases

    PubMed Central

    Riccioni, Graziano; Sblendorio, Valeriana; Gemello, Eugenio; Di Bello, Barbara; Scotti, Luca; Cusenza, Salvatore; D’Orazio, Nicolantonio

    2012-01-01

    The high prevalence of cardiovascular disease (CVD) is largely attributable to the contemporary lifestyle that is often sedentary and includes a diet high in saturated fats and sugars and low ingestion of polyunsaturated fatty acids (PUFAs), fruit, vegetables, and fiber. Experimental data from both animals and humans suggest an association between increased dietary fiber (DF) intakes and improved plasma lipid profiles, including reduced low density lipoprotein cholesterol (LDL-C) concentrations. These observations underline that the intake of DF may protect against heart disease and stroke. PMID:22408406

  1. Intake of potassium- and magnesium-enriched salt improves functional outcome after stroke: a randomized, multicenter, double-blind controlled trial.

    PubMed

    Pan, Wen-Harn; Lai, Ying-Ho; Yeh, Wen-Ting; Chen, Jiunn-Rong; Jeng, Jiann-Shing; Bai, Chyi-Huey; Lin, Ruey-Tay; Lee, Tsong-Hai; Chang, Ku-Chou; Lin, Huey-Juan; Hsiao, Chin-Fu; Chern, Chang-Ming; Lien, Li-Ming; Liu, Chung-Hsiang; Chen, Wei-Hung; Chang, Anna

    2017-11-01

    Background: Stroke is one of the leading causes of mortality and neurologic deficits. Management measures to improve neurologic outcomes are in great need. Our previous intervention trial in elderly subjects successfully used salt as a carrier for potassium, demonstrating a 41% reduction in cardiovascular mortality by switching to potassium-enriched salt. Dietary magnesium has been associated with lowered diabetes and/or stroke risk in humans and with neuroprotection in animals. Objective: Because a large proportion of Taiwanese individuals are in marginal deficiency states for potassium and for magnesium and salt is a good carrier for minerals, it is justifiable to study whether further enriching salt with magnesium at an amount near the Dietary Reference Intake (DRI) amount may provide additional benefit for stroke recovery. Design: This was a double-blind, randomized controlled trial comprising 291 discharged stroke patients with modified Rankin scale (mRS) ≤4. There were 3 arms: 1 ) regular salt (Na salt) ( n = 99), 2 ) potassium-enriched salt (K salt) ( n = 97), and 3 ) potassium- and magnesium-enriched salt (K/Mg salt) ( n = 95). The NIH Stroke Scale (NIHSS), Barthel Index (BI), and mRS were evaluated at discharge, at 3 mo, and at 6 mo. A good neurologic performance was defined by NIHSS = 0, BI = 100, and mRS ≤1. Results: After the 6-mo intervention, the proportion of patients with good neurologic performance increased in a greater magnitude in the K/Mg salt group than in the K salt group and the Na salt group, in that order. The K/Mg salt group had a significantly increased OR (2.25; 95% CI: 1.09, 4.67) of achieving good neurologic performance compared with the Na salt group. But the effect of K salt alone (OR: 1.58; 95% CI: 0.77, 3.22) was not significant. Conclusions: This study suggests that providing the DRI amount of magnesium and potassium together long term is beneficial for stroke patient recovery from neurologic deficits. This trial was registered at clinicaltrials.gov as NCT02910427. © 2017 American Society for Nutrition.

  2. Dietary Polyphenols in the Prevention of Stroke

    PubMed Central

    Eder, M.

    2017-01-01

    Polyphenols have an important protective role against a number of diseases, such as atherosclerosis, brain dysfunction, stroke, cardiovascular diseases, and cancer. Cardiovascular diseases are the number one cause of death worldwide: more people die annually from cardiovascular diseases than from any other cause. The most important behavioural risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use, and excess alcohol intake. The dietary consumption of polyphenols has shown to be inversely associated with morbidity and mortality by cardio- and cerebrovascular diseases. It is well-known that the protective effects of polyphenols in vivo depend on the grade how they are extracted from food and on their intestinal absorption, metabolism, and biological action with target tissues. The aim of this review was to summarise the relation between polyphenols of different plant sources and stroke in human intervention studies, animal models, and in vitro studies. PMID:29204249

  3. Crank angle detecting system for engines

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yuzawa, H.; Nishiyama, M.; Nakamura, K.

    1988-05-31

    An ignition system for a multi-cylinder internal combustion engine is described comprising: (a) engine cylinders in which spark plugs are installed respectively, (b) indicating means disposed so as to synchronize with an engine crankshaft and formed with a large number of slits and a small number of slits, the large number of slits being provided for indicating crankshaft angular positions and the small number of slits being provided for indicating predetermined piston strokes and wherein the small number of slits have mutually different widths from each other to distinguish between piston strokes of at least the groups of cylinders; (c)more » sensing means for sensing crankshaft angular positions in cooperation with the large number of slits of the indicating means and outputting a crank angle signal representing the crankshaft angular position and for sensing the predetermined piston strokes in cooperation with the small number of slits and outputting different width piston stroke signals corresponding to the different width slits; (d) discriminating means for identifying each cylinder group and outputting cylinder group identification signals on the basis of the different width stroke signals derived from the sensing means; (e) ignition timing determining means for generating an ignition timing signal on the basis of the crank angle signal; (f) ignition coil controlling means for generating ignition coil current signals corresponding to the cylinder group identification signals; and (g) ignition timing controlling means for generating cylinder group ignition signals in response to the ignition coil current signals and ignition timing signal so that the spark plugs of each cylinder group are ignited at a proper time.« less

  4. Reducing sodium intake in children: a public health investment

    USDA-ARS?s Scientific Manuscript database

    While the clinical manifestations of elevated blood pressure (BPI) occur predominately in adults, the antecedents of chronic diseases (obesity, diabetes, atherosclerotic heart disease, and stroke) begin in childhood. Hence the contemporary approach to halting the epidemic of cardiovascular disease(...

  5. A linear acoustic model for intake wave dynamics in IC engines

    NASA Astrophysics Data System (ADS)

    Harrison, M. F.; Stanev, P. T.

    2004-01-01

    In this paper, a linear acoustic model is described that has proven useful in obtaining a better understanding of the nature of acoustic wave dynamics in the intake system of an internal combustion (IC) engine. The model described has been developed alongside a set of measurements made on a Ricardo E6 single cylinder research engine. The simplified linear acoustic model reported here produces a calculation of the pressure time-history in the port of an IC engine that agrees fairly well with measured data obtained on the engine fitted with a simple intake system. The model has proved useful in identifying the role of pipe resonance in the intake process and has led to the development of a simple hypothesis to explain the structure of the intake pressure time history: the early stages of the intake process are governed by the instantaneous values of the piston velocity and the open area under the valve. Thereafter, resonant wave action dominates the process. The depth of the early depression caused by the moving piston governs the intensity of the wave action that follows. A pressure ratio across the valve that is favourable to inflow is maintained and maximized when the open period of the valve is such to allow at least, but no more than, one complete oscillation of the pressure at its resonant frequency to occur while the valve is open.

  6. Construction of a Direct Water-Injected Two-Stroke Engine for Phased Direct Fuel Injection-High Pressure Charging Investigations

    NASA Technical Reports Server (NTRS)

    Somsel, James P.

    1998-01-01

    The development of a water injected Orbital Combustion Process (OCP) engine was conducted to assess the viability of using the powerplant for high altitude NASA aircraft and General Aviation (GA) applications. An OCP direct fuel injected, 1.2 liter, three cylinder, two-stroke engine has been enhanced to independently inject water directly into the combustion chamber. The engine currently demonstrates low brake specific fuel consumption capability and an excellent power to weight ratio. With direct water injection, significant improvements can be made to engine power, to knock limits/ignition advance timing, and to engine NO(x) emissions. The principal aim of the testing was to validate a cyclic model developed by the Systems Analysis Branch at NASA Ames Research Center. The work is a continuation of Ames' investigations into a Phased Direct Fuel Injection Engine with High Pressure Charging (PDFI-ITPC).

  7. Dietary patterns are associated with incident stroke and contribute to excess risk of stroke in Black Americans

    PubMed Central

    Judd, Suzanne E; Gutiérrez, Orlando M.; Newby, PK; Howard, George; Howard, Virginia J; Locher, Julie L; Kissela, Brett M; Shikany, James M

    2014-01-01

    Background and Purpose Black Americans and residents of the Southeastern United States, are at increased risk of stroke. Diet is one of many potential factors proposed that might explain these racial and regional disparities. Methods Between 2003–2007, the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study enrolled 30,239 black and white Americans aged 45 years or older. Dietary patterns were derived using factor analysis and foods from food frequency data. Incident strokes were adjudicated using medical records by a team of physicians. Cox proportional hazards models were used to examine risk of stroke. Results Over 5.7 years, 490 incident strokes were observed. In a multivariable-adjusted analysis, greater adherence to the Plant-based pattern was associated with lower stroke risk (HR=0.71; 95% CI=0.56–0.91; ptrend=0.005). This association was attenuated after addition of income, education, total energy intake, smoking, and sedentary behavior. Participants with a higher adherence to the Southern pattern experienced a 39% increased risk of stroke (HR=1.39; 95% CI=1.05, 1.84), with a significant (p = 0.009) trend across quartiles. Including Southern pattern in the model mediated the black-white risk of stroke by 63%. Conclusions These data suggest that adherence to a Southern style diet may increase the risk of stroke while adherence to a more plant-based diet may reduce stroke risk. Given the consistency of finding a dietary impact on stroke risk across studies, discussing nutrition patterns during risk screening may be an important step in reducing stroke. PMID:24159061

  8. Engine with exhaust gas recirculation system and variable geometry turbocharger

    DOEpatents

    Keating, Edward J.

    2015-11-03

    An engine assembly includes an intake assembly, an internal combustion engine defining a plurality of cylinders and configured to combust a fuel and produce exhaust gas, and an exhaust assembly in fluid communication with a first subset of the plurality of cylinders. Each of the plurality of cylinders are provided in fluid communication with the intake assembly. The exhaust assembly is provided in fluid communication with a first subset of the plurality of cylinders, and a dedicated exhaust gas recirculation system in fluid communication with both a second subset of the plurality of cylinders and with the intake assembly. The dedicated exhaust gas recirculation system is configured to route all of the exhaust gas from the second subset of the plurality of cylinders to the intake assembly. Finally, the engine assembly includes a turbocharger having a variable geometry turbine in fluid communication with the exhaust assembly.

  9. Conversion of a micro, glow-ignition, two-stroke engine from nitromethane-methanol blend fuel to military jet propellant (JP-8)

    NASA Astrophysics Data System (ADS)

    Wiegand, Andrew L.

    The goal of the thesis "Conversion of a Micro, Glow-Ignition, Two-Stroke Engine from Nitromethane-Methanol Blend Fuel to Military Jet Propellant (JP-8)" was to demonstrate the ability to operate a small engine on JP-8 and was completed in two phases. The first phase included choosing, developing a test stand for, and baseline testing a nitromethane-methanol-fueled engine. The chosen engine was an 11.5 cc, glow-ignition, two-stroke engine designed for remote-controlled helicopters. A micro engine test stand was developed to load and motor the engine. Instrumentation specific to the low flow rates and high speeds of the micro engine was developed and used to document engine behavior. The second phase included converting the engine to operate on JP-8, completing JP-8-fueled steady-state testing, and comparing the performance of the JP-8-fueled engine to the nitromethane-methanol-fueled engine. The conversion was accomplished through a novel crankcase heating method; by heating the crankcase for an extended period of time, a flammable fuel-air mixture was generated in the crankcase scavenged engine, which greatly improved starting times. To aid in starting and steady-state operation, yttrium-zirconia impregnated resin (i.e. ceramic coating) was applied to the combustion surfaces. This also improved the starting times of the JP-8-fueled engine and ultimately allowed for a 34-second starting time. Finally, the steady-state data from both the nitromethane-methanol and JP-8-fueled micro engine were compared. The JP-8-fueled engine showed signs of increased engine friction while having higher indicated fuel conversion efficiency and a higher overall system efficiency. The minimal ability of JP-8 to cool the engine via evaporative effects, however, created the necessity of increased cooling air flow. The conclusion reached was that JP-8-fueled micro engines could be viable in application, but not without additional research being conducted on combustion phenomenon and cooling requirements.

  10. Simulation and experiment for oxygen-enriched combustion engine using liquid oxygen to solidify CO2

    NASA Astrophysics Data System (ADS)

    Liu, Yongfeng; Jia, Xiaoshe; Pei, Pucheng; Lu, Yong; Yi, Li; Shi, Yan

    2016-01-01

    For capturing and recycling of CO2 in the internal combustion engine, Rankle cycle engine can reduce the exhaust pollutants effectively under the condition of ensuring the engine thermal efficiency by using the techniques of spraying water in the cylinder and optimizing the ignition advance angle. However, due to the water spray nozzle need to be installed on the cylinder, which increases the cylinder head design difficulty and makes the combustion conditions become more complicated. In this paper, a new method is presented to carry out the closing inlet and exhaust system for internal combustion engines. The proposed new method uses liquid oxygen to solidify part of cooled CO2 from exhaust system into dry ice and the liquid oxygen turns into gas oxygen which is sent to inlet system. The other part of CO2 is sent to inlet system and mixed with oxygen, which can reduce the oxygen-enriched combustion detonation tendency and make combustion stable. Computing grid of the IP52FMI single-cylinder four-stroke gasoline-engine is established according to the actual shape of the combustion chamber using KIVA-3V program. The effects of exhaust gas recirculation (EGR) rate are analyzed on the temperatures, the pressures and the instantaneous heat release rates when the EGR rate is more than 8%. The possibility of enclosing intake and exhaust system for engine is verified. The carbon dioxide trapping device is designed and the IP52FMI engine is transformed and the CO2 capture experiment is carried out. The experimental results show that when the EGR rate is 36% for the optimum EGR rate. When the liquid oxygen of 35.80-437.40 g is imported into the device and last 1-20 min, respectively, 21.50-701.30 g dry ice is obtained. This research proposes a new design method which can capture CO2 for vehicular internal combustion engine.

  11. Complementary and alternative medicine treatments among stroke patients in India.

    PubMed

    Pandian, Jeyaraj Durai; Toor, Gagan; Arora, Rajni; Kaur, Paramdeep; Dheeraj, K V; Bhullar, Ranjeet Singh; Sylaja, Padmawati N

    2012-01-01

    Complementary and alternative medicine (CAM) is commonly used by persons with stroke throughout the world, particularly in Asia. The objectives of this study were to determine the frequency of CAM use and the factors that predict the use of CAM in stroke patients. This study was carried out in the stroke units of Christian Medical College, Ludhiana, and Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India, from June 2010 to December 2010. Participants were interviewed using a structured questionnaire (≥ 6 months post stroke). Outcomes were assessed using a modified Rankin Scale (mRS). Three hundred fourteen stroke patients were interviewed; mean age was 57.4 ± 12.9 years, and 230 (73.2%) patients were men. Of 314 patients, 114 (36.3%) had used the following CAM treatments: ayurvedic massage, 67 (59.3%); intravenous fluids, 22 (19.5%); herbal medicines, 17 (15%); homeopathy, 15 (13.3%); witchcraft, 3 (2.7%); acupuncture, 3 (2.7%); opium intake, 10 (8.8%); and other nonconventional treatments, 10 (8.8%). Patients with severe stroke (P < .0001), limb weakness (P < .0001), dysphagia (P = .02), dyslipidemia (P = .007), hypertension (P = .03), or hemorrhagic stroke (P<.0001) and patients with poor outcome (mRS >2;P < .0001) often used CAM treatments. More than one-third of the patients in this study opted for CAM. Presence of limb weakness, dysphagia, dyslipidemia, hypertension, hemorrhagic stroke, severe stroke, and poor outcome predicted the use of CAM.

  12. A low cost mid-infrared sensor for on line contamination monitoring of lubricating oils in marine engines

    NASA Astrophysics Data System (ADS)

    Ben Mohammadi, L.; Kullmann, F.; Holzki, M.; Sigloch, S.; Klotzbuecher, T.; Spiesen, J.; Tommingas, T.; Weismann, P.; Kimber, G.

    2010-04-01

    The chemical and physical condition of oils in marine engines must be monitored to ensure optimum performance of the engine and to avoid damage by degraded oil not adequately lubricating the engine. Routine monitoring requires expensive laboratory testing and highly skilled analysts. This work describes the adaptation and implementation of a mid infrared (MIR) sensor module for continued oil condition monitoring in two-stroke and four-stroke diesel engines. The developed sensor module will help to reduce costs in oil analysis by eliminating the need to collect and send samples to a laboratory for analysis. The online MIR-Sensor module measures the contamination of oil with water, soot, as well as the degradation indicated by the TBN (Total Base Number) value. For the analysis of water, TBN, and soot in marine engine oils, four spectral regions of interest have been identified. The optical absorption in these bands correlating with the contaminations is measured simultaneously by using a four-field thermopile detector, combined with appropriate bandpass filters. Recording of the MIR-absorption was performed in a transmission mode using a flow-through cell with appropriate path length. Since in this case no spectrometer is required, the sensor including the light source, the flowthrough- cell, and the detector can be realised at low cost and in a very compact manner. The optical configuration of the sensor with minimal component number and signal intensity optimisation at the four-field detector was implemented by using non-sequential ray tracing simulation. The used calibration model was robust enough to predict accurately the value for soot, water, and TBN concentration for two-stroke and four-stroke engine oils. The sensor device is designed for direct installation on the host engine or machine and, therefore, becoming an integral part of the lubrication system. It can also be used as a portable stand-alone system for machine fluid analysis in the field.

  13. Devices to improve the performance of a conventional two-stroke spark ignition engine

    NASA Astrophysics Data System (ADS)

    Poola, R. B.; Nagalingam, B.; Gopalakrishnan, K. V.

    1995-08-01

    This paper presents research efforts made in three different phases with the objective of improving the fuel economy of and reducing exhaust emissions from conventional, carbureted, two-stroke spark ignition (SI) engines, which are widely employed in two-wheel transportation in India. A review concerning the existing two-stroke engine technology for this application is included. In the first phase, a new scavenging system was developed and tested to reduce the loss of fresh charge through the exhaust port. In the second phase, the following measures were carried out to improve the combustion process: (1) using an in-cylinder catalyst, such as copper, chromium, and nickel, in the form of coating; (2) providing moderate thermal insulation in the combustion chamber, either by depositing thin ceramic material or by metal inserts; (3) developing a high-energy ignition system; and (4) employing high-octane fuel, such as methanol, ethanol, eucalyptus oil, and orange oil, as a blending agent with gasoline. Based on the effectiveness of the above measures, an optimized design was developed in the final phase to achieve improved performance. Test results indicate that with an optimized two-stroke SI engine, the maximum percentage improvement in brake thermal efficiency is about 31%, together with a reduction of 3400 ppm in hydrocarbons (HC) and 3% by volume of carbon monoxide (CO) emissions over the normal engine (at 3 kW, 3000 rpm). Higher cylinder peak pressures (3-5 bar), lower ignition delay (2-4 degrees CA), and shorter combustion duration (4-10 degrees CA) are obtained. The knock-limited power output is also enhanced by 12.7% at a high compression ratio (CR) of 9:1. The proposed modifications in the optimized design are simple, low-cost, and easy to adopt for both production and existing engines.

  14. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Neitzel, D.A.; McKenzie, D.H.

    To minimize adverse impact on aquatic ecosystems resulting from the operation of water intake structures, design engineers must have relevant information on the behavior, physiology and ecology of local fish and shellfish. Identification of stimulus/response relationships and the environmental factors that influence them is the first step in incorporating biological information in the design, location or modification of water intake structures. A procedure is presented in this document for providing biological input to engineers who are designing, locating or modifying a water intake structure. The authors discuss sources of stimuli at water intakes, historical approaches in assessing potential/actual impact andmore » review biological information needed for intake design.« less

  15. The role of spray-enhanced swirl flow for combustion stabilization in a stratified-charge DISI engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zeng, Wei; Sjöberg, Magnus; Reuss, David L.

    Implementing spray-guided stratified-charge direct-injection spark-ignited (DISI) engines is inhibited by the occurrence of misfire and partial burns. Engine-performance tests demonstrate that increasing engine speed induces combustion instability, but this deterioration can be prevented by generating swirling flow during the intake stroke. In-cylinder pressure-based heat-release analysis reveals that the appearance of poor-burn cycles is not solely dependent on the variability of early flame-kernel growth. Moreover, cycles can experience burning-rate regression during later combustion stages and may or may not recover before the end of the cycle. Thermodynamic analysis and optical diagnostics are used here to clarify why swirl improves the combustionmore » repeatability from cycle to cycle. The fluid dynamics of swirl/spray interaction was previously demonstrated using high-speed PIV measurements of in-cylinder motored flow. It was found that the sprays of the multi-hole injector redistribute the intake-generated swirl flow momentum, thereby creating a better-centered higher angular-momentum vortex with reduced variability. The engine operation with high swirl was found to have significant improvement in cycle-to-cycle variations of both flow pattern and flow momentum. This paper is an extension of the previous work. Here, PIV measurements and flame imaging are applied to fired operation for studying how the swirl flow affects variability of ignition and subsequent combustion phases. PIV results for fired operation are consistent with the measurements made of motored flow. They demonstrate that the spark-plasma motion is highly correlated with the direction of the gas flow in the vicinity of the spark-plug gap. Without swirl, the plasma is randomly stretched towards either side of the spark plug, causing variability in the ignition of the two spray plumes that are straddling the spark plug. Conversely, swirl flow always convects the spark plasma towards one spray plume, causing a more repeatable ignition. The swirl decreases local RMS velocity, consistent with an observed reduction of early-burn variability. Broadband flame imaging demonstrates that with swirl, the flame consistently propagates in multiple directions to consume fuel–air mixtures within the piston bowl. In contrast, operation without swirl displays higher variability of flame-spread patterns, occasionally causing the appearance of partial-burn cycles.« less

  16. Effect of Premixed Fuel Preparation for Partially Premixed Combustion with a Low Octane Gasoline on a Light-Duty Multi-Cylinder Compression Ignition Engine

    DOE PAGES

    Dempsey, Adam B.; Curran, Scott; Wagner, Robert M.; ...

    2015-05-12

    Gasoline compression ignition concepts with the majority of the fuel being introduced early in the cycle are known as partially premixed combustion (PPC). Previous research on single- and multi-cylinder engines has shown that PPC has the potential for high thermal efficiency with low NOx and soot emissions. A variety of fuel injection strategies has been proposed in the literature. These injection strategies aim to create a partially stratified charge to simultaneously reduce NOx and soot emissions while maintaining some level of control over the combustion process through the fuel delivery system. The impact of the direct injection strategy to createmore » a premixed charge of fuel and air has not previously been explored, and its impact on engine efficiency and emissions is not well understood. This paper explores the effect of sweeping the direct injected pilot timing from -91° to -324° ATDC, which is just after the exhaust valve closes for the engine used in this study. During the sweep, the pilot injection consistently contained 65% of the total fuel (based on command duration ratio), and the main injection timing was adjusted slightly to maintain combustion phasing near top dead center. A modern four cylinder, 1.9 L diesel engine with a variable geometry turbocharger, high pressure common rail injection system, wide included angle injectors, and variable swirl actuation was used in this study. The pistons were modified to an open bowl configuration suitable for highly premixed combustion modes. The stock diesel injection system was unmodified, and the gasoline fuel was doped with a lubricity additive to protect the high pressure fuel pump and the injectors. The study was conducted at a fixed speed/load condition of 2000 rpm and 4.0 bar brake mean effective pressure (BMEP). The pilot injection timing sweep was conducted at different intake manifold pressures, swirl levels, and fuel injection GTP-15-1067, Dempsey 2 pressures. The gasoline used in this study has relatively high fuel reactivity with a research octane number of 68. The results of this experimental campaign indicate that the highest brake thermal efficiency and lowest emissions are achieved simultaneously with the earliest pilot injection timings (i.e., during the intake stroke).« less

  17. The role of spray-enhanced swirl flow for combustion stabilization in a stratified-charge DISI engine

    DOE PAGES

    Zeng, Wei; Sjöberg, Magnus; Reuss, David L.; ...

    2016-06-01

    Implementing spray-guided stratified-charge direct-injection spark-ignited (DISI) engines is inhibited by the occurrence of misfire and partial burns. Engine-performance tests demonstrate that increasing engine speed induces combustion instability, but this deterioration can be prevented by generating swirling flow during the intake stroke. In-cylinder pressure-based heat-release analysis reveals that the appearance of poor-burn cycles is not solely dependent on the variability of early flame-kernel growth. Moreover, cycles can experience burning-rate regression during later combustion stages and may or may not recover before the end of the cycle. Thermodynamic analysis and optical diagnostics are used here to clarify why swirl improves the combustionmore » repeatability from cycle to cycle. The fluid dynamics of swirl/spray interaction was previously demonstrated using high-speed PIV measurements of in-cylinder motored flow. It was found that the sprays of the multi-hole injector redistribute the intake-generated swirl flow momentum, thereby creating a better-centered higher angular-momentum vortex with reduced variability. The engine operation with high swirl was found to have significant improvement in cycle-to-cycle variations of both flow pattern and flow momentum. This paper is an extension of the previous work. Here, PIV measurements and flame imaging are applied to fired operation for studying how the swirl flow affects variability of ignition and subsequent combustion phases. PIV results for fired operation are consistent with the measurements made of motored flow. They demonstrate that the spark-plasma motion is highly correlated with the direction of the gas flow in the vicinity of the spark-plug gap. Without swirl, the plasma is randomly stretched towards either side of the spark plug, causing variability in the ignition of the two spray plumes that are straddling the spark plug. Conversely, swirl flow always convects the spark plasma towards one spray plume, causing a more repeatable ignition. The swirl decreases local RMS velocity, consistent with an observed reduction of early-burn variability. Broadband flame imaging demonstrates that with swirl, the flame consistently propagates in multiple directions to consume fuel–air mixtures within the piston bowl. In contrast, operation without swirl displays higher variability of flame-spread patterns, occasionally causing the appearance of partial-burn cycles.« less

  18. Emissions from in-use lawn-mowers in Australia

    NASA Astrophysics Data System (ADS)

    Priest, M. W.; Williams, D. J.; Bridgman, H. A.

    Concern over the levels of pollutants emitted from small engines has led to recent legislation in the United States that regulates exhaust emissions from lawn and garden equipment. Particular attention has focused on the high levels of hydrocarbons emitted by these engines. The present study establishes emission factors for lawn-mowers in use in Australia. The estimates were calculated on the basis of a series of controlled emission tests conducted on commonly used lawn-mowers. Ten two-stroke and six four-stroke lawn-mower engines were operated under simulated power requirements while fuel usage and gas emissions were monitored. Fuel consumption rates from the tests were compared to those ascertained under actual mowing conditions in field tests conducted on 19 two-stroke and ten four-stroke lawn-mowers. Basic emission factors were established for CO, CO 2, CH 4, NMHC and NO x, and combined with data on machine population and annual usage collected in a survey of lawn care practices and lawn-mower usage conducted in the Newcastle area. When compared to transport sources in the Newcastle study region, lawn-mowers contribute 5.2 and 11.6% of CO and NMHC emissions, respectively.

  19. Lycopene and tomato and risk of cardiovascular diseases: A systematic review and meta-analysis of epidemiological evidence.

    PubMed

    Cheng, Ho M; Koutsidis, Georgios; Lodge, John K; Ashor, Ammar W; Siervo, Mario; Lara, Jose

    2017-08-11

    Worldwide, cardiovascular diseases (CVDs) remains as the main cause of mortality. Observational studies supports an association between intake of tomato products or lycopene with a reduced CVDs risk. Our aim was to undertake a systematic review and meta-analysis of the evidence on the topic. Medline, Web of Science, and Scopus were searched from inception until July 2017. We included longitudinal and cross-sectional studies reporting associations between lycopene and tomato consumption and cardiovascular morbidity and mortality among adult subjects. Random-effects models were used to determine the pooled effect sizes. Twenty-eight publications met our inclusion criteria and 25 studies provided quantitative data for meta-analysis. Results showed that individuals in the highest consumption category of, or with the highest serum concentration of, lycopene had significantly lower risk of stroke (hazard ratio (HR) 0.74, 0.62-0.89, p = 0.02; I 2 = 32) and CVDs (HR 0.86, 0.77-0.95, p = 0.003; I 2 = 0). In addition, individuals categorised in the highest serum concentration of lycopene also had significantly lower risk of mortality (HR 0.63, 0.49-0.81, p<0.001; I 2 = 46). Lycopene was not significantly associated with myocardial infarction, while scarce evidence on the association of lycopene with atherosclerosis, congestive heart failure, or atrial fibrillation was evident. Evidence from three studies suggested that higher intakes of tomato were associated with non-significantly lower stroke, CVDs and CHD. This comprehensive meta-analysis suggests that high-intakes or high-serum concentration of lycopene are associated with significant reductions in the risk of stroke (26%), mortality (37%) and CVDs (14%).

  20. Variable camshaft timing system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Butterfield, R.P.; Smith, F.R.

    1989-09-05

    This patent describes an improvement in a variable camshaft timing system for an internal combustion engine having intake and exhaust valves and a camshaft for each of the intake and exhaust valves, an intake sprocket and an exhaust sprocket keyed to their respective camshaft, only one of the camshafts being directly driven by an engine crankshaft, and a timing chain engaging both sprockets. The improvement comprising a single bracket carrying at least one idler sprocket engaging the timing chain, the bracket being mounted for movement to alter the timing relationship between the intake and exhaust sprockets.

  1. Scavenging flow velocity in small two-strokes at high engine speed

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ekenberg, M.; Johansson, B.

    1995-12-31

    2D-LDV-measurements were made on the flow from one transfer channel into the cylinder in a small two-stroke SI engine. The LDV measuring volume was located just outside the transfer port. The engine was a carburetted piston-ported crankcase compression chainsaw engine and it was run with wide open throttle at 9000 RPM. The muffler was removed to enable access into the cylinder. No additional seeding was used; the fuel and/or oil was not entirely vaporized as it entered the cylinder. Very high velocities ({approximately}275 m/s) were detected in the beginning of the scavenging phase. The horizontal velocity was, during the wholemore » scavenging phase, higher than the vertical.« less

  2. Seismic Analysis of Intake Towers

    DTIC Science & Technology

    1982-10-01

    Experiment Station (WES) under the sponsorship of the Directorate of Civil Works of the Office, Chief of Engineers, U. S. Army. The work was funded under...the structural capacity of the intake S,-tower are contained in Engineer Technical Letter (ETL) 1110-2-265 " Civil Systems Incorporated, "Dynamic...Berkeley, Calif. " ___ 1975. "Earthquake Resistant Design of Intake-Outlet Towers," Journal of the Structural Division_ American Society of Civil

  3. Primary gas- and particle-phase emissions and secondary organic aerosol production from gasoline and diesel off-road engines.

    PubMed

    Gordon, Timothy D; Tkacik, Daniel S; Presto, Albert A; Zhang, Mang; Jathar, Shantanu H; Nguyen, Ngoc T; Massetti, John; Truong, Tin; Cicero-Fernandez, Pablo; Maddox, Christine; Rieger, Paul; Chattopadhyay, Sulekha; Maldonado, Hector; Maricq, M Matti; Robinson, Allen L

    2013-12-17

    Dilution and smog chamber experiments were performed to characterize the primary emissions and secondary organic aerosol (SOA) formation from gasoline and diesel small off-road engines (SOREs). These engines are high emitters of primary gas- and particle-phase pollutants relative to their fuel consumption. Two- and 4-stroke gasoline SOREs emit much more (up to 3 orders of magnitude more) nonmethane organic gases (NMOGs), primary PM and organic carbon than newer on-road gasoline vehicles (per kg of fuel burned). The primary emissions from a diesel transportation refrigeration unit were similar to those of older, uncontrolled diesel engines used in on-road vehicles (e.g., premodel year 2007 heavy-duty diesel trucks). Two-strokes emitted the largest fractional (and absolute) amount of SOA precursors compared to diesel and 4-stroke gasoline SOREs; however, 35-80% of the NMOG emissions from the engines could not be speciated using traditional gas chromatography or high-performance liquid chromatography. After 3 h of photo-oxidation in a smog chamber, dilute emissions from both 2- and 4-stroke gasoline SOREs produced large amounts of semivolatile SOA. The effective SOA yield (defined as the ratio of SOA mass to estimated mass of reacted precursors) was 2-4% for 2- and 4-stroke SOREs, which is comparable to yields from dilute exhaust from older passenger cars and unburned gasoline. This suggests that much of the SOA production was due to unburned fuel and/or lubrication oil. The total PM contribution of different mobile source categories to the ambient PM burden was calculated by combining primary emission, SOA production and fuel consumption data. Relative to their fuel consumption, SOREs are disproportionately high total PM sources; however, the vastly greater fuel consumption of on-road vehicles renders them (on-road vehicles) the dominant mobile source of ambient PM in the Los Angeles area.

  4. Analysis of the Level of Dysphagia, Anxiety, and Nutritional Status Before and After Speech Therapy in Patients with Stroke

    PubMed Central

    Drozdz, Daniela; Mancopes, Renata; Silva, Ana Maria Toniolo; Reppold, Caroline

    2014-01-01

    Introduction: The rehabilitation in oropharyngeal dysphagia evidence-based implies the relationship between the interventions and their results. Objective: Analyze level of dysphagia, oral ingestion, anxiety levels and nutritional status of patients with stroke diagnosis, before and after speech therapy. Method: Clinical assessment of dysphagia partially using the Protocol of Risk Assessment for Dysphagia (PARD), applying the scale Functional Oral Intake Scale for Dysphagia in Stroke Patients (FOIS), Beck Anxiety Inventory (BAI) and the Mini Nutritional Assessment MNA®. The sample consisted of 12 patients, mean age of 64.6 years, with a medical diagnosis of hemorrhagic and ischemic stroke and without cognitive disorders. All tests were applied before and after speech therapy (15 sessions). Statistical analysis was performed using the chi-square test or Fisher's exact test, McNemar's test, Bowker's symmetry test and Wilcoxon's test. Results: During the pre-speech therapy assessments, 33.3% of patients had mild to moderate dysphagia, 88.2% did not receive food orally, 47.1% of the patients showed malnutrition and 35.3% of patients had mild anxiety level. After the therapy sessions, it was found that 33.3% of patients had mild dysphagia, 16.7% were malnourished and 50% of patients had minimal level of anxiety. Conclusion:  There were statistically significant evolution of the level of dysphagia (p = 0.017) and oral intake (p = 0.003) post-speech therapy. Although not statistically significant, there was considerable progress in relation to the level of anxiety and nutritional status. PMID:25992086

  5. Interaction between statin use and saturated fat intake in relation to cognitive test performance

    USDA-ARS?s Scientific Manuscript database

    Strokes, microvascular disease, and Alzheimer’s disease adversely affect cognitive function in older people. High circulating cholesterol levels and amyloid-beta peptide deposition contribute to these conditions. Statins lower serum cholesterol by interfering with cholesterol biosynthesis, and they ...

  6. Coffee and tea: perks for health and longevity?

    PubMed

    Bhatti, Salman K; O'Keefe, James H; Lavie, Carl J

    2013-11-01

    Tea and coffee, after water, are the most commonly consumed beverages in the world and are the top sources of caffeine and antioxidant polyphenols in the American diet. The purpose of this review is to assess the health effects of chronic tea and/or coffee consumption. Tea consumption, especially green tea, is associated with significantly reduced risks for stroke, diabetes and depression, and improved levels of glucose, cholesterol, abdominal obesity and blood pressure. Habitual coffee consumption in large epidemiological studies is associated with reduced mortality, both for all-cause and cardiovascular deaths. In addition, coffee intake is associated with risks of heart failure, stroke, diabetes mellitus and some cancers in an inverse dose-dependent fashion. Surprisingly, coffee is associated with neutral to reduced risks for both atrial and ventricular arrhythmias. However, caffeine at high doses can increase anxiety, insomnia, calcium loss and possibly the risk of fractures. Coffee and tea can generally be recommended as health-promoting additions to an adult diet. Adequate dietary calcium intake may be particularly important for tea and coffee drinkers.

  7. Air Intake Performance of Air Breathing Ion Engines

    NASA Astrophysics Data System (ADS)

    Fujita, Kazuhisa

    The air breathing ion engine (ABIE) is a new type of electric propulsion system which can be used to compensate the aerodynamic drag of the satellite orbiting at extremely low altitudes. In this propulsion system, the low-density atmosphere surrounding the satellite is taken in and used as the propellant of ion engines to reduce the propellant mass for a long operation lifetime. Since feasibility and performance of the ABIE are subject to the compression ratio and the air intake efficiency, a numerical analysis has been conducted by means of the direct-simulation Monte-Carlo method to clarify the characteristics of the air-intake performance in highly rarefied flows. Influences of the flight altitude, the aspect-ratio of the air intake duct, the angle of attack, and the wall conditions are investigated.

  8. Internal combustion engine with compressed air collection system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, P.W.

    1988-08-23

    This patent describes an internal combustion engine comprising cylinders respectively including a pressure port, pistons respectively movable in the cylinders through respective compression strokes, fuel injectors respectively connected to the cylinders and operative to supply, from a fuel source to the respective cylinders, a metered quantity of fuel conveyed by compressed gas in response to fuel injector operation during the compression strokes of the respective cylinders, a storage tank for accumulating and storing compressed gas, means for selectively connecting the pressure ports to the storage tank only during the compression strokes of the respective cylinders, and duct means connecting themore » storage tank to the fuel injectors for supplying the fuel injectors with compressed gas in response to fuel injector operation.« less

  9. A unified engineering model of the first stroke in downward negative lightning

    NASA Astrophysics Data System (ADS)

    Nag, Amitabh; Rakov, Vladimir A.

    2016-03-01

    Each stroke in a negative cloud-to-ground lightning flash is composed of downward leader and upward return stroke processes, which are usually modeled individually. The first stroke leader is stepped and starts with preliminary breakdown (PB) which is often viewed as a separate process. We present the first unified engineering model for computing the electric field produced by a sequence of PB, stepped leader, and return stroke processes, serving to transport negative charge to ground. We assume that a negatively charged channel extends downward in a stepped fashion during both the PB and leader stages. Each step involves a current wave that propagates upward along the newly formed channel section. Once the leader attaches to ground, an upward propagating return stroke neutralizes the charge deposited along the channel. Model-predicted electric fields are in reasonably good agreement with simultaneous measurements at both near (hundreds of meters, electrostatic field component is dominant) and far (tens of kilometers, radiation field component is dominant) distances from the lightning channel. Relations between the features of computed electric field waveforms and model input parameters are examined. It appears that peak currents associated with PB pulses are similar to return stroke peak currents, and the observed variation of electric radiation field peaks produced by leader steps at different heights above ground is influenced by the ground corona space charge.

  10. "EMMA Study: a Brazilian community-based cohort study of stroke mortality and morbidity".

    PubMed

    Goulart, Alessandra Carvalho

    2016-01-01

    Stroke has a high burden of disability and mortality. The aim here was to evaluate epidemiology, risk factors and prognosis for stroke in the EMMA Study (Study of Stroke Mortality and Morbidity). Prospective community-based cohort carried out in Hospital Universitário, University of São Paulo, 2006-2014. Stroke data based on fatal and non-fatal events were assessed, including sociodemographic data, mortality and predictors, which were evaluated by means of logistic regression and survival analyses. Stroke subtype was better defined in the hospital setting than in the local community. In the hospital phase, around 70% were first events and the ischemic subtype. Among cerebrovascular risk factors, the frequency of alcohol intake was higher in hemorrhagic stroke (HS) than in ischemic stroke (IS) cases (35.4% versus 12.3%, P < 0.001). Low education was associated with higher risk of death, particularly after six months among IS cases (odds ratio, OR, 4.31; 95% confidence interval, CI, 1.34-13.91). The risk of death due to hemorrhagic stroke was greater than for ischemic stroke and reached its maximum 10 days after the event (OR: 3.31; 95% CI: 1.55-7.05). Four-year survival analysis on 665 cases of first stroke (82.6% ischemic and 17.4% hemorrhagic) showed an overall survival rate of 48%. At four years, the highest risks of death were in relation to ischemic stroke and illiteracy (hazard ratio, HR: 1.83; 95% CI: 1.26-2.68) and diabetes (HR: 1.45; 95% CI: 1.07-1.97). Major depression presented worse one-year survival (HR: 4.60; 95% CI: 1.36-15.55). Over the long term, the EMMA database will provide additional information for planning resources destined for the public healthcare system.

  11. Small Engines Care, Operation, Maintenance and Repair. Volume I.

    ERIC Educational Resources Information Center

    Turner, J. Howard

    Developed by teacher educators and agricultural engineers and tested by vocational agriculture teachers, this reference is for student and teacher use as part of a course on servicing and operating an engine. Content includes: (1) Distinguishing Features of Small Engines, (2) How Small Gasoline Engines Work, (3) Comparing 4-(Stroke)Cycle and…

  12. The coffee paradox in stroke: Increased consumption linked with fewer strokes.

    PubMed

    Liebeskind, David S; Sanossian, Nerses; Fu, Katherine A; Wang, He-Jing; Arab, Lenore

    2016-11-01

    To determine the association in amount of daily coffee consumption with incidence of stroke in a broad cohort, considering other vascular risk factors. We utilized the Third National Health and Nutrition Examination Survey (1988-1994; NHANES III) data on participants aged ≥17 years old to examine coffee consumption and stroke. Multivariate logistic regression models related the amount of coffee use reported in a food frequency questionnaire with stroke, controlling for other vascular risk factors. Of 33 994 NHANES III subjects, coffee consumption and stroke data in adults ≥17 years old were available in 19 994. Daily coffee consumption ranged from 0 to 20 (median 1) cups and 644 (3.2%) participants had a stroke diagnosed by a physician. Coffee intake varied with age, gender, and ethnicity (P < 0.001). Interestingly, heart failure, diabetes, and hypertension were less frequent, and high cholesterol more frequent in those consuming ≥3 cups per day (P < 0.001). Smoking was more frequent in all coffee drinkers (P < 0.0001). Multivariate analyses revealed an independent effect of heavier coffee consumption (≥3 cups/day) on reduced stroke (OR 0.44, 95% CI 0.22-0.87, P < 0.02) in healthy subjects that was attenuated by vascular risk factors (OR 0.78, 95% CI 0.58-1.07, P ≈ 0.12). Heavier daily coffee consumption is associated with decreased stroke prevalence, despite smoking tendency in heavy coffee drinkers.

  13. Association of dietary sodium and potassium intakes with albuminuria in normal-weight, overweight, and obese participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study1234

    PubMed Central

    Campbell, Ruth C; Judd, Suzanne E; Sanders, Paul W; Muntner, Paul

    2011-01-01

    Background: Among obese adults, sodium intake has been associated with cardiovascular disease. Few data are available on sodium intake and albuminuria, a marker of kidney damage and risk factor for cardiovascular disease. Objective: We examined the relation between dietary sodium and potassium intakes and the ratio of sodium to potassium (Na/K) with albuminuria by BMI in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study (n = 30,239 adults aged ≥45 y). Design: A modified Block 98 food-frequency questionnaire was used for dietary assessment in 21,636 participants, and nutritional variables were categorized by sex-specific quintiles. Normal weight, overweight, and obese were defined as BMI (in kg/m2) categories of 18.5–24.9, 25–29.9, and ≥30, respectively. Albuminuria was defined as a ratio (mg/g) of urinary albumin to creatinine of ≥30. Results: The prevalences of albuminuria were 11.5%, 11.6%, and 16.0% in normal-weight, overweight, and obese participants, respectively. The multivariable-adjusted ORs for albuminuria in a comparison of the highest with the lowest quintile of Na/K intake (≥1.12 to <0.70 for men and ≥1.07 to <0.62 for women) were 0.89 (95% CI: 0.65, 1.22), 1.08 (95% CI: 0.85, 1.36), and 1.28 (95% CI: 1.02, 1.61) in normal-weight, overweight, and obese participants, respectively. The highest quintile of dietary sodium was associated with an increased OR for albuminuria in obese participants (OR: 1.44; 95% CI: 1.00, 2.07) but not in normal-weight or overweight participants. Dietary potassium was not associated with albuminuria. Conclusion: In obese adults, higher dietary Na/K and sodium intakes were associated with albuminuria. PMID:21880845

  14. Variable Cycle Intake for Reverse Core Engine

    NASA Technical Reports Server (NTRS)

    Chandler, Jesse M (Inventor); Staubach, Joseph B (Inventor); Suciu, Gabriel L (Inventor)

    2016-01-01

    A gas generator for a reverse core engine propulsion system has a variable cycle intake for the gas generator, which variable cycle intake includes a duct system. The duct system is configured for being selectively disposed in a first position and a second position, wherein free stream air is fed to the gas generator when in the first position, and fan stream air is fed to the gas generator when in the second position.

  15. Multifaceted web resources for stroke.

    PubMed

    Hanif, Kashif; Raghubir, Ram

    2008-01-01

    The Internet is an increasingly important tool for stroke survivors, their family members, and health care providers and researchers. An immense amount of information on stroke, ranging from pathophysiology and treatment to poststroke management, is available on the World Wide Web. This article presents lists of Internet search engines related to life science research, web pages of societies working in the field of stroke, and links to websites providing information on treatment, support, and poststroke survival and rehabilitation programs. Policies should be made to promote use of the Internet by patients, caregivers, and researchers working in the field of stroke to encourage improved patient care, communication, and research.

  16. Internal combustion engine with rotary valve assembly having variable intake valve timing

    DOEpatents

    Hansen, Craig N.; Cross, Paul C.

    1995-01-01

    An internal combustion engine has rotary valves associated with movable shutters operable to vary the closing of intake air/fuel port sections to obtain peak volumetric efficiency over the entire range of speed of the engine. The shutters are moved automatically by a control mechanism that is responsive to the RPM of the engine. A foot-operated lever associated with the control mechanism is also used to move the shutters between their open and closed positions.

  17. On the characteristics of centrifugal-reciprocating machines. [cryogenic coolers

    NASA Technical Reports Server (NTRS)

    Higa, W. H.

    1980-01-01

    A method of compressing helium gas for cryogenic coolers is presented which uses centrifugal force to reduce the forces on the connecting rod and crankshaft in the usual reciprocating compressor. This is achieved by rotating the piston-cylinder assembly at a speed sufficient for the centrifugal force on the piston to overcome the compressional force due to the working fluid. The rotating assembly is dynamically braked in order to recharge the working space with fluid. The intake stroke consists of decelerating the rotating piston-cylinder assembly and the exhaust stroke consists of accelerating the assembly.

  18. Knock probability estimation through an in-cylinder temperature model with exogenous noise

    NASA Astrophysics Data System (ADS)

    Bares, P.; Selmanaj, D.; Guardiola, C.; Onder, C.

    2018-01-01

    This paper presents a new knock model which combines a deterministic knock model based on the in-cylinder temperature and an exogenous noise disturbing this temperature. The autoignition of the end-gas is modelled by an Arrhenius-like function and the knock probability is estimated by propagating a virtual error probability distribution. Results show that the random nature of knock can be explained by uncertainties at the in-cylinder temperature estimation. The model only has one parameter for calibration and thus can be easily adapted online. In order to reduce the measurement uncertainties associated with the air mass flow sensor, the trapped mass is derived from the in-cylinder pressure resonance, which improves the knock probability estimation and reduces the number of sensors needed for the model. A four stroke SI engine was used for model validation. By varying the intake temperature, the engine speed, the injected fuel mass, and the spark advance, specific tests were conducted, which furnished data with various knock intensities and probabilities. The new model is able to predict the knock probability within a sufficient range at various operating conditions. The trapped mass obtained by the acoustical model was compared in steady conditions by using a fuel balance and a lambda sensor and differences below 1 % were found.

  19. Working Characteristics of Variable Intake Valve in Compressed Air Engine

    PubMed Central

    Yu, Qihui; Shi, Yan; Cai, Maolin

    2014-01-01

    A new camless compressed air engine is proposed, which can make the compressed air energy reasonably distributed. Through analysis of the camless compressed air engine, a mathematical model of the working processes was set up. Using the software MATLAB/Simulink for simulation, the pressure, temperature, and air mass of the cylinder were obtained. In order to verify the accuracy of the mathematical model, the experiments were conducted. Moreover, performance analysis was introduced to design compressed air engine. Results show that, firstly, the simulation results have good consistency with the experimental results. Secondly, under different intake pressures, the highest output power is obtained when the crank speed reaches 500 rpm, which also provides the maximum output torque. Finally, higher energy utilization efficiency can be obtained at the lower speed, intake pressure, and valve duration angle. This research can refer to the design of the camless valve of compressed air engine. PMID:25379536

  20. Working characteristics of variable intake valve in compressed air engine.

    PubMed

    Yu, Qihui; Shi, Yan; Cai, Maolin

    2014-01-01

    A new camless compressed air engine is proposed, which can make the compressed air energy reasonably distributed. Through analysis of the camless compressed air engine, a mathematical model of the working processes was set up. Using the software MATLAB/Simulink for simulation, the pressure, temperature, and air mass of the cylinder were obtained. In order to verify the accuracy of the mathematical model, the experiments were conducted. Moreover, performance analysis was introduced to design compressed air engine. Results show that, firstly, the simulation results have good consistency with the experimental results. Secondly, under different intake pressures, the highest output power is obtained when the crank speed reaches 500 rpm, which also provides the maximum output torque. Finally, higher energy utilization efficiency can be obtained at the lower speed, intake pressure, and valve duration angle. This research can refer to the design of the camless valve of compressed air engine.

  1. Effect of intake swirl on the performance of single cylinder direct injection diesel engine

    NASA Astrophysics Data System (ADS)

    Sharma, Vinod Kumar; Mohan, Man; Mouli, Chandra

    2017-11-01

    In the present work, the effect of inlet manifold geometry and swirl intensity on the direct injection (DI) diesel engine performance was investigated experimentally. Modifications in inlet manifold geometry have been suggested to achieve optimized swirl for the better mixing of fuel with air. The intake swirl intensities of modified cylinder head were measured in swirl test rig at different valve lifts. Later, the overall performance of 435 CC DI diesel engine was measured using modified cylinder head. In addition, the performance of engine was compared for both modified and old cylinder head. For same operating conditions, the brake power and brake specific fuel consumption was improved by 6% and 7% respectively with modified cylinder head compared to old cylinder head. The maximum brake power of 9 HP was achieved for modified cylinder head. The results revealed that the intake swirl has great influence on engine performance.

  2. Combined electrical stimulation and exercise for swallow rehabilitation post-stroke: a pilot randomized control trial.

    PubMed

    Sproson, Lise; Pownall, Sue; Enderby, Pam; Freeman, Jenny

    2018-03-01

    Dysphagia is common after stroke, affecting up to 50% of patients initially. It can lead to post-stroke pneumonia, which causes 30% of stroke-related deaths, a longer hospital stay and poorer health outcomes. Dysphagia care post-stroke generally focuses on the management of symptoms, via modified oral intake textures and adapted posture, rather than direct physical rehabilitation of the swallowing function. Transcutaneous neuromuscular electrical stimulation (NMES) is a promising rehabilitation technology that can be used to stimulate swallowing; however, findings regarding efficacy have been conflicting. This pilot randomized controlled study involving three UK sites compared the efficacy of the Ampcare Effective Swallowing Protocol (ESP), combining NMES with swallow-strengthening exercises, with usual care in order to clarify evidence on NMES in the treatment of dysphagia post-stroke. A further objective was to pilot recruitment procedures and outcome measures in order to inform the design of a full-scale trial. Thirty patients were recruited and randomized into either (1) usual speech and language therapy dysphagia care; or (2) Ampcare ESP, receiving treatment 5 days/week for 4 weeks. Outcome measures included: the Functional Oral Intake Scale (FOIS), the Rosenbek Penetration-Aspiration Scale (PAS) and patient-reported outcomes (Swallow Related Quality of Life-SWAL-QOL). Thirty patients were recruited; 15 were randomized to the Ampcare ESP intervention arm and 15 to usual care. A greater proportion (75%, or 9/12) of patients receiving Ampcare ESP improved compared with 57% (or 8/14) of the usual-care group. Patients receiving Ampcare ESP also made clinically meaningful change (a comparative benefit of 1.5 on the FOIS, and on the PAS: 1.35 for diet and 0.3 for fluids) compared with usual care. The intervention group also reported much better outcome satisfaction. The pilot demonstrated successful recruitment, treatment safety and tolerability and clinically meaningful outcome improvements, justifying progression to a fully powered study. It also showed clinically meaningful treatment trends for the Ampcare ESP intervention. © 2017 Royal College of Speech and Language Therapists.

  3. Systematic Review of the Association between Dairy Product Consumption and Risk of Cardiovascular-Related Clinical Outcomes123

    PubMed Central

    Drouin-Chartier, Jean-Philippe; Brassard, Didier; Tessier-Grenier, Maude; Côté, Julie Anne; Labonté, Marie-Ève; Desroches, Sophie; Couture, Patrick; Lamarche, Benoît

    2016-01-01

    The objective of this systematic review was to determine if dairy product consumption is detrimental, neutral, or beneficial to cardiovascular health and if the recommendation to consume reduced-fat as opposed to regular-fat dairy is evidence-based. A systematic review of meta-analyses of prospective population studies associating dairy consumption with cardiovascular disease (CVD), coronary artery disease (CAD), stroke, hypertension, metabolic syndrome (MetS), and type 2 diabetes (T2D) was conducted on the basis of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Quality of evidence was rated by using the Grading of Recommendations Assessment, Development, and Evaluation scale. High-quality evidence supports favorable associations between total dairy intake and hypertension risk and between low-fat dairy and yogurt intake and the risk of T2D. Moderate-quality evidence suggests favorable associations between intakes of total dairy, low-fat dairy, cheese, and fermented dairy and the risk of stroke; intakes of low-fat dairy and milk and the risk of hypertension; total dairy and milk consumption and the risk of MetS; and total dairy and cheese and the risk of T2D. High- to moderate-quality evidence supports neutral associations between the consumption of total dairy, cheese, and yogurt and CVD risk; the consumption of any form of dairy, except for fermented, and CAD risk; the consumption of regular- and high-fat dairy, milk, and yogurt and stroke risk; the consumption of regular- and high-fat dairy, cheese, yogurt, and fermented dairy and hypertension risk; and the consumption of regular- and high-fat dairy, milk, and fermented dairy and T2D risk. Data from this systematic review indicate that the consumption of various forms of dairy products shows either favorable or neutral associations with cardiovascular-related clinical outcomes. The review also emphasizes that further research is urgently needed to compare the impact of low-fat with regular- and high-fat dairy on cardiovascular-related clinical outcomes in light of current recommendations to consume low-fat dairy. PMID:28140321

  4. Systematic Review of the Association between Dairy Product Consumption and Risk of Cardiovascular-Related Clinical Outcomes.

    PubMed

    Drouin-Chartier, Jean-Philippe; Brassard, Didier; Tessier-Grenier, Maude; Côté, Julie Anne; Labonté, Marie-Ève; Desroches, Sophie; Couture, Patrick; Lamarche, Benoît

    2016-11-01

    The objective of this systematic review was to determine if dairy product consumption is detrimental, neutral, or beneficial to cardiovascular health and if the recommendation to consume reduced-fat as opposed to regular-fat dairy is evidence-based. A systematic review of meta-analyses of prospective population studies associating dairy consumption with cardiovascular disease (CVD), coronary artery disease (CAD), stroke, hypertension, metabolic syndrome (MetS), and type 2 diabetes (T2D) was conducted on the basis of the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Quality of evidence was rated by using the Grading of Recommendations Assessment, Development, and Evaluation scale. High-quality evidence supports favorable associations between total dairy intake and hypertension risk and between low-fat dairy and yogurt intake and the risk of T2D. Moderate-quality evidence suggests favorable associations between intakes of total dairy, low-fat dairy, cheese, and fermented dairy and the risk of stroke; intakes of low-fat dairy and milk and the risk of hypertension; total dairy and milk consumption and the risk of MetS; and total dairy and cheese and the risk of T2D. High- to moderate-quality evidence supports neutral associations between the consumption of total dairy, cheese, and yogurt and CVD risk; the consumption of any form of dairy, except for fermented, and CAD risk; the consumption of regular- and high-fat dairy, milk, and yogurt and stroke risk; the consumption of regular- and high-fat dairy, cheese, yogurt, and fermented dairy and hypertension risk; and the consumption of regular- and high-fat dairy, milk, and fermented dairy and T2D risk. Data from this systematic review indicate that the consumption of various forms of dairy products shows either favorable or neutral associations with cardiovascular-related clinical outcomes. The review also emphasizes that further research is urgently needed to compare the impact of low-fat with regular- and high-fat dairy on cardiovascular-related clinical outcomes in light of current recommendations to consume low-fat dairy. © 2016 American Society for Nutrition.

  5. 78 FR 37958 - Special Conditions: Cessna Aircraft Company, Model J182T; Electronic Engine Control System...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ...; Electronic Engine Control System Installation AGENCY: Federal Aviation Administration (FAA), DOT. ACTION... feature(s) associated with the installation of an electronic engine control. The applicable airworthiness...) Engines, Inc. SR305-230E-C1 which is a four-stroke, air cooled, diesel cycle engine that uses turbine (jet...

  6. Variable oxygen/nitrogen enriched intake air system for internal combustion engine applications

    DOEpatents

    Poola, Ramesh B.; Sekar, Ramanujam R.; Cole, Roger L.

    1997-01-01

    An air supply control system for selectively supplying ambient air, oxygen enriched air and nitrogen enriched air to an intake of an internal combustion engine includes an air mixing chamber that is in fluid communication with the air intake. At least a portion of the ambient air flowing to the mixing chamber is selectively diverted through a secondary path that includes a selectively permeable air separating membrane device due a differential pressure established across the air separating membrane. The permeable membrane device separates a portion of the nitrogen in the ambient air so that oxygen enriched air (permeate) and nitrogen enriched air (retentate) are produced. The oxygen enriched air and the nitrogen enriched air can be selectively supplied to the mixing chamber or expelled to atmosphere. Alternatively, a portion of the nitrogen enriched air can be supplied through another control valve to a monatomic-nitrogen plasma generator device so that atomic nitrogen produced from the nitrogen enriched air can be then injected into the exhaust of the engine. The oxygen enriched air or the nitrogen enriched air becomes mixed with the ambient air in the mixing chamber and then the mixed air is supplied to the intake of the engine. As a result, the air being supplied to the intake of the engine can be regulated with respect to the concentration of oxygen and/or nitrogen.

  7. Bioengineering solutions for neural repair and recovery in stroke.

    PubMed

    Modo, Michel; Ambrosio, Fabrisia; Friedlander, Robert M; Badylak, Stephen F; Wechsler, Lawrence R

    2013-12-01

    This review discusses emerging bioengineering opportunities for the treatment of stroke and their potential to build on current rehabilitation protocols. Bioengineering is a vast field that ranges from biomaterials to brain-computer interfaces. Biomaterials find application in the delivery of pharmacotherapies, as well as the emerging field of tissue engineering. For the treatment of stroke, these approaches have to be seen in the context of physical therapy in order to maximize functional outcomes. There is also an emergence of rehabilitation that engages engineering solutions, such as robot-assisted training, as well as brain-computer interfaces that can potentially assist in the case of paralysis. Stroke remains the main cause of adult disability with rehabilitation therapy being the focus for chronic impairments. Bioengineering is offering new opportunities to both support and synergize with currently available treatment options, and also promises to potentially dramatically improve available approaches. See the Video Supplementary Digital Content 1 (http://links.lww.com/CONR/A21).

  8. Comprehensive cardiac rehabilitation for secondary prevention after transient ischemic attack or mild stroke: I: feasibility and risk factors.

    PubMed

    Prior, Peter L; Hachinski, Vladimir; Unsworth, Karen; Chan, Richard; Mytka, Sharon; O'Callaghan, Christina; Suskin, Neville

    2011-11-01

    Comprehensive cardiac rehabilitation (CCR), which integrates structured lifestyle interventions and medications, reduces morbidity and mortality among cardiac patients. CCR has not typically been used with cerebrovascular populations, despite important commonalities with heart patients. We tested feasibility and effectiveness of 6-month outpatient CCR for secondary prevention after transient ischemic attack or mild, nondisabling stroke. This article presents risk factors. A future article will discuss psychological outcomes. Consecutive consenting subjects having sustained a transient ischemic attack or mild, nondisabling stroke within the previous 12 months (mean, 11.5 weeks; event-to-CCR entry) with ≥1 vascular risk factor, were recruited from a stroke prevention clinic providing usual care. We measured 6-month CCR outcomes following a prospective cohort design. Of 110 subjects recruited from January 2005 to April 2006, 100 subjects (mean age, 64.9 years; 46 women) entered and 80 subjects completed CCR. We obtained favorable, significant intake-to-exit changes in: aerobic capacity (+31.4%; P<0.001), total cholesterol (-0.30 mmol/L; P=0.008), total cholesterol/high-density lipoprotein (-11.6%; P<0.001), triglycerides (-0.27 mmol/L; P=0.003), waist circumference (-2.44 cm; P<0.001), body mass index (-0.53 kg/m(2); P=0.003), and body weight (-1.43 kg; P=0.001). Low-density lipoprotein (-0.24 mmol/L), high-density lipoprotein (+0.06 mmol/L), systolic (-3.21 mm Hg) and diastolic (-2.34 mm Hg) blood pressure changed favorably, but nonsignificantly. A significant shift toward nonsmoking occurred (P=0.008). Compared with intake, 11 more individuals (25.6% increase) finished CCR in the lowest-mortality risk category of the Duke Treadmill Score (P<0.001). CCR is feasible and effective for secondary prevention after transient ischemic attack or mild, nondisabling stroke, offering a promising model for vascular protection across chronic disease entities. We know of no similar previous investigation, and are now conducting a randomized trial.

  9. Polyunsaturated Fatty Acids in Children

    PubMed Central

    2013-01-01

    Polyunsaturated fatty acids (PUFAs) are the major components of brain and retina, and are the essential fatty acids with important physiologically active functions. Thus, PUFAs should be provided to children, and are very important in the brain growth and development for fetuses, newborn infants, and children. Omega-3 fatty acids decrease coronary artery disease and improve blood flow. PUFAs have been known to have anti-inflammatory action and improved the chronic inflammation such as auto-immune diseases or degenerative neurologic diseases. PUFAs are used for metabolic syndrome related with obesity or diabetes. However, there are several considerations related with intake of PUFAs. Obsession with the intake of unsaturated fatty acids could bring about the shortage of essential fatty acids that are crucial for our body, weaken the immune system, and increase the risk of heart disease, arrhythmia, and stroke. In this review, we discuss types, physiologic mechanism of action of PUFAs, intake of PUFAs for children, recommended intake of PUFAs, and considerations for the intake of PUFAs. PMID:24224148

  10. Estimation of the Long-term Cardiovascular Events Using UKPDS Risk Engine in Metabolic Syndrome Patients.

    PubMed

    Shivakumar, V; Kandhare, A D; Rajmane, A R; Adil, M; Ghosh, P; Badgujar, L B; Saraf, M N; Bodhankar, S L

    2014-03-01

    Long-term cardiovascular complications in metabolic syndrome are a major cause of mortality and morbidity in India and forecasted estimates in this domain of research are scarcely reported in the literature. The aim of present investigation is to estimate the cardiovascular events associated with a representative Indian population of patients suffering from metabolic syndrome using United Kingdom Prospective Diabetes Study risk engine. Patient level data was collated from 567 patients suffering from metabolic syndrome through structured interviews and physician records regarding the input variables, which were entered into the United Kingdom Prospective Diabetes Study risk engine. The patients of metabolic syndrome were selected according to guidelines of National Cholesterol Education Program - Adult Treatment Panel III, modified National Cholesterol Education Program - Adult Treatment Panel III and International Diabetes Federation criteria. A projection for 10 simulated years was run on the engine and output was determined. The data for each patient was processed using the United Kingdom Prospective Diabetes Study risk engine to calculate an estimate of the forecasted value for the cardiovascular complications after a period of 10 years. The absolute risk (95% confidence interval) for coronary heart disease, fatal coronary heart disease, stroke and fatal stroke for 10 years was 3.79 (1.5-3.2), 9.6 (6.8-10.7), 7.91 (6.5-9.9) and 3.57 (2.3-4.5), respectively. The relative risk (95% confidence interval) for coronary heart disease, fatal coronary heart disease, stroke and fatal stroke was 17.8 (12.98-19.99), 7 (6.7-7.2), 5.9 (4.0-6.6) and 4.7 (3.2-5.7), respectively. Simulated projections of metabolic syndrome patients predict serious life-threatening cardiovascular consequences in the representative cohort of patients in western India.

  11. Variable gas spring for matching power output from FPSE to load of refrigerant compressor

    DOEpatents

    Chen, Gong; Beale, William T.

    1990-01-01

    The power output of a free piston Stirling engine is matched to a gas compressor which it drives and its stroke amplitude is made relatively constant as a function of power by connecting a gas spring to the drive linkage from the engine to the compressor. The gas spring is connected to the compressor through a passageway in which a valve is interposed. The valve is linked to the drive linkage so it is opened when the stroke amplitude exceeds a selected limit. This allows compressed gas to enter the spring, increase its spring constant, thus opposing stroke increase and reducing the phase lead of the displacer ahead of the piston to reduce power output and match it to a reduced load power demand.

  12. Variable gas spring for matching power output from FPSE to load of refrigerant compressor

    DOEpatents

    Chen, G.; Beale, W.T.

    1990-04-03

    The power output of a free piston Stirling engine is matched to a gas compressor which it drives and its stroke amplitude is made relatively constant as a function of power by connecting a gas spring to the drive linkage from the engine to the compressor. The gas spring is connected to the compressor through a passageway in which a valve is interposed. The valve is linked to the drive linkage so it is opened when the stroke amplitude exceeds a selected limit. This allows compressed gas to enter the spring, increase its spring constant, thus opposing stroke increase and reducing the phase lead of the displacer ahead of the piston to reduce power output and match it to a reduced load power demand. 6 figs.

  13. Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies

    PubMed Central

    de Souza, Russell J; Mente, Andrew; Maroleanu, Adriana; Cozma, Adrian I; Kishibe, Teruko; Uleryk, Elizabeth; Budylowski, Patrick; Schünemann, Holger; Beyene, Joseph

    2015-01-01

    Objective To systematically review associations between intake of saturated fat and trans unsaturated fat and all cause mortality, cardiovascular disease (CVD) and associated mortality, coronary heart disease (CHD) and associated mortality, ischemic stroke, and type 2 diabetes. Design Systematic review and meta-analysis. Data sources Medline, Embase, Cochrane Central Registry of Controlled Trials, Evidence-Based Medicine Reviews, and CINAHL from inception to 1 May 2015, supplemented by bibliographies of retrieved articles and previous reviews. Eligibility criteria for selecting studies Observational studies reporting associations of saturated fat and/or trans unsaturated fat (total, industrially manufactured, or from ruminant animals) with all cause mortality, CHD/CVD mortality, total CHD, ischemic stroke, or type 2 diabetes. Data extraction and synthesis Two reviewers independently extracted data and assessed study risks of bias. Multivariable relative risks were pooled. Heterogeneity was assessed and quantified. Potential publication bias was assessed and subgroup analyses were undertaken. The GRADE approach was used to evaluate quality of evidence and certainty of conclusions. Results For saturated fat, three to 12 prospective cohort studies for each association were pooled (five to 17 comparisons with 90 501-339 090 participants). Saturated fat intake was not associated with all cause mortality (relative risk 0.99, 95% confidence interval 0.91 to 1.09), CVD mortality (0.97, 0.84 to 1.12), total CHD (1.06, 0.95 to 1.17), ischemic stroke (1.02, 0.90 to 1.15), or type 2 diabetes (0.95, 0.88 to 1.03). There was no convincing lack of association between saturated fat and CHD mortality (1.15, 0.97 to 1.36; P=0.10). For trans fats, one to six prospective cohort studies for each association were pooled (two to seven comparisons with 12 942-230 135 participants). Total trans fat intake was associated with all cause mortality (1.34, 1.16 to 1.56), CHD mortality (1.28, 1.09 to 1.50), and total CHD (1.21, 1.10 to 1.33) but not ischemic stroke (1.07, 0.88 to 1.28) or type 2 diabetes (1.10, 0.95 to 1.27). Industrial, but not ruminant, trans fats were associated with CHD mortality (1.18 (1.04 to 1.33) v 1.01 (0.71 to 1.43)) and CHD (1.42 (1.05 to 1.92) v 0.93 (0.73 to 1.18)). Ruminant trans-palmitoleic acid was inversely associated with type 2 diabetes (0.58, 0.46 to 0.74). The certainty of associations between saturated fat and all outcomes was “very low.” The certainty of associations of trans fat with CHD outcomes was “moderate” and “very low” to “low” for other associations. Conclusions Saturated fats are not associated with all cause mortality, CVD, CHD, ischemic stroke, or type 2 diabetes, but the evidence is heterogeneous with methodological limitations. Trans fats are associated with all cause mortality, total CHD, and CHD mortality, probably because of higher levels of intake of industrial trans fats than ruminant trans fats. Dietary guidelines must carefully consider the health effects of recommendations for alternative macronutrients to replace trans fats and saturated fats. PMID:26268692

  14. Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies.

    PubMed

    de Souza, Russell J; Mente, Andrew; Maroleanu, Adriana; Cozma, Adrian I; Ha, Vanessa; Kishibe, Teruko; Uleryk, Elizabeth; Budylowski, Patrick; Schünemann, Holger; Beyene, Joseph; Anand, Sonia S

    2015-08-11

    To systematically review associations between intake of saturated fat and trans unsaturated fat and all cause mortality, cardiovascular disease (CVD) and associated mortality, coronary heart disease (CHD) and associated mortality, ischemic stroke, and type 2 diabetes. Systematic review and meta-analysis. Medline, Embase, Cochrane Central Registry of Controlled Trials, Evidence-Based Medicine Reviews, and CINAHL from inception to 1 May 2015, supplemented by bibliographies of retrieved articles and previous reviews. Observational studies reporting associations of saturated fat and/or trans unsaturated fat (total, industrially manufactured, or from ruminant animals) with all cause mortality, CHD/CVD mortality, total CHD, ischemic stroke, or type 2 diabetes. Two reviewers independently extracted data and assessed study risks of bias. Multivariable relative risks were pooled. Heterogeneity was assessed and quantified. Potential publication bias was assessed and subgroup analyses were undertaken. The GRADE approach was used to evaluate quality of evidence and certainty of conclusions. For saturated fat, three to 12 prospective cohort studies for each association were pooled (five to 17 comparisons with 90,501-339,090 participants). Saturated fat intake was not associated with all cause mortality (relative risk 0.99, 95% confidence interval 0.91 to 1.09), CVD mortality (0.97, 0.84 to 1.12), total CHD (1.06, 0.95 to 1.17), ischemic stroke (1.02, 0.90 to 1.15), or type 2 diabetes (0.95, 0.88 to 1.03). There was no convincing lack of association between saturated fat and CHD mortality (1.15, 0.97 to 1.36; P=0.10). For trans fats, one to six prospective cohort studies for each association were pooled (two to seven comparisons with 12,942-230,135 participants). Total trans fat intake was associated with all cause mortality (1.34, 1.16 to 1.56), CHD mortality (1.28, 1.09 to 1.50), and total CHD (1.21, 1.10 to 1.33) but not ischemic stroke (1.07, 0.88 to 1.28) or type 2 diabetes (1.10, 0.95 to 1.27). Industrial, but not ruminant, trans fats were associated with CHD mortality (1.18 (1.04 to 1.33) v 1.01 (0.71 to 1.43)) and CHD (1.42 (1.05 to 1.92) v 0.93 (0.73 to 1.18)). Ruminant trans-palmitoleic acid was inversely associated with type 2 diabetes (0.58, 0.46 to 0.74). The certainty of associations between saturated fat and all outcomes was "very low." The certainty of associations of trans fat with CHD outcomes was "moderate" and "very low" to "low" for other associations. Saturated fats are not associated with all cause mortality, CVD, CHD, ischemic stroke, or type 2 diabetes, but the evidence is heterogeneous with methodological limitations. Trans fats are associated with all cause mortality, total CHD, and CHD mortality, probably because of higher levels of intake of industrial trans fats than ruminant trans fats. Dietary guidelines must carefully consider the health effects of recommendations for alternative macronutrients to replace trans fats and saturated fats. © de Souza et al 2015.

  15. 40 CFR 86.1542 - Information required.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... required: (1) Date and time of day. (2) Test number. (3) Engine intake air or test cell temperature. (4) Barometric pressure. Note: A central laboratory barometer may be used: Provided, That individual test cell... location. (5) Engine intake or test cell and CVS dilution air humidity. (6) Curb idle speed during the test...

  16. 40 CFR 86.1542 - Information required.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... required: (1) Date and time of day. (2) Test number. (3) Engine intake air or test cell temperature. (4) Barometric pressure. Note: A central laboratory barometer may be used: Provided, That individual test cell... location. (5) Engine intake or test cell and CVS dilution air humidity. (6) Curb idle speed during the test...

  17. Evaluation of Diesel Engine Performance with Intake and Exhaust System Throttling : Volume 1. Text and Appendixes A through H.

    DOT National Transportation Integrated Search

    1975-11-01

    The diesel engine itself is an important source of diesel powered vehicle noise, and becomes dominant after proper treatment of intake/exhaust and cooling system noise at vehicle speeds below fifty miles per hour. An investigation is reported, in two...

  18. Stroke Repair via Biomimicry of the Subventricular Zone

    NASA Astrophysics Data System (ADS)

    Matta, Rita; Gonzalez, Anjelica L.

    2018-03-01

    Stroke is among the leading causes of death and disability worldwide, 85% of which are ischemic. Current stroke therapies are limited by a narrow effective therapeutic time and fail to effectively complete the recovery of the damaged area. Magnetic resonance imaging of the subventricular zone (SVZ) following infarct/stroke has allowed visualization of new axonal connections and projections being formed, while new immature neurons migrate from the SVZ to the peri-infarct area. Such studies suggest that the SVZ is a primary source of regenerative cells for the repair and regeneration of stroke-damaged neurons and tissue. Therefore, the development of tissue engineered scaffolds that serve as a bioreplicative SVZ niche would support the survival of multiple cell types that reside in the SVZ. Essential to replication of the human SVZ microenvironment is the establishment of microvasculature that regulates both the healthy and stroke-injured blood brain barrier, which is dysregulated post-stroke. In order to reproduce this niche, understanding how cells interact in this environment is critical, in particular neural stem cells, endothelial cells, pericytes, ependymal cells, and microglia. Remodeling and repair of the matrix-rich SVZ niche by endogenous reparative mechanisms may then support functional recovery when enhanced by an artificial niche that supports the survival and proliferation of migrating vascular and neuronal cells. Critical considerations to mimic this area include an understanding of resident cell types, delivery method, and the use of biocompatible materials. Controlling stem cell survival, differentiation, and migration are key factors to consider when transplanting stem cells. Here, we discuss the role of the SVZ architecture and resident cells in the promotion and enhancement of endogenous repair mechanisms. We elucidate the interplay between the extracellular matrix composition and cell interactions prior to and following stroke. Lastly, we review current cell and neuronal niche biomimetic materials that allow for a tissue- engineered approach in order to promote structural and functional restoration of neural circuitry. By creating an artificial mimetic SVZ, tissue engineers can strive to facilitate tissue regeneration and functional recovery.

  19. Automotive Engines; Automotive Mechanics I: 9043.03.

    ERIC Educational Resources Information Center

    Dade County Public Schools, Miami, FL.

    This automotive engines course studies and demonstrates the theory and principles of operation of the automotive four stroke cycle engine. The student will develop an understanding of the systems necessary to make the engine perform as designed, such as cooling, fuel, ignition and lubrication. This is a one or two quinmester credit course of 45…

  20. 40 CFR 1039.230 - How do I select engine families?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW AND IN-USE NONROAD COMPRESSION-IGNITION ENGINES Certifying.... (b) Group engines in the same engine family if they are the same in all the following aspects: (1...) Combustion chamber design. (6) Bore and stroke. (7) Cylinder arrangement (such as in-line vs. vee...

  1. 40 CFR 1039.230 - How do I select engine families?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW AND IN-USE NONROAD COMPRESSION-IGNITION ENGINES Certifying.... (b) Group engines in the same engine family if they are the same in all the following aspects: (1...) Combustion chamber design. (6) Bore and stroke. (7) Cylinder arrangement (such as in-line vs. vee...

  2. 40 CFR 1039.230 - How do I select engine families?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW AND IN-USE NONROAD COMPRESSION-IGNITION ENGINES Certifying.... (b) Group engines in the same engine family if they are the same in all the following aspects: (1...) Combustion chamber design. (6) Bore and stroke. (7) Cylinder arrangement (such as in-line vs. vee...

  3. 40 CFR 1039.230 - How do I select engine families?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... POLLUTION CONTROLS CONTROL OF EMISSIONS FROM NEW AND IN-USE NONROAD COMPRESSION-IGNITION ENGINES Certifying.... (b) Group engines in the same engine family if they are the same in all the following aspects: (1...) Combustion chamber design. (6) Bore and stroke. (7) Cylinder arrangement (such as in-line vs. vee...

  4. Associations of obesity measures with subtypes of ischemic stroke in the ARIC Study.

    PubMed

    Yatsuya, Hiroshi; Yamagishi, Kazumasa; North, Kari E; Brancati, Frederick L; Stevens, June; Folsom, Aaron R

    2010-01-01

    Associations between obesity and lacunar, nonlacunar thrombotic, and cardioembolic stroke are not firmly established. Body mass index (BMI), waist circumference, and waist-to-hip ratio (WHR) were recorded at baseline between 1987 and 1989 in the Atherosclerosis Risk in Communities (ARIC) Study for 13 549 black and white adults who were aged from 45 to 64 years and had no history of cardiovascular disease or cancer. The incidence of ischemic stroke subtypes was ascertained from surveillance of hospital records over a median follow-up of 16.9 years. Cox proportional hazards regression analyses adjusted for age, sex, race, education, smoking status and cigarette years, usual ethanol intake, and leisure time sports index were used to estimate hazard ratios (HRs). The ARIC sample at baseline was 43.8% men and 27.3% blacks; mean age was 53.9 years. Mean BMI, waist circumference, and WHR were 27.7 kg/m(2), 96.8 cm, and 0.92, respectively. The associations of lacunar (n = 138), nonlacunar (n = 338), and cardioembolic (n = 122) ischemic stroke incidence with obesity measures were all generally positive and linear. The HRs for the highest versus lowest quintile of the 3 obesity measures ranged from 1.43-2.21 for lacunar stroke, 1.90-2.16 for nonlacunar stroke, and 2.37-2.91 for cardioembolic stroke. Although different pathophysiological mechanisms may exist, the incidences of lacunar, nonlacunar, and cardioembolic stroke were all significantly positively associated with the degree of obesity, regardless of the measure used.

  5. A critical velocity of squeezing a droplet through a circular constriction: implications on ischemic stroke

    NASA Astrophysics Data System (ADS)

    Zhang, Zhifeng; Drapaca, Corina

    2016-11-01

    Ischemic stroke accounts for about 87 percent of all stroke cases. In these cases, models of squeezing a droplet through a smaller constriction channel can help better understand the pathology and capillary restoring after a Stroke. In the present research, we analytical expressed the minimum impulse of squeezing a droplet through a circular channel as well as its critical velocity. By comparison with a previously defined critical velocity, we find the difference between these two. Applications of this research in the understanding of ischemic stroke are also discussed. Zhifeng Zhang thanks the support of Robert A. Sebrosky Graduate Fellowship in Engineering Science and Mechanics, the Pennsylvania State University.

  6. Three-dimensional modeling of diesel engine intake flow, combustion and emissions-2

    NASA Technical Reports Server (NTRS)

    Reitz, R. D.; Rutland, C. J.

    1993-01-01

    A three-dimensional computer code, KIVA, is being modified to include state-of-the-art submodels for diesel engine flow and combustion. Improved and/or new submodels which have already been implemented and previously reported are: wall heat transfer with unsteadiness and compressibility, laminar-turbulent characteristic time combustion with unburned HC and Zeldo'vich NO(x), and spray/wall impingement with rebounding and sliding drops. Progress on the implementation of improved spray drop drag and drop breakup models, the formulation and testing of a multistep kinetics ignition model, and preliminary soot modeling results are described. In addition, the use of a block structured version of KIVA to model the intake flow process is described. A grid generation scheme was developed for modeling realistic (complex) engine geometries, and computations were made of intake flow in the ports and combustion chamber of a two-intake-value engine. The research also involves the use of the code to assess the effects of subprocesses on diesel engine performance. The accuracy of the predictions is being tested by comparisons with engine experiments. To date, comparisons were made with measured engine cylinder pressure, temperature and heat flux data, and the model results are in good agreement with the experiments. Work is in progress that will allow validation of in-cylinder flow and soot formation predictions. An engine test facility is described that is being used to provide the needed validation data. Test results were obtained showing the effect of injection rate and split injections on engine performance and emissions.

  7. Experiences Related to Urinary Incontinence of Stroke Patients: A Qualitative Descriptive Study.

    PubMed

    Arkan, Gulcihan; Beser, Ayse; Ozturk, Vesile

    2018-02-01

    Poststroke urinary incontinence is a common problem, with a prevalence ranging from 32% to 79%. Urinary incontinence after stroke has negative physiological, psychological, and economic effects, which lead to lifestyle changes for both patients and caregivers. Nurses play an important role in preventing and improving incontinence, understanding the experiences of individuals experiencing incontinence, providing healthcare for them, and implementing behavioral therapy methods. The aim of this study was to determine the experience related to urinary incontinence of stroke patients. In this qualitative descriptive study, using semistructured interviews, 15 participants with urinary incontinence after stroke selected through purposeful sampling were interviewed. Data were collected with a semistructured interview form prepared within the framework of the Health Belief Model. All data were analyzed using content analysis. Three main themes were identified: "perception of urinary incontinence," "effects of urinary incontinence," and "management of urinary incontinence." The respondents explained that urinary incontinence also adversely affected their caregivers. They experienced many daily life and psychological problems because of urinary incontinence. In addition, they made several changes to management urinary incontinence such as limiting fluid intake, changing underwear frequently, using waterproof mattress protectors, applying traditional practice, and taking medicine. This study revealed that stroke patients needed help and support for urinary incontinence management. Nurses should provide information about management and urinary incontinence after stroke.

  8. Single-Cylinder Diesel Engine Tests with Unstabilized Water-in-Fuel Emulsions

    DOT National Transportation Integrated Search

    1978-08-01

    A single-cylinder, four-stroke cycle diesel engine was operated on unstabilized water-in-fuel emulsions. Two prototype devices were used to produce the emulsions on-line with the engine. More than 350 test points were run with baseline diesel fuel an...

  9. U.S. Coast Guard pollution abatement program - Two-stroke cycle outboard engine emissions

    DOT National Transportation Integrated Search

    1975-09-01

    This report documents the results of emissions tests performed on three old and two new outboard engines. Tests of the emissions were made before and after water contact. Older engines were tested in as-received condition, tuned to factory specificat...

  10. Investigation of ecological parameters of four-stroke SI engine, with pneumatic fuel injection system

    NASA Astrophysics Data System (ADS)

    Marek, W.; Śliwiński, K.

    2016-09-01

    The publication presents the results of tests to determine the impact of using waste fuels, alcohol, to power the engine, on the ecological parameters of the combustion engine. Alternatively fuelled with a mixture of iso- and n-butanol, indicated with "X" and "END, and gasoline and a mixture of fuel and alcohol. The object of the study was a four-stroke engine with spark ignition designed to work with a generator. Motor power was held by the modified system of pneumatic injection using hot exhaust gases developed by Prof. Stanislaw Jarnuszkiewicz, controlled by modern mechatronic systems. Tests were conducted at a constant speed for the intended use of the engine. The subject of the research was to determine the control parameters such as ignition timing, mixture composition and the degree of exhaust gas recirculation on the ecological parameters of the engine. Tests were carried out using partially quality power control. In summary we present the findings of this phase of the study.

  11. 40 CFR 90.416 - Intake air flow measurement specifications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Intake air flow measurement... Gaseous Exhaust Test Procedures § 90.416 Intake air flow measurement specifications. (a) If used, the engine intake air flow measurement method used must have a range large enough to accurately measure the...

  12. Stroke education using an animated cartoon and a manga for junior high school students.

    PubMed

    Shigehatake, Yuya; Yokota, Chiaki; Amano, Tatsuo; Tomii, Yasuhiro; Inoue, Yasuteru; Hagihara, Takaaki; Toyoda, Kazunori; Minematsu, Kazuo

    2014-07-01

    We investigated whether junior high school students could be educated regarding stroke with an animated cartoon and a Manga that we produced for the purpose of dissemination of this knowledge. We produced a 10-minute animated cartoon and a Manga that provided information regarding stroke risk factors, stroke signs and symptoms, and awareness to immediately contact emergent medical service (EMS) on identification of stroke signs and symptoms. From December 2011 to March 2012, 493 students in 15 classes of the first grade (age 12-13 years) of 3 junior high schools were enrolled in the study. Each subject watched the animated cartoon and read the Manga; this was referred to as "training." Lessons about stroke were not given. Questionnaires on stroke knowledge were evaluated at baseline, immediately after the training, and 3 months after the training. The proportion of correct answers given immediately after the training was higher for all questions, except those related to arrhythmia, compared with baseline. Percentage of correct answers given at 3 months was higher than that at baseline in questions related to facial palsy (75% versus 33%), speech disturbance (91% versus 60%), hemiplegia (79% versus 52%), numbness of 1 side (58% versus 51%), calling for EMS (90% versus 85%), alcohol intake (96% versus 72%), and smoking (69% versus 54%). At 3 months after the training, 56% of students answered the FAST (facial droop, arm weakness, speech disturbance, time to call for EMS) mnemonic correctly. Stroke education using these teaching aids of the animated cartoon and the Manga improved stroke knowledge in junior high school students. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  13. Free-piston engine

    DOEpatents

    Van Blarigan, Peter

    2001-01-01

    A combustion system which can utilize high compression ratios, short burn durations, and homogeneous fuel/air mixtures in conjunction with low equivalence ratios. In particular, a free-piston, two-stroke autoignition internal combustion engine including an electrical generator having a linear alternator with a double-ended free piston that oscillates inside a closed cylinder is provided. Fuel and air are introduced in a two-stroke cycle fashion on each end, where the cylinder charge is compressed to the point of autoignition without spark plugs. The piston is driven in an oscillating motion as combustion occurs successively on each end. This leads to rapid combustion at almost constant volume for any fuel/air equivalence ratio mixture at very high compression ratios. The engine is characterized by high thermal efficiency and low NO.sub.x emissions. The engine is particularly suited for generating electrical current in a hybrid automobile.

  14. 30 CFR 36.46 - Explosion tests of intake and exhaust systems.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... 36.46 Section 36.46 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...) Explosion tests shall be made with the engine at rest and with the flammable natural gas-air mixtures in the intake and exhaust systems. In other tests with the flammable mixture in motion, the engine shall be...

  15. 30 CFR 36.46 - Explosion tests of intake and exhaust systems.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... 36.46 Section 36.46 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...) Explosion tests shall be made with the engine at rest and with the flammable natural gas-air mixtures in the intake and exhaust systems. In other tests with the flammable mixture in motion, the engine shall be...

  16. 30 CFR 36.46 - Explosion tests of intake and exhaust systems.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... 36.46 Section 36.46 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...) Explosion tests shall be made with the engine at rest and with the flammable natural gas-air mixtures in the intake and exhaust systems. In other tests with the flammable mixture in motion, the engine shall be...

  17. 30 CFR 36.46 - Explosion tests of intake and exhaust systems.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    .... 36.46 Section 36.46 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...) Explosion tests shall be made with the engine at rest and with the flammable natural gas-air mixtures in the intake and exhaust systems. In other tests with the flammable mixture in motion, the engine shall be...

  18. 30 CFR 36.46 - Explosion tests of intake and exhaust systems.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    .... 36.46 Section 36.46 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR...) Explosion tests shall be made with the engine at rest and with the flammable natural gas-air mixtures in the intake and exhaust systems. In other tests with the flammable mixture in motion, the engine shall be...

  19. Apparatus for controlling air/fuel ratio for internal combustion engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kato, K.; Mizuno, T.

    1986-07-08

    This patent describes an apparatus for controlling air-fuel ratio of an air-fuel mixture to be supplied to an internal combustion engine having an intake passage, an exhaust passage, an an exhaust gas recirculation passage for recirculating exhaust gases in the exhaust passage to the intake passage therethrough. The apparatus consists of: (a) means for sensing rotational speed of the engine; (b) means for sensing intake pressure in the intake passage; (c) means for sensing atmospheric pressure; (d) means for enabling and disabling exhaust gas recirculation through the exhaust gas recirculation passage in accordance with operating condition of the engine; (e)more » means for determining required amount of fuel in accordance with the sensed rotational speed and the sensed intake pressure; (f) means for determining, when the exhaust gas recirculation is enabled, a first correction value in accordance with the sensed rotational speed, the sensed intake pressure and the sensed atmospheric pressure, the first correction factor being used for correcting fuel amount so as to compensate for the decrease of fuel due to the performance of exhaust gas recirculation and also to compensate for the change in atmospheric pressure; (g) means for determining, when the exhaust gas recirculation is disabled, a second correction value in accordance with the atmospheric pressure, the second correction factor being used so as to compensate for the change in atmospheric pressure; (h) means for correcting the required amount of fuel by the first correction value and the second correction value when the exhaust gas recirculation is enabled and disabled respectively; and (i) means for supplying the engine with the corrected amount of fuel.« less

  20. Numerical Simulation Of Shock Response To Wall Changes In High Speed Intakes

    NASA Astrophysics Data System (ADS)

    Fincham, J.; Taylor, N. V.

    2011-05-01

    Hypersonic flight presents a number of challenges to the designer, one of which is the intake behaviour. Minimising drag requires careful positioning of the intake shock structure, while accurate understanding of the dynamic behaviour is required to allow minimisation of margins. In this paper, a two shock external compression intake derived from the Reaction Engines Limited SABRE engine is examined using inviscid axisymmetric CFD analysis to determine the response of the normal shockwave to axial motion of the intake centrebody. An approximately linear relationship between centrebody position and both the normal shock position and additive drag in steady flow is demonstrated. Initial results from an unsteady analysis are also given, which show complex behaviours may be triggered by rapid motion of the centrebody in response to control input.

  1. Gasoline-related organics in Lake Tahoe before and after prohibition of carbureted two-stroke engines

    USGS Publications Warehouse

    Lico, M.S.

    2004-01-01

    On June 1, 1999, carbureted two-stroke engines were banned on waters within the Lake Tahoe Basin of California and Nevada. The main gasoline components MTBE (methyl tert-butyl ether) and BTEX (benzene, toluene, ethylbenzene, and xylenes) were present at detectable concentrations in all samples taken from Lake Tahoe during 1997-98 prior to the ban. Samples taken from 1999 through 2001 after the ban contained between 10 and 60 percent of the pre-ban concentrations of these compounds, with MTBE exhibiting the most dramatic change (a 90 percent decrease). MTBE and BTEX concentrations in water samples from Lake Tahoe and Lower Echo Lake were related to the amount of boat use at the sampling sites. Polycyclic aromatic hydrocarbon (PAH) compounds are produced by high-temperature pyrolytic reactions. They were sampled using semipermeable membrane sampling devices in Lake Tahoe and nearby Donner Lake, where carbureted two-stroke engines are legal. PAHs were detected in all samples taken from Lake Tahoe and Donner Lake. The number of PAH compounds and their concentrations are related to boat use. The highest concentrations of PAH were detected in samples from two heavily used boating areas, Tahoe Keys Marina and Donner Lake boat ramp. Other sources of PAH, such as atmospheric deposition, wood smoke, tributary streams, and automobile exhaust do not contribute large amounts of PAH to Lake Tahoe. Similar numbers of PAH compounds and concentrations were found in Lake Tahoe before and after the ban of carbureted two-stroke engines. ?? by the North American Lake Management Society 2004.

  2. Usual sodium intakes compared with current dietary guidelines --- United States, 2005-2008.

    PubMed

    2011-10-21

    High sodium intake can increase blood pressure and the risk for heart disease and stroke. According to the Dietary Guidelines for Americans, 2010, persons in the United States aged ≥2 years should limit daily sodium intake to <2,300 mg. Subpopulations that would benefit from further reducing sodium intake to 1,500 mg daily include 1) persons aged ≥51 years, 2) blacks, and 3) persons with hypertension, diabetes, or chronic kidney disease. To estimate the proportion of the U.S. population for whom the 1,500 mg recommendation applies and to assess the usual sodium intake for those persons, CDC and the National Institutes of Health used data for 2005-2008 from the National Health and Nutrition Examination Survey (NHANES). This report summarizes the results of that assessment, which determined that, although 47.6% of persons aged ≥2 years meet the criteria to limit their daily sodium intake to 1,500 mg, the usual daily sodium intake for 98.6% of those persons was >1,500 mg. Moreover, for 88.2% of the remaining U.S. population, daily sodium intake was greater than the recommended <2,300 mg. New population-based strategies and increased public health and private efforts will be needed to meet the Dietary Guidelines recommendations.

  3. Independently variable phase and stroke control for a double acting Stirling engine

    DOEpatents

    Berchowitz, David M.

    1983-01-01

    A phase and stroke control apparatus for the pistons of a Stirling engine includes a ring on the end of each piston rod in which a pair of eccentrics is arranged in series, torque transmitting relationship. The outer eccentric is rotatably mounted in the ring and is rotated by the orbiting ring; the inner eccentric is mounted on an output shaft. The two eccentrics are mounted for rotation together within the ring during normal operation. A device is provided for rotating one eccentric with respect to another to change the effective eccentricity of the pair of eccentrics. A separately controlled phase adjustment is provided to null the phase change introduced by the change in the orientation of the outer eccentric, and also to enable the phase of the pistons to be changed independently of the stroke change.

  4. A study of the Armstrong Whitworth swing beam engine for automotive application

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The introduction of ceramics to those parts suffering high thermal loading was successfully demonstrated, and there is no question that the 100 kw (134 hp) naturally aspirated engine of the future will be developed to produce up to 300 kw (402 hp) by the application of turbocharging or its equivalent. However, at the 60 - 80 kw (80 - 107 hp) size needed for the economic automotive engine, scaling down the 300 kw (402 hp) is beset by the laws of scale. The conventional four stroke diesel was not shown to be successful at the small high speed engine size. The opposed piston two stroke engine does not suffer the same laws of scale and engines in the low power range have already been marketed successfully. The half liter/cylinder Armstrong Whitworth Swing Beam Engine is the latest to be designed with the automotive market in mind. Its low noise structure and balanced linkage system coupled with advantages for easy start and potential use of low grade fuels, derived from its variable compression ratio and slow piston motion, qualifies it for the application.

  5. 40 CFR 1065.325 - Intake-flow calibration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Section 1065.325 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Calibrations and Verifications Flow-Related Measurements § 1065.325 Intake-flow calibration. (a) Calibrate intake-air flow meters upon initial installation. Follow the...

  6. Influence of the single EGR valve usability on development of the charge directed to individual cylinders of an internal combustion engine

    NASA Astrophysics Data System (ADS)

    Krakowian, Konrad; Kaźmierczak, Andrzej; Górniak, Aleksander; Wróbel, Radosław

    2017-11-01

    Exhaust gas recirculation systems (EGR), aside to a catalytic converters, are nowadays widely used in piston internal combustion engines to reduce nitrogen oxides (NOx) in the exhaust gas. They are characterized in that a portion of exhaust gases from the exhaust manifold is recirculated (via a condenser), and directed to a particular valve. The valve, depending on the current engine load and speed, doses the appropriate amount of exhaust gas into the exhaust manifold. Moreover, its location has a significant impact on the diverse formation of nitrogen oxides and fumes smokiness from the individual cylinders of the engine, which is a result of uneven propagation of exhaust gas into the channels of the intake manifold. This article contains the results of numerical characterized charges formed in symmetrical intake manifold with a centrally-placed EGR valve. Simulations were performed for the original intake system derived from the two-liter, turbocharged VW diesel engine.

  7. Ammonia producing engine utilizing oxygen separation

    DOEpatents

    Easley, Jr., William Lanier; Coleman, Gerald Nelson [Petersborough, GB; Robel, Wade James [Peoria, IL

    2008-12-16

    A power system is provided having a power source, a first power source section with a first intake passage and a first exhaust passage, a second power source section with a second intake passage and a second exhaust passage, and an oxygen separator. The second intake passage may be fluidly isolated from the first intake passage.

  8. Unprocessed red meat and processed meat consumption and risk of stroke in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC).

    PubMed

    Amiano, P; Chamosa, S; Etxezarreta, N; Arriola, L; Sánchez, M-J; Ardanaz, E; Molina-Montes, E; Chirlaque, M-D; Moreno-Iribas, C; Huerta, J-M; Egües, N; Navarro, C; Requena, M; Quirós, J-R; Fonseca-Nunes, A; Jakszyn, P; González, C-A; Dorronsoro, M

    2016-03-01

    High intakes of unprocessed red or processed meat may increase the risk of stroke. We aimed to examine the association between unprocessed red meat, processed meat and total red meat consumption and risk of total stroke and ischaemic stroke. Cox proportional hazards regression analyses were conducted based on the data for 41,020 men and women aged 29-69 years at baseline. During a mean follow-up of 13.8 years, 674 incident cases of stroke (531 ischaemic strokes, 79 haemorrhagic strokes, 42 subarachnoid haemorrhages and 22 mixed or unspecified events) were identified. After multiple adjustment, unprocessed red meat, processed meat and total red meat consumption were not correlated with incidence of total stroke or ischaemic stroke in either men or women. The hazard ratios (HRs) for unprocessed red meat and processed meat and risk of total stroke comparing the highest with the lowest quintiles were, respectively, 0.81 (95% confidence interval (CI) 0.54-1.21; P-trend=0.15) and 0.92 (95% CI 0.64-1.32; P-trend=0.82) in men and 1.21 (95% CI 0.79-1.85; P-trend=0.10) and 0.81 (95% CI 0.51-1.27; P-trend=0.17) in women. The HRs for unprocessed red meat and processed meat and risk of ischaemic stroke were, respectively, 0.80 (95% CI 0.51-1.25; P-trend=0.51) and 0.86 (95% CI 0.57-1.29; P-trend=0.77) in men and 1.24 (95% CI 0.74-2.05; P-trend=0.13) and 0.82 (95% CI 0.47-1.42; P-trend=0.31) in women. In the Spanish European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, unprocessed red meat and processed meat consumption were not associated with risk of stroke in men or women.

  9. Applications of Brain–Machine Interface Systems in Stroke Recovery and Rehabilitation

    PubMed Central

    Francisco, Gerard E.; Contreras-Vidal, Jose L.

    2014-01-01

    Stroke is a leading cause of disability, significantly impacting the quality of life (QOL) in survivors, and rehabilitation remains the mainstay of treatment in these patients. Recent engineering and technological advances such as brain-machine interfaces (BMI) and robotic rehabilitative devices are promising to enhance stroke neu-rorehabilitation, to accelerate functional recovery and improve QOL. This review discusses the recent applications of BMI and robotic-assisted rehabilitation in stroke patients. We present the framework for integrated BMI and robotic-assisted therapies, and discuss their potential therapeutic, assistive and diagnostic functions in stroke rehabilitation. Finally, we conclude with an outlook on the potential challenges and future directions of these neurotechnologies, and their impact on clinical rehabilitation. PMID:25110624

  10. Fast spatially resolved exhaust gas recirculation (EGR) distribution measurements in an internal combustion engine using absorption spectroscopy.

    PubMed

    Yoo, Jihyung; Prikhodko, Vitaly; Parks, James E; Perfetto, Anthony; Geckler, Sam; Partridge, William P

    2015-09-01

    Exhaust gas recirculation (EGR) in internal combustion engines is an effective method of reducing NOx emissions while improving efficiency. However, insufficient mixing between fresh air and exhaust gas can lead to cycle-to-cycle and cylinder-to-cylinder non-uniform charge gas mixtures of a multi-cylinder engine, which can in turn reduce engine performance and efficiency. A sensor packaged into a compact probe was designed, built and applied to measure spatiotemporal EGR distributions in the intake manifold of an operating engine. The probe promotes the development of more efficient and higher-performance engines by resolving high-speed in situ CO2 concentration at various locations in the intake manifold. The study employed mid-infrared light sources tuned to an absorption band of CO2 near 4.3 μm, an industry standard species for determining EGR fraction. The calibrated probe was used to map spatial EGR distributions in an intake manifold with high accuracy and monitor cycle-resolved cylinder-specific EGR fluctuations at a rate of up to 1 kHz.

  11. Fast Spatially Resolved Exhaust Gas Recirculation (EGR) Distribution Measurements in an Internal Combustion Engine Using Absorption Spectroscopy

    DOE PAGES

    Yoo, Jihyung; Prikhodko, Vitaly; Parks, James E.; ...

    2015-09-01

    One effective method of reducing NO x emissions while improving efficiency is exhaust gas recirculation (EGR) in internal combustion engines. But, insufficient mixing between fresh air and exhaust gas can lead to cycle-to-cycle and cylinder-to-cylinder nonuniform charge gas mixtures of a multi-cylinder engine, which can in turn reduce engine performance and efficiency. Furthermore, a sensor packaged into a compact probe was designed, built and applied to measure spatiotemporal EGR distributions in the intake manifold of an operating engine. The probe promotes the development of more efficient and higher-performance engines by resolving high-speed in situ CO 2 concentration at various locationsmore » in the intake manifold. Our study employed mid-infrared light sources tuned to an absorption band of CO 2 near 4.3 μm, an industry standard species for determining EGR fraction. The calibrated probe was used to map spatial EGR distributions in an intake manifold with high accuracy and monitor cycle-resolved cylinder-specific EGR fluctuations at a rate of up to 1 kHz.« less

  12. [Contribution of Professor SHI Xue-min's academic thoughts to treatment of stroke].

    PubMed

    Liu, Jian; Fan, Xiao-Nong; Wang, Shu

    2014-01-01

    Based on the thought of Zhishen (a kind of mind regulation), Professor SHI Xue-min, academician of the China Academy of Engineering, found the Xingnao Kaiqiao (to refresh the mind and to cause resuscitation) acupuncture method, which still plays an important role in the acupuncture treatment of wind stroke nowadays. Meanwhile, great importance is attached to the comprehensive treatment of wind stroke. Danqi Piantan capsule (see text) is developed and "wind stroke unit" is set up. In recent years, Professor SHI shifts the center of research to the treatment of hypertension, the risk factor of wind stroke. Taking Renying (ST 9) as the major acupoint, acupuncture with standard measurement and manipulations is established. And good clinical effect has been obtained as well. Therefore, this article focuses on the introduction of Professor SHI Xue-min's contribution to wind stroke treatment.

  13. Engine Cylinder Temperature Control

    DOEpatents

    Kilkenny, Jonathan Patrick; Duffy, Kevin Patrick

    2005-09-27

    A method and apparatus for controlling a temperature in a combustion cylinder in an internal combustion engine. The cylinder is fluidly connected to an intake manifold and an exhaust manifold. The method and apparatus includes increasing a back pressure associated with the exhaust manifold to a level sufficient to maintain a desired quantity of residual exhaust gas in the cylinder, and varying operation of an intake valve located between the intake manifold and the cylinder to an open duration sufficient to maintain a desired quantity of fresh air from the intake manifold to the cylinder, wherein controlling the quantities of residual exhaust gas and fresh air are performed to maintain the temperature in the cylinder at a desired level.

  14. Outboard Motor Maximizes Power and Dependability

    NASA Technical Reports Server (NTRS)

    2008-01-01

    Developed by Jonathan Lee, a structural materials engineer at Marshall Space Flight Center, and PoShou Chen, a scientist with Huntsville, Alabama-based Morgan Research Corporation, MSFC-398 is a high-strength aluminum alloy able to operate at high temperatures. MSFC-398 was licensed for marine applications by Bombardier Recreational Products Inc., and is now found in the complete line of Evinrude E-TEC outboard motors, a line of two-stroke motors that maintain the power and dependability of a two-stroke with the refinement of a four-stroke.

  15. Real-time analysis of aromatics in combustion engine exhaust by resonance-enhanced multiphoton ionisation time-of-flight mass spectrometry (REMPI-TOF-MS): a robust tool for chassis dynamometer testing.

    PubMed

    Adam, T W; Clairotte, M; Streibel, T; Elsasser, M; Pommeres, A; Manfredi, U; Carriero, M; Martini, G; Sklorz, M; Krasenbrink, A; Astorga, C; Zimmermann, R

    2012-07-01

    Resonance-enhanced multiphoton ionisation time-of-flight mass spectrometry (REMPI-TOF-MS) is a robust method for real-time analysis of monocyclic and polycyclic aromatic hydrocarbons in complex emissions. A mobile system has been developed which enables direct analysis on site. In this paper, we utilize a multicomponent calibration scheme based on the analytes' photo-ionisation cross-sections relative to a calibrated species. This allows semi-quantification of a great number of components by only calibrating one compound of choice, here toluene. The cross-sections were determined by injecting nebulised solutions of aromatic compounds into the TOF-MS ion source with the help of a HPLC pump. Then, REMPI-TOF-MS was implemented at various chassis dynamometers and test cells and the exhaust of the following vehicles and engines investigated: a compression ignition light-duty (LD) passenger car, a compression ignition LD van, two spark ignition LD passenger cars, 2 two-stroke mopeds, and a two-stroke engine of a string gas trimmer. The quantitative time profiles of benzene are shown. The results indicate that two-stroke engines are a significant source for toxic and cancerogenic compounds. Air pollution and health effects caused by gardening equipment might still be underestimated.

  16. Fuel system for rotary distributor fuel injection pump

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Klopfer, K.H.; Kelly, W.W.

    1993-06-01

    In a fuel injection pump having a drive shaft, a pump rotor driven by the drive shaft, reciprocating pumping means with periodic intake and pumping strokes to periodically receive an intake charge of fuel and deliver fuel at high pressure for fuel injection is described; a distributor head with a plurality of angularly spaced distributor outlets, the pump rotor providing a distributor rotor with a distributor port connected to the pumping means, the distributor rotor being rotatably mounted in the distributor head for sequential registration of the distributor port with the distributor outlets for distributing said high pressure delivery ofmore » fuel thereto; a fuel system for supplying fuel to the pumping means, having an end chamber at one end of the pump rotor and a fuel supply pump driven by the drive shaft and having an inlet and outlet, the supply pump outlet being connected to the end chamber for supplying fuel thereto, and a pressure regulator for regulating the fuel pressure in the end chamber; and a control valve connected between the pumping means and the end chamber and selectively opened during the intake strokes to supply fuel to the pumping means from the end chamber and during the pumping strokes to spill fuel from the pumping means into the end chamber to terminate said high pressure delivery of fuel; the improvement wherein the fuel system comprises a fuel return passage connected in series with the end chamber downstream thereof, wherein the pressure regulator is mounted in the return passage for regulating the upstream fuel pressure, including the upstream fuel pressure within the end chamber, and is connected for conducting excess fuel for return to the supply pump inlet, and wherein the supply pump is driven by the drive shaft to supply fuel at a rate exceeding the rate of said high pressure delivery of fuel for fuel injection and to provide excess fuel flow continuously through the end chamber and return passage to the pressure regulator.« less

  17. REDUCTION OF EMISSIONS FROM A HIGH SPEED FERRY

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Thompson,G.; Gautam, M; Clark, N

    2003-08-24

    Emissions from marine vessels are being scrutinized as a major contributor to the total particulate matter (TPM), oxides of sulfur (SOx) and oxides of nitrogen (NOx) environmental loading. Fuel sulfur control is the key to SOx reduction. Significant reductions in the emissions from on-road vehicles have been achieved in the last decade and the emissions from these vehicles will be reduced by another order of magnitude in the next five years: these improvements have served to emphasize the need to reduce emissions from other mobile sources, including off road equipment, locomotives, and marine vessels. Diesel-powered vessels of interest include oceanmore » going vessels with low- and medium-speed engines, as well as ferries with high speed engines, as discussed below. A recent study examined the use of intake water injection (WIS) and ultra low sulfur diesel (ULSD) to reduce the emissions from a high-speed passenger ferry in southern California. One of the four Detroit Diesel 12V92 two-stroke high speed engines that power the Waverider (operated by SCX, inc.) was instrumented to collect intake airflow, fuel flow, shaft torque, and shaft speed. Engine speed and shaft torque were uniquely linked for given vessel draft and prevailing wind and sea conditions. A raw exhaust gas sampling system was utilized to measure the concentration of NOx, carbon dioxide (CO2), and oxygen (O2) and a mini dilution tunnel sampling a slipstream from the raw exhaust was used to collect TPM on 70 mm filters. The emissions data were processed to yield brake-specific mass results. The system that was employed allowed for redundant data to be collected for quality assurance and quality control. To acquire the data, the Waverider was operated at five different steady state speeds. Three modes were in the open sea off Oceanside, CA, and idle and harbor modes were also used. Data have showed that the use of ULSD along with water injection (WIS) could significantly reduce the emissions of NOx and PM while not affecting fuel consumption or engine performance compared to the baseline marine diesel. The results showed that a nominal 40% reduction in TPM was realized when switching from the marine diesel to the ULSD. A small reduction in NOx was also shown between the marine fuel and the ULSD. The implementation of the WIS showed that NOx was reduced significantly by between 11% and 17%, depending upon the operating condition. With the WIS, the TPM was reduced by a few percentage points, which was close to the confidence in measurement.« less

  18. Chocolate consumption and risk of stroke among men and women: A large population-based, prospective cohort study.

    PubMed

    Dong, Jia-Yi; Iso, Hiroyasu; Yamagishi, Kazumasa; Sawada, Norie; Tsugane, Shoichiro

    2017-05-01

    Chocolate consumption may have a beneficial effect on cardiovascular health, but evidence from prospective cohort studies is still limited. We aimed to examine the prospective associations between chocolate consumption and risk of stroke among men and women in a large population-based cohort. A total of 38,182 men and 46,415 women aged 44-76 years, and free of cardiovascular disease, diabetes, and cancer at baseline in 1995 and 1998, were followed up until the end of 2009 and 2010, respectively. We obtained data on chocolate consumption for each participant using a self-administrated food frequency questionnaire that included 138 food and beverage items. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) of stroke in relation to chocolate consumption. During a median follow-up of 12.9 years, we identified 3558 incident strokes cases (2146 cerebral infarctions and 1396 hemorrhagic strokes). After adjustment for age, body mass index, life styles, dietary intakes, and other risk factors, chocolate consumption was associated with a significant lower risk of stroke in women (HR = 0.84; 95% CI, 0.71-0.99). However, the association in men was not significant (HR = 0.94; 95% CI, 0.80-1.10). In addition, the association did not vary by stroke subtypes in either men or women. Findings from this large Japanese cohort supported a significant inverse association between chocolate consumption and risk of developing stroke in women. However, residual confounding could not be excluded as an alternative explanation for our findings. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Clinical and biochemical aspirin resistance in patients with recurrent cerebral ischemia.

    PubMed

    El-Mitwalli, Ashraf; Azzam, Hanan; Abu-Hegazy, Mohammad; Gomaa, Mohamed; Wasel, Yasser

    2013-07-01

    Stroke recurrence is an important public health concern. One half of survivors remain disabled, and one seventh requires institutional care. Aspirin remains the cornerstone of primary and secondary stroke prevention; meanwhile, aspirin resistance is one of the possible causes of stroke recurrence. We aimed to evaluate the clinical and biochemical aspirin resistance in patients with recurrent ischemic stroke. We studied demographic characteristics, vascular risk factors, stroke subtypes, radiologic findings and biochemical aspirin resistance tests using both arachidonic acid (AA) and adenosine diphosphate (ADP)-induced light transmittance aggregometry (LTA) on admission and 24 h after observed aspirin ingestion. Of the 82 patients with recurrent cerebral ischemia included in this study, 37 (45%) patients were poor compliant with aspirin. There were no statistically significant differences between the two groups regarding the demographic characteristics, stroke severity, laboratory tests, radiological findings or vascular risk factors. On admission, 19.6% and 4.8% of patients showed aspirin resistance, while 24 h after supervised 300 mg single aspirin dose ingestion, it was 9.8% and 2.4% using ADP and AA-induced LTA respectively. Of the eight aspirin resistant patients, two only showed resistance using both AA and ADP. Aspirin resistance was statistically significantly higher in the male gender, older age, hyperlipidemia, smokers and in all lacunar strokes using AA. Biochemical aspirin resistance in one's series was rather rare (2.4%) and was more prevalent in patients with lacunar strokes. Clinical aspirin failure may often be contributed to poor compliance with aspirin intake. Copyright © 2012 Elsevier B.V. All rights reserved.

  20. Usual Dose of Caffeine Has a Positive Effect on Somatosensory Related Postural Stability in Hemiparetic Stroke Patients

    PubMed Central

    Kim, Woo Sub; Choi, Chang Kweon; Yoon, Sang Ho

    2014-01-01

    Objective To evaluate the effect of caffeine on balance control of hemiparetic stroke patients, we investigated the difference in postural stability before and after drinking coffee by observing changes in stability index (SI) from posturography. Methods Thirty patients with history of stroke and 15 age-matched healthy subjects participated in this study. Effect of group factor (of the control and stroke groups) and treatment factor (pre- and post-drinking of coffee) on SI were tested in three conditions: with eyes opened, with eyes closed, and with a pillow support. The effects of these factors on visual deprivation and somatosensory change of subjects were also tested. Results Under all conditions, SI was higher in the stroke group than in the control group. Under eyes-open condition, the treatment factor was not statistically significant. Under eyes-closed condition, the interaction between group and treatment factor was statistically significant. After the subjects drank coffee, SI in the control group was increased. However, SI in the stroke group was decreased. Under pillow-supported condition, the interaction between group and treatment factor appeared marginally significant. For visual deprivation effect, the interaction between treatment and group factor was statistically significant. After caffeine consumption, the visual deprivation effect was increased in control group but decreased in the stroke group. For somatosensory change effect, the interaction between group and treatment factor was not statistically significant. Conclusion Postural stability of hemiparetic stroke patients related to somatosensory information was improved after intake of usual dose of caffeine. PMID:25566476

  1. System and method for controlling engine knock using electro-hydraulic valve actuation

    DOEpatents

    Brennan, Daniel G

    2013-12-10

    A control system for an engine includes a knock control module and a valve control module. The knock control module adjusts a period that one or more of an intake valve and an exhaust valve of a cylinder are open based on engine knock corresponding to the cylinder. The valve control module, based on the adjusted period, controls the one or more of the intake valve and the exhaust valve using one or more hydraulic actuators.

  2. Air intake side secondary air supply system for an internal combustion engine with a duty ratio control operation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kawanabe, T.; Asakura, M.; Shina, T.

    1987-09-01

    An air intake side secondary air supply system is described for an internal combustion engine having an air intake passage with a carburetor and an exhaust passage, comprising: an air intake side secondary air supply passage communicating with the air intake passage on the downstream side of the carburetor; an open/close valve disposed in the air intake side secondary air supply passage; an oxygen concentration sensor disposed in the exhaust passage; and detection and control means for detecting whether an air-fuel ratio of mixture to be supplied to the engine is leaner or richer with respect to a target air-fuelmore » ratio through a level of an output signal of the oxygen concentration sensor and for periodically actuating the open/close valve, the detection and control means decreasing a valve open period of the open/close valve within each cyclic period by a first predetermined amount when a detected air-fuel ratio of mixture is leaner than the target air-fuel ratio and increasing the valve open period by a second predetermined amount when the detected air-fuel ratio of mixture is richer than the target air-fuel ratio. The second predetermined amount is different from the first predetermined amount.« less

  3. The association between nut consumption and the risk of total and ischemic stroke in a German cohort study.

    PubMed

    di Giuseppe, R; Fjeld, M K; Dierkes, J; Theoflylaktopoulou, D; Arregui, M; Boeing, H; Weikert, C

    2015-04-01

    Nuts have beneficial effects on coronary heart disease and many cardiovascular risk factors. However, their effect on stroke is less established, and no studies on the topic are available in Northern and Central European populations. Therefore, we aimed at investigating the association between nut consumption and the risk of stroke in a German population. We used data from a prospective cohort of 26,285 participants of the European Prospective Investigation into the Cancer and Nutrition Potsdam Study. During a median follow-up time of 8.3 years (interquartile range: 7.5-9.2), 288 incident cases of stroke occurred. Nut consumption (standard portion size of 50 g) was assessed at baseline with a semiquantitative food-frequency questionnaire. The median nut intake was 0.82 g per day, interquartile range: 0.41-4.11. In the multivariable model, an increased risk of stroke was observed among participants who never consumed nuts (hazard ratio (HR): 1.56, 95% confidence interval: 1.17-2.08), compared with those consuming <½ portion/week. However, there was no evidence of a dose-response relationship between nut consumption and stroke. Compared with those who consumed <½ portion/week, the multivariable HR for total stroke was 1.06 (0.75-1.52) among those who consumed ½ to 1 portion/week and 1.37 (0.92-2.05) for those who consumed >1 portion/week. Similar nonsignificant associations were observed in stratified analysis for gender, or for fatal and nonfatal stroke. We could not observe an association between nut consumption and the risk of developing stroke (fatal/nonfatal) in a population with low habitual nut consumption.

  4. Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke.

    PubMed

    Titsworth, W Lee; Abram, Justine; Fullerton, Amy; Hester, Jeannette; Guin, Peggy; Waters, Michael F; Mocco, J

    2013-11-01

    Dysphagia can lead to pneumonia and subsequent death after acute stroke. However, no prospective study has demonstrated reduced pneumonia prevalence after implementation of a dysphagia screen. We performed a single-center prospective interrupted time series trial of a quality initiative to improve dysphagia screening. Subjects included all patients with ischemic or hemorrhagic stroke admitted to our institution over 42 months with a 31-month (n=1686) preintervention and an 11-month (n=648) postintervention period. The intervention consisted of a dysphagia protocol with a nurse-administered bedside dysphagia screen and a reflexive rapid clinical swallow evaluation by a speech pathologist. The dysphagia initiative increased the percentage of patients with stroke screened from 39.3% to 74.2% (P<0.001). Furthermore, this initiative coincided with a drop in hospital-acquired pneumonia from 6.5% to 2.8% among patients with stroke (P<0.001). Patients admitted postinitiative had 57% lower odds of pneumonia, after controlling for multiple confounds (odds ratio=0.43; confidence interval, 0.255-0.711; P=0.0011). The best predictors of pneumonia were stroke type (P<0.0001), oral intake status (P<0.0001), dysphagia screening status (P=0.0037), and hospitalization before the beginning of the quality improvement initiative (P=0.0449). A quality improvement initiative using a nurse-administered bedside screen with rapid bedside swallow evaluation by a speech pathologist improves screening compliance and correlates with decreased prevalence of pneumonia among patients with stroke.

  5. 14. INTERIOR OF ENGINE ROOM, CONTAINING MESTACORLISS CROSSCOMPOUND ENGINE, FOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. INTERIOR OF ENGINE ROOM, CONTAINING MESTA-CORLISS CROSS-COMPOUND ENGINE, FOR 40" BLOOMING MILL. THIS VIEW HIGHLIGHTS THE CRANK AND 24' DIAMETER FLYWHEEL. THE ENGINE IS A 7,940 HP MESTA-CORLISS CROSS-COMPOUND STEAM ENGINE ITS BORE AND STROKE ARE 32"X84"X60". NOTE FLY BALL GOVERNOR ON ENGINE. MILL DRIVE SHAFT ATTACHED TO PULLEY ON LOCATED ON CRANK. - Republic Iron & Steel Company, Youngstown Works, Blooming Mill & Blooming Mill Engines, North of Poland Avenue, Youngstown, Mahoning County, OH

  6. Cost effective simulation-based multiobjective optimization in the performance of an internal combustion engine

    NASA Astrophysics Data System (ADS)

    Aittokoski, Timo; Miettinen, Kaisa

    2008-07-01

    Solving real-life engineering problems can be difficult because they often have multiple conflicting objectives, the objective functions involved are highly nonlinear and they contain multiple local minima. Furthermore, function values are often produced via a time-consuming simulation process. These facts suggest the need for an automated optimization tool that is efficient (in terms of number of objective function evaluations) and capable of solving global and multiobjective optimization problems. In this article, the requirements on a general simulation-based optimization system are discussed and such a system is applied to optimize the performance of a two-stroke combustion engine. In the example of a simulation-based optimization problem, the dimensions and shape of the exhaust pipe of a two-stroke engine are altered, and values of three conflicting objective functions are optimized. These values are derived from power output characteristics of the engine. The optimization approach involves interactive multiobjective optimization and provides a convenient tool to balance between conflicting objectives and to find good solutions.

  7. Advanced Automotive Diesel Assessment Program, executive summary

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The objectives of this analytical study were: to select one advanced automotive diesel engine (AAD) concept which would increase the tank mileage of a 3,000 pound passenger car from the present 35 mpg to at least 52 mpg; to identify long term component research and development work required to bring the selected concept to fruition; and to prepare a development strategy that will bring the selected concept to a prototype testing phase. Cummins Engine Company has completed this study. The selected concept is a 4 stroke cycle, direct injection, spark assisted, advanced adiabatic diesel engine with positive displacement compounding plus expander and part load air preheating. The engine does not use a liquid coolant nor liquid lubricants. It is a 4 cylinder, in-line, 77 mm bore x 77 mm stroke, 1.434 liters displacement engine weighing 300 lb, and rated at 70 BHP at 3000 rpm. Installation dimensions are 621 mm length x 589 mm width x 479 mm height (24.4 inch x 22 inch x 18.9 inch).

  8. MicroRNA-410 regulated lipoprotein lipase variant rs13702 is associated with stroke incidence and modulated by diet in the randomized controlled PREDIMED trial.

    PubMed

    Corella, Dolores; Sorlí, Jose V; Estruch, Ramon; Coltell, Oscar; Ortega-Azorín, Carolina; Portolés, Olga; Martínez-González, Miguel Ángel; Bulló, Mónica; Fitó, Montserrat; Arós, Fernando; Lapetra, José; Asensio, Eva M; Sáez, Guillermo T; Serra-Majem, Lluís; Muñoz-Bravo, Carlos; Ruiz-Gutiérrez, Valentina; Fiol, Miquel; Vinyoles, Ernest; Pintó, Xavier; Richardson, Kris; Ros, Emilio; Ordovás, Jose M

    2014-08-01

    MicroRNAs have emerged as important epigenetic regulators in cardiovascular diseases (CVDs). Using an observational meta-analysis design, we previously characterized a gain-of-function microRNA-410 target site polymorphism (rs13702T>C) in the 3'untranslated region of the lipoprotein lipase (LPL) gene. The C allele was associated with lower triglycerides, and this association was modulated by fat intake. We aimed to extend our findings by assessing the interaction between the rs13702 polymorphism and fat intake on triglycerides at baseline and longitudinally by using a dietary intervention design. We also examined as a primary outcome the association of this variant with CVD incidence and its modulation by the Mediterranean diet (MedDiet). We studied 7187 participants in the PREDIMED (Prevención con Dieta Mediterránea) randomized trial that tested a MedDiet intervention compared with a control diet, with a median 4.8-y follow-up. LPL polymorphisms and triglycerides were determined and CVD assessed. Gene-diet interactions for triglycerides were analyzed at baseline (n = 6880) and after a 3-y intervention (n = 4131). Oxidative stress parameters were investigated in a subsample. The rs13702T>C polymorphism was strongly associated with lower triglycerides in C allele carriers and interacted synergistically with dietary monounsaturated (P = 0.038) and unsaturated fat intake (P = 0.037), decreasing triglycerides at baseline. By 3 y, we observed a gene-diet interaction (P = 0.025) in which the C allele was associated with a greater reduction in triglycerides after intervention with MedDiet, high in unsaturated fat. Although the polymorphism was associated with lower stroke risk (HR: 0.74; 95% CI: 0.57, 0.97; P = 0.029 per C allele), this association reached statistical significance only in the MedDiet intervention (HR: 0.58; 95% CI: 0.37, 0.91; P = 0.019 in C compared with TT carriers), not in the control group (HR: 0.94; 95% CI: 0.55, 1.59; P = 0.805). We report a novel association between a microRNA target site variant and stroke incidence, which is modulated by diet in terms of decreasing triglycerides and possibly stroke risk in rs13702 C allele carriers after a high-unsaturated fat MedDiet intervention. © 2014 American Society for Nutrition.

  9. Dietary Sodium and Blood Pressure: How Low Should We Go?

    PubMed

    Van Horn, Linda

    2015-01-01

    Sodium intake in the United States exceeds recommended amounts across all age, gender and ethnic groups. National dietary guidelines advocate reduced intake by at least 1,000mg per day or more, but whether there is population-wide benefit from further reductions to levels of 1500mg per day remains controversial. A brief review of current evidence-based dietary guidelines is provided and key prospective, randomized studies that report dietary and urinary sodium data are summarized. Dietary sources of sodium and eating patterns that offer nutritiously sound approaches to nutrient dense, reduced sodium intake are compared. No studies suggest that high sodium intake at the levels of the population's current diet is optimal. On the contrary, national and international evidence and systematic reviews consistently recommend reducing sodium intake overall, generally by 1000mg/day. Recommendations to reduce intakes to 2400mg/d are generally accepted as beneficial. Whether further reductions to 1500mg/d are useful, feasible and safe among specific subgroups in the population who are at increased risk of hypertension or stroke remains controversial and requires individualized consideration by patients and their health care providers. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Valve assembly for internal combustion engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wakeman, R.J.; Shea, S.F.

    1989-09-05

    This patent describes an improvement in a valve assembly for an internal combustion engine of the type including a valve having a valve stem, a valve guideway for mounting this valve for reciprocal strokes between opened and seated position, and spring means for biasing the valve into the seated position. The improvement comprising a valve spool of greater cross-sectional diameter as compared to the valve stem, and a valve spool guideway within which the valve spool is movable during the strokes of the valve, an upper surface of the valve spool and a portion of the spool guideway collectively establishingmore » a damper chamber which varies in volume during the valve strokes. a feed passage for introducing oil into the damper chamber, and a bleed passage for discharging oil from the damper chamber. The bleed passages each laterally opening into the valve spool guideway.« less

  11. 40 CFR 90.419 - Raw emission sampling calculations-gasoline fueled engines.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...-gasoline fueled engines. 90.419 Section 90.419 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... KILOWATTS Gaseous Exhaust Test Procedures § 90.419 Raw emission sampling calculations—gasoline fueled...-stroke gasoline small engines, as follows: KH = (9.953 × H + 0.832) Where: H = the amount of water in an...

  12. 40 CFR 90.419 - Raw emission sampling calculations-gasoline fueled engines.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...-gasoline fueled engines. 90.419 Section 90.419 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... KILOWATTS Gaseous Exhaust Test Procedures § 90.419 Raw emission sampling calculations—gasoline fueled...-stroke gasoline small engines, as follows: KH = (9.953 × H + 0.832) Where: H = the amount of water in an...

  13. 40 CFR 90.419 - Raw emission sampling calculations-gasoline fueled engines.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...-gasoline fueled engines. 90.419 Section 90.419 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... KILOWATTS Gaseous Exhaust Test Procedures § 90.419 Raw emission sampling calculations—gasoline fueled...-stroke gasoline small engines, as follows: KH = (9.953 × H + 0.832) Where: H = the amount of water in an...

  14. The Diesel as a Vehicle Engine

    NASA Technical Reports Server (NTRS)

    Neumann, Kurt

    1928-01-01

    The thorough investigation of a Dorner four-cylinder, four-stroke-cycle Diesel engine with mechanical injection led me to investigate more thoroughly the operation of the Diesel as a vehicle engine. Aside from the obvious need of reliability of functioning, a high rotative speed, light weight and economy in heat consumption per horsepower are also indispensable requirements.

  15. Virtual Reality: The New Era of Rehabilitation Engineering [From the Regional Editor].

    PubMed

    Tong, Shanbao

    2016-01-01

    Rehabilitation engineering refers to the development and application of techniques, devices, and protocols for restoring function following disability. Although in most cases the concept relates to motor functions (e.g., training after a stroke or the use of limb prosthetics), mental rehabilitation engineering is also an emerging area.

  16. Turbulence intensity and spatial integral scale during compression and expansion strokes in a four-cycle reciprocating engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ikegami, M.; Shioji, M.; Nishimoto, K.

    1987-01-01

    A laser homodyne technique is applied to measure turbulence intensities and spatial scales during compression and expansion strokes in a non-fired engine. By using this technique, relative fluid motion in a turbulent flow is detected directly without cyclic variation biases caused by fluctuation in the main flow. Experiments are performed at different engine speeds, compression ratios, and induction swirl ratios. In no-swirl cases the turbulence field near the compression end is almost uniform, whereas in swirled cases both the turbulence intensity and the scale near the cylinder axis are higher than those in the periphery. In addition, based on themore » measured results, the k-epsilon two-equation turbulence model under the influence of compression is discussed.« less

  17. Exploring folate diversity in wild and primitive potatoes for modern crop improvement

    USDA-ARS?s Scientific Manuscript database

    Malnutrition is one of the world’s largest health concerns. Folate (a.k.a. vitamin B9) is essential in the human diet and without adequate folate intake several serious health concerns such as congenital birth defects and an increased risk of stroke and heart disease can occur. Most people’s folate ...

  18. 40 CFR 1065.225 - Intake-air flow meter.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Intake-air flow meter. 1065.225 Section 1065.225 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements § 1065.225 Intake-air...

  19. 40 CFR 1065.225 - Intake-air flow meter.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Intake-air flow meter. 1065.225 Section 1065.225 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements § 1065.225 Intake-air...

  20. 40 CFR 1065.225 - Intake-air flow meter.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Intake-air flow meter. 1065.225 Section 1065.225 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Measurement Instruments Flow-Related Measurements § 1065.225 Intake-air...

  1. System and method for engine combustion

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sczomak, David P.; Gallon, Robert J.; Solomon, Arun S.

    A combustion system for use with one or more cylinder bores of an internal combustion engine includes at least one cylinder head defining first and second intake ports in fluid communication with the one or more cylinder bores. A flap is adjustably connected to the at least one cylinder head. The flap includes a first flap portion cooperating with the first intake port extending from an arm and a second flap portion cooperating with the second intake port extending from the arm and disposed adjacent the first flap portion. A controller in electrical communication with an actuator monitors the conditionmore » of the engine and actuates the flap to position the first and second flap portions between first and second positions to create a first combustion condition and a second combustion condition.« less

  2. An experimental study of fuel injection strategies in CAI gasoline engine

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hunicz, J.; Kordos, P.

    2011-01-15

    Combustion of gasoline in a direct injection controlled auto-ignition (CAI) single-cylinder research engine was studied. CAI operation was achieved with the use of the negative valve overlap (NVO) technique and internal exhaust gas re-circulation (EGR). Experiments were performed at single injection and split injection, where some amount of fuel was injected close to top dead centre (TDC) during NVO interval, and the second injection was applied with variable timing. Additionally, combustion at variable fuel-rail pressure was examined. Investigation showed that at fuel injection into recompressed exhaust fuel reforming took place. This process was identified via an analysis of the exhaust-fuelmore » mixture composition after NVO interval. It was found that at single fuel injection in NVO phase, its advance determined the heat release rate and auto-ignition timing, and had a strong influence on NO{sub X} emission. However, a delay of single injection to intake stroke resulted in deterioration of cycle-to-cycle variability. Application of split injection showed benefits of this strategy versus single injection. Examinations of different fuel mass split ratios and variable second injection timing resulted in further optimisation of mixture formation. At equal share of the fuel mass injected in the first injection during NVO and in the second injection at the beginning of compression, the lowest emission level and cyclic variability improvement were observed. (author)« less

  3. Dietary Salt Intake and Hypertension

    PubMed Central

    2014-01-01

    Over the past century, salt has been the subject of intense scientific research related to blood pressure elevation and cardiovascular mortalities. Moderate reduction of dietary salt intake is generally an effective measure to reduce blood pressure. However, recently some in the academic society and lay media dispute the benefits of salt restriction, pointing to inconsistent outcomes noted in some observational studies. A reduction in dietary salt from the current intake of 9-12 g/day to the recommended level of less than 5-6 g/day will have major beneficial effects on cardiovascular health along with major healthcare cost savings around the world. The World Health Organization (WHO) strongly recommended to reduce dietary salt intake as one of the top priority actions to tackle the global non-communicable disease crisis and has urged member nations to take action to reduce population wide dietary salt intake to decrease the number of deaths from hypertension, cardiovascular disease and stroke. However, some scientists still advocate the possibility of increased risk of CVD morbidity and mortality at extremes of low salt intake. Future research may inform the optimal sodium reduction strategies and intake targets for general populations. Until then, we have to continue to build consensus around the greatest benefits of salt reduction for CVD prevention, and dietary salt intake reduction strategies must remain at the top of the public health agenda. PMID:25061468

  4. [Design of an embedded stroke rehabilitation apparatus system based on Linux computer engineering].

    PubMed

    Zhuang, Pengfei; Tian, XueLong; Zhu, Lin

    2014-04-01

    A realizaton project of electrical stimulator aimed at motor dysfunction of stroke is proposed in this paper. Based on neurophysiological biofeedback, this system, using an ARM9 S3C2440 as the core processor, integrates collection and display of surface electromyography (sEMG) signal, as well as neuromuscular electrical stimulation (NMES) into one system. By embedding Linux system, the project is able to use Qt/Embedded as a graphical interface design tool to accomplish the design of stroke rehabilitation apparatus. Experiments showed that this system worked well.

  5. 40 CFR 1065.122 - Engine cooling and lubrication.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....122 Section 1065.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.122 Engine cooling and lubrication. (a) Engine cooling. Cool the engine during testing so its intake-air, oil, coolant, block, and...

  6. 40 CFR 1065.122 - Engine cooling and lubrication.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....122 Section 1065.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.122 Engine cooling and lubrication. (a) Engine cooling. Cool the engine during testing so its intake-air, oil, coolant, block, and...

  7. 40 CFR 1065.122 - Engine cooling and lubrication.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....122 Section 1065.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.122 Engine cooling and lubrication. (a) Engine cooling. Cool the engine during testing so its intake-air, oil, coolant, block, and...

  8. 40 CFR 1065.122 - Engine cooling and lubrication.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....122 Section 1065.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.122 Engine cooling and lubrication. (a) Engine cooling. Cool the engine during testing so its intake-air, oil, coolant, block, and...

  9. 40 CFR 1065.122 - Engine cooling and lubrication.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....122 Section 1065.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR POLLUTION CONTROLS ENGINE-TESTING PROCEDURES Equipment Specifications § 1065.122 Engine cooling and lubrication. (a) Engine cooling. Cool the engine during testing so its intake-air, oil, coolant, block, and...

  10. A Mediterranean diet and risk of myocardial infarction, heart failure and stroke: A population-based cohort study.

    PubMed

    Tektonidis, Thanasis G; Åkesson, Agneta; Gigante, Bruna; Wolk, Alicja; Larsson, Susanna C

    2015-11-01

    The Mediterranean diet, which is palatable and easily achievable, has been associated with lower all-cause and cardiovascular disease (CVD) incidence and mortality. Data on heart failure (HF) and stroke types are lacking. The aim was to examine a Mediterranean diet in relation to incidence of myocardial infarction (MI), HF and stroke types in a Swedish prospective cohort. In a population-based cohort of 32,921 women, diet was assessed through a self-administered questionnaire. The modified Mediterranean diet (mMED) score was created based on high consumption of vegetables, fruits, legumes, nuts, whole grains, fermented dairy products, fish and monounsaturated fat, moderate intakes of alcohol and low consumption of red meat, on a 0-8 scale. Relative risks (RR) with 95% confidence intervals (CI), adjusted for potential confounders, were estimated by Cox proportional hazards regression models. During 10 y of follow-up (1998-2008), 1109 MIs, 1648 HFs, 1270 ischemic strokes and 262 total hemorrhagic strokes were ascertained. A high adherence to the mMED score (6-8), compared to low, was associated with a lower risk of MI (RR: 0.74, 95% CI: 0.61-0.90, p = 0.003), HF (RR: 0.79, 95% CI: 0.68-0.93, p = 0.004) and ischemic stroke (RR: 0.78, 95% CI: 0.65-0.93, p = 0.007), but not hemorrhagic stroke (RR: 0.88, 95% CI: 0.61-1.29, p = 0.53). Better adherence to a Mediterranean diet was associated with lower risk of MI, HF and ischemic stroke. The Mediterranean diet is most likely to be beneficial in primary prevention of all major types of atherosclerosis-related CVD. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. Features of the gas dynamics and local heat transfer in intake system of piston engine with supercharging

    NASA Astrophysics Data System (ADS)

    Plotnikov, L. V.

    2017-09-01

    Comparison of experimental research results of gas dynamics and instantaneous local heat transfer in the intake pipes for piston internal combustion engines (ICE) without and with supercharging are presented in the article. Studies were conducted on full-scale experimental setups in terms of gas dynamic nonstationarity, which is characteristic of piston engines. It has been established that the turbocharger installation in a gas-air system of piston internal combustion engine leads to significant differences in the patterns of change in gas-dynamic and heat transfer characteristics of flows. These data can be used in a modernization of piston engines due to installation of a turbocharger or in a development of gas-air systems for piston ICE with supercharging.

  12. Decreasing carbon monoxide in the diving air of artisanal fishermen in the Yucatán peninsula by separation of engine exhaust from compressor intake.

    PubMed

    Chin, Walter; Huchim-Lara, Oswaldo; Salas, Silvia

    2016-01-01

    Artisanal fishermen in the Yucatán Peninsula utilize hookah dive systems (HDS). The air compressors in these HDS are not filtered, and the intake is near the engine exhaust. This proximity allows carbon monoxide (CO) from the exhaust to directly enter the HDS volume tank and contaminate the fishermen diver's air supply. Conservative safety standards permit a diver's air supply to contain 10 parts per million (ppm) of CO. This study quantified the levels of CO in the diver's air supply both before and after physical separation of the engine exhaust from the compressor intake. CO levels in seven volume tanks were analyzed before and after a 1-inch hose was attached to the compressor intake and elevated 5 feet above the engine exhaust. The tanks were drained and refilled before collecting each set of pre- and post-intervention gas samples. Four CO measurements were collected before and after the intervention from each volume tank. A C-Squared© CO Analyzer (± 1 ppm), calibrated with a Praxair 70 ppm CON2 gas (± 5%), was used to analyze the gas samples. A paired samples t-test shows a statistically significant difference in average CO values before and after the intervention (t = 6.8674, df: 27; p⟨0.0001). The physical separation of the engine exhaust from the compressor intake reduced the CO contamination of the diver air supply by 72%. This intervention could be applied to the hookah systems in the rest of the fishing cooperative to reduce the divers' risk of CO poisoning. Copyright© Undersea and Hyperbaric Medical Society.

  13. Study of intake manifold for Universiti Malaysia Perlis automotive racing team formula student race car

    NASA Astrophysics Data System (ADS)

    Norizan, A.; Rahman, M. T. A.; Amin, N. A. M.; Basha, M. H.; Ismail, M. H. N.; Hamid, A. F. A.

    2017-10-01

    This paper describes the design differences between the intake manifold and restrictor used in racing cars that participate in the Formula Student (FSAE) competition. To fulfil the criteria of rules and regulation of the race, each race car must have a restriction device that has a maximum diameter of 20 mm installed between the throttle body and intake manifold. To overcome these problems, a restrictor has been designed and analysed using the steady state analysis, to reduce the loss of pressure in the restrictor. Design of the restrictor has a fixed parameter of the maximum diameter of 20mm. There are some differences that have been taken to make the comparison between the design of the restrictor, the diameter of the inlet and outlet, the curvature of the surface, convergence and divergence angle and length of the restrictor. Intake manifold was designed based on the design of the chassis, which shall not exceed the envelope defined by the FSAE competition. A good intake manifold design will affect the performance of the engine. Each design have made an analysis designed to ensure that each cylinder engine gets its air evenly. To verify the design, steady state analysis was made for a total mass flow rate and the velocity of air leaving a runner in each engine. Data such as the engine MAP reading was recorded by using Haltech ECU Management Software as reference purposes.

  14. Modernizing the Opposed-Piston Engine for More Efficient Military Ground Vehicle Applications

    DTIC Science & Technology

    2012-08-01

    stroke (OP2S) engines and their use in military applications. It also highlights the engine’s fundamental architectural advantages. In addition, the...rejection. Furthermore, the paper includes an overview of the fundamental challenges of OP2S engines, along with a discussion of how Achates Power...It also highlights the engine’s fundamental architectural advantages. In addition, the paper introduces the Achates Power opposed-piston engine

  15. An efficient nonlinear Feshbach engine

    NASA Astrophysics Data System (ADS)

    Li, Jing; Fogarty, Thomás; Campbell, Steve; Chen, Xi; Busch, Thomas

    2018-01-01

    We investigate a thermodynamic cycle using a Bose-Einstein condensate (BEC) with nonlinear interactions as the working medium. Exploiting Feshbach resonances to change the interaction strength of the BEC allows us to produce work by expanding and compressing the gas. To ensure a large power output from this engine these strokes must be performed on a short timescale, however such non-adiabatic strokes can create irreversible work which degrades the engine’s efficiency. To combat this, we design a shortcut to adiabaticity which can achieve an adiabatic-like evolution within a finite time, therefore significantly reducing the out-of-equilibrium excitations in the BEC. We investigate the effect of the shortcut to adiabaticity on the efficiency and power output of the engine and show that the tunable nonlinearity strength, modulated by Feshbach resonances, serves as a useful tool to enhance the system’s performance.

  16. Evaluation of the potential of the Stirling engine for heavy duty application

    NASA Technical Reports Server (NTRS)

    Meijer, R. J.; Ziph, B.

    1981-01-01

    A 150 hp four cylinder heavy duty Stirling engine was evaluated. The engine uses a variable stroke power control system, swashplate drive and ceramic insulation. The sensitivity of the design to engine size and heater temperature is investigated. Optimization shows that, with porous ceramics, indicated efficiencies as high as 52% can be achieved. It is shown that the gain in engine efficiency becomes insignificant when the heater temperature is raised above 200 degrees F.

  17. Coffee consumption and risk of stroke in women

    PubMed Central

    Lopez-Garcia, Esther; Rodriguez-Artalejo, Fernando; Rexrode, Kathryn M.; Logroscino, Giancarlo; Hu, Frank B.; van Dam, Rob M.

    2009-01-01

    Background Data on the association between coffee consumption and risk of stroke are sparse. We assessed the association between coffee consumption and the risk of stroke over 24 years of follow-up in women. Methods and Results We analyzed data from a prospective cohort of 83,076 women in the Nurses' Health Study without history of stroke, coronary heart disease, diabetes, or cancer at baseline. Coffee consumption was first assessed in 1980, and then repeatedly every 2-4 years; with follow-up through 2004. We documented 2280 strokes of which 426 were hemorrhagic strokes, 1224 ischemic strokes, and 630 undetermined. In multivariable Cox regression models with adjustment for age, smoking status, body mass index, physical activity, alcohol intake, menopausal status, hormone replacement therapy, aspirin use, and dietary factors, the relative risks (RRs) of stroke across categories of coffee consumption (<1 cup/mo, 1/mo-4/wk, 5-7/wk, 2-3/d, and ≥4/d) were: 1, 0.98 (95% confidence interval [CI] 0.84-1.15), 0.88 (0.77-1.02), 0.81 (0.70-0.95), and 0.80 (0.64-0.98); p for trend= 0.003. After further adjustment for high blood pressure, hypercholesterolemia, and type 2 diabetes the inverse association remained significant. The association was stronger among never and past smokers [RR (95% CI) for ≥4 cups/d vs. <1 cup/mo: 0.57 (0.39-0.84)] than among current smokers [RR (95% CI) for ≥4 cups/d vs. <1 cup/mo: 0.97 (0.63-1.48)]. Other drinks containing caffeine, such as tea and caffeinated soft drinks, were not associated with stroke. Decaffeinated coffee was associated with a trend towards lower risk of stroke after adjustment for caffeinated coffee consumption [RR (95% CI) for 2 or more cups/d vs. <1 cup/mo: 0.89 (0.73-1.08); p for trend= 0.05]. Conclusions Long-term coffee consumption was not associated with an increased risk of stroke in women. In contrast, our data suggest that coffee consumption may modestly reduce risk of stroke. PMID:19221216

  18. Modeling and Control Systems Design for Air Intake System of Diesel Engines for Improvement of Transient Characteristic

    NASA Astrophysics Data System (ADS)

    Ejiri, Arata; Sasaki, Jun; Kinoshita, Yusuke; Fujimoto, Junya; Maruyama, Tsugito; Shimotani, Keiji

    For the purpose of contributing to global environment protection, several research studies have been conducted involving clean-burning diesel engines. In recent diesel engines with Exhaust Gas Recirculation (EGR) systems and a Variable Nozzle Turbocharger (VNT), mutual interference between EGR and VNT has been noted. Hence, designing and adjusting control of the conventional PID controller is particularly difficult at the transient state in which the engine speed and fuel injection rate change. In this paper, we formulate 1st principal model of air intake system of diesel engines and transform it to control oriented model including an engine steady state model and a transient model. And we propose a model-based control system with the LQR Controller, Saturation Compensator, the Dynamic Feed-forward and Disturbance Observer using a transient model. Using this method, we achieved precise reference tracking and emission reduction in transient mode test with the real engine evaluations.

  19. 1. View from south to north of perimeter acquisition radar ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    1. View from south to north of perimeter acquisition radar power plant diesel engine exhaust and the small engine intake. On the right is the ventilating air intake/exhaust, distinguishable by its square shape, whereas the diesel columns are rectangular - Stanley R. Mickelsen Safeguard Complex, Perimeter Acquisition Radar Power Plant, In Limited Access Area, Southwest of PARB at end of Service Road B, Nekoma, Cavalier County, ND

  20. Dietary Vitamin K Intake Is Associated with Cognition and Behaviour among Geriatric Patients: The CLIP Study.

    PubMed

    Chouet, Justine; Ferland, Guylaine; Féart, Catherine; Rolland, Yves; Presse, Nancy; Boucher, Kariane; Barberger-Gateau, Pascale; Beauchet, Olivier; Annweiler, Cedric

    2015-08-12

    Our objective was to determine whether dietary vitamin K intake was associated with cognition and behavior among older adults. 192 consecutive participants ≥65 years, recruited in the cross-sectional CLIP (Cognition and LIPophilic vitamins) study, were separated into two groups according to the tertiles of dietary phylloquinone intake (i.e., lowest third below 207 µg/day versus the other two thirds combined). Daily dietary phylloquinone intake was estimated from 50-item interviewer-administered food frequency questionnaire. Cognition was assessed with Mini-Mental State Examination (MMSE); behaviour with Frontotemporal Behavioral Rating Scale (FBRS). Age, gender, social problems, education, body mass index (BMI), comorbidities, history of stroke, use vitamin K antagonists, inadequate fatty fish intake, serum thyroid-stimulating hormone (TSH), vitamin B12, albumin, and estimated glomerular filtration rate were used as confounders. Compared to participants in the lowest third of dietary phylloquinone intake (n = 64), those with higher intake had higher (i.e., better) mean MMSE score (22.0 ± 5.7 versus 19.9 ± 6.2, p = 0.024) and lower (i.e., better) FBRS score (1.5 ± 1.2 versus 1.9 ± 1.3, p = 0.042). In multivariate linear regressions, log dietary phylloquinone intake was positively associated with MMSE score (adjusted β = 1.66, p = 0.013) and inversely associated with FBRS score (adjusted β = -0.33, p = 0.037). Specifically, log dietary phylloquinone intake correlated negatively with FBRS subscore of physical neglect (r = -0.24, p = 0.001). Higher dietary phylloquinone intake was associated with better cognition and behavior among older adults.

  1. Urinary Sodium Excretion and Dietary Sources of Sodium Intake in Chinese Postmenopausal Women with Prehypertension

    PubMed Central

    Liu, Zhao-min; Ho, Suzanne C.; Tang, Nelson; Chan, Ruth; Chen, Yu-ming; Woo, Jean

    2014-01-01

    Background Reducing salt intake in communities is one of the most effective and affordable public health strategies to prevent hypertension, stroke and renal disease. The present study aimed to determine the sodium intake in Hong Kong Chinese postmenopausal women and identify the major food sources contributing to sodium intake and urine excretion. Methods This was a cross-sectional study among 655 Chinese postmenopausal women with prehypertension who were screened for a randomized controlled trial. Data collection included 24 h urine collection for the measurement of sodium, potassium and creatinine, 3-day dietary records, anthropometric measures and questionnaire survey on demographic data and dietary habits. Results The average salt intake estimated from urinary excretion was 7.8±3.2 g/d with 82.1% women above WHO recommendation of 5 g/day. Food groups as soup (21.6%), rice and noodles (13.5%), baked cereals (12.3%), salted/preserved foods (10.8%), Chinese dim sum (10.2%) and sea foods (10.1%) were the major contributors of non-discretionary salt. Discretionary salt use in cooking made a modest contribution to overall intake. Vegetable and fruit intake, age, sodium intake from salted foods, sea foods and soup were the independent determinants of urinary sodium excretion. Conclusions Our data revealed a significant room for reduction of the sodium intake. Efforts to reduce sodium from diets in Hong Kong Chinese postmenopausal women should focus on both processed foods and discretionary salt during cooking. Sodium reduction in soup and increase in fruit intake would be potentially effective strategy for reducing sodium. PMID:25083775

  2. Determination of two-stroke engine exhaust noise by the method of characteristics

    NASA Technical Reports Server (NTRS)

    Jones, A. D.; Brown, G. L.

    1981-01-01

    A computational technique was developed for the method of characteristics solution of a one-dimensional flow in a duct as applied to the wave action in an engine exhaust system. By using the method, it was possible to compute the unsteady flow in both straight pipe and tuned expansion chamber exhaust systems as matched to the flow from the cylinder of a small two-stroke engine. The radiated exhaust noise was then determined by assuming monopole radiation from the tailpipe outlet. Very good agreement with experiment on an operation engine was achieved in the calculation of both the third octave radiated noise and the associated pressure cycles at several locations in the different exhaust systems. Of particular interest is the significance of nonlinear behavior which results in wave steepening and shock wave formation. The method computes the precise paths on the x-t plane of a finite number of C(sub +), C(sub -) and P characteristics, thereby obtaining high accuracy in determining the tailpipe outlet velocity and the radiated noise.

  3. Determination of two-stroke engine exhaust noise by the method of characteristics

    NASA Astrophysics Data System (ADS)

    Jones, A. D.; Brown, G. L.

    1981-06-01

    A computational technique was developed for the method of characteristics solution of a one-dimensional flow in a duct as applied to the wave action in an engine exhaust system. By using the method, it was possible to compute the unsteady flow in both straight pipe and tuned expansion chamber exhaust systems as matched to the flow from the cylinder of a small two-stroke engine. The radiated exhaust noise was then determined by assuming monopole radiation from the tailpipe outlet. Very good agreement with experiment on an operation engine was achieved in the calculation of both the third octave radiated noise and the associated pressure cycles at several locations in the different exhaust systems. Of particular interest is the significance of nonlinear behavior which results in wave steepening and shock wave formation. The method computes the precise paths on the x-t plane of a finite number of C(sub +), C(sub -) and P characteristics, thereby obtaining high accuracy in determining the tailpipe outlet velocity and the radiated noise.

  4. The Charging Process in a High-speed, Single-cylinder, Four-stroke Engine

    NASA Technical Reports Server (NTRS)

    Reynolds, Blake; Schecter, Harry; Taylor, E S

    1939-01-01

    Experimental measurements and theoretical calculations were made on an aircraft-type, single cylinder engine, in order to determine the physical nature of the inlet process, especially at high piston speeds. The engine was run at speeds from 1,500 to 2,600 r.p.m. (mean piston speeds of 1,370 to 2,380 feet per minute). Measurements were made of the cylinder pressure during the inlet stroke and of the power output and volumetric efficiency. Measurements were also made, with the engine not running, to determine the resistance and mass of air in the inlet valve port at various crank angles. Results of analysis indicate that mass has an appreciable effect, but friction plays the major part in restricting flow. The observed fact that the volumetric efficiency is considerably less than 100 percent is attributed to thermal effects. An estimate was made of the magnitude of these effects in the present case, and their general nature is discussed.

  5. 46 CFR 58.10-5 - Gasoline engine installations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Gasoline engine installations. 58.10-5 Section 58.10-5... MACHINERY AND RELATED SYSTEMS Internal Combustion Engine Installations § 58.10-5 Gasoline engine... drained by a device for automatic return of all drip to engine air intakes. (2) All gasoline engines must...

  6. 46 CFR 58.10-5 - Gasoline engine installations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 2 2012-10-01 2012-10-01 false Gasoline engine installations. 58.10-5 Section 58.10-5... MACHINERY AND RELATED SYSTEMS Internal Combustion Engine Installations § 58.10-5 Gasoline engine... drained by a device for automatic return of all drip to engine air intakes. (2) All gasoline engines must...

  7. 46 CFR 58.10-5 - Gasoline engine installations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 2 2013-10-01 2013-10-01 false Gasoline engine installations. 58.10-5 Section 58.10-5... MACHINERY AND RELATED SYSTEMS Internal Combustion Engine Installations § 58.10-5 Gasoline engine... drained by a device for automatic return of all drip to engine air intakes. (2) All gasoline engines must...

  8. 46 CFR 58.10-5 - Gasoline engine installations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 2 2014-10-01 2014-10-01 false Gasoline engine installations. 58.10-5 Section 58.10-5... MACHINERY AND RELATED SYSTEMS Internal Combustion Engine Installations § 58.10-5 Gasoline engine... drained by a device for automatic return of all drip to engine air intakes. (2) All gasoline engines must...

  9. Dietary trans fatty acids intake and its relation to dyslipidemia in a sample of adults in Depok city, West Java, Indonesia.

    PubMed

    Sartika, Ratu Ayu Dewi

    2011-12-01

    The Basic Health Research of the Ministry of Health Indonesia in 2008 reported that the single most important cause of death was stroke, in both urban and rural populations. The risk factors underlying the cause of death are associated with hypertension, obesity and dyslipidemia. The purpose of this study was to determine the mean intake of trans fatty acids and its relation to dyslipidemia in a sample of Indonesian adults. A cross-sectional study was conducted on a total of 180 adult male and female respondents aged 35-60 years living in rural and urban areas of Depok city, West Java. Dietary intake was assessed by means of 24-hour recall and semi-quantitative FFQ. The mean intake of trans fatty acids was 0.48% of total calories (urban 0.40% and rural 0.55%). The prevalence of dyslipidemia in the rural and urban subjects were 61.1% and 66.7%, respectively. There was a statistically significant relationship between trans fatty acids intake and hypercholesterolemia and hypertriglyceridemia. The intake of trans fatty acid among the Indonesian adults studied was half the recommended level. The high prevalence of dyslipidemia found indicates the need for intervention to reduce the rising incidence of cardiovascular diseases in Indonesia.

  10. Power spectra at radio frequency of lightning return stroke waveforms

    NASA Technical Reports Server (NTRS)

    Lanzerotti, L. J.; Thomson, D. J.; Maclennan, C. G.; Rinnert, K.; Krider, E. P.

    1989-01-01

    The power spectra of the wideband (10 Hz to 100 kHz) magnetic field signals in a number of lightning return strokes (primarily first return strokes) measured during a lightning storm which occurred in Lindau, West Germany in August, 1984 have been calculated. The RF magnetic field data were obtained with the engineering unit of the Galileo Jupiter Probe lightning experiment. The spectra of the magnetic field data definitely show fine structure, with two or three distinct peaks appearing in the spectra of many of the waveforms. An enhancement of power at frequencies of about 60-70 kHz is often seen in the spectra of the waveform time segments preceding and following the rise-to-peak amplitude of the return stroke.

  11. Accuracy of a bedside dysphagia screening: a comparison of registered nurses and speech therapists.

    PubMed

    Weinhardt, Janice; Hazelett, Susan; Barrett, Dawn; Lada, Robert; Enos, Trish; Keleman, Rick

    2008-01-01

    Evidence-based guidelines suggest that stroke patients should be screened for dysphagia before oral intake. The purpose of this study was to validate a dysphagia screening tool comparing registered nurses (RNs) with speech therapists (STs). All stroke unit patients who received predetermined scores on specific items of the National Institutes of Health Stroke Scale were eligible for screening. The trial consisted of three parts (with swallow, cough, and vocal quality observed during each part): 1 teaspoon lemon ice, 1 teaspoon applesauce, and 1 teaspoon water RNs performed five screenings that were compared with independent screenings performed on the same patient within 1 hour by a speech therapist (ST). Eighty-three paired screenings were completed, with 94% agreement between the RNs and the STs. This screening identifies patients who are able to swallow and can eat from a safe menu until formally evaluated by an ST while maintaining nothing by mouth (NPO) status for those at risk for aspiration.

  12. Thermal Loss Determination for a Small Internal Combustion Engine

    DTIC Science & Technology

    2014-03-27

    calibration temperature rc Compression ratio S̄ p Mean piston speed T Temperature Vc Combustion chamber volume Vd Displacement volume Wc,i Indicated work...are typically fueled by gasoline, ignited by a spark, and operate on either a two or four-stroke cycle. Compression-ignition diesel engines as seen in...engine, the fuel is usually withheld from the cylinder until the combustion event is desired as in diesel engines. Similarly, the fuel in a gas

  13. Free piston variable-stroke linear-alternator generator

    DOEpatents

    Haaland, Carsten M.

    1998-01-01

    A free-piston variable stroke linear-alternator AC power generator for a combustion engine. An alternator mechanism and oscillator system generates AC current. The oscillation system includes two oscillation devices each having a combustion cylinder and a flying turnbuckle. The flying turnbuckle moves in accordance with the oscillation device. The alternator system is a linear alternator coupled between the two oscillation devices by a slotted connecting rod.

  14. Alternative general-aircraft engines

    NASA Technical Reports Server (NTRS)

    Tomazic, W. A.

    1976-01-01

    The most promising alternative engine (or engines) for application to general aircraft in the post-1985 time period was defined, and the level of technology was cited to the point where confident development of a new engine can begin early in the 1980's. Low emissions, multifuel capability, and fuel economy were emphasized. Six alternative propulsion concepts were considered to be viable candidates for future general-aircraft application: the advanced spark-ignition piston, rotary combustion, two- and four-stroke diesel, Stirling, and gas turbine engines.

  15. 16. INTERIOR VIEW OF HILLMAN FAN HOUSE ENGINE ROOM LOOKING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. INTERIOR VIEW OF HILLMAN FAN HOUSE ENGINE ROOM LOOKING EAST This overview of the 1883 Pittston Engine and Machine Company steam engine includes the flywheel and pillowblock in the foreground, with the shaft and cylinder in the background. The engine is a horizontal, slide valve type of 30 inch bore and 60 inch stroke that turned the fan at 49 revolutions per minute. - Dorrance Colliery Fan Complex, South side of Susquehanna River at Route 115 & Riechard Street, Wilkes-Barre, Luzerne County, PA

  16. A review of internal combustion engine combustion chamber process studies at NASA Lewis Research Center

    NASA Technical Reports Server (NTRS)

    Schock, H. J.

    1984-01-01

    The performance of internal combustion stratified-charge engines is highly dependent on the in-cylinder fuel-air mixing processes occurring in these engines. Current research concerning the in-cylinder airflow characteristics of rotary and piston engines is presented. Results showing the output of multidimensional models, laser velocimetry measurements and the application of a holographic optical element are described. Models which simulate the four-stroke cycle and seal dynamics of rotary engines are also discussed.

  17. Comprehensive Small Engine Repair.

    ERIC Educational Resources Information Center

    Hires, Bill; And Others

    This curriculum guide contains the basic information needed to repair all two- and four-stroke cycle engines. The curriculum covers four areas, each consisting of one or more units of instruction that include performance objectives, suggested activities for teacher and students, information sheets, assignment sheets, job sheets, visual aids,…

  18. Evaluation of heat engine for hybrid vehicle application

    NASA Technical Reports Server (NTRS)

    Schneider, H. W.

    1984-01-01

    The status of ongoing heat-engine developments, including spark-ignition, compression-ignition, internal-combustion, and external-combustion engines is presented. The potential of engine concepts under consideration for hybrid vehicle use is evaluated, using self-imposed criteria for selection. The deficiencies of the engines currently being evaluated in hybrid vehicles are discussed. Focus is on recent research with two-stroke, rotary, and free-piston engines. It is concluded that these engine concepts have the most promising potential for future application in hybrid vehicles. Recommendations are made for analysis and experimentation to evaluate stop-start and transient emission behavior of recommended engine concepts.

  19. A review of post-stroke urinary incontinence.

    PubMed

    Tuong, Nicole E; Klausner, Adam P; Hampton, Lance J

    2016-06-01

    Cerebrovascular accidents, or strokes, are a common cause of morbidity and mortality in the United States. Urinary incontinence is a prevalent morbidity experienced by post-stroke patients that is associated with long term disability and institutionalization effects on these patients. An extensive literature review was conducted using multiple academic search engines using the keywords: 'stroke,' 'CVA,' 'urinary incontinence,' 'urodynamics,' 'pharmacologic treatments,' and 'conservative treatments.' Articles were reviewed and summarized to explain incidence, assessment, and treatments of urinary incontinence in post-stroke individuals. Twenty-eight percent to seventy-nine percent of stroke survivors experience urinary incontinence with detrusor overactivity being the most common type of incontinence assessed by urodynamic studies. There continues to be insufficient data studying the effects and benefits of non-pharmacologic and pharmacologic treatments in post-stroke patients. Similarly, urinary incontinence remains an indicator of increased morbidity, disability, and institutionalization rates in the post-stroke patient. Stroke is a debilitating disease which causes urinary incontinence in many patients. As a result, patients have increased rates of hospitalization and disability compared to post-stroke patients without urinary incontinence. The history and physical exam are key in diagnosing the type of urinary incontinence with urodynamic studies being an adjunctive study. Non-pharmacologic treatment, such as behavioral therapy, and pharmacologic agents including antimuscarinics and beta adrenergic medications, are not well studied in the post-stroke patient. Urinary incontinence in stroke patients needs to be further studied to help decrease morbidity and mortality rates within this population.

  20. Modelling the potential impact of a sugar-sweetened beverage tax on stroke mortality, costs and health-adjusted life years in South Africa.

    PubMed

    Manyema, Mercy; Veerman, Lennert J; Tugendhaft, Aviva; Labadarios, Demetre; Hofman, Karen J

    2016-05-31

    Stroke poses a growing human and economic burden in South Africa. Excess sugar consumption, especially from sugar-sweetened beverages (SSBs), has been associated with increased obesity and stroke risk. Research shows that price increases for SSBs can influence consumption and modelling evidence suggests that taxing SSBs has the potential to reduce obesity and related diseases. This study estimates the potential impact of an SSB tax on stroke-related mortality, costs and health-adjusted life years in South Africa. A proportional multi-state life table-based model was constructed in Microsoft Excel (2010). We used consumption data from the 2012 South African National Health and Nutrition Examination Survey, previously published own and cross price elasticities of SSBs and energy balance equations to estimate changes in daily energy intake and BMI arising from increased SSB prices. Stroke relative risk, and prevalent years lived with disability estimates from the Global Burden of Disease Study and modelled disease epidemiology estimates from a previous study, were used to estimate the effect of the BMI changes on the burden of stroke. Our model predicts that an SSB tax may avert approximately 72 000 deaths, 550 000 stroke-related health-adjusted life years and over ZAR5 billion, (USD400 million) in health care costs over 20 years (USD296-576 million). Over 20 years, the number of incident stroke cases may be reduced by approximately 85 000 and prevalent cases by about 13 000. Fiscal policy has the potential, as part of a multi-faceted approach, to mitigate the growing burden of stroke in South Africa and contribute to the achievement of the target set by the Department of Health to reduce relative premature mortality (less than 60 years) from non-communicable diseases by the year 2020.

  1. An Ejector Air Intake Design Method for a Novel Rocket-Based Combined-Cycle Rocket Nozzle

    NASA Astrophysics Data System (ADS)

    Waung, Timothy S.

    Rocket-based combined-cycle (RBCC) vehicles have the potential to reduce launch costs through the use of several different air breathing engine cycles, which reduce fuel consumption. The rocket-ejector cycle, in which air is entrained into an ejector section by the rocket exhaust, is used at flight speeds below Mach 2. This thesis develops a design method for an air intake geometry around a novel RBCC rocket nozzle design for the rocket-ejector engine cycle. This design method consists of a geometry creation step in which a three-dimensional intake geometry is generated, and a simple flow analysis step which predicts the air intake mass flow rate. The air intake geometry is created using the rocket nozzle geometry and eight primary input parameters. The input parameters are selected to give the user significant control over the air intake shape. The flow analysis step uses an inviscid panel method and an integral boundary layer method to estimate the air mass flow rate through the intake geometry. Intake mass flow rate is used as a performance metric since it directly affects the amount of thrust a rocket-ejector can produce. The design method results for the air intake operating at several different points along the subsonic portion of the Ariane 4 flight profile are found to under predict mass flow rate by up to 8.6% when compared to three-dimensional computational fluid dynamics simulations for the same air intake.

  2. "I had no idea what a complicated business eating is…": a qualitative study of the impact of dysphagia during stroke recovery.

    PubMed

    Moloney, Jennifer; Walshe, Margaret

    2018-06-01

    Persons with dysphagia following stroke may experience uncomfortable symptoms such as persistent coughing, choking and poor salivary management. They may also spend long periods of time unable to eat or drink or with restrictions on oral intake. Experiences of dysphagia post-stroke are richly described in unsolicited narratives such as autobiographies on the stroke event, which often include details of the author's journey through their stroke recovery. The aim of this study is to use autobiographical accounts to explore the experiences of those living with dysphagia following stroke. Published autobiographies narrating the author's experiences of living with dysphagia following stroke were sourced. Ten autobiographies were retrieved and the texts were manually inspected. All references to eating, drinking and swallowing were extracted and pooled to form the data set. A qualitative approach using a six-step interpretive phenomenological analysis process was taken to analyze this data set. A wide range of interconnected themes emerged from the data, allowing further synthesis into six overarching super-ordinate themes. These six super-ordinate themes were: "physical consequences of dysphagia"; "process of recovery"; "coping and adjusting"; "changed relationships"; "society" and "control". This study highlights the unique contribution of autobiographical accounts in developing our understanding of living with dysphagia following stroke. The findings emphasize the significant emotional and social impact of dysphagia during the stroke recovery process and add further depth to our understanding of the experience of this clinical group. Implications for Rehabilitation Autobiographical accounts often hold valuable first-hand information on patient perspectives and journeys, which when viewed through the eyes of a qualitative researcher, can add depth to our understanding of particular healthcare experiences. Persons who experience dysphagia as a result of stroke travel a complex rehabilitation journey, involving the interaction of many physical, emotional and social considerations. Healthcare professionals should be aware of not only the physical, but also the significant psychosocial consequences of living with dysphagia following stroke. Further research is required in this field, so that the experiences of these persons can be better understood and findings can be used to contribute to high-quality and evidence-based service delivery.

  3. Chocolate consumption in relation to blood pressure and risk of cardiovascular disease in German adults.

    PubMed

    Buijsse, Brian; Weikert, Cornelia; Drogan, Dagmar; Bergmann, Manuela; Boeing, Heiner

    2010-07-01

    To investigate the association of chocolate consumption with measured blood pressure (BP) and the incidence of cardiovascular disease (CVD). Dietary intake, including chocolate, and BP were assessed at baseline (1994-98) in 19 357 participants (aged 35-65 years) free of myocardial infarction (MI) and stroke and not using antihypertensive medication of the Potsdam arm of the European Prospective Investigation into Cancer and Nutrition. Incident cases of MI (n = 166) and stroke (n = 136) were identified after a mean follow-up of approximately 8 years. Mean systolic BP was 1.0 mmHg [95% confidence interval (CI) -1.6 to -0.4 mmHg] and mean diastolic BP 0.9 mmHg (95% CI -1.3 to -0.5 mmHg) lower in the top quartile compared with the bottom quartile of chocolate consumption. The relative risk of the combined outcome of MI and stroke for top vs. bottom quartiles was 0.61 (95% CI 0.44-0.87; P linear trend = 0.014). Baseline BP explained 12% of this lower risk (95% CI 3-36%). The inverse association was stronger for stroke than for MI. Chocolate consumption appears to lower CVD risk, in part through reducing BP. The inverse association may be stronger for stroke than for MI. Further research is needed, in particular randomized trials.

  4. LCD OF AIR INTAKE MANIFOLDS PHASE 2: FORD F250 AIR INTAKE MANIFOLD

    EPA Science Inventory

    The life cycle design methodology was applied to the design analysis of three alternatives for the lower plehum of the air intake manifold for us with a 5.4L F-250 truck engine: a sand cast aluminum, a lost core molded nylon composite, and a vibration welded nylon composite. The ...

  5. Effect of Alcohol on Risk of Coronary Heart Disease and Stroke: Causality, Bias, or a Bit of Both?

    PubMed Central

    Emberson, Jonathan R; Bennett, Derrick A

    2006-01-01

    Epidemiological studies of middle-aged populations generally find the relationship between alcohol intake and the risk of coronary heart disease (CHD) and stroke to be either U- or J-shaped. This review describes the extent that these relationships are likely to be causal, and the extent that they may be due to specific methodological weaknesses in epidemiological studies. The consistency in the vascular benefit associated with moderate drinking (compared with non-drinking) observed across different studies, together with the existence of credible biological pathways, strongly suggests that at least some of this benefit is real. However, because of biases introduced by: choice of reference categories; reverse causality bias; variations in alcohol intake over time; and confounding, some of it is likely to be an artefact. For heavy drinking, different study biases have the potential to act in opposing directions, and as such, the true effects of heavy drinking on vascular risk are uncertain. However, because of the known harmful effects of heavy drinking on non-vascular mortality, the problem is an academic one. Studies of the effects of alcohol consumption on health outcomes should recognise the methodological biases they are likely to face, and design, analyse and interpret their studies accordingly. While regular moderate alcohol consumption during middle-age probably does reduce vascular risk, care should be taken when making general recommendations about safe levels of alcohol intake. In particular, it is likely that any promotion of alcohol for health reasons would do substantially more harm than good. PMID:17326330

  6. Cardiovascular risk factors in two Ecuadorian urban and rural populations. The Ecuadorian-Japan Cooperative CARDIAC Study Group.

    PubMed

    Del Pozo, G; Davalos, P; Yamori, Y

    1990-01-01

    We examined the specific hypotheses linking the intake of sodium, potassium, calcium, magnesium, and protein to blood pressure (BP) and the relationship between dietary factors and mortality from the major cardiovascular diseases (CVD) in the Ecuadorian populations. Two Ecuadorian populations, the urban and the rural, were selected from Quito and Vilcabamba, respectively. From Quito: 87 men and 83 women; from Vilcabamba: 71 men and 91 women aged 50-54 were randomly selected for BP measurement, 24-h urine collection, and blood sampling according to the Cardiovascular Disease and Alimentary Comparison (CARDIAC) Study protocol. Samples were analyzed at CARDIAC center in Izumo, Japan. Mean systolic blood pressure (SBP) was not much different in the two populations, but mean diastolic blood pressure (DBP) and body mass index (BMI) were significantly lower in Vilcabamba (p less than 0.001). Mortality from stroke was higher in Vilcabamba, whereas coronary death rate was higher in Quito. Both sodium intake and sodium/potassium ratio were higher in Vilcabamba (p less than 0.001). Protein intake and serum cholesterol were higher in Quito (p less than 0.001). Urinary taurine excretion was higher in Quito. There was no difference in W3/W6 fatty acids ratio between the two populations. Multiple regression analyses of intracommunity correlation indicated that both SBP and DBP were highly significantly related with BMI in Quito and that urinary excretions were inversely related to SBP. Serum cholesterol was positively related to coronary death rate. Mortality from stroke was inversely related to both serum cholesterol and protein and was positively related to salt consumption.

  7. 10 Tips to Protect Yourself from Unhealthy Air

    MedlinePlus

    ... parts of the country. Use hand-powered or electric lawn care equipment rather than gasoline-powered. Old two-stroke engines like lawnmowers and leaf or snow blowers often have no pollution control devices. They can pollute the air even more than cars, though engines sold since 2011 are cleaner. Don' ...

  8. A study on the influence of corona on currents and electromagnetic fields predicted by a nonlinear lightning return-stroke model

    NASA Astrophysics Data System (ADS)

    De Conti, Alberto; Silveira, Fernando H.; Visacro, Silvério

    2014-05-01

    This paper investigates the influence of corona on currents and electromagnetic fields predicted by a return-stroke model that represents the lightning channel as a nonuniform transmission line with time-varying (nonlinear) resistance. The corona model used in this paper allows the calculation of corona currents as a function of the radial electric field in the vicinity of the channel. A parametric study is presented to investigate the influence of corona parameters, such as the breakdown electric field and the critical electric field for the stable propagation of streamers, on predicted currents and electromagnetic fields. The results show that, regardless of the assumed corona parameters, the incorporation of corona into the nonuniform and nonlinear transmission line model under investigation modifies the model predictions so that they consistently reproduce most of the typical features of experimentally observed lightning electromagnetic fields and return-stroke speed profiles. In particular, it is shown that the proposed model leads to close vertical electric fields presenting waveforms, amplitudes, and decay with distance in good agreement with dart leader electric field changes measured in triggered lightning experiments. A comparison with popular engineering return-stroke models further confirms the model's ability to predict consistent electric field waveforms in the close vicinity of the channel. Some differences observed in the field amplitudes calculated with the different models can be related to the fact that current distortion, while present in the proposed model, is ultimately neglected in the considered engineering return-stroke models.

  9. Delayed Docosahexaenoic Acid Treatment Combined with Dietary Supplementation of Omega-3 Fatty Acids Promotes Long-Term Neurovascular Restoration After Ischemic Stroke.

    PubMed

    Pu, Hongjian; Jiang, Xiaoyan; Hu, Xiaoming; Xia, Jinchao; Hong, Dandan; Zhang, Wenting; Gao, Yanqin; Chen, Jun; Shi, Yejie

    2016-12-01

    Prophylactic dietary intake of omega-3 polyunsaturated fatty acids (n-3 PUFAs) has been shown to remarkably ameliorate ischemic brain injury. However, the therapeutic efficacy of n-3 PUFA administration post-stroke, especially its impact on neurovascular remodeling and long-term neurological recovery, has not been fully characterized thus far. In this study, we investigated the effect of n-3 PUFA supplementation, as well as in combination with docosahexaenoic acid (DHA) injections, on long-term stroke outcomes. Mice were subjected to transient middle cerebral artery occlusion (MCAO) before randomly assigned to four groups to receive the following: (1) low dose of n-3 PUFAs as the vehicle control, (2) intraperitoneal DHA injections, (3) n-3 PUFA dietary supplement, or (4) combined treatment of (2) and (3). Neurological deficits and brain atrophy, neurogenesis, angiogenesis, and glial scar formation were assessed up to 28 days after MCAO. Results revealed that groups 2 and 3 showed only marginal reduction in post-stroke tissue loss and attenuation of cognitive deficits. Interestingly, group 4 exhibited significantly reduced tissue atrophy and improved cognitive functions compared to groups 2 and 3 with just a single treatment. Mechanistically, the combined treatment promoted post-stroke neurogenesis and angiogenesis, as well as reduced glial scar formation, all of which significantly correlated with the improved spatial memory in the Morris water maze. These results demonstrate an effective therapeutic regimen to enhance neurovascular restoration and long-term cognitive recovery in the mouse model of MCAO. Combined post-stroke DHA treatment and n-3 PUFA dietary supplementation thus may be a potential clinically translatable therapy for stroke or related brain disorders.

  10. Radiation exposure and circulatory disease risk: Hiroshima and Nagasaki atomic bomb survivor data, 1950-2003.

    PubMed

    Shimizu, Yukiko; Kodama, Kazunori; Nishi, Nobuo; Kasagi, Fumiyoshi; Suyama, Akihiko; Soda, Midori; Grant, Eric J; Sugiyama, Hiromi; Sakata, Ritsu; Moriwaki, Hiroko; Hayashi, Mikiko; Konda, Manami; Shore, Roy E

    2010-01-14

    To investigate the degree to which ionising radiation confers risk of mortality from heart disease and stroke. Prospective cohort study with more than 50 years of follow-up. Atomic bomb survivors in Hiroshima and Nagasaki, Japan. 86 611 Life Span Study cohort members with individually estimated radiation doses from 0 to >3 Gy (86% received <0.2 Gy). Mortality from stroke or heart disease as the underlying cause of death and dose-response relations with atomic bomb radiation. About 9600 participants died of stroke and 8400 died of heart disease between 1950 and 2003. For stroke, the estimated excess relative risk per gray was 9% (95% confidence interval 1% to 17%, P=0.02) on the basis of a linear dose-response model, but an indication of possible upward curvature suggested relatively little risk at low doses. For heart disease, the estimated excess relative risk per gray was 14% (6% to 23%, P<0.001); a linear model provided the best fit, suggesting excess risk even at lower doses. However, the dose-response effect over the restricted dose range of 0 to 0.5 Gy was not significant. Prospective data on smoking, alcohol intake, education, occupation, obesity, and diabetes had almost no impact on the radiation risk estimates for either stroke or heart disease, and misdiagnosis of cancers as circulatory diseases could not account for the associations seen. Doses above 0.5 Gy are associated with an elevated risk of both stroke and heart disease, but the degree of risk at lower doses is unclear. Stroke and heart disease together account for about one third as many radiation associated excess deaths as do cancers among atomic bomb survivors.

  11. Multi-objective optimization and design for free piston Stirling engines based on the dimensionless power

    NASA Astrophysics Data System (ADS)

    Mou, Jian; Hong, Guotong

    2017-02-01

    In this paper, the dimensionless power is used to optimize the free piston Stirling engines (FPSE). The dimensionless power is defined as a ratio of the heat power loss and the output work. The heat power losses include the losses of expansion space, heater, regenerator, cooler and the compression space and every kind of the heat loss calculated by empirical formula. The output work is calculated by the adiabatic model. The results show that 82.66% of the losses come from the expansion space and 54.59% heat losses of expansion space come from the shuttle loss. At different pressure the optimum bore-stroke ratio, heat source temperature, phase angle and the frequency have different values, the optimum phase angles increase with the increase of pressure, but optimum frequencies drop with the increase of pressure. However, no matter what the heat source temperature, initial pressure and frequency are, the optimum ratios of piston stroke and displacer stroke all about 0.8. The three-dimensional diagram is used to analyse Stirling engine. From the three-dimensional diagram the optimum phase angle, frequency and heat source temperature can be acquired at the same time. This study offers some guides for the design and optimization of FPSEs.

  12. Fundamental Interactions in Gasoline Compression Ignition Engines with Fuel Stratification

    NASA Astrophysics Data System (ADS)

    Wolk, Benjamin Matthew

    Transportation accounted for 28% of the total U.S. energy demand in 2011, with 93% of U.S. transportation energy coming from petroleum. The large impact of the transportation sector on global climate change necessitates more-efficient, cleaner-burning internal combustion engine operating strategies. One such strategy that has received substantial research attention in the last decade is Homogeneous Charge Compression Ignition (HCCI). Although the efficiency and emissions benefits of HCCI are well established, practical limits on the operating range of HCCI engines have inhibited their application in consumer vehicles. One such limit is at high load, where the pressure rise rate in the combustion chamber becomes excessively large. Fuel stratification is a potential strategy for reducing the maximum pressure rise rate in HCCI engines. The aim is to introduce reactivity gradients through fuel stratification to promote sequential auto-ignition rather than a bulk-ignition, as in the homogeneous case. A gasoline-fueled compression ignition engine with fuel stratification is termed a Gasoline Compression Ignition (GCI) engine. Although a reasonable amount of experimental research has been performed for fuel stratification in GCI engines, a clear understanding of how the fundamental in-cylinder processes of fuel spray evaporation, mixing, and heat release contribute to the observed phenomena is lacking. Of particular interest is gasoline's pressure sensitive low-temperature chemistry and how it impacts the sequential auto-ignition of the stratified charge. In order to computationally study GCI with fuel stratification using three-dimensional computational fluid dynamics (CFD) and chemical kinetics, two reduced mechanisms have been developed. The reduced mechanisms were developed from a large, detailed mechanism with about 1400 species for a 4-component gasoline surrogate. The two versions of the reduced mechanism developed in this work are: (1) a 96-species version and (2) a 98-species version including nitric oxide formation reactions. Development of reduced mechanisms is necessary because the detailed mechanism is computationally prohibitive in three-dimensional CFD and chemical kinetics simulations. Simulations of Partial Fuel Stratification (PFS), a GCI strategy, have been performed using CONVERGE with the 96-species reduced mechanism developed in this work for a 4-component gasoline surrogate. Comparison is made to experimental data from the Sandia HCCI/GCI engine at a compression ratio 14:1 at intake pressures of 1 bar and 2 bar. Analysis of the heat release and temperature in the different equivalence ratio regions reveals that sequential auto-ignition of the stratified charge occurs in order of increasing equivalence ratio for 1 bar intake pressure and in order of decreasing equivalence ratio for 2 bar intake pressure. Increased low- and intermediate-temperature heat release with increasing equivalence ratio at 2 bar intake pressure compensates for decreased temperatures in higher-equivalence ratio regions due to evaporative cooling from the liquid fuel spray and decreased compression heating from lower values of the ratio of specific heats. The presence of low- and intermediate-temperature heat release at 2 bar intake pressure alters the temperature distribution of the mixture stratification before hot-ignition, promoting the desired sequential auto-ignition. At 1 bar intake pressure, the sequential auto-ignition occurs in the reverse order compared to 2 bar intake pressure and too fast for useful reduction of the maximum pressure rise rate compared to HCCI. Additionally, the premixed portion of the charge auto-ignites before the highest-equivalence ratio regions. Conversely, at 2 bar intake pressure, the premixed portion of the charge auto-ignites last, after the higher-equivalence ratio regions. More importantly, the sequential auto-ignition occurs over a longer time period for 2 bar intake pressure than at 1 bar intake pressure such that a sizable reduction in the maximum pressure rise rate compared to HCCI can be achieved.

  13. Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study.

    PubMed

    Miller, Victoria; Mente, Andrew; Dehghan, Mahshid; Rangarajan, Sumathy; Zhang, Xiaohe; Swaminathan, Sumathi; Dagenais, Gilles; Gupta, Rajeev; Mohan, Viswanathan; Lear, Scott; Bangdiwala, Shrikant I; Schutte, Aletta E; Wentzel-Viljoen, Edelweiss; Avezum, Alvaro; Altuntas, Yuksel; Yusoff, Khalid; Ismail, Noorhassim; Peer, Nasheeta; Chifamba, Jephat; Diaz, Rafael; Rahman, Omar; Mohammadifard, Noushin; Lana, Fernando; Zatonska, Katarzyna; Wielgosz, Andreas; Yusufali, Afzalhussein; Iqbal, Romaina; Lopez-Jaramillo, Patricio; Khatib, Rasha; Rosengren, Annika; Kutty, V Raman; Li, Wei; Liu, Jiankang; Liu, Xiaoyun; Yin, Lu; Teo, Koon; Anand, Sonia; Yusuf, Salim

    2017-11-04

    The association between intake of fruits, vegetables, and legumes with cardiovascular disease and deaths has been investigated extensively in Europe, the USA, Japan, and China, but little or no data are available from the Middle East, South America, Africa, or south Asia. We did a prospective cohort study (Prospective Urban Rural Epidemiology [PURE] in 135 335 individuals aged 35 to 70 years without cardiovascular disease from 613 communities in 18 low-income, middle-income, and high-income countries in seven geographical regions: North America and Europe, South America, the Middle East, south Asia, China, southeast Asia, and Africa. We documented their diet using country-specific food frequency questionnaires at baseline. Standardised questionnaires were used to collect information about demographic factors, socioeconomic status (education, income, and employment), lifestyle (smoking, physical activity, and alcohol intake), health history and medication use, and family history of cardiovascular disease. The follow-up period varied based on the date when recruitment began at each site or country. The main clinical outcomes were major cardiovascular disease (defined as death from cardiovascular causes and non-fatal myocardial infarction, stroke, and heart failure), fatal and non-fatal myocardial infarction, fatal and non-fatal strokes, cardiovascular mortality, non-cardiovascular mortality, and total mortality. Cox frailty models with random effects were used to assess associations between fruit, vegetable, and legume consumption with risk of cardiovascular disease events and mortality. Participants were enrolled into the study between Jan 1, 2003, and March 31, 2013. For the current analysis, we included all unrefuted outcome events in the PURE study database through March 31, 2017. Overall, combined mean fruit, vegetable and legume intake was 3·91 (SD 2·77) servings per day. During a median 7·4 years (5·5-9·3) of follow-up, 4784 major cardiovascular disease events, 1649 cardiovascular deaths, and 5796 total deaths were documented. Higher total fruit, vegetable, and legume intake was inversely associated with major cardiovascular disease, myocardial infarction, cardiovascular mortality, non-cardiovascular mortality, and total mortality in the models adjusted for age, sex, and centre (random effect). The estimates were substantially attenuated in the multivariable adjusted models for major cardiovascular disease (hazard ratio [HR] 0·90, 95% CI 0·74-1·10, p trend =0·1301), myocardial infarction (0·99, 0·74-1·31; p trend =0·2033), stroke (0·92, 0·67-1·25; p trend =0·7092), cardiovascular mortality (0·73, 0·53-1·02; p trend =0·0568), non-cardiovascular mortality (0·84, 0·68-1·04; p trend =0·0038), and total mortality (0·81, 0·68-0·96; p trend <0·0001). The HR for total mortality was lowest for three to four servings per day (0·78, 95% CI 0·69-0·88) compared with the reference group, with no further apparent decrease in HR with higher consumption. When examined separately, fruit intake was associated with lower risk of cardiovascular, non-cardiovascular, and total mortality, while legume intake was inversely associated with non-cardiovascular death and total mortality (in fully adjusted models). For vegetables, raw vegetable intake was strongly associated with a lower risk of total mortality, whereas cooked vegetable intake showed a modest benefit against mortality. Higher fruit, vegetable, and legume consumption was associated with a lower risk of non-cardiovascular, and total mortality. Benefits appear to be maximum for both non-cardiovascular mortality and total mortality at three to four servings per day (equivalent to 375-500 g/day). Full funding sources listed at the end of the paper (see Acknowledgments). Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. 4. INTERIOR OF ENGINE ROOM, CONTAINING UNITEDTOD TWINTANDEM ENGINE, FOR ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    4. INTERIOR OF ENGINE ROOM, CONTAINING UNITED-TOD TWIN-TANDEM ENGINE, FOR 40" BLOOMING MILL; AS SEEN FROM THE UPPER LEVEL BRIDGE CRANE, THIS ENGINE WAS THE DIRECT DRIVE TO THE 40" BLOOMING MILL LOCATED IN THE ADJACENT ROOM TO THE LEFT. THE UNITED-TOD ENGINE, A TWIN TANDEM COMPOUND STEAM ENGINE, WAS RATED AT 20,000 MP. IN 1946 NEW HIGH PRESSURE CYLINDERS WERE INSTALLED AND THE ENGINE RAN ON 200 PSI STEAM, WITH A 44"X76"X60" STROKE, TO A BUILT-UP COUNTER-BALANCED CENTER CRANK. - Republic Iron & Steel Company, Youngstown Works, Blooming Mill & Blooming Mill Engines, North of Poland Avenue, Youngstown, Mahoning County, OH

  15. Free piston variable-stroke linear-alternator generator

    DOEpatents

    Haaland, C.M.

    1998-12-15

    A free-piston variable stroke linear-alternator AC power generator for a combustion engine is described. An alternator mechanism and oscillator system generates AC current. The oscillation system includes two oscillation devices each having a combustion cylinder and a flying turnbuckle. The flying turnbuckle moves in accordance with the oscillation device. The alternator system is a linear alternator coupled between the two oscillation devices by a slotted connecting rod. 8 figs.

  16. Nanotechnology for the detection and therapy of stroke.

    PubMed

    Kyle, Stuart; Saha, Sikha

    2014-11-01

    Over the years, nanotechnology has greatly developed, moving from careful design strategies and synthesis of novel nanostructures to producing them for specific medical and biological applications. The use of nanotechnology in diagnostics, drug delivery, and tissue engineering holds great promise for the treatment of stroke in the future. Nanoparticles are employed to monitor grafted cells upon implantation, or to enhance the imagery of the tissue, which is coupled with a noninvasive imaging modality such as magnetic resonance imaging, computed axial tomography or positron emission tomography scan. Contrast imaging agents used can range from iron oxide, perfluorocarbon, cerium oxide or platinum nanoparticles to quantum dots. The use of nanomaterial scaffolds for neuroregeneration is another area of nanomedicine, which involves the creation of an extracellular matrix mimic that not only serves as a structural support but promotes neuronal growth, inhibits glial differentiation, and controls hemostasis. Promisingly, carbon nanotubes can act as scaffolds for stem cell therapy and functionalizing these scaffolds may enhance their therapeutic potential for treatment of stroke. This Progress Report highlights the recent developments in nanotechnology for the detection and therapy of stroke. Recent advances in the use of nanomaterials as tissue engineering scaffolds for neuroregeneration will also be discussed. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  17. Fine structure in RF spectra of lightning return stroke wave forms

    NASA Technical Reports Server (NTRS)

    Lanzerotti, L. J.; Thomson, D. J.; Maclennan, C. G.; Rinnert, K.; Krider, E. P.

    1988-01-01

    The power spectra of the wide-band (10 Hz to 100 kHz) magnetic-field signals for a number of lightning return strokes measured during a thunderstorm which occurred in Lindau in August, 1984 have been calculated. The RF magnetic field data are obtained with the engineering unit of the Galileo Jupiter Probe lightning experiment. Each return stroke data stream is passed through an adaptive filter designed to whiten its spectrum. The spectra of the magnetic field data definitely show fine structure, with two or three distinct peaks in the spectra of many of the waveforms. A peak at f of about 60-70 kHz is often seen in the power spectra of the waveform time segments preceding and following the rise-to-peak amplitude of the return stroke.

  18. A theoretical model of fuselage pressure levels due to fan tones radiated from the intake of an installed turbofan aero-engine.

    PubMed

    Gaffney, James; McAlpine, Alan; Kingan, Michael J

    2018-06-01

    An existing theoretical model to predict the pressure levels on an aircraft's fuselage is improved by incorporating a more physically realistic method to predict fan tone radiation from the intake of an installed turbofan aero-engine. Such a model can be used as part of a method to assess cabin noise. Fan tone radiation from a turbofan intake is modelled using the exact solution for the radiated pressure from a spinning mode exiting a semi-infinite cylindrical duct immersed in a uniform flow. This approach for a spinning duct mode incorporates scattering/diffraction by the intake lip, enabling predictions of the radiated pressure valid in both the forward and aft directions. The aircraft's fuselage is represented by an infinitely long, rigid cylinder. There is uniform flow aligned with the cylinder, except close to the cylinder's surface where there is a constant-thickness boundary layer. In addition to single mode calculations it is shown how the model may be used to rapidly calculate a multi-mode incoherent radiation from the engine intake. Illustrative results are presented which demonstrate the relative importance of boundary-layer shielding both upstream and downstream of the source, as well as examples of the fuselage pressure levels due to a multi-mode tonal source at high Helmholtz number.

  19. Design and Performance of LPG Fuel Mixer for Dual Fuel Diesel Engine

    NASA Astrophysics Data System (ADS)

    Desrial; Saputro, W.; Garcia, P. P.

    2018-05-01

    Small horizontal diesel engines are commonly used for agricultural machinery, however, availability of diesel fuel become one of big problems especially in remote area. Conversely, in line with government policy for conversion of kerosene into LPG for cooking, then LPG become more popular and available even in remote area. Therefore, LPG is potential fuel to replace the shortage of diesel fuel for operating diesel engine in remote area. The purpose of this study was to design mixing device for using dual fuel i.e. LPG and diesel fuel and evaluate its performance accordingly. Simulation by using CFD was done in order to analyze mixture characteristics of LPG in air intake manifold. The performance test was done by varying the amount of LPG injected in intake air at 20%, 25%, 30%, 35%, until 40%, respectively. Result of CFD contour simulation showed the best combination when mixing 30% LPG into the intake air. Performance test of this research revealed that mixing LPG in air intake can reduce the diesel fuel consumption about 0.7 l/hour (without load) and 1.14 l/hour (with load). Diesel engine revolution increases almost 300 rpm faster than when using diesel fuel only. Based on economic analysis, using the fuel combination (diesel fuel – LPG) is not recommended in the area near SPBU where the price of diesel fuel is standard. However, using the fuel combination LPG-diesel fuel is highly recommended in the remote areas in Indonesia where price of diesel fuel is comparatively expensive which will provide cheaper total fuel cost for diesel engine operation.

  20. The Effect of Early Neuromuscular Electrical Stimulation Therapy in Acute/Subacute Ischemic Stroke Patients With Dysphagia

    PubMed Central

    Lee, Kyeong Woo; Kim, Sang Beom; Lee, Jong Hwa; Lee, Sook Joung; Park, Jin Gee

    2014-01-01

    Objective To compare the outcome of an early application of neuromuscular electrical stimulation (NMES) combined with traditional dysphagia therapy (TDT) versus traditional dysphagia therapy only in acute/subacute ischemic stroke patients with moderate to severe dysphagia by videofluoroscopic swallowing study (VFSS). Methods Fifty-seven dysphagic stroke patients were enrolled in a VFSS within 10 days after stroke onset. Patients were randomly assigned into two treatment groups. Thirty-one patients received NMES combined with TDT (NMES/TDT group) and 26 patients received TDT only (TDT group). Electrical stimulation with a maximal tolerable intensity was applied on both suprahyoid muscles for 30 minutes, 5 days per week during 3 weeks. The swallowing function was evaluated at baseline and 3, 6, and 12 weeks after baseline. Outcomes of the VFSS were assessed using the Functional Oral Intake Scale (FOIS). Results The mean ages were 63.5±11.4 years in the NMES/TDT group and 66.7±9.5 years in the TDT group. Both groups showed a significant improvement on the FOIS after treatment. The FOIS score was significantly more improved at 3 and 6 weeks after baseline in the NMES/TDT group than in the TDT group (p<0.05). Conclusion An early application of NMES combined with TDT showed a positive effect in acute/subacute ischemic stroke patients with dysphagia. These results indicated that the early application of NMES could be used as a supplementary treatment of TDT to help rehabilitate acute/subacute dysphagic stroke patients by improving their swallowing coordination. PMID:24855608

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