Phononic crystals have the ability to manipulate the propagation of elastic waves in solids by generating unique dispersion characteristics. They can modify the conventional behavior of wave spreading in isotropic materials, known as attenuation, which negatively influences the ability of acoustic emission method to detect active defects in long-range, pipe-like structures. In this study, pipe geometry is reconfigured by adding gradient-index (GRIN) phononic crystal lens to improve the propagation distance of waves released by active defects such as crack growth and leak. The sensing element is designed to form a ring around the pipe circumference to capture the plane wave with the improved amplitude. The GRIN lens is designed by a special gradient-index profile with varying height stubs adhesively bonded to the pipe surface. The performance of GRIN lens for improving the amplitude of localized sources is demonstrated with finite element numerical model using multiphysics software. Experiments are conducted using pencil lead break simulating crack growth, as well as an orifice with pressured pipe simulating leak. The amplitude of the burst-type signal approximately doubles on average, validating the numerical findings. Hence, the axial distance between sensors can be increased proportionally in the passive sensing of defects in pipe-like geometries.Perianal fistulizing Crohn’s disease is a very disabling condition with poor quality of life. Patients with perianal fistulizing Crohn’s disease are also at risk of perianal fistula-related squamous cell carcinoma (SCC). Cancer arising at the site of a chronic perianal fistula is rare in patients with Crohn’s disease and there is a paucity of data regarding its incidence, diagnosis and management. A systematic review of the literature was undertaken using Medline, Embase, Pubmed, Cochrane and Web of Science. Several small series have described sporadic cases with perianal cancer in Crohn’s disease. The incidence rate of SCC related to perianal fistula was very low ( less then 1%). Prognosis was poor. Colorectal disease, chronic perianal disease and HPV infection were possible risk factors. Fistula-related carcinoma in CD (Chron’s disease) can be very difficult to diagnose. Examination may be limited by pain, strictures and induration of the perianal tissues. HPV is an important risk factor with a particular carcinogenesis mechanism. MRI can help clinicians in diagnosis. Examination under anesthesia is highly recommended when findings, a change in symptoms, or simply long-standing disease in the perineum are present. Future studies are needed to understand the role of HPV vaccination in preventing fistula-related cancer.We investigated the effects of oral L-glutamine (Gln) supplementation, associated or not with physical exercises, in control of glycemia, oxidative stress, and strength/power of knee muscles in elderly women. Physically active (n = 21) and sedentary (n = 23) elderly women aged 60 to 80 years were enrolled in the study. Plasma levels of D-fructosamine, insulin, reduced (GSH) and oxidized (GSSG) glutathione, iron, uric acid, and thiobarbituric acid-reactive substances (TBARs) (lipoperoxidation product), as well as knee extensor/flexor muscle torque peak and average power (isokinetic test), were assessed pre- and post-supplementation with Gln or placebo (30 days). Higher plasma D-fructosamine, insulin, and iron levels, and lower strength/power of knee muscles were found pre-supplementation in the NPE group than in the PE group. Post-supplementation, Gln subgroups showed higher levels of GSH, GSSG, and torque peak, besides lower D-fructosamine than pre-supplementation values. Higher muscle average power and plasma uric acid levels were reported in the PE + Gln group, whereas lower insulin levels were found in the NPE + Gln than pre-supplementation values. TBARs levels were diminished post-supplementation in all groups. Gln supplementation, mainly when associated with physical exercises, improves strength and power of knee muscles and glycemia control, besides boosting plasma antioxidant capacity of elderly women.The paper presents the experimental test setup and measurement method of hydrodynamic force generated on the rotating cylinder (rotor) under uniform flow including the free surface effect. The experimental test setup was a unique construction installed in the flume tank equipped with advanced flow generating and measuring systems. The test setup consisted of a bearing mounted platform with rotor drive and sensors measuring the hydrodynamic force. The low length to diameter ratio cylinders were selected as models of bow rotor rudders of a shallow draft river barge. SKL2001 in vitro The rotor dynamics was tested for the rotational speeds up to 550 rpm and water current velocity up to 0.85 m/s. The low aspect ratio of the cylinder and free surface effect had significant impacts on the phenomena influencing the generated hydrodynamic force. The effects of the rotor length to diameter ratio, rotational velocity to flow velocity ratio, and the Reynolds number on the lift force were analyzed. The validation of the computational model against experimental results is presented. The results show a similar trend of results for the simulation and experiment.

Surgery is the first choice of treatment for colorectal cancer. Nutritional support in the form of oral nutritional supplements (ONSs) in the preoperative period is widely accepted for reducing the incidence of perioperative complications, and immunonutrition is generally recommended. However, there is little clinical data regarding the impact of such treatment on tumor biology.

In this study, tumor tissue and blood samples were collected from 26 patients during preoperative colonoscopy at the time of clinical diagnosis (sample A). Group 1 received standard ONSs (3× Nutricia Nutridrink Protein per day) for 2 weeks before surgery. In group 2, immune ONSs (2× Nestle Impact Oral) were administered for the same duration. Tumor tissue (sample B) was then retrieved from the tumor after resection. Changes in the expression levels of inflammatory cytokines (TNF-α, interleukin 8 or chemokine (C-X-C motif) ligand (CXCL8), stromal cell-derived factor 1 (SDF1a), chemokine (C-X-C motif) ligand 6 (CXCL6), chemokine (C-X-C motif) ligand (CXCL2), myeloperoxidase (MPO), and CXCL1) were assessed during the perioperative course.