Dissertations / Theses on the topic 'Early injection'

Depuis plusieurs années, l'une des problématiques sociétales est de diminuer les émissions de polluants et de gaz à effet de serre dans l'atmosphère. Le secteur du transport terrestre est directement concerné par ces considérations. Le moteur Diesel semble promis à un bel avenir grâce à son rendement supérieur à celui du moteur à allumage commandé, conduisant à de plus faibles rejets de CO2. Cependant, sa combustion génère des émissions d'oxyde d'azote (NOx) et de particules dans l'atmosphère. Les normes anti-pollution étant de plus en plus sévères et les incitations à diminuer les consommations de carburant de plus en plus fortes, le moteur Diesel est confronté à une problématique NOx/particules/consommation toujours plus difficile à résoudre. Une des voies envisagées consiste à modifier le mode de combustion afin de limiter les émissions polluantes à la source tout en conservant de faibles consommations. La voie la plus prometteuse est la combustion HCCI (Homogeneous Charge Compression Ignition) obtenue par injections directes précoces. Plusieurs limitations critiques doivent cependant être revues et améliorées : le mouillage des parois par le carburant liquide et le contrôle de la combustion à forte charge. Le but de cette thèse est ainsi de mieux comprendre les phénomènes mis en jeu lors de la combustion HCCI à forte charge obtenue par des multi-injections directes précoces. Une méthodologie a été mise au point afin de détecter le mouillage des parois du cylindre, ce qui a permis de comprendre l'effet du phasage et de la pression d'injection sur cette problématique. Une stratégie optimale de multi-injections permettant d'atteindre une charge élevée sans mouiller les parois a ainsi été développée et choisie. Nous avons ensuite pu mettre en évidence le potentiel de la stratification par la dilution en tant que moyen de contrôle de la combustion en admettant le diluant dans un seul des 2 conduits d'admission. Des mesures réalisées en complémentarité sur le même moteur mais en version 'optique', ont permis, à partir de la technique de Fluorescence Induite par Laser, de montrer que concentrer le diluant dans les zones réactives où se situe le carburant permet un meilleur contrôle de la combustion, ce qui permet d'amener le taux de dilution a des niveaux faisables technologiquement.

[EN] The main objective of this thesis is the analysis and comprehension of the association of two different combustion concepts (premixed and diffusive combustion) on the pollutant emissions and engine performance in a mid-size Diesel engine. The evaluation is performed at mid and high load conditions, where the implementation of premixed combustion is generally challenging. The association of the two combustion modes is hard to attain in a conventional Diesel engine, especially the preparation of the premixed charge with early pilot injection. Therefore, the approach followed during the study has been divided in two main steps: first, the bibliography on the subject is reviewed and two strategies avoiding the main issues mentioned in the literature are grossly evaluated in order to estimate their potential for emission reduction. Second, a deeper study of the combustion processes and emissions formation is performed, focusing only on the partially premixed combustion strategies that actually have the potential for emissions reduction. Along the second part of the study, the association of premixed and diffusive combustion is evaluated together with variation of conventional calibration parameters such as the intake oxygen concentration (via exhaust gas recirculation), the boost pressure and the start of the main injection timing, at different engine speed and load conditions. A cross analysis of the results obtained is performed in order to understand the key reasons that permit the reduction of the pollutant emissions with this strategy. In a final part of the thesis, the partially premixed combustion strategies studied are confronted with the challenges they might face when really considered for their introduction in a production engine (oil-dilution, noise...) to finally conclude on their technological potential.
[ES] El objetivo principal de la Tesis es el an álisis y la comprensi ón de la asociaci ón de dos conceptos de combusti ón diferentes (combusti ón en premezcla y por difusi ón) en las emisiones contaminantes y las prestaciones en un motor Diesel de cilindrada media. La evaluaci ón se realiza en condiciones de media y alta carga, en la cuales la implementaci ón de una combusti ón premezclada es generalmente complicada. La asociaci ón de los dos modos de combusti ón es dif cil de conseguir en un motor Diesel convencional, especialmente la preparaci ón de la carga premezclada con inyecci ón piloto adelantada. Por esa raz ón, el estudio se divide en dos partes principales: primero se revisa la bibliograf ía acerca del tema, centrando la atenci ón en dos estrategias que permiten evitar los principales problemas evocados en la literatura, determinando su potencial para la reducci ón de las emisiones contaminantes. En un segundo lugar, se realiza un estudio m as profundo de los procesos de combusti ón y de formaci ón de contaminantes, centr ándose únicamente en las estrategias de combusti ón parcialmente premezclada que sí tienen el potencial para reducir las emisiones contaminantes. En la segunda parte del estudio, se aborda la asociaci ón de combustiones premezclada y por difusi ón junto con la variaci ón de par ametros de calibraci on convencionales como la concentraci ón de ox ígeno en la admisi ón (por medio de recirculaci ón de los gases de escape), la presi ón de sobrealimentaci ón y el inicio de la inyecci ón principal, en diferentes condiciones de r egimen y de carga del motor. El an álisis cruzado de los resultados se realiza con el af án de entender las razones claves de los procesos que permiten la reducci ón de las emisiones contaminantes con esta estrategia. Como etapa final de esta tesis, se confrontan las estrategias de combusti ón parcialmente premezclada estudiadas con los problemas a los cuales podr ían llevar si realmente se considerar a su implementaci ón y un motor de serie (diluci ón de aceite, ruido...) para finalmente concluir sobre su potencial tecnol ógico.
[CAT] L'objectiu principal de la tesi es l'an alisi i la comprensi o de l'associaci o de dos conceptes de combusti o diferents (combusti o en premescla i per difusi o) en les emissions contaminants i les prestacions en un motor Di esel de cilindrada mitjana. L'avaluaci o es realitza en condicions de mitja i alta c arrega, en las quals la implementaci o d'una combusti o premesclada es generalment complicada. L'associaci o dels dos modes de combusti o es dif cil d'aconseguir en un motor Di esel convencional, especialment la preparaci o de la c arrega premesclada amb injecci o pilot avan cada. Per eixa ra o, l'estudi es divideix en dos parts principals: primer es revisa la bibliogra a sobre el tema, centrant l'atenci o en dos estrat egies que permeten evitar els principals problemes evocats en la literatura, determinant el seu potencial per a la reducci o de les emissions contaminants. En un segon lloc, es realitza un estudi m es profund dels processos de combusti o i de formaci o de contaminants, centrant-se unicament en les estrat egies de combusti o parcialment premesclada que si que tenen el potencial per a reduir les emissions contaminants. En la segona part de l'estudi, s'aborda l'associaci o de combustions premesclada i per difusi o junt amb la variaci o de par ametres de calibratge convencionals com la concentraci o d'oxigen en l'admissi o (per mitj a de recirculaci o dels gasos d'escapament), la pressi o de sobrealimentaci o i l'inici de la injecci o principal, en diferents condicions de r egim i de c arrega del motor. L'an alisi creuat dels resultats es realitza amb l'afany d'entendre les raons claus dels processos que permeten la reducci o de les emissions contaminants amb esta estrat egia. Com a etapa final d'esta tesi, es confronten les estrat egies de combusti o parcialment premesclada estudiades amb els problemes als quals podrien portar si realment es consideraria la seua implementaci o en un motor de s erie (diluci o d'oli, soroll...) per a finalment concloure sobre el seu potencial tecnol ogic.
Arthozoul, SJL. (2016). Study of the association of premixed and diffusive combustion processes on the combustion and pollutant emissions in a mid-size Diesel engine [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/63262
TESIS

The homogeneous charge compression ignition (HCCI) concept has been acknowledged as a potential combustion concept for engines, due to low NOx and soot emissions and high efficiency, especially at part-load. Early direct-injection (DI) during the compression stroke is an option when Diesel fuel is used in HCCI. This implies that the risk for wall impingement increases, due to the decreasing in-cylinder density. The fuel sprays has to be well dispersed in order to avoid wall impingement. Specially designed impinging nozzles providing a collision of the Diesel sprays in the vicinity of the orifice exits have experimentally been verified to yield well dispersed sprays and the desired benefits of HCCI under various conditions. The purpose of this work is to use Computational Fluid Dynamics (CFD) as a tool to simulate and evaluate non-impinging and impinging nozzles with respect to mixture formation in direct-injected HCCI. Three different nozzles are considered: one non-impinging and two impinging nozzles with 30 and 60 degree collision angle respectively. Lagrangian CFD simulations of impinging sprays using the traditional collision model of O’Rourke is not sufficient in order obtain the correct spray properties of impinging sprays. This work proposes an enhanced collision model, which is an extension of the O’Rourke model with respect to collision frequency, post collisional velocities and collision induced break-up. The enhanced model is referred to as the EORIS model (Enhanced O’Rourke model for Impinging Sprays). The initial drop size distribution at orifice and break-up time constant of the standard Wave model is calibrated and calculated wall impingement (piston and liner) is compared with combustion efficiency, smoke, HC and CO emissions as a function of injection timing. A set of model parameters were selected for further evaluation. These model parameters and the EORIS collision model were applied to non-impinging and impinging nozzles under low- and high load conditions. The EORIS model and the selected model parameters are able to predict wall impingement in agreement with experimental measurements of combustion efficiency and smoke emissions under low- and high load conditions for the investigated nozzles. A benefit is that one set of model parameters can be used to predict mixture formation, and there is no need for additional model calibration when, for instance, the injection timing or nozzle geometry is changed. In general, experiments and simulations indicate that impinging nozzles are recommended for early injection timing in the compression stroke. This is due to the shorter penetration which leads to a reduced risk for wall impingement. The non-impinging nozzles are, however, beneficial for later injection timing in the compression stroke. During these injection conditions the impinging nozzles have a more stratified charge and under some conditions poor mixture quality is achieved.
HCCI-konceptet (Homogeneous Charge Compression Ignition) är en tänkbar förbränningsprincip för att uppnå låga NOx och sotemissioner, speciellt under låglast förhållanden. Då Diesel används som bränsle är tidig direktinsprutning under kompressionsslaget en tänkbar strategi för att åstadkomma gynnsamma HCCI-förhållanden. Den tidiga direktinsprutningen medför däremot att risken för väggvätning ökar, på grund av den minskade densiteten i cylindern. Detta ställer krav på bränslesprejen som måste vara väl fördelad i cylindern för att undvika väggvätning. Specialkonstruerade spridarspetsar som skapar kollision av sprejerna nära hålmynningen, så kallade kolliderande sprejer, har experimentellt påvisats vara fördelaktiga för HCCI förbränning, tack vare kortare sprejpenetration och voluminös sprej. Syftet med detta arbete är att använda CFD (Computational FluidDynamics) som ett verktyg för att simulera och evaluera ickekolliderande och kolliderande sprejer med avseende på blandningsbildning under direktinsprutade HCCI förhållanden. Tre olika spridarspetsar har undersökts: en icke-kolliderande och två kolliderande med kollisionsvinkel 30 och 60 grader. CFD-simuleringar av kolliderande sprejer med Lagrangiansk modelleringsteknik och O’Rourkes traditionella kollisionsmodell har visat sig vara otillräcklig för att uppnå korrekta sprejegenskaper. Den här avhandlingen presenterar en förbättrad kollisionsmodell baserad på O’Rourkes ursprungliga kollisionsmodell med avseende på kollisionsfrekvens, dropphastighet efter kollision och kollisionsviinducerad break-up. Den förbättrade modellen kallas EORIS (Enhanced O’Rourke model for Impinging Sprays). Den initiala droppfördelningen vid spridarspetsens hålmynning och Wave-modellens tidskonstant för break-up har kalibrerats och beräknad väggvätning (kolv och foder) har jämförts med förbränningsverkningsgrad, rök, HC och CO-emissioner som funktion av insprutningstidpunkt. De valda modellparametrarna och EORIS-modellen tillämpades för att evaluera blandningsbildningen på kolliderande och icke-kolliderande spridarspetsar under låg- och höglast-förhållanden. EORIS-modellen och de utvalda modellparametrarna kan predikteraväggvätning i överensstämmelse med uppmätt förbränningsverkningsgrad och rökemissioner under låglast- och höglastförhållanden för de undersökta spridarspetsarna. En fördel är att de utvalda modellparametrarna kan prediktera blandningsbildningen och det finns inget behov att justera modellparametrarna då t.ex. insprutningstidpunkten eller spridarspetsgeometrin ändras. Generellt påvisar såväl experiment som simuleringar att de kolliderande sprejerna är lämpliga för tidig direktinsprutning underkompressionsslaget. Det är på grund av kort sprejpenetration som reducerar risken för väggvätning. De icke-kolliderande sprejerna är dock lämpliga för sen direktinsprutning under kompressionsslaget. Under dessa förhållanden har de kolliderande sprejerna en mer stratifierad blandning och under vissa förhållanden uppnås då en ofördelaktig blandningskvalitet.
QC 20100819

The ideal treatment of portal hypertension and bleeding varices should be universally effective, safe, easy to administer and inexpensive. Currently no such treatment exists and the surgeon or physician is obliged to select the most appropriate intervention from a menu of currently available therapeutic options, none of which is ideal or applicable to all patients. The rational treatment of oesophageal varices depends on a clear understanding of the risks of rebleeding and the response to each specific intervention. The selection of the correct and appropriate intervention is critical and requires a comprehensive understanding of the relative efficacy and safety of each treatment compared to other competing options. In addition, the chosen intervention requires detailed knowledge of the criteria underpinning the correct selection of patients for treatment in order to maximize the therapeutic benefits of the appropriate choice while minimising the side effects of the treatment. The optimal management of bleeding oesophageal varices therefore requires a full appreciation of portal, gastric and oesophageal venous collateral anatomy, the pathogenesis and haemodynamic consequences of variceal bleeding and the utility of each available therapy at specific stages in the natural history of portal hypertension (Henderson 1998).

Depuis quelques années, une biopsie testiculaire suivie d’une congélation du tissu testiculaire est proposée aux enfants atteints de cancer avant introduction d’un traitement gonadotoxique. Cette procédure de préservation de la fertilité est proposée avec l’espoir qu’une méthode de restauration de la fertilité soit développée. Le tissu testiculaire décongelé pourrait ainsi être utilisé afin d’effectuer une maturation in vitro, évitant la réintroduction de cellules tumorales, pour produire des spermatozoïdes. Ce travail de thèse a consisté, dans un premier temps, à évaluer la mise en place de la méthylation de l’ADN au sein du tissu testiculaire prépubère de souris au cours de la spermatogenèse in vitro. La culture de tissu testiculaire frais ou décongelé de souris prépubère permet le maintien des niveaux d’expression des ADN méthyltransférases 1 et 3a dans les spermatogonies et les spermatocytes. De plus, la méthylation de l’ADN est retrouvée jusque dans les spermatozoïdes produits in vitro. Par la suite, la qualité nucléaire des spermatozoïdes ainsi obtenus a été analysée. La culture de tissu testiculaire n’a pas d’impact sur le taux d’aneuploïdie, la condensation de la chromatine et la fragmentation de l’ADN spermatique. Cependant, la congélation suivie par la culture organotypique augmente la proportion de spermatozoïdes avec un ADN oxydé. Enfin, la fonctionnalité des spermatozoïdes produits in vitro a été analysée par micro-injection ovocytaire et la dynamique de différentes marques épigénétiques a été étudiée au cours du développement préimplantatoire. Les taux de développement embryonnaire sont diminués par l’utilisation de spermatozoïdes produits in vitro. Les niveaux des histones H3K4me3, H3K27me3 et H3K9ac sont peu modifiés dans les embryons issus de spermatozoïdes générés in vitro alors que la méthylation et déméthylation de l’ADN sont plus impactées. La production de spermatozoïdes après culture de tissu prépubère frais ou décongelé dans le modèle murin a permis de mettre en évidence que cette procédure n’est pas sans impact sur l’embryon précoce bien que la qualité des spermatozoïdes produits soit peu altérée
In recent years, testicular biopsy followed by the freezing of testicular tissue has been proposed to children with cancer before the introduction of a gonadotoxic treatment. This fertility preservation procedure is offered with the hope that a fertility restoration method will be developed. The thawed testicular tissue could thus be used to perform in vitro maturation, avoiding the reintroduction of tumor cells, to produce spermatozoa. This thesis work first consisted in assessing the establishment of DNA methylation in mouse prepubertal testicular tissue during in vitro spermatogenesis. The culture of fresh or thawed mouse testicular testicular tissue allows the expression levels of DNA methyltransferases 1 and 3a to be maintained in spermatogonia and spermatocytes. In addition, DNA methylation is found even in in vitro produced spermatozoa. The nuclear quality of these spermatozoa was then analyzed. The culture of testicular tissue has no impact on sperm aneuploidy rate, chromatin condensation and DNA fragmentation. However, freezing followed by organotypic culture increases the proportion of spermatozoa with oxidized DNA. Finally, the functionality of in vitro produced spermatozoa was analyzed by oocyte microinjection and the dynamics of different epigenetic marks was studied during preimplantation development. Embryo developmental rates are decreased when using in vitro produced spermatozoa. The levels of H3K4me3, H3K27me3 and H3K9ac are slightly modified in embryos derived from spermatozoa generated in vitro whereas DNA methylation and demethylation are more affected. The production of spermatozoa after culture of fresh or thawed prepubertal tissue in the mouse model has shown that this procedure is not without impact on the early embryo, although the quality of the spermatozoa produced is relatively unaltered

The Chatham Islands are located in the SW Pacific Ocean, approximately 850 km to the east of the South Island of New Zealand. This small group of islands is situated near the eastern margin of the Chatham Rise, an elongated section of submerged continental crust that represents part of the Late Paleozoic-Mesozoic Gondwana accretionary margin. The location and much of the geology of the Chatham Islands are attributed to intra-plate basaltic volcanism, initiated during the Late Cretaceous, in association with development of a failed rifting system to the south of the Chatham Rise. Despite the volcanic nature of much of the geology, the majority of the Cenozoic sedimentary stratigraphic record on the islands comprises non-tropical skeletal carbonate deposits whose deposition was often coeval with submarine volcanics and volcaniclastic deposits. This has resulted in complex stratigraphic relationships, with the volcanic geology exerting a strong influence on the geometry and distribution of the carbonate deposits. These limestones, despite some general field descriptions, have been little studied and are especially poorly understood from a petrographic and diagenetic perspective. The carbonate geology in detail comprises eleven discrete limestone units of Late Cretaceous through to Pleistocene age which were studied during two consecutive field expeditions over the summers of 2005 and 2006. These limestone occurrences are best exposed in scattered coastal outcrops where they form prominent rugged bluffs. While many of the younger (Oligocene to Pliocene) outcrops comprise of poorly exposed, thin and eroded limestone remnants (it;5 m thick), older (Late Paleocene to Early Oligocene) exposures can be up to 100 m in thickness. The character of these limestones is highly variable. In outcrop they display a broad range of textures and skeletal compositions, often exhibit cross-bedding, display differing degrees of porosity occlusion by cementation, and may include rare silicified horizons and evidence of hardground formation. Petrographically the limestones are skeletal grainstones and packstones with a typical compositional makeup of about 70% skeletal material, 10% siliciclasts, and 20% cement/matrix. Localised increases in siliciclastics occur where the carbonates are diluted by locally-derived volcaniclastics. The spectrum of skeletal assemblages identified within the Chatham Island limestones is diverse and appears in many cases to be comparable to the bryozoan dominant types common in mainland New Zealand and mid-latitude Australian cool-water carbonates in general. However, some key departures from the expected cool-water carbonate skeletal makeup have been identified in this study. The occurrence of stromatolitic algal mats in Late Cretaceous and Early Eocene carbonate deposits indicates not cool-temperate, but certainly warm-temperate paleoclimatic conditions. A change to cool-temperate conditions is recorded in the limestone flora/fauna from the mid-Late Miocene times following the development and later northward movement of the Subtropical Front. An uncharacteristic mix of shallow-shelf (bryozoans) and deeper water fauna (planktic foraminifera), together with their highly fragmented and abraded nature, is indicative of the likely remobilisation and redistribution of carbonate, primarily during episodic storm events. The Chatham Islands limestones formed within the relative tectonic stability of an oceanic island setting, which was conducive to ongoing carbonate accumulation throughout much of the Cenozoic. This contrasts markedly with other mainland New Zealand shelf carbonates which formed over sporadic and short-lived geological periods, experiencing greater degrees of burial cementation controlled by a relatively more active tectonic setting. As a consequence of the tectonically stable setting, the Chatham Islands limestones have experienced little burial and exhibit a paucity of burial cementation effects. They remain commonly soft and friable. Detailed petrographic investigations have shown the limestones are variably cemented by rare uneven acicular spar fringes, poorly to well-developed syntaxial rim cements about echinoderm fragments, and equant/blocky microsparite. Staining of thin sections and cathodoluminescence petrography show these spar cement generations are non-ferroan and their very dull- to non-luminescent nature supports precipitation from Mn-poor oxygenated waters, likely of an either meteoric or combined marine/shallow burial origin. Micrite is the dominant intra- and inter-particle pore fill and occurs both as a microbioclastic matrix and as precipitated homogenous and/or micropeloidal cement. The rare fringing cements often seen in association with homogenous and/or micropeloidal micrite may be indicative of true early marine (seafloor) cement precipitation and localised hardground development. An interesting feature of the geology of the Chatham Islands is the occurrence of carbonate material within sedimentary dykes. The locations of the dykes are in association with volcanic and volcaniclastic deposits. Similarities between dyke characteristics at Red Bluff on Chatham Island with mainland occurrences from East Coast and Canterbury Basins (North and South Islands, respectively) on mainland New Zealand have been recognised. They show complex structures including sidewall striations, internal flow structures as revealed by grain sorting, and extra-clast inclusions of previous fill lithologies which are characteristic of carbonate injection. This is in contrast to other dykes which are known to be of a passive fill origin. Multiple phases of carbonate sediment injection can be recognised by crosscutting relationships enabling the determination of a parasequence of events. Possible injection mechanisms are most likely associated with sediment overloading or hydrothermal pressurisation associated with emplacement of submarine volcanics. The Chatham Islands provide an exciting example of a geologically unique and complex non-tropical carbonate depositional setting. The production of carbonates is controlled by volcanic and volcaniclastic sediment input with the types of carbonate deposits and water depth variations related to thermal uplift/subsidence in association with global eustatic sealevel and temperature changes associated with development of Southern Ocean water fronts from the Late Cretaceous-Cenozoic. Carbonate deposition on the Chatham Islands is considered to relate to a rather variable and small scale oceanic, high energy, cool-water carbonate ramp setting whose geometry was continually evolving/changing as a consequence of periodic volcanic episodes.

Thesis (Ph. D.)--University of Wisconsin--Madison, 1992.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 110-114).

碩士
國立中山大學
醫務管理研究所
97
Introduction: Most literatures researched radiofrequency ablation (RFA) for early hepatocellular carcinoma (HCC) defined the early tumor size as 3cm or less. However, detection rate of HCC smaller than 2 cm became increasing since high risk patients had received regular screening and the imaging techniques has been much improved. Whether RFA or percutaneous ethanol injection (PEI) is better for a patient with such a small HCC is still controversial. Methods: We retrospectively obtained patients with single HCC 2 cm in diameter or smaller from the computerized medical records database in a local teaching hospital located at southern Taiwan, diagnosed during January 1, 2002 to April 30, 2008. Those patients received RFA (RFA group) or PEI (PEI group) as the first-line nonsurgical treatments were enrolled for further analysis. We compared baseline characteristics of RFA and PEI groups, including gender, age, possible risk factors of recurrence, and prognostic factors. Then, we analyzed recurrent rate, time to recurrence, survival rate, complication rate, mean cost of each treatment, and hospital stay of RFA and PEI groups. Results: There were 32 patients qualified for the study design, including 22 in PEI group：13 males and 9 females with mean age was 63.73 years; and 10 in RFA group：7 males and 3 females with mea age was 58.30 years。No statistically significant differences between RFA and PEI groups were observed with respect to baseline characteristics. Nevertheless, there was significant difference between these two groups with respect to mean hospital stay (p=0.007) and mean cost (p＜0.001): mean cost of PEI was NTD $16934.7; mean cost of RFA was NTD $51677.6, the difference was NTD $34732.9. There was no difference respect to complication rate, recurrent rate, time to recurrence and overall survival rate between RFA and PEI groups. Conclusion: For patients with single HCC 2 cm in diameter or smaller (i.e. very early HCC), we concluded that: if under similar basic background, the cost of RFA was much higher than that of PEI, but no difference in the complication rate, recurrent rate, time to recurrence and overall survival rate between these two treatment.

Contexte Un objectif important de la prise en charge de l'arthrite juvénile oligoarticulaire serait d'altérer le cours de la maladie à l'aide d'une thérapie hâtive. Nous avons étudié l'effet des injections intra-articulaires de corticostéroïdes hâtives sur les chances d'atteindre un décompte d'articulation active de zéro et une maladie inactive. Méthode Les données démographiques, cliniques et thérapeutiques des patients avec oligoarthrite juvénile enrôlés dans une étude prospective longitudinale pancanadienne ont été collectées pendant 2 ans. Une injection hâtive était définie comme étant reçue dans les 3 premiers mois suivant le diagnostic. Les équations d'estimation généralisées ont été utilisées pour l'analyse statistique. Résultats Trois cent dix patients ont été inclus. Cent onze (35.8%) ont reçu une injection hâtive. Ces derniers avaient une maladie plus active lors de l'entrée dans l'étude. Les patients exposés à une injection hâtive avaient une chance similaire d'obtenir un décompte d'articulation active de zéro, OR 1.52 (IC95% 0.68-3.37), p=0.306 mais étaient significativement moins à risque d'avoir une maladie inactive, OR 0.35 (IC95% 0.14-0.88), p=0.026. Interprétation Dans cette cohorte de 310 patients avec oligoarthrite juvénile, les injections hâtives de corticostéroïdes n'ont pas mené à une probabilité plus élevée d'atteindre un décompte d'articulation active de zéro ou une maladie inactive. Des problématiques méthodologiques intrinsèques à l'utilisation de données observationnelles pour fins d'estimation d'effets thérapeutiques auraient pu biaiser les résultats. Nous ne pouvons affirmer avec certitude que les injections hâtives n'améliorent pas le décours de la maladie. Des études prospectives adressant les limitations soulevées seront requises pour clarifier la question.
Background One of the goals in oligoarticular juvenile idiopathic arthritis would be to alter the disease course with early therapy. We examined the association between early intra-articular corticosteroid injections and the achievement of an active joint count of zero and inactive disease during the first two years after study enrollment. Methods We included oligoarticular juvenile idiopathic arthritis patients enrolled into a prospective longitudinal cohort across Canada. Demographic, clinical and treatment-related information were collected. Early intra-articular corticosteroid injections was defined as having received the first injection within 3 months of diagnosis. Generalized estimating equations were used for data analysis. Results A total of 310 patients were included, of whom 111 (35.8%) received an early injection. Participants who received an early injection had more severe disease at baseline. Patients exposed to early injections had a similar chance to achieve an active joint count of zero, OR 1.52 (95%CI 0.68-3.37), p=0.306 but were significantly less likely to achieve inactive disease, OR 0.35 (95%CI 0.14-0.88), p=0.026. Interpretation In this cohort of 310 oligoarticular juvenile idiopathic arthritis patients, early intra-articular corticosteroid injections did not result in an increased risk of achieving an active joint count of zero or inactive disease. Methodological issues encountered when estimating treatment effect using observational data might have biased the estimates obtained. Firm conclusion on the inefficacy of early injections in improving outcomes in this population cannot be drawn from this study. Prospective studies addressing the limitations raised will be needed to clarify if early injections can alter the disease course.

Thesis (M.S.)--University of Wisconsin--Madison, 2002.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 117-121).

Thesis (M.S.)--University of Wisconsin--Madison, 2004.
Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 122-127).

Homogeneous Charge Compression Ignition (HCCI) combustion is an alternative combustion mode in which the fuel is homogeneously mixed with air and is auto-ignited by compression. Due to charge homogeneity, this mode is characterized by low equivalence ratios and temperatures giving simultaneously low nitric oxide (NOx) and soot in diesel engines. The conventional problem of NOx-soot trade-off is avoided in this mode due to absence of diffusion combustion. This mode can be employed at part load conditions while maintaining conventional combustion at high load thus minimizing regulatory cycle emissions and reducing cost of after-treatment systems. The present study focuses on achieving this mode in a turbocharged, common rail, direct injection, four-cylinder, heavy duty diesel engine. Specifically, the work involves a combination of three-dimensional CFD simulations and experiments on this engine to assess both traditional and novel strategies related to fuel injection. The first phase of the work involved a quasi-dimensional simulation of the engine to assess potential of achieving HCCI. This was done using a zero-dimensional, single-zone HCCI combustion model with n-heptane skeletal chemistry along with a one-dimensional model of intake and exhaust systems. The feasibility of operation with realistic knock values with high EGR rate of 60% was observed. The second aspect of the work involved three-dimensional CFD simulations of the in-cylinder process with wall film prediction to evaluate injection strategies associated with Early Direct Injection (EDI). The extended Coherent Flame Model-3Zone (ECFM-3Z) was employed for combustion simulation of conventional CI and EDI, and was validated with experimental in-cylinder pressure data from the engine. A new Uniformity Index (UI) parameter was defined to assess charge homogeneity. Results showed significant in-homogeneity and presence of wall film for EDI. Simulations were conducted to assess improvement of charge homogeneity by several strategies; narrow spray cone angle, injection timing, multiple injections, intake air heating, Port Fuel Injection (PFI) as well as combination of PFI and EDI. The maximum UI achieved by EDI was 0.78. The PFI strategy could achieve UI of 0.95; however, up to 50% of fuel remained trapped in the port after valve closure. This indicated that except EDI, none of the above-mentioned strategies could help achieve the benefits of the HCCI mode. The third part of the work involved engine experimentation to assess the EDI strategy. This strategy produced lower soot than that of conventional CI combustion with very short combustion duration, but led to high knock and NOx which is attributed to pool fire burning phenomenon of the wall film, as confirmed by CFD. An Optimized EDI (OptimEDI) strategy was then developed based on results of CFD and Design of Experiments. The Optim EDI consisted of triple injections with split ratio of 41%-45%-14% and advancing the first injection. This strategy gave 20% NOx and soot reduction over the conventional CI mode. Although this strategy gave encouraging results, there was a need for more substantial reduction in emissions without sacrificing efficiency. Hence, a novel concept of utilizing air-assisted Injection (AAI) into the EGR stream was employed, as this implied injecting very small droplets of fuel into the intake which would have sufficient residence time to evaporate before reaching the cylinder, thereby enabling HCCI. The fourth and final part of the work involved engine experimentation with AAI, and combination of OptimEDI with AAI. Results with 20% EGR showed that 5 to 10% of AAI gave further reduction in NOx but not in soot. With experiments involving 48% EGR rate, there was soot reduction of 75% due to combined AAI-EDI. NOx was negligible due to the high EGR rate. Thus, the significant contribution of this work is in proving that combining AAI with EDI as a novel injection strategy leads to substantial NOx and soot reduction.

Massive amounts of 13 C-depleted carbon rapidly entered the ocean more than once during the early Paleogene, providing a geological framework for understanding future perturbations in carbon cycling, including ocean acidification. To assess the number of events and their impact on deep-sea carbonate accumulation, I have studied carbonate ooze units of the upper Paleocene-lower Eocene, which were deposited on a subsiding flank of the East Pacific Rise (ODP Site 1215). From this record several proxies were used to ascertain changes in carbonate dissolution: carbonate content, foraminiferal test fragmentation, and planktic/benthic foraminiferal ratio. Based on these analyses, 1 observe that carbonate preservation generally increased from the late Paleocene (56 Ma) through the early Eocene (51.5 Ma), after which it became poor to negligible. This trend was punctuated by four short-term intervals characterized by carbonate dissolution and pronounced negative d 18 O and d 13 C excursions. It is inferred that these were anomalously warm periods (hyperthermals) caused by massive and relative fast 13 C-depleted carbon injections. These correspond to the PETM (∼55.5 Ma), H1/ETM-2 (∼53.7 Ma), I1 (∼53.2 Ma), and K/X (∼52.5 Ma) events. I also calculated carbonate, planktic, and benthic foraminiferal mass accumulation rates for the Site 1215. These were used to comprehensively examine the history of carbonate accumulation in the equatorial Pacific Ocean throughout the early Paleogene. I deduce that in the long-term (>10 5 yr) the lysocline and calcite compensation depth (CCD) generally deepened between 55.4 and 51.5 Ma; but rapidly (≤10 5 yr) shoaled and subsequently overcompensated during and after the four intervals of massive carbon injection. Planktic foraminiferal assemblages found in the record of Site 1215 follow a predicted pattern for selective dissolution. Species of Acarinina are preferentially preserved over Morozovella, which are preferentially preserved over Subbotina, Igorina and Globanomalina. A tiny and previously overlooked species, Praetenuitella antica n.sp, is formally described in this manuscript. This species is also resistant to dissolution. The findings of this study provide firm constraints to model the short and long-term carbon cycle dynamics during the early Paleogene