Pressure drop and arterial compliance - Two arterial parameters in one measurement.

Coronary artery pressure-drop and distensibility (compliance) are two major, seemingly unrelated, parameters in the cardiovascular clinical setting, which are indicative of coronary arteries patency and atherosclerosis severity. While pressure drop is related to flow, and therefore serves as a functional indicator of a stenosis severity, the arterial distensibility is indicative of the arterial stiffness, and hence the arterial wall composition. In the present study, we hypothesized that local pressure drops are dependent on the arterial distensibility, and hence can provide information on both indices.

An efficient technique for estimating the two-dimensional temperature distributions around multiple cryo-surgical probes based on combining contributions of unit circles.

This study presents an efficient, fast and accurate method for estimating the two-dimensional temperature distributions around multiple cryo-surgical probes. The identical probes are inserted into the same depth and are operated simultaneously and uniformly. The first step in this method involves numerical derivation of the temporal performance data of a single probe, embedded in a semi-infinite, tissue-like medium.

Compilation of basal metabolic and blood perfusion rates in various multi-compartment, whole-body thermoregulation models.

The assignments of basal metabolic rates (BMR), basal cardiac output (BCO), and basal blood perfusion rates (BBPR) were compared in nine multi-compartment, whole-body thermoregulation models. The data are presented at three levels of detail: total body, specific body regions, and regional body tissue layers. Differences in the assignment of these quantities among the compared models increased with the level of detail, in the above order.

High accuracy differential pressure measurements using fluid-filled catheters - A feasibility study in compliant tubes.

High accuracy differential pressure measurements are required in various biomedical and medical applications, such as in fluid-dynamic test systems, or in the cath-lab. Differential pressure measurements using fluid-filled catheters are relatively inexpensive, yet may be subjected to common mode pressure errors (CMP), which can significantly reduce the measurement accuracy. Recently, a novel correction method for high accuracy differential pressure measurements was presented, and was shown to effectively remove CMP distortions from measurements acquired in rigid tubes.

Method for high accuracy differential pressure measurements using fluid-filled catheters.

The advantage of measuring differential pressure using fluid-filled catheters is that the system is relatively inexpensive, but the readings are not accurate and affected by the common mode pressure (CMP) distortion. High accuracy differential pressure measurements are required in various biomedical applications, such as in fluid-dynamic test rigs, or in the cath-lab, from cardiac valves efficacy to functional assessment of arterial stenoses. We have designed and built a unique system in which the pressure difference was measured along the fluid flow inside a rigid circular tube using a fluid-filled double-lumen catheter.

Modified wind chill temperatures determined by a whole body thermoregulation model and human-based facial convective coefficients.

Wind chill equivalent temperatures (WCETs) were estimated by a modified Fiala's whole body thermoregulation model of a clothed person. Facial convective heat exchange coefficients applied in the computations concurrently with environmental radiation effects were taken from a recently derived human-based correlation. Apart from these, the analysis followed the methodology used in the derivation of the currently used wind chill charts.

Facial convective heat exchange coefficients in cold and windy environments estimated from human experiments.

Facial heat exchange convection coefficients were estimated from experimental data in cold and windy ambient conditions applicable to wind chill calculations. Measured facial temperature datasets, that were made available to this study, originated from 3 separate studies involving 18 male and 6 female subjects. Most of these data were for a -10°C ambient environment and wind speeds in the range of 0.

Advances, shortcomings, and recommendations for wind chill estimation.

This article discusses briefly the advances made and the remaining short-comings in the "new" wind chill charts adopted in the US and Canada in 2001. A number of indicated refinements are proposed, including the use of whole body models in the computations, verification of heat exchange coefficients by human experiments, reconsideration of "calm" wind conditions, reconsideration of frostbite threshold levels, the inclusion of cold-related pain and numbness in the charts, etc. A dynamic numerical model is applied to compare the effects of wind speeds, on the one hand, and air temperatures, on the other, on the steady-state exposed facial and bare finger temperatures.

Assessment of the effects of environmental radiation on wind chill equivalent temperatures.

Combinations of wind-driven convection and environmental radiation in cold weather, make the environment "feel" colder. The relative contributions of these mechanisms, which form the basis for estimating wind chill equivalent temperatures (WCETs), are studied over a wide range of environmental conditions. Distinction is made between direct solar radiation and environmental radiation.

Isothermal volume contours generated in a freezing gel by embedded cryo-needles with applications to cryo-surgery.

Three-dimensional numerical simulations of multi-cryo-needle surgery were performed with cryo-needle temperature variations taken from matched experimental data. The transient temperatures and frozen volumes generated by simultaneously operating up to three 1.47 mm OD cryo-needles embedded in a phase-changing gel simulating the properties of biological tissues, were studied.

Paradox: increased blood perfusion to the face enhances protection against frostbite while it lowers wind chill equivalent temperatures.

A model of facial heat exchange in cold and windy environments is presented. The tissue is depicted as a hollow cylinder and the model includes heat conduction and heat transport by blood circulation from the warmer core. A steady-state solution facilitating the estimation of wind chill equivalent temperature (WCET) as a function of the effective wind velocity, air temperature and blood perfusion rate was obtained.

Wind-chill-equivalent temperatures: regarding the impact due to the variability of the environmental convective heat transfer coefficient.

The wind-chill index (WCI), developed in Antarctica in the 1940s and recently updated by the weather services in the USA and Canada, expresses the enhancement of heat loss in cold climates from exposed body parts, e.g., face, due to wind.

A parametric study of wind chill equivalent temperatures by a dimensionless steady-state analysis.

A first order analytical approximation of steady-state heat conduction in a hollow cylinder exchanging heat at its external surface by convection with a cold and windy environment is presented. The model depicts the thermal behavior of certain body elements, e.g.

Freezing by a flat, circular surface cryoprobe of a tissue phantom with an embedded cylindrical heat source simulating a blood vessel.

The effects of a thermally-significant blood vessel, simulated by an embedded acrylic tube, 4.8 mm outer diameter on the freezing field caused by a surface cryoprobe were studied experimentally in a tissue phantom. The flat, 15 mm diameter, circular cryoprobe was operated at a constant cooling rate of -8 degrees C/min by liquid nitrogen down to -60 degrees C.

Role of core temperature as a stimulus for cold acclimation during repeated immersion in 20 degrees C water.

The relative importance of skin vs. core temperature for stimulating cold acclimation (CA) was examined by 5 wk of daily 1-h water immersions (20 degrees C) in resting (RG) and exercising (EG) subjects. Rectal temperature fell (0.

Simulation of a cold-stressed finger including the effects of wind, gloves, and cold-induced vasodilatation.

The thermal response of fingers exposed to cold weather conditions has been simulated. Energy balance equations were formulated, in a former study, for the tissue layers and the arterial, venous, and capillary blood vessels. The equations were solved by a finite difference scheme using the Thomas algorithm and the method of alternating directions.

On the thermal efficiency of cold-stressed fingers.

Thermal efficiency of cold-stressed finger-tips during cold induced vasodilatation (CIVD) is considered. The actual heat loss from the finger-tip is compared to either the minimal or the maximal heat losses. The actual heat loss is estimated by integrating the area under the time-temperature curve of the finger-tip.

Characterization of a three-phase response in gloved cold-stressed fingers.

Seven gloves were studied worn by eight sedentary subjects (six men and two women) exposed to cold-dry, C D, (mean dry bulb temperature Tdb = -17.2 degrees C; mean dew point temperature Tdp = -25.1 degrees C), and cold-wet, C-W, (Tdh = 0 degrees C; Tdp = -8.

A physiological strain index to evaluate heat stress.

A physiological strain index (PSI), based on rectal temperature (Tre) and heart rate (HR), capable of indicating heat strain online and analyzing existing databases, has been developed. The index rates the physiological strain on a universal scale of 0-10. It was assumed that the maximal Tre and HR rise during exposure to exercise heat stress from normothermia to hyperthermia was 3 degrees C (36.

Numerical solution of the multidimensional freezing problem during cryosurgery.

A multidimensional, finite difference numerical scheme for the freezing process of biological tissues during cryosurgery is presented, which is a modification of an earlier numerical solution for inanimate materials. The tissues are treated as nonideal materials, freezing over a temperature range and possessing temperature-dependent thermophysical properties, blood perfusion, and metabolic heat generation. The numerical scheme is based on the application of an effective specific heat, substituting the intrinsic property, to include the latent heat effect within the phase transition temperature range.

Numerical analysis of an extremity in a cold environment including countercurrent arterio-venous heat exchange.

A model of the thermal behavior of an extremity, e.g., a finger, is presented.

Combined solution of the inverse Stefan problem for successive freezing/thawing in nonideal biological tissues.

A new combined solution of the one-dimensional inverse Stefan problem in biological tissues is presented. The tissue is assumed to be a nonideal material in which phase transition occurs over a temperature range. The solution includes the thermal effects of blood perfusion and metabolic heat generation.

Lumped-parameter tissue temperature-blood perfusion model of a cold-stressed fingertip.

A lumped-parameter model of a fingertip is presented. The semispherical model includes the effects of heat storage, heat exchange with the environment, and heat transport by blood perfusion. The thermal insulation on the surface of the fingertip is represented by the overall heat transfer coefficient that is calculated by common engineering formulas.

A new cryosurgical device for controlled freezing.

A new cryosurgical device was developed in this study to facilitate examination of factors affecting the outcome of cryotreatment. Special emphasis was placed on the control of the cooling rate at the freezing front. In the new computer-controlled cryosurgical device, the controlling variable is the cryoprobe temperature, which is calculated to ensure prespecified cooling rates at the freezing front.

A new cryosurgical device for controlled freezing.

A new cryosurgical device utilizing liquid nitrogen, which is a modification of an existing commercial system, was developed. In the new computer-controlled cryodevice the temperature of the cryoprobe is controlled by means of an electrical heating element. The desired temperature-forcing function is calculated to ensure a specified constant cooling rate at the freezing front.