The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debrideme...The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement ＆ lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. While all elements of the surgical principles are very important and depend on each other for overall success the most critical element appears to be achieving very early healthy soft tissue cover. As the injuries become more complex this involves progressively more complex soft tissue reconstruction and may even requiring urgent free tissue transfer requiring close co-operative care between orthopaedic and plastic surgeons. Data suggests that the best results are obtained when the whole surgical reconstruction is completed within 48-72 h.展开更多
Instability of a wake controlled by a streamwise Lorentz force is investigated through a Floquet stability analysis. The streamwise Lorentz force, which is a two-dimensional control input created by an electromagnetic...Instability of a wake controlled by a streamwise Lorentz force is investigated through a Floquet stability analysis. The streamwise Lorentz force, which is a two-dimensional control input created by an electromagnetic actuator located on the cylinder surface,adjusts the base flow to affect the three-dimensional wake instability and achieve wake stabilization and transition delay. The instability mode at a Reynolds number Re = 300 can be transformed from B to A with N = 1.0, where N is an interaction number representing the strength of the Lorentz force relative to the inertial force in the fluid. The wake flow is Floquet stable when N increases to 1.3. The spanwise perturbation wavelengths are 3.926 D and 0.822 D in the modes A and B, respectively, where D is the cylinder diameter. In addition, the oscillating amplitudes of drag and lift are reduced with the increase in the interaction number. Particle tracing is used to explore the essential physical mechanism for mode transformation. The path lines show that suppression of flow separation hinders the fluid deformation and rotation, leading to the decrease in elliptic and hyperbolic instability regions, which is the material cause of mode transformation.All of the results indicate that wake stabilization and transition delay can be achieved under open-loop active control via the streamwise Lorentz force.展开更多
文摘The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement ＆ lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. While all elements of the surgical principles are very important and depend on each other for overall success the most critical element appears to be achieving very early healthy soft tissue cover. As the injuries become more complex this involves progressively more complex soft tissue reconstruction and may even requiring urgent free tissue transfer requiring close co-operative care between orthopaedic and plastic surgeons. Data suggests that the best results are obtained when the whole surgical reconstruction is completed within 48-72 h.
基金Project supported by the Specialized Research Fund for the Doctoral Program of Higher Education(No.20133219110039)
文摘Instability of a wake controlled by a streamwise Lorentz force is investigated through a Floquet stability analysis. The streamwise Lorentz force, which is a two-dimensional control input created by an electromagnetic actuator located on the cylinder surface,adjusts the base flow to affect the three-dimensional wake instability and achieve wake stabilization and transition delay. The instability mode at a Reynolds number Re = 300 can be transformed from B to A with N = 1.0, where N is an interaction number representing the strength of the Lorentz force relative to the inertial force in the fluid. The wake flow is Floquet stable when N increases to 1.3. The spanwise perturbation wavelengths are 3.926 D and 0.822 D in the modes A and B, respectively, where D is the cylinder diameter. In addition, the oscillating amplitudes of drag and lift are reduced with the increase in the interaction number. Particle tracing is used to explore the essential physical mechanism for mode transformation. The path lines show that suppression of flow separation hinders the fluid deformation and rotation, leading to the decrease in elliptic and hyperbolic instability regions, which is the material cause of mode transformation.All of the results indicate that wake stabilization and transition delay can be achieved under open-loop active control via the streamwise Lorentz force.
