Mechanical ventilation for the treatment of severe excessive dynamic airway collapse

[Excerpt] We read with interest the case report by Ismael et al1 describing a patient with Sjo¨gren’s syndrome and cystic lung disease who could not be weaned from a ventilator due to severe central excessive dynamic airway collapse (EDAC) of the lower part of the trachea and proximal bronchi. EDAC corresponds to the expiratory bulging of the tracheobronchial wall without known airway structural abnormalities, leading to a decrease of at least 50% in internal diameter.2 It is a rare and underdiagnosed entity, commonly confused with other respiratory diseases such as asthma and COPD. Although noninvasive procedures such as cervicothoracic computed tomography scan on inspiration and expiration may suggest the disorder, the accepted standard method for diagnosis is bronchoscopy.3-7 (...).

Cylindrically symmetric models of gravitational collapse to black holes: a short review

We survey results about exact cylindrically symmetric models of gravitational collapse in General Relativity. We focus on models which result from the matching of two spacetimes having collapsing interiors which develop trapped surfaces and vacuum exteriors containing gravitational waves. We collect some theorems from the literature which help to decide a priori about eventual spacetime matchings. We revise, in more detail, some toy models which include some of the main mathematical and physical issues that arise in this context, and compute the gravitational energy flux through the matching boundary of a particular collapsing region. Along the way, we point out several interesting open problems.

Natural fibers for soil reinforcement

The reinforcement of soil is defined as an effective and reliable technique to improve strength and stability. For this propose, the use of natural fibers has been commonly. Over the past years, a series of studies have been performed in order to investigate the influence of randomly oriented fibers, especially for compressible clayey soils. However, less attention has been given to the reinforcing of sandy materials, as well as the use of oriented fibers meshes in order to improve mechanical behaviour. The main aim of this study is to identify the influence that different percentages of fibers, as well as the use of meshes of oriented fibers, has on soil mechanical behaviour. For this purpose, unconfined compression tests with local strain measurements were performed on a silty sand reinforced with Sisal fibers and a comparative study between randomly oriented and 0° and 90° fibers is presented.