The craniosacral progression of muscle development influences the emergence of neuromuscular junction alterations in a severe murine model for spinal muscular atrophy.

AIMS As 4-day-old mice of the severe spinal muscular atrophy (SMA) model (dying at 5-8 days) display pronounced neuromuscular changes in the diaphragm but not the soleus muscle, we wanted to gain more insight into the relationship between muscle development and the emergence of pathological changes and additionally to analyse intercostal muscles which are affected in human SMA. METHODS Structures of muscle fibres and neuromuscular junctions (NMJs) of the diaphragm, intercostal and calf muscles of prenatal (E21) and postnatal (P0 and P4) healthy and SMA mice were analysed by light and transmission electron microscopy. NMJ innervation was studied by whole mount immunofluorescence in diaphragms of P4 mice. RESULTS During this period, the investigated muscles still show a significant neck-to-tail developmental gradient. The diaphragm and calf muscles are most and least advanced, respectively, with respect to muscle fibre fusion and differentiation. The number and depth of subsynaptic folds increases, and perisynaptic Schwann cells (PSCs) acquire a basal lamina on their outer surface. Subsynaptic folds are connected to an extensive network of tubules and beaded caveolae, reminiscent of the T system in adult muscle. Interestingly, intercostal muscles from P4 SMA mice show weaker pathological involvement (that is, vacuolization of PSCs and perineurial cells) than those previously described by us for the diaphragm, whereas calf muscles show no pathological changes. CONCLUSION SMA-related alterations appear to occur only when the muscles have reached a certain developmental maturity. Moreover, glial cells, in particular PSCs, play an important role in SMA pathogenesis.

Anatomic pathways of peripancreatic fluid draining to mediastinum in recurrent acute pancreatitis: visible human project and CT study

BACKGROUND In past reports, researchers have seldom attached importance to achievements in transforming digital anatomy to radiological diagnosis. However, investigators have been able to illustrate communication relationships in the retroperitoneal space by drawing potential routes in computerized tomography (CT) images or a virtual anatomical atlas. We established a new imaging anatomy research method for comparisons of the communication relationships of the retroperitoneal space in combination with the Visible Human Project and CT images. Specifically, the anatomic pathways of peripancreatic fluid extension to the mediastinum that may potentially transform into fistulas were studied. METHODS We explored potential pathways to the mediastinum based on American and Chinese Visible Human Project datasets. These drainage pathways to the mediastinum were confirmed or corrected in CT images of 51 patients with recurrent acute pancreatitis in 2011. We also investigated whether additional routes to the mediastinum were displayed in CT images that were not in Visible Human Project images. PRINCIPAL FINDINGS All hypothesized routes to the mediastinum displayed in Visible Human Project images, except for routes from the retromesenteric plane to the bilateral retrorenal plane across the bilateral fascial trifurcation and further to the retrocrural space via the aortic hiatus, were confirmed in CT images. In addition, route 13 via the narrow space between the left costal and crural diaphragm into the retrocrural space was demonstrated for the first time in CT images. CONCLUSION This type of exploration model related to imaging anatomy may be used to support research on the communication relationships of abdominal spaces, mediastinal spaces, cervical fascial spaces and other areas of the body.

Fatal contact shot to the chest caused by the gas jet from a muzzle-loading pistol discharging only black powder and no bullet: case study and experimental simulation of the wounding effect.

In modern medico-legal literature, only a small number of publications deal with fatal injuries from black powder guns. Most of them focus on the morphological features such as intense soot soiling, blast tattooing and burn effects in close-range shots or describe the wound ballistics of spherical lead bullets. Another kind of "unusual" and potentially lethal weapons are handguns destined for firing only blank cartridges such as starter and alarm pistols. The dangerousness of these guns is restricted to very close and contact range shots and results from the gas jet produced by the deflagration of the propellant. The present paper reports on a suicide committed with a muzzle-loading percussion pistol cal. 45. An unusually large stellate entrance wound was located in the precordial region, accompanied by an imprint mark from the ramrod and a faint greenish discoloration (apparently due to the formation of sulfhemoglobin). Autopsy revealed an oversized powder cavity, multiple fractures of the anterior thoracic wall as well as ruptures of the heart, the aorta, the left hepatic lobe and the diaphragm. In total, the zone of mechanical destruction had a diameter of approx. 15 cm. As there was no exit wound and no bullet lodged in the body, the injury was caused exclusively by the inrushing combustion gases of the propellant (black powder) comparable with the gas jet of a blank cartridge gun. In contact shots to ballistic gelatine using the suicide's pistol loaded with black powder but no projectile, the formation of a nearly spherical cavity could be demonstrated by means of a high-speed camera. The extent of the temporary cavity after firing with 5 g of black powder roughly corresponded to the zone of destruction found in the suicide's body.

A lung-on-chip array with an integrated bio-inspired respiration mechanism

We report about a lung-on-chip array that mimics the pulmonary parenchymal environment, including the thin, alveolar barrier and the three-dimensional cyclic strain induced by the breathing movements. A micro-diaphragm used to stretch the alveolar barrier is inspired by the in-vivo diaphragm, the main muscle responsible for inspiration. The design of this device aims not only at best reproducing the in-vivo conditions found in the lung parenchyma, but also at making its handling easy and robust. An innovative concept, based on the reversible bonding of the device, is presented that enables to accurately control the concentration of cells cultured on the membrane by easily accessing both sides of the membranes. The functionality of the alveolar barrier could be restored by co-culturing epithelial and endothelial cells that formed tight monolayers on each side of a thin, porous and stretchable membrane. We showed that cyclic stretch significantly affects the permeability properties of epithelial cell layers. Furthermore, we could also demonstrate that the strain influences the metabolic activity and the cytokine secretion of primary human pulmonary alveolar epithelial cells obtained from patients. These results demonstrate the potential of this device and confirm the importance of the mechanical strain induced by the breathing in pulmonary research.

The FgfrL1 receptor is required for development of slow muscle fibers.

FgfrL1, which interacts with Fgf ligands and heparin, is a member of the fibroblast growth factor receptor (Fgfr) family. FgfrL1-deficient mice show two significant alterations when compared to wildtype mice: They die at birth due to a malformed diaphragm and they lack metanephric kidneys. Utilizing gene arrays, qPCR and in situ hybridization we show here that the diaphragm of FgfrL1 knockout animals lacks any slow muscle fibers at E18.5 as indicated by the absence of slow fiber markers Myh7, Myl2 and Myl3. Similar lesions are also found in other skeletal muscles that contain a high proportion of slow fibers at birth, such as the extraocular muscles. In contrast to the slow fibers, fast fibers do not appear to be affected as shown by expression of fast fiber markers Myh3, Myh8, Myl1 and MylPF. At early developmental stages (E10.5, E15.5), FgfrL1-deficient animals express slow fiber genes at normal levels. The loss of slow fibers cannot be attributed to the lack of kidneys, since Wnt4 knockout mice, which also lack metanephric kidneys, show normal expression of Myh7, Myl2 and Myl3. Thus, FgfrL1 is specifically required for embryonic development of slow muscle fibers.

Targeted disruption of the intracellular domain of receptor FgfrL1 in mice.

FgfrL1 is the fifth member of the fibroblast growth factor receptor (Fgfr) family. Studies with FgfrL1 deficient mice have demonstrated that the gene plays an important role during embryonic development. FgfrL1 knock-out mice die at birth as they have a malformed diaphragm and lack metanephric kidneys. Similar to the classical Fgfrs, the FgfrL1 protein contains an extracellular part composed of three Ig-like domains that interact with Fgf ligands and heparin. However, the intracellular part of FgfrL1 is not related to the classical receptors and does not possess any tyrosine kinase activity. Curiously enough, the amino acid sequence of this domain is barely conserved among different species, with the exception of three motifs, namely a dileucine peptide, a tandem tyrosine-based motif YXXΦ and a histidine-rich sequence. To investigate the function of the intracellular domain of FgfrL1, we have prepared genetically modified mice that lack the three conserved sequence motifs, but instead contain a GFP cassette (FgfrL1ΔC-GFP). To our surprise, homozygous FgfrL1ΔC-GFP knock-in mice are viable, fertile and phenotypically normal. They do not exhibit any alterations in the diaphragm or the kidney, except for a slight reduction in the number of glomeruli that does not appear to affect life expectancy. In addition, the pancreas of both FgfrL1ΔC-GFP knock-in and FgfrL1 knock-out mice do not show any disturbances in the production of insulin, in contrast to what has been suggested by recent studies. Thus, the conserved motifs of the intracellular FgfrL1 domain are dispensable for organogenesis and normal life. We conclude that the extracellular domain of the protein must conduct the vital functions of FgfrL1.

Transdiaphragmatic Resuscitative Open Cardiac Massage: Description of the Technique and a First Case-Series of an Alternative Approach to the Heart

Abstract BACKGROUND: The purpose of this paper is to describe the transdiaphragmatic approach to the heart for open CPR in patients that arrest at laparotomy and to present a first case series of patients that have undergone this procedure. METHODS: All patients who had undergone intraperitoneal transdiaphragmatic open CPR between January 1, 2002 and December 31, 2012 were retrieved from the operation registry at Bern University Hospital, Switzerland. Transdiaphragmatic access to the heart is initiated with a 10-cm-long anterocaudal incision in the central tendon of the diaphragm--approximately at 2 o'clock. Internal cardiac compression through the diaphragmatic incision can be performed from both sides of the patient. From the right side of the patient, cardiac massage is performed with the right hand and vice versa. RESULTS: A total of six patients were identified that suffered cardiac arrest during laparotomy with open CPR performed through the transdiaphragmatic approach. Four patients suffered cardiac arrest during orthotopic liver transplantation and two trauma patients suffered cardiac arrest during damage control laparotomy. In three patients, cardiac activity was never reestablished. However, three patients regained a perfusion heart rhythm and two of these survived to the ICU. One patient ultimately survived to discharge. CONCLUSIONS: In patients suffering cardiac arrest during laparotomy, the transdiaphragmatic approach allows for a rapid, technically easy, and almost atraumatic access to the heart, with excellent CPR performance. After this potentially life-saving procedure, pulmonary or surgical site complications are expected to occur much less compared with the conventionally performed emergency department left-sided thoracotomy.

Gastroesophageal intussusception in a leopard (Panthera pardus).

An 8-yr-old male leopard (Panthera pardus) was presented with a 4-day history of lethargy, vomiting, and anorexia. Thoracic and abdominal radiographs revealed a soft-tissue mass cranial to the diaphragm and atypical appearance of the gastric fundus. Esophagoscopy revealed gastric mucosa in the lumen of the esophagus, which confirmed gastroesophageal intussusception. An exploratory celiotomy with manual reduction of the intussusception was performed. Reduction was verified by intraoperative esophagoscopy and gastroscopy. An incisional fundic gastropexy to the left abdominal wall was performed to reduce the chance of a recurrence of the intussusception. No postoperative complications related to the surgery were observed, and the animal resumed eating within 48 hr of surgery. A subsequent recurrence of clinical signs was not noted by the owner.

Improving 4D plan quality for PBS-based liver tumour treatments by combining online image guided beam gating with rescanning.

Pencil beam scanned (PBS) proton therapy has many advantages over conventional radiotherapy, but its effectiveness for treating mobile tumours remains questionable. Gating dose delivery to the breathing pattern is a well-developed method in conventional radiotherapy for mitigating tumour-motion, but its clinical efficiency for PBS proton therapy is not yet well documented. In this study, the dosimetric benefits and the treatment efficiency of beam gating for PBS proton therapy has been comprehensively evaluated. A series of dedicated 4D dose calculations (4DDC) have been performed on 9 different 4DCT(MRI) liver data sets, which give realistic 4DCT extracting motion information from 4DMRI. The value of 4DCT(MRI) is its capability of providing not only patient geometries and deformable breathing characteristics, but also includes variations in the breathing patterns between breathing cycles. In order to monitor target motion and derive a gating signal, we simulate time-resolved beams' eye view (BEV) x-ray images as an online motion surrogate. 4DDCs have been performed using three amplitude-based gating window sizes (10/5/3 mm) with motion surrogates derived from either pre-implanted fiducial markers or the diaphragm. In addition, gating has also been simulated in combination with up to 19 times rescanning using either volumetric or layered approaches. The quality of the resulting 4DDC plans has been quantified in terms of the plan homogeneity index (HI), total treatment time and duty cycle. Results show that neither beam gating nor rescanning alone can fully retrieve the plan homogeneity of the static reference plan. Especially for variable breathing patterns, reductions of the effective duty cycle to as low as 10% have been observed with the smallest gating rescanning window (3 mm), implying that gating on its own for such cases would result in much longer treatment times. In addition, when rescanning is applied on its own, large differences between volumetric and layered rescanning have been observed as a function of increasing number of re-scans. However, once gating and rescanning is combined, HI to within 2% of the static plan could be achieved in the clinical target volume, with only moderately prolonged treatment times, irrespective of the rescanning strategy used. Moreover, these results are independent of the motion surrogate used. In conclusion, our results suggest image guided beam gating, combined with rescanning, is a feasible, effective and efficient motion mitigation approach for PBS-based liver tumour treatments.

Respiratory rhythm generation: A modeling study of the respiratory central pattern generator and the phrenic motor neuron

The respiratory central pattern generator is a collection of medullary neurons that generates the rhythm of respiration. The respiratory central pattern generator feeds phrenic motor neurons, which, in turn, drive the main muscle of respiration, the diaphragm. The purpose of this thesis is to understand the neural control of respiration through mathematical models of the respiratory central pattern generator and phrenic motor neurons. ^ We first designed and validated a Hodgkin-Huxley type model that mimics the behavior of phrenic motor neurons under a wide range of electrical and pharmacological perturbations. This model was constrained physiological data from the literature. Next, we designed and validated a model of the respiratory central pattern generator by connecting four Hodgkin-Huxley type models of medullary respiratory neurons in a mutually inhibitory network. This network was in turn driven by a simple model of an endogenously bursting neuron, which acted as the pacemaker for the respiratory central pattern generator. Finally, the respiratory central pattern generator and phrenic motor neuron models were connected and their interactions studied. ^ Our study of the models has provided a number of insights into the behavior of the respiratory central pattern generator and phrenic motor neurons. These include the suggestion of a role for the T-type and N-type calcium channels during single spikes and repetitive firing in phrenic motor neurons, as well as a better understanding of network properties underlying respiratory rhythm generation. We also utilized an existing model of lung mechanics to study the interactions between the respiratory central pattern generator and ventilation. ^

Análisis de la influencia de distintos diseños de paraguas de micropilotes, pantalla de micropilotes, paraguas de jet grouting y pantallas de jet grouting en los asientos en superficie durante la ejecución de túneles perforados superficialmente

Ya en el informe acerca del estado de la tecnología en la excavación profunda y en la construcción de túneles en terreno duro presentado en la 7ª Conferencia en Mecánica de Suelos e Ingeniería de la Cimentación, Peck (1969) introdujo los tres temas a ser tenidos en cuenta para el diseño de túneles en terrenos blandos: o Estabilidad de la cavidad durante la construcción, con particular atención a la estabilidad del frente del túnel; o Evaluación de los movimientos del terreno inducidos por la construcción del túnel y de la incidencia de los trabajos subterráneos a poca profundidad sobre los asentamientos en superficie; o Diseño del sistema de sostenimiento del túnel a instalar para asegurar la estabilidad de la estructura a corto y largo plazo. Esta Tesis se centra en los problemas señalados en el segundo de los puntos, analizando distintas soluciones habitualmente proyectadas para reducir los movimientos inducidos por la excavación de los túneles. El objeto de la Tesis es el análisis de la influencia de distintos diseños de paraguas de micropilotes, pantalla de micropilotes, paraguas de jet grouting y pantallas de jet grouting en los asientos en superficie durante la ejecución de túneles ejecutados a poca profundidad, con objeto de buscar el diseño que optimice los medios empleados para una determinada reducción de asientos. Para ello se establecen unas premisas para los proyectistas con objeto de conocer a priori cuales son los tratamientos más eficientes (de los propuestos en la Tesis) para la reducción de asientos en superficie cuando se ha de proyectar un túnel, de tal manera que pueda tener datos cualitativos y algunos cuantitativos sobre los diseños más óptimos, utilizando para ello un programa de elementos finitos de última generación que permite realizara la simulación tensodeformación del terreno mediante el modelo de suelo con endurecimiento (Hardening Soil Small model), que es una variante elastoplástica del modelo hiperbólico, similar al Hardening Soil Model. Además, este modelo incorpora una relación entre deformación y el modulo de rigidez, simulando el diferente comportamiento del suelo para pequeñas deformaciones (por ejemplo vibraciones con deformaciones por debajo de 10-5 y grandes deformaciones (deformaciones > 10-3). Para la realización de la Tesis se han elegido cinco secciones de túnel, dos correspondiente a secciones tipo de túnel ejecutado con tuneladora y tres secciones ejecutados mediante convencionales (dos correspondientes a secciones que han utilizado el método Belga y una que ha utilizado el NATM). Para conseguir los objetivos marcados, primeramente se ha analizado mediante una correlación entre modelos tridimensionales y bidimensionales el valor de relajación usado en estos últimos, y ver su variación al cambio de parámetros como la sección del túnel, la cobertera, el procedimiento constructivo, longitud de pase (métodos convencionales) o presión del frente (tuneladora) y las características geotécnicas de los materiales donde se ejecuta el túnel. Posteriormente se ha analizado que diseño de pantalla de protección tiene mejor eficacia respecto a la reducción de asientos, variando distintos parámetros de las características de la misma, como son el empotramiento, el tipo de micropilotes o pilote, la influencia del arriostramiento de las pantallas de protección en cabeza, la inclinación de la pantalla, la separación de la pantalla al eje del túnel y la disposición en doble fila de la pantalla de pantalla proyectada. Para finalizar el estudio de la efectividad de pantalla de protección para la reducción de asiento, se estudiará la influencia de la sobrecarga cercanas (simulación de edificios) tiene en la efectividad de la pantalla proyectada (desde el punto de vista de reducción de movimientos en superficie). Con objeto de poder comparar la efectividad de la pantalla de micropilotes respecto a la ejecución de un paraguas de micropilotes se ha analizado distintos diseños de paraguas, comparando el movimiento obtenido con el obtenido para el caso de pantalla de micropilotes, comparando ambos resultados con los medidos en obras ya ejecutadas. En otro apartado se ha realizado una comparación entre tratamientos similar, comparándolos en este caso con un paraguas de jet grouting y pantallas de jet grouting. Los resultados obtenidos se han con valores de asientos medidos en distintas obras ya ejecutadas y cuyas secciones se corresponden a los empleados en los modelos numéricos. Since the report on the state of technology in deep excavation and tunnelling in hard ground presented at the 7th Conference on Soil Mechanics and Foundation Engineering, Peck (1969) introduced the three issues to be taken into account for the design of tunnels in soft ground: o Cavity Stability during construction, with particular attention to the stability of the tunnel face; o Evaluation of ground movements induced by tunnelling and the effect of shallow underground workings on surface settlement; o Design of the tunnel support system to be installed to ensure short and long term stability of the structure. This thesis focuses on the issues identified in the second point, usually analysing different solutions designed to reduce the movements induced by tunnelling. The aim of the thesis is to analyse the influence of different micropile forepole umbrellas, micropile walls, jet grouting umbrellas and jet grouting wall designs on surface settlements during near surface tunnelling in order to use the most optimal technique to achieve a determined reduction in settlement. This will establish some criteria for designers to know a priori which methods are most effective (of those proposed in the thesis) to reduce surface settlements in tunnel design, so that it is possible to have qualitative and some quantitative data on the optimal designs, using the latest finite element modelling software that allows simulation of the ground’s infinitesimal strain behaviour using the Hardening Soil Small Model, which is a variation on the elasto-plastic hyperbolic model, similar to Hardening Soil model. In addition, this model incorporates a relationship between strain and the rigidity modulus, simulating different soil behaviour for small deformations (eg deformation vibrations below 10-5 and large deformations (deformations > 10-3). For the purpose of this thesis five tunnel sections have been chosen, two sections corresponding to TBM tunnels and three sections undertaken by conventional means (two sections corresponding to the Belgian method and one corresponding to the NATM). To achieve the objectives outlined, a correlation analysis of the relaxation values used in the 2D and 3D models was undertaken to verify them against parameters such as the tunnel cross-section, the depth of the tunnel, the construction method, the length of step (conventional method) or face pressure (TBM) and the geotechnical characteristics of the ground where the tunnel is constructed. Following this, the diaphragm wall design with the greatest efficiency regarding settlement reduction was analysed, varying parameters such as the toe depth, type of micropiles or piles, the influence of bracing of the head protection diaphragm walls, the inclination of the diaphragm wall, the separation between the diaphragm wall and the tunnel axis and the double diaphragm wall design arrangement. In order to complete the study into the effectiveness of protective diaphragm walls ofn the reduction of settlements, the influence of nearby imposed loads (simulating buildings) on the effectiveness of the designed diaphragm walls (from the point of view of reducing surface movements) will be studied. In order to compare the effectiveness of micropile diaphragm walls regarding the installation of micropile forepole umbrellas, different designs of these forepole umbrellas have been analysed comparing the movement obtained with that obtained for micropiled diaphragm walls, comparing both results with those measured from similar completed projects. In another section, a comparison between similar treatments has been completed, comparing the treatments with a forepole umbrella by jet grouting and jet grouting walls. The results obtained compared with settlement values measured in various projects already completed and whose sections correspond to those used in the numerical models.

Modelización y simulación numérica de sistemas geotérmicos planos

En el presente proyecto se estudiará la conveniencia de utilizar simulación numérica para evaluar, diseñar y mejorar el diseño de instalaciones geotérmicas planas. Para ello, se modelizará el conjunto de terreno y sistema geotérmico mediante el acoplamiento de un modelo tridimensional (terreno) y un modelo unidimensional, formado por la red de tubería geotérmica, que estará dispuesta en un plano cuya orientación dependerá de las aplicaciones. Para la simulación numérica se utilizará un software de análisis y resolución por elementos finitos tipo comercial. Finalmente, se definirán unos parámetros geométricos de diseño y, teniendo en cuenta las propiedades térmicas de cada material, se realizarán estudios paramétricos para determinar la influencia de cada grupo de parámetros. Ello requerirá la realización de cientos de simulaciones numéricas que permitirán optimizar el rendimiento de sistemas geotérmicos planos tanto horizontales (soleras), como verticales (muros pantalla). ABSTRACT In this project it is going to be studied the convenience of numerical simulation as to evaluate, design and improve the design of geothermal planar installations. With this purpose, the terrain and the geothermal system will be modeled by coupling a three-dimensional model (terrain) and a one-dimensional model formed by the geothermal piping network disposed in a plane with an orientation which will depend on the applications. For the numerical simulation commercial software of analyzing and resolving by finite elements will be used. Finally, geometric design parameters will be defined, and taking into account the thermal properties of each material, parametric studies will be performed to determine the influence of each group of parameters. This will require the completion of hundreds of numerical simulations which will enhance the performance of both horizontal (slabs) and vertical (diaphragm walls) geothermal systems.

New Courthouse at El Ejido

The courthouse at El Ejido has a trapezoid floor plan (47 m × 55/26 m) and comprises two distinct volumes that are structurally connected at the basement level and by the footbridges on the upper storeys. A third trapezoid unit featuring a glazed curtain wall facade cantilevers 8 m off the main facade of the front volume. This facade is a structural diaphragm wall, constituted by nine rows of vertical precast concrete members separated by horizontal cast-in-place, self-compacting concrete chords. The location of the courthouse in a seismic area and the small number of horizontal supports for the facade make this wall potentially vulnerable. The high risk, in particular, during construction required careful planning based on a detailed analysis of the interaction between the structure and the ancillary resources used to build it

New courthouse at El Ejido

The courthouse at El Ejido has a trapezoid floor plan (47 m. x 55 / 26 m.) and comprises two distinct volumes that are structurally connected at basement level and by footbridges on the upper storeys. A third trapezoid unit featuring a glazed curtain wall façade cantilevers 8 m. off the main façade of the front volume. This façade is a structural diaphragm wall, constituted by nine rows of vertical precast concrete members separated by horizontal cast-in-place, self-compacting concrete chords. The location of the courthouse in a seismic area and the short number of horizontal supports for the façade make this wall potentially vulnerable. The particularly high risk during construction called for careful planning based on a detailed analysis of the interaction between the structure and the ancillary resources used to build it

Numerical simulation of a synthetic jet with OpenFoam

Numerical simulations of flow surrounding a synthetic jet actuating device are presented. By modifying a dynamic mesh technique available in OpenFoam-a well-documented open-source solver for fluid dynamics, detailed computations of the sinusoidal motion of the synthetic jet diaphragm were possible. Numerical solutions were obtained by solving the two dimensional incompressible viscous N-S equations, with the use of a second order implicit time marching scheme and a central finite volume method for spatial discretization in both streamwise and crossflow directions. A systematic parametric study is reported here, in which the external Reynolds number, the diaphragm amplitude and frequency, and the slot dimensions are varied.