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AimAfter spinal cord injuries (SCIs), patients may develop either detrusor-sphincter dyssynergia (DSD) or urinary incontinence, depending on the level of the spinal injury. DSD and incontinence reflect the loss of coordinated neural control among the detrusor muscle, which increases bladder pressure to facilitate urination, and urethral sphincters and pelvic floor muscles, which control the bladder outlet to restrict or permit bladder emptying. Transcutaneous magnetic stimulation (TMS) applied to the spinal cord after SCI reduced DSD and incontinence. We defined, within a mathematical model, the minimum neuronal elements necessary to replicate neurogenic dysfunction of the bladder after a SCI and incorporated into this model the minimum additional neurophysiological features sufficient to replicate the improvements in bladder function associated with lumbar TMS of the spine in patients with SCI.MethodsWe created a computational model of the neural circuit of micturition based on Hodgkin-Huxley equations that replicated normal bladder function. We added interneurons and increased network complexity to reproduce dysfunctional micturition after SCI, and we increased the density and complexity of interactions of both inhibitory and excitatory lumbar spinal interneurons responsive to TMS to provide a more diverse set of spinal responses to intrinsic and extrinsic activation of spinal interneurons that remains after SCI.ResultsThe model reproduced the re-emergence of a spinal voiding reflex after SCI. When we investigated the effect of monophasic and biphasic TMS at two frequencies applied at or below T10, the model replicated the improved coordination between detrusor and external urethral sphincter activity that has been observed clinically: low-frequency TMS (1 Hz) within the model normalized control of voiding after SCI, whereas high-frequency TMS (30 Hz) enhanced urine storage.ConclusionNeuroplasticity and increased complexity of interactions among lumbar interneurons, beyond what is necessary to simulate normal bladder function, must be present in order to replicate the effects of SCI on control of micturition, and both neuronal and network modifications of lumbar interneurons are essential to understand the mechanisms whereby TMS reduced bladder dysfunction after SCI.

We study a counter-flow solid oxide fuel cell system and consider the challenges faced in minimizing thermal variations from the nominal operating conditions for a reasonable range of power tracking. Blower dynamics, reformer transport delays, spatial distribution of the heat generated and the resulting thermal response are among the issues considered. A novel approach, relying on partial internal reformation of the feedstock is proposed as a remedy to maintain a strong level of power tracking with minimal thermal stress to the fuel cell.

Spatial temperature feedback control has been developed for a simulated integrated non-pressurized simple cycle solid oxide fuel cell (SOFC) system. The fuel cell spatial temperature feedback controller is based on (1) feed-forward set-points that minimize temperature variation in the fuel cell electrode-electrolyte solid temperature profile for the system operating power range, and (2) decentralized proportional-integral based feedback to maintain the fuel cell spatial temperature profile during transients and disturbances. Simulation results indicate the fuel cell spatial temperature variation can be maintained within 15 degrees of nominal to significant load perturbations. Temperature gradients through the fuel cell are needed to remove the heat generated within the cell and cannot be avoided. The goal of the developed spatial temperature control is to minimize temperature variations from a nominal temperature profile in time. Minimal temperature variations in the SOFC electrode-electrolyte solid assembly will result in decreased thermal stresses and thereby decreased degradation and probability-of-failure. Simulation results demonstrating the ability to maintain the SOFC spatial temperature during large load perturbations indicates SOFC could be designed and controlled for rapid load following capability. Such performance can greatly improve SOFC system operating flexibility and thereby open new markets for SOFC systems including load following or spinning reserve services for the utility grid. © 2010 by ASME.