840 research outputs found
On the global nonlinear instability of the rotating-disk flow over a finite domain
Direct numerical simulations based on the incompressible nonlinear Navier–Stokes equations
of the flow over the surface of a rotating disk have been conducted. An impulsive
disturbance was introduced and its development as it travelled radially outwards
and ultimately transitioned to turbulence has been analysed. Of particular interest was
whether the nonlinear stability is related to the linear stability properties. Specifically
three disk-edge conditions were considered; (i) a sponge region forcing the flow back to
laminar flow, (ii) a disk edge, where the disk was assumed to be infinitely thin, and
(iii) a physically-realistic disk edge of finite thickness. This work expands on the linear
simulations presented by Appelquist et al. (J. Fluid. Mech., vol. 765, 2015, pp. 612-631),
where, for case (i), this configuration was shown to be globally linearly unstable when
the sponge region effectively models the influence of the turbulence on the flow field. In
contrast, case (ii) was mentioned there to be linearly globally stable, and here, where
nonlinearity is included, it is shown that both case (ii) and (iii) are nonlinearly globally
unstable. The simulations show that the flow can be globally linearly stable if the linear
wavepacket has a positive front velocity. However, in the same flow field, a nonlinear
global instability can emerge, which is shown to depend on the outer turbulent region
generating a linear inward-travelling mode that sustains a transition-front within the
domain. The results show that the front position does not approach the critical Reynolds
number for the local absolute instability, R = 507. Instead, the front approaches R = 583
and both the temporal frequency and spatial growth rate correspond to a global mode
originating at this position.Swedish Research Counci
Elastic and vibrational properties of alpha and beta-PbO
The structure, electronic and dynamic properties of the two layered alpha
(litharge) and beta (massicot) phases of PbO have been studied by density
functional methods. The role of London dispersion interactions as leading
component of the total interaction energy between layers has been addressed by
using the Grimme's approach, in which new parameters for Pb and O atoms have
been developed. Both gradient corrected and hybrid functionals have been
adopted using Gaussian-type basis sets of polarized triple zeta quality for O
atoms and small core pseudo-potential for the Pb atoms. Basis set superposition
error (BSSE) has been accounted for by the Boys-Bernardi correction to compute
the interlayer separation. Cross check with calculations adopting plane waves
that are BSSE free have also been performed for both structures and vibrational
frequencies. With the new set of proposed Grimme's type parameters structures
and dynamical parameters for both PbO phases are in good agreement with
experimental data.Comment: 8 pages, 5 figure
Job strain and the risk of severe asthma exacerbations : a meta-analysis of individual-participant data from 100 000 European men and women
Peer reviewe
Overweight, obesity, and risk of cardiometabolic multimorbidity: pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe
BACKGROUND: Although overweight and obesity have been studied in relation to individual cardiometabolic diseases, their association with risk of cardiometabolic multimorbidity is poorly understood. Here we aimed to establish the risk of incident cardiometabolic multimorbidity (ie, at least two from: type 2 diabetes, coronary heart disease, and stroke) in adults who are overweight and obese compared with those who are a healthy weight. METHODS: We pooled individual-participant data for BMI and incident cardiometabolic multimorbidity from 16 prospective cohort studies from the USA and Europe. Participants included in the analyses were 35 years or older and had data available for BMI at baseline and for type 2 diabetes, coronary heart disease, and stroke at baseline and follow-up. We excluded participants with a diagnosis of diabetes, coronary heart disease, or stroke at or before study baseline. According to WHO recommendations, we classified BMI into categories of healthy (20·0-24·9 kg/m(2)), overweight (25·0-29·9 kg/m(2)), class I (mild) obesity (30·0-34·9 kg/m(2)), and class II and III (severe) obesity (≥35·0 kg/m(2)). We used an inclusive definition of underweight (<20 kg/m(2)) to achieve sufficient case numbers for analysis. The main outcome was cardiometabolic multimorbidity (ie, developing at least two from: type 2 diabetes, coronary heart disease, and stroke). Incident cardiometabolic multimorbidity was ascertained via resurvey or linkage to electronic medical records (including hospital admissions and death). We analysed data from each cohort separately using logistic regression and then pooled cohort-specific estimates using random-effects meta-analysis. FINDINGS: Participants were 120 813 adults (mean age 51·4 years, range 35-103; 71 445 women) who did not have diabetes, coronary heart disease, or stroke at study baseline (1973-2012). During a mean follow-up of 10·7 years (1995-2014), we identified 1627 cases of multimorbidity. After adjustment for sociodemographic and lifestyle factors, compared with individuals with a healthy weight, the risk of developing cardiometabolic multimorbidity in overweight individuals was twice as high (odds ratio [OR] 2·0, 95% CI 1·7-2·4; p<0·0001), almost five times higher for individuals with class I obesity (4·5, 3·5-5·8; p<0·0001), and almost 15 times higher for individuals with classes II and III obesity combined (14·5, 10·1-21·0; p<0·0001). This association was noted in men and women, young and old, and white and non-white participants, and was not dependent on the method of exposure assessment or outcome ascertainment. In analyses of different combinations of cardiometabolic conditions, odds ratios associated with classes II and III obesity were 2·2 (95% CI 1·9-2·6) for vascular disease only (coronary heart disease or stroke), 12·0 (8·1-17·9) for vascular disease followed by diabetes, 18·6 (16·6-20·9) for diabetes only, and 29·8 (21·7-40·8) for diabetes followed by vascular disease. INTERPRETATION: The risk of cardiometabolic multimorbidity increases as BMI increases; from double in overweight people to more than ten times in severely obese people compared with individuals with a healthy BMI. Our findings highlight the need for clinicians to actively screen for diabetes in overweight and obese patients with vascular disease, and pay increased attention to prevention of vascular disease in obese individuals with diabetes. FUNDING: NordForsk, Medical Research Council, Cancer Research UK, Finnish Work Environment Fund, and Academy of Finland
Relationship between the duration of ischemia and final infarct size in STEMI patients treated with abciximab and primary PCI
Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116 000 European men and women
Peer reviewe
Job strain as a risk factor for clinical depression : systematic review and meta-analysis with additional individual participant data
Background. Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain as a risk factor for clinical depression. Method. We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium. Summary estimates of the association were obtained using random-effects models. Individual-level data analyses were based on a pre-published study protocol. Results. We included six published studies with a total of 27 461 individuals and 914 incident cases of clinical depression. From unpublished datasets we included 120 221 individuals and 982 first episodes of hospital-treated clinical depression. Job strain was associated with an increased risk of clinical depression in both published [relative risk (RR) = 1.77, 95% confidence interval (CI) 1.47-2.13] and unpublished datasets (RR = 1.27, 95% CI 1.04-1.55). Further individual participant analyses showed a similar association across sociodemographic subgroups and after excluding individuals with baseline somatic disease. The association was unchanged when excluding individuals with baseline depressive symptoms (RR = 1.25, 95% CI 0.94-1.65), but attenuated on adjustment for a continuous depressive symptoms score (RR = 1.03, 95% CI 0.81-1.32). Conclusions. Job strain may precipitate clinical depression among employees. Future intervention studies should test whether job strain is a modifiable risk factor for depression.Peer reviewe
systematic review and meta-analysis of published studies and unpublished individual participant data
Objective To quantify the association between long working hours and alcohol
use. Design Systematic review and meta-analysis of published studies and
unpublished individual participant data. Data sources A systematic search of
PubMed and Embase databases in April 2014 for published studies, supplemented
with manual searches. Unpublished individual participant data were obtained
from 27 additional studies. Review methods The search strategy was designed to
retrieve cross sectional and prospective studies of the association between
long working hours and alcohol use. Summary estimates were obtained with
random effects meta-analysis. Sources of heterogeneity were examined with
meta-regression. Results Cross sectional analysis was based on 61 studies
representing 333 693 participants from 14 countries. Prospective analysis was
based on 20 studies representing 100 602 participants from nine countries. The
pooled maximum adjusted odds ratio for the association between long working
hours and alcohol use was 1.11 (95% confidence interval 1.05 to 1.18) in the
cross sectional analysis of published and unpublished data. Odds ratio of new
onset risky alcohol use was 1.12 (1.04 to 1.20) in the analysis of prospective
published and unpublished data. In the 18 studies with individual participant
data it was possible to assess the European Union Working Time Directive,
which recommends an upper limit of 48 hours a week. Odds ratios of new onset
risky alcohol use for those working 49-54 hours and ≥55 hours a week were 1.13
(1.02 to 1.26; adjusted difference in incidence 0.8 percentage points) and
1.12 (1.01 to 1.25; adjusted difference in incidence 0.7 percentage points),
respectively, compared with working standard 35-40 hours (incidence of new
onset risky alcohol use 6.2%). There was no difference in these associations
between men and women or by age or socioeconomic groups, geographical regions,
sample type (population based v occupational cohort), prevalence of risky
alcohol use in the cohort, or sample attrition rate. Conclusions Individuals
whose working hours exceed standard recommendations are more likely to
increase their alcohol use to levels that pose a health risk
A genome-wide association study of anorexia nervosa.
Anorexia nervosa (AN) is a complex and heritable eating disorder characterized by dangerously low body weight. Neither candidate gene studies nor an initial genome-wide association study (GWAS) have yielded significant and replicated results. We performed a GWAS in 2907 cases with AN from 14 countries (15 sites) and 14 860 ancestrally matched controls as part of the Genetic Consortium for AN (GCAN) and the Wellcome Trust Case Control Consortium 3 (WTCCC3). Individual association analyses were conducted in each stratum and meta-analyzed across all 15 discovery data sets. Seventy-six (72 independent) single nucleotide polymorphisms were taken forward for in silico (two data sets) or de novo (13 data sets) replication genotyping in 2677 independent AN cases and 8629 European ancestry controls along with 458 AN cases and 421 controls from Japan. The final global meta-analysis across discovery and replication data sets comprised 5551 AN cases and 21 080 controls. AN subtype analyses (1606 AN restricting; 1445 AN binge-purge) were performed. No findings reached genome-wide significance. Two intronic variants were suggestively associated: rs9839776 (P=3.01 × 10(-7)) in SOX2OT and rs17030795 (P=5.84 × 10(-6)) in PPP3CA. Two additional signals were specific to Europeans: rs1523921 (P=5.76 × 10(-)(6)) between CUL3 and FAM124B and rs1886797 (P=8.05 × 10(-)(6)) near SPATA13. Comparing discovery with replication results, 76% of the effects were in the same direction, an observation highly unlikely to be due to chance (P=4 × 10(-6)), strongly suggesting that true findings exist but our sample, the largest yet reported, was underpowered for their detection. The accrual of large genotyped AN case-control samples should be an immediate priority for the field
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