Spiral vortices traveling between two rotating defects in the Taylor-Couette system

Numerical calculations of vortex flows in Taylor-Couette systems with counter rotating cylinders are presented. The full, time dependent Navier-Stokes equations are solved with a combination of a finite difference and a Galerkin method. Annular gaps of radius ratio $\eta=0.5$ and of several heights are simulated. They are closed by nonrotating lids that produce localized Ekman vortices in their vicinity and that prevent axial phase propagation of spiral vortices. Existence and spatio temporal properties of rotating defects, of modulated Ekman vortices, and of the spiral vortex structures in the bulk are elucidated in quantitative detail.Comment: 9 pages, 9 figure

Towards an experimental von Karman dynamo: numerical studies for an optimized design

Numerical studies of a kinematic dynamo based on von Karman type flows between two counterrotating disks in a finite cylinder are reported. The flow has been optimized using a water model experiment, varying the driving impellers configuration. A solution leading to dynamo action for the mean flow has been found. This solution may be achieved in VKS2, the new sodium experiment to be performed in Cadarache, France. The optimization process is described and discussed, then the effects of adding a stationary conducting layer around the flow on the threshold, on the shape of the neutral mode and on the magnetic energy balance are studied. Finally, the possible processes involved into kinematic dynamo action in a von Karman flow are reviewed and discussed. Among the possible processes we highlight the joint effect of the boundary-layer radial velocity shear and of the Ohmic dissipation localized at the flow/outer-shell boundary

Tools in the orbit space approach to the study of invariant functions: rational parametrization of strata

Functions which are equivariant or invariant under the transformations of a compact linear group $G$ acting in an euclidean space $\real^n$, can profitably be studied as functions defined in the orbit space of the group. The orbit space is the union of a finite set of strata, which are semialgebraic manifolds formed by the $G$-orbits with the same orbit-type. In this paper we provide a simple recipe to obtain rational parametrizations of the strata. Our results can be easily exploited, in many physical contexts where the study of equivariant or invariant functions is important, for instance in the determination of patterns of spontaneous symmetry breaking, in the analysis of phase spaces and structural phase transitions (Landau theory), in equivariant bifurcation theory, in crystal field theory and in most areas where use is made of symmetry adapted functions. A physically significant example of utilization of the recipe is given, related to spontaneous polarization in chiral biaxial liquid crystals, where the advantages with respect to previous heuristic approaches are shown.Comment: Figures generated through texdraw package; revised version appearing in J. Phys. A: Math. Ge

Bifurcations of periodic orbits with spatio-temporal symmetries

Motivated by recent analytical and numerical work on two- and three-dimensional convection with imposed spatial periodicity, we analyse three examples of bifurcations from a continuous group orbit of spatio-temporally symmetric periodic solutions of partial differential equations. Our approach is based on centre manifold reduction for maps, and is in the spirit of earlier work by Iooss (1986) on bifurcations of group orbits of spatially symmetric equilibria. Two examples, two-dimensional pulsating waves (PW) and three-dimensional alternating pulsating waves (APW), have discrete spatio-temporal symmetries characterized by the cyclic groups Z_n, n=2 (PW) and n=4 (APW). These symmetries force the Poincare' return map M to be the nth iterate of a map G: M=G^n. The group orbits of PW and APW are generated by translations in the horizontal directions and correspond to a circle and a two-torus, respectively. An instability of pulsating waves can lead to solutions that drift along the group orbit, while bifurcations with Floquet multiplier +1 of alternating pulsating waves do not lead to drifting solutions. The third example we consider, alternating rolls, has the spatio-temporal symmetry of alternating pulsating waves as well as being invariant under reflections in two vertical planes. This leads to the possibility of a doubling of the marginal Floquet multiplier and of bifurcation to two distinct types of drifting solutions. We conclude by proposing a systematic way of analysing steady-state bifurcations of periodic orbits with discrete spatio-temporal symmetries, based on applying the equivariant branching lemma to the irreducible representations of the spatio-temporal symmetry group of the periodic orbit, and on the normal form results of Lamb (1996). This general approach is relevant to other pattern formation problems, and contributes to our understanding of the transition from ordered to disordered behaviour in pattern-forming systems

GeoFlow: European Microgravity Experiments on Thermal Convection in Rotating Spherical Shells under influence of Central Force Field

Abstract We report on the status of preparatory work in the GeoFlow Experiment which will take place on board Columbus Orbital Facility (COF) at the International Space Station (ISS). GeoFlow focus on investigations of the stability and dynamics of convective spherical gap flows under influence of a central force field. To exclude the unidirectional gravitational force which acts on earth's surface the planed long-time measurements have to take place in microgravity environment. After a introduction and an overview of experiment hardware preparation status which includes application of measurement techniques, preparatory 3D numerical flow simulations as well as experimental work and the way of experiment data analysis are presented. Also some aspects of the experiment operation phase will be given. The paper is then closed with concluding remarks and an outlook on possible future GeoFlow reflight campaigns

Management of MDR-TB in HIV co-infected patients in Eastern Europe: Results from the TB:HIV study

Objectives Mortality among HIV patients with tuberculosis (TB) remains high in Eastern Europe (EE), but details of TB and HIV management remain scarce. Methods In this prospective study, we describe the TB treatment regimens of patients with multi-drug resistant (MDR) TB and use of antiretroviral therapy (ART). Results A total of 105 HIV-positive patients had MDR-TB (including 33 with extensive drug resistance) and 130 pan-susceptible TB. Adequate initial TB treatment was provided for 8% of patients with MDR-TB compared with 80% of those with pan-susceptible TB. By twelve months, an estimated 57.3% (95%CI 41.5\u201374.1) of MDR-TB patients had started adequate treatment. While 67% received ART, HIV-RNA suppression was demonstrated in only 23%. Conclusions Our results show that internationally recommended MDR-TB treatment regimens were infrequently used and that ART use and viral suppression was well below the target of 90%, reflecting the challenging patient population and the environment in which health care is provided. Urgent improvement of management of patients with TB/HIV in EE, in particular for those with MDR-TB, is needed and includes widespread access to rapid TB diagnostics, better access to and use of second-line TB drugs, timely ART initiation with viral load monitoring, and integration of TB/HIV care

Gender differences in the use of cardiovascular interventions in HIV-positive persons; the D:A:D Study

Peer reviewe

Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

Ristola M. on työryhmien DAD Study Grp ; Royal Free Hosp Clin Cohort ; INSIGHT Study Grp ; SMART Study Grp ; ESPRIT Study Grp jäsen.Background Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice. Methods and Findings A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with >= 3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7-6.7; median follow-up 6.1 y, range 0.3-9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was -2 (interquartile range -4 to 2). There was a 1: 393 chance of developing CKD in the next 5 y in the low risk group (risk score = 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166-3,367); NNTH was 202 (95% CI 159-278) and 21 (95% CI 19-23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506-1462), 88 (95% CI 69-121), and 9 (95% CI 8-10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor. The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3-12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6-8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria. Conclusions Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.Peer reviewe

Non-AIDS defining cancers in the D:A:D Study-time trends and predictors of survival : a cohort study

BACKGROUND:Non-AIDS defining cancers (NADC) are an important cause of morbidity and mortality in HIV-positive individuals. Using data from a large international cohort of HIV-positive individuals, we described the incidence of NADC from 2004-2010, and described subsequent mortality and predictors of these.METHODS:Individuals were followed from 1st January 2004/enrolment in study, until the earliest of a new NADC, 1st February 2010, death or six months after the patient's last visit. Incidence rates were estimated for each year of follow-up, overall and stratified by gender, age and mode of HIV acquisition. Cumulative risk of mortality following NADC diagnosis was summarised using Kaplan-Meier methods, with follow-up for these analyses from the date of NADC diagnosis until the patient's death, 1st February 2010 or 6 months after the patient's last visit. Factors associated with mortality following NADC diagnosis were identified using multivariable Cox proportional hazards regression.RESULTS:Over 176,775 person-years (PY), 880 (2.1%) patients developed a new NADC (incidence: 4.98/1000PY [95% confidence interval 4.65, 5.31]). Over a third of these patients (327, 37.2%) had died by 1st February 2010. Time trends for lung cancer, anal cancer and Hodgkin's lymphoma were broadly consistent. Kaplan-Meier cumulative mortality estimates at 1, 3 and 5 years after NADC diagnosis were 28.2% [95% CI 25.1-31.2], 42.0% [38.2-45.8] and 47.3% [42.4-52.2], respectively. Significant predictors of poorer survival after diagnosis of NADC were lung cancer (compared to other cancer types), male gender, non-white ethnicity, and smoking status. Later year of diagnosis and higher CD4 count at NADC diagnosis were associated with improved survival. The incidence of NADC remained stable over the period 2004-2010 in this large observational cohort.CONCLUSIONS:The prognosis after diagnosis of NADC, in particular lung cancer and disseminated cancer, is poor but has improved somewhat over time. Modifiable risk factors, such as smoking and low CD4 counts, were associated with mortality following a diagnosis of NADC