Medicalisation, pharmaceuticalisation or both? Exploring the medical management of sleeplessness as insomnia

In this paper we examine the medical management of sleeplessness as ‘insomnia’, through the eyes of general practitioners (GPs) and sleep experts in Britain. Three key themes were evident in the data. These related to (i) institutional issues around advocacy and training in sleep medicine (ii) conceptual issues in the diagnosis of insomnia (iii) and how these played out in terms of treatment issues. As a result, the bulk of medical management occurred at the primary rather than secondary care level. These issues are then reflected on in terms of the light they shed on relations between the medicalisation and the pharmaceuticalisation of sleeplessness as insomnia. Sleeplessness, we suggest, is only partially and problematically medicalised as insomnia to date at the conceptual, institutional and interactional levels owing to the foregoing factors. Much of this moreover, on closer inspection, is arguably better captured through recourse to pharmaceuticalisation, including countervailing moves and downward regulatory pressures which suggest a possible degree of depharmaceuticalisation in future, at least as far prescription hypnotics are concerned. Pharmaceuticalisation therefore, we conclude, has distinct analytical value in directing our attention, in this particular case, to important dynamics occurring within if not beyond the medicalisation of sleeplessness as insomnia

Emergence of rheological properties in lattice Boltzmann simulations of gyroid mesophases

We use a lattice Boltzmann (LB) kinetic scheme for modelling amphiphilic fluids that correctly predicts rheological effects in flow. No macroscopic parameters are included in the model. Instead, three-dimensional hydrodynamic and rheological effects are emergent from the underlying particulate conservation laws and interactions. We report evidence of shear thinning and viscoelastic flow for a self-assembled gyroid mesophase. This purely kinetic approach is of general importance for the modelling and simulation of complex fluid flows in situations when rheological properties cannot be predicted {\em a priori}.Comment: 7 pages, 5 figure

Large-scale lattice Boltzmann simulations of complex fluids: advances through the advent of computational grids

During the last two years the RealityGrid project has allowed us to be one of the few scientific groups involved in the development of computational grids. Since smoothly working production grids are not yet available, we have been able to substantially influence the direction of software development and grid deployment within the project. In this paper we review our results from large scale three-dimensional lattice Boltzmann simulations performed over the last two years. We describe how the proactive use of computational steering and advanced job migration and visualization techniques enabled us to do our scientific work more efficiently. The projects reported on in this paper are studies of complex fluid flows under shear or in porous media, as well as large-scale parameter searches, and studies of the self-organisation of liquid cubic mesophases. Movies are available at http://www.ica1.uni-stuttgart.de/~jens/pub/05/05-PhilTransReview.htmlComment: 18 pages, 9 figures, 4 movies available, accepted for publication in Phil. Trans. R. Soc. London Series

Dual-frequency GPS survey for validation of a regional DTM and for the generation of local DTM data for sea-level rise modelling in an estuarine salt marsh

Global average temperatures have risen by an average of 0.07°C per decade over the last 100 years, with a warming trend of 0.13°C per decade over the last 50 years. Temperatures are predicted to rise by 2°C - 4.4°C by 2100 leading to global average sealevel rise (SLR) of 2 – 6mm per year (20 – 60cms in total) up to 2100 (IPCC 2007) with impacts for protected coastal habitats in Ireland. Estuaries are predominantly sedimentary environments, and are characterised by shallow coastal slope gradients, making them sensitive to even modest changes in sea-level. The Shannon estuary is the largest river estuary in Ireland and is designated as a Special Area of Conservation (SAC) under the EU Habitats Directive (EU 1992) providing protection for listed habitats within it, including estuarine salt marsh. Trends in Shannon estuary tidal data from 1877 – 2004 suggest an average upward SLR trend of 4 - 5mm/yr over this period. A simple linear extension of this historical trend would imply that local SLR will be in the region of 40 - 45cm by 2100. However, this may underestimate actual SLR for the estuary by 2100, since it takes no account of predicted climate-driven global SLR acceleration (IPCC 2007) up to 2100

Renormalisation-theoretic analysis of non-equilibrium phase transitions II: The effect of perturbations on rate coefficients in the Becker-Doring equations

We study in detail the application of renormalisation theory to models of cluster aggregation and fragmentation of relevance to nucleation and growth processes. In particular, we investigate the Becker-Doring (BD) equations, originally formulated to describe and analyse non-equilibrium phase transitions, but more recently generalised to describe a wide range of physicochemical problems. We consider here rate coefficients which depend on the cluster size in a power-law fashion, but now perturbed by small amplitude random noise. Power-law rate coefficients arise naturally in the theory of surface-controlled nucleation and growth processes. The noisy perturbations on these rates reflect the effect of microscopic variations in such mean-field coefficients, thermal fluctuations and/or experimental uncertainties. In the present paper we generalise our earlier work that identified the nine classes into which all dynamical behaviour must fall by investigating how random perturbations of the rate coefficients influence the steady-state and kinetic behaviour of the coarse-grained, renormalised system. We are hence able to confirm the existence of a set of up to nine universality classes for such BD systems.Comment: 30 pages, to appear in J Phys A Math Ge

A three-dimensional lattice gas model for amphiphilic fluid dynamics

We describe a three-dimensional hydrodynamic lattice-gas model of amphiphilic fluids. This model of the non-equilibrium properties of oil-water-surfactant systems, which is a non-trivial extension of an earlier two-dimensional realisation due to Boghosian, Coveney and Emerton [Boghosian, Coveney, and Emerton 1996, Proc. Roy. Soc. A 452, 1221-1250], can be studied effectively only when it is implemented using high-performance computing and visualisation techniques. We describe essential aspects of the model's theoretical basis and computer implementation, and report on the phenomenological properties of the model which confirm that it correctly captures binary oil-water and surfactant-water behaviour, as well as the complex phase behaviour of ternary amphiphilic fluids.Comment: 34 pages, 13 figures, high resolution figures available on reques

Renormalisation-theoretic analysis of non-equilibrium phase transitions I: The Becker-Doring equations with power law rate coefficients

We study in detail the application of renormalisation theory to models of cluster aggregation and fragmentation of relevance to nucleation and growth processes. We investigate the Becker-Dorging equations, originally formulated to describe and analyse non-equilibrium phase transitions, and more recently generalised to describe a wide range of physicochemical problems. In the present paper we analyse how the systematic coarse-graining renormalisation of the \BD system of equations affects the aggregation and fragmentation rate coefficients. We consider the case of power-law size-dependent cluster rate coefficients which we show lead to only three classes of system that require analysis: coagulation-dominated systems, fragmentation-dominated systems and those where coagulation and fragmentation are exactly balanced. We analyse the late-time asymptotics associated with each class.Comment: 18 pages, to appear in J Phys A Math Ge

Lattice Boltzmann simulations of contact line motion in a liquid-gas system

We use a lattice Boltzmann algorithm for liquid-gas coexistence to investigate the steady state interface profile of a droplet held between two shearing walls. The algorithm solves the hydrodynamic equations of motion for the system. Partial wetting at the walls is implemented to agree with Cahn theory. This allows us to investigate the processes which lead to the motion of the three-phase contact line. We confirm that the profiles are a function of the capillary number and a finite size analysis shows the emergence of a dynamic contact angle, which can be defined in a region where the interfacial curvature tends to zero.Comment: 13 pages, 5 figures, to appear in Phil. Trans. Roy. Soc. A (Proceedings of the Xth International Conference on Discrete Simulation of Fluid Dynamics.

Two-dimensional hydrodynamic lattice-gas simulations of binary immiscible and ternary amphiphilic fluid flow through porous media

The behaviour of two dimensional binary and ternary amphiphilic fluids under flow conditions is investigated using a hydrodynamic lattice gas model. After the validation of the model in simple cases (Poiseuille flow, Darcy's law for single component fluids), attention is focussed on the properties of binary immiscible fluids in porous media. An extension of Darcy's law which explicitly admits a viscous coupling between the fluids is verified, and evidence of capillary effects are described. The influence of a third component, namely surfactant, is studied in the same context. Invasion simulations have also been performed. The effect of the applied force on the invasion process is reported. As the forcing level increases, the invasion process becomes faster and the residual oil saturation decreases. The introduction of surfactant in the invading phase during imbibition produces new phenomena, including emulsification and micellisation. At very low fluid forcing levels, this leads to the production of a low-resistance gel, which then slows down the progress of the invading fluid. At long times (beyond the water percolation threshold), the concentration of remaining oil within the porous medium is lowered by the action of surfactant, thus enhancing oil recovery. On the other hand, the introduction of surfactant in the invading phase during drainage simulations slows down the invasion process -- the invading fluid takes a more tortuous path to invade the porous medium -- and reduces the oil recovery (the residual oil saturation increases).Comment: 48 pages, 26 figures. Phys. Rev. E (in press