Model for erosion-deposition patterns

We investigate through computational simulations with a pore network model the formation of patterns caused by erosion-deposition mechanisms. In this model, the geometry of the pore space changes dynamically as a consequence of the coupling between the fluid flow and the movement of particles due to local drag forces. Our results for this irreversible process show that the model is capable to reproduce typical natural patterns caused by well known erosion processes. Moreover, we observe that, within a certain range of porosity values, the grains form clusters that are tilted with respect to the horizontal with a characteristic angle. We compare our results to recent experiments for granular material in flowing water and show that they present a satisfactory agreement.Comment: 8 pages, 12 figures, submitted to Phys. Rev.

Adherence issues related to sublingual immunotherapy as perceived by allergists

Objectives: Sublingual immunotherapy (SLIT) is a viable alternative to subcutaneous immunotherapy to treat allergic rhinitis and asthma, and is widely used in clinical practice in many European countries. The clinical efficacy of SLIT has been established in a number of clinical trials and meta-analyses. However, because SLIT is self-administered by patients without medical supervision, the degree of patient adherence with treatment is still a concern. The objective of this study was to evaluate the perception by allergists of issues related to SLIT adherence. Methods: We performed a questionnaire-based survey of 296 Italian allergists, based on the adherence issues known from previous studies. The perception of importance of each item was assessed by a VAS scale ranging from 0 to 10. Results: Patient perception of clinical efficacy was considered the most important factor (ranked 1 by 54% of allergists), followed by the possibility of reimbursement (ranked 1 by 34%), and by the absence of side effects (ranked 1 by 21%). Patient education, regular follow-up, and ease of use of SLIT were ranked first by less than 20% of allergists. Conclusion: These findings indicate that clinical efficacy, cost, and side effects are perceived as the major issues influencing patient adherence to SLIT, and that further improvement of adherence is likely to be achieved by improving the patient information provided by prescribers. © 2010 Scurati et al, publisher and licensee Dove Medical Press Ltd