Adherence to secondary stroke prevention strategies - Results from the German stroke data bank

Only very limited data are available concerning patient adherence to antithrombotic medication intended to prevent a recurrent stroke. Reduced adherence and compliance could significantly influence the effects of any stroke prevention strategies. This study from a large stroke data bank provides representative data concerning the rate of stroke victims adhering to their recommended preventive medication. During a 2-year period beginning January 1, 1998, all patients with acute stroke or TIA in 23 neurological departments with an acute stroke unit were included in the German Stroke Data Bank. Data were collected prospectively, reviewed, validated and processed in a central data management unit. Only 12 centers with a follow-up rate of 80% or higher were included in this evaluation. 3,420 patients were followed up after 3 months, and 2,640 patients were followed up one year after their stroke. After one year, 96% of all patients reported still adhere to at least one medical stroke prevention strategy. Of the patients receiving aspirin at discharge, 92.6% reported to use that medication after 3 months and 84% after one year, while 81.6 and 61.6% were the respective figures for clopidogrel, and 85.2 and 77.4% for oral anticoagulation. Most patients who changed medication switched from aspirin to clopidogrel. Under the conditions of this observational study, adherence to stroke prevention strategies is excellent. The highest adherence rate is noticed for aspirin and oral anticoagulation. After one year, very few patients stopped taking stroke preventive medication. Copyright (C) 2003 S. Karger AG, Basel

Patterns of convection in rotating spherical shells

Patterns of convection in internally heated, self-gravitating rotating spherical fluid shells are investigated through numerical simulations. While turbulent states are of primary interest in planetary and stellar applications the present paper emphasizes more regular dynamical features at Rayleigh numbers not far above threshold which are similar to those which might be observed in laboratory or space experiments. Amplitude vacillations and spatial modulations of convection columns are common features at moderate and large Prandtl numbers. In the low Prandtl number regime equatorially attached convection evolves differently with increasing Rayleigh number and exhibits an early transition into a chaotic state. Relationships of the dynamical features to coherent structures in fully turbulent convection states are emphasized

Elastic turbulence in shear banding wormlike micelles

We study the dynamics of the Taylor-Couette flow of shear banding wormlike micelles. We focus on the high shear rate branch of the flow curve and show that for sufficiently high Weissenberg numbers, this branch becomes unstable. This instability is strongly sub-critical and is associated with a shear stress jump. We find that this increase of the flow resistance is related to the nucleation of turbulence. The flow pattern shows similarities with the elastic turbulence, so far only observed for polymer solutions. The unstable character of this branch led us to propose a scenario that could account for the recent observations of Taylor-like vortices during the shear banding flow of wormlike micelles

Emergence of pointer states in a non-perturbative environment

We show that the pointer basis distinguished by collisional decoherence consists of exponentially localized, solitonic wave packets. Based on the orthogonal unraveling of the quantum master equation, we characterize their formation and dynamics, and we demonstrate that the statistical weights arising from an initial superposition state are given by the required projection. Since the spatial width of the pointer states can be obtained by accounting for the gas environment in a microscopically realistic fashion, one may thus calculate the coherence length of a strongly interacting gas.Comment: 8 pages, 1 figure; corresponds to published versio

Localized transverse bursts in inclined layer convection

We investigate a novel bursting state in inclined layer thermal convection in which convection rolls exhibit intermittent, localized, transverse bursts. With increasing temperature difference, the bursts increase in duration and number while exhibiting a characteristic wavenumber, magnitude, and size. We propose a mechanism which describes the duration of the observed bursting intervals and compare our results to bursting processes in other systems.Comment: 4 pages, 8 figure

Generation and Structure of Solitary Rossby Vortices in Rotating Fluids

The formation of zonal flows and vortices in the generalized Charney-Hasegawa-Mima equation is studied. We focus on the regime when the size of structures is comparable to or larger than the deformation (Rossby) radius. Numerical simulations show the formation of anticyclonic vortices in unstable shear flows and ring-like vortices with quiescent cores and vorticity concentrated in a ring. Physical mechanisms that lead to these phenomena and their relevance to turbulence in planetary atmospheres are discussed.Comment: 3 pages in REVTeX, 5 postscript figures separately, submitted to Phys. Rev.

Hysteresis phenomenon in turbulent convection

Coherent large-scale circulations of turbulent thermal convection in air have been studied experimentally in a rectangular box heated from below and cooled from above using Particle Image Velocimetry. The hysteresis phenomenon in turbulent convection was found by varying the temperature difference between the bottom and the top walls of the chamber (the Rayleigh number was changed within the range of $10^7 - 10^8$). The hysteresis loop comprises the one-cell and two-cells flow patterns while the aspect ratio is kept constant ($A=2 - 2.23$). We found that the change of the sign of the degree of the anisotropy of turbulence was accompanied by the change of the flow pattern. The developed theory of coherent structures in turbulent convection (Elperin et al. 2002; 2005) is in agreement with the experimental observations. The observed coherent structures are superimposed on a small-scale turbulent convection. The redistribution of the turbulent heat flux plays a crucial role in the formation of coherent large-scale circulations in turbulent convection.Comment: 10 pages, 9 figures, REVTEX4, Experiments in Fluids, 2006, in pres

Scaling properties of granular materials

Given an assembly of viscoelastic spheres with certain material properties, we raise the question how the macroscopic properties of the assembly will change if all lengths of the system, i.e. radii, container size etc., are scaled by a constant. The result leads to a method to scale down experiments to lab-size.Comment: 4 pages, 2 figure

Square patterns in Rayleigh-Benard convection with rotation about a vertical axis

We present experimental results for Rayleigh-Benard convection with rotation about a vertical axis at dimensionless rotation rates in the range 0 to 250 and upto 20% above the onset. Critical Rayleigh numbers and wavenumbers agree with predictions of linear stability analysis. For rotation rates greater than 70 and close to onset, the patterns are cellular with local four-fold coordination and differ from the theoretically expected Kuppers-Lortz unstable state. Stable as well as intermittent defect-free square lattices exist over certain parameter ranges. Over other ranges defects dynamically disrupt the lattice but cellular flow and local four-fold coordination is maintained.Comment: ReVTeX, 4 pages, 7 eps figures include

Effects of non-resonant interaction in ensembles of phase oscillators

We consider general properties of groups of interacting oscillators, for which the natural frequencies are not in resonance. Such groups interact via non-oscillating collective variables like the amplitudes of the order parameters defined for each group. We treat the phase dynamics of the groups using the Ott-Antonsen ansatz and reduce it to a system of coupled equations for the order parameters. We describe different regimes of co-synchrony in the groups. For a large number of groups, heteroclinic cycles, corresponding to a sequental synchronous activity of groups, and chaotic states, where the order parameters oscillate irregularly, are possible.Comment: 21 pages, 7 fig