Digital simulation of dominant eddies of a co-flowing jet

This paper described a method for virtual construction of turbulent jet flow field from a limited set of experimental data. The objective is for jet visualization enhancement in near-field plume models. The method is based on the proper orthogonal decomposition (POD), which is an efficient tool to capture the turbulent field based on principal components. A set of experimental flow images at a number of cross-sections of a coflowing jet is obtained in the laboratory. Four hundred instantaneous flow images are taken at each jet section and are subjected to POD analysis. The first 60 principal modes are used in the reconstruction of jet turbulence via a low dimensional generation of jet images. The inclusion of additional modes is shown to produce little improvement on the visual appearance of the reconstructed jet images. Linear interpolation is attempted to generate jet images at an intermediate jet section between two experimental stations. Jet flow field on a central longitudinal section of the jet are assembled from the reconstructed flow images at all jet sections. The resulting development of concentration jet width is shown to agree well with the analytical solution.postprintThe 16th IAHR-APD 2008 Congress and 3rd Symposium of IAHR-ISHS, Nanjing, China, 20-23 October 2008. In Advances in Water Resources & Hydraulic Engineering, 2009, v. 2, p. 618-62

Wind flow in the recessed cavities of a tall building

Fulltext in: http://www.iawe.org/Proceedings/7APCWE/M3D_3.pdfTechnical Session: M3-D Computational Wind Engineering (2), no.3In a congested city like Hong Kong, residential tall buildings are often built with an irregular plan form and with a number of apartments arranged as wing sections extending from a central core. To provide views and sufficient ventilation to the apartments, deeply recessed cavities are placed between adjacent building wings. This paper reports a CFD study of the wind-induced flow inside a recessed cavity of a tall building with an objective to assess the adequacy of ventilation inside the cavity. The dimensions of the cavity are varied systematically to investigate the flow exchange between the cavity and the outside at different heights. It is found that the flow inside the cavity is not a simple cross flow or a stagnation flow. Flow exchange takes place in different directions along the building heights.link_to_subscribed_fulltex

Venous thromboembolism in the Chinese population - Experience in a regional hospital in Hong Kong

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Transfusion-refractory anaemia in liver cirrhosis

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Common association of haemolytic uraemic syndrome with invasive Streptococcus pneumoniae infection in five Chinese paediatric patients

Haemolytic uraemic syndrome is an important cause of acute renal impairment in childhood. We review the incidence, and clinical and laboratory features of haemolytic uraemic syndrome in a Chinese population. Five patients were identified from 2006 to 2008. All patients were young children with associated invasive Streptococcus pneumoniae pulmonary infection. Serotypes 3, 14, and 19A were confirmed in four patients. The classical post-diarrhoeal form associated with Escherichia coli (O157:H7) infection was not seen. One patient died of acute respiratory failure. Streptococcus pneumoniae infection, as an associated condition in haemolytic uraemic syndrome, is important and relatively common in Chinese patients, especially among children. The acute clinical picture is similar to that reported in the western literature, except for an uncommon association with meningitis. The medium-term renal outcome of the Chinese population appears to be more favourable than the Caucasians. Widespread vaccination against Streptococcus pneumoniae may have resulted in changes in bacterial epidemiology and clinicians should be continuously aware of this severe disease. The use of washed blood components for transfusion in the acute stage requires further study.published_or_final_versio

Omicron variant susceptibility to neutralizing antibodies induced in children by natural SARS-CoV-2 infection or COVID-19 vaccine

The novel SARS-CoV-2 Omicron variant may increase the risk of re-infection and vaccine breakthrough infections as it possesses key mutations in the spike protein that affect neutralizing antibody response. Most studies on neutralization susceptibility were conducted using specimens from adult COVID-19 patients or vaccine recipients. However, since the paediatric population has an antibody response to SARS-CoV-2 infection that is distinct from the adult population, it is critical to assess the neutralization susceptibility of pediatric serum specimens. This study compared the neutralization susceptibility of serum specimens collected from 49 individuals of <18 years old, including 34 adolescent BNT162b2 (Pfizer-BioNTech) vaccine recipients, and 15 recovered COVID-19 patients aged between 2 and 17. We demonstrated that only 38.2% of BNT162b2 vaccine recipients and 26.7% of recovered COVID-19 patients had their serum neutralization titre at or above the detection threshold in our live virus microneutralization assay. Furthermore, the neutralizing antibody titer against the Omicron variant was substantially lower than those against the ancestral virus or the Beta variant. Our results suggest that vaccine recipients and COVID-19 patients in the pediatric age group will likely be more susceptible to vaccine breakthrough infections or reinfections due to the Omicron variant than previous variants

COVID-19 In Children Across Three Asian Cosmopolitan Regions

As another wave of COVID-19 outbreak has approached in July 2020, a larger scale COVID-19 pediatric Asian cohort summarizing the clinical observations is warranted. Children confirmed with COVID-19 infection from the Republic of Korea, the Hong Kong Special Administrative Region (HKSAR) and Wuhan, China, during their first waves of local outbreaks were included. Their clinical characteristics and the temporal sequences of the first waves of local paediatric outbreaks were compared. Four hundred and twenty three children with COVID-19 were analyzed. Wuhan had the earliest peak, followed by Korea and HKSAR. Compared with Korea and Wuhan, patients in HKSAR were significantly older (mean age: 12.9 vs. 10.8 vs. 6.6 years, p < 0.001, respectively) and had more imported cases (87.5% vs. 16.5% vs. 0%, p < 0.001, respectively). The imported cases were also older (13.4 vs. 7.6 years, p < 0.001). More cases in HKSAR were asymptomatic compared to Korea and Wuhan (45.5% vs. 22.0% vs. 20.9%, p < 0.001, respectively), and significantly more patients from Wuhan developed fever (40.6% vs. 29.7% vs. 21.6%, p=0.003, respectively). There were significantly less imported cases than domestic cases developing fever after adjusting for age and region of origin (p = 0.046). 5.4% to 10.8% of patients reported anosmia and ageusia. None developed pediatric multisystem inflammatory syndrome temporally associated with SARS-CoV-2 (PMIS-TS). In general, adolescents were more likely to be asymptomatic and less likely to develop fever, but required longer hospital stays. In conclusion, majority patients in this pediatric Asian cohort had a mild disease. None developed PIMS-TS. Their clinical characteristics were influenced by travel history and age

Successful treatment of acquired factor VIII inhibitor with cyclosporin

Acquired factor VIII inhibitor causes a rare but life-threatening form of bleeding disorder, owing to the formation of auto-antibodies against FVIII. Treatment modalities include the use of immunosuppressive drugs such as cyclophosphamide and corticosteroids, plasmapheresis and i.v. immunoglobulin. A patient with idiopathic acquired FVIII inhibitor presented with serious bleeding complications resistant to all the above therapeutic modalities. Treatment with cyclosporin, however, resulted in a prompt and complete response. The lack of side-effects and the relatively quick response suggest that cyclosporin may be tried as front line treatment for patients with acquired FVIII inhibitors.link_to_subscribed_fulltex

Polycythemia in a physician secondary to self-administered growth hormone, testosterone, and dehydroepiandrosterone to prevent aging [7]

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