A bounded upwinding scheme for computing convection-dominated transport problems

A practical high resolution upwind differencing scheme for the numerical solution of convection-dominated transport problems is presented. The scheme is based on TVD and CBC stability criteria and is implemented in the context of the finite difference methodology. The performance of the scheme is investigated by solving the 1D/2D scalar advection equations, 1D inviscid Burgers’ equation, 1D scalar convection–diffusion equation, 1D/2D compressible Euler’s equations, and 2D incompressible Navier–Stokes equations. The numerical results displayed good agreement with other existing numerical and experimental data

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Onset of hypertension during pregnancy is associated with long-term worse blood pressure control and adverse cardiac remodeling

Up to 20% of women with hypertensive pregnancy disorders might persist with chronic hypertension. This study compared clinical and echocardiographic features between women whose hypertension began as hypertensive pregnancy disorders (PH group) and women whose diagnosis of hypertension did not occur during pregnancy (NPH group). Fifty PH and 100 NPH women were cross-sectionally evaluated by clinical, laboratory, and echocardiography analysis, and the groups were matched by duration of hypertension. PH exhibited lower age (46.6 ± 1.4 vs. 65.3 ± 1.1 years; P < .001), but higher systolic (159.8 ± 3.9 vs. 148.0 ± 2.5 mm Hg; P = .009) and diastolic (97.1 ± 2.4 vs. 80.9 ± 1.3 mm Hg; P < .001) blood pressure than NPH, although used more antihypertensive classes (3.4 ± 0.2 vs. 2.6 ± 0.1; P < .001). Furthermore, PH showed higher left ventricular wall thickness and increased prevalence of concentric hypertrophy than NPH after adjusting for age and blood pressure. In conclusion, this study showed that PH may exhibit worse blood pressure control and adverse left ventricular remodeling compared with NPH.Up to 20% of women with hypertensive pregnancy disorders might persist with chronic hypertension. This study compared clinical and echocardiographic features between women whose hypertension began as hypertensive pregnancy disorders (PH group) and women whose diagnosis of hypertension did not occur during pregnancy (NPH group). Fifty PH and 100 NPH women were cross-sectionally evaluated by clinical, laboratory, and echocardiography analysis, and the groups were matched by duration of hypertension. PH exhibited lower age (46.6 ± 1.4 vs. 65.3 ± 1.1 years; P < .001), but higher systolic (159.8 ± 3.9 vs. 148.0 ± 2.5 mm Hg; P = .009) and diastolic (97.1 ± 2.4 vs. 80.9 ± 1.3 mm Hg; P < .001) blood pressure than NPH, although used more antihypertensive classes (3.4 ± 0.2 vs. 2.6 ± 0.1; P < .001). Furthermore, PH showed higher left ventricular wall thickness and increased prevalence of concentric hypertrophy than NPH after adjusting for age and blood pressure. In conclusion, this study showed that PH may exhibit worse blood pressure control and adverse left ventricular remodeling compared with NPH882783

Fitting a taper function to minimize the sum of absolute deviations Ajuste de uma função de afilamento via minimização da soma dos desvios absolutos

Multiple product inventories of forests require accurate estimates of the diameter, length and volume of each product. Taper functions have been used to precisely describe tree form, once they provide estimates for the diameter at any height or the height at any diameter. This study applied a goal programming technique to estimate the parameters of two taper functions to describe individual tree forms. The goal programming formulation generates parameters that minimize total absolute deviations (MOTAD). These parameters generated by the MOTAD method were compared to those of ordinary least squares (OLS) method. The analysis used a set of 178 trees cut from cloned eucalyptus plantations in the Southern part of the state of Bahia, Brazil. The values of the estimated parameters for the two taper functions resulted very similar when the two methods were compared. There was no significant difference between the two fitting methods according to the statistics used to evaluate the quality of the generated estimates. OLS and MOTAD resulted equally precise in the estimation of diameters and volumes outside and inside bark.<br>Os inventários florestais para múltiplos produtos requerem estimativas exatas do diâmetro, comprimento e volume de cada produto. As equações de afilamento têm sido usadas para descrever precisamente a forma da árvore uma vez que estas funções fornecem estimativas de diâmetro a qualquer altura ou de altura em qualquer diâmetro. Este trabalho aplica um modelo de programação por metas para estimar os parâmetros de duas equações de afilamento para descrever a forma do tronco de árvores individuais. O modelo de programação por metas gera parâmetros que minimizam a soma dos desvios absolutos (MOTAD). Esses parâmetros gerados pelo método MOTAD foram comparados aos parâmetros gerados pelo método dos mínimos quadrados ordinários (OLS). A análise se baseou em dados de cubagem de 178 árvores obtidas em plantios clonais de eucaliptos conduzidos na região sul da Bahia. Os valores dos parâmetros estimados por ambos os métodos de ajuste para as duas funções de afilamento mostraram-se muito semelhantes. Não houve diferença significativa entre os indicadores usados para avaliar a qualidade dos parâmetros estimados pelos dois métodos de ajuste. Os métodos OLS e MOTAD mostraram-se igualmente precisos na estimação de diâmetros e volumes com casca e sem casca