Growth rate of Rayleigh-Taylor turbulent mixing layers with the foliation approach

For years, astrophysicists, plasma fusion and fluid physicists have puzzled over Rayleigh-Taylor turbulent mixing layers. In particular, strong discrepancies in the growth rates have been observed between experiments and numerical simulations. Although two phenomenological mechanisms (mode-coupling and mode-competition) have brought some insight on these differences, convincing theoretical arguments are missing to explain the observed values. In this paper, we provide an analytical expression of the growth rate compatible with both mechanisms and is valide for a self-similar, low Atwood Rayleigh-Taylor turbulent mixing subjected to a constant or time-varying acceleration. The key step in this work is the introduction of {\it foliated} averages and {\it foliated} turbulent spectra highlighted in our three dimensional numerical simulations. We show that the exact value of the Rayleigh-Taylor growth rate not only depends upon the acceleration history but is also bound to the power-law exponent of the {\it foliated} spectra at large scales

Family medicine in times of 'COVID-19': A generalists' voice.

The novel coronavirus epidemic is transforming the world in which we live. This pandemic will bring sweeping changes everywhere, not least in the field of primary care medicine. Like one of our colleagues said: ‘after this crisis, perhaps even our calendar needs to be redefined. From now on, “BC” might stand for “Before Coronavirus”’. This quote puts into perspective just how significant the current times are for our profession. In this editorial, we will discuss challenges and tasks the COVID-19 crisis presents for family medicine

A comparative study of the electrochemical properties of vitamin B-6 related compounds at physiological pH

A comparative study of vitamin B6 group and related compounds in buffered solutions using electrochemical techniques has been performed at neutral pH. Irreversible bi- or tetra-electronic processes are observed for these substances, and the electron transfer coefficient (αn) calculated. It was concluded that either the first or second electron transfer were the rate determining step of the electrode process. The diffusion coefficient of these substances was calculated and the values given follow an inverse tendency to the molecular size. For aldehydes the values obtained were corrected of the hydration reaction. It is important to remark that catalytic waves were reported for the first time for these compounds. Using a model involving the nitrogen of the basic structure the kinetic constants were calculated for most of them

Analysis of human gliomas by swab touch spray-mass spectrometry: applications to intraoperative assessment of surgical margins and presence of oncometabolites

Touch spray mass spectrometry using medical swabs is an ambient ionization technique (ionization of unprocessed sample in the open air) that has potential intraoperative application in quickly identifying the disease state of tissue and in better characterizing the resection margin. To explore this potential, we studied 29 human brain tumor specimens and obtained evidence that this technique can provide diagnostic molecular information that is relevant to brain cancer. Touch spray using medical swabs involves the physical sampling of tissue using a medical swab on a spatial scale of a few mm2 with subsequent ionization occurring directly from the swab tip upon addition of solvent and application of a high voltage. Using a tertiary mixture of acetonitrile, N,N-dimethylformamide, and ethanol, membrane-derived phospholipids and oncometabolites are extracted from the tissue, incorporated into the sprayed microdroplets, vacuumed into the mass spectrometer, and characterized in the resulting mass spectra. The tumor cell load was assessed from the complex phospholipid pattern in the mass spectra and also separately by measurement of N-acetylaspartate. Mutation status of the isocitrate dehydrogenase gene was determined via detection of the oncometabolite 2-hydroxyglutarate. The lack of sample pretreatment makes touch spray mass spectrometry using medical swabs a feasible intraoperative strategy for rapid surgical assessment

Self-reported daily walking time in COPD : relationship with relevant clinical and functional characteristics

Altres ajuts: The FyCEPOC and INSEPOC studies were funded by Laboratorios Esteve SA (Barcelona, Spain). The NEREA study was funded by an unrestricted grant from J Uriach y Compañía SA. The DEPREPOC study was funded by Grupo Ferrer (Barcelona, Spain). The funding bodies have no involvement in the analysis and interpretation of data, the writing of the report, or in the decision to submit the article for publication.Quantifying physical activity in chronic obstructive pulmonary disease (COPD) is important as physical inactivity is related to poor health outcomes. This study analyzed the relationship between patients' self-reported daily walking time and relevant characteristics related to COPD severity. Pooled analysis was performed on data from four observational studies on which daily walking time was gathered from a personal interview. Patients were classified as physically inactive if walking time was 3, post-bronchodilator forced expiratory volume in the first second 4, and CAT score >30. Lower self-reported walking times are related to worse markers of disease severity in COPD

Self-reported daily walking time in COPD: relationship with relevant clinical and functional characteristics

Background: Quantifying physical activity in chronic obstructive pulmonary disease (COPD) is important as physical inactivity is related to poor health outcomes. This study analyzed the relationship between patients' self-reported daily walking time and relevant characteristics related to COPD severity. Methods: Pooled analysis was performed on data from four observational studies on which daily walking time was gathered from a personal interview. Patients were classified as physically inactive if walking time was 3, post-bronchodilator forced expiratory volume in the first second 4, and CAT score >30. Conclusion: Lower self-reported walking times are related to worse markers of disease severity in COPD

Catàleg d'actuacions no farmacològiques en salut mental a l'atenció primària

Actuacions no farmacològiques; Salut mental; Atenció primàriaNon-pharmacological actions; Mental health; Primary careActuaciones no farmacológicas; Salud mental; Atención primariaAquest catàleg ha estat concebut amb la voluntat de presentar diferents actuacions no farmacològiques que han resultat efectives en algunes situacions per millorar la salut mental i que poden ser accessibles a professionals d’atenció primària. També vol servir de punt de partida per explorar/incorporar actuacions no farmacològiques en la pràctica assistencial de l’atenció primària per ajudar les persones a tenir més autonomia

C-reactive protein testing to guide antibiotic prescribing for COPD exacerbations

BACKGROUND: Point-of-care testing of C-reactive protein (CRP) may be a way to reduce unnecessary use of antibiotics without harming patients who have acute exacerbations of chronic obstructive pulmonary disease (COPD). METHODS: We performed a multicenter, open-label, randomized, controlled trial involving patients with a diagnosis of COPD in their primary care clinical record who consulted a clinician at 1 of 86 general medical practices in England and Wales for an acute exacerbation of COPD. The patients were assigned to receive usual care guided by CRP point-of-care testing (CRP-guided group) or usual care alone (usual-care group). The primary outcomes were patient-reported use of antibiotics for acute exacerbations of COPD within 4 weeks after randomization (to show superiority) and COPD-related health status at 2 weeks after randomization, as measured by the Clinical COPD Questionnaire, a 10-item scale with scores ranging from 0 (very good COPD health status) to 6 (extremely poor COPD health status) (to show noninferiority). RESULTS: A total of 653 patients underwent randomization. Fewer patients in the CRP-guided group reported antibiotic use than in the usual-care group (57.0% vs. 77.4%; adjusted odds ratio, 0.31; 95% confidence interval [CI], 0.20 to 0.47). The adjusted mean difference in the total score on the Clinical COPD Questionnaire at 2 weeks was −0.19 points (two-sided 90% CI, −0.33 to −0.05) in favor of the CRP-guided group. The antibiotic prescribing decisions made by clinicians at the initial consultation were ascertained for all but 1 patient, and antibiotic prescriptions issued over the first 4 weeks of follow-up were ascertained for 96.9% of the patients. A lower percentage of patients in the CRP-guided group than in the usual-care group received an antibiotic prescription at the initial consultation (47.7% vs. 69.7%, for a difference of 22.0 percentage points; adjusted odds ratio, 0.31; 95% CI, 0.21 to 0.45) and during the first 4 weeks of follow-up (59.1% vs. 79.7%, for a difference of 20.6 percentage points; adjusted odds ratio, 0.30; 95% CI, 0.20 to 0.46). Two patients in the usual-care group died within 4 weeks after randomization from causes considered by the investigators to be unrelated to trial participation. CONCLUSIONS: CRP-guided prescribing of antibiotics for exacerbations of COPD in primary care clinics resulted in a lower percentage of patients who reported antibiotic use and who received antibiotic prescriptions from clinicians, with no evidence of harm