Asymmetric tidal mixing due to the horizontal density gradient

Author Posting. © American Meteorological Society, 2008. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Physical Oceanography 38 (2008): 418-434, doi:10.1175/2007JPO3372.1.Stratification and turbulent mixing exhibit a flood–ebb tidal asymmetry in estuaries and continental shelf regions affected by horizontal density gradients. The authors use a large-eddy simulation (LES) model to investigate the penetration of a tidally driven bottom boundary layer into stratified water in the presence of a horizontal density gradient. Turbulence in the bottom boundary layer is driven by bottom stress during flood tides, with low-gradient (Ri) and flux (Rf) Richardson numbers, but by localized shear during ebb tides, with Ri = ¼ and Rf = 0.2 in the upper half of the boundary layer. If the water column is unstratified initially, the LES model reproduces periodic stratification associated with tidal straining. The model results show that the energetics criterion based on the competition between tidal straining and tidal stirring provides a good prediction for the onset of periodic stratification, but the tidally averaged horizontal Richardson number Rix has a threshold value of about 0.2, which is lower than the 3 suggested in a recent study. Although the tidal straining leads to negative buoyancy flux on flood tides, the authors find that for typical values of the horizontal density gradient and tidal currents in estuaries and shelf regions, buoyancy production is much smaller than shear production in generating turbulent kinetic energy.This work is supported by Grants OCE-0451699 and OCE-0451740 from the National Science Foundation

Large-eddy simulation of the tidal-cycle variations of an estuarine boundary layer

Author Posting. © American Geophysical Union, 2010. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 115 (2010): C08003, doi:10.1029/2009JC005702.The estuarine boundary layer affected by a horizontal density gradient exhibits temporal evolution over a tidal cycle, in a manner similar to the diurnal cycle of the ocean surface mixed layer. A large eddy simulation (LES) model is developed to investigate the physics controlling the growth of the boundary layer during the flood tide and restratification during the ebb tide. Turbulent kinetic energy, momentum and salt fluxes, bottom stress, and energy dissipation rates calculated from the LES model all show a strong flood-ebb asymmetry. Analysis of the turbulent kinetic energy (TKE) budget shows a primary balance between shear production and dissipation in the well-mixed boundary layer over the tidal cycle. However, TKE transport term is found to be important across the edge of the boundary layer during the flood tide so turbulent energy generated in the bottom boundary layer can be transferred to the stratified pycnocline region. Tidal straining leads to a small and weakly convective region inside the boundary layer during the flood tide but the strain-induced buoyancy flux does not make a significant contribution to the turbulence generation. Additional LES runs are conducted by switching off the baroclinic pressure gradient term in the momentum equation and the tidal straining term in the salinity equation to show that the baroclinic pressure gradient is the main mechanism responsible for generating the flood-ebb mixing asymmetry.This work is supported by grants OCE-0451699 (M.L.), OCE-0452380 (U.P. and S.R.), and OCE-0451740 (W.R.G.) from the National Science Foundation

Feasibility of a mHealth Approach to Nutrition Counseling in an Appalachian State

Abstract: West Virginia is a rural state with an aging population that may experience barriers to accessing nutritional and lifestyle counseling. This study examined feasibility of an online personalized nutrition tracking application, Good Measures (GM), with patients at seven health care clinics throughout the state. Fourteen healthcare providers and 64 patients 18 years or older with a Body Mass Index (BMI) greater than or equal to 30 and access to the Internet were recruited for this 12-week feasibility study. Patient participants logged meals and exercise into the GM application via smart phone, tablet, or computer and virtually engaged with a Registered Dietitian Nutritionist (RDN) in one-on-one sessions. The primary endpoint was to examine feasibility of the program by usage of the application and feedback questions regarding the benefits and challenges of the application. Participants were predominately white (92%) and female (76%). Minimal improvements in weight and systolic blood pressure were found. Participant attitude survey data declined from 4-weeks to 12-weeks of the intervention. Interestingly though, patients in a rural clinic had lesser declines in attitudes than peri-urban participants. Qualitative feedback data identified participants predominately had a positive overall feeling toward the approach. Participants expressed favorability of RDN access, the variety of foods, but did give suggestions for in-person meetings and more updating of the application. Implementing a technology approach to nutrition in rural areas of West Virginia using a mobile application with RDN access may be one strategy to address public health issues such as obesity

Medical performance and the ‘inaccessible’ experience of illness: An exploratory study

© 2016 Medical Humanities. All rights reserved. We report a survey of audience members’ responses (147 questionnaires collected at seven performances) and 10 in-depth interviews (five former patients and two family members, three medical practitioners) to bloodlines, a medical performance exploring the experience of haematopoietic stem-cell transplant as treatment for acute leukaemia. Performances took place in 2014 and 2015. The article argues that performances that are created through interdisciplinary collaboration can convey otherwise ‘inaccessible’ illness experiences in ways that audience members with personal experience recognise as familiar, and find emotionally affecting. In particular such performances are adept at interweaving ‘objectivist’ (objective, medical) and ‘subjectivist’ (subjective, emotional) perspectives of the illness experience, and indeed, at challenging such distinctions. We suggest that reflecting familiar yet hard-to-articulate experiences may be beneficial for the ongoing emotional recovery of people who have survived serious disease, particularly in relation to the isolation that they experience during and as a consequence of their treatment

Quantifying turbulence from field measurements at a mixed low tidal energy site

© 2015 Elsevier Ltd. This study explores typical characteristics of the mean and turbulent profiles at a mixed low tidal energy site (40 m mean water depth) where the waves have limited effects on the currents. The turbulence profiles were derived from secondary current data using a 5-beam ADCP which was optimised for wave measurements. The tidal currents have peak flows of ~1 m/s during spring tide. The turbulence intensity is no less than 10% at peak flows and compares well with values at other tidal channels (at ~5 m from seabed). The Reynolds stresses show symmetry at the neap tide but less so for the spring tide. Although the qualitative profiles of TKE are similar between the neap and spring tides, the values of TKE for flood flow are the largest throughout the deployment. The integral length scales are in good agreement with theory, and with estimates based on the mixing length concept. The measured turbulence parameters are sensitive to flow inhomogeneity, Doppler noise, and ADCP tilt. The findings demonstrate the practical benefits of exploiting secondary current data at a mixed low tidal energy site for estimating typical turbulence characteristics; such information can be used to define design standards and protocols for marine energy devices

Elucidating mechanisms of genetic cross-disease associations at the PROCR vascular disease locus

Many individual genetic risk loci have been associated with multiple common human diseases. However, the molecular basis of this pleiotropy often remains unclear. We present an integrative approach to reveal the molecular mechanism underlying the PROCR locus, associated with lower coronary artery disease (CAD) risk but higher venous thromboembolism (VTE) risk. We identify PROCR-p.Ser219Gly as the likely causal variant at the locus and protein C as a causal factor. Using genetic analyses, human recall-by-genotype and in vitro experimentation, we demonstrate that PROCR-219Gly increases plasma levels of (activated) protein C through endothelial protein C receptor (EPCR) ectodomain shedding in endothelial cells, attenuating leukocyte– endothelial cell adhesion and vascular inflammation. We also associate PROCR-219Gly with an increased pro- thrombotic state via coagulation factor VII, a ligand of EPCR. Our study, which links PROCR-219Gly to CAD through anti-inflammatory mechanisms and to VTE through pro-thrombotic mechanisms, provides a framework to reveal the mechanisms underlying similar cross-phenotype associations

Solar System Processes Underlying Planetary Formation, Geodynamics, and the Georeactor

Only three processes, operant during the formation of the Solar System, are responsible for the diversity of matter in the Solar System and are directly responsible for planetary internal-structures, including planetocentric nuclear fission reactors, and for dynamical processes, including and especially, geodynamics. These processes are: (i) Low-pressure, low-temperature condensation from solar matter in the remote reaches of the Solar System or in the interstellar medium; (ii) High-pressure, high-temperature condensation from solar matter associated with planetary-formation by raining out from the interiors of giant-gaseous protoplanets, and; (iii) Stripping of the primordial volatile components from the inner portion of the Solar System by super-intense solar wind associated with T-Tauri phase mass-ejections, presumably during the thermonuclear ignition of the Sun. As described herein, these processes lead logically, in a causally related manner, to a coherent vision of planetary formation with profound implications including, but not limited to, (a) Earth formation as a giant gaseous Jupiter-like planet with vast amounts of stored energy of protoplanetary compression in its rock-plus-alloy kernel; (b) Removal of approximately 300 Earth-masses of primordial gases from the Earth, which began Earth's decompression process, making available the stored energy of protoplanetary compression for driving geodynamic processes, which I have described by the new whole-Earth decompression dynamics and which is responsible for emplacing heat at the mantle-crust-interface at the base of the crust through the process I have described, called mantle decompression thermal-tsunami; and, (c)Uranium accumulations at the planetary centers capable of self-sustained nuclear fission chain reactions.Comment: Invited paper for the Special Issue of Earth, Moon and Planets entitled Neutrino Geophysics Added final corrections for publicatio

Costs of implementing community-based intervention for HIV testing in sub-Saharan Africa: a systematic review

Abstract Background Community-based interventions (CBIs) are interventions aimed at improving the well-being of people in a community. CBIs for HIV testing seek to increase the availability of testing services to populations that have been identified as at high risk by reaching them in homes, schools, or community centers. However, evidence for a detailed cost analysis of these community-based interventions in sub-Saharan Africa (SSA) is limited. We conducted a systematic review of the cost analysis of HIV testing interventions in SSA. Methods Keyword search was conducted on SCOPUS, CINAHL, MEDLINE, PsycINFO, Web of Science, and Global Health databases. Three categories of key terms used were cost (implementation cost OR cost-effectiveness OR cost analysis OR cost-benefit OR marginal cost), intervention (HIV testing), and region (sub-Saharan Africa OR sub-Saharan Africa OR SSA). CBI studies were included if they primarily focused on HIV testing, was implemented in SSA, and used micro-costing or ingredients approach. Results We identified 1533 citations. After screening, ten studies were included in the review: five from East Africa and five from Southern Africa. Two studies conducted cost-effectiveness analysis, and one study was a cost-utility analysis. The remainder seven studies were cost analyses. Four intervention types were identified: HIV self-testing (HIVST), home-based, mobile, and Provider Initiated Testing and Counseling. Commonly costed resources included personnel (n= 9), materials and equipment (n= 6), and training (n= 5). Cost outcomes reported included total intervention cost (n= 9), cost per HIV test (n= 9), cost per diagnosis (n= 5), and cost per linkage to care (n= 3). Overall, interventions were implemented at a higher cost than controls, with the largest cost difference with HIVST compared to facility-based testing. Conclusion To better inform policy, there is an urgent need to evaluate the costs associated with implementing CBIs in SSA. It is important for cost reports to be detailed, uniform, and informed by economic evaluation guidelines. This approach minimizes biases that may lead decision-makers to underestimate the resources required to scale up, sustain, or reproduce successful interventions in other settings. In an evolving field of implementation research, this review contributes to current resources on implementation cost studies