580 research outputs found
Logarithmically modified scaling of temperature structure functions in thermal convection
Using experimental data on thermal convection, obtained at a Rayleigh number
of 1.5 , it is shown that the temperature structure functions
, where is the absolute value of the temperature
increment over a distance , can be well represented in an intermediate range
of scales by , where the are the scaling
exponents appropriate to the passive scalar problem in hydrodynamic turbulence
and the function . Measurements are made in the
midplane of the apparatus near the sidewall, but outside the boundary layer
Multiscale SOC in turbulent convection
Using data obtained in a laboratory thermal convection experiment at high
Rayleigh numbers, it is shown that the multiscaling properties of the observed
mean wind reversals are quantitatively consistent with analogous multiscaling
properties of the Bak-Tang-Wiesenfeld prototype model of self-organized
criticality in two dimensions
Critical Fluctuation of Wind Reversals in Convective Turbulence
The irregular reversals of wind direction in convective turbulence are found
to have fluctuating intervals that can be related to critical behavior. It is
shown that the net magnetization of a 2D Ising lattice of finite size
fluctuates in the same way. Detrended fluctuation analysis of the wind reversal
time series results in a scaling behavior that agrees with that of the Ising
problem. The properties found suggest that the wind reversal phenomenon
exhibits signs of self-organized criticality.Comment: 4 RevTeX pages + 3 figures in ep
Fluctuations of temperature gradients in turbulent thermal convection
Broad theoretical arguments are proposed to show, formally, that the
magnitude G of the temperature gradients in turbulent thermal convection at
high Rayleigh numbers obeys the same advection-diffusion equation that governs
the temperature fluctuation T, except that the velocity field in the new
equation is substantially smoothed. This smoothed field leads to a -1 scaling
of the spectrum of G in the same range of scales for which the spectral
exponent of T lies between -7/5 and -5/3. This result is confirmed by
measurements in a confined container with cryogenic helium gas as the working
fluid for Rayleigh number Ra=1.5x10^{11}. Also confirmed is the logarithmic
form of the autocorrelation function of G. The anomalous scaling of
dissipation-like quantities of T and G are identical in the inertial range,
showing that the analogy between the two fields is quite deep
Plume motion and large-scale circulation in a cylindrical Rayleigh-B\'enard cell
We used the time correlation of shadowgraph images to determine the angle
of the horizontal component of the plume velocity above (below) the
center of the bottom (top) plate of a cylindrical Rayleigh-B\'enard cell of
aspect ratio ( is the diameter and mm
the height) in the Rayleigh-number range for a Prandtl number . We expect that gives the
direction of the large-scale circulation. It oscillates time-periodically. Near
the top and bottom plates has the same frequency but is
anti-correlated.Comment: 4 pages, 6 figure
Coronary revascularisation in stable patients after an acute coronary syndrome: a propensity analysis of early invasive versus conservative management in a register-based cohort study
OBJECTIVES: To compare the effectiveness of in-hospital medical therapy versus coronary revascularisation added to medical therapy in patients who stabilised after an acute coronary syndrome (ACS).
DESIGN: Propensity score-matched cohort study from the database of the Tampere ACS registry.
SETTING: A single academic hospital in Finland.
PARTICIPANTS: 1149 patients with a recent ACS, but no serious coexisting conditions: recurrent ischaemic episodes despite adequate medical therapy, haemodynamic instability, overt congestive heart failure and serious ventricular arrhythmias. PRIMARY AND SECONDARY OUTCOME MEASURES: The composite endpoint of major acute cardiovascular events (MACEs): unstable angina requiring rehospitalisation, stroke, myocardial infarction and all-cause mortality, at 6-month follow-up.
RESULTS: Compared with standard medical treatment, revascularisation was associated with a lower rate of MACEs at 6 months in patients of the first quintile (HR 0.81; 95% CI 0.66 to 0.99), but a higher rate of MACEs in the fifth quintile (HR 4.74, CI 1.36 to 16.49; p=0.014). There were no significant differences in the rates of MACEs in the remaining three quintiles. Patients of the first quintile were the oldest (79.7\ub18.3 years) and had a more significant (p<0.001) history of prior myocardial infarction (37%) and poor renal function (creatine, \ub5mol/l: 114.9\ub170.7). They also showed the highest C reactive protein (7.3\ub19.5 mg/l) levels.
CONCLUSIONS: Our findings suggest that in-hospital coronary revascularisation did not lead to any advantage with signal of possible harm in the great majority of patients who stabilised after an ACS. An early invasive management strategy may be best reserved for elderly patients having high-risk clinical features and biochemical evidence of a strong inflammatory activity
Usefulness of Post-coronary Dilation to Prevent Recurrent Myocardial Infarction in Patients Treated With Percutaneous Coronary Intervention for Acute Coronary Syndrome (from the BASE ACS Trial)
Stent underexpansion is associated with worse outcome after stent implantation. Whether post-dilation (PD) improves outcome in patients with acute coronary syndrome (ACS) remains unclear. We performed post hoc analysis of outcome in patients from the BASE ACS (A prospective randomized comparison of titanium-nitride-oxide-coated bioactive stents with everolimus-eluting stents in acute coronary syndrome) trial who underwent PD versus those who did not. The BASE ACS trial randomized 827 patients (1:1) with ACS to receive either titanium-nitride-oxide coated bioactive stents or everolimus-eluting stents. The primary end point was major adverse cardiac events (MACE): a composite of cardiac death, nonfatal myocardial infarction (MI), or ischemia-driven target lesion revascularization. Follow-up was planned at 12 months and yearly thereafter for up to 7 years. Of 827 patients enrolled in the BASE ACS trial, 357 (43.2%) underwent PD. Median follow-up duration was 5 years. Patients who, underwent PD had less frequent nonfatal MI events at long-term follow-up, compared with those who did not (4.5% vs 8.5%, respectively, p = 0.02). The rates of MACE (15.7% vs 15.1%, respectively, p = 0.81), and the other endpoints, were not significantly different (p >0.5 for all). The results were consistent in propensity score matched analysis (270 pairs). In patients treated with bioactive stents, those who underwent PD had a trend for a fewer nonfatal MI events (p = 0.076). Comparably, in patients treated with everofimus-eluting stents, MACE and all the individual end points were comparable (p >0.5 for all). In conclusion, patients treated with early percutaneous coronary intervention for ACS who underwent PD had less frequent nonfatal MI events at long-term follow-up, compared with those who did not; MACE rates were not significantly different. (C) 2016 Elsevier Inc. All rights reserved.Peer reviewe
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