411 research outputs found

    Statistical mechanics of a discrete Schrödinger equation with saturable nonlinearity

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    We study the statistical mechanics of the one-dimensional discrete nonlinear Schr\"odinger (DNLS) equation with saturable nonlinearity. Our study represents an extension of earlier work [Phys. Rev. Lett. {\bf 84}, 3740 (2000)] regarding the statistical mechanics of the one-dimensional DNLS equation with a cubic nonlinearity. As in this earlier study we identify the spontaneous creation of localized excitations with a discontinuity in the partition function. The fact that this phenomenon is retained in the saturable DNLS is non-trivial, since in contrast to the cubic DNLS whose nonlinear character is enhanced as the excitation amplitude increases, the saturable DNLS in fact becomes increasingly linear as the excitation amplitude increases. We explore the nonlinear dynamics of this phenomenon by direct numerical simulations

    Mixing of Multiple Jets with a Confined Subsonic Crossflow in a Cylindrical Duct

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    This paper summarizes NASA-supported experimental and computational results on the mixing of a row of jets with a confined subsonic crossflow in a cylindrical duct. The studies from which these results were derived investigated flow and geometric variations typical of the complex 3-D flowfield in the combustion chambers in gas turbine engines. The principal observations were that the momentum-flux ratio and the number of orifices were significant variables. Jet penetration was critical, and jet penetration decreased as either the number of orifices increased or the momentum-flux ratio decreased. It also appeared that jet penetration remained similar with variations in orifice size, shape, spacing, and momentum-flux ratio when the number of orifices was proportional to the square-root of the momentum-flux ratio. In the cylindrical geometry, planar variances are very sensitive to events in the near wall region, so planar averages must be considered in context with the distributions. The mass-flow ratios and orifices investigated were often very large (mass-flow ratio greater than 1 and ratio of orifice area-to-mainstream cross-sectional area up to 0.5), and the axial planes of interest were sometimes near the orifice trailing edge. Three-dimensional flow was a key part of efficient mixing and was observed for all configurations. The results shown also seem to indicate that non-reacting dimensionless scalar profiles can emulate the reacting flow equivalence ratio distribution reasonably well. The results cited suggest that further study may not necessarily lead to a universal 'rule of thumb' for mixer design for lowest emissions, because optimization will likely require an assessment for a specific application

    Water masses constrain the distribution of deep-sea sponges in the North Atlantic Ocean and Nordic Seas

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    Water masses are bodies of water with distinctive physical and biogeochemical properties. They impart vertical structure to the deep ocean, participate in circulation, and can be traced over great distances, potentially influencing the distributions of deep-sea fauna. The classic potential temperature-salinity (theta-s) diagram was used to investigate deep-sea sponge (demosponge genus Geodia) association with water masses over the North Atlantic Ocean and Nordic Seas. A novel analysis was conducted, based on sampling the curvature of climatological mean theta-s curves at sponge locations. Sponges were particularly associated with turning points in the theta-s curves, indicative of intermediate and deep water masses. Arctic geodiid species (G. hentscheli and G. parva) were associated with Arctic intermediate and deep waters in the Nordic Seas, and with dense overflows into the northern North Atlantic. Boreal species (G. atlantica, G. barretti, G. macandrewii, and G. phlegraei) were associated with upper and intermediate water masses in the Northeast Atlantic and with upper, Atlantic-derived waters in the Nordic Seas. Taken together with distributional patterns, a link with thermohaline currents was also inferred. We conclude that water masses and major current pathways structure the distribution of a key deep-sea benthic faunal group on an ocean basin scale. This is most likely because of a combination of the physical constraints they place on the dispersal of early life-history stages, ecophysiological adaptation (evolved tolerances) to specific water masses, and the benefits to filter-feeders of certain phenomena linked to water column structure (e.g. nepheloid layers, internal waves/ tides, density-driven currents)

    Budget impact of sequential treatment with first-line afatinib versus first-line osimertinib in non-small-cell lung cancer patients with common EGFR mutations

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    Background The therapeutic landscape for non-small-cell lung cancer (NSCLC) patients that have common epidermal growth factor receptor (EGFR) mutations has changed radically in the last decade. The availability of these treatment options has an economic impact, therefore a budget impact analysis was performed. Methods A budget impact analysis was conducted from a Dutch healthcare perspective over a 5-year time horizon in EGFR-mutant NSCLC patients receiving first-line afatinib (Gilotrif(R)) versus first-line osimertinib (Tagrisso(R)), followed by subsequent treatments. A decision analysis model was constructed in Excel. Scenario analyses and one-way sensitivity analysis were used to test the models' robustness. Results Sequential treatment with afatinib versus first-line treatment with osimertinib showed mean total time on treatment (ToT) of 29.1 months versus 24.7 months, quality-adjusted life months (QALMs) of 20.2 versus 17.4 with mean cost of euro108,166 per patient versus euro143,251 per patient, respectively. The 5-year total budget impact was euro110.4 million for the afatinib sequence versus euro158.6 million for the osimertinib sequence, leading to total incremental cost savings of euro48.15 million. Conclusions First-line afatinib treatment in patients with EGFR-mutant NSCLC had a lower financial impact on the Dutch healthcare budget with a higher mean ToT and QALM compared to osimertinib sequential treatment

    Immunomodulatory Activity of Dietary Fiber: Arabinoxylan and Mixed-Linked Beta-Glucan Isolated from Barley Show Modest Activities in Vitro

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    High intake of dietary fiber is claimed to protect against development of colorectal cancer. Barley is a rich source of dietary fiber, and possible immunomodulatory effects of barley polysaccharides might explain a potential protective effect. Dietary fiber was isolated by extraction and enzyme treatment. A mixed-linked β-glucan (WSM-TPX, 96.5% β-glucan, Mw 886 kDa), an arabinoxylan (WUM-BS-LA, 96.4% arabinoxylan, Mw 156 kDa), a mixed-linked β-glucan rich fraction containing 10% arabinoxylan (WSM-TP) and an arabinoxylan rich fraction containing 30% mixed-linked β-glucan (WUM-BS) showed no significant effect on IL-8 secretion and proliferation of two intestinal epithelial cell lines, Caco-2 and HT-29, and had no significant effect on the NF-κB activity in the monocytic cell line U937-3κB-LUC. Further enriched arabinoxylan fractions (WUM-BS-LA) from different barley varieties (Tyra, NK96300, SB94897 and CDCGainer) were less active than the mixed-linked β-glucan rich fractions (WSM-TP and WSM-TPX) in the complement-fixing test. The mixed-linked β-glucan rich fraction from NK96300 and CDCGainer showed similar activities as the positive control while mixed-linked β-glucan rich fractions from Tyra and SB94897 were less active. From these results it is concluded that the isolated high molecular weight mixed-linked β-glucans and arabinoxylans from barley show low immunological responses in selected in vitro test systems and thus possible anti-colon cancer effects of barley dietary fiber cannot be explained by our observations

    Low Serum Levels of 25-Hydroxyvitamin D Predict Hip Fracture in the Elderly: A NOREPOS Study

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    Background: Despite considerable interest, the relationship between circulating 25-hydroxyvitamin D and the risk of hip fracture is not fully established. Objective: The objective of the study was to study the association between serum 25-hydroxyvitamin D concentrations [s-25(OH)D] and the risk of hip fracture in Norway, a high-latitude country that has some of the highest hip fracture rates worldwide. Methods: A total of 21 774 men and women aged 65–79 years attended 4 community-based health studies during 1994–2001. Information on subsequent hip fractures was retrieved from electronic hospital discharge registers, with a maximum follow-up of 10.7 years. Using a stratified case-cohort design, s-25(OH)D was determined by HPLC-atmospheric pressure chemical ionization-mass spectrometry in stored serum samples in hip fracture cases (n = 1175; 307 men, 868 women) and in gender-stratified random samples (n = 1438). Cox proportional hazards regression adapted for the case-cohort design was performed. Results: We observed an inverse association between s-25(OH)D and hip fracture; those with s-25(OH)D in the lowest quartile (<42.2 nmol/L) had a 38% [95% confidence interval (CI) 9–74%] increased risk of hip fracture compared with the highest quartile (≥67.9 nmol/L) in a model accounting for age, gender, study center, and body mass index. The association was stronger in men than in women: hazard ratio 1.65 (95% CI 1.04–2.61) vs hazard ratio 1.25 (95% CI 0.95–1.65). Conclusion: In this prospective case-cohort study of hip fractures, the largest ever reported, we found an increased risk of hip fracture in subjects in the lowest compared with the highest quartile of serum 25-hydroxyvitamin D. In accordance with the findings of previous community-based studies, low vitamin D status was a modest risk factor for hip fracture.publishedVersio

    Do health systems delay the treatment of poor children? A qualitative study of child deaths in rural Tanzania.

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    Child mortality remains one of the major public-health problems in Tanzania. Delays in receiving and accessing adequate care contribute to these high rates. The literature on public health often focuses on the role of mothers in delaying treatment, suggesting that they contact the health system too late and that they prefer to treat their children at home, a perspective often echoed by health workers. Using the three-delay methodology, this study focus on the third phase of the model, exploring the delays experienced in receiving adequate care when mothers with a sick child contact a health-care facility. The overall objective is to analyse specific structural factors embedded in everyday practices at health facilities in a district in Tanzania which cause delays in the treatment of poor children and to discuss possible changes to institutions and social technologies. The study is based on qualitative fieldwork, including in-depth interviews with sixteen mothers who have lost a child, case studies in which patients were followed through the health system, and observations of more than a hundred consultations at all three levels of the health-care system. Data analysis took the form of thematic analysis. Focusing on the third phase of the three-delay model, four main obstacles have been identified: confusions over payment, inadequate referral systems, the inefficient organization of health services and the culture of communication. These impediments strike the poorest segment of the mothers particularly hard. It is argued that these delaying factors function as 'technologies of social exclusion', as they are embedded in the everyday practices of the health facilities in systematic ways. The interviews, case studies and observations show that it is especially families with low social and cultural capital that experience delays after having contacted the health-care system. Reductions of the various types of uncertainty concerning payment, improved referral practices and improved communication between health staff and patients would reduce some of the delays within health facilities, which might feedback positively into the other two phases of delay
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