Hydrodynamic structures of droplets in square micro-channels

This paper reports on numerical simulations of the hydrodynamics inside droplets in rectangular micro-channels. We use a finite-volume/front-capturing method that allows us to perform two- and three-dimensional simulations with a reasonable cost. The numerical method is an interface-capturing technique without any interface reconstruction. Therefore no complex or expensive interface tracking is needed. Droplet interface deformation and velocity fields inside both droplets and continuous phase can then be followed. This study leads to important results about droplet deformation and inner streamlines for mass and heat transfer studies. More particularly, the capillary number seems to have a great influence on the liquid/liquid flow hydrodynamics whatever is the channel width

Mixing characterization inside microdroplets engineered on a microcoalescer

We use a microdevice where microdroplets of reagents are generated and coalesce in a carrier continuous phase. The work focuses on the characterization of the mixing step inside the droplets, in the perspective to use them for chemical kinetic data acquisition. A dye and water are used, and an acid–base instantaneous chemical reaction is monitored thanks to a colored indicator. Acquisitions are done with a high-speed camera coupled to a microscope and a mixing parameter is calculated by image analysis. Different angles of bended channels and different ways of coalescence are compared. It is shown that the homogenization of the droplets can be reached in less than 10 ms after coalescence. This is achieved by forcing the droplets to coalesce in a “shifted” way, and later by adding 45◦ angle bends along the channel

Dual use of VA and Non-VA Hospitals by Veterans with Multiple Hospitalizations

Background: Veterans who are hospitalized in both VA and non-VA hospitals within a short timespan may be at risk for fragmented or conflicting care. To determine the characteristics of these “dual users,” we analyzed administrative hospital discharge data for VA-enrolled veterans of any age in seven states, including any VA or non-VA hospitalizations they had in 2004 – 2007. Method: For VA enrollees in Arizona, Iowa, Louisiana, Florida, South Carolina, Pennsylvania, or New York in 2007, we merged 2004 – 2007 discharge data for all VA hospitalizations and all non-VA hospitalizations listed in state health department or hospital association databases. For patients hospitalized in 2007, we compared those younger or older than 65 years who had one or multiple hospitalizations during the year, split into users of VA hospitals, non-VA hospitals, or both (“ dual users ”), on demographics, priority for VA care, travel times, principal diagnoses, co-morbidities, lengths of stay, and prior (2004 – 2006) hospitalizations, using chi-square analysis or ANOVA. Multiply hospitalized patients were compared with multinomial logistic regressions to predict non-VA and dual use. Payers for non-VA hospitalizations also were compared across groups. Results: Of unique inpatients in 2007, 38% of those 65 or older were hospitalized more than once during the year, as were 32% of younger patients; 3 and 8%, respectively, were dual users. Dual users averaged the most index-year (3.7) and prior (1.5) hospitalizations, split evenly between VA and non-VA. They also had higher rates of admission for circulatory diseases, symptoms/signs/ill-defined conditions, and injury and poisoning, and more admissions for multiple diagnostic categories; among younger patients they had the highest rate of mental disorders admissions. Higher income, non-rural residence, greater time to VA care, lower VA priority, prior non-VA hospitalization, no prior VA hospitalization, and several medical categories predicted greater non-VA use. Among younger patients, however, mental disorders predicted more dual use but less exclusively non-VA use. Dual users’ non-VA admissions were more likely than others’ to be covered by payers other than Medicare or commercial insurance. Conclusions: Younger dual users require more medical and psychiatric treatment, and rely more on government funding sources. Effective care coordination for these inpatients might improve outcomes while reducing taxpayer burden

Geometry of phase separation

We study the domain geometry during spinodal decomposition of a 50:50 binary mixture in two dimensions. Extending arguments developed to treat non-conserved coarsening, we obtain approximate analytic results for the distribution of domain areas and perimeters during the dynamics. The main approximation is to regard the interfaces separating domains as moving independently. While this is true in the non-conserved case, it is not in the conserved one. Our results can therefore be considered as a first-order approximation for the distributions. In contrast to the celebrated Lifshitz-Slyozov-Wagner distribution of structures of the minority phase in the limit of very small concentration, the distribution of domain areas in the 50:50 case does not have a cut-off. Large structures (areas or perimeters) retain the morphology of a percolative or critical initial condition, for quenches from high temperatures or the critical point respectively. The corresponding distributions are described by a $c A^{-\tau}$ tail, where $c$ and $\tau$ are exactly known. With increasing time, small structures tend to have a spherical shape with a smooth surface before evaporating by diffusion. In this regime the number density of domains with area $A$ scales as $A^{1/2}$, as in the Lifshitz-Slyozov-Wagner theory. The threshold between the small and large regimes is determined by the characteristic area, ${\rm A} \sim [\lambda(T) t]^{2/3}$. Finally, we study the relation between perimeters and areas and the distribution of boundary lengths, finding results that are consistent with the ones summarized above. We test our predictions with Monte Carlo simulations of the 2d Ising Model.Comment: 10 pages, 8 figure

Brane matter, hidden or mirror matter, their various avatars and mixings: many faces of the same physics

Numerous papers deal with the phenomenology related to photon-hidden photon kinetic mixing and with the effects of a mass mixing on particle-hidden particle oscillations. In addition, recent papers underline the existence of a geometrical mixing between branes which would allow a matter swapping between branes. These approaches and their phenomenologies are reminiscent of each other but rely on different physical concepts. In the present paper, we suggest there is no rivalry between these models, which are probably many faces of the same physics. We discuss some phenomenological consequences of a global framework.Comment: 9 pages. Typo corrected. Published in European Physical Journal

The impact of antimicrobial use guidelines on prescription habits in fourteen Flemish small animal practices

A prospective study was performed to explore the prescription habits in fourteen first-line, small animal practices during first consultations of cats and dogs. Consultations one month prior to the implementation of antimicrobial use guidelines and at least 20 days thereafter were examined. Differences in the proportion of consultations during which antimicrobials were prescribed, were assessed. Additionally, changes in the choice of active substance were critically evaluated against the introduced antimicrobial use guidelines. The proportion of consultations where antimicrobials were prescribed decreased in cats and dogs (both -12%) after the introduction of the antimicrobial use guidelines. There was an increase of consultations of cats (+13%) and dogs (+10%) where veterinarians handled according to those guidelines. However, an increase in the prescription of third-choice antimicrobials and highest priority critically important antimicrobials was noticed both in cats (+8% and +12%, respectively) and dogs (both +5%). This unexpected increase invites to create extra awareness amongst prescribers

Uncompensated care provided by for-profit, not-for-profit, and government owned hospitals

<p>Abstract</p> <p>Background</p> <p>There is growing concern certain not-for-profit hospitals are not providing enough uncompensated care to justify their tax exempt status. Our objective was to compare the amount of uncompensated care provided by not-for-profit (NFP), for-profit (FP) and government owned hospitals.</p> <p>Methods</p> <p>We used 2005 state inpatient data (SID) for 10 states to identify patients hospitalized for three common conditions: acute myocardial infarction (AMI), coronary artery bypass grafting (CABG), or childbirth. Uncompensated care was measured as the proportion of each hospital's total admissions for each condition that were classified as being uninsured. Hospitals were categorized as NFP, FP, or government owned based upon data obtained from the American Hospital Association. We used bivariate methods to compare the proportion of uninsured patients admitted to NFP, FP and government hospitals for each diagnosis. We then used generalized linear mixed models to compare the percentage of uninsured in each category of hospital after adjusting for the socioeconomic status of the markets each hospital served.</p> <p>Results</p> <p>Our cohort consisted of 188,117 patients (1,054 hospitals) hospitalized for AMI, 82,261 patients (245 hospitals) for CABG, and 1,091,220 patients for childbirth (793 hospitals). The percentage of admissions classified as uninsured was lower in NFP hospitals than in FP or government hospitals for AMI (4.6% NFP; 6.0% FP; 9.5% government; P < .001), CABG (2.6% NFP; 3.3% FP; 7.0% government; P < .001), and childbirth (3.1% NFP; 4.2% FP; 11.8% government; P < .001). In adjusted analyses, the mean percentage of AMI patients classified as uninsured was similar in NFP and FP hospitals (4.4% vs. 4.3%; P = 0.71), and higher for government hospitals (6.0%; P < .001 for NFP vs. government). Likewise, results demonstrated similar proportions of uninsured patients in NFP and FP hospitals and higher levels of uninsured in government hospitals for both CABG and childbirth.</p> <p>Conclusions</p> <p>For the three conditions studied NFP and FP hospitals appear to provide a similar amount of uncompensated care while government hospitals provide significantly more. Concerns about the amount of uncompensated care provided by NFP hospitals appear warranted.</p

Características químicas de um gleissolo sob diferentes sistemas de uso, nas margens do rio Guamá, Belém, Pará.

Foram estudados os efeitos do uso do solo sobre a fertilidade, em Gleissolo sob três diferentes sistemas de manejo. As coletas foram feitas antes do período chuvoso nos seguintes sistemas de manejo: área cultivada com arroz (Oriza sativa L.) há aproximadamente 40 anos, com algumas interrupções ao longo deste período, com o cultivo algumas vezes mecanizado e uso de aração e gradagem; área sob pastagem de canarana erecta lisa (Echinochloa pyramidalis Hitch.), formada há cerca de 20 anos sem uso de adubações ou calagens; e área sob vegetação natural de floresta típica das áreas de várzea alta. As amostras de solo foram coletadas em dez pontos a partir de um transecto nas áreas, em quatro profundidades 0-10, 10-20, 20-30 e 30-40 cm. Os resultados demonstraram que o solo em condições naturais, de modo geral, apresentou atributos químicos que variaram de bons a muito bons, o que demonstra um grande potencial para o uso agrícola. O cultivo agrícola dos solos das várzeas do rio Guamá provocou uma redução da concentração de P e de K. O sistema de uso com pastagem apresentou maior sustentabilidade da fertilidade do que o sistema sob cultivo com arroz, visto que, além da melhoria das características químicas, a matéria orgânica elevou-se, também, em relação ao sistema natural