Finite-thickness effect of the fluids on bubbles and spikes in Richtmyer-Meshkov instability for arbitrary Atwood numbers

This paper investigates the finite-thickness effect of two superimposed fluids on bubbles and spikes in Richtmyer-Meshkov instability (RMI) for arbitrary Atwood numbers by using the method of the small parameter expansion up to the second order. When the thickness of the two fluids tends to be infinity, our results can reproduce the classical results where RMI happens at the interface separating two semi-infinity-thickness fluids of different densities. It is found that the thickness has a large influence on the amplitude evolution of bubbles and spikes compared with those in classical RMI. Based on the thickness relationship of the two fluids, the thickness effect on bubbles and spikes for four cases is discussed. The thickness encourages (or reduces) the growth of bubbles or spikes, depending on not only Atwood number, but also the relationship of the thickness ratio of the heavy and light fluids, which is explicitly determined in this paper

Ultrastructural Study of Alveolar Epithelial Type II Cells by High-Frequency Oscillatory Ventilation

Alveolar epithelial type II cells (AECIIs) containing lamellar bodies (LBs) are alveolar epithelial stem cells that have important functions in the repair of lung structure and function after lung injury. The ultrastructural changes in AECIIs after high-frequency oscillatory ventilation (HFOV) with a high lung volume strategy or conventional ventilation were evaluated in a newborn piglet model with acute lung injury (ALI). After ALI with saline lavage, newborn piglets were randomly assigned into five study groups (three piglets in each group), namely, control (no mechanical ventilation), conventional ventilation for 24 h, conventional ventilation for 48 h, HFOV for 24 h, and HFOV for 48 h. The lower tissues of the right lung were obtained to observe the AECII ultrastructure. AECIIs with reduced numbers of microvilli, decreased LBs electron density, and vacuole-like LBs deformity were commonly observed in all five groups. Compared with conventional ventilation groups, the decrease in numbers of microvilli and LBs electron density, as well as LBs with vacuole-like appearance and polymorphic deformity, was less severe in HFOV with high lung volume strategy groups. AECIIs were injured during mechanical ventilation. HFOV with a high lung volume strategy resulted in less AECII damage than conventional ventilation

Theoretical study on finite-thickness effect on harmonics in Richtmyer-Meshkov instability for arbitrary Atwood numbers

The finite-thickness effect of two superimposed fluids on harmonics in the Richtmyer-Meshkov instability (RMI) for arbitrary Atwood numbers is investigated by using weakly nonlinear analysis up to the third order. When the thickness of the two fluids tends to be infinity, our results can reproduce the classical results where RMI happens at the interface separating two semi-infinity-thickness fluids of different densities. It is found that the thickness has a large influence on the amplitudes of the first three harmonics compared with those in classical RMI. On the one hand, the thickness effect encourages or reduces the amplitudes of the first three harmonics, and on the other hand, it changes the phases of the second and the third harmonics. Published by AIP Publishing

Are medical record front page data suitable for risk adjustment in hospital performance measurement? Development and validation of a risk model of in-hospital mortality after acute myocardial infarction

Objectives To develop a model of in-hospital mortality using medical record front page (MRFP) data and assess its validity in case-mix standardisation by comparison with a model developed using the complete medical record data.Design A nationally representative retrospective study.Setting Representative hospitals in China, covering 161 hospitals in modelling cohort and 156 hospitals in validation cohort.Participants Representative patients admitted for acute myocardial infarction. 8370 patients in modelling cohort and 9704 patients in validation cohort.Primary outcome measures In-hospital mortality, which was defined explicitly as death that occurred during hospitalisation, and the hospital-level risk standardised mortality rate (RSMR).Results A total of 14 variables were included in the model predicting in-hospital mortality based on MRFP data, with the area under receiver operating characteristic curve of 0.78 among modelling cohort and 0.79 among validation cohort. The median of absolute difference between the hospital RSMR predicted by hierarchical generalised linear models established based on MRFP data and complete medical record data, which was built as ‘reference model’, was 0.08% (10th and 90th percentiles: −1.8% and 1.6%). In the regression model comparing the RSMR between two models, the slope and intercept of the regression equation is 0.90 and 0.007 in modelling cohort, while 0.85 and 0.010 in validation cohort, which indicated that the evaluation capability from two models were very similar.Conclusions The models based on MRFP data showed good discrimination and calibration capability, as well as similar risk prediction effect in comparison with the model based on complete medical record data, which proved that MRFP data could be suitable for risk adjustment in hospital performance measurement