A robust immersed boundary method for flow in complex geometries: study of aerosol deposition in the human extrathoracic airways

The flow and the transport of particles in the human respiratory system dictate the effectiveness of therapeutic aerosols used in inhaled drug delivery. The aerosol particles are generally inhaled through the mouth, passing by the throat before reaching the targeted areas in the lungs. Therefore, knowledge of the particle deposition in the mouth-throat region is critical in the design of effective inhalation devices for optimum delivery to the lungs. Numerical simulations offer a non-invasive and cost-effective alternative to in vivo and in vitro tests. However, accurate prediction remains a challenge for numerical models due to the complexity of the flow in the extrathoracic airways. A robust immersed boundary method for flow in complex geometries is proposed. This greatly simplifies the task of grid generation and eliminates the problems associated with grid quality that exist for boundary-fitted grid techniques. The proposed method is an extension to the momentum forcing approach onto curvilinear coordinates and applies an iterative procedure to compute the forcing term implicitly, which stabilizes the scheme for higher Reynolds numbers. The use of a curvilinear grid minimizes the number of unused cells outside the geometry and increases the efficiency of the numerical scheme. The method is validated against numerical and experimental data in the literature for a number of test cases on both Cartesian and curvilinear grids. The results show good agreement with previous studies. Direct numerical simulations were performed in a number of realistic mouth and throat geometries obtained from MRI scans. A Lagrangian particle tracking scheme was employed to advance the particles dynamically, and total and regional deposition efficiencies were determined and compared to in vitro data. The effect of inflow turbulence and intersubject variation on deposition was studied. Geometric variation has a large impact on total deposition whereas the effect of inflow turbulence is confined to oral deposition

Developing a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe - a DEDIPAC study

Background: Some ethnic minority populations have a higher risk of non-communicable diseases than the majority European population. Diet and physical activity behaviours contribute to this risk, shaped by a system of inter-related factors. This study mapped a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe, to inform research prioritisation and intervention development. Methods: A concept mapping approach guided by systems thinking was used: i. Preparation (protocol and terminology); ii. Generating a list of factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe from evidence (systematic mapping reviews) and ‘eminence’ (89 participants from 24 academic disciplines via brainstorming, an international symposium and expert review) and; iii. Seeking consensus on structuring, rating and clustering factors, based on how they relate to each other; and iv. Interpreting/utilising the framework for research and interventions. Similar steps were undertaken for frameworks developed for the majority European population. Results: Seven distinct clusters emerged for dietary behaviour (containing 85 factors) and 8 for physical activity behaviours (containing 183 factors). Four clusters were similar across behaviours: Social and cultural environment; Social and material resources; Psychosocial; and Migration context. Similar clusters of factors emerged in the frameworks for diet and physical activity behaviours of the majority European population, except for ‘migration context’. The importance of factors across all clusters was acknowledged, but their relative importance differed for ethnic minority populations compared with the majority population. Conclusions: This systems-based framework integrates evidence from both expert opinion and published literature, to map the factors influencing dietary and physical activity behaviours in ethnic minority groups. Our findings illustrate that innovative research and complex interventions need to be developed that are sensitive to the needs of ethnic minority populations. A systems approach that encompasses the complexity of the inter-related factors that drive behaviours may inform a more holistic public health paradigm to more effectively reach ethnic minorities living in Europe, as well as the majority host population

Radial Evolution of Thermal and Suprathermal Electron Populations in the Slow Solar Wind from 0.13 to 0.5 au: Parker Solar Probe Observations

We develop and apply a bespoke fitting routine to a large volume of solar wind electron distribution data measured by Parker Solar Probe (PSP) over its first five orbits, covering radial distances from 0.13 to 0.5 au. We characterise the radial evolution of the electron core, halo and strahl populations in the slow solar wind during these orbits. The fractional densities of these three electron populations provide evidence for the growth of the combined suprathermal halo and strahl populations from 0.13 to 0.17 au. Moreover, the growth in the halo population is not matched by a decrease of the strahl population at these distances, as has been reported for previous observations at distances greater than 0.3 au. We also find that the halo is negligible at small heliocentric distances. The fractional strahl density remains relatively constant ~1% below 0.2 au, suggesting that the rise in the relative halo density is not solely due to the transfer of strahl electrons into the halo

Socioeconomic Indicators Are Independently Associated with Nutrient Intake in French Adults: A DEDIPAC Study

Studies have suggested differential associations of specific indicators of socioeconomic position (SEP) with nutrient intake and a cumulative effect of these indicators on diet. We investigated the independent association of SEP indicators (education, income, occupation) with nutrient intake and their effect modification. This cross-sectional analysis included 91,900 French adults from the NutriNet-Santé cohort. Nutrient intake was estimated using three 24-h records. We investigated associations between the three SEP factors and nutrient intake using sex-stratified analysis of covariance, adjusted for age and energy intake, and associations between income and nutrient intake stratified by education and occupation. Low educated participants had higher protein and cholesterol intakes and lower fibre, vitamin C and beta-carotene intakes. Low income individuals had higher complex carbohydrate intakes, and lower magnesium, potassium, folate and vitamin C intakes. Intakes of vitamin D and alcohol were lower in low occupation individuals. Higher income was associated with higher intakes of fibre, protein, magnesium, potassium, beta-carotene, and folate among low educated persons only, highlighting effect modification. Lower SEP, particularly low education, was associated with lower intakes of nutrients required for a healthy diet. Each SEP indicator was associated with specific differences in nutrient intake suggesting that they underpin different social processes

Bulk charge density wave and electron-phonon coupling in superconducting copper oxychlorides

Bulk charge density waves (CDWs) are now reported in nearly all high-temperature superconducting (HTS) cuprates, with the noticeable exception of one particular family: the copper oxychlorides. Here, we used resonant inelastic X-ray scattering (RIXS) to reveal a bulk CDW in these materials. Combining RIXS with non-resonant IXS, we investigate the interplay between the lattice excitations and the CDW, and evidence bond-stretching (BS) phonon anomalies at the CDW wave-vector. We propose that such electron-phonon anomalies occur in the presence of dispersive charge excitations emanating from the CDW and interacting with the BS phonon. Our observations in a structurally simple cuprate promises to better connect bulk and surface properties and bridge the gap between theory and experiment

Postpartum depression: incidence and risk factors associate

As doenças psiquiátricas do pós-parto foram reconhecidas como transtorno específico há pouco tempo. São, por isso, pouco pesquisadas e de escasso conhecimento. Contudo, mostram-se de identificação importante pela morbidade e frequência com que acometem as puérperas. A prevalência de depressão pós-parto (DPP) é de 10-15%, com estudos apontando para 22%. Sua etiologia é multifatorial e inclui fatores biológicos, psicológicos e sociais, podendo durar até um ano após o parto. Buscou-se avaliar a incidência de DPP em puérperas no primeiro ano de pós-parto na cidade de Curitiba – PR, tentando ainda identificar as mudanças de humor ocorridas no pós-parto e os principais fatores de risco associados ao desenvolvimento da DPP. Aplicaram-se dois questionários, com o perfil socioeconômico e a Escala de Depressão Pós-Parto de Edimburgo, visando rastrear mães com sintomas compatíveis com DPP. Pontuações maiores ou iguais a 10 foram consideradas positivas e encaminhadas para avaliação com profissional especializado. Os dados foram avaliados estatisticamente pelo programa SPSS 10.0. Analisaram-se 146 mães, com média etária de 28,97 anos e período de pós-parto majoritário de 3-6 meses. Houve predomínio de mães casadas, com ensino superior e renda de 4-6 salários mínimos. Um total de 31,5% das mães apresentou escore compatível com DPP, sem pico de incidência em relação ao período de pós-parto. Relacionamento insatisfatório mostrou-se como fator de risco para DPP e ajuda insatisfatória como possível fator. Idade e escolaridade maternas, estado civil e renda, não mostraram relevância estatística. Encontrou-se média de casos compatíveis com DPP acima da descrita na literatura, entretanto, tal média apresenta-se com grande variação, evidenciado o caráter cultural e ambiental do transtornoPostpartum psychiatric illnesses were recognized as specific disorder recently. Therefore, they are under-researched and there’s few knowledge about them. However, the diagnosis is important due to morbidity and frequency that affects the mothers. The prevalence of postpartum depression (PPD) is 10-15%, with studies pointing to 22%. Its etiology is multifactorial and includes biological, psychological and social factors, and may last up to one year after delivery. We sought to evaluate the incidence of PPD in mothers during the first year postpartum in Curitiba - PR, still trying to identify mood changes occurring in the postpartum period and the main risk factors associated with the development of PPD. We applied two questionnaires, the socioeconomic profile and Edinburgh Postnatal Depression Scale, aiming to track mothers with symptoms compatible with PPD. Scores greater than or equal to 10 were considered positive and referred for evaluation with a specialized professional. The data were statistically analyzed by SPSS 10.0. We analyzed 146 mothers with a mean age of 28.97 years and the postpartum period majority of 3-6 months. There was a predominance of married mothers with higher education and income of 6.4 minimum wages. A total of 31.5% of mothers had scores compatible with PPD, without peak regarding the period after delivery. Unsatisfactory relationship proved to be a risk factor for PPD and helps unsatisfactory as a possible factor. Age and maternal education, marital status and income showed no statistical significance. It’s was found an average of DPP-compatible cases above the described in the literature, however, this average is presented with great variation, indicating the cultural and environmental character of the disorde

The Stability of the Electron Strahl against the Oblique Fast-magnetosonic/Whistler Instability in the Inner Heliosphere

We analyze the micro-kinetic stability of the electron strahl in the solar wind depending on heliocentric distance. The oblique fast-magnetosonic/whistler (FM/W) instability has emerged in the literature as a key candidate mechanism for the effective scattering of the electron strahl into the electron halo population. Using data from the Parker Solar Probe (PSP) and Helios, we compare the measured strahl properties with the analytical thresholds for the oblique FM/W instability in the low- and high-β ∥c regimes, where β ∥c is the ratio of the core parallel thermal pressure to the magnetic pressure. Our PSP and Helios data show that the electron strahl is on average stable against the oblique FM/W instability in the inner heliosphere. Our analysis suggests that the instability, if at all, can only be excited sporadically and on short timescales. We discuss the caveats of our analysis and potential alternative explanations for the observed scattering of the electron strahl in the solar wind. Furthermore, we recommend the numerical evaluation of the stability of individual distributions in the future to account for any uncertainties in the validity of the analytical expressions for the instability thresholds

Radial Evolution of Thermal and Suprathermal Electron Populations in the Slow Solar Wind from 0.13 to 0.5 au: Parker Solar Probe Observations

We develop and apply a bespoke fitting routine to a large volume of solar wind electron distribution data measured by Parker Solar Probe over its first five orbits, covering radial distances from 0.13 to 0.5 au. We characterize the radial evolution of the electron core, halo, and strahl populations in the slow solar wind during these orbits. The fractional densities of these three electron populations provide evidence for the growth of the combined suprathermal halo and strahl populations from 0.13 to 0.17 au. Moreover, the growth in the halo population is not matched by a decrease in the strahl population at these distances, as has been reported for previous observations at distances greater than 0.3 au. We also find that the halo is negligible at small heliocentric distances. The fractional strahl density remains relatively constant at ∼1% below 0.2 au, suggesting that the rise in the relative halo density is not solely due to the transfer of strahl electrons into the halo

The Kinetic Expansion of Solar-wind Electrons: Transport Theory and Predictions for the Very Inner Heliosphere

We propose a transport theory for the kinetic evolution of solar-wind electrons in the heliosphere. We derive a gyro-averaged kinetic transport equation that accounts for the spherical expansion of the solar wind and the geometry of the Parker spiral magnetic field. To solve our three-dimensional kinetic equation, we develop a mathematical approach that combines the Crank–Nicolson scheme in velocity space and a finite-difference Euler scheme in configuration space. We initialize our model with isotropic electron distribution functions and calculate the kinetic expansion at heliocentric distances from 5 to 20 solar radii. In our kinetic model, the electrons evolve mainly through the combination of ballistic particle streaming, the magnetic mirror force, and the electric field. By applying fits to our numerical results, we quantify the parameters of the electron strahl and the core part of the electron velocity distributions. The strahl fit parameters show that the density of the electron strahl is around 7% of the total electron density at a distance of 20 solar radii, the strahl bulk velocity and strahl temperature parallel to the background magnetic field stay approximately constant beyond a distance of 15 solar radii, and β∥s (i.e., the ratio of the strahl parallel thermal pressure to the magnetic pressure) is approximately constant with heliocentric distance at a value of about 0.02. We compare our results with data measured by the Parker Solar Probe. Furthermore, we provide theoretical evidence that the electron strahl is not scattered by the oblique fast-magnetosonic/whistler instability in the near-Sun environment