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This paper presents a theoretical investigation of vortex modes in acoustofluidic cylindrical resonators with rigid boundaries and viscous fluids. By solving the Helmholtz equation for linear pressure, incorporating boundary conditions that account for no-slip surfaces and vortex and non-vortex excitation at the base, we analyse both single- and dual-eigenfunction modes near system resonance. The results demonstrate that single-vortex modes generate spin angular momentum exclusively along the axial direction, while dual modes introduce a transverse spin component due to the nonlinear interaction between axial and transverse ultrasonic waves, even in the absence of vortex excitation. We find that nonlinear acoustic fields, including energy density, radiation force potential and spin, scale with the square of the shear wave number, defined as the ratio of the cavity radius to the thickness of the viscous boundary layer. Theoretical predictions align closely with finite element simulations based on a model for an acoustofluidic cavity with adiabatic and rigid walls. These findings hold particular significance for acoustofluidic systems, offering potential applications in the precise control of cells and microparticles.
We establish two complementary results about the regularity of the solution of the periodic initial value problem for the linear Benjamin–Ono equation. We first give a new simple proof of the statement that, for a dense countable set of the time variable, the solution is a finite linear combination of copies of the initial condition and of its Hilbert transform. In particular, this implies that discontinuities in the initial condition are propagated in the solution as logarithmic cusps. We then show that, if the initial condition is of bounded variation (and even if it is not continuous), for almost every time the graph of the solution in space is continuous but fractal, with upper Minkowski dimension equal to $\frac32$. In order to illustrate this striking dichotomy, in the final section, we include accurate numerical evaluations of the solution profile, as well as estimates of its box-counting dimension for two canonical choices of irrational time.
Alisha Sijapati and Erin Thompson’s article “Making a market for ‘The Art of Nepal’: Tracing the flow of Nepali cultural property into the United States” makes a series of unsubstantiated claims about the nature and scope of the Nepali antiquities market in the 1950s and 1960s based on the authors’ research of a single 1964 exhibition of Nepali antiquities in the United States. This critical response will contest these claims by examining the broader Nepali antiquities market as it existed prior to 1970, particularly within Nepal and in South Asia, while also locating the authors and their claims in the context of the recent repatriation campaign by Nepali activists. Finally, the response will conclude that if there is to be an ethical turn in voluntary repatriation, there must be greater consideration of contexts beyond the West and a refocusing of provenance research beyond Western collectors and institutions.
The current case study was completed as part of the routine psychological therapy delivered in a Critical Care Psychology Service in the United Kingdom. For families of critically ill patients, an admission to the intensive care unit (ICU) can be a distressing and potentially traumatic experience. Relatives of ICU patients may, therefore, face ongoing psychological difficulties after their loved one’s discharge from hospital, an experience recognised as Post-Intensive Care Syndrome - Family (PICS-F). Psychological morbidity associated with PICS-F includes post-traumatic stress disorder (PTSD). Despite high rates of PTSD within this population, there are currently no published guidelines available for the treatment of PTSD in relatives following an ICU admission. Clinicians working in this field are consequently required to adapt existing psychological models and protocols recommended for treating PTSD, for application to ICU-related traumatic stressors. This case study describes how cognitive therapy for PTSD (CT-PTSD) was tailored to treat a 60-year-old female experiencing PTSD following her husband’s admission to the ICU. It also illustrates how critical illness can be conceptualised as an intangible loss that triggers a grief experience for relatives of ICU patients, causing PTSD symptoms to persist. The client attended 14 weekly sessions of CT-PTSD. Treatment included cognitive strategies for panic, imaginal re-living and a site visit, as well as consideration of the role of non-death loss and disenfranchised grief in the client’s experiences. At the end of treatment, the client no longer presented with clinically significant symptoms of PTSD, as assessed on the Impact of Events Scale-Revised (IES-R).
Key learning aims
It is hoped that this case study will enhance the reader’s understanding of the following areas:
(1) The delivery of CT-PTSD when working with relatives of former patients admitted to the ICU.
(2) The experiences of intangible loss and disenfranchised grief for relatives of former ICU patients and how these can contribute to the maintenance of PTSD symptoms.
(3) The utility of the dual process model (DPM; Stroebe and Schut, 1999) as a framework when adapting the CT-PTSD model to the context of supporting relatives of former ICU patients.
Direct numerical simulations have been conducted to explore the coupling effect of the thermoelectric effect and vertical convection (VC) in a square cavity composed of liquid lithium and stainless steel under different Hartmann numbers at $Ra=10^5$. By leveraging thermoelectric phenomena, an innovative approach is proposed to actively modulate heat transfer efficiency. The core concept lies in modulating the intensity of large-scale circulation (LSC) in VC systems through the torque generated by the interaction between thermoelectric currents and magnetic fields via Lorentz forces. The findings reveal that when the torque aligns with the direction of LSC induced by pure buoyancy, both momentum and heat transfer are enhanced. However, due to the magnetic damping itself, this enhancement is not sustained indefinitely, resulting in a trend of initial increase followed by decline in both momentum and heat transfer efficiency. Conversely, when the magnetic field direction is reversed, causing the Lorentz force torque to oppose the buoyancy-driven circulation, both momentum and heat transfer efficiency diminish until the flow reverses. By varying the magnetic field intensity, three distinct flow regimes are identified: the buoyancy-dominated regime, the thermoelectric-dominated regime and the magnetic-damping-dominated regime. The transition between the buoyancy-dominated regime and thermoelectric-dominated regime – specifically, the onset of flow reversal – is analysed through a boundary-layer–bulk–boundary-layer coupling model. This model enables precise prediction of the critical $Ha$ based on the torque balance between buoyancy forces and thermoelectrically induced Lorentz forces, and demonstrates close agreement with numerical simulations.
Healthcare-associated infections (HAIs) result in substantial patient harm and avoidable costs. Pay-for-performance programs (PFP) through the Centers for Medicare and Medicaid Services (CMS) have resulted in reductions of HAIs like central line-associated bloodstream infections (CLABSI) and methicillin-resistant Staphylococcus aureus bacteremia, through robust infection prevention programs and practices. Hospital Onset Bacteremia and Fungemia (HOB) is proposed as an alternative quality measure for public reporting and PFP, and was endorsed by the National Quality Forum in 2022. This broad measure is designed as an electronic quality measure that avoids manual abstraction and excludes risk adjustment. HOB would substantially expand the scope of focus of existing bloodstream infection measurement, and is currently being considered for voluntary reporting in 2025. In this article, we provide arguments for and against adopting HOB as a PFP measure linked to CMS payments.
Ocean submesoscales, flows with characteristic size $10\,\text{m}{-}10\,\text{km}$, are transitional between the larger, rotationally constrained mesoscale and three-dimensional turbulence. In this paper, we present simulations of a submesoscale ocean filament. In our case, the filament is strongly sheared in both vertical and cross-filament directions, and is unstable. Instability indeed dominates the early behaviour with a fast extraction of kinetic energy from the vertically sheared thermal wind. However, the instability that emerges does not exhibit characteristics that match the perhaps expected symmetric or Kelvin–Helmholtz instabilities, and appears to be non-normal in nature. The prominence of the transient response depends on the initial noise, and for large initial noise amplitudes, saturates before symmetric instability normal modes are able to develop. The action of the instability is sufficiently rapid – with energy extraction from the mean flow emerging and peaking within the first inertial period ($\sim\! 18\ \text{h}$) – that the filament does not respond in a geostrophically balanced sense. Instead, at all initial noise levels, it later exhibits vertically sheared near-inertial oscillations with higher amplitude as the initial minimum Richardson number decreases. Horizontal gradients strengthen only briefly as the fronts restratify. These unstable filaments can be generated by strong mixing events at pre-existing stable structures; we also caution against inadvertently triggering this response in idealised studies that start in a very unstable state.
Bubbles entrained by breaking waves rise to the ocean surface, where they cluster before bursting and release droplets into the atmosphere. The ejected drops and dry aerosol particles, left behind after the liquid drop evaporates, affect the radiative balance of the atmosphere and can act as cloud condensation nuclei. The remaining uncertainties surrounding the sea spray emissions function motivate controlled laboratory experiments that directly measure and link collective bursting bubbles and the associated drops and sea salt aerosols. We perform experiments in artificial seawater for a wide range of bubble size distributions, measuring both bulk and surface bubble distributions (measured radii from $30\,\unicode{x03BC} \mathrm{m}$ to $5\,\mathrm{mm}$), together with the associated drop size distribution (salt aerosols and drops of measured radii from $50\,\mathrm{nm}$ to $500\,\unicode{x03BC} \mathrm{m}$) to quantify the link between emitted drops and bursting surface bubbles. We evaluate how well the individual bubble bursting scaling laws describe our data across all scales and demonstrate that the measured drop production by collective bubble bursting can be represented by a single framework integrating individual bursting scaling laws over the various bubble sizes present in our experiments. We show that film drop production by bubbles between $100\,\unicode{x03BC} \mathrm{m}$ and $1\,\mathrm{mm}$ describes the submicron drop production, while jet drop production by bubbles from $30\,\unicode{x03BC} \mathrm{m}$ to $2\,\mathrm{mm}$ describes the production of drops larger than $1\,\unicode{x03BC} \mathrm{m}$. Our work confirms that sea spray emission functions based on individual bursting processes are reasonably accurate as long as the surface bursting bubble size distribution is known.
We present the results of a theoretical investigation of orbital stability in pilot-wave hydrodynamics, wherein a droplet bounces and self-propels across the surface of a vertically vibrating liquid bath. A critical notion in pilot-wave hydrodynamics is that the bath plays the role of the system memory, recording the history of the droplet in its wave field. Quantised orbital motion may arise when the droplet is confined by either an axisymmetric potential or the Coriolis force induced by system rotation. We here elucidate the dependence of the stability of circular orbits on both the form of the confining force and the system memory. We first provide physical insight by distinguishing between potential- and wave-driven instabilities. We demonstrate that the former are a generic feature of classical orbital dynamics at constant speed, while the latter are peculiar to pilot-wave systems. The wave-driven instabilities are marked by radial perturbations that either grow monotonically or oscillate at an integer multiple of the orbital frequency, in which case they are said to be resonant. Conversely, for potential-driven wobbling, the instability frequency may be resonant or non-resonant according to the form of the applied potential. Asymptotic analysis rationalises the different stability characteristics for linear-spring and Coriolis forces, the two cases that have been explored experimentally. Our results are generalised to consider other potentials of interest in pilot-wave hydrodynamics, and elucidate the distinct roles of wave- and potential-driven instabilities. Our study highlights the limitations of prior heuristic arguments for predicting the onset of orbital instability.
The present paper studies how to encourage longer careers by reducing labor income taxes for older workers. The analysis relies on numerical experiments within a general equilibrium overlapping generations (OLG) model that is calibrated to an average economy of the organisation for economic co-operation and development (OECD). I find that the policy can delay retirement and increase tax revenue and the capital stock if treatment occurs close to, and before, the preferred retirement age. A non-trivial share of the increased post-treatment labor supply can be explained by the substitution of hours worked from the pre-treatment career to the post-treatment career. Lowering the treatment age only leads to small changes in the aggregate labor supply, but is increasingly costly for the government in terms of forgone revenue. Tax shifting toward higher consumption taxes always increases welfare, while tax shifting toward higher capital or labor income taxes paid by younger workers only increases welfare if treatment occurs sufficiently late in the career.
Neurosurgery is a demanding specialty, and a trainee’s exposure to its tenets is usually achieved through residency. Medical students only access neurosurgical knowledge via brief stints in clerkships/electives and often lack mentorship and early exposure. This study sought to investigate the varying expectations about neurosurgical training held by Canadian medical students, with the goal of determining the impact of early exposure through educational opportunities and mentorship in developing interest and familiarity in the field.
Methods:
A cross-sectional study across Canada was conducted where students were provided with a 35-point questionnaire pertaining to mentorship, educational opportunities and interests regarding neurosurgery through REDcap. Questions were open-ended, closed-ended (single choice) or five-point Likert scale (matrix format). Interest in pursuing neurosurgery was selected as the primary outcome of this study and was dichotomized into high or low interest. Predictors of interest were determined using multivariable logistic regressions.
Results:
A total of 136 students from 14 accredited Canadian medical schools responded to the study. Most (55.9%) had prior exposure, and the most commonly reported deterring factors were work–life balance (94.5%) and family (84.6%). Predictors of interest included participation in relevant case-based discussion (OR = 2.644, 95% CI [1.221–5.847], p = 0.015) and involvement in neurosurgical research encouraged by home institution (OR = 1.619, 95% CI [1.124–2.396], p = 0.012).
Discussion
Future efforts to improve student interest should focus on early exposure to the field such as developing pre-clerkship neurosurgical electives or medical student groups focused on neurosurgery.
The Leidenfrost effect occurs when drops are deposited on a highly superheated solid surface, creating a thin vapour film through rapid evaporation that levitates the drops. For drop with a radius exceeding a critical value, a vapour bubble forms and bursts from its bottom centre, a phenomenon known as chimney instability. Despite extensive investigation, the impact of Leidenfrost drop’s rotation on its chimney instability has remained unexplored. This study addresses this gap by providing both numerical and approximate solutions to the theoretical models. We identify two distinct regimes where either gravitational force or centrifugal force is the primary driver of chimney instability. These regimes are characterised by a non-dimensional rotation number, Ro, which represents the ratio between centrifugal force and gravitational force. Our findings reveal clear scaling laws that relate the critical geometrical parameters (radius, volume and height of the drop) for chimney instability to Ro, demonstrating that rotation can induce chimney instability in smaller drops. The scaling laws are elucidated through pressure perturbation analyses under a virtual perturbation to the drop profile at the critical state for chimney instability. Additionally, by varying the evaporation number $Ev$, we demonstrate that while increased superheat reduces the critical radius in the absence of rotation, the scaling laws related to Ro for a rotating drop remain unaffected. Building on these insights, we present a master curve in a simplified form that accurately predicts the critical state for chimney instability under various angular velocities, gravitational accelerations and superheat conditions.
The Kahramanmaras Earthquakes (2023) are the largest and most devastating earthquakes in the history of the Republic. The effects of these earthquakes are particularly deeply felt among younger generations and trigger various psychological factors. Therefore, the aim of this study is to measure the levels of post-traumatic stress disorder (PTSD), social phobia (SP), generalized anxiety disorder (GAD), and depression on separation anxiety disorder (SAD) among adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023).
Methods
In the study, the data were obtained using a survey method. A total of 605 adolescent earthquake survivors exposed to the Kahramanmaras earthquakes were reached. The research was analyzed using structural equation modeling (SEM).
Results
Surprisingly, according to the research findings, there was no significant and positive relationship between SP (β = −0.006, P > 0.05) and Depression (β = −0.117, P > 0.05) on SAD.
Conclusions
Consequently, while PTSD and GAD had significant and positive effects on SAD in those adolescent earthquake survivors affected by the Kahramanmaras Earthquakes (2023), SP and Depression did not have significant and positive effects on SAD. Therefore, it is recommended that future studies examine the effects of SP and Depression on SAD more comprehensively and in detail through qualitative research.