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Elastoinertial turbulence (EIT) is a chaotic state that emerges in the flows of dilute polymer solutions. Direct numerical simulation (DNS) of EIT is highly computationally expensive due to the need to resolve the multiscale nature of the system. While DNS of two-dimensional (2-D) EIT typically requires $O(10^6)$ degrees of freedom, we demonstrate here that a data-driven modelling framework allows for the construction of an accurate model with 50 degrees of freedom. We achieve a low-dimensional representation of the full state by first applying a viscoelastic variant of proper orthogonal decomposition to DNS results, and then using an autoencoder. The dynamics of this low-dimensional representation is learned using the neural ordinary differential equation (NODE) method, which approximates the vector field for the reduced dynamics as a neural network. The resulting low-dimensional data-driven model effectively captures short-time dynamics over the span of one correlation time, as well as long-time dynamics, particularly the self-similar, nested travelling wave structure of 2-D EIT in the parameter range considered.
In acute ischemic stroke, a longer time from onset to endovascular treatment (EVT) is associated with worse clinical outcome. We investigated the association of clinical outcome with time from last known well to arrival at the EVT hospital and time from hospital arrival to arterial access for anterior circulation large vessel occlusion patients treated > 6 hours from last known well.
Methods:
Retrospective analysis of the prospective, multicenter cohort study ESCAPE-LATE. Patients presenting > 6 hours after last known well with anterior circulation large vessel occlusion undergoing EVT were included. The primary outcome was the modified Rankin Scale (mRS) score at 90 days. Secondary outcomes were good (mRS 0–2) and poor clinical outcomes (mRS 5–6) at 90 days, as well as the National Institutes of Health Stroke Scale at 24 hours. Associations of time intervals with outcomes were assessed with univariable and multivariable logistic regression.
Results:
Two hundred patients were included in the analysis, of whom 85 (43%) were female. 90-day mRS was available for 141 patients. Of the 150 patients, 135 (90%) had moderate-to-good collaterals, and the median Alberta Stroke Program Early CT Score (ASPECTS) was 8 (IQR = 7–10). No association between ordinal mRS and time from last known well to arrival at the EVT hospital (odds ratio [OR] = 1.01, 95% CI = 1.00–1.02) or time from hospital arrival to arterial access (OR = -0.01, 95% CI = -0.02–0.00) was seen in adjusted regression models.
Conclusion:
No relationship was observed between pre-hospital or in-hospital workflow times and clinical outcomes. Baseline ASPECTS and collateral status were favorable in the majority of patients, suggesting that physicians may have chosen to predominantly treat slow progressors in the late time window, in whom prolonged workflow times have less impact on outcomes.
Elastoinertial turbulence (EIT) is a chaotic flow resulting from the interplay between inertia and viscoelasticity in wall-bounded shear flows. Understanding EIT is important because it is thought to set a limit on the effectiveness of turbulent drag reduction in polymer solutions. Here, we analyse simulations of two-dimensional EIT in channel flow using spectral proper orthogonal decomposition (SPOD), discovering a family of travelling wave structures that capture the sheetlike stress fluctuations that characterise EIT. The frequency-dependence of the leading SPOD mode contains distinct peaks and the mode structures corresponding to these peaks exhibit well-defined travelling structures. The structure of the dominant travelling mode exhibits shift–reflect symmetry similar to the viscoelasticity-modified Tollmien–Schlichting (TS) wave, where the velocity fluctuation in the travelling mode is characterised by large-scale regular structures spanning the channel and the polymer stress field is characterised by thin, inclined sheets of high polymer stress localised at the critical layers near the channel walls. The travelling structures corresponding to the higher-frequency modes have a very similar structure, but are nested in a region roughly bounded by the critical layer positions of the next-lower-frequency mode. A simple theory based on the idea that the critical layers of mode $\kappa$ form the ‘walls’ for the structure of mode $\kappa +1$ yields quantitative agreement with the observed wave speeds and critical layer positions, indicating self-similarity between the structures. The physical idea behind this theory is that the sheetlike localised stress fluctuations in the critical layer prevent velocity fluctuations from penetrating them.
The accurate simulation of complex dynamics in fluid flows demands a substantial number of degrees of freedom, i.e. a high-dimensional state space. Nevertheless, the swift attenuation of small-scale perturbations due to viscous diffusion permits in principle the representation of these flows using a significantly reduced dimensionality. Over time, the dynamics of such flows evolves towards a finite-dimensional invariant manifold. Using only data from direct numerical simulations, in the present work we identify the manifold and determine evolution equations for the dynamics on it. We use an advanced autoencoder framework to automatically estimate the intrinsic dimension of the manifold and provide an orthogonal coordinate system. Then, we learn the dynamics by determining an equation on the manifold by using both a function-space approach (approximating the Koopman operator) and a state-space approach (approximating the vector field on the manifold). We apply this method to exact coherent states for Kolmogorov flow and minimal flow unit pipe flow. Fully resolved simulations for these cases require $O(10^3)$ and $O(10^5)$ degrees of freedom, respectively, and we build models with two or three degrees of freedom that faithfully capture the dynamics of these flows. For these examples, both the state-space and function-space time evaluations provide highly accurate predictions of the long-time dynamics in manifold coordinates.
To assess cost-effectiveness of late time-window endovascular treatment (EVT) in a clinical trial setting and a “real-world” setting.
Methods:
Data are from the randomized ESCAPE trial and a prospective cohort study (ESCAPE-LATE). Anterior circulation large vessel occlusion patients presenting > 6 hours from last-known-well were included, whereby collateral status was an inclusion criterion for ESCAPE but not ESCAPE-LATE. A Markov state transition model was built to estimate lifetime costs and quality-adjusted life-years (QALYs) for EVT in addition to best medical care vs. best medical care only in a clinical trial setting (comparing ESCAPE-EVT to ESCAPE control arm patients) and a “real-world” setting (comparing ESCAPE-LATE to ESCAPE control arm patients). We performed an unadjusted analysis, using 90-day modified Rankin Scale(mRS) scores as model input and analysis adjusted for baseline factors. Acceptability of EVT was calculated using upper/lower willingness-to-pay thresholds of 100,000 USD/50,000 USD/QALY.
Results:
Two-hundred and forty-nine patients were included (ESCAPE-LATE:n = 200, ESCAPE EVT-arm:n = 29, ESCAPE control-arm:n = 20). Late EVT in addition to best medical care was cost effective in the unadjusted analysis both in the clinical trial and real-world setting, with acceptability 96.6%–99.0%. After adjusting for differences in baseline variables between the groups, late EVT was marginally cost effective in the clinical trial setting (acceptability:49.9%–61.6%), but not the “real-world” setting (acceptability:32.9%–42.6%).
Conclusion:
EVT for LVO-patients presenting beyond 6 hours was cost effective in the clinical trial setting and “real-world” setting, although this was largely related to baseline patient differences favoring the “real-world” EVT group. After adjusting for these, EVT benefit was reduced in the trial setting, and absent in the real-world setting.
Because the Navier–Stokes equations are dissipative, the long-time dynamics of a flow in state space are expected to collapse onto a manifold whose dimension may be much lower than the dimension required for a resolved simulation. On this manifold, the state of the system can be exactly described in a coordinate system parameterising the manifold. Describing the system in this low-dimensional coordinate system allows for much faster simulations and analysis. We show, for turbulent Couette flow, that this description of the dynamics is possible using a data-driven manifold dynamics modelling method. This approach consists of an autoencoder to find a low-dimensional manifold coordinate system and a set of ordinary differential equations defined by a neural network. Specifically, we apply this method to minimal flow unit turbulent plane Couette flow at $Re=400$, where a fully resolved solutions requires ${O}(10^5)$ degrees of freedom. Using only data from this simulation we build models with fewer than $20$ degrees of freedom that quantitatively capture key characteristics of the flow, including the streak breakdown and regeneration cycle. At short times, the models track the true trajectory for multiple Lyapunov times and, at long times, the models capture the Reynolds stress and the energy balance. For comparison, we show that the models outperform POD-Galerkin models with $\sim$2000 degrees of freedom. Finally, we compute unstable periodic orbits from the models. Many of these closely resemble previously computed orbits for the full system; in addition, we find nine orbits that correspond to previously unknown solutions in the full system.
This study aims to extract and characterize structures in fully developed pipe flow at a friction Reynolds number of $\textit {Re}_\tau = 12\,400$. To do so, we employ data-driven wavelet decomposition (DDWD) (Floryan & Graham, Proc. Natl Acad. Sci. USA, vol. 118, 2021, e2021299118), a method that combines features of proper orthogonal decomposition and wavelet analysis in order to extract energetic and spatially localized structures from data. We apply DDWD to streamwise velocity signals measured separately via a thermal anemometer at 40 wall-normal positions. The resulting localized velocity structures, which we interpret as being reflective of underlying eddies, are self-similar across streamwise extents of 40 wall units to one pipe radius, and across wall-normal positions from $y^+=350$ to $y/R=1$. Notably, the structures are similar in shape to Meyer wavelets. Projections of the data onto the DDWD wavelet subspaces are found to be self-similar as well, but in Fourier space; the bounds of self-similarity are the same as before, except streamwise self-similarity starts at a larger length scale of $450$ wall units. The evidence of self-similarity provided in this study lends further support to Townsend's attached eddy hypothesis, although we note that the self-similar structures are detected beyond the log layer and extend to large length scales.
Chronic muscle diseases (MD) are progressive and cause wasting and weakness in muscles and are associated with reduced quality of life (QoL). The ACTMuS trial examined whether Acceptance and Commitment Therapy (ACT) as an adjunct to usual care improved QoL for such patients as compared to usual care alone.
Methods
This two-arm, randomised, multicentre, parallel design recruited 155 patients with MD (Hospital and Depression Scale ⩾ 8 for depression or ⩾ 8 for anxiety and Montreal Cognitive Assessment ⩾ 21/30). Participants were randomised, using random block sizes, to one of two groups: standard medical care (SMC) (n = 78) or to ACT in addition to SMC (n = 77), and were followed up to 9 weeks. The primary outcome was QoL, assessed by the Individualised Neuromuscular Quality of Life Questionnaire (INQoL), the average of five subscales, at 9-weeks. Trial registration was NCT02810028.
Results
138 people (89.0%) were followed up at 9-weeks. At all three time points, the adjusted group difference favoured the intervention group and was significant with moderate to large effect sizes. Secondary outcomes (mood, functional impairment, aspects of psychological flexibility) also showed significant differences between groups at week 9.
Conclusions
ACT in addition to usual care was effective in improving QoL and other psychological and social outcomes in patients with MD. A 6 month follow up will determine the extent to which gains are maintained.
Direct simulations of two-dimensional plane channel flow of a viscoelastic fluid at Reynolds number $Re=3000$ reveal the existence of a family of attractors whose structure closely resembles the linear Tollmien–Schlichting (TS) mode, and in particular exhibits strongly localized stress fluctuations at the critical layer position of the TS mode. At the parameter values chosen, this solution branch is not connected to the nonlinear TS solution branch found for Newtonian flow, and thus represents a solution family that is nonlinearly self-sustained by viscoelasticity. The ratio between stress and velocity fluctuations is in quantitative agreement for the attractor and the linear TS mode, and increases strongly with Weissenberg number, $\mathit{Wi}$. For the latter, there is a transition in the scaling of this ratio as $\mathit{Wi}$ increases, and the $\mathit{Wi}$ at which the nonlinear solution family comes into existence is just above this transition. Finally, evidence indicates that this branch is connected through an unstable solution branch to two-dimensional elastoinertial turbulence (EIT). These results suggest that, in the parameter range considered here, the bypass transition leading to EIT is mediated by nonlinear amplification and self-sustenance of perturbations that excite the TS mode.
The science of studying diamond inclusions for understanding Earth history has developed significantly over the past decades, with new instrumentation and techniques applied to diamond sample archives revealing the stories contained within diamond inclusions. This chapter reviews what diamonds can tell us about the deep carbon cycle over the course of Earth’s history. It reviews how the geochemistry of diamonds and their inclusions inform us about the deep carbon cycle, the origin of the diamonds in Earth’s mantle, and the evolution of diamonds through time.