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Gyrokinetic simulations of drift waves in low-magnetic-shear stellarators reveal that simulation domains comprised of multiple turns can be required to properly resolve critical mode structures important in saturation dynamics. Marginally stable eigenmodes important in saturation of ion temperature gradient modes and trapped electron modes in the Helically Symmetric Experiment (HSX) stellarator are observed to have two scales, with the envelope scale determined by the properties of the local magnetic shear and an inner scale determined by the interplay between the local shear and magnetic field-line curvature. Properly resolving these modes removes spurious growth rates that arise for extended modes in zero-magnetic-shear approximations, enabling use of a zero-magnetic-shear technique with smaller simulation domains and attendant cost savings. Analysis of subdominant modes in trapped electron mode (TEM)-driven turbulence reveals that the extended marginally stable modes play an important role in the nonlinear dynamics, and suggests that the properties induced by low magnetic shear may be exploited to provide another route for turbulence saturation.
Phenotypical Down syndrome includes pharyngeal and maxillary hypoplasia and, frequently, constricted maxillary arch with nasal obstruction.
This clinical trial assessed the effects of rapid maxillary expansion on ENT disorders in 24 children with Down syndrome randomly allocated to receive either rapid maxillary expansion or not. Each group received ENT and speech therapy assessments before expansion and after the device had been removed.
In the rapid maxillary expansion group, the yearly ENT infection rate was reduced when assessed after device removal (p < 0.01). The parents of rapid maxillary expansion children reported a reduction in respiratory obstruction symptoms. Audiological assessment revealed improvements in the rapid maxillary expansion group (p < 0.01). Cephalometry showed increased maxillary width in the rapid maxillary expansion group.
Rapid maxillary expansion resulted in a reduction in hearing loss, yearly rate of ENT infections and parentally assessed symptoms of upper airway obstruction, compared with no treatment. These findings are probably related to expanded oronasal space, due to rapid maxillary expansion.
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