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The high-Reynolds-number axisymmetric wake of a slender body with a turbulent boundary layer is investigated using a hybrid simulation. The wake generator is a $6:1$ prolate spheroid and the Reynolds number based on the diameter $D$ is $Re=10^5$. The transition of the wake to a state of complete self-similarity is investigated by looking for the first time into the far field of a slender-body wake. Unlike bluff-body wakes, here the flow is not dominated by vortex shedding in the near wake. Instead, the recirculation region is very small, the near wake is quasi-parallel and is characterised by the presence of broadband turbulence. Until $x/D\approx 20$, the wake decay of a slender body with turbulent boundary layer is very similar to the classic high-$Re$ behaviour, $U_d\sim x^{-2/3}$. Extrapolation of this observation to larger $x/D$ has led to the belief that these wakes decay following the asymptotic $-2/3$ decay law. Our results show, however, that this is not the case and the wake transitions to a faster decay rate once complete self-similarity is achieved. In this later region ($20 < x/D < 80$), mean and turbulence profiles are self-similar. Furthermore, despite the high global and local Reynolds numbers, the classic hypotheses that lead to the well-known decay exponents are not fulfilled. Instead, turbulent dissipation follows a non-equilibrium scaling and a new decay rate $U_d\sim x^{-6/5}$ is observed. The transition from $U_d\sim x^{-2/3}$ to $U_d\sim x^{-6/5}$ is preceded by the dominance of the azimuthal $|m|=1$ mode and the emergence of a large-scale helical structure.
The coronavirus disease 2019 pandemic has posed a new challenge for medical educators worldwide. While teaching and learning shifted online, assessment posed a roadblock. A pilot study was performed to check the feasibility and acceptability of online open-book examination.
Methods
A pilot study was carried out on sixth semester (fourth year) students. An online open-book examination was conducted on an ENT topic, and feedback was obtained using a pre-validated questionnaire. Two teachers scored and collated the answers, and the marks were averaged for each candidate.
Results
Ninety-eight students appeared for the examination: 21.4 per cent failed and 78.6 per cent passed. Eight students scored above 75 per cent correct. Only 55 students volunteered to give feedback; most agreed that the best advantage of this assessment was that it was stress-free. The disadvantage most complained of was network connectivity issues.
Conclusion
Online open-book examination has the potential to be the new normal in the present circumstances and beyond.
Ekman layers over a rough surface are studied using direct numerical simulation. The roughness takes the form of periodic two-dimensional bumps whose non-dimensional amplitude is fixed at a small value ($h^+=15$) and whose mean slope is gentle. The neutral Ekman layer is subjected to a stabilizing cooling flux for approximately one inertial period ($2{\rm \pi} /f$) to impose the stratification. The Ekman boundary layer is in a transitionally rough regime and, without stratification, the effect of roughness is found to be mild in contrast to the stratified case. Roughness, whose effect increases with the slope of the bumps, changes the boundary layer qualitatively from the very stable (Mahrt, Theor. Comput. Fluid Dyn., vol. 11, issue 3–4, 1998, pp. 263–279) regime, which has a strong thermal inversion and a pronounced low-level jet, in the flat case to the stable regime, which has a weaker thermal inversion and stronger surface-layer turbulence, in the rough cases. The flat case exhibits initial collapse of turbulence which eventually recovers, albeit with inertial oscillations in turbulent kinetic energy. The roughness elements interrupt the initial collapse of turbulence. In the quasi-steady state, the thickness of the turbulent stress profiles and of the near-surface region with subcritical gradient Richardson number increase in the rough cases. Analysis of the turbulent kinetic energy (TKE) budget shows that, in the surface layer, roughness counteracts the stability-induced reduction of TKE production. The flow component, coherent with the surface undulations, is extracted by a triple decomposition, and leads to a dispersive component of near-surface turbulent fluxes. The significance of the dispersive component increases in the stratified cases.
The purpose of this paper is to disclose improved crystal based frequency source system covering design techniques and experimental methodologies for the stabilization of phase noise performance of X-band phase-locked loop (PLL) at 10.6 GHz. Phase noise performance of PLL-based unit under test (UUT) is prone to disturbance occurred in random vibration profile frequency spectrum. UUT self-resonance plays vital role in occurrence of disturbance in random vibration profile. The stabilization of phase noise performance during dynamic (random) vibration condition is achieved by following methodologies, i.e. vibration-isolator compensation techniques, purification tactic for reference crystal of PLL, and spatial location analysis for finding out mounting position of reference crystal. Spatial analysis helps to filter out UUT self-resonance frequency from random vibration spectrum which leads to reduction of frequency resonance pickups during random vibration testing.
The coronavirus disease 2019 pandemic has resulted in various changes in knowledge, attitude and practice among doctors. A survey was conducted of otolaryngologists in India regarding these aspects in relation to the coronavirus disease 2019 pandemic.
Method
Otolaryngologists from West Bengal (India) were invited to participate in an online self-administered survey. Data were collected and analysed using appropriate methods.
Results
Responses from 133 participants, grouped into 4 groups by their career stage, were collected and analysed. Of the participants, 36.8 per cent were directly involved in treating a known or suspected coronavirus disease 2019 patient, although 66.2 per cent considered the personal protective equipment inadequate. Ninety-four per cent indicated that their willingness to perform procedures depended on personal protective equipment availability. Of the respondents, 83.5 per cent revealed additional mental stress due to the pandemic. Of the participants, 41.4 per cent took hydroxychloroquine as coronavirus disease 2019 prophylaxis.
Conclusion
This study provides an insight into which issues may need attention, to help ENT surgeons tackle the coronavirus disease 2019 pandemic more effectively based on analysis of responses in the survey.
Utilization of low-input feed resources rich in plant bioactive compounds is a promising strategy for modulating the fatty acid profile in ruminant products. They manipulate microbes involved in rumen biohydrogenation and increase the accumulation of desirable fatty acids at the tissue level. Therefore, the present study was undertaken to assess the effect of dietary supplementation of aniseed straw and eucalyptus leaves on growth performance, carcass traits and fatty acid profile of finisher lambs. Thirty-six Malpura hogget were divided into three treatment groups of 12 each, reared individually in pen (1.6 m × 1.1 m) and fed ad libitum complete feed blocks made up of 55 parts concentrate, 5 parts molasses and 40 parts roughage. Roughage in control (Con) was 20 parts each of ardu (Ailanthus excelsa) leaves and oat (Avena sativa) straw. In test diets, that is, Con-as and Con-el, 10% aniseed (Pimpinella anisum) straw and Eucalyptus rudis leaves, respectively, were added by replacing 5% each of oat straw and eucalyptus leaves. The lambs were weighed weekly; and at the end of 3 months of feeding trial, the lambs were slaughtered to study the carcass traits, composition and product evaluation. Average daily gain (ADG) and DM intake (DMI) was higher (P < 0.05) in Con-as compared to Con and Con-el, while ADG and feed conversion ratio decreased (P < 0.05) by 29.4% and 36.4%, respectively, in Con-el compared to Con. Carcass traits showed lower (P < 0.05) loin eye area and chilling loss in the Con-el group compared to the Con-as and Con, and the total carcass fat compared to Con-as. However, the keeping quality of meat improved in both Con-as and Con-el which was reflected by lower (P < 0.05) thiobarbituric acid-reactive substances values. Nuggets prepared from Con and Con-as meat had superior (P < 0.05) sensory attributes with an overall palatability. Fatty acid profile of longissimus thoracis muscle showed lower (P < 0.05) atherogenic and thrombogenic indices in Con-as and higher (P < 0.05) in Con-el group. Moreover, in Con-as group, the proportion of C16:0 was lower (P < 0.05) and C18:3n-3 was higher (P < 0.05), but no effect was observed on the amount of conjugated linoleic acid (CLA; C18:2 c9t11). In case of adipose tissue, the content of CLA was higher (P < 0.05), and the ratio of n-6:n-3 was more nearer to desirable levels in Con-as group. Therefore, it can be concluded that aniseed straw is a promising feed supplement compared to eucalyptus leaves for improving meat quality and fatty acid profile in lambs.
The combination of clozapine and other potentially leukopenic drugs may pose a greater risk for neutropenia. However, neutropenia may not always be due to clozapine. When adding potentially leukopenic drugs, clinicians should look for possible alternatives especially as clozapine is often a drug used as the last resort in treatment refractory schizophrenia.
Antisocial personality disorder (ASPD) and psychopathy involve significant interpersonal and behavioural impairments. However, little is known about white matter (WM) abnormalities in tracts linking grey matter regions. A previous diffusion tensor imaging (DT-MRI) tractography study in ASPD and psychopathy revealed abnormalities in the right uncinate fasciculus, indicating fronto-limbic disconnectivity.
Objectives
It is not clear whether WM abnormalities are restricted to only this tract or are more widespread. Therefore, we planned to use whole brain DT-MRI voxel-based analyses.
Aims
To clarify if WM abnormalities extend beyond the frontal lobe.
Methods
We used whole brain DT-MRI to compare WM fractional anisotropy (FA) of 15 adults with ASPD and healthy age, handedness and IQ-matched controls. Also, within ASPD subjects, we related differences in FA to severity of psychopathy measures.
Results
Significant WM FA reductions were found in ASPD subjects relative to controls. These were found bilaterally in the anterior corpus callosum. Right hemisphere FA reduction was found in the anterior corona radiata, uncinate fasciculus, inferior fronto-occipital fasciculus and internal capsule. Left hemisphere, FA deficits encompassed the inferior longitudinal fasciculus, inferior fronto-occipital fasciculus and internal capsule. There was a significant negative correlation between WM FA in the right uncinate fasciculus and corpus callosum and measures of psychopathy.
Conclusions
We report FA reduction in the uncinate fasciculus and anterior corpus callosum which may be associated with frontal and inter-hemispheric disconnectivity in ASPD, in addition to abnormalities in other tracts which directly or indirectly connect to prefrontal regions.
Liaison Psychiatry is primarily concerned with the detection and treatment of psychiatric disorders within the general hospitals. 1A study2 also highlighted the presence of only 45.5 core trainee posts in this speciality nationally.
Aims & objective
To survey the liaison psychiatry service recently set up as a service provision at a psychiatry unit in North Derbyshire.
Methods
We retrospectively reviewed all case notes of patients who had been assessed from January 2007 to June 2009 by the consultation-liaison service.
Results
A total of 136 patients had been assessed since this service began in September 2007. Majority of the patients (72%) were between the ages of 31 to 65 years, while the gender was equally distributed. 51% were referred from the medical ward and most of them had been referred by core trainee. 95% of the referral was during working hours and 74% of the patients were assessed within 24 hours. Their diagnosis was variable, for e.g. 29% had depression, 19% had substance misuse problems, 8% had psychosis etc. 66% of patients were managed by medication advice, psycho-education and referral to CMHT/GP.
Conclusions
Liaison psychiatry was established for service provision, but it is apparent that it fulfilled both clinical and educational needs, despite the challenges. Adequate experience can be gained with a well supervised service. The overall educational value of designing and implementing a new service as a trainee cannot be overstated; it is something which is difficult to learn in classrooms.
Ethics are important in psychiatry since psychiatrydeals mainly with human conduct and behaviour. Ethics are principles, notlaws but standards of conduct, which define the essentials of honourablebehaviour for the physician. Indian Psychiatric Society approved ethical guideline in 1989Cuttack conference.
Hypothesis-
Ethical issues depend on the following theories –
Utilitarian Theory– A fundamental obligation in making decision and is to try to producethe greatest possible happiness for the greatest benefit.
Parentalism-A person performing actions for another benefit without the person's consent.
Autonomy Theory –It is based on writing of Imanuel Kant. Relationship between a physician and anadult patient is conceived as relationship between two responsible persons.
Observation –
Some common causes of malpractice in psychiatry seen in India arei) Negligence in diagnosis ii) Overlooking basic human rights iii) Consent nottaken from patient iv) Risk of suicide v) Experimentation by doctor vi)Negligence in physical methods of treatment vii) Seaxual relation with clientand Exploitation.
Conclusion –
Now a days following forces are to be considered as new ethical challenges a)Rapidly increasing cost of mental health care b) Influence of new technologies likeMRI, CT SCAN Brain c) Societal reengineering for better mental health d)Increasing pressure by patient party e) Current market forces are demandinghigh quality health care.
Discussion–
Apracticing psychiatrist has to take more responsibility in management of mentaldisorders. One has to take it as normal inevitable professionalhazards.
To investigate demographic, clinical and neuropsychological aspects of self-harm in schizophrenia and identify which are independently predictive of and therefore the most relevant to clinical intervention.
Subjects and methods:
Eighty-seven patients with schizophrenia were interviewed regarding substance misuse, depression, hopelessness, negative/positive symptoms and illness insight. Neuropsychological assessment included premorbid IQ, continuous performance test, cognitive-motor and trait impulsivity. A prospective three-month review of medical records was also undertaken.
Results:
Fifty-nine patients (68%) reported past self-harm (including attempted suicide). Those with past self-harm, compared to those without, were significantly more likely to report depression, hopelessness, impulsivity, a family history of self-harm, polysubstance abuse and had higher premorbid IQ. Logistic regression revealed that depression, higher premorbid IQ and polysubstance abuse were independently linked to self-harm. Five participants attempted self-harm during the 3-month prospective follow-up period. These all had a history of past self-harm and were significantly more likely to have been depressed at the initial interview than those who did not go on to self-harm.
Discussion and conclusions:
Independent predictors of self-harm in schizophrenia are premorbid IQ and polysubstance abuse. In addition, depression was both independently associated with past self-harm and predictive of self-harm in the follow-up period.
The theoretical investigation of shocks and solitary structures in a dense quantum plasma containing electrons at finite temperature, nondegenerate cold electrons, and stationary ions has been carried out. A linear dispersion relation is derived for the corresponding electron acoustic waves. The solitary structures of small nonlinearity have been studied by using the standard reductive perturbation method. We have considered collisions to be absent, and the shocks arise out of viscous force. Furthermore, with the help of a standard reductive perturbation technique, a KdV–Burger equation has been derived and analyzed numerically. Under limiting cases, we have also obtained the KdV solitary profiles and studied the parametric dependence. The results are important in explaining the many phenomena of the laser–plasma interaction of dense plasma showing quantum effects.
Background: Microglia and macrophages (MMs) are the largest component of the inflammatory infiltrate in glioblastoma (GBM). However, whether there are immunophenotypic differences in isocitrate dehydrogenase (IDH)-mutated and -wildtype GBMs is unknown. Studies on specimens of untreated IDH-mutant GBMs are rare given they comprise 10% of all GBMs and often receive treatment at lower grades that can drastically alter MM phenotypes. Methods: We obtained large samples of untreated IDH-mutant and -wildtype GBMs. Using immunofluorescence techniques with single-cell automated segmentation, and comparison between single-cell RNA-sequencing (scRNA-seq) databases of human GBM, we discerned dissimilarities between GBM-associated MMs (GAMMs). Results: There are significantly fewer but more pro-inflammatory GAMMs in IDH-mutant GBMs, suggesting this contributes to the better prognosis of these tumors. Our pro-inflammatory score which combines the expression of inflammatory markers (CD68/HLA-A, -B, -C/TNF/CD163/IL10/TGFB2), Iba1 intensity, and GAMM surface area also indicates more pro-inflammatory GAMMs are associated with longer overall survival independent of IDH status. scRNA-seq analysis demonstrates microglia in IDH-mutants are mainly pro-inflammatory, while anti-inflammatory macrophages that upregulate genes such as FCER1G and TYROBP predominate in IDH-wildtype GBM. Conclusions: Taken together, these observations are the first head-to-head comparison of GAMMs in treatment-naïve IDH-mutant versus -wildtype GBMs that highlight biological disparities that can be exploited for therapeutic purposes.
This paper describes a model of electron energization and cyclotron-maser emission applicable to astrophysical magnetized collisionless shocks. It is motivated by the work of Begelman, Ergun and Rees [Astrophys. J. 625, 51 (2005)] who argued that the cyclotron-maser instability occurs in localized magnetized collisionless shocks such as those expected in blazar jets. We report on recent research carried out to investigate electron acceleration at collisionless shocks and maser radiation associated with the accelerated electrons. We describe how electrons accelerated by lower-hybrid waves at collisionless shocks generate cyclotron-maser radiation when the accelerated electrons move into regions of stronger magnetic fields. The electrons are accelerated along the magnetic field and magnetically compressed leading to the formation of an electron velocity distribution having a horseshoe shape due to conservation of the electron magnetic moment. Under certain conditions the horseshoe electron velocity distribution function is unstable to the cyclotron-maser instability [Bingham and Cairns, Phys. Plasmas 7, 3089 (2000); Melrose, Rev. Mod. Plasma Phys. 1, 5 (2017)].
Background: CNS innate immune cells, microglia and macrophages (MMs), are the largest component of the inflammatory infiltrate in glioblastoma (GBM). They initially participate in tumor surveillance, but are co-opted by GBM to further angiogenesis and invasion. There are no effective immunotherapies against GBM in part because GBM-associated MMs are not well understood. We hypothesized that the extent and inflammatory phenotype of MM infiltration into GBM is variable between patients. This variability could have important implications on immunotherapy selection and treatment outcomes. Methods: Using automated quantitation of fluorescently labeled human GBMs, flow cytometry/live cell sorting, collection of conditioned GBM-associated MM media, and corroboration with TCGA and previously published scRNA-seq data, we have uncovered there is surprisingly marked variation in the amount of MM infiltration between tumors. Results: MM infiltration can range from almost non-existent, to comprising ~70% of GBM cells. By detecting cell surface markers and secreted cytokines, we determined that a mixture of pro- and anti-inflammatory MMs are found in each tumor. The overall inflammatory phenotype did not depend on the amount of infiltration. Interestingly, IDH-mutant GBM-associated MMs are more pro-inflammatory and less heterogeneous than IDH-wildtype GBMs. Conclusions: Taken together, the highly variable immunologic status of GBMs suggests the success of immunotherapies hinges on selecting appropriately vulnerable tumors.
Rice has the lowest grain protein content (GPC) among cereals. Efforts have been made to improve GPC through the modified bulk-pedigree method of selection. A total of 1780 F8 recombinant lines were derived in the year 2013 from five different cross combinations involving two high-GPC landraces, namely ARC10075 and ARC10063, three high-yielding parents, namely Swarna, Naveen and IR64, and one parent, namely Sharbati, known for superior grain quality with high micronutrient content. Near-infrared spectroscopy was used to facilitate high-throughput selection for GPC. Significant selection differential, response to selection and non-significant differences between the predicted and observed response to selection for GPC and protein yield indicated the effectiveness of this selection process. This resulted in lines with high GPC, protein yield and desirable levels of amylose content. Further, based on high mean and stability for GPC and protein yield over the environments in the wet seasons of 2013, 2014 and the dry season of 2014, 12 elite lines were identified. Higher accumulation of glutelin fraction and non-significant change in prolamin/glutelin ratio in the grain suggested safe guarding of the nutritional value of rice grain protein of most of these identified lines. Since rice is the staple food of millions, the output of breeding for high GPC could have a significant role in alleviating protein malnutrition, especially in the developing world.
Stratified flow in nocturnal boundary layers is studied using direct numerical simulation (DNS) of the Ekman layer, a model problem that is useful to understand atmospheric boundary-layer (ABL) turbulence. A stabilizing buoyancy flux is applied for a finite time to a neutral Ekman layer. Based on previous studies and the simulations conducted here, the choice of $L_{\mathit{cri}}^{+}=Lu_{\ast }/\unicode[STIX]{x1D708}\approx 700$ ($L$ is the Obukhov length scale and $u_{\ast }$ is the friction velocity) provides a cooling flux that is sufficiently strong to cause the initial collapse of turbulence. The turbulent kinetic energy decays over a time scale of $4.06L/u_{\ast }$ during the collapse. The simulations suggest that imposing $L_{\mathit{cri}}^{+}\approx 700$ on the neutral Ekman layer results in turbulence collapse during the initial transient, independent of Reynolds number, $Re_{\ast }$. However, the long-time state of the flow, i.e. turbulent with spatial intermittency or non-turbulent, is found to depend on the initial value of $Re_{\ast }$ since the cooling flux and resultant stratification increase with $Re_{\ast }$ for a given $L^{+}$. The lower-$Re_{\ast }$ cases have sustained turbulence with shear and stratification profiles that evolve in a manner such that the gradient Richardson number, $Ri_{g}$, in the near-surface layer, including the low-level jet, remains subcritical. The highest $Re_{\ast }$ case has supercritical $Ri_{g}$ in the low-level jet and turbulence does not recover. A theoretical discussion is performed to infer that the bulk Richardson number, $Ri_{b}$, is more suitable than $L^{+}$ to determine the fate of stratified Ekman layers at late time. DNS results support the implications of $Ri_{b}$ for the effect of initial $Re_{\ast }$ and $L^{+}$ on the flow.