While structures and bifurcations controlling tracer particle transport and mixing have been studied extensively for systems with only stretching-and-folding, and to a lesser extent for systems with only cutting-and-shuffling, few studies have considered systems with a combination of both. We demonstrate two bifurcations for nonmixing islands associated with elliptic periodic points that only occur in systems with combined cutting-and-shuffling and stretching-and-folding, using as an example a map approximating biaxial rotation of a less-than-half-full spherical granular tumbler. First, we characterize a bifurcation of elliptic island containment, from containment by manifolds associated with hyperbolic periodic points to containment by cutting line tangency. As a result, the maximum size of the nonmixing region occurs when the island is at the bifurcation point. We also demonstrate a bifurcation where periodic points are annihilated by the cutting-and-shuffling action. Chains of elliptic and hyperbolic periodic points that arise when invariant tori surrounding an elliptic point break up [according to Kolmogorov-Arnold-Moser (KAM) theory] can annihilate when they meet a cutting line. Consequently, the Poincaré index (a topological invariant of smooth systems) is not preserved.
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http://dx.doi.org/10.1103/PhysRevE.96.042213 | DOI Listing |
PLoS Med
January 2025
National Child Mortality Database, Bristol Medical School, St Michael's Hospital, University of Bristol, Bristol, United Kingdom.
Background: During the COVID-19 pandemic children and young people (CYP) mortality in England reduced to the lowest on record, but it is unclear if the mechanisms which facilitated a reduction in mortality had a longer lasting impact, and what impact the pandemic, and its social restrictions, have had on deaths with longer latencies (e.g., malignancies).
View Article and Find Full Text PDFJ Am Med Inform Assoc
January 2025
South London and Maudsley NHS Foundation Trust, London SE5 8AZ, United Kingdom.
Objective: A proof-of-concept study aimed at designing and implementing Visual & Interactive Engagement With Electronic Records (VIEWER), a versatile toolkit for visual analytics of clinical data, and systematically evaluating its effectiveness across various clinical applications while gathering feedback for iterative improvements.
Materials And Methods: VIEWER is an open-source and extensible toolkit that employs natural language processing and interactive visualization techniques to facilitate the rapid design, development, and deployment of clinical information retrieval, analysis, and visualization at the point of care. Through an iterative and collaborative participatory design approach, VIEWER was designed and implemented in one of the United Kingdom's largest National Health Services mental health Trusts, where its clinical utility and effectiveness were assessed using both quantitative and qualitative methods.
Musculoskelet Surg
January 2025
Bone and Joint Health, Blizard Institute, Queen Mary University London, 4 Newark Street, London, E1 2AT, UK.
Post-surgical rehabilitation advice after ankle fracture surgery, particularly regarding weight-bearing, varies significantly, leading to patient frustration and inconsistent recovery outcomes. This study aimed to establish a consensus for ankle fracture rehabilitation advice and identify content and implementation options for future interventions through consultation with healthcare professionals (HCPs). This study was part of the weight-bearing in ankle fractures (WAX) trial, a multicentre, randomised controlled trial.
View Article and Find Full Text PDFJ Perianesth Nurs
January 2025
Orlando Health Strategic Innovations, Orlando Health, Corp, Orlando, FL.
Purpose: Nurses at the study hospitals had implemented aromatherapy as an evidence-based intervention to alleviate nausea, pain, and anxiety in patients in the perioperative setting. Initially, they were approved to administer aromatherapy using large, multidose bottles with gauze as the method of delivery; however, nurses recognized that there were many disadvantages to using this method. This led to a nurse-driven initiative to create a new delivery method for aromatherapy with the aid of the Center for Innovation at the organization.
View Article and Find Full Text PDFMed Sci (Basel)
January 2025
Faculty of Medicine, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina.
Background: CPAP has been shown to be particularly beneficial in the management of acute cardiogenic pulmonary edema by reducing both preload and afterload, thus decreasing the work of breathing and improving oxygenation.
Methods: This study was a prospective observational study, conducted in the period from 2022 to 2024, assessing the effectiveness and safety of prehospital CPAP therapy use in patients with acute cardiogenic pulmonary edema, administered alongside standard care.
Results: In this study, 50 patients with acute cardiogenic pulmonary edema were treated by physician-led emergency teams in the Canton of Sarajevo.
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