Complex coupling between surface charge and thermo-osmotic phenomena.

Thermo-osmotic flows, generated at liquid-solid interfaces by thermal gradients, can be used to produce electric currents from waste heat on charged surfaces. The two key parameters controlling the thermo-osmotic current are the surface charge and the interfacial enthalpy excess due to liquid-solid interactions. While it has been shown that the contribution from water to the enthalpy excess can be crucial, how this contribution is affected by surface charge remained to be understood. Here, we start by discussing how thermo-osmotic flows and induced electric currents are related to the interfacial enthalpy excess. We then use molecular dynamics simulations to investigate the impact of surface charge on the interfacial enthalpy excess, for different distributions of the surface charge, and two different wetting conditions. We observe that surface charge has a strong impact on enthalpy excess, and that the dependence of enthalpy excess on surface charge depends largely on its spatial distribution. In contrast, wetting has a very small impact on the charge-enthalpy coupling. We rationalize the results with simple analytical models, and explore their consequences for thermo-osmotic phenomena. Overall, this work provides guidelines to search for systems providing optimal waste heat recovery performance.

Front propagation in ultrastable glasses is dynamically heterogeneous.

Upon heating, ultrastable glassy films transform into liquids via a propagating equilibration front, resembling the heterogeneous melting of crystals. A microscopic understanding of this robust phenomenology is, however, lacking because experimental resolution is limited. We simulate the heterogeneous transformation kinetics of ultrastable configurations prepared using the swap Monte Carlo algorithm, thus allowing a direct comparison with experiments. We resolve the liquid-glass interface both in space and in time as well as the underlying particle motion responsible for its propagation. We perform a detailed statistical analysis of the interface geometry and kinetics over a broad range of temperatures. We show that the dynamic heterogeneity of the bulk liquid is passed on to the front that propagates heterogeneously in space and intermittently in time. This observation allows us to relate the averaged front velocity to the equilibrium diffusion coefficient of the liquid. We suggest that an experimental characterization of the interface geometry during the heterogeneous devitrification of ultrastable glassy films could provide direct experimental access to the long-sought characteristic length scale of dynamic heterogeneity in bulk supercooled liquids.

Two-step devitrification of ultrastable glasses.

The discovery of ultrastable glasses raises novel challenges about glassy systems. Recent experiments studied the macroscopic devitrification of ultrastable glasses into liquids upon heating but lacked microscopic resolution. We use molecular dynamics simulations to analyze the kinetics of this transformation. In the most stable systems, devitrification occurs after a very large time, but the liquid emerges in two steps. At short times, we observe the rare nucleation and slow growth of isolated droplets containing a liquid maintained under pressure by the rigidity of the surrounding glass. At large times, pressure is released after the droplets coalesce into large domains, which accelerates devitrification. This two-step process produces pronounced deviations from the classical Avrami kinetics and explains the emergence of a giant lengthscale characterizing the devitrification of bulk ultrastable glasses. Our study elucidates the nonequilibrium kinetics of glasses following a large temperature jump, which differs from both equilibrium relaxation and aging dynamics, and will guide future experimental studies.

Case report: Myocarditis in congenital STAT1 gain-of function.

Autosomal dominant Signal transducer and activator of transcription 1 (STAT1) gain-of-function (GOF) mutations result in an inborn error of immunity characterized by chronic mucocutaneous candidiasis, recurrent viral and bacterial infections, and diverse autoimmune manifestations. Current treatment consists of chronic antifungal therapy, antibiotics for concomitant infections, and immunosuppressive therapy in case of autoimmune diseases. More recently, treatment with Janus kinases 1 and 2 (JAK1/2) inhibitors have shown promising yet variable results. We describe a STAT1 GOF patient with an incidental finding of elevated cardiac troponins, leading to a diagnosis of a longstanding, slowly progressive idiopathic myocarditis, attributed to STAT1 GOF. Treatment with a JAK-inhibitor (baricitinib) mitigated cardiac inflammation on MRI but was unable to alter fibrosis, possibly due to the diagnostic and therapeutic delay, which finally led to fatal arrhythmia. Our case illustrates that myocarditis could be part of the heterogeneous disease spectrum of STAT1 GOF. Given the insidious presentation in our case, a low threshold for cardiac evaluation in STAT1 GOF patients seems warranted.

Connection between water's dynamical and structural properties: Insights from ab initio simulations.

SignificanceFirst-principles calculations, which explicitly account for the electronic structure of matter, can shed light on the molecular structure and dynamics of water in its supercooled state. In this work, we use density functional theory, which relies on a functional to describe electronic exchange and correlations, to evaluate which functional best describes the temperature evolution of bulk water transport coefficients. We also assess the validity of the Stokes-Einstein relation for all the functionals in the temperature range studied, and explore the link between structure and dynamics. Based on these results, we show how transport coefficients can be computed from structural descriptors, which require shorter simulation times to converge, and we point toward strategies to develop better functionals.

Fast and versatile thermo-osmotic flows with a pinch of salt.

Thermo-osmotic flows - flows generated in micro and nanofluidic systems by thermal gradients - could provide an alternative approach to harvest waste heat. However, such use would require massive thermo-osmotic flows, which are up to now only predicted for special and expensive materials. Thus, there is an urgent need to design affordable nanofluidic systems displaying large thermo-osmotic coefficients. In this paper, we propose a general model for thermo-osmosis of aqueous electrolytes in charged nanofluidic channels, taking into account hydrodynamic slip, together with the different solvent and solute contributions to the thermo-osmotic response. We apply this model to a wide range of systems by studying the effects of wetting, salt type and concentration, and surface charge. We show that intense thermo-osmotic flows can be generated using slipping charged surfaces. We also predict for intermediate wettings a transition from a thermophobic to a thermophilic behavior depending on the surface charge and salt concentration. Overall, this theoretical framework opens an avenue for controlling and manipulating thermally induced flows with common charged surfaces and a pinch of salt.

Fast increase of nanofluidic slip in supercooled water: the key role of dynamics.

Nanofluidics is an emerging field offering innovative solutions for energy harvesting and desalination. The efficiency of these applications depends strongly on liquid-solid slip, arising from a favorable ratio between viscosity and interfacial friction. Using molecular dynamics simulations, we show that wall slip increases strongly when water is cooled below its melting point. For water on graphene, the slip length is multiplied by up to a factor of five and reaches 230 nm at the lowest simulated temperature, T ∼ 225 K; experiments in nanopores can reach much lower temperatures and could reveal even more drastic changes. The predicted fast increase in water slip can also be detected at supercoolings reached experimentally in bulk water, as well as in droplets flowing on anti-icing surfaces. We explain the anomalous slip behavior in the supercooled regime by a decoupling between viscosity and bulk density relaxation dynamics, and we rationalize the wall-type dependence of the enhancement in terms of interfacial density relaxation dynamics. While providing fundamental insights on the molecular mechanisms of hydrodynamic transport in both interfacial and bulk water in the supercooled regime, this study is relevant to the design of anti-icing surfaces, could help explain the subtle phase and dynamical behaviors of supercooled confined water, and paves the way to explore new behaviors in supercooled nanofluidic systems.

Shear force measurement of the hydrodynamic wall position in molecular dynamics.

Flows in nanofluidic systems are strongly affected by liquid-solid slip, which is quantified by the slip length and by the position where the slip boundary condition applies. Here, we show that the viscosity, slip length, and hydrodynamic wall position (HWP) can be accurately determined from a single molecular dynamics (MD) simulation of a Poiseuille flow, after identifying a relation between the HWP and the wall shear stress in that configuration. From this relation, we deduce that in gravity-driven flows, the HWP identifies with the Gibbs dividing plane of the liquid-vacuum density profile. Simulations of a generic Lennard-Jones liquid confined between parallel frozen walls show that the HWP for a pressure-driven flow is also close to the Gibbs dividing plane (measured at equilibrium), which therefore provides an inexpensive estimate of the HWP, going beyond the common practice of assuming a given position for the hydrodynamic wall. For instance, we show that the HWP depends on the wettability of the surface, an effect usually neglected in MD studies of liquid-solid slip. Overall, the method introduced in this article is simple, fast, and accurate and could be applied to a large variety of systems of interest for nanofluidic applications.

Cistectomía total: un mismo problema, distintas soluciones / No disponible

Dentro de los carcinomas del tracto urinario, los tumores de vejiga constituyen, junto con el de próstata, la causa principal de las derivacionesurinarias. Hablamos por lo tanto de un problema de salud más frecuente de lo que pensamos, cuya solución es quirúrgica:realización de una cistectomía total.Nuestro objetivo es conocer las distintas formas de realización y de elección de una cistectomía total, diferenciando entre los dos grandesgrupos principales: ureteroileostomía y neovejiga. Las diferencias entre un procedimiento u otro conllevarán unos cuidados enfermerosdistintos (AU)

Inside the urinary tract carcinomas, bladder tumors constitute together with that of prostate, the mainspring of the urinary derivations.Therefore, we talk about a problem of health more frequent than what we think, which solution is surgical: accomplishment of a totalcystectomy.Our goal is to know the different ways of accomplishment and of choice of a total cystectomy, differentiating between the two maingroups: ureteroileostomy and neobladder. The differences between a procedure or another will entail some different nursing cares (AU)

Evaluación de los niveles de dependencia de pacientes ingresados en la Unidad de Cuidados Urológicos / No disponible

Es frecuente ver en los centros asistenciales que las estimaciones de las necesidades de personal de cuidados en las áreas de hospitalización se lleva a cabo en base a la consideración del número de pacientes ingresados; sin embargo, son las condiciones particulares de cada paciente las que determinan los recursos necesarios para su cuidado. El objetivo principal de este estudio es identificar poblaciones con un mayor consumo de cuidados en el momento de su ingreso como medio de optimizar la asignación de personal (AU)

It is frequent to see in the existential centres, that the estimations of the needs for staff of cares, in the areas of hospitalization it is carried out following the consideration of the number of admitted patients, however those that determine the necessary resources for their care are the particular conditions of every patient. The main goal of this study is to identify the populations with a bigger consumption of cares at the moment of their admission as means of optimizing the assignment of staff (AU)