Sleep and functional outcomes in children and adolescents with epilepsy: A scoping review.

AIM: In children and adolescents with epilepsy (CAWE), disturbed sleep and functional difficulties are frequently present, but their relationship is unclear. In this scoping review we aimed to explore associations between sleep and functional outcomes in CAWE. METHOD: We registered the protocol with open science framework and conducted the review according to the PRISMA Extension for Scoping Reviews. We searched Medline, Embase, PsycINFO and PubMed for original studies reporting on relations between sleep and functional outcomes (adaptive/quality of life, behavioural/mood, cognitive & academic) in CAWE. To assess the quality of studies we used an extended version of the checklist employed by Winsor and colleagues [1]. RESULTS: We identified 14 studies that included 1,785 CAWE and 1,260 control children, with a mean age of 9.94 and 10.13 years, respectively. The studies were highly heterogeneous with respect to samples, epilepsy variables, and methods used to assess sleep and functional outcomes. The quality of studies was medium. Associations between sleep and adaptive/quality of life, behavioural/mood, cognitive and academic outcomes were examined in 2, 10, 6, and 0 studies, respectively. Across studies, in CAWE, greater sleep disturbances were related to worse behavioural/mood outcomes, ranging from depression/anxiety to ADHD symptoms. Sleep disturbances did not consistently relate to cognitive outcomes, but they related to worse adaptive outcomes in both studies that examined their relationship. CONCLUSIONS: Our study provides evidence of relationship between disturbed sleep and behavioural/mood difficulties, which alerts to the need for careful evaluation and treatment of sleep disturbances in CAWE. Our study also highlights the need to examine relationships between sleep and other functional outcomes in CAWE, as studies conducted in the general population suggest that sleep disturbances may be modifiable and associated with improved functional outcomes.

Thermocapillary Droplet Actuation: Effect of Solid Structure and Wettability.

We examine the thermocapillary-driven flow of a droplet on a nonuniformly heated patterned surface. Using a sharp-interface scheme, capable of efficiently modeling the flow over complex surfaces, we perform 2D and 3D finite element simulations for a wide range of substrate wettabilities, i.e., from hydrophilic to superhydrophobic surfaces. Our results demonstrate that the contact angle hysteresis, due to the presence of the solid structures, is responsible for the appearance of a critical thermal gradient beyond which droplet migration is possible; the latter has been reported by experimental observations. The migration velocity as well as the direction of motion strongly depend on the combined action of the net mechanical force along the contact line and the thermocapillary induced flow at the liquid-air interface. We also show that through proper control and design of the substrate wettability, contact angle hysteresis, and induced flow field it is possible to manipulate the droplet dynamics: in particular, controlling its motion along a predefined track or entrapping by a wetting defect a droplet based on its size, as well as providing appropriate conditions for enhanced mixing inside the droplet.

Evaporation of Sessile Droplets Laden with Particles and Insoluble Surfactants.

We consider the flow dynamics of a thin evaporating droplet in the presence of an insoluble surfactant and noninteracting particles in the bulk. On the basis of lubrication theory, we derive a set of evolution equations for the film height, the interfacial surfactant, and bulk particle concentrations, taking into account the dependence of liquid viscosity on the local particle concentration. An important ingredient of our model is that it takes into account the fact that the surfactant adsorbed at the interface hinders evaporation. We perform a parametric study to investigate how the presence of surfactants affects the evaporation process as well as the flow dynamics with and without the presence of particles in the bulk. Our numerical calculations show that the droplet lifetime is affected significantly by the balance between the ability of the surfactant to enhance spreading, suppressing the effect of thermal Marangoni stresses-induced motion, and to hinder the evaporation flux through the reduction of the effective interfacial area of evaporation, which tend to accelerate and decelerate the evaporation process, respectively. For particle-laden droplets and in the case of dilute solutions, the droplet lifetime is found to be weakly dependent on the initial particle concentration. We also show that the particle deposition patterns are influenced strongly by the direct effect of the surfactant on the evaporative flux; in certain cases, the "coffee-stain" effect is enhanced significantly. A discussion of the delicate interplay between the effects of capillary pressure and solutal and thermal Marangoni stresses, which drive the liquid flow inside of the evaporating droplet giving rise to the observed results, is provided herein.

Efficient modelling of droplet dynamics on complex surfaces.

This work investigates the dynamics of droplet interaction with smooth or structured solid surfaces using a novel sharp-interface scheme which allows the efficient modelling of multiple dynamic contact lines. The liquid-gas and liquid-solid interfaces are treated in a unified context and the dynamic contact angle emerges simply due to the combined action of the disjoining and capillary pressure, and viscous stresses without the need of an explicit boundary condition or any requirement for the predefinition of the number and position of the contact lines. The latter, as it is shown, renders the model able to handle interfacial flows with topological changes, e.g. in the case of an impinging droplet on a structured surface. Then it is possible to predict, depending on the impact velocity, whether the droplet will fully or partially impregnate the structures of the solid, or will result in a 'fakir', i.e. suspended, state. In the case of a droplet sliding on an inclined substrate, we also demonstrate the built-in capability of our model to provide a prediction for either static or dynamic contact angle hysteresis. We focus our study on hydrophobic surfaces and examine the effect of the geometrical characteristics of the solid surface. It is shown that the presence of air inclusions trapped in the micro-structure of a hydrophobic substrate (Cassie-Baxter state) result in the decrease of contact angle hysteresis and in the increase of the droplet migration velocity in agreement with experimental observations for super-hydrophobic surfaces. Moreover, we perform 3D simulations which are in line with the 2D ones regarding the droplet mobility and also indicate that the contact angle hysteresis may be significantly affected by the directionality of the structures with respect to the droplet motion.

Thermocapillary-driven motion of a sessile drop: effect of non-monotonic dependence of surface tension on temperature.

We study the thermocapillary-driven spreading of a droplet on a nonuniformly heated substrate for fluids associated with a non-monotonic dependence of the surface tension on temperature. We use lubrication theory to derive an evolution equation for the interface that accounts for capillarity and thermocapillarity. The contact line singularity is relieved by using a slip model and a Cox-Voinov relation; the latter features equilibrium contact angles that vary depending on the substrate wettability, which, in turn, is linked to the local temperature. We simulate the spreading of droplets of fluids whose surface tension-temperature curves exhibit a turning point. For cases wherein these turning points correspond to minima, and when these minima are located within the droplet, then thermocapillary stresses drive rapid spreading away from the minima. This gives rise to a significant acceleration of the spreading whose characteristics resemble those associated with the "superspreading" of droplets on hydrophobic substrates. No such behavior is observed for cases in which the turning point corresponds to a surface tension maximum.

Effect of contact line dynamics on the thermocapillary motion of a droplet on an inclined plate.

We study the two-dimensional dynamics of a droplet on an inclined, nonisothermal solid substrate. We use lubrication theory to obtain a single evolution equation for the interface, which accounts for gravity, capillarity, and thermo-capillarity, brought about by the dependence of the surface tension on temperature. The contact line motion is modeled using a relation that couples the contact line speed to the difference between the dynamic and equilibrium contact angles. The latter are allowed to vary dynamically during the droplet motion through the dependence of the liquid-gas, liquid-solid, and solid-gas surface tensions on the local contact line temperature, thereby altering the local substrate wettability at the two edges of the drop. This is an important feature of our model, which distinguishes it from previous work wherein the contact angle was kept constant. We use finite-elements for the discretization of all spatial derivatives and the implicit Euler method to advance the solution in time. A full parametric study is carried out in order to investigate the interplay between Marangoni stresses, induced by thermo-capillarity, gravity, and contact line dynamics in the presence of local wettability variations. Our results, which are generated for constant substrate temperature gradients, demonstrate that temperature-induced variations of the equilibrium contact angle give rise to complex dynamics. This includes enhanced spreading rates, nonmonotonic dependence of the contact line speed on the applied substrate temperature gradient, as well as "stick-slip" behavior. The mechanisms underlying this dynamics are elucidated herein.

Convective rolls and hydrothermal waves in evaporating sessile drops.

Recent experiments on the evaporation of sessile droplets have revealed the spontaneous formation of various patterns including the presence of hydrothermal waves. These waves had previously been observed, in the absence of evaporation, in thin liquid layers subjected to an imposed, uniform temperature gradient. This is in contrast to the evaporating droplet case wherein these gradients arise naturally due to evaporation and are spatially and temporally varying. In the present paper, we present a theory of evaporating sessile droplets deposited on a heated surface and propose a candidate mechanism for the observed pattern formation using a linear stability analysis in the quasi-steady-state approximation. A qualitative agreement with experimental trends is observed.