Falsification of home rapid antigen lateral flow tests during the COVID-19 pandemic.

During the COVID-19 pandemic, lateral flow tests (LFTs) were used to regulate access to work, education, social activities, and travel. However, falsification of home LFT results was a concern. Falsification of test results during an ongoing pandemic is a sensitive issue. Consequently, respondents may not answer truthfully to questions about LFT falsification behaviours (FBs) when asked directly. Indirect questioning techniques such as the Extended Crosswise model (ECWM) can provide more reliable prevalence estimates of sensitive behaviors than direct questioning. Here we report the prevalence of LFT FBs in a representative sample in England (n = 1577) using direct questioning (DQ) and the ECWM. We examine the role of demographic and psychological variables as predictors of LFT FBs. We show that the prevalence estimates of the FBs in the DQ condition were significantly lower than the ECWM estimates, e.g., reporting a negative result without conducting a test: 5.7% DQ vs 18.4% ECWM. Moral norms, subjective norms, anticipated regret, perception of risk to self, and trust in government predicted some of the FBs. Indirect questioning techniques can help provide more realistic and higher quality data about compliance with behavioural regulations to government and public health agencies.

Characterization of condensation on nanostructured surfaces and associated thermal hydraulics using a thermal lattice Boltzmann method.

The dynamics of the condensation process on nanostructured surfaces can be modulated substantially by tuning the surface architecture. Present study uses the mesoscopic framework of lattice Boltzmann method (LBM) to explore the role of surface morphology and cold spot temperature in determining the visual state of the condensate droplet, mode of nucleation, and associated rates of energy and mass interactions. A multiple relaxation time-(MRT)-based LBM solver, coupled with pseudopotential model, has been developed to simulate a rectangular domain of saturated vapor, housing a cold spot on the bottom rough surface. Superhydrophobicity has been achieved for certain combinations of surface parameters, with the intercolumn spacing being the most influential one. Gradual increase in the spacing modifies the nucleation mode from top through side to bottom, while the droplet changes from Cassie to Wenzel state. The Cassie drop in top nucleation mode exhibits the largest contact angle and least rate of surface heat transfer. Both types of Wenzel drops display large rate of condensation and two peaks in heat transfer, along with very short nucleation time in comparison with Cassie drops. Couple of phase diagrams have been developed combining all four scenarios of condensation predicted by the present model. One important novelty of the present study is the consideration of nonisothermal condition within LB structure. Enhancement in the degree of subcooling at the cold spot encourages greater condensation and Cassie-to-Wenzel transition.

Adaptive Designs: Benefits and Cautions for Neurosurgery Trials.

BACKGROUND: It is well accepted that randomized controlled trials provide the greatest quality of evidence about effectiveness and safety of new interventions. In neurosurgery, randomized controlled trials face challenges, with their use remaining relatively low compared with other clinical areas. Adaptive designs have emerged as a method for improving the efficiency and patient benefit of trials. They allow modifications to the trial design to be made as patient outcome data are collected. The benefit they provide is highly variable, predominantly governed by the time taken to observe the primary endpoint compared with the planned recruitment rate. They also face challenges in design, conduct, and reporting. METHODS: We provide an overview of the benefits and challenges of adaptive designs, with a focus on neurosurgery applications. To investigate how often an adaptive design may be advantageous in neurosurgery, we extracted data on recruitment rates and endpoint lengths for ongoing neurosurgery trials registered in ClinicalTrials.gov. RESULTS: We found that a majority of neurosurgery trials had a relatively short endpoint length compared with the planned recruitment period and therefore may benefit from an adaptive trial. However, we did not identify any ongoing ClinicalTrials.gov registered neurosurgery trials that mentioned using an adaptive design. CONCLUSIONS: Adaptive designs may provide benefits to neurosurgery trials and should be considered for use more widely. Use of some types of adaptive design, such as multiarm multistage, may further increase the number of interventions that can be tested with limited patient and financial resources.

When is a two-stage single-arm trial efficient? An evaluation of the impact of outcome delay.

BACKGROUND: Simon's two-stage design is a widely used adaptive design, particularly in phase II oncology trials due to its simplicity and efficiency. However, its efficiency can be adversely affected when the primary end-point takes time to observe, as is common in practice. METHODS: We propose an optimal design, taking the delay in observing treatment outcome into consideration and compare the efficiency gained from using Simon's design over a single-stage design for real-life oncology trials. Based on the results, we provide a general rule-of-thumb for determining whether a two-stage single-arm design can provide any added advantage over a single-stage design, given the recruitment rate and primary end-point length. RESULTS: We observed an average 15-30% loss in the estimated efficiency gain in real oncology trials that used Simon's design due to the delay in observing the treatment outcome. The delay-optimal design provides some advantage over Simon's design in terms of reduced sample size when the delay is large compared to the recruitment length. DISCUSSION: Simon's two-stage design provides large benefit over a single-stage design, in terms of reduced sample size, when the primary end-point length is no more than 10% of the total recruitment time. It provides no efficiency advantage when this ratio is above 50%.

Algorithmic augmentation in the pseudopotential-based lattice Boltzmann method for simulating the pool boiling phenomenon with high-density ratio.

The pseudopotential-based lattice Boltzmann method (LBM), despite enormous potential in facilitating natural development and migration of interfaces during multiphase simulation, remains restricted to low-density ratios, owing to inherent thermodynamic inconsistency. The present paper focuses on augmenting the basic algorithm by enhancing the isotropy of the discrete equation and thermodynamic consistency of the overall formulation, to expedite simulation of pool boiling at higher-density ratios. Accordingly, modification is suggested in the discrete form of the updated interparticle interaction term, by expanding the discretization to the eighth order. The proposed amendment is successful in substantially reducing the spurious velocity in the vicinity of a static droplet, while allowing stable simulation at a much higher-density ratio under identical conditions, which is a noteworthy improvement over existing Single Relaxation Time (SRT)-LBM algorithms. Various pool boiling scenarios have been explored for a reduced temperature of 0.75, which itself is significantly lower than reported in comparable literature, in both rectangular and cylindrical domains, and also with micro- and distributed heaters. All three regimes of pool boiling have aptly been captured with both plain and structured heaters, allowing the development of the boiling curve. The predicted value of critical heat flux for the plain heater agrees with Zuber correlation within 10%, illustrating both quantitative and qualitative capability of the proposed algorithm.

Nasal hemophilic pseudotumor: favorable response to radiotherapy.

Hemophilic pseudotumors are rare but dangerous complications of Hemophilia. We hereby report a 3-year-old boy with Hemophilia B, presenting with nasal pseudotumor, showing favorable response to radiotherapy after unsuccessful treatment with factor IX replacement therapy. The diagnosis and treatment of this rare condition is also reviewed.