1,377 research outputs found
1061-88 Causes of death in patients with ST elevation myocardial infarction treated with fibrinolysis
Elastic cavitation, tube hollowing, and differential growth in plants and biological tissues
Elastic cavitation is a well-known physical process by which elastic materials under stress can open cavities. Usually, cavitation is induced by applied loads on the elastic body. However, growing materials may generate stresses in the absence of applied loads and could induce cavity opening. Here, we demonstrate the possibility of spontaneous growth-induced cavitation in elastic materials and consider the implications of this phenomenon to biological tissues and in particular to the problem of schizogenous aerenchyma formation
Toughening and asymmetry in peeling of heterogeneous adhesives
The effective adhesive properties of heterogeneous thin films are
characterized through a combined experimental and theoretical investigation. By
bridging scales, we show how variations of elastic or adhesive properties at
the microscale can significantly affect the effective peeling behavior of the
adhesive at the macroscale. Our study reveals three elementary mechanisms in
heterogeneous systems involving front propagation: (i) patterning the elastic
bending stiffness of the film produces fluctuations of the driving force
resulting in dramatically enhanced resistance to peeling; (ii) optimized
arrangements of pinning sites with large adhesion energy are shown to control
the effective system resistance, allowing the design of highly anisotropic and
asymmetric adhesives; (iii) heterogeneities of both types result in front
motion instabilities producing sudden energy releases that increase the overall
adhesion energy. These findings open potentially new avenues for the design of
thin films with improved adhesion properties, and motivate new investigation of
other phenomena involving front propagation.Comment: Physical Review Letters (2012)
The association between cardiac rupture and early mortality among women with myocardial infarction treated with thrombolytics
Integrability of a conducting elastic rod in a magnetic field
We consider the equilibrium equations for a conducting elastic rod placed in
a uniform magnetic field, motivated by the problem of electrodynamic space
tethers. When expressed in body coordinates the equations are found to sit in a
hierarchy of non-canonical Hamiltonian systems involving an increasing number
of vector fields. These systems, which include the classical Euler and
Kirchhoff rods, are shown to be completely integrable in the case of a
transversely isotropic rod; they are in fact generated by a Lax pair. For the
magnetic rod this gives a physical interpretation to a previously proposed
abstract nine-dimensional integrable system. We use the conserved quantities to
reduce the equations to a four-dimensional canonical Hamiltonian system,
allowing the geometry of the phase space to be investigated through Poincar\'e
sections. In the special case where the force in the rod is aligned with the
magnetic field the system turns out to be superintegrable, meaning that the
phase space breaks down completely into periodic orbits, corresponding to
straight twisted rods.Comment: 19 pages, 1 figur
Existence theorems in the geometrically non-linear 6-parametric theory of elastic plates
In this paper we show the existence of global minimizers for the
geometrically exact, non-linear equations of elastic plates, in the framework
of the general 6-parametric shell theory. A characteristic feature of this
model for shells is the appearance of two independent kinematic fields: the
translation vector field and the rotation tensor field (representing in total 6
independent scalar kinematic variables). For isotropic plates, we prove the
existence theorem by applying the direct methods of the calculus of variations.
Then, we generalize our existence result to the case of anisotropic plates. We
also present a detailed comparison with a previously established Cosserat plate
model.Comment: 19 pages, 1 figur
Formulation and performance of variational integrators for rotating bodies
Variational integrators are obtained for two mechanical systems whose configuration spaces are, respectively, the rotation group and the unit sphere. In the first case, an integration algorithm is presented for Euler’s equations of the free rigid body, following the ideas of Marsden et al. (Nonlinearity 12:1647–1662, 1999). In the second example, a variational time integrator is formulated for the rigid dumbbell. Both methods are formulated directly on their nonlinear configuration spaces, without using Lagrange multipliers. They are one-step, second order methods which show exact conservation of a discrete angular momentum which is identified in each case. Numerical examples illustrate their properties and compare them with existing integrators of the literature
Rotating strings
Analytical expressions are provided for the configurations of an
inextensible, flexible, twistable inertial string rotating rigidly about a
fixed axis. Solutions with trivial radial dependence are helices of arbitrary
radius and pitch. Non-helical solutions are governed by a cubic equation whose
roots delimit permissible values of the squared radial coordinate. Only curves
coplanar with the axis of rotation make contact with it.Comment: added to discussion and made small revisions to tex
Valvular Heart Disease Patients on Edoxaban or Warfarin in the ENGAGE AF-TIMI 48 Trial
The use of non-vitamin K antagonist oral anticoagulants (NOACs) instead of vitamin K antagonists (VKAs) in patients with atrial fibrillation (AF) and coexisting valvular heart disease (VHD) is of substantial interest.This study explored outcomes in patients with AF with and without VHD in the ENGAGE AF-TIMI 48 (Effective Anticoagulation with factor Xa Next Generation in Atrial Fibrillation-Thrombolysis In Myocardial Infarction 48) trial, comparing edoxaban with warfarin.Valvular heart disease was defined as history or baseline echocardiography evidence of at least moderate aortic/mitral regurgitation, aortic stenosis, or prior valve surgery (bioprosthesis replacement, valve repair, valvuloplasty). Patients with moderate to severe mitral stenosis or mechanical heart valves were excluded from the trial. Comparisons were made of rates of stroke/systemic embolic event (SSEE), major bleeding, additional efficacy and safety outcomes, as well as net clinical outcomes, in patients with or without VHD treated with edoxaban or warfarin, using adjusted Cox proportional hazards.After adjustment for multiple baseline characteristics, compared with no-VHD patients (n = 18,222), VHD patients (n = 2,824) had a similar rate of SSEE but higher rates of death (hazard ratio [HR]: 1.40; 95% confidence interval [CI]:1.26 to 1.56; p 0.001), major adverse cardiovascular events (HR: 1.29; 95% CI: 1.16 to 1.43; p 0.001), and major bleeding (HR: 1.21; 95% CI: 1.03 to 1.42; p = 0.02). Higher-dose edoxaban regimen had efficacy similar to warfarin in the presence of VHD (for SSEE, HR: 0.69; 95% CI: 0.44 to 1.07, in patients with VHD, and HR: 0.91; 95% CI: 0.77 to 1.07, in patients without VHD; p interaction [pThe presence of VHD increased the risk of death, major adverse cardiovascular events, and major bleeding but did not affect the relative efficacy or safety of higher-dose edoxaban versus warfarin in AF. (Global Study to Assess the Safety and Effectiveness of Edoxaban (DU-176b) vs. Standard Practice of Dosing With Warfarin in Patients With Atrial Fibrillation [ENGAGE AF-TIMI 48]; NCT00781391)
ASCORE: an up-to-date cardiovascular risk score for hypertensive patients reflecting contemporary clinical practice developed using the (ASCOT-BPLA) trial data.
A number of risk scores already exist to predict cardiovascular (CV) events. However, scores developed with data collected some time ago might not accurately predict the CV risk of contemporary hypertensive patients that benefit from more modern treatments and management. Using data from the randomised clinical trial Anglo-Scandinavian Cardiac Outcomes Trial-BPLA, with 15 955 hypertensive patients without previous CV disease receiving contemporary preventive CV management, we developed a new risk score predicting the 5-year risk of a first CV event (CV death, myocardial infarction or stroke). Cox proportional hazard models were used to develop a risk equation from baseline predictors. The final risk model (ASCORE) included age, sex, smoking, diabetes, previous blood pressure (BP) treatment, systolic BP, total cholesterol, high-density lipoprotein-cholesterol, fasting glucose and creatinine baseline variables. A simplified model (ASCORE-S) excluding laboratory variables was also derived. Both models showed very good internal validity. User-friendly integer score tables are reported for both models. Applying the latest Framingham risk score to our data significantly overpredicted the observed 5-year risk of the composite CV outcome. We conclude that risk scores derived using older databases (such as Framingham) may overestimate the CV risk of patients receiving current BP treatments; therefore, 'updated' risk scores are needed for current patients
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