Tiered housing allocation with pre-announced rankings: an experimental analysis *

Abstract We study in the laboratory a variant of the house allocation with existing tenants problem where subjects are partitioned into tiers with hierarchical privileges, and they know their position in the priority queue before making their decision. We evaluate the performance of the modified versions of three well-known mechanisms: Top Trading Cycle, Gale-Shapley and Random Serial Dictatorship with Squatting Rights. For all three mechanisms, we find low rates of participation (around 40%), high rates of truth-telling conditional on participation (around 90%), high proportions of fair allocations (above 90%) and significant efficiency losses. We also observe differences across mechanisms: Random Serial Dictatorship is ranked highest in efficiency and Top Trading Cycle is ranked lowest in fairness. We then show that position in the queue has a positive and significant impact on participation whereas tier has lit- * Address for correspondence: Juan D. Carrillo, Department of Economics, University of Southern California, Los Angeles, CA 90089, emails: <[email protected]> and <[email protected]>. We thank Ricardo Alonso, Manuel Castro, Arya Gaduh, Brijesh Pinto, Smriti Sharma and the audience at various seminars for helpful comments, and Chris Crabbe for developing the software. We also thank the LUSK center for Real Estate and the Microsoft Corporation for financial support. All remaining errors are our own. tle effect on behavior. Finally, the individual analysis reveals that the majority of subjects who do not play according to the theory still follow discernible patterns of participation and preference revelation

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Mitochondrial physiology

As the knowledge base and importance of mitochondrial physiology to evolution, health and disease expands, the necessity for harmonizing the terminology concerning mitochondrial respiratory states and rates has become increasingly apparent. The chemiosmotic theory establishes the mechanism of energy transformation and coupling in oxidative phosphorylation. The unifying concept of the protonmotive force provides the framework for developing a consistent theoretical foundation of mitochondrial physiology and bioenergetics. We follow the latest SI guidelines and those of the International Union of Pure and Applied Chemistry (IUPAC) on terminology in physical chemistry, extended by considerations of open systems and thermodynamics of irreversible processes. The concept-driven constructive terminology incorporates the meaning of each quantity and aligns concepts and symbols with the nomenclature of classical bioenergetics. We endeavour to provide a balanced view of mitochondrial respiratory control and a critical discussion on reporting data of mitochondrial respiration in terms of metabolic flows and fluxes. Uniform standards for evaluation of respiratory states and rates will ultimately contribute to reproducibility between laboratories and thus support the development of data repositories of mitochondrial respiratory function in species, tissues, and cells. Clarity of concept and consistency of nomenclature facilitate effective transdisciplinary communication, education, and ultimately further discovery

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Simulation des écoulements incompressibles au moyen d'une méthode multi-échelle fondée sur la transformé d'ondelettes

This thesis focuses on the development of an accurate and efficient method for performing Large-Eddy Simulation (LES) of turbulent flows. An LES approach based upon the Variational Multiscale (VMS) method is considered. VMS produces an a priori scale-separation of the governing equations, in a manner which makes no assumptions on the boundary conditions and mesh uniformity. In order to ensure that scale-separation in wavenumber is achieved, we have chosen to make use of the Second Generation Wavelets (SGW), a polynomial basis which exhibits optimal space-frequency localisation properties. Once scale-separation has been achieved, the action of the subgrid model is restricted to the wavenumber band closest to the cuto. We call this approach wavelet-based VMS-LES (WAV-VMS-LES). This approach has been incorporated within the framework of a high-order incompressible flow solver based upon pressure-stabilised discontinuous Galerkin FEM (DG-FEM). The method has been assessed by performing highly under-resolved LES upon the 3D Taylor-Green Vortex test case at two different Reynolds numbers.Cette thèse se concentre sur le développement d’une méthode précise et efficace pour la simulation des grandes échelles (LES) des écoulements turbulents. Une approche de la LES basée sur la méthode variationnelle multi-échelles (VMS) est considérée. La VMS applique aux équations de la dynamique des fluides une séparation d’échelles a priori sans recours à des hypothèses sur les conditions aux limites ou sur l’uniformité du maillage. Afin d’assurer effectivement une séparation d’échelles dans l’espace des nombres d’onde associé, nous choisissons d’utiliser les ondelettes de deuxième génération (SGW), une base polynomiale qui présente des propriétés de localisation spatiale-fréquence optimales. A partir de la séparation d’échelles ainsi réalisée, l’action du modèle sous-maille est limitée à un intervalle de nombres d’onde proche de la coupure spectrale. Cette approche VMS-LES basée sur les ondelettes est désignée par WAV-VMS-LES. Elle est incorporée dans un solveur d’ordre élevé pour la simulation des écoulements incompressibles sur la base d’une méthode de Galerkin discontinue (DG-FEM) stabilisée pour la pression. La méthode est évaluée par réalisation de LES sur des maillages fortement sous-résolus pour le cas test du tourbillon de Taylor-Green 3D à deux nombres de Reynolds différents

Simulation multi-échelle pour les écoulements incompressibles basée sur les ondelettes

Cette thèse se concentre sur le développement d'une méthode précise et efficace pour la simulation des grandes échelles (LES) des écoulements turbulents. Une approche de la LES basée sur la méthode variationnelle multi-échelles (VMS) est considérée. La VMS applique aux équations de la dynamique des fluides une séparation d'échelles a priori sans recours à des hypothèses sur les conditions aux limites ou sur l'uniformité du maillage. Afin d'assurer effectivement une séparation d'échelles dans l'espace des nombres d'onde associé, nous choisissons d'utiliser les ondelettes de deuxième génération (SGW), une base polynomiale qui présente des propriétés de localisation spatiale-fréquence optimales. A partir de la séparation d'échelles ainsi réalisée, l'action du modèle sous-maille est limitée à un intervalle de nombres d'onde proche de la coupure spectrale. Cette approche VMS-LES basée sur les ondelettes est désignée par WAVVMS-LES. Elle est incorporée dans un solveur d'ordre élevé pour la simulation des écoulements incompressibles sur la base d'une méthode de Galerkin discontinue (DG-FEM) stabilisée pour la pression. La méthode est évaluée par réalisation de LES sur des maillages fortement sous-résolus pour le cas test du tourbillon de Taylor-Green 3D à deux nombres de Reynolds différents.This thesis focuses on the development of an accurate and efficient method for performing Large-Eddy Simulation (LES) of turbulent flows. An LES approach based upon the Variational Multiscale (VMS) method is considered. VMS produces an a priori scale-separation of the governing equations, in a manner which makes no assumptions on the boundary conditions and mesh uniformity. In order to ensure that scale-separation in wavenumber is achieved, we have chosen to make use of the Second Generation Wavelets (SGW), a polynomial basis which exhibits optimal space-frequency localisation properties. Once scale-separation has been achieved, the action of the subgrid model is restricted to the wavenumber band closest to the cutoff. We call this approach wavelet-based VMS-LES (WAV-VMS-LES). This approach has been incorporated within the framework of a high-order incompressible flow solver based upon pressure-stabilised discontinuous Galerkin FEM (DG-FEM). The method has been assessed by performing highly under-resolved LES upon the 3D Taylor-Green Vortex test case at two different Reynolds numbers

Large-eddy simulation of bypass transition using high-order spectral difference schemes

International audienc

Synthetic Freestream Disturbance for the Numerical Reproduction of Experimental Zero-Pressure-Gradient Bypass Transition Test Cases

International audienceThe present work introduces a means of forcing bypass transition within a zero-pressure-gradient smooth flat-plate boundary layer (ZPGSFPBL), suitable for DNS or LES computations for reproducing experimental datasets. In this type of bypass transition, one of the means of forcing transition within the boundary layer is via the introduction of a specific disturbance along the inflow boundary. Following this principle, the current method, introduces synthetic turbulence, generated by the method of Klein et al. (J. Comput. Phys. 186(2), 652–665, 2003), at the inflow, a certain height above the boundary layer, thereby confining it within the freestream. The principle parameter which dictates the transition behaviour is the height above the boundary layer at which the freestream turbulence is injected. By adjusting this parameter, as well as the integral length-scale and the intensity (either estimated or known a priori from experiments), ILES computations providing good agreement with experimental data sets can be achieved upon a variety of grids. This procedure has been validated upon the ERCOFTAC T3A experimental test case (freestream turbulent intensity of 3%), where good matching is achieved on streamwise quantities like skin-friction coefficient, shape factor, boundary layer thickness and fluctuating velocity growth rates as well as for profiles of mean velocity and fluctuating velocities in the wall-normal direction

Large-eddy simulation of bypass transition using high-order spectral difference schemes

International audienc