Mechanical Attributes of Fractal Dragons

Fractals are ubiquitous natural emergences that have gained increased attention in engineering applications, thanks to recent technological advancements enabling the fabrication of structures spanning across many spatial scales. We show how the geometries of fractals can be exploited to determine their important mechanical properties, such as the first and second moments, which physically correspond to the center of mass and the moment of inertia, using a family of complex fractals known as the dragons

Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound

Purpose We investigated the impact of intravascular ultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not randomly assigned to angiography-guided percutaneous coronary intervention or intravascular ultrasound-guided percutaneous coronary intervention. The patients were hospitalized at the Vietnam National Heart Institute - Bach Mai Hospital between 2019 and 2020. Acute kidney injury incidence during hospitalization was the primary endpoint. Results A total of 99 patients were divided into two groups: the intravascular ultrasound-guided group (33 participants) and the angiography-guided group (66 participants). The mean ± SD contrast volume of each group was 95.2 ± 37.1 mL and 133.0 ± 36.0 mL for the ultrasound-guided and angiography-guided groups, with P \u3c 0.0001. Intravascular imaging-guided percutaneous coronary intervention (IVUS-guided PCI) was associated with reduced acute kidney injury incidence during hospitalization: 0.0% vs. 12.12% and P = 0.049. Conclusions Intravascular ultrasound is a safe imaging tool that guides percutaneous coronary intervention and significantly reduces the rate of acute kidney injury compared to angiography alone. Patients who have a high chance of experiencing acute kidney injury benefit from using intravascular ultrasound

Mid-infrared interferometry with K band fringe-tracking I. The VLTI MIDI+FSU experiment

Context: A turbulent atmosphere causes atmospheric piston variations leading to rapid changes in the optical path difference of an interferometer, which causes correlated flux losses. This leads to decreased sensitivity and accuracy in the correlated flux measurement. Aims: To stabilize the N band interferometric signal in MIDI (MID-infrared Interferometric instrument), we use an external fringe tracker working in K band, the so-called FSU-A (fringe sensor unit) of the PRIMA (Phase-Referenced Imaging and Micro-arcsecond Astrometry) facility at VLTI. We present measurements obtained using the newly commissioned and publicly offered MIDI+FSU-A mode. A first characterization of the fringe-tracking performance and resulting gains in the N band are presented. In addition, we demonstrate the possibility of using the FSU-A to measure visibilities in the K band. Methods: We analyzed FSU-A fringe track data of 43 individual observations covering different baselines and object K band magnitudes with respect to the fringe-tracking performance. The N band group delay and phase delay values could be predicted by computing the relative change in the differential water vapor column density from FSU-A data. Visibility measurements in the K band were carried out using a scanning mode of the FSU-A. Results: Using the FSU-A K band group delay and phase delay measurements, we were able to predict the corresponding N band values with high accuracy with residuals of less than 1 micrometer. This allows the coherent integration of the MIDI fringes of faint or resolved N band targets, respectively. With that method we could decrease the detection limit of correlated fluxes of MIDI down to 0.5 Jy (vs. 5 Jy without FSU-A) and 0.05 Jy (vs. 0.2 Jy without FSU-A) using the ATs and UTs, respectively. The K band visibilities could be measured with a precision down to ~2%.Comment: 11 pages, 13 figures, Accepted for publication in A&

D2D Communication Network with the Assistance of Power Beacon under the Impact of Co-channel Interferences and Eavesdropper: Performance Analysis

In this paper, we study and demonstrate the performance analysis of a device-to-device (D2D) com- munication network. Specifically, a source node trans- mits data to the destination node using the power bea- con’s harvested energy in order to overcome the limited energy budget. Besides, an eavesdropper located in the proximal region of a source is trying to overhear secure information. Notably, both eavesdropper and destina- tion are affected by co-channel interferences from other sources when they utilize the same frequency. By con- sidering the above discussions, we derived the closed- form expressions for outage probability (OP), intercept probability (IP), and secrecy outage probability (SOP) in connection with using the system model. The derived analytical expressions are then verified by utilizing both simulation and numerical results. Finally, the inten- sive parameters’ influences on the OP, IP, and SOP are also investigated

A Schrödinger Equation for Evolutionary Dynamics

We establish an analogy between the Fokker–Planck equation describing evolutionary landscape dynamics and the Schrödinger equation which characterizes quantum mechanical particles, showing that a population with multiple genetic traits evolves analogously to a wavefunction under a multi-dimensional energy potential in imaginary time. Furthermore, we discover within this analogy that the stationary population distribution on the landscape corresponds exactly to the ground-state wavefunction. This mathematical equivalence grants entry to a wide range of analytical tools developed by the quantum mechanics community, such as the Rayleigh–Ritz variational method and the Rayleigh–Schrödinger perturbation theory, allowing us not only the conduct of reasonable quantitative assessments but also exploration of fundamental biological inquiries. We demonstrate the effectiveness of these tools by estimating the population success on landscapes where precise answers are elusive, and unveiling the ecological consequences of stress-induced mutagenesis—a prevalent evolutionary mechanism in pathogenic and neoplastic systems. We show that, even in an unchanging environment, a sharp mutational burst resulting from stress can always be advantageous, while a gradual increase only enhances population size when the number of relevant evolving traits is limited. Our interdisciplinary approach offers novel insights, opening up new avenues for deeper understanding and predictive capability regarding the complex dynamics of evolving populations

A Schr\"odinger Equation for Evolutionary Dynamics

We establish an analogy between the Fokker-Planck equation describing evolutionary landscape dynamics and the Schr\"{o}dinger equation which characterizes quantum mechanical particles, showing how a population with multiple genetic traits evolves analogously to a wavefunction under a multi-dimensional energy potential in imaginary time. Furthermore, we discover within this analogy that the stationary population distribution on the landscape corresponds exactly to the ground-state wavefunction. This mathematical equivalence grants entry to a wide range of analytical tools developed by the quantum mechanics community, such as the Rayleigh-Ritz variational method and the Rayleigh-Schr\"{o}dinger perturbation theory, allowing us to not only make reasonable quantitative assessments but also explore fundamental biological inquiries. We demonstrate the effectiveness of these tools by estimating the population success on landscapes where precise answers are elusive, and unveiling the ecological consequences of stress-induced mutagenesis -- a prevalent evolutionary mechanism in pathogenic and neoplastic systems. We show that, even in a unchanging environment, a sharp mutational burst resulting from stress can always be advantageous, while a gradual increase only enhances population size when the number of relevant evolving traits is limited. Our interdisciplinary approach offers novel insights, opening up new avenues for deeper understanding and predictive capability regarding the complex dynamics of evolving populations

Culturally adaptive storytelling method to improve hypertension control in Vietnam - We talk about our hypertension : study protocol for a feasibility cluster-randomized controlled trial

BACKGROUND: Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. At present, the major risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam; inasmuch, the burden of CVD will continue to increase in this country unless effective prevention and control measures are put in place. A national survey in 2008 found that the prevalence of hypertension (HTN) was approximately 25 % among Vietnamese adults and it increased with advancing age. Therefore, novel, large-scale, and sustainable interventions for public health education to promote engagement in the process of detecting and treating HTN in Vietnam are urgently needed. METHODS: A feasibility randomized trial will be conducted in Hung Yen province, Vietnam to evaluate the feasibility and acceptability of a novel community-based intervention using the storytelling method to enhance the control of HTN in adults residing in four rural communities. The intervention will center on stories about living with HTN, with patients speaking in their own words. The stories will be obtained from particularly eloquent patients, or video stars, identified during Story Development Groups. The study will involve two phases: (i) developing a HTN intervention using the storytelling method, which is designed to empower patients to facilitate changes in their lifestyle practices, and (ii) conducting a feasibility cluster-randomized trial to investigate the feasibility, acceptability, and potential efficacy of the intervention compared with usual care in HTN control among rural residents. The trial will be conducted at four communes, and within each commune, 25 individuals 50 years or older with HTN will be enrolled in the trial resulting in a total sample size of 100 patients. DISCUSSION: This feasibility trial will provide the necessary groundwork for a subsequent large-scale, fully powered, cluster-randomized controlled trial to test the efficacy of our novel community-based intervention. Results from the full-scale trial will provide health policy makers with practical evidence on how to combat a key risk factor for CVD using a feasible, sustainable, and cost-effective intervention that could be used as a national program for controlling HTN in Vietnam and other developing countries. TRIAL REGISTRATION: ClinicalTrials.gov. REGISTRATION NUMBER: https://clinicaltrials.gov/ct2/show/NCT02483780 (registration date June 22, 2015)

Conquering hypertension in Vietnam-solutions at grassroots level: study protocol of a cluster randomized controlled trial

BACKGROUND: Vietnam has been experiencing an epidemiologic transition to that of a lower-middle income country with an increasing prevalence of non-communicable diseases. The key risk factors for cardiovascular disease (CVD) are either on the rise or at alarming levels in Vietnam, particularly hypertension (HTN). Inasmuch, the burden of CVD will continue to increase in the Vietnamese population unless effective prevention and control measures are put in place. The objectives of the proposed project are to evaluate the implementation and effectiveness of two multi-faceted community and clinic-based strategies on the control of elevated blood pressure (BP) among adults in Vietnam via a cluster randomized trial design. METHODS: Sixteen communities will be randomized to either an intervention (8 communities) or a comparison group (8 communities). Eligible and consenting adult study participants with HTN (n = 680) will be assigned to intervention/comparison status based on the community in which they reside. Both comparison and intervention groups will receive a multi-level intervention modeled after the Vietnam National Hypertension Program including education and practice change modules for health care providers, accessible reading materials for patients, and a multi-media community awareness program. In addition, the intervention group only will receive three carefully selected enhancements integrated into routine clinical care: (1) expanded community health worker services, (2) home BP self-monitoring, and (3) a storytelling intervention, which consists of interactive, literacy-appropriate, and culturally sensitive multi-media storytelling modules for motivating behavior change through the power of patients speaking in their own voices. The storytelling intervention will be delivered by DVDs with serial installments at baseline and at 3, 6, and 9 months after trial enrollment. Changes in BP will be assessed in both groups at several follow-up time points. Implementation outcomes will be assessed as well. DISCUSSION: Results from this full-scale trial will provide health policymakers with practical evidence on how to combat a key risk factor for CVD using a feasible, sustainable, and cost-effective intervention that could be used as a national program for controlling HTN in Vietnam. TRIAL REGISTRATION: ClinicalTrials.gov NCT03590691 . Registered on July 17, 2018. Protocol version: 6. Date: August 15, 2019