Tissue Doppler Imaging in the assessment of selection and response from cardiac resynchronization therapy

Mechanistic studies, observational evaluations, and randomized trials have consistently demonstrated the beneficial effects of cardiac resynchronization therapy (CRT) in patients with moderate-to-severechronic systolic heart failure and ventricular dyssynchrony who have failed optimal medical treatment. However, despite the promising results, in some patients undergoing CRT, the symptoms of heart failure do not improve or even worse. One of the most important reasons for this failure is probably the lack of distinct mechanical dyssynchrony before implantation. This review discusses the actual and potential role of Tissue Doppler Imaging in selection of patients and optimisation of CRT. (c) 2007 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved

Advanced User-Interaction with GUIs in MatLAB®

The advent of computer graphics and simulation software has strongly influenced the industrial design. Nowadays, when facing out the design of a new product or the re-design of an existing one it is of interest evaluating different design scenarios, by comparing physical and functional behaviors and product performances. Engineers are aimed to explore many and many "what-if" design scenarios for design optimization. The chapter focuses on two MatLAB®’s GUI applications, developed at University of Molise in collaboration with University of Naples (Italy): SVA-FEA (Statistical Variational Analysis & Finite Element Analysis) and PROMesh (PROcessing Mesh). The aim is to show how to provide advanced user interaction in several common tasks such as importing data, editing data, controlling FEA runs, visualizing results, and exporting results

Evaluating homophily in networks via HONTO (HOmophily Network TOol): a case study of chromosomal interactions in human PPI networks

It has been observed in different kinds of networks, such as social or biological ones, a typical behavior inspired by the general principle 'similarity breeds connections'. These networks are defined as homophilic as nodes belonging to the same class preferentially interact with each other. In this work, we present HONTO (HOmophily Network TOol), a user-friendly open-source Python3 package designed to evaluate and analyze homophily in complex networks. The tool takes in input from the network along with a partition of its nodes into classes and yields a matrix whose entries are the homophily/heterophily z-score values. To complement the analysis, the tool also provides z-score values of nodes that do not interact with any other node of the same class. Homophily/heterophily z-scores values are presented as a heatmap allowing a visual at-a-glance interpretation of results. AVAILABILITY AND IMPLEMENTATION: Tool's source code is available at https://github.com/cumbof/honto under the MIT license, installable as a package from PyPI (pip install honto) and conda-forge (conda install -c conda-forge honto), and has a wrapper for the Galaxy platform available on the official Galaxy ToolShed (Blankenberg et al., 2014) at https://toolshed.g2.bx.psu.edu/view/fabio/honto

Remote laser welding of Zn coated IF steel and 1050 aluminium alloy: processing, microstructure and mechanical properties

The integrity of steel-aluminium dissimilar alloy joints is dependent on the intermetallic phases (IMCs) and the extent of the bonding area. The excessive growth of brittle AlxFexIMCs within the weld pool and interfaces is disadvantageous due to the initiation and propagation of hot and cold cracking during the solidification. The purpose of this work was to assess the development of Remote Laser Welded (RLW) joints of Zn coated interstitial free (IF) steel to 1050 aluminium alloy, which can be used in cooling circuits and electrical connectors in automotive applications. Welding experiments with variable RLW parameters (power, welding speed and focal offset) were performed to study the formation of IMCs and impact of joint integrity. Results showed that while in conduction mode (at power densities of 0.13-0.18 MW/cm2) three IMCs were identified through SEM/EDX and EBSD: η - Al5Fe2, κ - AlFe3and θ - Al13Fe4which possessed nano-hardness indentation values of approximately 12, 5 and 5 GPa, respectively; they formed in a non-continuous interfacial layer, the weld pool composition remained homogenous, and cracking was minimal. On the contrary, in keyhole mode (at power densities of 0.16-0.40 MW/cm2) welded samples produced a continuous and thick IMC layer, continuous and/or excessive cracking and an inhomogeneous weld pool composition due to the excessive mixing of steel and aluminium, of up to 10 wt.% of Al in the weld pool. The nominal lap shear strength for the sample produced in conduction mode was of 77%, with respect to the weakest joint material (Al). This work found a close link between the welding mode and weld pool chemistry which significantly determined the IMCs distribution and thickness, extent of cracking within the weld pool and mechanical properties

Effects of the adjustable ring-mode laser on intermetallic formation and mechanical properties of steel to aluminium laser welded lap joints

Research has confirmed a positive effect of laser beam shaping on controlling weld profiles and keyhole stabilisation, with significant reductions of porosity in weldments. However, few attempts with scattered results have studied the impact of laser beam shaping on intermetallic phase formation. This paper implements the adjustable-ring mode (ARM) laser and studies the impact of the core/ring power ratio to explore the impact on intermetallic phase formation and mechanical properties during remote laser welding of IF steel to 1050 aluminium. It was found that in conduction mode, the core/ring power ratio of 0.2 provided a larger surface area for bonding at the weld interface, and this was translated through the maximum lap-shear strength of 97.6 N/mm2 (joint efficiency 71%). Furthermore, this significantly reduced the Fe2Al5 intermetallic compound (IMC) thickness by 62% and total IMC thickness by 40% in contrast to a core-dominant beam (power ratio greater than one). In keyhole mode, cracking and lower lap-shear strengths were observed compared to the conduction mode. Notably, with a core/ring power ratio of 0.5 a significant grain refinement in the steel side of the weld was observed

Effects of the adjustable ring-mode laser on intermetallic formation and mechanical properties of steel to aluminium laser welded lap joints

Research has confirmed a positive effect of laser beam shaping on controlling weld profiles and keyhole stabilisation, with significant reductions of porosity in weldments. However, few attempts with scattered results have studied the impact of laser beam shaping on intermetallic phase formation. This paper implements the adjustable-ring mode (ARM) laser and studies the impact of the core/ring power ratio to explore the impact on intermetallic phase formation and mechanical properties during remote laser welding of IF steel to 1050 aluminium. It was found that in conduction mode, the core/ring power ratio of 0.2 provided a larger surface area for bonding at the weld interface, and this was translated through the maximum lap-shear strength of 97.6 N/mm2 (joint efficiency 71%). Furthermore, this significantly reduced the Fe2Al5 intermetallic compound (IMC) thickness by 62% and total IMC thickness by 40% in contrast to a core-dominant beam (power ratio greater than one). In keyhole mode, cracking and lower lap-shear strengths were observed compared to the conduction mode. Notably, with a core/ring power ratio of 0.5 a significant grain refinement in the steel side of the weld was observed

Risk stratification by pre-operative cardiopulmonary exercise testing improves outcomes following elective abdominal aortic aneurysm surgery : a cohort study

Background: In 2009, the NHS evidence adoption center and National Institute for Health and Care Excellence (NICE) published a review of the use of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAAs). They recommended the development of a risk-assessment tool to help identify AAA patients with greater or lesser risk of operative mortality and to contribute to mortality prediction. A low anaerobic threshold (AT), which is a reliable, objective measure of pre-operative cardiorespiratory fitness, as determined by pre-operative cardiopulmonary exercise testing (CPET) is associated with poor surgical outcomes for major abdominal surgery. We aimed to assess the impact of a CPET-based risk-stratification strategy upon perioperative mortality, length of stay and non-operative costs for elective (open and endovascular) infra-renal AAA patients. Methods: A retrospective cohort study was undertaken. Pre-operative CPET-based selection for elective surgical intervention was introduced in 2007. An anonymized cohort of 230 consecutive infra-renal AAA patients (2007 to 2011) was studied. A historical control group of 128 consecutive infra-renal AAA patients (2003 to 2007) was identified for comparison. Comparative analysis of demographic and outcome data for CPET-pass (AT ≥ 11 ml/kg/min), CPET-fail (AT < 11 ml/kg/min) and CPET-submaximal (no AT generated) subgroups with control subjects was performed. Primary outcomes included 30-day mortality, survival and length of stay (LOS); secondary outcomes were non-operative inpatient costs. Results: Of 230 subjects, 188 underwent CPET: CPET-pass n = 131, CPET-fail n = 35 and CPET-submaximal n = 22. When compared to the controls, CPET-pass patients exhibited reduced median total LOS (10 vs 13 days for open surgery, n = 74, P < 0.01 and 4 vs 6 days for EVAR, n = 29, P < 0.05), intensive therapy unit requirement (3 vs 4 days for open repair only, P < 0.001), non-operative costs (£5,387 vs £9,634 for open repair, P < 0.001) and perioperative mortality (2.7% vs 12.6% (odds ratio: 0.19) for open repair only, P < 0.05). CPET-stratified (open/endovascular) patients exhibited a mid-term survival benefit (P < 0.05). Conclusion: In this retrospective cohort study, a pre-operative AT > 11 ml/kg/min was associated with reduced perioperative mortality (open cases only), LOS, survival and inpatient costs (open and endovascular repair) for elective infra-renal AAA surgery

Effect of a ring-shaped laser beam on the weldability of aluminum-to-hilumin for battery tab connectors

Advances in laser beam shaping technologies are being studied and are considered beneficial in many aspects of dissimilar metal joining, which include reducing intermetallic compounds (IMCs), optimizing weld pool profiles, and controlling porosity and spatters. This paper utilizes a coaxial ring and core dual beam laser and aims to study the impact of the power ratios between core and ring beams on the weldability of 1100 aluminum alloy to hilumin (steel). High-resolution electron microscopy was performed in the cross sections of the weld pools to quantify the melt pool composition and subsequent IMC formation and weld defects (cracking and cavitation). Lap-shear mechanical testing and electrical resistivity testing were also carried out. Results showed that the optimal power ratio for lap-shear strength was 0.4 (intermediate core and ring) due to the reduction in the Fe-rich liquid into the upper weld region. As a result, this produced a smaller interface between the Fe-rich region and Al, thus reducing the formation of the most detrimental IMC (e.g., Fe2Al5). Conversely, a power ratio of 0.2 (core-dominant) was found beneficial for reducing electrical resistance due to a reduced total IMC volume

Identification of Novel Linear Megaplasmids Carrying a ß-Lactamase Gene in Neurotoxigenic Clostridium butyricum Type E Strains

Since the first isolation of type E botulinum toxin-producing Clostridium butyricum from two infant botulism cases in Italy in 1984, this peculiar microorganism has been implicated in different forms of botulism worldwide. By applying particular pulsed-field gel electrophoresis run conditions, we were able to show for the first time that ten neurotoxigenic C. butyricum type E strains originated from Italy and China have linear megaplasmids in their genomes. At least four different megaplasmid sizes were identified among the ten neurotoxigenic C. butyricum type E strains. Each isolate displayed a single sized megaplasmid that was shown to possess a linear structure by ATP-dependent exonuclease digestion. Some of the neurotoxigenic C. butyricum type E strains possessed additional smaller circular plasmids. In order to investigate the genetic content of the newly identified megaplasmids, selected gene probes were designed and used in Southern hybridization experiments. Our results revealed that the type E botulinum neurotoxin gene was chromosome-located in all neurotoxigenic C. butyricum type E strains. Similar results were obtained with the 16S rRNA, the tetracycline tet(P) and the lincomycin resistance protein lmrB gene probes. A specific mobA gene probe only hybridized to the smaller plasmids of the Italian C. butyricum type E strains. Of note, a ß-lactamase gene probe hybridized to the megaplasmids of eight neurotoxigenic C. butyricum type E strains, of which seven from clinical sources and the remaining one from a food implicated in foodborne botulism, whereas this ß-lactam antibiotic resistance gene was absent form the megaplasmids of the two soil strains examined. The widespread occurrence among C. butyricum type E strains associated to human disease of linear megaplasmids harboring an antibiotic resistance gene strongly suggests that the megaplasmids could have played an important role in the emergence of C. butyricum type E as a human pathogen