508 research outputs found

    Shock conditions and shock wave structures in a steady flow in a dissipative fluid

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    More precisely, calling xi the reciprocal of the Reynolds number based on the shock wave curvature radius, the xi terms of the first order are systematically taken into account. The most important result is a system of formulas giving a correction of order xi for the various RANKINE-HUGONIOT conditions. The suggested formulas may for instance have to be used instead of the conventional ones to evaluate the loss of the total pressure across the detached shock wave which is found at the nose of a very small probe in supersonic flow

    Extreme Value Theory for Piecewise Contracting Maps with Randomly Applied Stochastic Perturbations

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    We consider globally invertible and piecewise contracting maps in higher dimensions and we perturb them with a particular kind of noise introduced by Lasota and Mackey. We got random transformations which are given by a stationary process: in this framework we develop an extreme value theory for a few classes of observables and we show how to get the (usual) limiting distributions together with an extremal index depending on the strength of the noise.Comment: 16 pages. arXiv admin note: text overlap with arXiv:1407.041

    Dipyridamole plus aspirin versus aspirin alone in the secondary prevention after TIA or stroke: a meta-analysis by risk

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    Objectives: Our aim was to study the effect of combination therapy with aspirin and dipyridamole (A+D) over aspirin alone (ASA) in secondary prevention after transient ischemic attack or minor stroke of presumed arterial origin and to perform subgroup analyses to identify patients that might benefit most from secondary prevention with A+D. Data sources: The previously published meta-analysis of individual patient data was updated with data from ESPRIT (N=2,739); trials without data on the comparison of A+D versus ASA were excluded. Review methods: A meta-analysis was performed using Cox regression, including several subgroup analyses and following baseline risk stratification. Results: A total of 7,612 patients (5 trials) were included in the analyses, 3,800 allocated to A+D and 3,812 to ASA alone. The trial-adjusted hazard ratio for the composite event of vascular death, non-fatal myocardial infarction and non-fatal stroke was 0.82 (95% confidence interval 0.72-0.92). Hazard ratios did not differ in subgroup analyses based on age, sex, qualifying event, hypertension, diabetes, previous stroke, ischemic heart disease, aspirin dose, type of vessel disease and dipyridamole formulation, nor across baseline risk strata as assessed with two different risk scores. A+D were also more effective than ASA alone in preventing recurrent stroke, HR 0.78 (95% CI 0.68 – 0.90). Conclusion: The combination of aspirin and dipyridamole is more effective than aspirin alone in patients with TIA or ischemic stroke of presumed arterial origin in the secondary prevention of stroke and other vascular events. This superiority was found in all subgroups and was independent of baseline risk. ---------------------------7dc3521430776 Content-Disposition: form-data; name="c14_creators_1_name_family" Halke

    Transverse intrafascicular multichannel electrode (TIME) system for treatment of phantom limb pain in amputees

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    International audienceAIM: Phantom limb pain (PLP) develops in the lost limb in 50-80% of amputees. Today, it is not completely understood why the pain occurs, and no effective treatments are available. The favorable effect of electrical stimulation on PLP has been demonstrated. Our aim is to develop a novel system for manipulation of sensations by application of multi-channel microstimulation to the nerve stump of an amputee and explore this method as a treatment for clinched fist PLP (see figure). RESULTS: 1) Electrode design. Non-corrugated TIME electrodes with different dimensions and 8-12 active sites have been manufactued and tested in vivo and in vitro testing in the rat and pig. Methods for corrugated prototypes were developed and the first prototypes were realized. 2) Electrode selectivity modeling. A peripheral nerve model is under development to evaluate the electrode's selective stimulation properties and to optimize electrode design. Simulated currents and neural activity generated were qualitatively assessed using experimental data obtained from rat nerves. 3) Implant modeling. To optimize the implantation procedure, a theoretical peripheral nervous tissue model and a 3D FEM was implemented. Both models closely reproduce the experimental peripheral nervous tissue behaviour and simulate the insertion forces transmitted to the electrode during implantation. 4) Multi-channel stimulators and connectors. A 12-pole prototype, bench-top stimulator has been implemented and successfully tested in animal experiments. A high-count, implantable connector between stimulator and electrode has been designed. 5) Biocompatibility. Electrode materials were evaluated and did not induce immune rejection and significant inflammatory reaction after in vivo implantation in the rat. Electrode implantation will require an understanding of the fascicular characteristics of the target nerve. Morphological characteristics of the rat, pig and human nerves are currently evaluated and compared. 6) Animal testing. First TIME electrodes test were carried out in the acute rat and acute pig. Results indicated selective stimulation of different fascicles with graded recruitment. 7) Clinical evaluation: To quantify the location of artificially evoked sensations and evaluate the strength of artificially evoked sensations a psychophysical testing platform is under development. Main inclusion criteria for patient recruitment have been identified and protocols have been defined. CONCLUSION: The feasibility of the corrugated version of the TIME electrode has yet to be explored. Further work designing, optimizing and testing the TIME electrode and all technological developments will be carried out including theoretical stimulations and animal experimental work before the optimal electrode for human implant will be chosen

    Atypical audiovisual speech integration in infants at risk for autism

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    The language difficulties often seen in individuals with autism might stem from an inability to integrate audiovisual information, a skill important for language development. We investigated whether 9-month-old siblings of older children with autism, who are at an increased risk of developing autism, are able to integrate audiovisual speech cues. We used an eye-tracker to record where infants looked when shown a screen displaying two faces of the same model, where one face is articulating/ba/and the other/ga/, with one face congruent with the syllable sound being presented simultaneously, the other face incongruent. This method was successful in showing that infants at low risk can integrate audiovisual speech: they looked for the same amount of time at the mouths in both the fusible visual/ga/− audio/ba/and the congruent visual/ba/− audio/ba/displays, indicating that the auditory and visual streams fuse into a McGurk-type of syllabic percept in the incongruent condition. It also showed that low-risk infants could perceive a mismatch between auditory and visual cues: they looked longer at the mouth in the mismatched, non-fusible visual/ba/− audio/ga/display compared with the congruent visual/ga/− audio/ga/display, demonstrating that they perceive an uncommon, and therefore interesting, speech-like percept when looking at the incongruent mouth (repeated ANOVA: displays x fusion/mismatch conditions interaction: F(1,16) = 17.153, p = 0.001). The looking behaviour of high-risk infants did not differ according to the type of display, suggesting difficulties in matching auditory and visual information (repeated ANOVA, displays x conditions interaction: F(1,25) = 0.09, p = 0.767), in contrast to low-risk infants (repeated ANOVA: displays x conditions x low/high-risk groups interaction: F(1,41) = 4.466, p = 0.041). In some cases this reduced ability might lead to the poor communication skills characteristic of autism

    One-carbon metabolism, cognitive impairment and CSF measures of Alzheimer pathology: homocysteine and beyond.

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    Hyperhomocysteinemia is a risk factor for cognitive decline and dementia, including Alzheimer disease (AD). Homocysteine (Hcy) is a sulfur-containing amino acid and metabolite of the methionine pathway. The interrelated methionine, purine, and thymidylate cycles constitute the one-carbon metabolism that plays a critical role in the synthesis of DNA, neurotransmitters, phospholipids, and myelin. In this study, we tested the hypothesis that one-carbon metabolites beyond Hcy are relevant to cognitive function and cerebrospinal fluid (CSF) measures of AD pathology in older adults. Cross-sectional analysis was performed on matched CSF and plasma collected from 120 older community-dwelling adults with (n = 72) or without (n = 48) cognitive impairment. Liquid chromatography-mass spectrometry was performed to quantify one-carbon metabolites and their cofactors. Least absolute shrinkage and selection operator (LASSO) regression was initially applied to clinical and biomarker measures that generate the highest diagnostic accuracy of a priori-defined cognitive impairment (Clinical Dementia Rating-based) and AD pathology (i.e., CSF tau phosphorylated at threonine 181 [p-tau181]/β-Amyloid 1-42 peptide chain [Aβ1-42] >0.0779) to establish a reference benchmark. Two other LASSO-determined models were generated that included the one-carbon metabolites in CSF and then plasma. Correlations of CSF and plasma one-carbon metabolites with CSF amyloid and tau were explored. LASSO-determined models were stratified by apolipoprotein E (APOE) ε4 carrier status. The diagnostic accuracy of cognitive impairment for the reference model was 80.8% and included age, years of education, Aβ1-42, tau, and p-tau181. A model including CSF cystathionine, methionine, S-adenosyl-L-homocysteine (SAH), S-adenosylmethionine (SAM), serine, cysteine, and 5-methyltetrahydrofolate (5-MTHF) improved the diagnostic accuracy to 87.4%. A second model derived from plasma included cystathionine, glycine, methionine, SAH, SAM, serine, cysteine, and Hcy and reached a diagnostic accuracy of 87.5%. CSF SAH and 5-MTHF were associated with CSF tau and p-tau181. Plasma one-carbon metabolites were able to diagnose subjects with a positive CSF profile of AD pathology in APOE ε4 carriers. We observed significant improvements in the prediction of cognitive impairment by adding one-carbon metabolites. This is partially explained by associations with CSF tau and p-tau181, suggesting a role for one-carbon metabolism in the aggregation of tau and neuronal injury. These metabolites may be particularly critical in APOE ε4 carriers

    Decay and Continuity of Boltzmann Equation in Bounded Domains

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    Boundaries occur naturally in kinetic equations and boundary effects are crucial for dynamics of dilute gases governed by the Boltzmann equation. We develop a mathematical theory to study the time decay and continuity of Boltzmann solutions for four basic types of boundary conditions: inflow, bounce-back reflection, specular reflection, and diffuse reflection. We establish exponential decay in LL^{\infty} norm for hard potentials for general classes of smooth domains near an absolute Maxwellian. Moreover, in convex domains, we also establish continuity for these Boltzmann solutions away from the grazing set of the velocity at the boundary. Our contribution is based on a new L2L^{2} decay theory and its interplay with delicate % L^{\infty} decay analysis for the linearized Boltzmann equation, in the presence of many repeated interactions with the boundary.Comment: 89 pages
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