7 research outputs found

    Physically Constrained Neural Networks and Regularization of Inverse Problems

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    The solution to a variety of engineering problems entails the simulation of a physical system. The main component of a simulator is a model that must accurately depict the system behaviour. There are two approaches to build such a model: to describe the functioning of the system with the help of physical laws; or to obtain a representation from observations of actual experiments. Theoretical models may have great precision and high generalisation capabilities; however, it is not possible to guarantee that every aspect of a physical phenomenon is represented into the equations. Obtaining agreement with a real system is a hard task: a bad estimate for a material parameter suffices to invalidate a prediction. Models based on measurements are not concerned with the complex system structure that gave rise to the data. In addition they are generally fast: a representation like a neural network is evaluated in a fraction of the time needed by a differential equation solver. On the other side, the obtention of a representation is an ill-posed problem; the resulting model is unable to extrapolate the predictions to regions not covered during data gathering. This paper considers the combination of both sources of information to construct a model, in a manner similar in concept to data assimilation. The equations of the theoretical model are used as restrictions in the training of neural networks; this is done in the framework of regularization techniques. The procedure is illustrated with situations as convection-diffusion, prismatic bar, plate and two dimensional flow

    Hydrogen silsesquioxane tri-dimensional advanced patterning concepts for high density of integration in sub-7 nm nodes

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    Best paper award; session 9: Novel Materials and TechnologiesInternational audienceRecent developments in CMOS devices such as FinFET, FDSOI or stacked nanowire FETs (SNWFETs) have led the industry to consider increasingly complex integration processes while aiming at smaller and smaller devices. This paper proposes new concepts of device integration based on the use of hydrogen silsesquioxane (HSQ). Recently employed to replace polysilicon sacrificial gate in gate last processes, its use could also be extended for building the whole transistor level including device lateral insulation, multi-workfonction layouts, self-aligned contacts and possibly the first layer of metal interconnects. If several EUV masks could be employed for such a use, HSQ patterning once enhanced by multi-electron beam lithography, could allow to perform all these features within a single exposure step without involving any conventional etching or stripping steps

    Tirzepatide versus insulin glargine in type 2 diabetes and increased cardiovascular risk (SURPASS-4): a randomised, open-label, parallel-group, multicentre, phase 3 trial

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    Background: We aimed to assess efficacy and safety, with a special focus on cardiovascular safety, of the novel dual GIP and GLP-1 receptor agonist tirzepatide versus insulin glargine in adults with type 2 diabetes and high cardiovascular risk inadequately controlled on oral glucose-lowering medications. Methods: This open-label, parallel-group, phase 3 study was done in 187 sites in 14 countries on five continents. Eligible participants, aged 18 years or older, had type 2 diabetes treated with any combination of metformin, sulfonylurea, or sodium-glucose co-transporter-2 inhibitor, a baseline glycated haemoglobin (HbA1c) of 7·5–10·5% (58–91 mmol/mol), body-mass index of 25 kg/m2 or greater, and established cardiovascular disease or a high risk of cardiovascular events. Participants were randomly assigned (1:1:1:3) via an interactive web-response system to subcutaneous injection of either once-per-week tirzepatide (5 mg, 10 mg, or 15 mg) or glargine (100 U/mL), titrated to reach fasting blood glucose of less than 100 mg/dL. The primary endpoint was non-inferiority (0·3% non-inferiority boundary) of tirzepatide 10 mg or 15 mg, or both, versus glargine in HbA1c change from baseline to 52 weeks. All participants were treated for at least 52 weeks, with treatment continued for a maximum of 104 weeks or until study completion to collect and adjudicate major adverse cardiovascular events (MACE). Safety measures were assessed over the full study period. This study was registered with ClinicalTrials.gov, NCT03730662. Findings: Patients were recruited between Nov 20, 2018, and Dec 30, 2019. 3045 participants were screened, with 2002 participants randomly assigned to tirzepatide or glargine. 1995 received at least one dose of tirzepatide 5 mg (n=329, 17%), 10 mg (n=328, 16%), or 15 mg (n=338, 17%), or glargine (n=1000, 50%), and were included in the modified intention-to-treat population. At 52 weeks, mean HbA1c changes with tirzepatide were −2·43% (SD 0·05) with 10 mg and −2·58% (0·05) with 15 mg, versus −1·44% (0·03) with glargine. The estimated treatment difference versus glargine was −0·99% (multiplicity adjusted 97·5% CI −1·13 to −0·86) for tirzepatide 10 mg and −1·14% (−1·28 to −1·00) for 15 mg, and the non-inferiority margin of 0·3% was met for both doses. Nausea (12–23%), diarrhoea (13–22%), decreased appetite (9–11%), and vomiting (5–9%) were more frequent with tirzepatide than glargine (nausea 2%, diarrhoea 4%, decreased appetite <1%, and vomiting 2%, respectively); most cases were mild to moderate and occurred during the dose-escalation phase. The percentage of participants with hypoglycaemia (glucose <54 mg/dL or severe) was lower with tirzepatide (6–9%) versus glargine (19%), particularly in participants not on sulfonylureas (tirzepatide 1–3% vs glargine 16%). Adjudicated MACE-4 events (cardiovascular death, myocardial infarction, stroke, hospitalisation for unstable angina) occurred in 109 participants and were not increased on tirzepatide compared with glargine (hazard ratio 0·74, 95% CI 0·51–1·08). 60 deaths (n=25 [3%] tirzepatide; n=35 [4%] glargine) occurred during the study. Interpretation: In people with type 2 diabetes and elevated cardiovascular risk, tirzepatide, compared with glargine, demonstrated greater and clinically meaningful HbA1c reduction with a lower incidence of hypoglycaemia at week 52. Tirzepatide treatment was not associated with excess cardiovascular risk. Funding: Eli Lilly and Company
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