Comportement hydromécanique des sols quasi-saturé comportant de l'air occlus

Cet article présente un modèle hydromécanique qui considère séparément la cinématique et le comportement mécanique de chaque espèce fluide (e.g. l'eau liquide, l'air dissous, l'air gazeux) et de la matrice solide dans les sols quasi-saturé. Une loi de comportement élastique est adoptée pour les phases solide et liquide. Ce nouveau modèle de comportement a été implémenté dans le code de calcul COMSOL Multiphysics. Les simulations numériques permettent de mettre en évidence l'aptitude du modèle à reproduire une transition continue du domaine non saturé au domaine saturé

ICAR: endoscopic skull‐base surgery

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Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≥18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke

Modélisation du comportement des sols fins quasi-saturés comportant de l’air occlus

The behaviour of quasi-saturated materials is an important factor to be considered when designing cuttings and embankments in which earthwork materials are compacted to the optimum proctor density. Typically, soil compaction is performed at the optimum Proctor or on the wet side of the optimum, which means that the soil is in a highly saturated state. Cruz et al (1985) have shown that at a high degree of saturation (greater than 85% or even 90% in the case of certain soils), the liquid phase is continuous whereas the gas phase in the form of entrapped air bubbles is discontinuous. It is the presence of the entrapped air bubbles which makes the soil behaviour complex. The construction of a theoretical model for this type of soils requires the consideration of various physical-mechanical phenomena and their couplings occurring within the tri-phasic medium consisting of the solid grains, liquid water containing dissolved air and the entrapped air bubbles. In this sense, a new hydromechanical model has been developed that takes into account the physical-mechanical interactions between different phases as well as the kinematics of each constituent (liquid water, dissolved air, gaseous air and solid grains). In particular, the model accounts for the interfacial tension, migration of gaseous and liquid phases, which have important impacts on the mechanical behaviour. The development leads to a system of highly non-linear partial differential equations which can be solved numerically using the finite element method. This new model has been implemented in a numerical code “Hydromech” written in C++, developed originally by Pereira (2005) that has been used to simulate oedometer tests with different hydromechanical loading paths. In particular, this code allows to simulate consistently the transition across different regimes of saturation, both with respect to space (progressive translation of a boundary between two neighbouring regimes) and to time (transition of one regime to another at a fixed material point); which constituted a difficult modelling problem at the start. Numerical studies carried out show that this model gives consistent results providing a clear demonstration of its ability to simulate with precision the hydro-mechanical behaviour of quasi-saturated soils containing entrapped air.Lors du dimensionnement des ouvrages en terre : remblais, digues, on observe que la plupart des matériaux sont compactés à l’optimum Proctor ou coté humide. En général, ce compactage implique que le sol se trouve dans un état où le degré de saturation est très élevé. Cruz et al (1985) ont montré qu'à un degré de saturation élevé (supérieur à 85%, voire 90% dans le cas de certains sols), la phase liquide est continue alors que l’air présent sous forme de bulles est occlus ; ce qui rend le comportement du sol complexe. L’élaboration d’un modèle de comportement pour ce type de sols nécessite une compréhension approfondie des phénomènes physico-mécaniques intervenant au sein de l’air occlus, de l'eau liquide contenant de l'air dissous et du squelette solide. Dans ce sens, un nouveau modèle hydromécanique a été développé. Ce modèle prend en compte le comportement physico-mécanique et la cinématique propre de chacun des constituants du milieu polyphasé (eau liquide, air dissous, air sous forme gazeuse et matrice solide). En particulier, dans ce modèle, nous tenons compte de la tension de surface, de la migration des phases gazeuse et liquide qui ont des impacts importants sur le comportement mécanique des sols. Le développement du modèle conduit à un système d’équations aux dérivées partielles fortement non linéaire qui peut être résolu numériquement en utilisant la méthode des éléments finis. Ce nouveau modèle a été implémenté dans un code de calcul écrit en C++ « Hydromech », développé à l'origine par Pereira (2005), qui permet de simuler les essais oedométriques suivant différents trajets de chargement hydromécanique. En particulier, ce code de calcul permet de simuler de façon cohérente la transition entre différents régimes de saturation, aussi bien dans l'espace (translation progressive d'une frontière entre deux régimes voisins) que dans le temps (passage d'un régime à l'autre en un point donné) ; ce qui constitue un problème de modélisation difficile. Les études numériques réalisées montrent que ce modèle donne des résultats cohérents et mettent en évidence sa capacité à simuler avec précision le comportement hydromécanique des sols quasi-saturés comportant de l'air occlus

Behaviour modelling of fine, quasi-saturated soils containing entrapped air

Lors du dimensionnement des ouvrages en terre : remblais, digues, on observe que la plupart des matériaux sont compactés à l’optimum Proctor ou coté humide. En général, ce compactage implique que le sol se trouve dans un état où le degré de saturation est très élevé. Cruz et al (1985) ont montré qu'à un degré de saturation élevé (supérieur à 85%, voire 90% dans le cas de certains sols), la phase liquide est continue alors que l’air présent sous forme de bulles est occlus ; ce qui rend le comportement du sol complexe. L’élaboration d’un modèle de comportement pour ce type de sols nécessite une compréhension approfondie des phénomènes physico-mécaniques intervenant au sein de l’air occlus, de l'eau liquide contenant de l'air dissous et du squelette solide. Dans ce sens, un nouveau modèle hydromécanique a été développé. Ce modèle prend en compte le comportement physico-mécanique et la cinématique propre de chacun des constituants du milieu polyphasé (eau liquide, air dissous, air sous forme gazeuse et matrice solide). En particulier, dans ce modèle, nous tenons compte de la tension de surface, de la migration des phases gazeuse et liquide qui ont des impacts importants sur le comportement mécanique des sols. Le développement du modèle conduit à un système d’équations aux dérivées partielles fortement non linéaire qui peut être résolu numériquement en utilisant la méthode des éléments finis. Ce nouveau modèle a été implémenté dans un code de calcul écrit en C++ « Hydromech », développé à l'origine par Pereira (2005), qui permet de simuler les essais oedométriques suivant différents trajets de chargement hydromécanique. En particulier, ce code de calcul permet de simuler de façon cohérente la transition entre différents régimes de saturation, aussi bien dans l'espace (translation progressive d'une frontière entre deux régimes voisins) que dans le temps (passage d'un régime à l'autre en un point donné) ; ce qui constitue un problème de modélisation difficile. Les études numériques réalisées montrent que ce modèle donne des résultats cohérents et mettent en évidence sa capacité à simuler avec précision le comportement hydromécanique des sols quasi-saturés comportant de l'air occlus.The behaviour of quasi-saturated materials is an important factor to be considered when designing cuttings and embankments in which earthwork materials are compacted to the optimum proctor density. Typically, soil compaction is performed at the optimum Proctor or on the wet side of the optimum, which means that the soil is in a highly saturated state. Cruz et al (1985) have shown that at a high degree of saturation (greater than 85% or even 90% in the case of certain soils), the liquid phase is continuous whereas the gas phase in the form of entrapped air bubbles is discontinuous. It is the presence of the entrapped air bubbles which makes the soil behaviour complex. The construction of a theoretical model for this type of soils requires the consideration of various physical-mechanical phenomena and their couplings occurring within the tri-phasic medium consisting of the solid grains, liquid water containing dissolved air and the entrapped air bubbles. In this sense, a new hydromechanical model has been developed that takes into account the physical-mechanical interactions between different phases as well as the kinematics of each constituent (liquid water, dissolved air, gaseous air and solid grains). In particular, the model accounts for the interfacial tension, migration of gaseous and liquid phases, which have important impacts on the mechanical behaviour. The development leads to a system of highly non-linear partial differential equations which can be solved numerically using the finite element method. This new model has been implemented in a numerical code “Hydromech” written in C++, developed originally by Pereira (2005) that has been used to simulate oedometer tests with different hydromechanical loading paths. In particular, this code allows to simulate consistently the transition across different regimes of saturation, both with respect to space (progressive translation of a boundary between two neighbouring regimes) and to time (transition of one regime to another at a fixed material point); which constituted a difficult modelling problem at the start. Numerical studies carried out show that this model gives consistent results providing a clear demonstration of its ability to simulate with precision the hydro-mechanical behaviour of quasi-saturated soils containing entrapped air

Elastoplastic model for unsaturated, quasi-saturated and fully saturated fine soils

In unsaturated soils, the gaseous phase is commonly assumed to be continuous. This assumption is no more valid at high saturation ratio. In that case, air bubbles and pockets can be trapped in the porous network by the liquid phase and the gas phase becomes discontinuous. This trapped air reduces the apparent compressibility of the pore fluid and affect the mechanical behavior of the soil. Although it is trapped in the pores, its dissolution can take place. Dissolved air can migrate through the pore space, either by following the flow of the fluid or by diffusion. In this context, this paper present a hydro mechanical model that separately considers the kinematics and the mechanical behavior of each fluid species (eg liquid water, dissolved air, gaseous air) and the solid matrix. This new model was implemented in a C++ code. Some numerical simulations are performed to demonstrate the ability of this model to reproduce a continuous transition of unsaturated to saturated states

The Arp2/3 complex and WASp are required for apical trafficking of Delta into microvilli during cell fate specification of sensory organ precursors

Cell fate decisions mediated by the Notch signalling pathway require direct cell–cell contact between adjacent cells. In Drosophila melanogaster, an external sensory organ (ESO) develops from a single sensory organ precursor (SOP) and its fate specification is governed by differential Notch activation. Here we show that mutations in actin-related protein-3 (Arp3) compromise Notch signalling, leading to a fate transformation of the ESO. Our data reveal that during ESO fate specification, most endocytosed vesicles containing the ligand Delta traffic to a prominent apical actin-rich structure (ARS) formed in the SOP daughter cells. Using immunohistochemistry and transmission electron microscopy (TEM) analyses, we show that the ARS contains numerous microvilli on the apical surface of SOP progeny. In Arp2/3 and WASp mutants, the surface area of the ARS is substantially reduced and there are significantly fewer microvilli. More importantly, trafficking of Delta-positive vesicles from the basal area to the apical portion of the ARS is severely compromised. Our data indicate that WASp-dependent Arp2/3 actin polymerization is crucial for apical presentation of Delta, providing a mechanistic link between actin polymerization and Notch signalling

Amplification of 1q21 and Other Abnormalities in Multiple Myeloma Patients from a Tertiary Hospital in Singapore

Much effort has been made to stratify multiple myeloma patients for targeted therapy. However, responses have been varied and improved patient stratifications are needed. Forty-five diagnostic samples from multiple myeloma patients (median age 65 years) were stratified cytogenetically as 15 having non-hyperdiploidy, 20 having hyperdiploidy and 10 having a normal karyotype. Fluorescence in situ hybridization (FISH) assays with FGFR3/IGH, CCND1/IGH, IGH/MAF, RB1 and TP53 probes on bone marrow samples showed that IGH rearrangements were the most common abnormality in the non-hyperdiploid group but these were also found among hyperdiploid patients and patients with normal cytogenetics. Of these, FGFR3/IGH rearrangements were most frequent. Deletion of RB1/monosomy 13 was the most common genetic abnormality across the three groups and was significantly higher among non-hyperdiploid compared to hyperdiploid patients. On the other hand, the study recorded a low incidence of TP53 deletion/monosomy 17. The FGFR3/IGH fusion was frequently seen with RB1 deletion/monosomy 13. FISH with 1p36/1q21 and 6q21/15q22 probes showed that amplification of 15q22 was seen in all of the hyperdiploid patients while amplification of 1q21, Amp(1q21), characterized non-hyperdiploid patients. In contrast, deletions of 1p36 and 6q21 were very rare events. Amp(1q21), FGFR3/IGH fusion, RB1 deletion/monosomy 13, and even TP53 deletion/monosomy 17 were seen in some hyperdiploid patients, suggesting that they have a less than favorable prognosis and require closer monitoring