75 research outputs found
L'immigration française au Canada de 1945 à 1960 : pourquoi si peu d'immigrants Français?
Québec Université Laval, Bibliothèque 201
A new method for quantifying anisotropic martensitic transformation strains accumulated during constrained cooling
Martensitic phase transformations during welding can play a major role in determining the final residual stresses and they can be anisotropic if the transformation occurs under stress. Traditionally, the Satoh test has been used to quantify the response, but it suffers from the fact that the temperature is not uniform along the specimen length, making it difficult to interpret the data. This shortcoming is overcome in our new experimental method using digital image correlation (DIC) to quantify the temperature dependent evolution of the transformation strain locally both parallel and perpendicular to an applied load, in this case for a high-strength low alloy (HSLA) steel and a tough, low transformation temperature weld consumable designed to mitigate tensile weld residual stresses. The method is able to separate the volumetric component of the transformation strain from the deviatoric transformation plasticity component. The volumetric component is shown to be independent of applied load, while the deviatoric component varies approximately linearly with applied load. For the HSLA steel studied here the method also reveals that the transformation start temperature rises under both tensile and compressive loading, confirming previous work. From a weld modelling viewpoint our method provides sufficient information to include the stress dependency of the anisotropic transformation strain in numerical finite element models of the weld process
Species’ traits as predictors of avoidance towards roads and traffic
Road-networks and their associated motorized traffic pose a threat to biodiversity and ecosystems, with different groups of species exhibiting different avoidance responses. The often species-specific nature of these behavioural responses to roads and traffic suggest that morphological, ecological, life-history and behavioural traits could be useful in explaining and predicting these responses. Trait-based predictive models have been used to assess extinction risk, land use impacts, and road mortality. Here we present the first, to our knowledge, test of their potential to address animal road avoidance. We studied the fleeing responses and spatial distribution in relation to roads of diverse ungulate species across three South African protected areas. Our results show that smaller, solitary species with non-grazing food habits are more likely to flee in response to presence of a vehicle. None of the tested traits showed a clear relationship based on biological hypotheses with initial distance to roads and tolerance distance to vehicles (used to describe behavioural avoidance towards roads and vehicles, respectively). However, we found significant effects that supported proposed methodological hypotheses. Our results show the potential to use traits as indicators of vehicle and traffic avoidance. Obtaining behavioural avoidance data in the field for many species and areas can be time consuming, but here we show it may be possible to use available trait data to generally predict species responses. This could be useful for initial species risk assessments
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Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.
Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (n = 137), shock-dependent (n = 146), and no (n = 101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707
Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19
IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19.
Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19.
DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022).
INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days.
MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes.
RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively).
CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes.
TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570
Paul Morency, Alphonse Desjardins et le catéchisme des caisses populaires, Sillery, Septentrion, 2000, 262 p.
Boundary control and stabilization of the one-dimensional wave equation
International audienc
Energy decay estimates for a beam with nonlinear boundary feedback
International audienceWe obtain decay estimates for an Euler-Bernoulli beam which is clamped at one end and controlled at the other end by a point force that is a nonlinear function of the observed transversal velocity. Numerical simulations show that the estimates are fairly accurate
Modèle d'ordre réduit obtenus par projection optimale et POD pour des écoulements anisothermes
La simulation numérique des écoulements par des méthodes classiques (DNS, LES) étant coûteuse en temps de calcul, celles-ci ne peuvent pas être utilisées pour faire du contrôle en temps réel. Il est ainsi nécessaire d'avoir recours à des modèles réduits. Dans cette communication, nous appliquons une stratégie de contrôle optimal par réduction de modèles POD (utilisant une méthode de projection de type Galerkin ou une méthode de projection optimale) au cas d'une cavité ventilée. Le paramètre de contrôle est alors la vitesse d'entrée et le paramètre cible un champ de température ou de polluant
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