30 research outputs found
A reduced-order-model-based equivalent circuit for piezoelectric micro-electro-mechanical-system loudspeakers modeling
Genetic information transfer promotes cooperation in bacteria
Many bacterial species are social, producing costly secreted “public good” molecules that enhance the growth of neighboring cells. The genes coding for these cooperative traits are often propagated via mobile genetic elements and can be virulence factors from a biomedical perspective. Here, we present an experimental framework that links genetic information exchange and the selection of cooperative traits. Using simulations and experiments based on a synthetic bacterial system to control public good secretion and plasmid conjugation, we demonstrate that horizontal gene transfer can favor cooperation. In a well-mixed environment, horizontal transfer brings a direct infectious advantage to any gene, regardless of its cooperation properties. However, in a structured population transfer selects specifically for cooperation by increasing the assortment among cooperative alleles. Conjugation allows cooperative alleles to overcome rarity thresholds and invade bacterial populations structured purely by stochastic dilution effects. Our results provide an explanation for the prevalence of cooperative genes on mobile elements, and suggest a previously unidentified benefit of horizontal gene transfer for bacteria
Sex- and age-related differences in the management and outcomes of chronic heart failure: an analysis of patients from the ESC HFA EORP Heart Failure Long-Term Registry
Aims: This study aimed to assess age- and sex-related differences in management and 1-year risk for all-cause mortality and hospitalization in chronic heart failure (HF) patients. Methods and results: Of 16 354 patients included in the European Society of Cardiology Heart Failure Long-Term Registry, 9428 chronic HF patients were analysed [median age: 66 years; 28.5% women; mean left ventricular ejection fraction (LVEF) 37%]. Rates of use of guideline-directed medical therapy (GDMT) were high (angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers and mineralocorticoid receptor antagonists: 85.7%, 88.7% and 58.8%, respectively). Crude GDMT utilization rates were lower in women than in men (all differences: P\ua0 64 0.001), and GDMT use became lower with ageing in both sexes, at baseline and at 1-year follow-up. Sex was not an independent predictor of GDMT prescription; however, age >75 years was a significant predictor of GDMT underutilization. Rates of all-cause mortality were lower in women than in men (7.1% vs. 8.7%; P\ua0=\ua00.015), as were rates of all-cause hospitalization (21.9% vs. 27.3%; P\ua075 years. Conclusions: There was a decline in GDMT use with advanced age in both sexes. Sex was not an independent predictor of GDMT or adverse outcomes. However, age >75 years independently predicted lower GDMT use and higher all-cause mortality in patients with LVEF 6445%
Association between loop diuretic dose changes and outcomes in chronic heart failure: observations from the ESC-EORP Heart Failure Long-Term Registry
[Abstract]
Aims. Guidelines recommend down-titration of loop diuretics (LD) once euvolaemia is achieved. In outpatients with heart
failure (HF), we investigated LD dose changes in daily cardiology practice, agreement with guideline recommendations,
predictors of successful LD down-titration and association between dose changes and outcomes.
Methods
and results.
We included 8130 HF patients from the ESC-EORP Heart Failure Long-Term Registry. Among patients who had dose
decreased, successful decrease was defined as the decrease not followed by death, HF hospitalization, New York Heart
Association class deterioration, or subsequent increase in LD dose. Mean age was 66±13 years, 71% men, 62% HF
with reduced ejection fraction, 19% HF with mid-range ejection fraction, 19% HF with preserved ejection fraction.
Median [interquartile range (IQR)] LD dose was 40 (25–80) mg. LD dose was increased in 16%, decreased in 8.3%
and unchanged in 76%. Median (IQR) follow-up was 372 (363–419) days. Diuretic dose increase (vs. no change) was
associated with HF death [hazard ratio (HR) 1.53, 95% confidence interval (CI) 1.12–2.08; P = 0.008] and nominally
with cardiovascular death (HR 1.25, 95% CI 0.96–1.63; P = 0.103). Decrease of diuretic dose (vs. no change) was
associated with nominally lower HF (HR 0.59, 95% CI 0.33–1.07; P = 0.083) and cardiovascular mortality (HR 0.62 95% CI 0.38–1.00; P = 0.052). Among patients who had LD dose decreased, systolic blood pressure [odds ratio
(OR) 1.11 per 10 mmHg increase, 95% CI 1.01–1.22; P = 0.032], and absence of (i) sleep apnoea (OR 0.24, 95% CI
0.09–0.69; P = 0.008), (ii) peripheral congestion (OR 0.48, 95% CI 0.29–0.80; P = 0.005), and (iii) moderate/severe
mitral regurgitation (OR 0.57, 95% CI 0.37–0.87; P = 0.008) were independently associated with successful decrease.
Conclusion. Diuretic dose was unchanged in 76% and decreased in 8.3% of outpatients with chronic HF. LD dose increase was
associated with worse outcomes, while the LD dose decrease group showed a trend for better outcomes compared
with the no-change group. Higher systolic blood pressure, and absence of (i) sleep apnoea, (ii) peripheral congestion,
and (iii) moderate/severe mitral regurgitation were independently associated with successful dose decrease
Measurements of the impedance matrix of a thermoacoustic core: Applications to the design of thermoacoustic engines
The successful design of a thermoacoustic engine depends on the appropriate description of the processes involved inside the thermoacoustic core (TAC). This is a difficult task when considering the complexity of both the heat transfer phenomena and the geometry of the porous material wherein the thermoacoustic amplification process occurs. An attempt to getting round this difficulty consists in measuring the TAC transfer matrix under various heating conditions, the measured transfer matrices being exploited afterward into analytical models describing the complete apparatus. In this paper, a method based on impedance measurements is put forward, which allows the accurate measurement of the TAC transfer matrix, contrarily to the classical two-load method. Four different materials are tested, each one playing as the porous element allotted inside the TAC, which is submitted to different temperature gradients to promote thermoacoustic amplification. The experimental results are applied to the modeling of basic standing-wave and traveling-wave engines, allowing the prediction of the engine operating frequency and thermoacoustic amplification gain, as well as the optimum choice of the components surrounding the TAC. (C) 2013 Acoustical Society of America. [http://dx.doi.org/10.1121/1.4796131]133512650266
Experimental investigation of transient nonlinear phenomena in an annular thermoacoustic prime-mover: observation of a double-threshold effect
International audienc
Velocity of Mass Transport to Model Acoustic Streaming: Numerical Application to Annular Resonators
International audienc
Modèle à constantes localisées de transducteurs : dissipation dans les couches limites
The main purpose of the paper is to provide, in an analytic way, an electrical network which describes the behaviour of electrostatic or electret transducers, and which takes into account the effects of the strong coupling between the mechanical and acoustical parts of the system ; the conventional model seems to be improved to describe new miniaturized transducers with a good accuracy
LUMPED-PARAMETERS EQUIVALENT CIRCUIT FOR PIEZOELECTRIC MEMS SPEAKERS MODELING
Piezoelectric MEMS speakers are emerging as very promising implementations of loudspeakers at the microscale, as they are able to meet the ever-increasing requirements for modern audio devices to become smaller, lighter and more power efficient [1, 2]. However, research work is still needed to accurately capture their mechanical and acoustical response [3]. In this work, we propose a lumped-parameters equivalent circuit for a fast and accurate modeling of this type of devices. The electromechanical parameters are derived from a FEM eigenfrequency analysis, for a precise computation of these quantities for arbitrarily complex geometries and an accurate estimation of the shift of the speaker resonance frequency due to an initial non null pre-deflected configuration. The acoustical parameters are instead derived through analytical formulas. Special attention is paid to the air-gaps modeling, by taking into account the acoustic short-circuit between the speaker front and rear sides. The very good matching in terms of Sound Pressure Level among the equivalent circuit predictions, FEM simulations and experimental data demonstrates the ability of the proposed method to accurately simulate the speaker performances, thus representing a fast tool for the design of this class of MEMS speakers