An EigenValue Stabilization Technique for Immersed Boundary Finite Element Methods in Explicit Dynamics

The application of immersed boundary methods in static analyses is often impeded by poorly cut elements (small cut elements problem), leading to ill-conditioned linear systems of equations and stability problems. While these concerns may not be paramount in explicit dynamics, a substantial reduction in the critical time step size based on the smallest volume fraction $\chi$ of a cut element is observed. This reduction can be so drastic that it renders explicit time integration schemes impractical. To tackle this challenge, we propose the use of a dedicated eigenvalue stabilization (EVS) technique. The EVS-technique serves a dual purpose. Beyond merely improving the condition number of system matrices, it plays a pivotal role in extending the critical time increment, effectively broadening the stability region in explicit dynamics. As a result, our approach enables robust and efficient analyses of high-frequency transient problems using immersed boundary methods. A key advantage of the stabilization method lies in the fact that only element-level operations are required. This is accomplished by computing all eigenvalues of the element matrices and subsequently introducing a stabilization term that mitigates the adverse effects of cutting. Notably, the stabilization of the mass matrix $\mathbf{M}_\mathrm{c}$ of cut elements -- especially for high polynomial orders $p$ of the shape functions -- leads to a significant raise in the critical time step size $\Delta t_\mathrm{cr}$. To demonstrate the efficacy of our technique, we present two specifically selected dynamic benchmark examples related to wave propagation analysis, where an explicit time integration scheme must be employed to leverage the increase in the critical time step size.Comment: 45 pages, 25 figure

A fluid-structure interaction study of hemodynamics in arterial bypass-graft anastomoses

This paper reports on numerical experiments on arterial bypass-graft anastomoses. Bypass-grafts are oftentimes used in surgical procedures to divert blood around narrowed or occluded parts of an artery. The diverted blood flow is crucial to the success of the operation as it may lead to undesirable peculiarities that can result to a renewed occlusion in the distal connection of the graft. However, an a priori prediction of detrimental hemodynamic aspects due to undesirable flow properties is difficult to perform in vitro or in vivo conditions. To this end, this work targets to enhance our understanding of harming mechanisms through in silico experiments using computational fluid dynamics (CFD) and fluid-structure interaction (FSI) simulations. The latter are realized through a partitioned coupled approach which is verified for a 2D benchmark case against literature-reported results. Finally, we present numerical results on grafts with different cuff sizes. Wall shear stress (WSS), oscillatory shear index (OSI) and hemolysis are monitored and compared in the context of either rigid or elastic walls and cuff sizes. Special interest is given to the prediction of hemolysis induction which is often not considered in such studies. We show that wall elasticity is the key parameter in terms of WSS prediction while cuff size mainly affects the estimation of OSI

Research Perspectives on Renewable Energy Cooperatives in Germany: Empirical Insights and Theoretical Lenses

Transformation of energy systems is influencing economic policy agendas all over the world, particularly so in industrialized countries. In this process, Germany has taken a pioneering role. Technical innovations, institutional frameworks, and business models established there are of interest for other countries trying to achieve broader use of renewable energies. Energy cooperatives have been an important building block of the energy transition in Germany, though their practical importance is neither quantitatively nor qualitatively reflected in the academic literature. Drawing on recently collected data, this paper presents an overview of German energy cooperatives in terms of their (1) organization, (2) membership, and (3) financing. We then review theories from economics and the social sciences that, on various levels, have been used to analyze cooperatives in other fields or other forms of community-driven organization. We discuss how these theories could be applied for a better understanding of energy cooperatives, derive a preliminary research agenda and assess the scope for interdisciplinary work among economists, sociologists, and other related disciplines

Prevalence of headache in Europe: a review for the Eurolight project

The main aim of the present study was to do an update on studies on headache epidemiology as a preparation for the multinational European study on the prevalence and burden of headache and investigate the impact of different methodological issues on the results. The study was based on a previous study, and a systematic literature search was performed to identify the newest studies. More than 50% of adults indicate that they suffer from headache in general during the last year or less, but when asked specifically about tension-type headache, the prevalence was 60%. Migraine occurs in 15%, chronic headache in about 4% and possible medication overuse headache in 1–2%. Cluster headache has a lifetime prevalence of 0.2–0.3%. Most headaches are more prevalent in women, and somewhat less prevalent in children and youth. Some studies indicate that the headache prevalence is increasing during the last decades in Europe. As to methodological issues, lifetime prevalences are in general higher than 1-year prevalences, but the exact time frame of headache (1 year, 6 or 3 months, or no time frame stated) seems to be of less importance. Studies using personal interviews seem to give somewhat higher prevalences than those using questionnaires

A Consensus Molecular Classification of Muscle-invasive Bladder Cancer

Background: Muscle-invasive bladder cancer (MIBC) is a molecularly diverse disease with heterogeneous clinical outcomes. Several molecular classifications have been proposed, but the diversity of their subtype sets impedes their clinical application. Objective: To achieve an international consensus on MIBC molecular subtypes that reconciles the published classification schemes. Design, setting, and participants: We used 1750 MIBC transcriptomic profiles from 16 published datasets and two additional cohorts. Outcome measurements and statistical analysis: We performed a network-based analysis of six independent MIBC classification systems to identify a consensus set of molecular classes. Association with survival was assessed using multivariable Cox models. Results and limitations: We report the results of an international effort to reach a consensus on MIBC molecular subtypes. We identified a consensus set of six molecular classes: luminal papillary (24%), luminal nonspecified (8%), luminal unstable (15%), stroma-rich (15%), basal/squamous (35%), and neuroendocrine-like (3%). These consensus classes differ regarding underlying oncogenic mechanisms, infiltration by immune and stromal cells, and histological and clinical characteristics, including outcomes. We provide a single-sample classifier that assigns a consensus class label to a tumor sample's transcriptome. Limitations of the work are retrospective clinical data collection and a lack of complete information regarding patient treatment. Conclusions: This consensus system offers a robust framework that will enable testing and validation of predictive biomarkers in future prospective clinical trials. Patient summary: Bladder cancers are heterogeneous at the molecular level, and scientists have proposed several classifications into sets of molecular classes. While these classifications may be useful to stratify patients for prognosis or response to treatment, a consensus classification would facilitate the clinical use of molecular classes. Conducted by multidisciplinary expert teams in the field, this study proposes such a consensus and provides a tool for applying the consensus classification in the clinical setting. An international consortium of bladder cancer expert teams establishes a consensus reconciling the diverse molecular classifications of muscle-invasive bladder cancer. This work offers a robust framework that will enable testing and validating predictive biomarkers in future prospective clinical trials

Analysis of shared heritability in common disorders of the brain

ience, this issue p. eaap8757 Structured Abstract INTRODUCTION Brain disorders may exhibit shared symptoms and substantial epidemiological comorbidity, inciting debate about their etiologic overlap. However, detailed study of phenotypes with different ages of onset, severity, and presentation poses a considerable challenge. Recently developed heritability methods allow us to accurately measure correlation of genome-wide common variant risk between two phenotypes from pools of different individuals and assess how connected they, or at least their genetic risks, are on the genomic level. We used genome-wide association data for 265,218 patients and 784,643 control participants, as well as 17 phenotypes from a total of 1,191,588 individuals, to quantify the degree of overlap for genetic risk factors of 25 common brain disorders. RATIONALE Over the past century, the classification of brain disorders has evolved to reflect the medical and scientific communities' assessments of the presumed root causes of clinical phenomena such as behavioral change, loss of motor function, or alterations of consciousness. Directly observable phenomena (such as the presence of emboli, protein tangles, or unusual electrical activity patterns) generally define and separate neurological disorders from psychiatric disorders. Understanding the genetic underpinnings and categorical distinctions for brain disorders and related phenotypes may inform the search for their biological mechanisms. RESULTS Common variant risk for psychiatric disorders was shown to correlate significantly, especially among attention deficit hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder (MDD), and schizophrenia. By contrast, neurological disorders appear more distinct from one another and from the psychiatric disorders, except for migraine, which was significantly correlated to ADHD, MDD, and Tourette syndrome. We demonstrate that, in the general population, the personality trait neuroticism is significantly correlated with almost every psychiatric disorder and migraine. We also identify significant genetic sharing between disorders and early life cognitive measures (e.g., years of education and college attainment) in the general population, demonstrating positive correlation with several psychiatric disorders (e.g., anorexia nervosa and bipolar disorder) and negative correlation with several neurological phenotypes (e.g., Alzheimer's disease and ischemic stroke), even though the latter are considered to result from specific processes that occur later in life. Extensive simulations were also performed to inform how statistical power, diagnostic misclassification, and phenotypic heterogeneity influence genetic correlations. CONCLUSION The high degree of genetic correlation among many of the psychiatric disorders adds further evidence that their current clinical boundaries do not reflect distinct underlying pathogenic processes, at least on the genetic level. This suggests a deeply interconnected nature for psychiatric disorders, in contrast to neurological disorders, and underscores the need to refine psychiatric diagnostics. Genetically informed analyses may provide important "scaffolding" to support such restructuring of psychiatric nosology, which likely requires incorporating many levels of information. By contrast, we find limited evidence for widespread common genetic risk sharing among neurological disorders or across neurological and psychiatric disorders. We show that both psychiatric and neurological disorders have robust correlations with cognitive and personality measures. Further study is needed to evaluate whether overlapping genetic contributions to psychiatric pathology may influence treatment choices. Ultimately, such developments may pave the way toward reduced heterogeneity and improved diagnosis and treatment of psychiatric disorders

The genetic architecture of the human cerebral cortex

The cerebral cortex underlies our complex cognitive capabilities, yet little is known about the specific genetic loci that influence human cortical structure. To identify genetic variants that affect cortical structure, we conducted a genome-wide association meta-analysis of brain magnetic resonance imaging data from 51,665 individuals. We analyzed the surface area and average thickness of the whole cortex and 34 regions with known functional specializations. We identified 199 significant loci and found significant enrichment for loci influencing total surface area within regulatory elements that are active during prenatal cortical development, supporting the radial unit hypothesis. Loci that affect regional surface area cluster near genes in Wnt signaling pathways, which influence progenitor expansion and areal identity. Variation in cortical structure is genetically correlated with cognitive function, Parkinson's disease, insomnia, depression, neuroticism, and attention deficit hyperactivity disorder

Zwischen europäischer Liberalisierung und Energiewende - Der Wandel der Governanceregime im Energiesektor (1990-2016)

Sack D. Zwischen europäischer Liberalisierung und Energiewende - Der Wandel der Governanceregime im Energiesektor (1990-2016). In: Holstenkamp L, Radtke J, eds. Handbuch Energiewende und Partizipation. Wiesbaden: Springer Fachmedien; 2018: 83-100

Peritoneal Dialysis-Associated Peritonitis Caused by Dermabacter hominis

Dermabacter hominis was the cause of a peritoneal dialysis-associated peritonitis. D. hominis was identified by phenotypic criteria and by sequencing the 16S rRNA gene. Clinical cure was achieved with cefuroxime treatment despite the isolate's reduced susceptibility to this drug (MIC, 12 mg/liter) on in vitro testing. The successful treatment was probably due to the high concentrations attained by intraperitoneal administration of the drug