Water waves overtopping over barriers

A numerical and experimental analysis of the wave overtopping over emerged and submerged structures, is presented. An original model is used in order to simulate three-dimensional free surface flows. The model is based on the numerical solution of the motion equations expressed in an integral form in time-dependent curvilinear coordinates. A non-intrusive and continuous-in-space image analysis technique, which is able to properly identify the free surface even in very shallow waters or breaking waves, is adopted for the experimental tests. Numerical and experimental results are compared, for several wave and water depth conditions

Structural Simulation of Transcatheter Heart Valve in Transcatheter Heart Valve

The durability of transcatheter heart valves (TAV) remains the main disadvantage of transcatheter heart valve implantation (TAVI) for treating aortic valve stenosis. In this study, we assessed the structural mechanics of TAV-in-TAVI using patient-specific modeling. A parametric analysis highlighted that the outcome of TAV-in-TAV depends on the implanted device position and the planned device to be implanted. Contact pressure evinced the impact of different implantation depth and device size on the TAV-in-TAV. This study may bring new insight in the biomechanical performance of TAV to evaluate options for future interventions when the current TAVs experience device failure

Spectral singularities for Non-Hermitian one-dimensional Hamiltonians: puzzles with resolution of identity

We examine the completeness of bi-orthogonal sets of eigenfunctions for non-Hermitian Hamiltonians possessing a spectral singularity. The correct resolutions of identity are constructed for delta like and smooth potentials. Their form and the contribution of a spectral singularity depend on the class of functions employed for physical states. With this specification there is no obstruction to completeness originating from a spectral singularity.Comment: 25 pages, more refs adde

Parametric analysis of transcatheter aortic valve replacement in transcatheter aortic valve replacement: evaluation of coronary flow obstruction

Transcatheter aortic valve replacement (TAVR) is increasingly being considered for use in younger patients having longer life expectancy than those who were initially treated. The TAVR-in-TAVR procedure represents an appealing strategy to treat failed transcatheter heart valves (THV) likely occurring in young patients. However, the permanent displacement of first THV can potentially compromise the coronary access and ultimately inhibit the blood flow circulation. The objective of this study was to use finite-element analysis (FEA) to quantify coronary flow in a patient who underwent TAVR-in-TAVR. A parametric investigation was carried out to determine the impact of both the implantation depth and device size on coronary flow for several deployment configurations. The FEAs consisted of first delivering the SAPIEN 3 Ultra THV and then positioning the Evolut PRO device. Findings indicates that high implantation depth and device undersize of the second THV could significantly reduce coronary flow to 20% of its estimated level before TAVR. Additionally, a positive correlation was observed between coronary flow and the valve-to-coronary distance (R = 0.86 and p = 0.032 for the left coronary artery, and R = 0.93 and p = 0.014 for the right coronary artery). This study demonstrated that computational modeling can provide valuable insights to improve the pre-procedural planning of TAVR-in-TAVR

Biomechanical performance of the Bicaval Transcatheter System for the treatment of severe tricuspid regurgitation

Introduction: Tricuspid regurgitation (TR) is a relatively common valvular disease, which can result from structural abnormalities of any anatomic part of the tricuspid valve. Severe TR is linked to congestive heart failure and hemodynamic impairment, resulting in high mortality when repaired by elective surgery. This study was undertaken to quantify the structural and hemodynamic performance of the novel Transcatheter Bicaval Valves System (TricValve) percutaneously implanted in the superior vena cava (SVC) and inferior vena cava (IVC) of two patients with severe TR and venous congestion. Methods: After developing the SVC and IVC device models, the contact pressure exerted on the vena cava wall was obtained by computational analysis. Both smoothed-particle hydrodynamics (SPH) and computational fluid dynamics were carried out to quantify caval reflux in the right atrium and the pressure field of pre- and post-TricValve scenarios, respectively. Results: Analysis of contact pressure highlighted the main anchoring area of the SVC device occurring near the SVC device belly, while the IVC device exerted pronounced forces in the device’s proximal and distal parts. SPH-related flow velocities revealed the absence of caval reflux, and a decrease in time-averaged pressure was observed near the SVC and IVC after TricValve implantation. Discussion: Findings demonstrated the potential of computational tools for enhancing our understanding of the biomechanical performance of structural tricuspid valve interventions and improving the way we design next-generation transcatheter therapies to treat the tricuspid valve with heterotopic caval valve implantation

Complex Lagrangians and phantom cosmology

Motivated by the generalization of quantum theory for the case of non-Hermitian Hamiltonians with PT symmetry, we show how a classical cosmological model describes a smooth transition from ordinary dark energy to the phantom one. The model is based on a classical complex Lagrangian of a scalar field. Specific symmetry properties analogous to PT in non-Hermitian quantum mechanics lead to purely real equation of motion.Comment: 11 pages, to be published in J.Phys.A, refs. adde

Equidistance of the Complex 2-Dim Anharmonic Oscillator Spectrum: Exact Solution

We study a class of quantum two-dimensional models with complex potentials of specific form. They can be considered as the generalization of a recently studied model with quadratic interaction not amenable to conventional separation of variables. In the present case, the property of shape invariance provides the equidistant form of the spectrum and the algorithm to construct eigenfunctions analytically. It is shown that the Hamiltonian is non-diagonalizable, and the resolution of identity must include also the corresponding associated functions. In the specific case of anharmonic second-plus-fourth order interaction, expressions for the wave functions and associated functions are constructed explicitly for the lowest levels, and the recursive algorithm to produce higher level wave functions is given.Comment: 17 p.

Glutathione Decrement Drives Thermogenic Program in Adipose Cells

Adipose tissue metabolically adapts to external stimuli. We demonstrate that the induction of the thermogenic program in white adipocytes, through cold exposure in mice or in vitro adrenergic stimulation, is accompanied by a decrease in the intracellular content of glutathione (GSH). Moreover, the treatment with a GSH depleting agent, buthionine sulfoximine (BSO), recapitulates the effect of cold exposure resulting in the induction of thermogenic program. In particular, BSO treatment leads to enhanced uncoupling respiration as demonstrated by increased expression of thermogenic genes (e.g. Ucp1, Ppargc1a), augmented oxygen consumption and decreased mitochondrial transmembrane potential. Buffering GSH decrement by pre-treatment with GSH ester prevents the up-regulation of typical markers of uncoupling respiration. We demonstrate that FoxO1 activation is responsible for the conversion of white adipocytes into a brown phenotype as the "browning" effects of BSO are completely abrogated in cells down-regulating FoxO1. In mice, the BSO-mediated up-regulation of uncoupling genes results in weight loss that is at least in part ascribed to adipose tissue mass reduction. The induction of thermogenic program has been largely proposed to counteract obesity-related diseases. Based on these findings, we propose GSH as a novel therapeutic target to increase energy expenditure in adipocytes.Adipose tissue metabolically adapts to external stimuli. We demonstrate that the induction of the thermogenic program in white adipocytes, through cold exposure in mice or in vitro adrenergic stimulation, is accompanied by a decrease in the intracellular content of glutathione (GSH). Moreover, the treatment with a GSH depleting agent, buthionine sulfoximine (BSO), recapitulates the effect of cold exposure resulting in the induction of thermogenic program. In particular, BSO treatment leads to enhanced uncoupling respiration as demonstrated by increased expression of thermogenic genes (e.g. Ucp1, Ppargc1a), augmented oxygen consumption and decreased mitochondrial transmembrane potential. Buffering GSH decrement by pre-treatment with GSH ester prevents the up-regulation of typical markers of uncoupling respiration. We demonstrate that FoxO1 activation is responsible for the conversion of white adipocytes into a brown phenotype as the "browning" effects of BSO are completely abrogated in cells down-regulating FoxO1. In mice, the BSO-mediated up-regulation of uncoupling genes results in weight loss that is at least in part ascribed to adipose tissue mass reduction. The induction of thermogenic program has been largely proposed to counteract obesity-related diseases. Based on these findings, we propose GSH as a novel therapeutic target to increase energy expenditure in adipocytes