Photoacoustic Response of Thin Films - Thermal Memory Influence

On the basis of the generalized photoacoustic response model, which includes the influence of thermal memory on both thermoconducting and thermoelastic components, photoacoustic response of thin films is analysed. It is demonstrated that the influence of thermal memory is manifested at frequencies above certain boundary frequency, which depends on thermal memory properties of the sample and its depth. A linear relation, linking heat propagation velocity and measured signal, is derived. Taking into account the confinement of the frequency range imposed by the measuring system, it is indicated that thermal memory properties of non-cristaline thin films can be determined in a photoacoustic experiment

Temporal changes in the epidemiology, management, and outcome from acute respiratory distress syndrome in European intensive care units: a comparison of two large cohorts

Background: Mortality rates for patients with ARDS remain high. We assessed temporal changes in the epidemiology and management of ARDS patients requiring invasive mechanical ventilation in European ICUs. We also investigated the association between ventilatory settings and outcome in these patients. Methods: This was a post hoc analysis of two cohorts of adult ICU patients admitted between May 1–15, 2002 (SOAP study, n = 3147), and May 8–18, 2012 (ICON audit, n = 4601 admitted to ICUs in the same 24 countries as the SOAP study). ARDS was defined retrospectively using the Berlin definitions. Values of tidal volume, PEEP, plateau pressure, and FiO2 corresponding to the most abnormal value of arterial PO2 were recorded prospectively every 24 h. In both studies, patients were followed for outcome until death, hospital discharge or for 60 days. Results: The frequency of ARDS requiring mechanical ventilation during the ICU stay was similar in SOAP and ICON (327[10.4%] vs. 494[10.7%], p = 0.793). The diagnosis of ARDS was established at a median of 3 (IQ: 1–7) days after admission in SOAP and 2 (1–6) days in ICON. Within 24 h of diagnosis, ARDS was mild in 244 (29.7%), moderate in 388 (47.3%), and severe in 189 (23.0%) patients. In patients with ARDS, tidal volumes were lower in the later (ICON) than in the earlier (SOAP) cohort. Plateau and driving pressures were also lower in ICON than in SOAP. ICU (134[41.1%] vs 179[36.9%]) and hospital (151[46.2%] vs 212[44.4%]) mortality rates in patients with ARDS were similar in SOAP and ICON. High plateau pressure (> 29 cmH2O) and driving pressure (> 14 cmH2O) on the first day of mechanical ventilation but not tidal volume (> 8 ml/kg predicted body weight [PBW]) were independently associated with a higher risk of in-hospital death. Conclusion: The frequency of and outcome from ARDS remained relatively stable between 2002 and 2012. Plateau pressure > 29 cmH2O and driving pressure > 14 cmH2O on the first day of mechanical ventilation but not tidal volume > 8 ml/kg PBW were independently associated with a higher risk of death. These data highlight the continued burden of ARDS and provide hypothesis-generating data for the design of future studies

The clinical relevance of oliguria in the critically ill patient : Analysis of a large observational database

Funding Information: Marc Leone reports receiving consulting fees from Amomed and Aguettant; lecture fees from MSD, Pfizer, Octapharma, 3 M, Aspen, Orion; travel support from LFB; and grant support from PHRC IR and his institution. JLV is the Editor-in-Chief of Critical Care. The other authors declare that they have no relevant financial interests. Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results: Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay (n = 1349) were divided into three groups: transient - oliguria resolved within 48 h after the admission day (n = 390 [28.9%]), prolonged - oliguria resolved > 48 h after the admission day (n = 141 [10.5%]), and permanent - oliguria persisting for the whole ICU stay or again present at the end of the ICU stay (n = 818 [60.6%]). ICU and hospital mortality rates were higher in patients with oliguria than in those without, except for patients with transient oliguria who had significantly lower mortality rates than non-oliguric patients. In multilevel analysis, the need for RRT was associated with a significantly higher risk of death (OR = 1.51 [95% CI 1.19-1.91], p = 0.001), but the presence of oliguria on admission was not (OR = 1.14 [95% CI 0.97-1.34], p = 0.103). Conclusions: Oliguria is common in ICU patients and may have a relatively benign nature if only transient. The duration of oliguria and need for RRT are associated with worse outcome.publishersversionPeer reviewe

Thermal memory influence on the thermoconducting component of indirect photoacoustic response

In this paper, a model of the thermoconducting component of the indirect photoacoustic (PA) response is derived that includes thermal memory properties of the examined material and its fluid environment. A comparison is made between the derived model and the classic one, which neglects the influence of thermal memory. It has been shown that, at modulation frequencies lower than a certain boundary frequency of the light source, these models tend to overlap, while at higher frequencies, noticeable differences occur. The boundary frequency depends on heat propagation velocity through the sample and its thickness. This observation limits the validity domain of previous models to a range lower than the boundary frequency, offering, at the same time, the possibility of obtaining thermal memory properties using PA effects at frequencies above it.3rd International School and Conference on Photonics, Aug 29-Sep 02, 2011, Belgrade, Serbi

Photothermal Thermoelastic Bending for Media with Thermal Memory

Photothermal thermoelastic bending depends on an optically generated dynamic thermal field distribution within a sample. A generalized description of the distribution is proposed, including the effects of a finite heat propagation velocity and a finite, non-zero time of thermal relaxation (known as thermal memory effects in generalized heat conduction theory), and finally the generated thermoelastic bending is calculated by using both a thin solid-plate approximation and a decoupling system of thermoelastic equations. The comparison between this model and the classical one, which does not account for thermal memory influence, has been made. If the sample is thicker than the value of its minimal thermal diffusion length, the difference between the two models becomes insignificant. Otherwise, it has been shown that the two models tend to overlap at low and high modulation frequencies of the excitation light, while in the mid-frequency range, some deviations become more apparent and thermal memory properties of the sample must be taken into account. The suggested model enables evaluation of thermal memory properties for such a solid.16th International Conference on Photothermal and Photoacoustic Phenomena (ICPPP), Nov 27-Dec 01, 2011, Merida, Mexic