644 research outputs found
LES of non-Newtonian physiological blood flow in a model of arterial stenosis
Large Eddy Simulation (LES) is performed to study the physiological pulsatile transition-to-turbulent non-Newtonian blood flow through a 3D model of arterial stenosis by using five different blood viscosity models: (i) Power-law, (ii) Carreau, (iii) Quemada, (iv) Cross and (v) modified-Casson. The computational domain has been chosen is a simple channel with a biological type stenosis formed eccentrically on the top wall. The physiological pulsation is generated at the inlet of the model using the first four harmonic series of the physiological pressure pulse (Loudon and Tordesillas [1]). The effects of the various viscosity models are investigated in terms of the global maximum shear rate, post-stenotic re-circulation zone, mean shear stress, mean pressure, and turbulent kinetic energy. We find that the non-Newtonian viscosity models enlarge the length of the post-stenotic re-circulation region by moving the reattachment point of the shear layer separating from the upper wall further downstream. But the turbulent kinetic energy at the immediate post-lip of the stenosis drops due to the effects of the non-Newtonian viscosity. The importance of using LES in modelling the non-Newtonian physiological pulsatile blood flow is also assessed for the different viscosity models in terms of the results of the dynamic subgrid-scale (SGS) stress Smagorinsky model constant, C<sub>s</sub>, and the corresponding SGS normalised viscosity
Investigation of physiological pulsatile flow in a model arterial stenosis using large-eddy and direct numerical simulations
Physiologicalpulsatileflow in a 3D model of arterialstenosis is investigated by using largeeddysimulation (LES) technique. The computational domain chosen is a simple channel with a biological type stenosis formed eccentrically on the top wall. The physiological pulsation is generated at the inlet using the first harmonic of the Fourier series of pressure pulse. In LES, the large scale flows are resolved fully while the unresolved subgrid scale (SGS) motions are modelled using a localized dynamic model. Due to the narrowing of artery the pulsatileflow becomes transition-to-turbulent in the downstream region of the stenosis, where a high level of turbulent fluctuations is achieved, and some detailed information about the nature of these fluctuations are revealed through the investigation of the turbulent energy spectra. Transition-to-turbulent of the pulsatileflow in the post stenosis is examined through the various numerical results such as velocity, streamlines, velocity vectors, vortices, wall pressure and shear stresses, turbulent kinetic energy, and pressure gradient. A comparison of the LES results with the coarse DNS are given for the Reynolds number of 2000 in terms of the mean pressure, wall shear stress as well as the turbulent characteristics. The results show that the shear stress at the upper wall is low just prior to the centre of the stenosis, while it is maximum in the throat of the stenosis. But, at the immediate post stenotic region, the wall shear stress takes the oscillating form which is quite harmful to the blood cells and vessels. In addition, the pressure drops at the throat of the stenosis where the re-circulated flow region is created due to the adverse pressure gradient. The maximum turbulent kinetic energy is located at the post stenosis with the presence of the inertial sub-range region of slope −5/3
Molecular Biomarkers of Response to PD-1/PD-L1 Immune Checkpoint Blockade in Advanced Bladder Cancer
Background: The activity of PD-1/PD-L1 inhibitors in the treatment of advanced bladder cancer (BC) is promising for many
patients. However, a subset of patients do not benefit from treatment, thus leading to an effort to better identify predictive
molecular biomarkers of response.
Objective: To conduct a systematic review of the literature on predictive molecular biomarkers associated with response
to PD-1 and PD-L1 inhibitors in advanced bladder cancer, defined as locally-advanced, unresectable, or metastatic (mBC)
disease.
Methods: A search of the literature was performed using Embase (1947 – January 2019), Medline (1946 – January 2019), and
EBM Reviews for Cochrane Central Register of Controlled Trials (as of December 2018). Studies examining the association
of molecular biomarkers with clinical outcome in BC treated with PD-1 or PD-L1 monotherapy were included. Outcomes
of interest were overall survival (OS), cancer-specific survival (CSS), progression-free survival (PFS), duration of response,
and objective response rate (ORR).
Results: Using the study search criteria, 899 unique abstract citations were found, of which 834 did not meet the eligibility
criteria. Full text of the remaining 65 citations were screened, and 50 studies excluded, including 18 review articles. Eight
additional studies from the bibliography of the review papers were included, making a total of 23 studies. Five PD-1 / PD-L1
antibodies have been tested in BC immunohistochemistry (IHC). These studies used different expression scoring criteria
and generally had poor ability to discriminate likelihood for response. Overall, the data suggests CD8+ T cell infiltration is
necessary to mediate an antitumor immune response, but other immune cell populations, such as neutrophils may suppress T
cell-mediated immunity and efficacy of PD-1/PD-L1 blockade. An IFN signature is a promising predictor, but there needs
to be consensus on the optimal gene panel composition, and prospective validation. Tumor mutation burden (TMB) is a
promising predictor in six studies reporting on 1200 patients, but there is not a consensus on the optimal definition of “high
TMB”. Detection of T cell receptor (TCR) clonal expansion has only been conducted in small studies and so its predictive
value remains inconclusive. Epithelial-mesenchymal transformation (EMT) and transforming growth factor (TGF) are
associated with poor prognosis and possibly intrinsic resistance to PD-1/PD-L1 checkpoint blockade, but more work needs
to be done to build upon and confirm the initial findings. Conclusions: Currently no molecular biomarker is sufficiently mature for routine clinical use, while some candidates, or a
combination show great promise and need further study
The closest elastic tensor of arbitrary symmetry to an elasticity tensor of lower symmetry
The closest tensors of higher symmetry classes are derived in explicit form
for a given elasticity tensor of arbitrary symmetry. The mathematical problem
is to minimize the elastic length or distance between the given tensor and the
closest elasticity tensor of the specified symmetry. Solutions are presented
for three distance functions, with particular attention to the Riemannian and
log-Euclidean distances. These yield solutions that are invariant under
inversion, i.e., the same whether elastic stiffness or compliance are
considered. The Frobenius distance function, which corresponds to common
notions of Euclidean length, is not invariant although it is simple to apply
using projection operators. A complete description of the Euclidean projection
method is presented. The three metrics are considered at a level of detail far
greater than heretofore, as we develop the general framework to best fit a
given set of moduli onto higher elastic symmetries. The procedures for finding
the closest elasticity tensor are illustrated by application to a set of 21
moduli with no underlying symmetry.Comment: 48 pages, 1 figur
Nonequilibrium phase transitions induced by multiplicative noise: effects of self-correlation
A recently introduced lattice model, describing an extended system which
exhibits a reentrant (symmetry-breaking, second-order) noise-induced
nonequilibrium phase transition, is studied under the assumption that the
multiplicative noise leading to the transition is colored. Within an effective
Markovian approximation and a mean-field scheme it is found that when the
self-correlation time of the noise is different from zero, the transition is
also reentrant with respect to the spatial coupling D. In other words, at
variance with what one expects for equilibrium phase transitions, a large
enough value of D favors disorder. Moreover, except for a small region in the
parameter subspace determined by the noise intensity and D, an increase in the
self-correlation time usually preventsthe formation of an ordered state. These
effects are supported by numerical simulations.Comment: 15 pages. 9 figures. To appear in Phys.Rev.
Search for a W' boson decaying to a bottom quark and a top quark in pp collisions at sqrt(s) = 7 TeV
Results are presented from a search for a W' boson using a dataset
corresponding to 5.0 inverse femtobarns of integrated luminosity collected
during 2011 by the CMS experiment at the LHC in pp collisions at sqrt(s)=7 TeV.
The W' boson is modeled as a heavy W boson, but different scenarios for the
couplings to fermions are considered, involving both left-handed and
right-handed chiral projections of the fermions, as well as an arbitrary
mixture of the two. The search is performed in the decay channel W' to t b,
leading to a final state signature with a single lepton (e, mu), missing
transverse energy, and jets, at least one of which is tagged as a b-jet. A W'
boson that couples to fermions with the same coupling constant as the W, but to
the right-handed rather than left-handed chiral projections, is excluded for
masses below 1.85 TeV at the 95% confidence level. For the first time using LHC
data, constraints on the W' gauge coupling for a set of left- and right-handed
coupling combinations have been placed. These results represent a significant
improvement over previously published limits.Comment: Submitted to Physics Letters B. Replaced with version publishe
Search for the standard model Higgs boson decaying into two photons in pp collisions at sqrt(s)=7 TeV
A search for a Higgs boson decaying into two photons is described. The
analysis is performed using a dataset recorded by the CMS experiment at the LHC
from pp collisions at a centre-of-mass energy of 7 TeV, which corresponds to an
integrated luminosity of 4.8 inverse femtobarns. Limits are set on the cross
section of the standard model Higgs boson decaying to two photons. The expected
exclusion limit at 95% confidence level is between 1.4 and 2.4 times the
standard model cross section in the mass range between 110 and 150 GeV. The
analysis of the data excludes, at 95% confidence level, the standard model
Higgs boson decaying into two photons in the mass range 128 to 132 GeV. The
largest excess of events above the expected standard model background is
observed for a Higgs boson mass hypothesis of 124 GeV with a local significance
of 3.1 sigma. The global significance of observing an excess with a local
significance greater than 3.1 sigma anywhere in the search range 110-150 GeV is
estimated to be 1.8 sigma. More data are required to ascertain the origin of
this excess.Comment: Submitted to Physics Letters
Measurement of the Lambda(b) cross section and the anti-Lambda(b) to Lambda(b) ratio with Lambda(b) to J/Psi Lambda decays in pp collisions at sqrt(s) = 7 TeV
The Lambda(b) differential production cross section and the cross section
ratio anti-Lambda(b)/Lambda(b) are measured as functions of transverse momentum
pt(Lambda(b)) and rapidity abs(y(Lambda(b))) in pp collisions at sqrt(s) = 7
TeV using data collected by the CMS experiment at the LHC. The measurements are
based on Lambda(b) decays reconstructed in the exclusive final state J/Psi
Lambda, with the subsequent decays J/Psi to an opposite-sign muon pair and
Lambda to proton pion, using a data sample corresponding to an integrated
luminosity of 1.9 inverse femtobarns. The product of the cross section times
the branching ratio for Lambda(b) to J/Psi Lambda versus pt(Lambda(b)) falls
faster than that of b mesons. The measured value of the cross section times the
branching ratio for pt(Lambda(b)) > 10 GeV and abs(y(Lambda(b))) < 2.0 is 1.06
+/- 0.06 +/- 0.12 nb, and the integrated cross section ratio for
anti-Lambda(b)/Lambda(b) is 1.02 +/- 0.07 +/- 0.09, where the uncertainties are
statistical and systematic, respectively.Comment: Submitted to Physics Letters
Search for new physics in events with opposite-sign leptons, jets, and missing transverse energy in pp collisions at sqrt(s) = 7 TeV
A search is presented for physics beyond the standard model (BSM) in final
states with a pair of opposite-sign isolated leptons accompanied by jets and
missing transverse energy. The search uses LHC data recorded at a
center-of-mass energy sqrt(s) = 7 TeV with the CMS detector, corresponding to
an integrated luminosity of approximately 5 inverse femtobarns. Two
complementary search strategies are employed. The first probes models with a
specific dilepton production mechanism that leads to a characteristic kinematic
edge in the dilepton mass distribution. The second strategy probes models of
dilepton production with heavy, colored objects that decay to final states
including invisible particles, leading to very large hadronic activity and
missing transverse energy. No evidence for an event yield in excess of the
standard model expectations is found. Upper limits on the BSM contributions to
the signal regions are deduced from the results, which are used to exclude a
region of the parameter space of the constrained minimal supersymmetric
extension of the standard model. Additional information related to detector
efficiencies and response is provided to allow testing specific models of BSM
physics not considered in this paper.Comment: Replaced with published version. Added journal reference and DO
Measurement of isolated photon production in pp and PbPb collisions at sqrt(sNN) = 2.76 TeV
Isolated photon production is measured in proton-proton and lead-lead
collisions at nucleon-nucleon centre-of-mass energies of 2.76 TeV in the
pseudorapidity range |eta|<1.44 and transverse energies ET between 20 and 80
GeV with the CMS detector at the LHC. The measured ET spectra are found to be
in good agreement with next-to-leading-order perturbative QCD predictions. The
ratio of PbPb to pp isolated photon ET-differential yields, scaled by the
number of incoherent nucleon-nucleon collisions, is consistent with unity for
all PbPb reaction centralities.Comment: Submitted to Physics Letters
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