On the role of the incompressibility constraint in soft dielectrics

In this work we demonstrate that the incompressibility constraint customarily adopted in literature to model soft dielectric composites may lead to incorrect predictions. In fact, although in these composites each phase may individually be assumed to be incompressible, for high-phase contrast in terms of elastic moduli the volumetric deformation of the softest phase can provide a non-negligible contribution to the effective behaviour. To reach our goal, we determine the effective electric response of a two-phase Dielectric Laminated Composite (DLC) actuator, whose softest phase is described by a constitutive law admitting volumetric deformation. Our results, discussed in the light of the limit case in which the softest phase consists of void, are expected to aid the design of high-performance hierarchical DLCs

On the Effect of the Volumetric Deformation in Soft Dielectric Composites with High Phase Contrast

Towards the accurate modelling of soft dielectric composites, this investigation aims at demonstrating that the incompressibility constraint customarily adopted in the literature may lead to largely inaccurate predictions. This claim is grounded on the premise that, even though in these composites each phase may individually be assumed to be incompressible, the volumetric deformation of the softest phase can provide a significant contribution to the effective behaviour if the phase contrast is high enough. To reach our goal, we determine the actuation response of two-phase dielectric laminated composites (DLCs) where the softest phase admits volumetric deformation. Our results, discussed in the light of the limit case in which the softest phase consists of vacuum, on the one hand, challenge the hypotheses usually assumed in the modelling of soft dielectric composites and, on the other hand, are expected to provide useful information for the design of high-performance hierarchical DLCs

Antiplane Stoneley waves propagating at the interface between two couple stress elastic materials

We investigate antiplane Stoneley waves, localized at the discontinuity surface between two perfectly bonded half-spaces. Both half-spaces are elastic linear isotropic and possess a microstructure that is described within the theory of couple stress materials with micro-inertia. We show that the microstructure deeply affects wave propagation, which is permitted under broad conditions. This outcome stands in marked contrast to classical elasticity, where antiplane Stoneley waves are not supported and in-plane Stoneley waves exist only under very severe conditions on the material properties of the bonded half-spaces. Besides, Stoneley waves may propagate only beyond a threshold frequency (cuton), for which an explicit expression is provided. For a given frequency above cuton, this expression lends the admissible range of material parameters that allows propagation (passband). In particular, significant contrast between the adjoining materials is possible, provided that Stoneley waves propagate at high enough frequency. Therefore, micro-inertia plays an important role in determining the features of propagation. Considerations concerning existence and uniqueness of antiplane Stoneley waves are given: it is found that evanescent and decaying/exploding modes are also admitted. Results may be especially useful when accounting for the microstructure in non-destructive testing (NDT) and seismic propagation

Simultaneous Contralateral Vestibular Schwannoma and Middle Ear Paraganglioma Tumor

To the best of our knowledge, only 2 cases of a simultaneous contralateral vestibular schwannoma (VS) and middle ear paraganglioma (MEP) have previously been reported in literature. We report the third case observed in a 43-year-old male, who presented with an 11-year history of right-sided hearing loss and a 1-year history of left-sided pulsatile tinnitus. A magnetic resonance imaging (MRI) showed a VS on the right side and computer tomography (CT) identified a Fisch type A1 paraganglioma on the left side. The VS was treated using a translabyrinthine approach and the MEP was kept under radiological observation for 1 year. Due to the growth of the MEP (Fisch type A2), it was treated with excision via a retroauricular approach. Our case was very challenging because there was a different and important pathology on each side, both carrying a risk of deafness as a consequence of the disease and/or the treatments

Intralabyrinthine Vestibular Schwannoma Responsive to Intratympanic Gentamicin Treatment

Intralabyrinthine schwannoma (ILS) is a rare benign tumor that affects the ends of cochlear and vestibular nerves. In a majority of the cases, it occurs with unilateral progressive sensorineural hearing loss. Less frequent symptoms include tinnitus, imbalance, vertigo, or fullness. The advent of magnetic resonance imaging allows early diagnosis and enables an appropriate therapeutic protocol. This report describes a case of intravestibular schwannoma, with fluctuating hearing loss and intractable vertigo, treated with intratympanic gentamicin. The patient was a 28-year-old woman with intractable vertigo and fluctuating left-side hearing loss caused by left intravestibular schwannoma. Because surgery was temporarily rejected by the patient, a single dose of intratympanic gentamicin was administered. Following this, the patient showed a significant improvement in the symptoms. However, moderate to flat sensorineural hearing loss was also observed. Intratympanic gentamicin infiltration is a valid therapeutic option for patients with ILS, affected by intractable vertigo, when the patient refuses surgery

Study of the Quench Propagation and of the Protection System of the COS-theta NED Dipole Prototype

In this report we present our studies of the propagation of the quench in the NED dipole prototype, to derive a preliminary configuration of the protection system of the magnet (quench protection heaters, dump resistors, etc.). The simulations have been performed by using the code QLASA [1]. In this code, the geometry of the magnet is simplified to a series of solenoidal concentric magnets and the evolution of the quench is calculated with the Wilson's approach [2]. An analogous study has been performed with the CERN code QUABER [3],[4], and the results are discussed in section 3

Delayed Effect of Active Pressure Treatment on Endolymphatic Hydrops

OBJECTIVE: To identify eventual correlations between the effect of low-pressure treatment and endolymphatic hydrops in Ménière patients. MATERIAL AND METHODS: The study group consisted of subjects affected by definite Ménière disease (2015) and a severe degree of disability, who received a ventilation tube with or without a low-pressure treatment before undergoing a surgical procedure (vestibular neurectomy). After the placement of the ventilation tube, the subjects were either left alone with the tube or received 1 month of self-administered low-pressure therapy with a portable device. In all subjects, an electrocochleography (ECochG) was performed and specific questionnaires - Dizziness Handicap Inventory (DHI) and Functional Scale Level (FSL) - were completed before starting either arm of treatment, at the end of treatment, and then 3 and 6 months later. RESULTS: All selected subjects presented with an ECochG pattern that was indicative of endolymphatic hydrops before starting either treatment. At the end of pressure treatment, 80% showed symptomatic improvement while maintaining the hydropic ECochG pattern. At the 3-month control stage, the hydropic pattern resulted normalized (<0.5) in all the improved subjects. CONCLUSIONS: Although 1 month of low-pressure treatment provided a positive symptomatological outcome, normalization of the hydropic ECochG parameters occurred only at a later time. Therefore, it is possible to assume that endolymphatic hydrops could be concurrent with a non-symptomatic stage of Ménière disease, and that the anti-hydropic effect of the low-pressure treatment, if any, would present with a certain delay after its completion

La presbiacusia. problematiche, diagnosi e opzioni riabilitative Presbycusis. problems, diagnosis and treatment

Presbycusis is sensorineural bilateral symmetrical, progressive hearing loss, caused by the advance of age. It involves mainly the higher frequencies and associated with tinnitus. Presbycusis the most frequent form of sensorineural hearing loss of the adult, characterized by the progressive difficulty following the conversation, especially in noisy environments. It is caused by reduction in the number of Corti cells, induced by genetic and environmental factors. In the elderly communication disorders generate isolation and depression, thereby causing a significant reduction of life quality. An observational study at our hospital in 2010, using questionnaires on verbal-acoustic communication (Self Assessment of Communication), found that older people have a poor perception of disability related to hearing loss. For presbycusis to be diagnosed, tone audiometry and speech and sovraliminary tests have to be carried out and must be integrated with the evaluation of extremely high frequencies (EHFs). In the majority of cases, rehabilitation involves conventional hearing aids. The most commonly used are retroauricular hearing aids, when these are contraindicated partially or totally implantable hearing device scan be used. Careful follow up of the patient is also fundamental, using benefit questionnaires to find the optimal fitting and therefore the best result