Mission Assignment Model and Simulation Tool for Different Types of Unmanned Aerial Vehicles

DTIC Science & Technology

2008-09-01

TABLE OF ABBREVIATIONS AND ACRONYMS AAA Anti Aircraft Artillery ATO Air Tasking Order BDA Battle Damage Assessment DES Discrete Event Simulation...clock is advanced in small, fixed time steps. Since the value of simulated time is important in DES , an internal variable, called as simulation clock...VEHICLES Yücel Alver Captain, Turkish Air Force B.S., Turkish Air Force Academy, 2000 Murat Özdoğan 1st Lieutenant, Turkish Air Force B.S., Turkish

Evaluation of the Navys Sea/Shore Flow Policy

DTIC Science & Technology

2016-06-01

Std. Z39.18 i Abstract CNA developed an independent Discrete -Event Simulation model to evaluate and assess the effect of...a more steady manning level, but the variability remains, even if the system is optimized. In building a Discrete -Event Simulation model, we...steady-state model. In FY 2014, CNA developed a Discrete -Event Simulation model to evaluate the impact of sea/shore flow policy (the DES-SSF model

Discrete Event Supervisory Control Applied to Propulsion Systems

NASA Technical Reports Server (NTRS)

Litt, Jonathan S.; Shah, Neerav

2005-01-01

The theory of discrete event supervisory (DES) control was applied to the optimal control of a twin-engine aircraft propulsion system and demonstrated in a simulation. The supervisory control, which is implemented as a finite-state automaton, oversees the behavior of a system and manages it in such a way that it maximizes a performance criterion, similar to a traditional optimal control problem. DES controllers can be nested such that a high-level controller supervises multiple lower level controllers. This structure can be expanded to control huge, complex systems, providing optimal performance and increasing autonomy with each additional level. The DES control strategy for propulsion systems was validated using a distributed testbed consisting of multiple computers--each representing a module of the overall propulsion system--to simulate real-time hardware-in-the-loop testing. In the first experiment, DES control was applied to the operation of a nonlinear simulation of a turbofan engine (running in closed loop using its own feedback controller) to minimize engine structural damage caused by a combination of thermal and structural loads. This enables increased on-wing time for the engine through better management of the engine-component life usage. Thus, the engine-level DES acts as a life-extending controller through its interaction with and manipulation of the engine s operation.

Evaluation of the Navys Sea/Shore Flow Policy

DTIC Science & Technology

2016-06-01

CNA developed an independent Discrete -Event Simulation model to evaluate and assess the effect of alternative sea/shore flow policies. In this study...remains, even if the system is optimized. In building a Discrete -Event Simulation model, we discovered key factors that should be included in the... Discrete -Event Simulation model to evaluate the impact of sea/shore flow policy (the DES-SSF model) and compared the results with the SSFM for one

An empirical comparison of Markov cohort modeling and discrete event simulation in a capacity-constrained health care setting.

PubMed

Standfield, L B; Comans, T A; Scuffham, P A

2017-01-01

To empirically compare Markov cohort modeling (MM) and discrete event simulation (DES) with and without dynamic queuing (DQ) for cost-effectiveness (CE) analysis of a novel method of health services delivery where capacity constraints predominate. A common data-set comparing usual orthopedic care (UC) to an orthopedic physiotherapy screening clinic and multidisciplinary treatment service (OPSC) was used to develop a MM and a DES without (DES-no-DQ) and with DQ (DES-DQ). Model results were then compared in detail. The MM predicted an incremental CE ratio (ICER) of $495 per additional quality-adjusted life-year (QALY) for OPSC over UC. The DES-no-DQ showed OPSC dominating UC; the DES-DQ generated an ICER of $2342 per QALY. The MM and DES-no-DQ ICER estimates differed due to the MM having implicit delays built into its structure as a result of having fixed cycle lengths, which are not a feature of DES. The non-DQ models assume that queues are at a steady state. Conversely, queues in the DES-DQ develop flexibly with supply and demand for resources, in this case, leading to different estimates of resource use and CE. The choice of MM or DES (with or without DQ) would not alter the reimbursement of OPSC as it was highly cost-effective compared to UC in all analyses. However, the modeling method may influence decisions where ICERs are closer to the CE acceptability threshold, or where capacity constraints and DQ are important features of the system. In these cases, DES-DQ would be the preferred modeling technique to avoid incorrect resource allocation decisions.

Modelling, Simulation & Analysis (MS&A): Potent Enabling Tools for Planning and Executing Complex Major National Events

DTIC Science & Technology

2011-10-01

de 2012 à Londres, les Jeux du Commonwealth de 2015 à Toronto et la gestion des cas d’urgence transfrontaliers...tels que les Jeux olympiques. La gestion de la sécurité lors d’événements comme Vancouver 2010 et les sommets du G8 et du G20 est un enjeu... des plans de gestion des mesures d’urgence et de continuité des opérations, une structure permanente a été mise sur pied

Discrete event simulation for healthcare organizations: a tool for decision making.

PubMed

Hamrock, Eric; Paige, Kerrie; Parks, Jennifer; Scheulen, James; Levin, Scott

2013-01-01

Healthcare organizations face challenges in efficiently accommodating increased patient demand with limited resources and capacity. The modern reimbursement environment prioritizes the maximization of operational efficiency and the reduction of unnecessary costs (i.e., waste) while maintaining or improving quality. As healthcare organizations adapt, significant pressures are placed on leaders to make difficult operational and budgetary decisions. In lieu of hard data, decision makers often base these decisions on subjective information. Discrete event simulation (DES), a computerized method of imitating the operation of a real-world system (e.g., healthcare delivery facility) over time, can provide decision makers with an evidence-based tool to develop and objectively vet operational solutions prior to implementation. DES in healthcare commonly focuses on (1) improving patient flow, (2) managing bed capacity, (3) scheduling staff, (4) managing patient admission and scheduling procedures, and (5) using ancillary resources (e.g., labs, pharmacies). This article describes applicable scenarios, outlines DES concepts, and describes the steps required for development. An original DES model developed to examine crowding and patient flow for staffing decision making at an urban academic emergency department serves as a practical example.

Discrete Event Simulation for Decision Modeling in Health Care: Lessons from Abdominal Aortic Aneurysm Screening

PubMed Central

Jones, Edmund; Masconi, Katya L.; Sweeting, Michael J.; Thompson, Simon G.; Powell, Janet T.

2018-01-01

Markov models are often used to evaluate the cost-effectiveness of new healthcare interventions but they are sometimes not flexible enough to allow accurate modeling or investigation of alternative scenarios and policies. A Markov model previously demonstrated that a one-off invitation to screening for abdominal aortic aneurysm (AAA) for men aged 65 y in the UK and subsequent follow-up of identified AAAs was likely to be highly cost-effective at thresholds commonly adopted in the UK (£20,000 to £30,000 per quality adjusted life-year). However, new evidence has emerged and the decision problem has evolved to include exploration of the circumstances under which AAA screening may be cost-effective, which the Markov model is not easily able to address. A new model to handle this more complex decision problem was needed, and the case of AAA screening thus provides an illustration of the relative merits of Markov models and discrete event simulation (DES) models. An individual-level DES model was built using the R programming language to reflect possible events and pathways of individuals invited to screening v. those not invited. The model was validated against key events and cost-effectiveness, as observed in a large, randomized trial. Different screening protocol scenarios were investigated to demonstrate the flexibility of the DES. The case of AAA screening highlights the benefits of DES, particularly in the context of screening studies.

Modeling using discrete event simulation: a report of the ISPOR-SMDM Modeling Good Research Practices Task Force--4.

PubMed

Karnon, Jonathan; Stahl, James; Brennan, Alan; Caro, J Jaime; Mar, Javier; Möller, Jörgen

2012-01-01

Discrete event simulation (DES) is a form of computer-based modeling that provides an intuitive and flexible approach to representing complex systems. It has been used in a wide range of health care applications. Most early applications involved analyses of systems with constrained resources, where the general aim was to improve the organization of delivered services. More recently, DES has increasingly been applied to evaluate specific technologies in the context of health technology assessment. The aim of this article was to provide consensus-based guidelines on the application of DES in a health care setting, covering the range of issues to which DES can be applied. The article works through the different stages of the modeling process: structural development, parameter estimation, model implementation, model analysis, and representation and reporting. For each stage, a brief description is provided, followed by consideration of issues that are of particular relevance to the application of DES in a health care setting. Each section contains a number of best practice recommendations that were iterated among the authors, as well as among the wider modeling task force. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

A generic discrete-event simulation model for outpatient clinics in a large public hospital.

PubMed

Weerawat, Waressara; Pichitlamken, Juta; Subsombat, Peerapong

2013-01-01

The orthopedic outpatient department (OPD) ward in a large Thai public hospital is modeled using Discrete-Event Stochastic (DES) simulation. Key Performance Indicators (KPIs) are used to measure effects across various clinical operations during different shifts throughout the day. By considering various KPIs such as wait times to see doctors, percentage of patients who can see a doctor within a target time frame, and the time that the last patient completes their doctor consultation, bottlenecks are identified and resource-critical clinics can be prioritized. The simulation model quantifies the chronic, high patient congestion that is prevalent amongst Thai public hospitals with very high patient-to-doctor ratios. Our model can be applied across five different OPD wards by modifying the model parameters. Throughout this work, we show how DES models can be used as decision-support tools for hospital management.

Modeling and Simulation at NASA

NASA Technical Reports Server (NTRS)

Steele, Martin J.

2009-01-01

This slide presentation is composed of two topics. The first reviews the use of modeling and simulation (M&S) particularly as it relates to the Constellation program and discrete event simulation (DES). DES is defined as a process and system analysis, through time-based and resource constrained probabilistic simulation models, that provide insight into operation system performance. The DES shows that the cycles for a launch from manufacturing and assembly to launch and recovery is about 45 days and that approximately 4 launches per year are practicable. The second topic reviews a NASA Standard for Modeling and Simulation. The Columbia Accident Investigation Board made some recommendations related to models and simulations. Some of the ideas inherent in the new standard are the documentation of M&S activities, an assessment of the credibility, and reporting to decision makers, which should include the analysis of the results, a statement as to the uncertainty in the results,and the credibility of the results. There is also discussion about verification and validation (V&V) of models. There is also discussion about the different types of models and simulation.

Airlift Operation Modeling Using Discrete Event Simulation (DES)

DTIC Science & Technology

2009-12-01

Java ......................................................................................................20 2. Simkit...JRE Java Runtime Environment JVM Java Virtual Machine lbs Pounds LAM Load Allocation Mode LRM Landing Spot Reassignment Mode LEGO Listener Event...SOFTWARE DEVELOPMENT ENVIRONMENT The following are the software tools and development environment used for constructing the models. 1. Java Java

Discrete Event Simulation of a Suppression of Enemy Air Defenses (SEAD) Mission

DTIC Science & Technology

2008-03-01

component-based DES developed in Java® using the Simkit simulation package. Analysis of ship self air defense system selection ( Turan , 1999) is another...Institute of Technology, Wright-Patterson AFB OH, March 2003 (ADA445279 ) Turan , Bulent. A Comparative Analysis of Ship Self Air Defense (SSAD) Systems

Cost-effectiveness analysis of 30-month vs 12-month dual antiplatelet therapy with clopidogrel and aspirin after drug-eluting stents in patients with acute coronary syndrome.

PubMed

Jiang, Minghuan; You, Joyce H S

2017-10-01

Continuation of dual antiplatelet therapy (DAPT) beyond 1 year reduces late stent thrombosis and ischemic events after drug-eluting stents (DES) but increases risk of bleeding. We hypothesized that extending DAPT from 12 months to 30 months in patients with acute coronary syndrome (ACS) after DES is cost-effective. A lifelong decision-analytic model was designed to simulate 2 antiplatelet strategies in event-free ACS patients who had completed 12-month DAPT after DES: aspirin monotherapy (75-162 mg daily) and continuation of DAPT (clopidogrel 75 mg daily plus aspirin 75-162 mg daily) for 18 months. Clinical event rates, direct medical costs, and quality-adjusted life-years (QALYs) gained were the primary outcomes from the US healthcare provider perspective. Base-case results showed DAPT continuation gained higher QALYs (8.1769 vs 8.1582 QALYs) at lower cost (USD42 982 vs USD44 063). One-way sensitivity analysis found that base-case QALYs were sensitive to odds ratio (OR) of cardiovascular death with DAPT continuation and base-case cost was sensitive to OR of nonfatal stroke with DAPT continuation. DAPT continuation remained cost-effective when the ORs of nonfatal stroke and cardiovascular death were below 1.241 and 1.188, respectively. In probabilistic sensitivity analysis, DAPT continuation was the preferred strategy in 74.75% of 10 000 Monte Carlo simulations at willingness-to-pay threshold of 50 000 USD/QALYs. Continuation of DAPT appears to be cost-effective in ACS patients who were event-free for 12-month DAPT after DES. The cost-effectiveness of DAPT for 30 months was highly subject to the OR of nonfatal stroke and OR of death with DAPT continuation. © 2017 Wiley Periodicals, Inc.

Patient flow improvement for an ophthalmic specialist outpatient clinic with aid of discrete event simulation and design of experiment.

PubMed

Pan, Chong; Zhang, Dali; Kon, Audrey Wan Mei; Wai, Charity Sue Lea; Ang, Woo Boon

2015-06-01

Continuous improvement in process efficiency for specialist outpatient clinic (SOC) systems is increasingly being demanded due to the growth of the patient population in Singapore. In this paper, we propose a discrete event simulation (DES) model to represent the patient and information flow in an ophthalmic SOC system in the Singapore National Eye Centre (SNEC). Different improvement strategies to reduce the turnaround time for patients in the SOC were proposed and evaluated with the aid of the DES model and the Design of Experiment (DOE). Two strategies for better patient appointment scheduling and one strategy for dilation-free examination are estimated to have a significant impact on turnaround time for patients. One of the improvement strategies has been implemented in the actual SOC system in the SNEC with promising improvement reported.

Efficiency of endoscopy units can be improved with use of discrete event simulation modeling.

PubMed

Sauer, Bryan G; Singh, Kanwar P; Wagner, Barry L; Vanden Hoek, Matthew S; Twilley, Katherine; Cohn, Steven M; Shami, Vanessa M; Wang, Andrew Y

2016-11-01

Background and study aims: The projected increased demand for health services obligates healthcare organizations to operate efficiently. Discrete event simulation (DES) is a modeling method that allows for optimization of systems through virtual testing of different configurations before implementation. The objective of this study was to identify strategies to improve the daily efficiencies of an endoscopy center with the use of DES. Methods: We built a DES model of a five procedure room endoscopy unit at a tertiary-care university medical center. After validating the baseline model, we tested alternate configurations to run the endoscopy suite and evaluated outcomes associated with each change. The main outcome measures included adequate number of preparation and recovery rooms, blocked inflow, delay times, blocked outflows, and patient cycle time. Results: Based on a sensitivity analysis, the adequate number of preparation rooms is eight and recovery rooms is nine for a five procedure room unit (total 3.4 preparation and recovery rooms per procedure room). Simple changes to procedure scheduling and patient arrival times led to a modest improvement in efficiency. Increasing the preparation/recovery rooms based on the sensitivity analysis led to significant improvements in efficiency. Conclusions: By applying tools such as DES, we can model changes in an environment with complex interactions and find ways to improve the medical care we provide. DES is applicable to any endoscopy unit and would be particularly valuable to those who are trying to improve on the efficiency of care and patient experience.

Efficiency of endoscopy units can be improved with use of discrete event simulation modeling

PubMed Central

Sauer, Bryan G.; Singh, Kanwar P.; Wagner, Barry L.; Vanden Hoek, Matthew S.; Twilley, Katherine; Cohn, Steven M.; Shami, Vanessa M.; Wang, Andrew Y.

2016-01-01

Background and study aims: The projected increased demand for health services obligates healthcare organizations to operate efficiently. Discrete event simulation (DES) is a modeling method that allows for optimization of systems through virtual testing of different configurations before implementation. The objective of this study was to identify strategies to improve the daily efficiencies of an endoscopy center with the use of DES. Methods: We built a DES model of a five procedure room endoscopy unit at a tertiary-care university medical center. After validating the baseline model, we tested alternate configurations to run the endoscopy suite and evaluated outcomes associated with each change. The main outcome measures included adequate number of preparation and recovery rooms, blocked inflow, delay times, blocked outflows, and patient cycle time. Results: Based on a sensitivity analysis, the adequate number of preparation rooms is eight and recovery rooms is nine for a five procedure room unit (total 3.4 preparation and recovery rooms per procedure room). Simple changes to procedure scheduling and patient arrival times led to a modest improvement in efficiency. Increasing the preparation/recovery rooms based on the sensitivity analysis led to significant improvements in efficiency. Conclusions: By applying tools such as DES, we can model changes in an environment with complex interactions and find ways to improve the medical care we provide. DES is applicable to any endoscopy unit and would be particularly valuable to those who are trying to improve on the efficiency of care and patient experience. PMID:27853739

Using Discrete-Event Simulation to Promote Quality Improvement and Efficiency in a Radiation Oncology Treatment Center.

PubMed

Famiglietti, Robin M; Norboge, Emily C; Boving, Valentine; Langabeer, James R; Buchholz, Thomas A; Mikhail, Osama

To meet demand for radiation oncology services and ensure patient-centered safe care, management in an academic radiation oncology department initiated quality improvement efforts using discrete-event simulation (DES). Although the long-term goal was testing and deploying solutions, the primary aim at the outset was characterizing and validating a computer simulation model of existing operations to identify targets for improvement. The adoption and validation of a DES model of processes and procedures affecting patient flow and satisfaction, employee experience, and efficiency were undertaken in 2012-2013. Multiple sources were tapped for data, including direct observation, equipment logs, timekeeping, and electronic health records. During their treatment visits, patients averaged 50.4 minutes in the treatment center, of which 38% was spent in the treatment room. Patients with appointments between 10 AM and 2 PM experienced the longest delays before entering the treatment room, and those in the clinic in the day's first and last hours, the shortest (<5 minutes). Despite staffed for 14.5 hours daily, the clinic registered only 20% of patients after 2:30 PM. Utilization of equipment averaged 58%, and utilization of staff, 56%. The DES modeling quantified operations, identifying evidence-based targets for next-phase remediation and providing data to justify initiatives.

Improving Energy Efficiency for the Vehicle Assembly Industry: A Discrete Event Simulation Approach

NASA Astrophysics Data System (ADS)

Oumer, Abduaziz; Mekbib Atnaw, Samson; Kie Cheng, Jack; Singh, Lakveer

2016-11-01

This paper presented a Discrete Event Simulation (DES) model for investigating and improving energy efficiency in vehicle assembly line. The car manufacturing industry is one of the highest energy consuming industries. Using Rockwell Arena DES package; a detailed model was constructed for an actual vehicle assembly plant. The sources of energy considered in this research are electricity and fuel; which are the two main types of energy sources used in a typical vehicle assembly plant. The model depicts the performance measurement for process- specific energy measures of painting, welding, and assembling processes. Sound energy efficiency model within this industry has two-fold advantage: reducing CO2 emission and cost reduction associated with fuel and electricity consumption. The paper starts with an overview of challenges in energy consumption within the facilities of automotive assembly line and highlights the parameters for energy efficiency. The results of the simulation model indicated improvements for energy saving objectives and reduced costs.

Modeling complex treatment strategies: construction and validation of a discrete event simulation model for glaucoma.

PubMed

van Gestel, Aukje; Severens, Johan L; Webers, Carroll A B; Beckers, Henny J M; Jansonius, Nomdo M; Schouten, Jan S A G

2010-01-01

Discrete event simulation (DES) modeling has several advantages over simpler modeling techniques in health economics, such as increased flexibility and the ability to model complex systems. Nevertheless, these benefits may come at the cost of reduced transparency, which may compromise the model's face validity and credibility. We aimed to produce a transparent report on the construction and validation of a DES model using a recently developed model of ocular hypertension and glaucoma. Current evidence of associations between prognostic factors and disease progression in ocular hypertension and glaucoma was translated into DES model elements. The model was extended to simulate treatment decisions and effects. Utility and costs were linked to disease status and treatment, and clinical and health economic outcomes were defined. The model was validated at several levels. The soundness of design and the plausibility of input estimates were evaluated in interdisciplinary meetings (face validity). Individual patients were traced throughout the simulation under a multitude of model settings to debug the model, and the model was run with a variety of extreme scenarios to compare the outcomes with prior expectations (internal validity). Finally, several intermediate (clinical) outcomes of the model were compared with those observed in experimental or observational studies (external validity) and the feasibility of evaluating hypothetical treatment strategies was tested. The model performed well in all validity tests. Analyses of hypothetical treatment strategies took about 30 minutes per cohort and lead to plausible health-economic outcomes. There is added value of DES models in complex treatment strategies such as glaucoma. Achieving transparency in model structure and outcomes may require some effort in reporting and validating the model, but it is feasible.

Simulation 󈨔 Symposium.

DTIC Science & Technology

1980-11-21

defensive , and both the question and the answer seemed to generate supporting reactions from the audience. Discrete Event Simulation The session on...R. Toscano / A. Maceri / F. Maceri (Italy) Analyse numerique de quelques problemes de contact en theorie des membranes 3:40 - 4:00 p.m. COFFEE BREAK...Switzerland Stockage de chaleur faible profondeur : Simulation par elements finis 3:40 - 4:00 p.m. A. Rizk Abu El-Wafa / M. Tawfik / M.S. Mansour (Egypt) Digital

Modeling Clinical Outcomes in Prostate Cancer: Application and Validation of the Discrete Event Simulation Approach.

PubMed

Pan, Feng; Reifsnider, Odette; Zheng, Ying; Proskorovsky, Irina; Li, Tracy; He, Jianming; Sorensen, Sonja V

2018-04-01

Treatment landscape in prostate cancer has changed dramatically with the emergence of new medicines in the past few years. The traditional survival partition model (SPM) cannot accurately predict long-term clinical outcomes because it is limited by its ability to capture the key consequences associated with this changing treatment paradigm. The objective of this study was to introduce and validate a discrete-event simulation (DES) model for prostate cancer. A DES model was developed to simulate overall survival (OS) and other clinical outcomes based on patient characteristics, treatment received, and disease progression history. We tested and validated this model with clinical trial data from the abiraterone acetate phase III trial (COU-AA-302). The model was constructed with interim data (55% death) and validated with the final data (96% death). Predicted OS values were also compared with those from the SPM. The DES model's predicted time to chemotherapy and OS are highly consistent with the final observed data. The model accurately predicts the OS hazard ratio from the final data cut (predicted: 0.74; 95% confidence interval [CI] 0.64-0.85 and final actual: 0.74; 95% CI 0.6-0.88). The log-rank test to compare the observed and predicted OS curves indicated no statistically significant difference between observed and predicted curves. However, the predictions from the SPM based on interim data deviated significantly from the final data. Our study showed that a DES model with properly developed risk equations presents considerable improvements to the more traditional SPM in flexibility and predictive accuracy of long-term outcomes. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Validating Human Performance Models of the Future Orion Crew Exploration Vehicle

NASA Technical Reports Server (NTRS)

Wong, Douglas T.; Walters, Brett; Fairey, Lisa

2010-01-01

NASA's Orion Crew Exploration Vehicle (CEV) will provide transportation for crew and cargo to and from destinations in support of the Constellation Architecture Design Reference Missions. Discrete Event Simulation (DES) is one of the design methods NASA employs for crew performance of the CEV. During the early development of the CEV, NASA and its prime Orion contractor Lockheed Martin (LM) strived to seek an effective low-cost method for developing and validating human performance DES models. This paper focuses on the method developed while creating a DES model for the CEV Rendezvous, Proximity Operations, and Docking (RPOD) task to the International Space Station. Our approach to validation was to attack the problem from several fronts. First, we began the development of the model early in the CEV design stage. Second, we adhered strictly to M&S development standards. Third, we involved the stakeholders, NASA astronauts, subject matter experts, and NASA's modeling and simulation development community throughout. Fourth, we applied standard and easy-to-conduct methods to ensure the model's accuracy. Lastly, we reviewed the data from an earlier human-in-the-loop RPOD simulation that had different objectives, which provided us an additional means to estimate the model's confidence level. The results revealed that a majority of the DES model was a reasonable representation of the current CEV design.

Reducing ambulance response times using discrete event simulation.

PubMed

Wei Lam, Sean Shao; Zhang, Zhong Cheng; Oh, Hong Choon; Ng, Yih Ying; Wah, Win; Hock Ong, Marcus Eng

2014-01-01

The objectives of this study are to develop a discrete-event simulation (DES) model for the Singapore Emergency Medical Services (EMS), and to demonstrate the utility of this DES model for the evaluation of different policy alternatives to improve ambulance response times. A DES model was developed based on retrospective emergency call data over a continuous 6-month period in Singapore. The main outcome measure is the distribution of response times. The secondary outcome measure is ambulance utilization levels based on unit hour utilization (UHU) ratios. The DES model was used to evaluate different policy options in order to improve the response times, while maintaining reasonable fleet utilization. Three policy alternatives looking at the reallocation of ambulances, the addition of new ambulances, and alternative dispatch policies were evaluated. Modifications of dispatch policy combined with the reallocation of existing ambulances were able to achieve response time performance equivalent to that of adding 10 ambulances. The median (90th percentile) response time was 7.08 minutes (12.69 minutes). Overall, this combined strategy managed to narrow the gap between the ideal and existing response time distribution by 11-13%. Furthermore, the median UHU under this combined strategy was 0.324 with an interquartile range (IQR) of 0.047 versus a median utilization of 0.285 (IQR of 0.051) resulting from the introduction of additional ambulances. Response times were shown to be improved via a more effective reallocation of ambulances and dispatch policy. More importantly, the response time improvements were achieved without a reduction in the utilization levels and additional costs associated with the addition of ambulances. We demonstrated the effective use of DES as a versatile platform to model the dynamic system complexities of Singapore's national EMS systems for the evaluation of operational strategies to improve ambulance response times.

Using Discrete Event Simulation to Model Integrated Commodities Consumption for a Launch Campaign of the Space Launch System

NASA Technical Reports Server (NTRS)

Leonard, Daniel; Parsons, Jeremy W.; Cates, Grant

2014-01-01

In May 2013, NASA's GSDO Program requested a study to develop a discrete event simulation (DES) model that analyzes the launch campaign process of the Space Launch System (SLS) from an integrated commodities perspective. The scope of the study includes launch countdown and scrub turnaround and focuses on four core launch commodities: hydrogen, oxygen, nitrogen, and helium. Previously, the commodities were only analyzed individually and deterministically for their launch support capability, but this study was the first to integrate them to examine the impact of their interactions on a launch campaign as well as the effects of process variability on commodity availability. The study produced a validated DES model with Rockwell Arena that showed that Kennedy Space Center's ground systems were capable of supporting a 48-hour scrub turnaround for the SLS. The model will be maintained and updated to provide commodity consumption analysis of future ground system and SLS configurations.

Developing Flexible Discrete Event Simulation Models in an Uncertain Policy Environment

NASA Technical Reports Server (NTRS)

Miranda, David J.; Fayez, Sam; Steele, Martin J.

2011-01-01

On February 1st, 2010 U.S. President Barack Obama submitted to Congress his proposed budget request for Fiscal Year 2011. This budget included significant changes to the National Aeronautics and Space Administration (NASA), including the proposed cancellation of the Constellation Program. This change proved to be controversial and Congressional approval of the program's official cancellation would take many months to complete. During this same period an end-to-end discrete event simulation (DES) model of Constellation operations was being built through the joint efforts of Productivity Apex Inc. (PAl) and Science Applications International Corporation (SAIC) teams under the guidance of NASA. The uncertainty in regards to the Constellation program presented a major challenge to the DES team, as to: continue the development of this program-of-record simulation, while at the same time remain prepared for possible changes to the program. This required the team to rethink how it would develop it's model and make it flexible enough to support possible future vehicles while at the same time be specific enough to support the program-of-record. This challenge was compounded by the fact that this model was being developed through the traditional DES process-orientation which lacked the flexibility of object-oriented approaches. The team met this challenge through significant pre-planning that led to the "modularization" of the model's structure by identifying what was generic, finding natural logic break points, and the standardization of interlogic numbering system. The outcome of this work resulted in a model that not only was ready to be easily modified to support any future rocket programs, but also a model that was extremely structured and organized in a way that facilitated rapid verification. This paper discusses in detail the process the team followed to build this model and the many advantages this method provides builders of traditional process-oriented discrete event simulations.

Stent thrombosis with bioabsorbable polymer drug-eluting stents: insights from the Food and Drug Administration database.

PubMed

Khan, Abdur R; Tripathi, Avnish; Farid, Talha A; Abaid, Bilal; Bhatt, Deepak L; Resar, Jon R; Flaherty, Michael P

2017-11-01

SYNERGY, a bioabsorbable polymer-based, everolimus-eluting stent (BP-DES), recently received regulatory approval in the USA for use in percutaneous coronary interventions. Yet, information on the safety of BP-DES in routine clinical practice is limited. Our aim was to compare the safety of the recently approved BP-DES with current durable polymer drug-eluting stents (DP-DES) by analyzing adverse events, namely, stent thrombosis (ST), reported to the Manufacturer and User Facility Device Experience (MAUDE) database. The MAUDE database requires nationwide mandatory notification for adverse events on devices approved for clinical use. This database was searched for adverse events reported between 1 October 2015 and 25 December 2016, encountered after the placement of either BP-DES or DP-DES. Only those adverse events were included where the exposure period to the stents was comparable after the index procedure. Of all the adverse events reported, the event of interest was ST. A total of 951 adverse events were reported. ST occurred in 48/951 of all events, 31/309 and 17/642 when BP-DES or DP-DES were used, respectively (P=0.00001). Of the 31 ST events with BP-DES, 68% (21/31) occurred within less than or equal to 24 h of the index procedure and 52% (16/31) occurred within less than or equal to 2 h. Our results raise the possibility of an increased risk of ST, particularly early ST (within 24 h), with the recently approved BP-DES. However, because of the inherent limitations of reporting within the MAUDE database, these data merely highlight a potential need for additional surveillance and randomized trials to assess further the safety of the bioabsorbable platform.

Fast Plasma Instrument for MMS: Simulation Results

NASA Technical Reports Server (NTRS)

Figueroa-Vinas, Adolfo; Adrian, Mark L.; Lobell, James V.; Simpson, David G.; Barrie, Alex; Winkert, George E.; Yeh, Pen-Shu; Moore, Thomas E.

2008-01-01

Magnetospheric Multiscale (MMS) mission will study small-scale reconnection structures and their rapid motions from closely spaced platforms using instruments capable of high angular, energy, and time resolution measurements. The Dual Electron Spectrometer (DES) of the Fast Plasma Instrument (FPI) for MMS meets these demanding requirements by acquiring the electron velocity distribution functions (VDFs) for the full sky with high-resolution angular measurements every 30 ms. This will provide unprecedented access to electron scale dynamics within the reconnection diffusion region. The DES consists of eight half-top-hat energy analyzers. Each analyzer has a 6 deg. x 11.25 deg. Full-sky coverage is achieved by electrostatically stepping the FOV of each of the eight sensors through four discrete deflection look directions. Data compression and burst memory management will provide approximately 30 minutes of high time resolution data during each orbit of the four MMS spacecraft. Each spacecraft will intelligently downlink the data sequences that contain the greatest amount of temporal structure. Here we present the results of a simulation of the DES analyzer measurements, data compression and decompression, as well as ground-based analysis using as a seed re-processed Cluster/PEACE electron measurements. The Cluster/PEACE electron measurements have been reprocessed through virtual DES analyzers with their proper geometrical, energy, and timing scale factors and re-mapped via interpolation to the DES angular and energy phase-space sampling measurements. The results of the simulated DES measurements are analyzed and the full moments of the simulated VDFs are compared with those obtained from the Cluster/PEACE spectrometer using a standard quadrature moment, a newly implemented spectral spherical harmonic method, and a singular value decomposition method. Our preliminary moment calculations show a remarkable agreement within the uncertainties of the measurements, with the results obtained by the Cluster/PEACE electron spectrometers. The data analyzed was selected because it represented a potential reconnection event as currently published.

Model-Based Economic Evaluation of Treatments for Depression: A Systematic Literature Review.

PubMed

Kolovos, Spyros; Bosmans, Judith E; Riper, Heleen; Chevreul, Karine; Coupé, Veerle M H; van Tulder, Maurits W

2017-09-01

An increasing number of model-based studies that evaluate the cost effectiveness of treatments for depression are being published. These studies have different characteristics and use different simulation methods. We aimed to systematically review model-based studies evaluating the cost effectiveness of treatments for depression and examine which modelling technique is most appropriate for simulating the natural course of depression. The literature search was conducted in the databases PubMed, EMBASE and PsycInfo between 1 January 2002 and 1 October 2016. Studies were eligible if they used a health economic model with quality-adjusted life-years or disability-adjusted life-years as an outcome measure. Data related to various methodological characteristics were extracted from the included studies. The available modelling techniques were evaluated based on 11 predefined criteria. This methodological review included 41 model-based studies, of which 21 used decision trees (DTs), 15 used cohort-based state-transition Markov models (CMMs), two used individual-based state-transition models (ISMs), and three used discrete-event simulation (DES) models. Just over half of the studies (54%) evaluated antidepressants compared with a control condition. The data sources, time horizons, cycle lengths, perspectives adopted and number of health states/events all varied widely between the included studies. DTs scored positively in four of the 11 criteria, CMMs in five, ISMs in six, and DES models in seven. There were substantial methodological differences between the studies. Since the individual history of each patient is important for the prognosis of depression, DES and ISM simulation methods may be more appropriate than the others for a pragmatic representation of the course of depression. However, direct comparisons between the available modelling techniques are necessary to yield firm conclusions.

Speciations and Extinctions in a Self-Organizing Critical Model of Tree-Like Evolution

NASA Astrophysics Data System (ADS)

Kramer, M.; Vandewalle, N.; Ausloos, M.

1996-04-01

We study analytically a simple model of a self-organized critical evolution. The model considers both extinction and speciation events leading to the growth of phylogenetic-like trees. Through a mean-field like theory, we study the evolution of the local configurations for the tree leaves. The fitness threshold, below which life activity takes place through avalanches of all sizes is calculated. The transition between speciating (evolving) and dead trees is obtained and is in agreement with numerical simulations. Moreover, this theoretical work suggests that the structure of the tree is strongly dependent on the extinction strength. Nous étudions analytiquement un modèle simple d'évolution auto-organisée critique. Le modèle considère des extinctions et des spéciations conduisant à une croissance d'arbre phylogénétiques. Nous étudions ici par une théorie de champ moyen l'évolution des configurations des extrémités de l'arbre. Le seuil critique de “fitness” en-dessous duquel des explosions d'activité biologique de toutes tailles se produisent est calculé. La transition entre arbres croissants et arbres éteints est également obtenue en accord avec les simulations. En outre, ce travail théorique suggère que la structure des arbres générés dépend fortement du paramètre d'extinctions.

Comparison of Timed Automata with Discrete Event Simulation for Modeling of Biomarker-Based Treatment Decisions: An Illustration for Metastatic Castration-Resistant Prostate Cancer.

PubMed

Degeling, Koen; Schivo, Stefano; Mehra, Niven; Koffijberg, Hendrik; Langerak, Rom; de Bono, Johann S; IJzerman, Maarten J

2017-12-01

With the advent of personalized medicine, the field of health economic modeling is being challenged and the use of patient-level dynamic modeling techniques might be required. To illustrate the usability of two such techniques, timed automata (TA) and discrete event simulation (DES), for modeling personalized treatment decisions. An early health technology assessment on the use of circulating tumor cells, compared with prostate-specific antigen and bone scintigraphy, to inform treatment decisions in metastatic castration-resistant prostate cancer was performed. Both modeling techniques were assessed quantitatively, in terms of intermediate outcomes (e.g., overtreatment) and health economic outcomes (e.g., net monetary benefit). Qualitatively, among others, model structure, agent interactions, data management (i.e., importing and exporting data), and model transparency were assessed. Both models yielded realistic and similar intermediate and health economic outcomes. Overtreatment was reduced by 6.99 and 7.02 weeks by applying circulating tumor cell as a response marker at a net monetary benefit of -€1033 and -€1104 for the TA model and the DES model, respectively. Software-specific differences were observed regarding data management features and the support for statistical distributions, which were considered better for the DES software. Regarding method-specific differences, interactions were modeled more straightforward using TA, benefiting from its compositional model structure. Both techniques prove suitable for modeling personalized treatment decisions, although DES would be preferred given the current software-specific limitations of TA. When these limitations are resolved, TA would be an interesting modeling alternative if interactions are key or its compositional structure is useful to manage multi-agent complex problems. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Kennedy Space Center Orion Processing Team Planning for Ground Operations

NASA Technical Reports Server (NTRS)

Letchworth, Gary; Schlierf, Roland

2011-01-01

Topics in this presentation are: Constellation Ares I/Orion/Ground Ops Elements Orion Ground Operations Flow Orion Operations Planning Process and Toolset Overview, including: 1 Orion Concept of Operations by Phase 2 Ops Analysis Capabilities Overview 3 Operations Planning Evolution 4 Functional Flow Block Diagrams 5 Operations Timeline Development 6 Discrete Event Simulation (DES) Modeling 7 Ground Operations Planning Document Database (GOPDb) Using Operations Planning Tools for Operability Improvements includes: 1 Kaizen/Lean Events 2 Mockups 3 Human Factors Analysis

Modeling Airport Ground Operations using Discrete Event Simulation (DES) and X3D Visualization

DTIC Science & Technology

2008-03-01

scenes. It is written in open-source Java and XML using the Netbeans platform, which gave the features of being suitable as standalone applications...and as a plug-in module for the Netbeans integrated development environment (IDE). X3D Graphics is the tool used for the elaboration the creation of...process is shown in Figure 2. To 20 create a new event graph in Viskit, first, Viskit tool must be launched via Netbeans or from the executable

Computer modeling of lung cancer diagnosis-to-treatment process

PubMed Central

Ju, Feng; Lee, Hyo Kyung; Osarogiagbon, Raymond U.; Yu, Xinhua; Faris, Nick

2015-01-01

We introduce an example of a rigorous, quantitative method for quality improvement in lung cancer care-delivery. Computer process modeling methods are introduced for lung cancer diagnosis, staging and treatment selection process. Two types of process modeling techniques, discrete event simulation (DES) and analytical models, are briefly reviewed. Recent developments in DES are outlined and the necessary data and procedures to develop a DES model for lung cancer diagnosis, leading up to surgical treatment process are summarized. The analytical models include both Markov chain model and closed formulas. The Markov chain models with its application in healthcare are introduced and the approach to derive a lung cancer diagnosis process model is presented. Similarly, the procedure to derive closed formulas evaluating the diagnosis process performance is outlined. Finally, the pros and cons of these methods are discussed. PMID:26380181

A Search for Kilonovae in the Dark Energy Survey

DOE PAGES

Doctor, Z.; Kessler, R.; Chen, H. Y.; ...

2017-03-01

The coalescence of a binary neutron star pair is expected to produce gravitational waves (GW) and electromagnetic radiation, both of which may be detectable with currently available instruments. In this paper, we describe a search for a predicted r-process optical transient from these mergers, dubbed the “kilonova” (KN), using griz broadband data from the Dark Energy Survey Supernova Program (DES-SN). Some models predict KNe to be redder, shorter-lived, and dimmer than supernovae (SNe), but the event rate of KNe is poorly constrained. We simulate KN and SN light curves with the Monte-Carlo simulation code SNANA to optimize selection requirements, determine search efficiency, and predict SN backgrounds. Our analysis of the first two seasons of DES-SN data results in 0 events, and is consistent with our prediction of 1.1 ± 0.2 background events based on simulations of SNe. From our prediction, there is a 33% chance of finding 0 events in the data. Assuming no underlying galaxy flux, our search sets 90% upper limits on the KN volumetric rate of 1.0 x 10more » $$^{7}$$ Gpc $-$3 yr $-$1 for the dimmest KN model we consider (peak i-band absolute magnitude $${M}_{i}=-11.4$$ mag) and 2.4x 10$$^{4}$$ Gpc $-$3 yr $-$1 for the brightest ($${M}_{i}=-16.2$$ mag). Accounting for anomalous subtraction artifacts on bright galaxies, these limits are ~3 times higher. This analysis is the first untriggered optical KN search and informs selection requirements and strategies for future KN searches. Finally, our upper limits on the KN rate are consistent with those measured by GW and gamma-ray burst searches.« less

A Search for Kilonovae in the Dark Energy Survey

NASA Astrophysics Data System (ADS)

Doctor, Z.; Kessler, R.; Chen, H. Y.; Farr, B.; Finley, D. A.; Foley, R. J.; Goldstein, D. A.; Holz, D. E.; Kim, A. G.; Morganson, E.; Sako, M.; Scolnic, D.; Smith, M.; Soares-Santos, M.; Spinka, H.; Abbott, T. M. C.; Abdalla, F. B.; Allam, S.; Annis, J.; Bechtol, K.; Benoit-Lévy, A.; Bertin, E.; Brooks, D.; Buckley-Geer, E.; Burke, D. L.; Carnero Rosell, A.; Carrasco Kind, M.; Carretero, J.; Cunha, C. E.; D'Andrea, C. B.; da Costa, L. N.; DePoy, D. L.; Desai, S.; Diehl, H. T.; Drlica-Wagner, A.; Eifler, T. F.; Frieman, J.; García-Bellido, J.; Gaztanaga, E.; Gerdes, D. W.; Gruendl, R. A.; Gschwend, J.; Gutierrez, G.; James, D. J.; Krause, E.; Kuehn, K.; Kuropatkin, N.; Lahav, O.; Li, T. S.; Lima, M.; Maia, M. A. G.; March, M.; Marshall, J. L.; Menanteau, F.; Miquel, R.; Neilsen, E.; Nichol, R. C.; Nord, B.; Plazas, A. A.; Romer, A. K.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, R. C.; Sobreira, F.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Walker, A. R.; Wester, W.; DES Collaboration

2017-03-01

The coalescence of a binary neutron star pair is expected to produce gravitational waves (GW) and electromagnetic radiation, both of which may be detectable with currently available instruments. We describe a search for a predicted r-process optical transient from these mergers, dubbed the “kilonova” (KN), using griz broadband data from the Dark Energy Survey Supernova Program (DES-SN). Some models predict KNe to be redder, shorter-lived, and dimmer than supernovae (SNe), but the event rate of KNe is poorly constrained. We simulate KN and SN light curves with the Monte-Carlo simulation code SNANA to optimize selection requirements, determine search efficiency, and predict SN backgrounds. Our analysis of the first two seasons of DES-SN data results in 0 events, and is consistent with our prediction of 1.1 ± 0.2 background events based on simulations of SNe. From our prediction, there is a 33% chance of finding 0 events in the data. Assuming no underlying galaxy flux, our search sets 90% upper limits on the KN volumetric rate of 1.0 × {10}7 Gpc-3 yr-1 for the dimmest KN model we consider (peak I-band absolute magnitude {M}I=-11.4 mag) and 2.4 × {10}4 Gpc-3 yr-1 for the brightest ({M}I=-16.2 mag). Accounting for anomalous subtraction artifacts on bright galaxies, these limits are ˜3 times higher. This analysis is the first untriggered optical KN search and informs selection requirements and strategies for future KN searches. Our upper limits on the KN rate are consistent with those measured by GW and gamma-ray burst searches.

Detached-Eddy Simulation Based on the V2-F Model

NASA Technical Reports Server (NTRS)

Jee, Sol Keun; Shariff, Karim R.

2012-01-01

Detached-eddy simulation (DES) based on the v(sup 2)-f Reynolds-averaged Navier-Stokes (RANS) model is developed and tested. The v(sup 2)-f model incorporates the anisotropy of near-wall turbulence which is absent in other RANS models commonly used in the DES community. The v(sup 2)-f RANS model is modified in order the proposed v(sup 2)-f-based DES formulation reduces to a transport equation for the subgrid-scale kinetic energy isotropic turbulence. First, three coefficients in the elliptic relaxation equation are modified, which is tested in channel flows with friction Reynolds number up to 2000. Then, the proposed v(sup 2)-f DES model formulation is derived. The constant, C(sub DES), required in the DES formulation was calibrated by simulating both decaying and statistically-steady isotropic turbulence. After C(sub DES) was calibrated, the v(sub 2)-f DES formulation is tested for flow around a circular cylinder at a Reynolds number of 3900, in which case turbulence develops after separation. Simulations indicate that this model represents the turbulent wake nearly as accurately as the dynamic Smagorinsky model. Spalart-Allmaras-based DES is also included in the cylinder flow simulation for comparison.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Perkins, Casey J.; Brigantic, Robert T.; Keating, Douglas H.

There is a need to develop and demonstrate technical approaches for verifying potential future agreements to limit and reduce total warhead stockpiles. To facilitate this aim, warhead monitoring systems employ both concepts of operations (CONOPS) and technologies. A systems evaluation approach can be used to assess the relative performance of CONOPS and technologies in their ability to achieve monitoring system objectives which include: 1) confidence that a treaty accountable item (TAI) initialized by the monitoring system is as declared; 2) confidence that there is no undetected diversion from the monitoring system; and 3) confidence that a TAI is dismantled asmore » declared. Although there are many quantitative methods that can be used to assess system performance for the above objectives, this paper focuses on a simulation perspective primarily for the ability to support analysis of the probabilities that are used to define operating characteristics of CONOPS and technologies. This paper describes a discrete event simulation (DES) model, comprised of three major sub-models: including TAI lifecycle flow, monitoring activities, and declaration behavior. The DES model seeks to capture all processes and decision points associated with the progressions of virtual TAIs, with notional characteristics, through the monitoring system from initialization through dismantlement. The simulation updates TAI progression (i.e., whether the generated test objects are accepted and rejected at the appropriate points) all the way through dismantlement. Evaluation of TAI lifecycles primarily serves to assess how the order, frequency, and combination of functions in the CONOPS affect system performance as a whole. It is important, however, to note that discrete event simulation is also capable (at a basic level) of addressing vulnerabilities in the CONOPS and interdependencies between individual functions as well. This approach is beneficial because it does not rely on complex mathematical models, but instead attempts to recreate the real world system as a decision and event driven simulation. Finally, because the simulation addresses warhead confirmation, chain of custody, and warhead dismantlement in a modular fashion, a discrete-event model could be easily adapted to multiple CONOPS for the exploration of a large number of “what if” scenarios.« less

Detached-Eddy Simulation Based on the v2-f Model

NASA Technical Reports Server (NTRS)

Jee, Sol Keun; Shariff, Karim

2012-01-01

Detached eddy simulation (DES) based on the v2-f RANS model is proposed. This RANS model incorporates the anisotropy of near-wall turbulence which is absent in other RANS models commonly used in the DES community. In LES mode, the proposed DES formulation reduces to a transport equation for the subgrid-scale kinetic energy. The constant, CDES, required by this model was calibrated by simulating isotropic turbulence. In the final paper, DES simulations of canonical separated flows will be presented.

Use of DES Modeling for Determining Launch Availability for SLS

NASA Technical Reports Server (NTRS)

Watson, Michael; Staton, Eric; Cates, Grant; Finn, Ronald; Altino, Karen M.; Burns, K. Lee

2014-01-01

(1) NASA is developing a new heavy lift launch system for human and scientific exploration beyond Earth orbit comprising of the Space Launch System (SLS), Orion Multi-Purpose Crew Vehicle (MPCV), and Ground Systems Development and Operations (GSDO); (2) The desire of the system is to ensure a high confidence of successfully launching the exploration missions, especially those that require multiple launches, have a narrow Earth departure window, and high investment costs; and (3) This presentation discusses the process used by a Cross-Program team to develop the Exploration Systems Development (ESD) Launch Availability (LA) Technical Performance Measure (TPM) and allocate it to each of the Programs through the use of Discrete Event Simulations (DES).

Sensitivity of diabetic retinopathy associated vision loss to screening interval in an agent-based/discrete event simulation model.

PubMed

Day, T Eugene; Ravi, Nathan; Xian, Hong; Brugh, Ann

2014-04-01

To examine the effect of changes to screening interval on the incidence of vision loss in a simulated cohort of Veterans with diabetic retinopathy (DR). This simulation allows us to examine potential interventions without putting patients at risk. Simulated randomized controlled trial. We develop a hybrid agent-based/discrete event simulation which incorporates a population of simulated Veterans--using abstracted data from a retrospective cohort of real-world diabetic Veterans--with a discrete event simulation (DES) eye clinic at which it seeks treatment for DR. We compare vision loss under varying screening policies, in a simulated population of 5000 Veterans over 50 independent ten-year simulation runs for each group. Diabetic Retinopathy associated vision loss increased as the screening interval was extended from one to five years (p<0.0001). This increase was concentrated in the third year of the screening interval (p<0.01). There was no increase in vision loss associated with increasing the screening interval from one year to two years (p=0.98). Increasing the screening interval for diabetic patients who have not yet developed diabetic retinopathy from 1 to 2 years appears safe, while increasing the interval to 3 years heightens risk for vision loss. Published by Elsevier Ltd.

Efficacy and safety of a biodegradable polymer sirolimus-eluting stent in primary percutaneous coronary intervention: a randomized controlled trial

PubMed Central

Li, Qiang; Tong, Zichuan; Wang, Lefeng; Zhang, Jianjun; Ge, Yonggui; Wang, Hongshi; Li, Weiming; Xu, Li; Ni, Zhuhua

2013-01-01

Introduction With long-term follow-up, whether biodegradable polymer drug-eluting stents (DES) is efficient and safe in primary percutaneous coronary intervention (PCI) remains a controversial issue. This study aims to assess the long-term efficacy and safety of DES in PCI for ST-segment elevation myocardial infarction (STEMI). Material and methods A prospective, randomized single-blind study with 3-year follow-up was performed to compare biodegradable polymer DES with durable polymer DES in 332 STEMI patients treated with primary PCI. The primary end point was major adverse cardiac events (MACE) at 3 years after the procedure, defined as the composite of cardiac death, recurrent infarction, and target vessel revascularization. The secondary end points included in-segment late luminal loss (LLL) and binary restenosis at 9 months and cumulative stent thrombosis (ST) event rates up to 3 years. Results The rate of the primary end points and the secondary end points including major adverse cardiac events, in-segment late luminal loss, binary restenosis, and cumulative thrombotic event rates were comparable between biodegradable polymer DES and durable polymer DES in these 332 STEMI patients treated with primary PCI at 3 years. Conclusions Biodegradable polymer DES has similar efficacy and safety profiles at 3 years compared with durable polymer DES in STEMI patients treated with primary PCI. PMID:24482648

A SAS-based solution to evaluate study design efficiency of phase I pediatric oncology trials via discrete event simulation.

PubMed

Barrett, Jeffrey S; Jayaraman, Bhuvana; Patel, Dimple; Skolnik, Jeffrey M

2008-06-01

Previous exploration of oncology study design efficiency has focused on Markov processes alone (probability-based events) without consideration for time dependencies. Barriers to study completion include time delays associated with patient accrual, inevaluability (IE), time to dose limiting toxicities (DLT) and administrative and review time. Discrete event simulation (DES) can incorporate probability-based assignment of DLT and IE frequency, correlated with cohort in the case of DLT, with time-based events defined by stochastic relationships. A SAS-based solution to examine study efficiency metrics and evaluate design modifications that would improve study efficiency is presented. Virtual patients are simulated with attributes defined from prior distributions of relevant patient characteristics. Study population datasets are read into SAS macros which select patients and enroll them into a study based on the specific design criteria if the study is open to enrollment. Waiting times, arrival times and time to study events are also sampled from prior distributions; post-processing of study simulations is provided within the decision macros and compared across designs in a separate post-processing algorithm. This solution is examined via comparison of the standard 3+3 decision rule relative to the "rolling 6" design, a newly proposed enrollment strategy for the phase I pediatric oncology setting.

Linking Six Sigma to simulation: a new roadmap to improve the quality of patient care.

PubMed

Celano, Giovanni; Costa, Antonio; Fichera, Sergio; Tringali, Giuseppe

2012-01-01

Improving the quality of patient care is a challenge that calls for a multidisciplinary approach, embedding a broad spectrum of knowledge and involving healthcare professionals from diverse backgrounds. The purpose of this paper is to present an innovative approach that implements discrete-event simulation (DES) as a decision-supporting tool in the management of Six Sigma quality improvement projects. A roadmap is designed to assist quality practitioners and health care professionals in the design and successful implementation of simulation models within the define-measure-analyse-design-verify (DMADV) or define-measure-analyse-improve-control (DMAIC) Six Sigma procedures. A case regarding the reorganisation of the flow of emergency patients affected by vertigo symptoms was developed in a large town hospital as a preliminary test of the roadmap. The positive feedback from professionals carrying out the project looks promising and encourages further roadmap testing in other clinical settings. The roadmap is a structured procedure that people involved in quality improvement can implement to manage projects based on the analysis and comparison of alternative scenarios. The role of Six Sigma philosophy in improvement of the quality of healthcare services is recognised both by researchers and by quality practitioners; discrete-event simulation models are commonly used to improve the key performance measures of patient care delivery. The two approaches are seldom referenced and implemented together; however, they could be successfully integrated to carry out quality improvement programs. This paper proposes an innovative approach to bridge the gap and enrich the Six Sigma toolbox of quality improvement procedures with DES.

Reducing postponements of elective pediatric cardiac procedures: analysis and implementation of a discrete event simulation model.

PubMed

Day, Theodore Eugene; Sarawgi, Sandeep; Perri, Alexis; Nicolson, Susan C

2015-04-01

This study describes the use of discrete event simulation (DES) to model and analyze a large academic pediatric and test cardiac center. The objective was to identify a strategy, and to predict and test the effectiveness of that strategy, to minimize the number of elective cardiac procedures that are postponed because of a lack of available cardiac intensive care unit (CICU) capacity. A DES of the cardiac center at The Children's Hospital of Philadelphia was developed and was validated by use of 1 year of deidentified administrative patient data. The model was then used to analyze strategies for reducing postponements of cases requiring CICU care through improved scheduling of multipurpose space. Each of five alternative scenarios was simulated for ten independent 1-year runs. Reductions in simulated elective procedure postponements were found when a multipurpose procedure room (the hybrid room) was used for operations on Wednesday and Thursday, compared with Friday (as was the real-world use). The reduction Wednesday was statistically significant, with postponements dropping from 27.8 to 23.3 annually (95% confidence interval 18.8-27.8). Thus, we anticipate a relative reduction in postponements of 16.2%. Since the implementation, there have been two postponements from July 1 to November 21, 2014, compared with ten for the same time period in 2013. Simulation allows us to test planned changes in complex environments, including pediatric cardiac care. Reduction in postponements of cardiac procedures requiring CICU care is predicted through reshuffling schedules of existing multipurpose capacity, and these reductions appear to be achievable in the real world after implementation. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Simulation-Based Acquisition of the Future Air-Land Combat System (acquisition par la simulation des systemes futurs de combat aeroterresire)

DTIC Science & Technology

2003-11-01

de défense sur des matériels, des hommes et des doctrines préexistants, mais part au contraire d’une analyse des menaces et du... hommes et les doctrines. Comme on le verra ultérieurement, cette nouvelle démarche d’ingénierie du système de défense, qui se veut proactive et non...résolvent sous des contraintes de zéro mort ou tout au moins de pertes minimales, dont l ’« acceptabilité » est essentiellement facteur de

The Efficiency of Increasing the Capacity of Physiotherapy Screening Clinics or Traditional Medical Services to Address Unmet Demand in Orthopaedic Outpatients: A Practical Application of Discrete Event Simulation with Dynamic Queuing.

PubMed

Standfield, L; Comans, T; Raymer, M; O'Leary, S; Moretto, N; Scuffham, P

2016-08-01

Hospital outpatient orthopaedic services traditionally rely on medical specialists to assess all new patients to determine appropriate care. This has resulted in significant delays in service provision. In response, Orthopaedic Physiotherapy Screening Clinics and Multidisciplinary Services (OPSC) have been introduced to assess and co-ordinate care for semi- and non-urgent patients. To compare the efficiency of delivering increased semi- and non-urgent orthopaedic outpatient services through: (1) additional OPSC services; (2) additional traditional orthopaedic medical services with added surgical resources (TOMS + Surg); or (3) additional TOMS without added surgical resources (TOMS - Surg). A cost-utility analysis using discrete event simulation (DES) with dynamic queuing (DQ) was used to predict the cost effectiveness, throughput, queuing times, and resource utilisation, associated with introducing additional OPSC or TOMS ± Surg versus usual care. The introduction of additional OPSC or TOMS (±surgery) would be considered cost effective in Australia. However, OPSC was the most cost-effective option. Increasing the capacity of current OPSC services is an efficient way to improve patient throughput and waiting times without exceeding current surgical resources. An OPSC capacity increase of ~100 patients per month appears cost effective (A$8546 per quality-adjusted life-year) and results in a high level of OPSC utilisation (98 %). Increasing OPSC capacity to manage semi- and non-urgent patients would be cost effective, improve throughput, and reduce waiting times without exceeding current surgical resources. Unlike Markov cohort modelling, microsimulation, or DES without DQ, employing DES-DQ in situations where capacity constraints predominate provides valuable additional information beyond cost effectiveness to guide resource allocation decisions.

A discrete event simulation to model the cost-utility of fingolimod and natalizumab in rapidly evolving severe relapsing-remitting multiple sclerosis in the UK.

PubMed

Montgomery, Stephen M; Maruszczak, Maciej J; Slater, David; Kusel, Jeanette; Nicholas, Richard; Adlard, Nicholas

2017-05-01

Two disease-modifying therapies are licensed in the EU for use in rapidly-evolving severe (RES) relapsing-remitting multiple sclerosis (RRMS), fingolimod and natalizumab. Here a discrete event simulation (DES) model to analyze the cost-effectiveness of natalizumab and fingolimod in the RES population, from the perspective of the National Health Service (NHS) in the UK, is reported. A DES model was developed to track individual RES patients, based on Expanded Disability Status Scale scores. Individual patient characteristics were taken from the RES sub-groups of the pivotal trials for fingolimod. Utility data were in line with previous models. Published costs were inflated to NHS cost year 2015. Owing to the confidential patient access scheme (PAS) discount applied to fingolimod in the UK, a range of discount levels were applied to the fingolimod list price, to capture the likelihood of natalizumab being cost-effective in a real-world setting. At the lower National Institute of Health and Care Excellence (NICE) threshold of £20,000/quality-adjusted life year (QALY), fingolimod only required a discount greater than 0.8% of list price to be cost-effective. At the upper threshold of £30,000/QALY employed by the NICE, fingolimod was cost-effective if the confidential discount is greater than 2.5%. Sensitivity analyses conducted using fingolimod list-price showed the model to be most sensitive to changes in the cost of each drug, particularly fingolimod. The DES model shows that only a modest discount to the UK fingolimod list-price is required to make fingolimod a more cost-effective option than natalizumab in RES RRMS.

Developing a Canadian Curriculum for Simulation-Based Education in Obstetrics and Gynaecology: A Delphi Study.

PubMed

Craig, Catherine; Posner, Glenn D

2017-09-01

As obstetrics and gynaecology (Ob/Gyn) residency training programs move towards a competence-based approach to training and assessment, the development of a national standardized simulation curriculum is essential. The primary goal of this study was to define the fundamental content for the Canadian Obstetrics and Gynecology Simulation curriculum. A modified Delphi technique was used to achieve consensus in three rounds by surveying residency program directors or their local simulation educator delegates in 16 accredited Canadian Ob/Gyn residency programs. A consensus rate of 80% was agreed upon. Survey results were collected over 11 months in 2016. Response rates for the Delphi were 50% for the first round, 81% for the second round, and 94% for the third round. The first survey resulted in 84 suggested topics. These were organized into four categories: obstetrics high acuity low frequency events, obstetrics common events, gynaecology high acuity low frequency events, and gynaecology common events. Using the modified Delphi method, consensus was reached on 6 scenarios. This study identified the content for a national simulation-based curriculum for Ob/Gyn residency training programs and is the first step in the development of this curriculum. Copyright © 2017 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

[High fidelity simulation : a new tool for learning and research in pediatrics].

PubMed

Bragard, I; Farhat, N; Seghaye, M-C; Schumacher, K

2016-10-01

Caring for a sick child represents a high risk activity that requires technical and non-technical skills related to several factors such as the rarity of certain events or the stress of caring for a child. As regard these conditions, medi¬cal simulation provides a learning environment without risk, the control of variables, the reproducibility of situations, and the confrontation with rare events. In this article, we des¬cribe the steps of a simulation session and outline the current knowledge of the use of simulation in paediatrics. A session of simulation includes seven phases following the model of Peter Dieckmann, particularly the scenario and the debriefing that form the heart of the learning experience. Several studies have shown the advantages of simulation for paediatric trai¬ning in terms of changes in attitudes, skills and knowledge. Some studies have demonstrated a beneficial transfer to prac¬tice. In conclusion, simulation provides great potential for training and research in paediatrics. The establishment of a collaborative research program by the whole simulation com¬munity would help ensure that this type of training improves the quality of care.

How Many Kilonovae Can Be Found in Past, Present, and Future Survey Data Sets?

NASA Astrophysics Data System (ADS)

Scolnic, D.; Kessler, R.; Brout, D.; Cowperthwaite, P. S.; Soares-Santos, M.; Annis, J.; Herner, K.; Chen, H.-Y.; Sako, M.; Doctor, Z.; Butler, R. E.; Palmese, A.; Diehl, H. T.; Frieman, J.; Holz, D. E.; Berger, E.; Chornock, R.; Villar, V. A.; Nicholl, M.; Biswas, R.; Hounsell, R.; Foley, R. J.; Metzger, J.; Rest, A.; García-Bellido, J.; Möller, A.; Nugent, P.; Abbott, T. M. C.; Abdalla, F. B.; Allam, S.; Bechtol, K.; Benoit-Lévy, A.; Bertin, E.; Brooks, D.; Buckley-Geer, E.; Carnero Rosell, A.; Carrasco Kind, M.; Carretero, J.; Castander, F. J.; Cunha, C. E.; D’Andrea, C. B.; da Costa, L. N.; Davis, C.; Doel, P.; Drlica-Wagner, A.; Eifler, T. F.; Flaugher, B.; Fosalba, P.; Gaztanaga, E.; Gerdes, D. W.; Gruen, D.; Gruendl, R. A.; Gschwend, J.; Gutierrez, G.; Hartley, W. G.; Honscheid, K.; James, D. J.; Johnson, M. W. G.; Johnson, M. D.; Krause, E.; Kuehn, K.; Kuhlmann, S.; Lahav, O.; Li, T. S.; Lima, M.; Maia, M. A. G.; March, M.; Marshall, J. L.; Menanteau, F.; Miquel, R.; Neilsen, E.; Plazas, A. A.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, M.; Smith, R. C.; Sobreira, F.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Thomas, R. C.; Tucker, D. L.; Walker, A. R.; DES Collaboration

2018-01-01

The discovery of a kilonova (KN) associated with the Advanced LIGO (aLIGO)/Virgo event GW170817 opens up new avenues of multi-messenger astrophysics. Here, using realistic simulations, we provide estimates of the number of KNe that could be found in data from past, present, and future surveys without a gravitational-wave trigger. For the simulation, we construct a spectral time-series model based on the DES-GW multi-band light curve from the single known KN event, and we use an average of BNS rates from past studies of {10}3 {{Gpc}}-3 {{yr}}-1, consistent with the one event found so far. Examining past and current data sets from transient surveys, the number of KNe we expect to find for ASAS-SN, SDSS, PS1, SNLS, DES, and SMT is between 0 and 0.3. We predict the number of detections per future survey to be 8.3 from ATLAS, 10.6 from ZTF, 5.5/69 from LSST (the Deep Drilling/Wide Fast Deep), and 16.0 from WFIRST. The maximum redshift of KNe discovered for each survey is z=0.8 for WFIRST, z=0.25 for LSST, and z=0.04 for ZTF and ATLAS. This maximum redshift for WFIRST is well beyond the sensitivity of aLIGO and some future GW missions. For the LSST survey, we also provide contamination estimates from Type Ia and core-collapse supernovae: after light curve and template-matching requirements, we estimate a background of just two events. More broadly, we stress that future transient surveys should consider how to optimize their search strategies to improve their detection efficiency and to consider similar analyses for GW follow-up programs.

How Many Kilonovae Can Be Found in Past, Present, and Future Survey Data Sets?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Scolnic, D.; Kessler, R.; Brout, D.

The discovery of a kilonova (KN) associated with the Advanced LIGO (aLIGO)/Virgo event GW170817 opens up new avenues of multi-messenger astrophysics. Here, using realistic simulations, we provide estimates of the number of KNe that could be found in data from past, present, and future surveys without a gravitational-wave trigger. For the simulation, we construct a spectral time-series model based on the DES-GW multi-band light curve from the single known KN event, and we use an average of BNS rates from past studies ofmore » $${10}^{3}\\,{\\mathrm{Gpc}}^{-3}\\,{\\mathrm{yr}}^{-1}$$, consistent with the one event found so far. Examining past and current data sets from transient surveys, the number of KNe we expect to find for ASAS-SN, SDSS, PS1, SNLS, DES, and SMT is between 0 and 0.3. We predict the number of detections per future survey to be 8.3 from ATLAS, 10.6 from ZTF, 5.5/69 from LSST (the Deep Drilling/Wide Fast Deep), and 16.0 from WFIRST. The maximum redshift of KNe discovered for each survey is $z=0.8$ for WFIRST, $z=0.25$ for LSST, and $z=0.04$ for ZTF and ATLAS. This maximum redshift for WFIRST is well beyond the sensitivity of aLIGO and some future GW missions. For the LSST survey, we also provide contamination estimates from Type Ia and core-collapse supernovae: after light curve and template-matching requirements, we estimate a background of just two events. Finally, more broadly, we stress that future transient surveys should consider how to optimize their search strategies to improve their detection efficiency and to consider similar analyses for GW follow-up programs.« less

How Many Kilonovae Can Be Found in Past, Present, and Future Survey Data Sets?

DOE PAGES

Scolnic, D.; Kessler, R.; Brout, D.; ...

2017-12-22

The discovery of a kilonova (KN) associated with the Advanced LIGO (aLIGO)/Virgo event GW170817 opens up new avenues of multi-messenger astrophysics. Here, using realistic simulations, we provide estimates of the number of KNe that could be found in data from past, present, and future surveys without a gravitational-wave trigger. For the simulation, we construct a spectral time-series model based on the DES-GW multi-band light curve from the single known KN event, and we use an average of BNS rates from past studies ofmore » $${10}^{3}\\,{\\mathrm{Gpc}}^{-3}\\,{\\mathrm{yr}}^{-1}$$, consistent with the one event found so far. Examining past and current data sets from transient surveys, the number of KNe we expect to find for ASAS-SN, SDSS, PS1, SNLS, DES, and SMT is between 0 and 0.3. We predict the number of detections per future survey to be 8.3 from ATLAS, 10.6 from ZTF, 5.5/69 from LSST (the Deep Drilling/Wide Fast Deep), and 16.0 from WFIRST. The maximum redshift of KNe discovered for each survey is $z=0.8$ for WFIRST, $z=0.25$ for LSST, and $z=0.04$ for ZTF and ATLAS. This maximum redshift for WFIRST is well beyond the sensitivity of aLIGO and some future GW missions. For the LSST survey, we also provide contamination estimates from Type Ia and core-collapse supernovae: after light curve and template-matching requirements, we estimate a background of just two events. Finally, more broadly, we stress that future transient surveys should consider how to optimize their search strategies to improve their detection efficiency and to consider similar analyses for GW follow-up programs.« less

Quantifying the effect of complications on patient flow, costs and surgical throughputs.

PubMed

Almashrafi, Ahmed; Vanderbloemen, Laura

2016-10-21

Postoperative adverse events are known to increase length of stay and cost. However, research on how adverse events affect patient flow and operational performance has been relatively limited to date. Moreover, there is paucity of studies on the use of simulation in understanding the effect of complications on care processes and resources. In hospitals with scarcity of resources, postoperative complications can exert a substantial influence on hospital throughputs. This paper describes an evaluation method for assessing the effect of complications on patient flow within a cardiac surgical department. The method is illustrated by a case study where actual patient-level data are incorporated into a discrete event simulation (DES) model. The DES model uses patient data obtained from a large hospital in Oman to quantify the effect of complications on patient flow, costs and surgical throughputs. We evaluated the incremental increase in resources due to treatment of complications using Poisson regression. Several types of complications were examined such as cardiac complications, pulmonary complications, infection complications and neurological complications. 48 % of the patients in our dataset experienced one or more complications. The most common types of complications were ventricular arrhythmia (16 %) followed by new atrial arrhythmia (15.5 %) and prolonged ventilation longer than 24 h (12.5 %). The total number of additional days associated with infections was the highest, while cardiac complications have resulted in the lowest number of incremental days of hospital stay. Complications had a significant effect on perioperative operational performance such as surgery cancellations and waiting time. The effect was profound when complications occurred in the Cardiac Intensive Care (CICU) where a limited capacity was observed. The study provides evidence supporting the need to incorporate adverse events data in resource planning to improve hospital performance.

Low Earth Orbit Rendezvous Strategy for Lunar Missions

NASA Technical Reports Server (NTRS)

Cates, Grant R.; Cirillo, William M.; Stromgren, Chel

2006-01-01

On January 14, 2004 President George W. Bush announced a new Vision for Space Exploration calling for NASA to return humans to the moon. In 2005 NASA decided to use a Low Earth Orbit (LEO) rendezvous strategy for the lunar missions. A Discrete Event Simulation (DES) based model of this strategy was constructed. Results of the model were then used for subsequent analysis to explore the ramifications of the LEO rendezvous strategy.

A hybrid simulation approach for integrating safety behavior into construction planning: An earthmoving case study.

PubMed

Goh, Yang Miang; Askar Ali, Mohamed Jawad

2016-08-01

One of the key challenges in improving construction safety and health is the management of safety behavior. From a system point of view, workers work unsafely due to system level issues such as poor safety culture, excessive production pressure, inadequate allocation of resources and time and lack of training. These systemic issues should be eradicated or minimized during planning. However, there is a lack of detailed planning tools to help managers assess the impact of their upstream decisions on worker safety behavior. Even though simulation had been used in construction planning, the review conducted in this study showed that construction safety management research had not been exploiting the potential of simulation techniques. Thus, a hybrid simulation framework is proposed to facilitate integration of safety management considerations into construction activity simulation. The hybrid framework consists of discrete event simulation (DES) as the core, but heterogeneous, interactive and intelligent (able to make decisions) agents replace traditional entities and resources. In addition, some of the cognitive processes and physiological aspects of agents are captured using system dynamics (SD) approach. The combination of DES, agent-based simulation (ABS) and SD allows a more "natural" representation of the complex dynamics in construction activities. The proposed hybrid framework was demonstrated using a hypothetical case study. In addition, due to the lack of application of factorial experiment approach in safety management simulation, the case study demonstrated sensitivity analysis and factorial experiment to guide future research. Copyright © 2015 Elsevier Ltd. All rights reserved.

Cost-effectiveness of drug-eluting stents versus bare-metal stents in patients undergoing percutaneous coronary intervention.

PubMed

Baschet, Louise; Bourguignon, Sandrine; Marque, Sébastien; Durand-Zaleski, Isabelle; Teiger, Emmanuel; Wilquin, Fanny; Levesque, Karine

2016-01-01

To determine the cost-effectiveness of drug-eluting stents (DES) compared with bare-metal stents (BMS) in patients requiring a percutaneous coronary intervention in France, using a recent meta-analysis including second-generation DES. A cost-effectiveness analysis was performed in the French National Health Insurance setting. Effectiveness settings were taken from a meta-analysis of 117 762 patient-years with 76 randomised trials. The main effectiveness criterion was major cardiac event-free survival. Effectiveness and costs were modelled over a 5-year horizon using a three-state Markov model. Incremental cost-effectiveness ratios and a cost-effectiveness acceptability curve were calculated for a range of thresholds for willingness to pay per year without major cardiac event gain. Deterministic and probabilistic sensitivity analyses were performed. Base case results demonstrated that DES are dominant over BMS, with an increase in event-free survival and a cost-reduction of €184, primarily due to a diminution of second revascularisations, and an absence of myocardial infarction and stent thrombosis. These results are robust for uncertainty on one-way deterministic and probabilistic sensitivity analyses. Using a cost-effectiveness threshold of €7000 per major cardiac event-free year gained, DES has a >95% probability of being cost-effective versus BMS. Following DES price decrease, new-generation DES development and taking into account recent meta-analyses results, the DES can now be considered cost-effective regardless of selective indication in France, according to European recommendations.

Using the Integration of Discrete Event and Agent-Based Simulation to Enhance Outpatient Service Quality in an Orthopedic Department.

PubMed

Kittipittayakorn, Cholada; Ying, Kuo-Ching

2016-01-01

Many hospitals are currently paying more attention to patient satisfaction since it is an important service quality index. Many Asian countries' healthcare systems have a mixed-type registration, accepting both walk-in patients and scheduled patients. This complex registration system causes a long patient waiting time in outpatient clinics. Different approaches have been proposed to reduce the waiting time. This study uses the integration of discrete event simulation (DES) and agent-based simulation (ABS) to improve patient waiting time and is the first attempt to apply this approach to solve this key problem faced by orthopedic departments. From the data collected, patient behaviors are modeled and incorporated into a massive agent-based simulation. The proposed approach is an aid for analyzing and modifying orthopedic department processes, allows us to consider far more details, and provides more reliable results. After applying the proposed approach, the total waiting time of the orthopedic department fell from 1246.39 minutes to 847.21 minutes. Thus, using the correct simulation model significantly reduces patient waiting time in an orthopedic department.

Using the Integration of Discrete Event and Agent-Based Simulation to Enhance Outpatient Service Quality in an Orthopedic Department

PubMed Central

Kittipittayakorn, Cholada

2016-01-01

Many hospitals are currently paying more attention to patient satisfaction since it is an important service quality index. Many Asian countries' healthcare systems have a mixed-type registration, accepting both walk-in patients and scheduled patients. This complex registration system causes a long patient waiting time in outpatient clinics. Different approaches have been proposed to reduce the waiting time. This study uses the integration of discrete event simulation (DES) and agent-based simulation (ABS) to improve patient waiting time and is the first attempt to apply this approach to solve this key problem faced by orthopedic departments. From the data collected, patient behaviors are modeled and incorporated into a massive agent-based simulation. The proposed approach is an aid for analyzing and modifying orthopedic department processes, allows us to consider far more details, and provides more reliable results. After applying the proposed approach, the total waiting time of the orthopedic department fell from 1246.39 minutes to 847.21 minutes. Thus, using the correct simulation model significantly reduces patient waiting time in an orthopedic department. PMID:27195606

DES Y1 Results: Validating Cosmological Parameter Estimation Using Simulated Dark Energy Surveys

DOE Office of Scientific and Technical Information (OSTI.GOV)

MacCrann, N.; et al.

We use mock galaxy survey simulations designed to resemble the Dark Energy Survey Year 1 (DES Y1) data to validate and inform cosmological parameter estimation. When similar analysis tools are applied to both simulations and real survey data, they provide powerful validation tests of the DES Y1 cosmological analyses presented in companion papers. We use two suites of galaxy simulations produced using different methods, which therefore provide independent tests of our cosmological parameter inference. The cosmological analysis we aim to validate is presented in DES Collaboration et al. (2017) and uses angular two-point correlation functions of galaxy number counts and weak lensing shear, as well as their cross-correlation, in multiple redshift bins. While our constraints depend on the specific set of simulated realisations available, for both suites of simulations we find that the input cosmology is consistent with the combined constraints from multiple simulated DES Y1 realizations in themore » $$\\Omega_m-\\sigma_8$$ plane. For one of the suites, we are able to show with high confidence that any biases in the inferred $$S_8=\\sigma_8(\\Omega_m/0.3)^{0.5}$$ and $$\\Omega_m$$ are smaller than the DES Y1 $$1-\\sigma$$ uncertainties. For the other suite, for which we have fewer realizations, we are unable to be this conclusive; we infer a roughly 70% probability that systematic biases in the recovered $$\\Omega_m$$ and $$S_8$$ are sub-dominant to the DES Y1 uncertainty. As cosmological analyses of this kind become increasingly more precise, validation of parameter inference using survey simulations will be essential to demonstrate robustness.« less

System design and improvement of an emergency department using Simulation-Based Multi-Objective Optimization

NASA Astrophysics Data System (ADS)

Goienetxea Uriarte, A.; Ruiz Zúñiga, E.; Urenda Moris, M.; Ng, A. H. C.

2015-05-01

Discrete Event Simulation (DES) is nowadays widely used to support decision makers in system analysis and improvement. However, the use of simulation for improving stochastic logistic processes is not common among healthcare providers. The process of improving healthcare systems involves the necessity to deal with trade-off optimal solutions that take into consideration a multiple number of variables and objectives. Complementing DES with Multi-Objective Optimization (SMO) creates a superior base for finding these solutions and in consequence, facilitates the decision-making process. This paper presents how SMO has been applied for system improvement analysis in a Swedish Emergency Department (ED). A significant number of input variables, constraints and objectives were considered when defining the optimization problem. As a result of the project, the decision makers were provided with a range of optimal solutions which reduces considerably the length of stay and waiting times for the ED patients. SMO has proved to be an appropriate technique to support healthcare system design and improvement processes. A key factor for the success of this project has been the involvement and engagement of the stakeholders during the whole process.

Discrete Event Simulation-Based Resource Modelling in Health Technology Assessment.

PubMed

Salleh, Syed; Thokala, Praveen; Brennan, Alan; Hughes, Ruby; Dixon, Simon

2017-10-01

The objective of this article was to conduct a systematic review of published research on the use of discrete event simulation (DES) for resource modelling (RM) in health technology assessment (HTA). RM is broadly defined as incorporating and measuring effects of constraints on physical resources (e.g. beds, doctors, nurses) in HTA models. Systematic literature searches were conducted in academic databases (JSTOR, SAGE, SPRINGER, SCOPUS, IEEE, Science Direct, PubMed, EMBASE) and grey literature (Google Scholar, NHS journal library), enhanced by manual searchers (i.e. reference list checking, citation searching and hand-searching techniques). The search strategy yielded 4117 potentially relevant citations. Following the screening and manual searches, ten articles were included. Reviewing these articles provided insights into the applications of RM: firstly, different types of economic analyses, model settings, RM and cost-effectiveness analysis (CEA) outcomes were identified. Secondly, variation in the characteristics of the constraints such as types and nature of constraints and sources of data for the constraints were identified. Thirdly, it was found that including the effects of constraints caused the CEA results to change in these articles. The review found that DES proved to be an effective technique for RM but there were only a small number of studies applied in HTA. However, these studies showed the important consequences of modelling physical constraints and point to the need for a framework to be developed to guide future applications of this approach.

Developpement D'un Modele Climatique Regional: Fizr Simulation des Conditions de Janvier de la Cote Ouest Nord Americaine

NASA Astrophysics Data System (ADS)

Goyette, Stephane

1995-11-01

Le sujet de cette these concerne la modelisation numerique du climat regional. L'objectif principal de l'exercice est de developper un modele climatique regional ayant les capacites de simuler des phenomenes de meso-echelle spatiale. Notre domaine d'etude se situe sur la Cote Ouest nord americaine. Ce dernier a retenu notre attention a cause de la complexite du relief et de son controle sur le climat. Les raisons qui motivent cette etude sont multiples: d'une part, nous ne pouvons pas augmenter, en pratique, la faible resolution spatiale des modeles de la circulation generale de l'atmosphere (MCG) sans augmenter a outrance les couts d'integration et, d'autre part, la gestion de l'environnement exige de plus en plus de donnees climatiques regionales determinees avec une meilleure resolution spatiale. Jusqu'alors, les MCG constituaient les modeles les plus estimes pour leurs aptitudes a simuler le climat ainsi que les changements climatiques mondiaux. Toutefois, les phenomenes climatiques de fine echelle echappent encore aux MCG a cause de leur faible resolution spatiale. De plus, les repercussions socio-economiques des modifications possibles des climats sont etroitement liees a des phenomenes imperceptibles par les MCG actuels. Afin de circonvenir certains problemes inherents a la resolution, une approche pratique vise a prendre un domaine spatial limite d'un MCG et a y imbriquer un autre modele numerique possedant, lui, un maillage de haute resolution spatiale. Ce processus d'imbrication implique alors une nouvelle simulation numerique. Cette "retro-simulation" est guidee dans le domaine restreint a partir de pieces d'informations fournies par le MCG et forcee par des mecanismes pris en charge uniquement par le modele imbrique. Ainsi, afin de raffiner la precision spatiale des previsions climatiques de grande echelle, nous developpons ici un modele numerique appele FIZR, permettant d'obtenir de l'information climatique regionale valide a la fine echelle spatiale. Cette nouvelle gamme de modeles-interpolateurs imbriques qualifies d'"intelligents" fait partie de la famille des modeles dits "pilotes". L'hypothese directrice de notre etude est fondee sur la supposition que le climat de fine echelle est souvent gouverne par des forcages provenant de la surface plutot que par des transports atmospheriques de grande echelle spatiale. La technique que nous proposons vise donc a guider FIZR par la Dynamique echantillonnee d'un MCG et de la forcer par la Physique du MCG ainsi que par un forcage orographique de meso-echelle, en chacun des noeuds de la grille fine de calculs. Afin de valider la robustesse et la justesse de notre modele climatique regional, nous avons choisi la region de la Cote Ouest du continent nord americain. Elle est notamment caracterisee par une distribution geographique des precipitations et des temperatures fortement influencee par le relief sous-jacent. Les resultats d'une simulation d'un mois de janvier avec FIZR demontrent que nous pouvons simuler des champs de precipitations et de temperatures au niveau de l'abri beaucoup plus pres des observations climatiques comparativement a ceux simules a partir d'un MCG. Ces performances sont manifestement attribuees au forcage orographique de meso-echelle de meme qu'aux caracteristiques de surface determinees a fine echelle. Un modele similaire a FIZR peut, en principe, etre implante sur l'importe quel MCG, donc, tout organisme de recherche implique en modelisation numerique mondiale de grande echelle pourra se doter d'un el outil de regionalisation.

The use of discrete-event simulation modelling to improve radiation therapy planning processes.

PubMed

Werker, Greg; Sauré, Antoine; French, John; Shechter, Steven

2009-07-01

The planning portion of the radiation therapy treatment process at the British Columbia Cancer Agency is efficient but nevertheless contains room for improvement. The purpose of this study is to show how a discrete-event simulation (DES) model can be used to represent this complex process and to suggest improvements that may reduce the planning time and ultimately reduce overall waiting times. A simulation model of the radiation therapy (RT) planning process was constructed using the Arena simulation software, representing the complexities of the system. Several types of inputs feed into the model; these inputs come from historical data, a staff survey, and interviews with planners. The simulation model was validated against historical data and then used to test various scenarios to identify and quantify potential improvements to the RT planning process. Simulation modelling is an attractive tool for describing complex systems, and can be used to identify improvements to the processes involved. It is possible to use this technique in the area of radiation therapy planning with the intent of reducing process times and subsequent delays for patient treatment. In this particular system, reducing the variability and length of oncologist-related delays contributes most to improving the planning time.

Prediction of the period of psychotic episode in individual schizophrenics by simulation-data construction approach.

PubMed

Huang, Chun-Jung; Wang, Hsiao-Fan; Chiu, Hsien-Jane; Lan, Tsuo-Hung; Hu, Tsung-Ming; Loh, El-Wui

2010-10-01

Although schizophrenia can be treated, most patients still experience inevitable psychotic episodes from time to time. Precautious actions can be taken if the next onset can be predicted. However, sufficient information is always lacking in the clinical scenario. A possible solution is to use the virtual data generated from limited of original data. Data construction method (DCM) has been shown to generate the virtual felt earthquake data effectively and used in the prediction of further events. Here we investigated the performance of DCM in deriving the membership functions and discrete-event simulations (DES) in predicting the period embracing the initiation and termination time-points of the next psychotic episode of 35 individual schizophrenic patients. The results showed that 21 subjects had a success of simulations (RSS) ≥70%. Further analysis demonstrated that the co-morbidity of coronary heart diseases (CHD), risks of CHD, and the frequency of previous psychotic episodes increased the RSS.

Effet des Plastifiants sur la Temperature de Transition Vitreuse, Tg, du Butadiene a Terminaison Hydroxy et du Polyazoture de Glycidyle - Simulations et Experiences (Effect of the Plasticizers on the Vitreous Transition Temperature, Tg, of the Butadiene to Termination Hydroxy and the Polyazoture of Glycidyle - Simulations and Experiences)

DTIC Science & Technology

2008-09-01

diverses temperatures 26 a) HTPB pur b) HTPB-DOA (polymere et plastifiant) c) GAP pur d) Gpl pur e)Gap-Gpl Liste des tableaux Tableau 1...Composition des mailles amorphes construites 11 Tableau 2. Proprietes des polymeres et plastifiants utilises 11 Tableau 3. Comparaisons entre les Tt...obtenues experimentalement, les T% publiees dans les ecrits scientifiques et celles predites a partir des 7"gdes composes purs 19 Tableau 4. Comparaison

Mittelwert- und Arbeitstaktsynchrone Simulation von Dieselmotoren

NASA Astrophysics Data System (ADS)

Zahn, Sebastian

Getrieben durch die immer restriktiveren Anforderungen an das Emissions- und Verbrauchsverhalten moderner Verbrennungsmotoren steigt die Komplexität von Motormanagementsystemen mit jeder Modellgeneration an. Damit geht nicht nur eine Zunahme des Softwareumfangs von Steuergeräten sondern zugleich ein deutlicher Anstieg des Applikations-, Vermessungs- und Testaufwandes einher. Zur Effizienzsteigerung des Software- und Funktionsentwicklungsprozesses haben sich daher in der Automobilindustrie sowie in Forschungsinstituten verschiedene modell- und simulationsbasierte Methoden wie die Model-in-the-Loop (MiL) Simulation, die Software-in-the-Loop (SiL) Simulation, das Rapid Control Prototyping (RCP) sowie die Hardware-in-the-Loop (HiL) Simulation etabliert.

Hierarchical Discrete Event Supervisory Control of Aircraft Propulsion Systems

NASA Technical Reports Server (NTRS)

Yasar, Murat; Tolani, Devendra; Ray, Asok; Shah, Neerav; Litt, Jonathan S.

2004-01-01

This paper presents a hierarchical application of Discrete Event Supervisory (DES) control theory for intelligent decision and control of a twin-engine aircraft propulsion system. A dual layer hierarchical DES controller is designed to supervise and coordinate the operation of two engines of the propulsion system. The two engines are individually controlled to achieve enhanced performance and reliability, necessary for fulfilling the mission objectives. Each engine is operated under a continuously varying control system that maintains the specified performance and a local discrete-event supervisor for condition monitoring and life extending control. A global upper level DES controller is designed for load balancing and overall health management of the propulsion system.

Experiences with the MANA simulation tool

DTIC Science & Technology

2006-08-01

ALERT and FAVS simulations. Also, agents in these simulations needed to conduct careful formation fighting while following established CF doctrine...simulations auraient dû pouvoir se déplacer en formation , suivant la doctrine établie des Forces canadiennes. Cependant, des comportements d’une...29 Annex C – Alternative approach to inter-squad coordination of retreat.................................. 32 List of acronyms

Young-Person's Guide to Detached-Eddy Simulation Grids

NASA Technical Reports Server (NTRS)

Spalart, Philippe R.; Streett, Craig (Technical Monitor)

2001-01-01

We give the "philosophy", fairly complete instructions, a sketch and examples of creating Detached-Eddy Simulation (DES) grids from simple to elaborate, with a priority on external flows. Although DES is not a zonal method, flow regions with widely different gridding requirements emerge, and should be accommodated as far as possible if a good use of grid points is to be made. This is not unique to DES. We brush on the time-step choice, on simple pitfalls, and on tools to estimate whether a simulation is well resolved.

Vents stellaires chauds et nébuleuses éjectées des étoiles chaudes: nécessaire inclusion des phénomènes radiatifs dans les simulations hydrodynamiques

NASA Astrophysics Data System (ADS)

Grosdidier, Y.; Garcia-Segura, G.; Acker, A.; Moffat, A. F. J.

Nous décrivons, à l'instar de la formation et de l'évolution des nébuleuses planétaires, comment l'histoire des vents stellaires issus d'une même étoile chaude (massive ou non) détermine la morphologie des nébuleuses éjectées. Ensuite, nous présentons sommairement la structure et la dynamique des vents accélérés radiativement au sein des étoiles massives (O, Wolf-Rayet) et des étoiles centrales de nébuleuses planétaires de type [WC]. Enfin, nous tâchong d'illustrer en quoi la prise en compte des phénomènes radiatifs est nécessaire pour effectuer toute simulation hydrodynamique sensée reproduire les observations dans les deux contextes, i.e. les vents stellaires chauds eux-mêmes, la persistance de surdensités en leur sein, et les nébuleuses éjectées qui en résultent.

Detached Eddy Simulation of Flap Side-Edge Flow

NASA Technical Reports Server (NTRS)

Balakrishnan, Shankar K.; Shariff, Karim R.

2016-01-01

Detached Eddy Simulation (DES) of flap side-edge flow was performed with a wing and half-span flap configuration used in previous experimental and numerical studies. The focus of the study is the unsteady flow features responsible for the production of far-field noise. The simulation was performed at a Reynolds number (based on the main wing chord) of 3.7 million. Reynolds Averaged Navier-Stokes (RANS) simulations were performed as a precursor to the DES. The results of these precursor simulations match previous experimental and RANS results closely. Although the present DES simulations have not reached statistical stationary yet, some unsteady features of the developing flap side-edge flowfield are presented. In the final paper it is expected that statistically stationary results will be presented including comparisons of surface pressure spectra with experimental data.

Predicting Liver Transplant Capacity Using Discrete Event Simulation.

PubMed

Toro-Díaz, Hector; Mayorga, Maria E; Barritt, A Sidney; Orman, Eric S; Wheeler, Stephanie B

2015-08-01

The number of liver transplants (LTs) performed in the US increased until 2006 but has since declined despite an ongoing increase in demand. This decline may be due in part to decreased donor liver quality and increasing discard of poor-quality livers. We constructed a discrete event simulation (DES) model informed by current donor characteristics to predict future LT trends through the year 2030. The data source for our model is the United Network for Organ Sharing database, which contains patient-level information on all organ transplants performed in the US. Previous analysis showed that liver discard is increasing and that discarded organs are more often from donors who are older, are obese, have diabetes, and donated after cardiac death. Given that the prevalence of these factors is increasing, the DES model quantifies the reduction in the number of LTs performed through 2030. In addition, the model estimatesthe total number of future donors needed to maintain the current volume of LTs and the effect of a hypothetical scenario of improved reperfusion technology.We also forecast the number of patients on the waiting list and compare this with the estimated number of LTs to illustrate the impact that decreased LTs will have on patients needing transplants. By altering assumptions about the future donor pool, this model can be used to develop policy interventions to prevent a further decline in this lifesaving therapy. To our knowledge, there are no similar predictive models of future LT use based on epidemiological trends. © The Author(s) 2014.

Predicting Liver Transplant Capacity Using Discrete Event Simulation

PubMed Central

Diaz, Hector Toro; Mayorga, Maria; Barritt, A. Sidney; Orman, Eric S.; Wheeler, Stephanie B.

2014-01-01

The number of liver transplants (LTs) performed in the US increased until 2006, but has since declined despite an ongoing increase in demand. This decline may be due in part to decreased donor liver quality and increasing discard of poor quality livers. We constructed a Discrete Event Simulation (DES) model informed by current donor characteristics to predict future LT trends through the year 2030. The data source for our model is the United Network for Organ Sharing database, which contains patient level information on all organ transplants performed in the US. Previous analysis showed that liver discard is increasing and that discarded organs are more often from donors who are older, obese, have diabetes, and donated after cardiac death. Given that the prevalence of these factors is increasing, the DES model quantifies the reduction in the number of LTs performed through 2030. In addition, the model estimates the total number of future donors needed to maintain the current volume of LTs, and the effect of a hypothetical scenario of improved reperfusion technology. We also forecast the number of patients on the waiting list and compare this to the estimated number of LTs to illustrate the impact that decreased LTs will have on patients needing transplants. By altering assumptions about the future donor pool, this model can be used to develop policy interventions to prevent a further decline in this life saving therapy. To our knowledge, there are no similar predictive models of future LT use based on epidemiologic trends. PMID:25391681

Turnaround Time Modeling for Conceptual Rocket Engines

NASA Technical Reports Server (NTRS)

Nix, Michael; Staton, Eric J.

2004-01-01

Recent years have brought about a paradigm shift within NASA and the Space Launch Community regarding the performance of conceptual design. Reliability, maintainability, supportability, and operability are no longer effects of design; they have moved to the forefront and are affecting design. A primary focus of this shift has been a planned decrease in vehicle turnaround time. Potentials for instituting this decrease include attacking the issues of removing, refurbishing, and replacing the engines after each flight. less, it is important to understand the operational affects of an engine on turnaround time, ground support personnel and equipment. One tool for visualizing this relationship involves the creation of a Discrete Event Simulation (DES). A DES model can be used to run a series of trade studies to determine if the engine is meeting its requirements, and, if not, what can be altered to bring it into compliance. Using DES, it is possible to look at the ways in which labor requirements, parallel maintenance versus serial maintenance, and maintenance scheduling affect the overall turnaround time. A detailed DES model of the Space Shuttle Main Engines (SSME) has been developed. Trades may be performed using the SSME Processing Model to see where maintenance bottlenecks occur, what the benefits (if any) are of increasing the numbers of personnel, or the number and location of facilities, in addition to trades previously mentioned, all with the goal of optimizing the operational turnaround time and minimizing operational cost. The SSME Processing Model was developed in such a way that it can easily be used as a foundation for developing DES models of other operational or developmental reusable engines. Performing a DES on a developmental engine during the conceptual phase makes it easier to affect the design and make changes to bring about a decrease in turnaround time and costs.

Drug-Eluting Versus Bare-Metal Stents During PCI in Patients With End-Stage Renal Disease on Dialysis

PubMed Central

Chang, Tara I.; Montez-Rath, Maria E.; Tsai, Thomas T.; Hlatky, Mark A.; Winkelmayer, Wolfgang C.

2016-01-01

BACKGROUND In patients undergoing percutaneous coronary intervention (PCI), drug-eluting stents (DES) reduce repeat revascularizations compared with bare metal stents (BMS), but their effects on death and myocardial infarction (MI) are mixed. Few studies have focused on patients with end-stage renal disease (ESRD). OBJECTIVES We compared mortality and cardiovascular morbidity during PCI with DES and with BMS in dialysis patients. METHODS We identified 36,117 dialysis patients from the U.S. Renal Data System who had coronary stenting in the U.S. between 4/23/03 and 12/31/10, and examined the association of DES versus BMS with 1-year outcomes: death; death or MI; and death, MI or repeat revascularization. We conducted a temporal analysis by dividing the study period into 3 DES eras: Transitional (4/23/03 – 6/30/04); Liberal (7/1/04 – 12/31/06); and Selective (1/1/07 – 12/31/10). RESULTS One-year event rates were high, with 38 deaths, 55 death or MI events and 71 death, MI or repeat revascularization events per 100 person-years. DES was associated with a significant 18% lower risk of death, 16% lower risk of death or MI, and 13% lower risk of death, MI or repeat revascularization, compared with BMS. DES use varied, from 56% in the Transitional era to 85% in the Liberal era and 62% in the Selective era. DES outcomes in the Liberal era were significantly better than in the Transitional Era, but not significantly better than in the Selective Era. CONCLUSIONS DES for PCI appears safe in U.S. dialysis patients, and is associated with lower rates of death, MI and repeat revascularization. PMID:27012407

Modeling and simulation of M/M/c queuing pharmacy system with adjustable parameters

NASA Astrophysics Data System (ADS)

Rashida, A. R.; Fadzli, Mohammad; Ibrahim, Safwati; Goh, Siti Rohana

2016-02-01

This paper studies a discrete event simulation (DES) as a computer based modelling that imitates a real system of pharmacy unit. M/M/c queuing theo is used to model and analyse the characteristic of queuing system at the pharmacy unit of Hospital Tuanku Fauziah, Kangar in Perlis, Malaysia. The input of this model is based on statistical data collected for 20 working days in June 2014. Currently, patient waiting time of pharmacy unit is more than 15 minutes. The actual operation of the pharmacy unit is a mixed queuing server with M/M/2 queuing model where the pharmacist is referred as the server parameters. DES approach and ProModel simulation software is used to simulate the queuing model and to propose the improvement for queuing system at this pharmacy system. Waiting time for each server is analysed and found out that Counter 3 and 4 has the highest waiting time which is 16.98 and 16.73 minutes. Three scenarios; M/M/3, M/M/4 and M/M/5 are simulated and waiting time for actual queuing model and experimental queuing model are compared. The simulation results show that by adding the server (pharmacist), it will reduce patient waiting time to a reasonable improvement. Almost 50% average patient waiting time is reduced when one pharmacist is added to the counter. However, it is not necessary to fully utilize all counters because eventhough M/M/4 and M/M/5 produced more reduction in patient waiting time, but it is ineffective since Counter 5 is rarely used.

Conceptual Modeling (CM) for Military Modeling and Simulation (M&S) (Modelisation conceptuelle (MC) pour la modelisation et la simulation (M&S) militaires)

DTIC Science & Technology

2012-07-01

du monde de la modélisation et de la simulation et lui fournir des directives de mise en œuvre ; et fournir des ...définition ; rapports avec les normes ; spécification de procédure de gestion de la MC ; spécification d’artefact de MC. Considérations importantes...utilisant la présente directive comme référence. • Les VV&A (vérification, validation et acceptation) des MC doivent faire partie intégrante du

Simulation Interoperability (Interoperabilite de la simulation)

DTIC Science & Technology

2015-01-01

du NMSG pour étudier l’interopérabilité de la simulation. L’ET-027 a identifié 63 problèmes qui limitent fortement l’interopérabilité de la simulation...l’automatisation relative du développement, de l’intégration et de la mise en œuvre des environnements de simulation distribuée. Cela exige une...normalisation des applicatifs créés pendant le développement d’un environnement de simulation, à la suite, par exemple, du

Percutaneous coronary intervention with second-generation drug-eluting stent versus bare-metal stent: Systematic review and cost-benefit analysis.

PubMed

Poder, Thomas G; Erraji, Jihane; Coulibaly, Lucien P; Koffi, Kouamé

2017-01-01

Drug-eluting stents (DESs) were considered as ground-breaking technology promising to eradicate restenosis and the necessity to perform multiple revascularization procedures subsequent to percutaneous coronary intervention. Soon after DESs were released on the market, however, there were reports of a potential increase in mortality and of early or late thrombosis. In addition, DESs are far more expensive than bare-metal stents (BMSs), which has led to their limited use in many countries. The technology has improved over the last few years with the second generation of DESs (DES-2). Moreover, costs have come down and an improved safety profile with decreased thrombosis has been reported. Perform a cost-benefit analysis of DES-2s versus BMSs in the context of a publicly funded university hospital in Quebec, Canada. A systematic review of meta-analyses was conducted between 2012 and 2016 to extract data on clinical effectiveness. The clinical outcome of interest for the cost-benefit analysis was target-vessel revascularization (TVR). Cost units are those used in the Quebec health-care system. The cost-benefit analysis was based on a 2-year perspective. Deterministic and stochastic models (discrete-event simulation) were used, and various risk factors of reintervention were considered. DES-2s are much more effective than BMSs with respect to TVR rate ratio (i.e., 0.29 to 0.62 in more recent meta-analyses). DES-2s seem to cause fewer deaths and in-stent thrombosis than BMSs, but results are rarely significant, with the exception of the cobalt-chromium everolimus DES. The rate ratio of myocardial infraction is systematically in favor of DES-2s and very often significant. Despite the higher cost of DES-2s, fewer reinterventions can lead to huge savings (i.e., -$479 to -$769 per patient). Moreover, the higher a patient's risk of reintervention, the higher the savings associated with the use of DES-2s. Despite the higher purchase cost of DES-2s compared to BMSs, generalizing their use, in particular for patients at high risk of reintervention, should enable significant savings.

Percutaneous coronary intervention with second-generation drug-eluting stent versus bare-metal stent: Systematic review and cost–benefit analysis

PubMed Central

Erraji, Jihane; Coulibaly, Lucien P.; Koffi, Kouamé

2017-01-01

Background Drug-eluting stents (DESs) were considered as ground-breaking technology promising to eradicate restenosis and the necessity to perform multiple revascularization procedures subsequent to percutaneous coronary intervention. Soon after DESs were released on the market, however, there were reports of a potential increase in mortality and of early or late thrombosis. In addition, DESs are far more expensive than bare-metal stents (BMSs), which has led to their limited use in many countries. The technology has improved over the last few years with the second generation of DESs (DES-2). Moreover, costs have come down and an improved safety profile with decreased thrombosis has been reported. Objective Perform a cost–benefit analysis of DES-2s versus BMSs in the context of a publicly funded university hospital in Quebec, Canada. Methods A systematic review of meta-analyses was conducted between 2012 and 2016 to extract data on clinical effectiveness. The clinical outcome of interest for the cost–benefit analysis was target-vessel revascularization (TVR). Cost units are those used in the Quebec health-care system. The cost–benefit analysis was based on a 2-year perspective. Deterministic and stochastic models (discrete-event simulation) were used, and various risk factors of reintervention were considered. Results DES-2s are much more effective than BMSs with respect to TVR rate ratio (i.e., 0.29 to 0.62 in more recent meta-analyses). DES-2s seem to cause fewer deaths and in-stent thrombosis than BMSs, but results are rarely significant, with the exception of the cobalt–chromium everolimus DES. The rate ratio of myocardial infraction is systematically in favor of DES-2s and very often significant. Despite the higher cost of DES-2s, fewer reinterventions can lead to huge savings (i.e., -$479 to -$769 per patient). Moreover, the higher a patient’s risk of reintervention, the higher the savings associated with the use of DES-2s. Conclusion Despite the higher purchase cost of DES-2s compared to BMSs, generalizing their use, in particular for patients at high risk of reintervention, should enable significant savings. PMID:28498849

Stent Thrombosis in Drug-Eluting or Bare-Metal Stents in Patients Receiving Dual Antiplatelet Therapy.

PubMed

Kereiakes, Dean J; Yeh, Robert W; Massaro, Joseph M; Driscoll-Shempp, Priscilla; Cutlip, Donald E; Steg, P Gabriel; Gershlick, Anthony H; Darius, Harald; Meredith, Ian T; Ormiston, John; Tanguay, Jean-François; Windecker, Stephan; Garratt, Kirk N; Kandzari, David E; Lee, David P; Simon, Daniel I; Iancu, Adrian Corneliu; Trebacz, Jaroslaw; Mauri, Laura

2015-10-01

This study sought to compare rates of stent thrombosis and major adverse cardiac and cerebrovascular events (MACCE) (composite of death, myocardial infarction, or stroke) after coronary stenting with drug-eluting stents (DES) versus bare-metal stents (BMS) in patients who participated in the DAPT (Dual Antiplatelet Therapy) study, an international multicenter randomized trial comparing 30 versus 12 months of dual antiplatelet therapy in subjects undergoing coronary stenting with either DES or BMS. Despite antirestenotic efficacy of coronary DES compared with BMS, the relative risk of stent thrombosis and adverse cardiovascular events is unclear. Many clinicians perceive BMS to be associated with fewer adverse ischemic events and to require shorter-duration dual antiplatelet therapy than DES. Prospective propensity-matched analysis of subjects enrolled into a randomized trial of dual antiplatelet therapy duration was performed. DES- and BMS-treated subjects were propensity-score matched in a many-to-one fashion. The study design was observational for all subjects 0 to 12 months following stenting. A subset of eligible subjects without major ischemic or bleeding events were randomized at 12 months to continued thienopyridine versus placebo; all subjects were followed through 33 months. Among 10,026 propensity-matched subjects, DES-treated subjects (n = 8,308) had a lower rate of stent thrombosis through 33 months compared with BMS-treated subjects (n = 1,718, 1.7% vs. 2.6%; weighted risk difference -1.1%, p = 0.01) and a noninferior rate of MACCE (11.4% vs. 13.2%, respectively, weighted risk difference -1.8%, p = 0.053, noninferiority p < 0.001). DES-treated subjects have long-term rates of stent thrombosis that are lower than BMS-treated subjects. (The Dual Antiplatelet Therapy Study [DAPT study]; NCT00977938). Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Francis-99 turbine numerical flow simulation of steady state operation using RANS and RANS/LES turbulence model

NASA Astrophysics Data System (ADS)

Minakov, A.; Platonov, D.; Sentyabov, A.; Gavrilov, A.

2017-01-01

We performed numerical simulation of flow in a laboratory model of a Francis hydroturbine at three regimes, using two eddy-viscosity- (EVM) and a Reynolds stress (RSM) RANS models (realizable k-ɛ, k-ω SST, LRR) and detached-eddy-simulations (DES), as well as large-eddy simulations (LES). Comparison of calculation results with the experimental data was carried out. Unlike the linear EVMs, the RSM, DES, and LES reproduced well the mean velocity components, and pressure pulsations in the diffusor draft tube. Despite relatively coarse meshes and insufficient resolution of the near-wall region, LES, DES also reproduced well the intrinsic flow unsteadiness and the dominant flow structures and the associated pressure pulsations in the draft tube.

Research Using In Vivo Simulation of Meta-Organizational Shared Decision Making (SDM). Task 2: Development of an Experimental Plan for In Vivo Exercise and Simulation

DTIC Science & Technology

2011-12-01

la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2011 DRDC CSS CR 2011-31 ii...participants. Résumé …..... Introduction : Ce rapport présente la Tâche 2 du projet « Recherche par la simulation in-vivo sur la prise de décision partagée...environnement sur la prise de décision partagée in-vivo des opérations de gestion des urgences et pour colliger des données

Detached Eddy Simulations of Hypersonic Transition

NASA Technical Reports Server (NTRS)

Yoon, S.; Barnhardt, M.; Candler, G.

2010-01-01

This slide presentation reviews the use of Detached Eddy Simulation (DES) of hypersonic transistion. The objective of the study was to investigate the feasibility of using CFD in general, DES in particular, for prediction of roughness-induced boundary layer transition to turbulence and the resulting increase in heat transfer.

A proposed model for economic evaluations of major depressive disorder.

PubMed

Haji Ali Afzali, Hossein; Karnon, Jonathan; Gray, Jodi

2012-08-01

In countries like UK and Australia, the comparability of model-based analyses is an essential aspect of reimbursement decisions for new pharmaceuticals, medical services and technologies. Within disease areas, the use of models with alternative structures, type of modelling techniques and/or data sources for common parameters reduces the comparability of evaluations of alternative technologies for the same condition. The aim of this paper is to propose a decision analytic model to evaluate long-term costs and benefits of alternative management options in patients with depression. The structure of the proposed model is based on the natural history of depression and includes clinical events that are important from both clinical and economic perspectives. Considering its greater flexibility with respect to handling time, discrete event simulation (DES) is an appropriate simulation platform for modelling studies of depression. We argue that the proposed model can be used as a reference model in model-based studies of depression improving the quality and comparability of studies.

High-Lift System Aerodynamics (L’Aerodynamique des Systems Hypersustentateurs)

DTIC Science & Technology

1993-09-01

les kcouleinents incoinpressibles sur les profils L -a pr~sente m~thode num~rique montre que la simulation multi-corps, qui est un...de l ’&oulement du d𔄀chelle de discrdtisation, d’origine physique, introduit des m~me ordre que l ’~paisseur des couches limites sur le point de...hypersustentateurs. Enfin, les consequences des exigences de furtivite sur la forme des aeronefs - c’est it dire la creation de configurations telles que

Techniques d'inspection par ondes guidees ultrasonores d'assemblages brases dans des reacteurs aeronautiques =

NASA Astrophysics Data System (ADS)

Comot, Pierre

L'industrie aeronautique, cherche a etudier la possibilite d'utiliser de maniere structurelle des joints brases, dans une optique de reduction de poids et de cout. Le developpement d'une methode d'evaluation rapide, fiable et peu couteuse pour evaluer l'integrite structurelle des joints apparait donc indispensable. La resistance mecanique d'un joint brase dependant principalement de la quantite de phase fragile dans sa microstructure. Les ondes guidees ultrasonores permettent de detecter ce type de phase lorsqu'elles sont couplees a une mesure spatio-temporelle. De plus la nature de ce type d'ondes permet l'inspection de joints ayant des formes complexes. Ce memoire se concentre donc sur le developpement d'une technique basee sur l'utilisation d'ondes guidees ultrasonores pour l'inspection de joints brases a recouvrement d'Inconel 625 avec comme metal d'apport du BNi-2. Dans un premiers temps un modele elements finis du joint a ete utilise pour simuler la propagation des ultrasons et optimiser les parametres d'inspection, la simulation a permis egalement de demontrer la faisabilite de la technique pour la detection de la quantite de phase fragile dans ce type de joints. Les parametres optimises sont la forme de signal d'excitation, sa frequence centrale et la direction d'excitation. Les simulations ont montre que l'energie de l'onde ultrasonore transmise a travers le joint aussi bien que celle reflechie, toutes deux extraites des courbes de dispersion, etaient proportionnelles a la quantite de phase fragile presente dans le joint et donc cette methode permet d'identifier la presence ou non d'une phase fragile dans ce type de joint. Ensuite des experimentations ont ete menees sur trois echantillons typiques presentant differentes quantites de phase fragile dans le joint, pour obtenir ce type d'echantillons differents temps de brasage ont ete utilises (1, 60 et 180 min). Pour cela un banc d'essai automatise a ete developpe permettant d'effectuer une analyse similaire a celle utilisee en simulation. Les parametres experimentaux ayant ete choisis en accord avec l'optimisation effectuee lors des simulations et apres une premiere optimisation du procede experimental. Finalement les resultats experimentaux confirment les resultats obtenus en simulation, et demontrent le potentiel de la methode developpee.

Studying the Ultraviolet Spectrum of the First Spectroscopically Confirmed Supernova at redshift two

DOE PAGES

Smith, M.

2017-12-11

Here, we present observations of DES16C2nm, the first spectroscopically confirmed hydrogen-free superluminous supernova (SLSN-I) at redshift z~2. DES16C2nm was discovered by the Dark Energy Survey (DES) Supernova Program, with follow-up photometric data from the Hubble Space Telescope, Gemini, and the European Southern Observatory Very Large Telescope supplementing the DES data. Spectroscopic observations confirm DES16C2nm to be at z=1.998, and spectroscopically similar to Gaia16apd (a SLSN-I at z=0.102), with a peak absolute magnitude of U=-22.26more » $$\\pm$$0.06. The high redshift of DES16C2nm provides a unique opportunity to study the ultraviolet (UV) properties of SLSNe-I. Combining DES16C2nm with ten similar events from the literature, we show that there exists a homogeneous class of SLSNe-I in the UV (~2500A), with peak luminosities in the (rest-frame) U band, and increasing absorption to shorter wavelengths. There is no evidence that the mean photometric and spectroscopic properties of SLSNe-I differ between low (z<1) and high redshift (z>1), but there is clear evidence of diversity in the spectrum at <2000A, possibly caused by the variations in temperature between events. No significant correlations are observed between spectral line velocities and photometric luminosity. Using these data, we estimate that SLSNe-I can be discovered to z=3.8 by DES. While SLSNe-I are typically identified from their blue observed colors at low redshift (z<1), we highlight that at z>2 these events appear optically red, peaking in the observer-frame z-band. Such characteristics are critical to identify these objects with future facilities such as the Large Synoptic Survey Telescope, Euclid, and the Wide-Field Infrared Survey Telescope, which should detect such SLSNe-I to z=3.5, 3.7, and 6.6, respectively.« less

Studying the Ultraviolet Spectrum of the First Spectroscopically Confirmed Supernova at Redshift Two

NASA Astrophysics Data System (ADS)

Smith, M.; Sullivan, M.; Nichol, R. C.; Galbany, L.; D’Andrea, C. B.; Inserra, C.; Lidman, C.; Rest, A.; Schirmer, M.; Filippenko, A. V.; Zheng, W.; Cenko, S. Bradley; Angus, C. R.; Brown, P. J.; Davis, T. M.; Finley, D. A.; Foley, R. J.; González-Gaitán, S.; Gutiérrez, C. P.; Kessler, R.; Kuhlmann, S.; Marriner, J.; Möller, A.; Nugent, P. E.; Prajs, S.; Thomas, R.; Wolf, R.; Zenteno, A.; Abbott, T. M. C.; Abdalla, F. B.; Allam, S.; Annis, J.; Bechtol, K.; Benoit-Lévy, A.; Bertin, E.; Brooks, D.; Burke, D. L.; Carnero Rosell, A.; Carrasco Kind, M.; Carretero, J.; Castander, F. J.; Crocce, M.; Cunha, C. E.; da Costa, L. N.; Davis, C.; Desai, S.; Diehl, H. T.; Doel, P.; Eifler, T. F.; Flaugher, B.; Fosalba, P.; Frieman, J.; García-Bellido, J.; Gaztanaga, E.; Gerdes, D. W.; Goldstein, D. A.; Gruen, D.; Gruendl, R. A.; Gschwend, J.; Gutierrez, G.; Honscheid, K.; James, D. J.; Johnson, M. W. G.; Kuehn, K.; Kuropatkin, N.; Li, T. S.; Lima, M.; Maia, M. A. G.; Marshall, J. L.; Martini, P.; Menanteau, F.; Miller, C. J.; Miquel, R.; Ogando, R. L. C.; Petravick, D.; Plazas, A. A.; Romer, A. K.; Rykoff, E. S.; Sako, M.; Sanchez, E.; Scarpine, V.; Schindler, R.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, R. C.; Soares-Santos, M.; Sobreira, F.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Walker, A. R.; The DES Collaboration

2018-02-01

We present observations of DES16C2nm, the first spectroscopically confirmed hydrogen-free superluminous supernova (SLSN-I) at redshift z≈ 2. DES16C2nm was discovered by the Dark Energy Survey (DES) Supernova Program, with follow-up photometric data from the Hubble Space Telescope, Gemini, and the European Southern Observatory Very Large Telescope supplementing the DES data. Spectroscopic observations confirm DES16C2nm to be at z = 1.998, and spectroscopically similar to Gaia16apd (a SLSN-I at z = 0.102), with a peak absolute magnitude of U=-22.26+/- 0.06. The high redshift of DES16C2nm provides a unique opportunity to study the ultraviolet (UV) properties of SLSNe-I. Combining DES16C2nm with 10 similar events from the literature, we show that there exists a homogeneous class of SLSNe-I in the UV ({λ }{rest}≈ 2500 Å), with peak luminosities in the (rest-frame) U band, and increasing absorption to shorter wavelengths. There is no evidence that the mean photometric and spectroscopic properties of SLSNe-I differ between low (z< 1) and high redshift (z> 1), but there is clear evidence of diversity in the spectrum at {λ }{rest}< 2000 \\mathringA , possibly caused by the variations in temperature between events. No significant correlations are observed between spectral line velocities and photometric luminosity. Using these data, we estimate that SLSNe-I can be discovered to z = 3.8 by DES. While SLSNe-I are typically identified from their blue observed colors at low redshift (z< 1), we highlight that at z> 2 these events appear optically red, peaking in the observer-frame z-band. Such characteristics are critical to identify these objects with future facilities such as the Large Synoptic Survey Telescope, Euclid, and the Wide-field Infrared Survey Telescope, which should detect such SLSNe-I to z = 3.5, 3.7, and 6.6, respectively.

Studying the Ultraviolet Spectrum of the First Spectroscopically Confirmed Supernova at redshift two

DOE Office of Scientific and Technical Information (OSTI.GOV)

Smith, M.

Here, we present observations of DES16C2nm, the first spectroscopically confirmed hydrogen-free superluminous supernova (SLSN-I) at redshift z~2. DES16C2nm was discovered by the Dark Energy Survey (DES) Supernova Program, with follow-up photometric data from the Hubble Space Telescope, Gemini, and the European Southern Observatory Very Large Telescope supplementing the DES data. Spectroscopic observations confirm DES16C2nm to be at z=1.998, and spectroscopically similar to Gaia16apd (a SLSN-I at z=0.102), with a peak absolute magnitude of U=-22.26more » $$\\pm$$0.06. The high redshift of DES16C2nm provides a unique opportunity to study the ultraviolet (UV) properties of SLSNe-I. Combining DES16C2nm with ten similar events from the literature, we show that there exists a homogeneous class of SLSNe-I in the UV (~2500A), with peak luminosities in the (rest-frame) U band, and increasing absorption to shorter wavelengths. There is no evidence that the mean photometric and spectroscopic properties of SLSNe-I differ between low (z<1) and high redshift (z>1), but there is clear evidence of diversity in the spectrum at <2000A, possibly caused by the variations in temperature between events. No significant correlations are observed between spectral line velocities and photometric luminosity. Using these data, we estimate that SLSNe-I can be discovered to z=3.8 by DES. While SLSNe-I are typically identified from their blue observed colors at low redshift (z<1), we highlight that at z>2 these events appear optically red, peaking in the observer-frame z-band. Such characteristics are critical to identify these objects with future facilities such as the Large Synoptic Survey Telescope, Euclid, and the Wide-Field Infrared Survey Telescope, which should detect such SLSNe-I to z=3.5, 3.7, and 6.6, respectively.« less

A discrete event simulation model for evaluating the performances of an m/g/c/c state dependent queuing system.

PubMed

Khalid, Ruzelan; Nawawi, Mohd Kamal M; Kawsar, Luthful A; Ghani, Noraida A; Kamil, Anton A; Mustafa, Adli

2013-01-01

M/G/C/C state dependent queuing networks consider service rates as a function of the number of residing entities (e.g., pedestrians, vehicles, and products). However, modeling such dynamic rates is not supported in modern Discrete Simulation System (DES) software. We designed an approach to cater this limitation and used it to construct the M/G/C/C state-dependent queuing model in Arena software. Using the model, we have evaluated and analyzed the impacts of various arrival rates to the throughput, the blocking probability, the expected service time and the expected number of entities in a complex network topology. Results indicated that there is a range of arrival rates for each network where the simulation results fluctuate drastically across replications and this causes the simulation results and analytical results exhibit discrepancies. Detail results that show how tally the simulation results and the analytical results in both abstract and graphical forms and some scientific justifications for these have been documented and discussed.

Exploring the Use of Computer Simulations in Unraveling Research and Development Governance Problems

NASA Technical Reports Server (NTRS)

Balaban, Mariusz A.; Hester, Patrick T.

2012-01-01

Understanding Research and Development (R&D) enterprise relationships and processes at a governance level is not a simple task, but valuable decision-making insight and evaluation capabilities can be gained from their exploration through computer simulations. This paper discusses current Modeling and Simulation (M&S) methods, addressing their applicability to R&D enterprise governance. Specifically, the authors analyze advantages and disadvantages of the four methodologies used most often by M&S practitioners: System Dynamics (SO), Discrete Event Simulation (DES), Agent Based Modeling (ABM), and formal Analytic Methods (AM) for modeling systems at the governance level. Moreover, the paper describes nesting models using a multi-method approach. Guidance is provided to those seeking to employ modeling techniques in an R&D enterprise for the purposes of understanding enterprise governance. Further, an example is modeled and explored for potential insight. The paper concludes with recommendations regarding opportunities for concentration of future work in modeling and simulating R&D governance relationships and processes.

Ship Dynamics Identification Using Simulator and Sea Trial Data

DTIC Science & Technology

2002-04-29

Committee "© Her Majesty the Queen as represented by the Minister of National Defence, 2002 "© Sa majest6 la reine, repr~sent~e par le ministre de la...cotes d’instructeurs. Le but du present rapport est de ddterminer la nature de la dynamique des navires virtuels et r6els de mani&re A ce que des...la dynamique du navire. Le pr6sent document pr6cise la dynamique du navire pour un navire de classe Bay des FC, ainsi que pour un navire simul6. Les

Reduction of Military Vehicle Acquisition Time and Cost through Advanced Modelling and Virtual Simulation (La reduction des couts et des delais d’acquisition des vehicules militaires par la modelisation avancee et la simulation de produit virtuel)

DTIC Science & Technology

2003-03-01

nations, a very thorough examination of current practices. Introduction The Applied Vehicle Technology Panel (AVT) of the Research and Technology...the introduction of new information generated by computer codes required it to be timely and presented in appropriate fashion so that it could...military competition between the NATO allies and the Soviet Union. The second was the introduction of commercial, high capacity transonic aircraft and

Simulation-based decision support framework for dynamic ambulance redeployment in Singapore.

PubMed

Lam, Sean Shao Wei; Ng, Clarence Boon Liang; Nguyen, Francis Ngoc Hoang Long; Ng, Yih Yng; Ong, Marcus Eng Hock

2017-10-01

Dynamic ambulance redeployment policies tend to introduce much more flexibilities in improving ambulance resource allocation by capitalizing on the definite geospatial-temporal variations in ambulance demand patterns over the time-of-the-day and day-of-the-week effects. A novel modelling framework based on the Approximate Dynamic Programming (ADP) approach leveraging on a Discrete Events Simulation (DES) model for dynamic ambulance redeployment in Singapore is proposed in this paper. The study was based on the Singapore's national Emergency Medical Services (EMS) system. Based on a dataset comprising 216,973 valid incidents over a continuous two-years study period from 1 January 2011-31 December 2012, a DES model for the EMS system was developed. An ADP model based on linear value function approximations was then evaluated using the DES model via the temporal difference (TD) learning family of algorithms. The objective of the ADP model is to derive approximate optimal dynamic redeployment policies based on the primary outcome of ambulance coverage. Considering an 8min response time threshold, an estimated 5% reduction in the proportion of calls that cannot be reached within the threshold (equivalent to approximately 8000 dispatches) was observed from the computational experiments. The study also revealed that the redeployment policies which are restricted within the same operational division could potentially result in a more promising response time performance. Furthermore, the best policy involved the combination of redeploying ambulances whenever they are released from service and that of relocating ambulances that are idle in bases. This study demonstrated the successful application of an approximate modelling framework based on ADP that leverages upon a detailed DES model of the Singapore's EMS system to generate approximate optimal dynamic redeployment plans. Various policies and scenarios relevant to the Singapore EMS system were evaluated. Copyright © 2017 Elsevier B.V. All rights reserved.

Comparison between Exclusive and Selective Drug-Eluting Stent Strategies in Treating Patients with Multivessel Coronary Artery Disease.

PubMed

Tung, Ying-Chang; Hsiao, Ping-Gune; Hsu, Lung-An; Kuo, Chi-Tai; Chang, Chi-Jen

2014-05-01

The expanded usage of drug-eluting stents (DES) in treating patients with multivessel coronary artery disease (CAD) may sometimes be limited in real-world practice due to cost concerns. We compared the clinical outcomes of exclusive and selective DES use in treating patients with multivessel CAD. From November 2004 to December 2011, 110 patients with multivessel CAD who received four or more stents were enrolled into this study, and divided into two groups according to the DES strategy employed: exclusive DES (n = 52), or selective DES (n = 58). In the selective DES group, DES was reserved for complex lesions only, such that the incidence and predictors of clinical events were assessed. At a mean follow-up of 41.4 ± 26.5 months, there were no significant differences between the two strategies in terms of baseline characteristics, all-cause mortality (exclusive vs. selective: 1.9% vs. 6.9%, p = 0.21), cardiac death (1.9% vs. 1.7%, p = 0.94) and nonfatal myocardial infarction (3.8% vs. 5.2%, p = 0.74). Despite the presence of more ostial lesions in the exclusive DES group, there was a trend such that major adverse cardiac events (MACE) and target lesion revascularization (TLR) rates were higher in the selective DES group (MACE: 17.3% vs. 31%, p = 0.16; TLR: 11.5% vs. 24.1%, p = 0.08). The higher MACE rate in the selective DES group was mainly driven by a higher target vessel revascularization (TVR) rate (15.4% vs. 29.3%, p = 0.08). In the exclusive DES group, SYNTAX score was an independent predictor of MACE [Haxard ratio (HR): 1.09, 95% confidence internal (CI): 1.02-1.16, p = 0.01] and TVR (HR 1.08, 95% CI 1.01-1.15, p = 0.04). Compared to the exclusive DES strategy, the selective DES strategy with reservation of DES for complex lesions is associated with numerically higher, but not statistically significant, rates of MACE and all-cause mortality in this small group of patients with multivessel CAD receiving four or more stents. Bare metal stent; Drug-eluting stent; Multivessel coronary artery disease.

Comparison between Exclusive and Selective Drug-Eluting Stent Strategies in Treating Patients with Multivessel Coronary Artery Disease

PubMed Central

Tung, Ying-Chang; Hsiao, Ping-Gune; Hsu, Lung-An; Kuo, Chi-Tai; Chang, Chi-Jen

2014-01-01

Background The expanded usage of drug-eluting stents (DES) in treating patients with multivessel coronary artery disease (CAD) may sometimes be limited in real-world practice due to cost concerns. We compared the clinical outcomes of exclusive and selective DES use in treating patients with multivessel CAD. Methods From November 2004 to December 2011, 110 patients with multivessel CAD who received four or more stents were enrolled into this study, and divided into two groups according to the DES strategy employed: exclusive DES (n = 52), or selective DES (n = 58). In the selective DES group, DES was reserved for complex lesions only, such that the incidence and predictors of clinical events were assessed. Results At a mean follow-up of 41.4 ± 26.5 months, there were no significant differences between the two strategies in terms of baseline characteristics, all-cause mortality (exclusive vs. selective: 1.9% vs. 6.9%, p = 0.21), cardiac death (1.9% vs. 1.7%, p = 0.94) and nonfatal myocardial infarction (3.8% vs. 5.2%, p = 0.74). Despite the presence of more ostial lesions in the exclusive DES group, there was a trend such that major adverse cardiac events (MACE) and target lesion revascularization (TLR) rates were higher in the selective DES group (MACE: 17.3% vs. 31%, p = 0.16; TLR: 11.5% vs. 24.1%, p = 0.08). The higher MACE rate in the selective DES group was mainly driven by a higher target vessel revascularization (TVR) rate (15.4% vs. 29.3%, p = 0.08). In the exclusive DES group, SYNTAX score was an independent predictor of MACE [Haxard ratio (HR): 1.09, 95% confidence internal (CI): 1.02-1.16, p = 0.01] and TVR (HR 1.08, 95% CI 1.01-1.15, p = 0.04). Conclusions Compared to the exclusive DES strategy, the selective DES strategy with reservation of DES for complex lesions is associated with numerically higher, but not statistically significant, rates of MACE and all-cause mortality in this small group of patients with multivessel CAD receiving four or more stents. PMID:27122787

Stent Polymers: Do They Make a Difference?

PubMed

Rizas, Konstantinos D; Mehilli, Julinda

2016-06-01

The necessity of polymers on drug-eluting stent (DES) platforms is dictated by the need of an adequate amount and optimal release kinetic of the antiproliferative drugs for achieving ideal DES performance. However, the chronic vessel wall inflammation related to permanent polymer persistence after the drug has been eluted might trigger late restenosis and stent thrombosis. Biodegradable polymers have the potential to avoid these adverse events. A variety of biodegradable polymer DES platforms have been clinically tested, showing equal outcomes with the standard-bearer permanent polymer DES within the first year of implantation. At longer-term follow-up, promising lower rates of stent thrombosis have been observed with the early generation biodegradable polymer DES platforms compared to first-generation DES. Whether this safety benefit still persists with newer biodegradable polymer DES generations against second-generation permanent polymer DES needs to be explored. © 2016 American Heart Association, Inc.

An Investigation of Transonic Resonance in a Mach 2.2 Round Convergent-Divergent Nozzle

NASA Technical Reports Server (NTRS)

Dippold, Vance F., III; Zaman, Khairul B. M. Q.

2015-01-01

Hot-wire and acoustic measurements were taken for a round convergent nozzle and a round convergent-divergent (C-D) nozzle at a jet Mach number of 0.61. The C-D nozzle had a design Mach number of 2.2. Compared to the convergent nozzle jet flow, the Mach 2.2 nozzle jet flow produced excess broadband noise (EBBN). It also produced a transonic resonance tone at 1200 Herz. Computational simulations were performed for both nozzle flows. A steady Reynolds-Averaged Navier-Stokes simulation was performed for the convergent nozzle jet flow. For the Mach 2.2 nozzle flow, a steady RANS simulation, an unsteady RANS (URANS) simulation, and an unsteady Detached Eddy Simulation (DES) were performed. The RANS simulation of the convergent nozzle showed good agreement with the hot-wire velocity and turbulence measurements, though the decay of the potential core was over-predicted. The RANS simulation of the Mach 2.2 nozzle showed poor agreement with the experimental data, and more closely resembled an ideally-expanded jet. The URANS simulation also showed qualitative agreement with the hot-wire data, but predicted a transonic resonance at 1145 Herz. The DES showed good agreement with the hot-wire velocity and turbulence data. The DES also produced a transonic tone at 1135 Herz. The DES solution showed that the destabilization of the shock-induced separation region inside the nozzle produced increased levels of turbulence intensity. This is likely the source of the EBBN.

Analyzing Naval Strategy for Counterpiracy Operations, Using the Massive Multiplayer Online War Game Leveraging the Internet (MMOWGLI) and Discrete Event Simulation (DES)

DTIC Science & Technology

2013-03-01

the Monterey Tennis Center. It was always a great stress relief to get out and dominate the tennis courts with each of you. I will never forget the...The author of this thesis considers the work being done at ATC to be the best in the field for piracy and other research. There has been quite a bit of...Marsh, http://hdl.handle.net/10945/4542.  “Disrupting Somali Piracy Via Trust and Influence Operations,” June 2009, by Robert Bair, http

The effect of medical trainees on pediatric emergency department flow: a discrete event simulation modeling study.

PubMed

Genuis, Emerson D; Doan, Quynh

2013-11-01

Providing patient care and medical education are both important missions of teaching hospital emergency departments (EDs). With medical school enrollment rising, and ED crowding becoming an increasing prevalent issue, it is important for both pediatric EDs (PEDs) and general EDs to find a balance between these two potentially competing goals. The objective was to determine how the number of trainees in a PED affects patient wait time, total ED length of stay (LOS), and rates of patients leaving without being seen (LWBS) for PED patients overall and stratified by acuity level as defined by the Pediatric Canadian Triage and Acuity Scale (CTAS) using discrete event simulation (DES) modeling. A DES model of an urban tertiary care PED, which receives approximately 40,000 visits annually, was created and validated. Thirteen different trainee schedules, which ranged from averaging zero to six trainees per shift, were input into the DES model and the outcome measures were determined using the combined output of five model iterations. An increase in LOS of approximately 7 minutes was noted to be associated with each additional trainee per attending emergency physician working in the PED. The relationship between the number of trainees and wait time varied with patients' level of acuity and with the degree of PED utilization. Patient wait time decreased as the number of trainees increased for low-acuity visits and when the PED was not operating at full capacity. With rising numbers of trainees, the PED LWBS rate decreased in the whole department and in the CTAS 4 and 5 patient groups, but it rose in patients triaged CTAS 3 or higher. A rising numbers of trainees was not associated with any change to flow outcomes for CTAS 1 patients. The results of this study demonstrate that trainees in PEDs have an impact mainly on patient LOS and that the effect on wait time differs between patients presenting with varying degrees of acuity. These findings will assist PEDs in finding a balance between providing high-quality medical education and timely patient care. © 2013 by the Society for Academic Emergency Medicine.

Performance and cost evaluation of health information systems using micro-costing and discrete-event simulation.

PubMed

Rejeb, Olfa; Pilet, Claire; Hamana, Sabri; Xie, Xiaolan; Durand, Thierry; Aloui, Saber; Doly, Anne; Biron, Pierre; Perrier, Lionel; Augusto, Vincent

2018-06-01

Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. The purpose of this paper is to provide a methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose an integrated performance evaluation of HIS approach through the combination of formal modeling using the Architecture of Integrated Information Systems (ARIS) models, a micro-costing approach for cost evaluation, and a Discrete-Event Simulation (DES) approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rate of oncologists are lower and quality of service is higher (through the number of available information accessed during the consultation to formulate the diagnostic). The provided method allows also to determine the most cost-effective ICT elements to improve the care process quality while minimizing costs. The methodology is flexible enough to be applied to other health-care systems.

Real & Simulated IFU Observations of Low-Mass Early-Type Galaxies: Environmental Influence Probed for Cluster Galaxies

NASA Astrophysics Data System (ADS)

Sybilska, Agnieszka; Łokas, Ewa Luiza; Fouquet, Sylvain

2017-03-01

We combine high-quality IFU data with a new set of numerical simulations to study low-mass early type galaxies (dEs) in dense environments. Our earlier study of dEs in the Virgo cluster has produced the first large-scale maps of kinematic and stellar population properties of dEs in those environments (Ryś et al. 2013, 2014, 2015). A quantitative discrimination between various (trans)formation processes proposed for these objects is, however, a complex issue, requiring a priori assumptions about the progenitors of galaxies we observe and study today. To bridge this gap between observations and theoretical predictions, we use the expertise gained in the IFU data analysis to look ``through the eye of SAURON'' at our new suite of high-resolution N-body simulations of dEs in the Virgo cluster. Mimicking the observers perspective as closely as possible, we can also indicate the existing instrumental and viewer limitations regarding what we are/are not able to detect as observers.

Characterization of major pollution events (dust, haze, and two festival events) at Agra, India.

PubMed

Pachauri, Tripti; Singla, Vyoma; Satsangi, Aparna; Lakhani, Anita; Kumari, K Maharaj

2013-08-01

Total suspended particulate (TSP) samples were collected during dust, haze, and two festival events (Holi and Diwali) from February 2009 to June 2010. Pollutant gases (NO2, SO2, and O3) along with the meteorological parameters were also measured during the four pollution events at Agra. The concentration of pollutant gases decreases during dust events (DEs), but the levels of the gases increase during other pollution events indicating the impact of anthropogenic emissions. The mass concentrations were about two times higher during pollution events than normal days (NDs). High TSP concentrations during Holi and Diwali events may be attributed to anthropogenic activities while increased combustion sources in addition to stagnant meteorological conditions contributed to high TSP mass during haze events. On the other hand, long-range transport of atmospheric particles plays a major role during DEs. In the dust samples, Ca(2+), Cl(-), NO3 (-), and SO4 (2-) were the most abundant ions and Ca(2+) alone accounted for 22 % of the total ionic mass, while during haze event, the concentrations of secondary aerosols species, viz., NO3 (-), SO4 (2-), and NH4 (+), were 3.6, 3.3, and 5.1 times higher than the normal days. During Diwali, SO4 (2-) concentration (17.8 μg m(-3)) was highest followed by NO3 (-), K(+), and Cl(-) while the Holi samples were strongly enriched with Cl(-) and K(+) which together made up 32.7 % of the total water-soluble ions. The ion balances indicate that the haze samples were acidic. On the other hand, Holi, Diwali, and DE samples were enriched with cations. The carbonaceous aerosol shows strong variation with the highest concentration during Holi followed by haze, Diwali, DEs, and NDs. However, the secondary organic carbon concentration follows the order haze > DEs > Diwali > Holi > NDs. The scanning electron microscope/EDX results indicate that KCl and carbon-rich particles were more dominant during Holi and haze events while DE samples were enriched with particles of crustal origin.

Impact of stent length on clinical outcomes of first-generation and new-generation drug-eluting stents.

PubMed

Konishi, Hirokazu; Miyauchi, Katsumi; Dohi, Tomotaka; Tsuboi, Shuta; Ogita, Manabu; Naito, Ryo; Kasai, Takatoshi; Tamura, Hiroshi; Okazaki, Shinya; Isoda, Kikuo; Daida, Hiroyuki

2016-04-01

The aim of this study is to compare first- and new-generation drug-eluting stents (DESs) which are implanted in long lesion. Stent length is known to be a predictor of adverse events after percutaneous coronary intervention (PCI), even with the first-generation DESs. The introduction of new-generation DESs has reduced the rates of adverse clinical events. However, the impact of stent length on long-term clinical outcomes is not well known. A total of 1181 consecutive patients who underwent PCI using either a first-generation DES (n = 885) or a new-generation DES (n = 296) between 2004 and 2011 were investigated. In each of the stent groups, the patients were divided into two groups by stent length (>32 and ≤32 mm) and compared. During the follow-up period, the incidence of major adverse cardiac events (MACEs) was significantly higher for patients with long stents implanted than with short stents (P < 0.01; log-rank test) in the first-generation DES group. However, there was no difference in the incidence of MACEs between the long- and short-stent groups in the new-generation DES group (P = 0.24; log-rank test). On multivariate Cox regression analysis, stent length was not associated with adverse events in the new-generation DES groups [hazard ratio (HR) 0.87; 95 % confidence interval (95 % CI) 0.71-1.04; P = 0.14]. Implanted stent length was significantly associated with a higher risk of MACEs in patients who received first-generation DESs, but not in patients who received the new-generation DESs.

Evaluation of probabilistic flow in two unsaturated soils

NASA Astrophysics Data System (ADS)

Boateng, Samuel

2001-11-01

A variably saturated flow model is coupled to a first-order reliability algorithm to simulate unsaturated flow in two soils. The unsaturated soil properties are considered as uncertain variables with means, standard deviations, and marginal probability distributions. Thus, each simulation constitutes an unsaturated probability flow event. Sensitivities of the uncertain variables are estimated for each event. The unsaturated hydraulic properties of a fine-textured soil and a coarse-textured soil are used. The properties are based on the van Genuchten model. The flow domain has a recharge surface, a seepage boundary along the bottom, and a no-flow boundary along the sides. The uncertain variables are saturated water content, residual water content, van Genuchten model parameters alpha (α) and n, and saturated hydraulic conductivity. The objective is to evaluate the significance of each uncertain variable to the probabilistic flow. Under wet conditions, saturated water content and residual water content are the most significant uncertain variables in the sand. For dry conditions in the sand, however, the van Genuchten model parameters α and n are the most significant. Model parameter n and saturated hydraulic conductivity are the most significant for the wet clay loam. Saturated water content is most significant for the dry clay loam. Résumé. Un modèle d'écoulement variable en milieu saturé est couplé à un algorithme d'exactitude de premier ordre pour simuler les écoulements en milieu non saturé dans deux sols. Les propriétés des sols non saturés sont considérés comme des variables incertaines avec des moyennes, des écarts-types et des distributions de probabilité marginale. Ainsi chaque simulation constitue un événement d'écoulement non saturé probable. La sensibilité des variables incertaines est estimée pour chaque événement. Les propriétés hydrauliques non saturées d'un sol à texture fine et d'un sol à texture grossière sont utilisées. Les propriétés sont basées sur le modèle de van Genuchten. Le domaine d'écoulement possède une surface de recharge, une limite de fuite à sa base et des limites sans écoulement sur les côtés. Les variables incertaines sont la teneur en eau à saturation, la teneur en eau résiduelle, les paramètres alpha (α) et n du modèle de van Genuchten et la conductivité hydraulique à saturation. L'objectif est d'évaluer la signification de chacune des variables incertaines dans l'écoulement probabiliste. Dans des conditions humides, la teneur en eau à saturation et la teneur en eau résiduelle sont les variables incertaines les plus significatives dans le sable. Toutefois, dans des conditions sèches dans le sable, les paramètres α et n du modèle de van Genuchten sont les plus significatifs. Le paramètre n du modèle et la conductivité hydraulique à saturation sont les plus significatifs pour un sol argileux humide. La teneur en eau à saturation est très significative pour le sol argileux sec. Resumen. Se ha acoplado un modelo de flujo de saturación variable con un algoritmo de fiabilidad de primer orden con el fin de simular el flujo no saturado en dos tipos de suelos. Se ha tratado las propiedades del suelo no saturado como variables inciertas, a las que se asigna las medias, desviaciones estándar y distribuciones de probabilidad marginal correspondientes. Así, cada simulación constituye un evento probabilístico de flujo no saturado y la sensibilidad de las variables inciertas es estimada para cada evento. Se ha utilizado las propiedades de la conductividad hidráulica no saturada de dos suelos con dos tipos de textura - fina y gruesa - mediante el modelo de van Genuchten. El dominio de flujo está delimitado por una superficie de recarga, base de goteo y contornos laterales de flujo nulo. Las variables inciertas son el contenido de agua residual, el de saturación, los parámetros del modelo de van Genuchten (α y n) y la conductividad hidráulica saturada. El objetivo era evaluar la contribución de cada variable incierta al flujo probabilístico. Para arenas, las variables inciertas más importantes, en condiciones de humedad, son el contenido de agua residual y el de saturación en ausencia de humedad, lo son ambos parámetros del modelo de van Genuchten. Para margas arcillosas, las variables más significativas en condiciones húmedas son el parámetro n y la conductividad hidráulica saturada; en condiciones secas, el contenido de agua en saturación.

Developing integrated patient pathways using hybrid simulation

NASA Astrophysics Data System (ADS)

Zulkepli, Jafri; Eldabi, Tillal

2016-10-01

Integrated patient pathways includes several departments, i.e. healthcare which includes emergency care and inpatient ward; intermediate care which patient(s) will stay for a maximum of two weeks and at the same time be assessed by assessment team to find the most suitable care; and social care. The reason behind introducing the intermediate care in western countries was to reduce the rate of patients that stays in the hospital especially for elderly patients. This type of care setting has been considered to be set up in some other countries including Malaysia. Therefore, to assess the advantages of introducing this type of integrated healthcare setting, we suggest develop the model using simulation technique. We argue that single simulation technique is not viable enough to represent this type of patient pathways. Therefore, we suggest develop this model using hybrid techniques, i.e. System Dynamics (SD) and Discrete Event Simulation (DES). Based on hybrid model result, we argued that the result is viable to be as references for decision making process.

High Fidelity Simulations of Large-Scale Wireless Networks

DOE Office of Scientific and Technical Information (OSTI.GOV)

Onunkwo, Uzoma; Benz, Zachary

The worldwide proliferation of wireless connected devices continues to accelerate. There are 10s of billions of wireless links across the planet with an additional explosion of new wireless usage anticipated as the Internet of Things develops. Wireless technologies do not only provide convenience for mobile applications, but are also extremely cost-effective to deploy. Thus, this trend towards wireless connectivity will only continue and Sandia must develop the necessary simulation technology to proactively analyze the associated emerging vulnerabilities. Wireless networks are marked by mobility and proximity-based connectivity. The de facto standard for exploratory studies of wireless networks is discrete event simulationsmore » (DES). However, the simulation of large-scale wireless networks is extremely difficult due to prohibitively large turnaround time. A path forward is to expedite simulations with parallel discrete event simulation (PDES) techniques. The mobility and distance-based connectivity associated with wireless simulations, however, typically doom PDES and fail to scale (e.g., OPNET and ns-3 simulators). We propose a PDES-based tool aimed at reducing the communication overhead between processors. The proposed solution will use light-weight processes to dynamically distribute computation workload while mitigating communication overhead associated with synchronizations. This work is vital to the analytics and validation capabilities of simulation and emulation at Sandia. We have years of experience in Sandia’s simulation and emulation projects (e.g., MINIMEGA and FIREWHEEL). Sandia’s current highly-regarded capabilities in large-scale emulations have focused on wired networks, where two assumptions prevent scalable wireless studies: (a) the connections between objects are mostly static and (b) the nodes have fixed locations.« less

Performance Prediction and Simulation of Gas Turbine Engine Operation (La presision des performances et la simulation du fonctionnement des turbomoteurs)

DTIC Science & Technology

2002-04-01

configuration associated with the HSCT program was analyzed in terms of inlet unstart and the effect of the regurgitated shock wave. Inlet start is a...heavily loaded take off or dog -fight phases of flight. Less critical issues, such as thrust loss during supersonic operations, may also appear. From the

Modeling rheumatoid arthritis using different techniques - a review of model construction and results.

PubMed

Scholz, Stefan; Mittendorf, Thomas

2014-12-01

Rheumatoid arthritis (RA) is a chronic, inflammatory disease with severe effects on the functional ability of patients. Due to the prevalence of 0.5 to 1.0 percent in western countries, new treatment options are a major concern for decision makers with regard to their budget impact. In this context, cost-effectiveness analyses are a helpful tool to evaluate new treatment options for reimbursement schemes. To analyze and compare decision analytic modeling techniques and to explore their use in RA with regard to their advantages and shortcomings. A systematic literature review was conducted in PubMED and 58 studies reporting health economics decision models were analyzed with regard to the modeling technique used. From the 58 reviewed publications, we found 13 reporting decision tree-analysis, 25 (cohort) Markov models, 13 publications on individual sampling methods (ISM) and seven discrete event simulations (DES). Thereby 26 studies were identified as presenting independently developed models and 32 models as adoptions. The modeling techniques used were found to differ in their complexity and in the number of treatment options compared. Methodological features are presented in the article and a comprehensive overview of the cost-effectiveness estimates is given in Additional files 1 and 2. When compared to the other modeling techniques, ISM and DES have advantages in the coverage of patient heterogeneity and, additionally, DES is capable to model more complex treatment sequences and competing risks in RA-patients. Nevertheless, the availability of sufficient data is necessary to avoid assumptions in ISM and DES exercises, thereby enabling biased results. Due to the different settings, time frames and interventions in the reviewed publications, no direct comparison of modeling techniques was applicable. The results from other indications suggest that incremental cost-effective ratios (ICERs) do not differ significantly between Markov and DES models, but DES is able to report more outcome parameters. Given a sufficient data supply, DES is the modeling technique of choice when modeling cost-effectiveness in RA. Otherwise transparency on the data inputs is crucial for valid results and to inform decision makers about possible biases. With regard to ICERs, Markov models might provide similar estimates as more advanced modeling techniques.

Un accumulateur echangeur de chaleur hybride pour la gestion simultanee des energies solaire et electrique

NASA Astrophysics Data System (ADS)

Ait Hammou, Zouhair

Cette etude porte sur la conception d'un accumulateur echangeur de chaleur hybride (AECH) pour la gestion simultanee des energies solaire et electrique. Un modele mathematique reposant sur les equations de conservation de la quantite d'energie est expose. Il est developpe pour tester differents materiaux de stockage, entre autres, les materiaux a changement de phase (solide/liquide) et les materiaux de stockage sensible. Un code de calcul est mis en eeuvre sur ordinateur, puis valide a l'aide des resultats analytiques et numeriques de la litterature. En parallele, un prototype experimental a echelle reduite est concu au laboratoire afin de valider le code de calcul. Des simulations sont effectuees pour etudier les effets des parametres de conception et des materiaux de stockage sur le comportement thermique de l'AECH et sur la consommation d'energie electrique. Les resultats des simulations sur quatre mois d'hiver montrent que la paraffine n-octadecane et l'acide caprique sont deux candidats souhaitables pour le stockage d'energie destine au chauffage des habitats. L'utilisation de ces deux materiaux dans l'AECH permet de reduire la consommation d'energie electrique de 32% et d'aplanir le probleme de pointe electrique puisque 90% de l'energie electrique est consommee durant les heures creuses. En plus, en adoptant un tarif preferentiel, le calcul des couts lies a la consommation d'energie electrique montre que le consommateur adoptant ce systeme beneficie d'une reduction de 50% de la facture d'electricite.

Simulation d'ecoulements internes compressibles laminaires et turbulents par une methode d'elements finis

NASA Astrophysics Data System (ADS)

Rebaine, Ali

1997-08-01

Ce travail consiste en la simulation numerique des ecoulements internes compressibles bidimensionnels laminaires et turbulents. On s'interesse, particulierement, aux ecoulements dans les ejecteurs supersoniques. Les equations de Navier-Stokes sont formulees sous forme conservative et utilisent, comme variables independantes, les variables dites enthalpiques a savoir: la pression statique, la quantite de mouvement et l'enthalpie totale specifique. Une formulation variationnelle stable des equations de Navier-Stokes est utilisee. Elle est base sur la methode SUPG (Streamline Upwinding Petrov Galerkin) et utilise un operateur de capture des forts gradients. Un modele de turbulence, pour la simulation des ecoulements dans les ejecteurs, est mis au point. Il consiste a separer deux regions distinctes: une region proche de la paroi solide, ou le modele de Baldwin et Lomax est utilise et l'autre, loin de la paroi, ou une formulation nouvelle, basee sur le modele de Schlichting pour les jets, est proposee. Une technique de calcul de la viscosite turbulente, sur un maillage non structure, est implementee. La discretisation dans l'espace de la forme variationnelle est faite a l'aide de la methode des elements finis en utilisant une approximation mixte: quadratique pour les composantes de la quantite de mouvement et de la vitesse et lineaire pour le reste des variables. La discretisation temporelle est effectuee par une methode de differences finies en utilisant le schema d'Euler implicite. Le systeme matriciel, resultant de la discretisation spatio-temporelle, est resolu a l'aide de l'algorithme GMRES en utilisant un preconditionneur diagonal. Les validations numeriques ont ete menees sur plusieurs types de tuyeres et ejecteurs. La principale validation consiste en la simulation de l'ecoulement dans l'ejecteur teste au centre de recherche NASA Lewis. Les resultats obtenus sont tres comparables avec ceux des travaux anterieurs et sont nettement superieurs concernant les ecoulements turbulents dans les ejecteurs.

Littoral Infrared Ship Self Defence Technology Studies (Autodefense cotiere infrarouge des navires etudes technologiques)

DTIC Science & Technology

2014-05-01

de simulation du Simulateur de Contre- mesures de la Menace Navale afin de pouvoir inclure des leurres et des autodirecteurs de missiles ; 4) Une...sur le littoral ; 2) La détection des petites cibles de surface sur le littoral ; 3) L’amélioration et la validation de la modélisation et du code...amélioration et une validation supplémentaire de la modélisation et du

Targeted stent use in clinical practice based on evidence from the Basel Stent Cost Effectiveness Trial (BASKET).

PubMed

Brunner-La Rocca, Hans-Peter; Kaiser, Christoph; Pfisterer, Matthias

2007-03-01

It is unknown which patients benefit most from drug-eluting stents (DES) against bare-metal stents (BMS) in a long-term clinical outcome. To address this question, data from 826 consecutive patients with angioplasty, randomized 2:1 to DES vs. BMS, with an 18-month follow-up for cardiac death/myocardial infarction (MI) and non-MI-related target-vessel revascularization (TVR) were analysed for interactions between stent type and patient/vessel characteristics predicting events. Rates of 18-month TVRs were lower with DES vs. BMS use (7.5 vs. 11.6%, P = 0.05), but similar for both stents regarding cardiac death/MI (DES, 8.4%; BMS, 7.5%; P = 0.70). Significant interactions between stent type and two multivariable event predictors were identified: small stents (<3.0 mm) and bypass graft stenting. In these patient groups together (n = 268, 32%), DES reduced non-MI-related TVR (HR = 0.44; P = 0.02) and cardiac death/MI (HR = 0.44; P = 0.04), whereas in the other 558 patients (68%) TVR rate was similar (HR = 0.75; P = 0.38) and cardiac death/MI rate increased after DES (HR = 2.07; P = 0.05). Patients with angioplasty of small vessels or bypass grafts seem to benefit from DES use, in long-term outcome, in contrast to patients with large native vessel stenting where there might even be late harm. Still, this hypothesis needs to be tested prospectively.

Treatment carryover impacts on effectiveness of intraocular pressure lowering agents, estimated by a discrete event simulation model.

PubMed

Denis, P; Le Pen, C; Umuhire, D; Berdeaux, G

2008-01-01

To compare the effectiveness of two treatment sequences, latanoprost-latanoprost timolol fixed combination (L-LT) versus travoprost-travoprost timolol fixed combination (T-TT), in the treatment of open-angle glaucoma (OAG) or ocular hypertension (OHT). A discrete event simulation (DES) model was constructed. Patients with either OAG or OHT were treated first-line with a prostaglandin, either latanoprost or travoprost. In case of treatment failure, patients were switched to the specific prostaglandin-timolol sequence LT or TT. Failure was defined as intraocular pressure higher than or equal to 18 mmHg at two visits. Time to failure was estimated from two randomized clinical trials. Log-rank tests were computed. Linear functions after log-log transformation were used to model time to failure. The time horizon of the model was 60 months. Outcomes included treatment failure and disease progression. Sensitivity analyses were performed. Latanoprost treatment resulted in more treatment failures than travoprost (p<0.01), and LT more than TT (p<0.01). At 60 months, the probability of starting a third treatment line was 39.2% with L-LT versus 29.9% with T-TT. On average, L-LT patients developed 0.55 new visual field defects versus 0.48 for T-TT patients. The probability of no disease progression at 60 months was 61.4% with L-LT and 65.5% with T-TT. Based on randomized clinical trial results and using a DES model, the T-TT sequence was more effective at avoiding starting a third line treatment than the L-LT sequence. T-TT treated patients developed less glaucoma progression.

The Impact of One-Dose Package of Medicines on Patient Waiting Time in Dispensing Pharmacy: Application of a Discrete Event Simulation Model.

PubMed

Furushima, Daisuke; Yamada, Hiroshi; Kido, Michiko; Ohno, Yuko

2018-01-01

Improvement in patient waiting time in dispensing pharmacies is an important element for patient and pharmacists. The One-Dose Package (ODP) of medicines was implemented in Japan to support medicine adherence among elderly patients; however, it also contributed to increase in patient waiting times. Given the projected increase in ODP patients in the near future owing to rapid population aging, development of improved strategies is a key imperative. We conducted a cross-sectional survey at a single dispensing pharmacy to clarify the impact of ODP on patient waiting time. Further, we propose an improvement strategy developed with use of a discrete event simulation (DES) model. A total of 673 patients received pharmacy services during the study period. A two-fold difference in mean waiting time was observed between ODP and non-ODP patients (22.6 and 11.2 min, respectively). The DES model was constructed with input parameters estimated from observed data. Introduction of fully automated ODP (A-ODP) system was projected to reduce the waiting time for ODP patient by 0.5 times (from 23.1 to 11.5 min). Furthermore, assuming that 40% of non-ODP patients would transfer to ODP, the waiting time was predicted to increase to 56.8 min; however, introduction of the A-ODP system decreased the waiting time to 20.4 min. Our findings indicate that ODP is one of the elements that increases the waiting time and that it might become longer in the future. Introduction of the A-ODP system may be an effective strategy to improve waiting time.

Hybrid LES/RANS simulation of a turbulent boundary layer over a rectangular cavity

NASA Astrophysics Data System (ADS)

Zhang, Qi; Haering, Sigfried; Oliver, Todd; Moser, Robert

2016-11-01

We report numerical investigations of a turbulent boundary layer over a rectangular cavity using a new hybrid RANS/LES model and the traditional Detached Eddy Simulation (DES). Our new hybrid method aims to address many of the shortcomings from the traditional DES. In the new method, RANS/LES blending controlled by a parameter that measures the ratio of the modeled subgrid kinetic energy to an estimate of the subgrid energy based on the resolved scales. The result is a hybrid method automatically resolves as much turbulence as can be supported by the grid and transitions appropriately from RANS to LES without the need for ad hoc delaying functions that are often required for DES. Further, the new model is designed to improve upon DES by accounting for the effects of grid anisotropy and inhomogeneity in the LES region. We present comparisons of the flow features inside the cavity and the pressure time history and spectra as computed using the new hybrid model and DES.

Simulating an emergency department: the importance of modeling the interactions between physicians and delegates in a discrete event simulation.

PubMed

Lim, Morgan E; Worster, Andrew; Goeree, Ron; Tarride, Jean-Éric

2013-05-22

Computer simulation studies of the emergency department (ED) are often patient driven and consider the physician as a human resource whose primary activity is interacting directly with the patient. In many EDs, physicians supervise delegates such as residents, physician assistants and nurse practitioners each with different skill sets and levels of independence. The purpose of this study is to present an alternative approach where physicians and their delegates in the ED are modeled as interacting pseudo-agents in a discrete event simulation (DES) and to compare it with the traditional approach ignoring such interactions. The new approach models a hierarchy of heterogeneous interacting pseudo-agents in a DES, where pseudo-agents are entities with embedded decision logic. The pseudo-agents represent a physician and delegate, where the physician plays a senior role to the delegate (i.e. treats high acuity patients and acts as a consult for the delegate). A simple model without the complexity of the ED is first created in order to validate the building blocks (programming) used to create the pseudo-agents and their interaction (i.e. consultation). Following validation, the new approach is implemented in an ED model using data from an Ontario hospital. Outputs from this model are compared with outputs from the ED model without the interacting pseudo-agents. They are compared based on physician and delegate utilization, patient waiting time for treatment, and average length of stay. Additionally, we conduct sensitivity analyses on key parameters in the model. In the hospital ED model, comparisons between the approach with interaction and without showed physician utilization increase from 23% to 41% and delegate utilization increase from 56% to 71%. Results show statistically significant mean time differences for low acuity patients between models. Interaction time between physician and delegate results in increased ED length of stay and longer waits for beds. This example shows the importance of accurately modeling physician relationships and the roles in which they treat patients. Neglecting these relationships could lead to inefficient resource allocation due to inaccurate estimates of physician and delegate time spent on patient related activities and length of stay.

A multicenter, randomized study to test immunosuppressive therapy with oral prednisone for the prevention of restenosis after percutaneous coronary interventions: cortisone plus BMS or DES versus BMS alone to eliminate restenosis (CEREA-DES) - study design and rationale.

PubMed

Ribichini, Flavio; Tomai, Fabrizio; De Luca, Giuseppe; Boccuzzi, Giacomo; Presbitero, Patrizia; Pesarini, Gabriele; Ferrero, Valeria; Ghini, Anna S; Pastori, Francesca; De Luca, Leonardo; Zavalloni, Denis; Soregaroli, Daniela; Garbo, Roberto; Franchi, Elena; Marino, Paolo; Minelli, Massimo; Vassanelli, Corrado

2009-02-01

Several randomized trials and registries have shown a reduction of restenosis after coronary angioplasty with drug-eluting stents (DESs) compared with bare metal stents (BMSs). However, cost-efficacy analysis and long-term outcome of DESs compared to BMSs deserve further assessment. Moreover, concern has been raised regarding adverse clinical events occurring late after DES implantation, in particular, late stent thrombosis related to the suspension of dual antiplatelet therapy. The use of a short-cycle oral treatment with prednisone at immunosuppressive dose after BMS implantation has shown remarkable efficacy in reducing restenosis in nondiabetic patients, with very low additional cost and without the need for long-term dual antiplatelet therapy. Such results are however limited by small sample size. Cortisone plus BMS or DES versus BMS alone to Eliminate Restenosis is an independent, prospective, multicenter, randomized study. It will randomize 375 nondiabetic patients with coronary artery disease in three different arms to BMS (control group), DES (DES group) or BMS followed by a 40-day prednisone treatment (prednisone group). The DES and the prednisone groups will be compared to the control group to investigate the expected clinical advantage. The primary endpoint of the study is the event-free survival of cardiovascular death, myocardial infarction and recurrence of ischemia-needing repeated target vessel revascularization at 1 year. Secondary endpoints are the event-free survival analysis at 2 and 3 years, the restenosis rate at 9 months, and cost-effectiveness at 1, 2 and 3 years. The expected primary endpoint rates are 90% for DESs and for prednisone-treated patients and 77% for BMSs. The study was designed as a superiority trial, to compare DES, and BMS and prednisone, with BMS alone. A sample size of 118 patients per group provides an 80% power, assuming a complete 12-month follow-up information available for each patient. To obviate for cases of drop out, the sample size was increased to 375 patients to be enrolled in five Italian hospitals. This study will provide a magnitude of the net clinical and economic benefits of DES and of the safety and efficacy of BMS and cortisone compared to the standard use of BMS alone in nondiabetic patients with coronary artery disease.

Integrated health management and control of complex dynamical systems

NASA Astrophysics Data System (ADS)

Tolani, Devendra K.

2005-11-01

A comprehensive control and health management strategy for human-engineered complex dynamical systems is formulated for achieving high performance and reliability over a wide range of operation. Results from diverse research areas such as Probabilistic Robust Control (PRC), Damage Mitigating/Life Extending Control (DMC), Discrete Event Supervisory (DES) Control, Symbolic Time Series Analysis (STSA) and Health and Usage Monitoring System (HUMS) have been employed to achieve this goal. Continuous-domain control modules at the lower level are synthesized by PRC and DMC theories, whereas the upper-level supervision is based on DES control theory. In the PRC approach, by allowing different levels of risk under different flight conditions, the control system can achieve the desired trade off between stability robustness and nominal performance. In the DMC approach, component damage is incorporated in the control law to reduce the damage rate for enhanced structural durability. The DES controller monitors the system performance and, based on the mission requirements (e.g., performance metrics and level of damage mitigation), switches among various lower-level controllers. The core idea is to design a framework where the DES controller at the upper-level, mimics human intelligence and makes appropriate decisions to satisfy mission requirements, enhance system performance and structural durability. Recently developed tools in STSA have been used for anomaly detection and failure prognosis. The DMC deals with the usage monitoring or operational control part of health management, where as the issue of health monitoring is addressed by the anomaly detection tools. The proposed decision and control architecture has been validated on two test-beds, simulating the operations of rotorcraft dynamics and aircraft propulsion.

Evolution of large-sclae plasma structures in comets: Kinematics and physics

NASA Technical Reports Server (NTRS)

Brandt, John C.

1988-01-01

Disconnection Events are the dramatic part of the periodic morphology involving the separation of the entire plasma tail from the head region of the comet and the growth of a new plasma. The coordinated observations of Comet Halley recorded approximately 30 DEs during the 7 months of plasma activity; 19 of these are obvious. The plasma physics of these events were approached via a detailed, kinematic investigation of specific DEs and the solar-wind environment associated with it. As the detailed investigations are completed, researchers should be able to answer the question of a single or multiple mechanism(s) for DEs and determine which mechanism(s) are important. At present, the mechanism of sunward magnetic reconnection caused by interplanetary sector boundary crossing in consistent with the data available.

Advanced Technology for SAM Systems Analysis Synthesis and Simulation

DTIC Science & Technology

1984-05-01

aides de nature op~ratlcnnelle, Einanci~rv et technicue. Ainsi peut-on esp6rer iu’en r~sulte- ront les rhoix les rroilloura. Trois des neuf expras~s...EAST (Royal Military College of Science, UNITED KINGDOM) traite des structures des boucles de quidaqe at compare los lois d’ali- gnement t~l~command~es...avec les lois de navigation des missiles autoquid~s. Dants los structures en alignement, le Dr EAST montre qu’il est possible et indispensable

Comparing performances of a CdTe X-ray spectroscopic detector and an X-ray dual-energy sandwich detector

NASA Astrophysics Data System (ADS)

Gorecki, A.; Brambilla, A.; Moulin, V.; Gaborieau, E.; Radisson, P.; Verger, L.

2013-11-01

Multi-energy (ME) detectors are becoming a serious alternative to classical dual-energy sandwich (DE-S) detectors for X-ray applications such as medical imaging or explosive detection. They can use the full X-ray spectrum of irradiated materials, rather than disposing only of low and high energy measurements, which may be mixed. In this article, we intend to compare both simulated and real industrial detection systems, operating at a high count rate, independently of the dimensions of the measurements and independently of any signal processing methods. Simulations or prototypes of similar detectors have already been compared (see [1] for instance), but never independently of estimation methods and never with real detectors. We have simulated both an ME detector made of CdTe - based on the characteristics of the MultiX ME100 and - a DE-S detector - based on the characteristics of the Detection Technology's X-Card 1.5-64DE model. These detectors were compared to a perfect spectroscopic detector and an optimal DE-S detector. For comparison purposes, two approaches were investigated. The first approach addresses how to distinguise signals, while the second relates to identifying materials. Performance criteria were defined and comparisons were made over a range of material thicknesses and with different photon statistics. Experimental measurements in a specific configuration were acquired to checks simulations. Results showed good agreement between the ME simulation and the ME100 detector. Both criteria seem to be equivalent, and the ME detector performs 3.5 times better than the DE-S detector with same photon statistics based on simulations and experimental measurements. Regardless of the photon statistics ME detectors appeared more efficient than DE-S detectors for all material thicknesses between 1 and 9 cm when measuring plastics with an attenuation signature close that of explosive materials. This translates into an improved false detection rate (FDR): DE-S detectors have an FDR 2.87±0.03-fold higher than ME detectors for 4 cm of POM with 20 000 incident photons, when identifications are screened against a two-material base.

Percutaneous treatment with drug-eluting stent vs bypass surgery in patients suffering from chronic stable angina with multivessel disease involving significant proximal stenosis in left anterior descending artery.

PubMed

Yan, Qiao; Changsheng, Ma; Shaoping, Nie; Xiaohui, Liu; Junping, Kang; Qiang, Lv; Xin, Du; Rong, Hu; Yin, Zhang; Changqi, Jia; Jiahui, Wu; Xinmin, Liu; Jianzeng, Dong; Fang, Chen; Yujie, Zhou; Shuzheng, Lv; Fangjiong, Huang; Chengxiong, Gu; Xuesi, Wu

2009-10-01

The aim of the present study was to compare the effects of drug-eluting stents (DES) and coronary artery bypass grafting (CABG) in patients suffering from chronic stable angina with multivessel disease, involving significant proximal stenosis in the left anterior descending artery (LAD). All consecutive patients suffering from chronic stable angina with multivessel disease involving significant proximal LAD stenosis underwent DES implantation (n=600) or CABG (n=709) at our institution. At 2 years, the unadjusted mortality was significantly lower in the DES group than in the CABG group (2.2% vs 5.2%, P=0.004), but the adjusted risk of death was similar (odds ratio (OR) 0.74, 95%CI 0.28-1.97, P=0.555). Furthermore, both the adjusted rate of nonfatal myocardial infarction and cerebrovascular events was also comparable. However, the unadjusted and adjusted risk of major adverse cardiac cerebrovascular events in the DES was significantly higher than in the CABG (13.3% vs 9.6%, OR 2.71, 95%CI 1.56-4.74, P<0.001), which is probably attributed to the higher subsequent revascularization rate after DES implantation. DES showed comparable long-term mortality for the treatment of multivessel disease involving significant proximal stenosis in LAD in comparison with CABG.

A Discrete Event Simulation Model for Evaluating the Performances of an M/G/C/C State Dependent Queuing System

PubMed Central

Khalid, Ruzelan; M. Nawawi, Mohd Kamal; Kawsar, Luthful A.; Ghani, Noraida A.; Kamil, Anton A.; Mustafa, Adli

2013-01-01

M/G/C/C state dependent queuing networks consider service rates as a function of the number of residing entities (e.g., pedestrians, vehicles, and products). However, modeling such dynamic rates is not supported in modern Discrete Simulation System (DES) software. We designed an approach to cater this limitation and used it to construct the M/G/C/C state-dependent queuing model in Arena software. Using the model, we have evaluated and analyzed the impacts of various arrival rates to the throughput, the blocking probability, the expected service time and the expected number of entities in a complex network topology. Results indicated that there is a range of arrival rates for each network where the simulation results fluctuate drastically across replications and this causes the simulation results and analytical results exhibit discrepancies. Detail results that show how tally the simulation results and the analytical results in both abstract and graphical forms and some scientific justifications for these have been documented and discussed. PMID:23560037

Etude aerodynamique d'un jet turbulent impactant une paroi concave

NASA Astrophysics Data System (ADS)

LeBlanc, Benoit

Etant donne la demande croissante de temperatures elevees dans des chambres de combustion de systemes de propulsions en aerospatiale (turbomoteurs, moteur a reaction, etc.), l'interet dans le refroidissement par jets impactant s'est vu croitre. Le refroidissement des aubes de turbine permet une augmentation de temperature de combustion, ce qui se traduit en une augmentation de l'efficacite de combustion et donc une meilleure economie de carburant. Le transfert de chaleur dans les au bages est influence par les aspects aerodynamiques du refroidissement a jet, particulierement dans le cas d'ecoulements turbulents. Un manque de comprehension de l'aerodynamique a l'interieur de ces espaces confinees peut mener a des changements de transfert thermique qui sont inattendus, ce qui augmente le risque de fluage. Il est donc d'interet pour l'industrie aerospatiale et l'academie de poursuivre la recherche dans l'aerodynamique des jets turbulents impactant les parois courbes. Les jets impactant les surfaces courbes ont deja fait l'objet de nombreuses etudes. Par contre des conditions oscillatoires observees en laboratoire se sont averees difficiles a reproduire en numerique, puisque les structures d'ecoulements impactants des parois concaves sont fortement dependantes de la turbulence et des effets instationnaires. Une etude experimentale fut realisee a l'institut PPRIME a l'Universite de Poitiers afin d'observer le phenomene d'oscillation dans le jet. Une serie d'essais ont verifie les conditions d'ecoulement laminaires et turbulentes, toutefois le cout des essais experimentaux a seulement permis d'avoir un apercu du phenomene global. Une deuxieme serie d'essais fut realisee numeriquement a l'Universite de Moncton avec l'outil OpenFOAM pour des conditions d'ecoulement laminaire et bidimensionnel. Cette etude a donc comme but de poursuivre l'enquete de l'aerodynamique oscillatoire des jets impactant des parois courbes, mais pour un regime d'ecoulement transitoire, turbulent, tridimensionnel. Les nombres de Reynolds utilises dans l'etude numerique, bases sur le diametre du jet lineaire observe, sont de Red = 3333 et 6667, consideres comme etant en transition vers la turbulence. Dans cette etude, un montage numerique est construit. Le maillage, le schema numerique, les conditions frontiere et la discretisation sont discutes et choisis. Les resultats sont ensuite valides avec des donnees turbulentes experimentales. En modelisation numerique de turbulence, les modeles de Moyennage Reynolds des Equations Naviers Stokes (RANS) presentent des difficultes avec des ecoulements instationnaires en regime transitionnel. La Simulation des Grandes Echelles (LES) presente une solution plus precise, mais au cout encore hors de portee pour cette etude. La methode employee pour cette etude est la Simulation des Tourbillons Detaches (DES), qui est un hybride des deux methodes (RANS et LES). Pour analyser la topologie de l'ecoulement, la decomposition des modes propres (POD) a ete egalement ete effectuee sur les resultats numeriques. L'etude a demontre d'abord le temps de calcul relativement eleve associe a des essais DES pour garder le nombre de Courant faible. Les resultats numeriques ont cependant reussi a reproduire correctement le basculement asynchrone observe dans les essais experimentaux. Le basculement observe semble etre cause par des effets transitionnels, ce qui expliquerait la difficulte des modeles RANS a correctement reproduire l'aerodynamique de l'ecoulement. L'ecoulement du jet, a son tour, est pour la plupart du temps tridimensionnel et turbulent sauf pour de courtes periodes de temps stable et independant de la troisieme dimension. L'etude topologique de l'ecoulement a egalement permit la reconaissances de structures principales sousjacentes qui etaient brouillees par la turbulence. Mots cles : jet impactant, paroi concave, turbulence, transitionnel, simulation des tourbillons detaches (DES), OpenFOAM.

Determining Nurse Aide Staffing Requirements to Provide Care Based on Resident Workload: A Discrete Event Simulation Model.

PubMed

Schnelle, John F; Schroyer, L Dale; Saraf, Avantika A; Simmons, Sandra F

2016-11-01

Nursing aides provide most of the labor-intensive activities of daily living (ADL) care to nursing home (NH) residents. Currently, most NHs do not determine nurse aide staffing requirements based on the time to provide ADL care for their unique resident population. The lack of an objective method to determine nurse aide staffing requirements suggests that many NHs could be understaffed in their capacity to provide consistent ADL care to all residents in need. Discrete event simulation (DES) mathematically models key work parameters (eg, time to provide an episode of care and available staff) to predict the ability of the work setting to provide care over time and offers an objective method to determine nurse aide staffing needs in NHs. This study had 2 primary objectives: (1) to describe the relationship between ADL workload and the level of nurse aide staffing reported by NHs; and, (2) to use a DES model to determine the relationship between ADL workload and nurse aide staffing necessary for consistent, timely ADL care. Minimum Data Set data related to the level of dependency on staff for ADL care for residents in over 13,500 NHs nationwide were converted into 7 workload categories that captured 98% of all residents. In addition, data related to the time to provide care for the ADLs within each workload category was used to calculate a workload score for each facility. The correlation between workload and reported nurse aide staffing levels was calculated to determine the association between staffing reported by NHs and workload. Simulations to project staffing requirements necessary to provide ADL care were then conducted for 65 different workload scenarios, which included 13 different nurse aide staffing levels (ranging from 1.6 to 4.0 total hours per resident day) and 5 different workload percentiles (ranging from the 5th to the 95th percentile). The purpose of the simulation model was to determine the staffing necessary to provide care within each workload percentile based on resident ADL care needs and compare the simulated staffing projections to the NH reported staffing levels. The percentage of scheduled care time that was omitted was estimated by the simulation model for each of the 65 workload scenarios using optimistic assumptions about staff productivity and efficiency. There was a low correlation between ADL workload and reported nurse aide staffing (Pearson = .11; P < .01), which suggests that most of the 13,500 NHs were not using ADL acuity to determine nurse aide staffing levels. Based on the DES model, the nurse aide staffing required for ADL care that would result in a rate of care omissions below 10% ranged from 2.8 hours/resident/day for NHs with a low workload (5th percentile) to 3.6 hours/resident/day for NHs with a high workload (95th percentile). In contrast, NHs reported staffing levels that ranged from an average of 2.3 to 2.5 hours/resident/day across all 5 workload percentiles. Higher workload NHs had the largest discrepancies between reported and predicted nurse aide staffing levels. The average nurse aide staffing levels reported by NHs falls below the level of staffing predicted as necessary to provide consistent ADL care to all residents in need. DES methodology can be used to determine nurse aide staffing requirements to provide ADL care and simulate management interventions to improve care efficiency and quality. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Investigations of Flow Over a Hemisphere Using Numerical Simulations (Postprint)

DTIC Science & Technology

2015-06-22

ranging from missile defense, remote sensing , and imaging . An important aspect of these applications is determining the effective beam-on-target...Stokes (URANS), detached eddy simulation (DES), and hybrid RANS/LES. The numerical results were compared with the experiment conducted at Auburn...turret. Using the DES and hybrid RANS/LES turbulence models, Loci-Chem was able to capture the unsteady flow structures, such as the shear layer

Modeling the Transfer Function for the Dark Energy Survey

DOE PAGES

Chang, C.

2015-03-04

We present a forward-modeling simulation framework designed to model the data products from the Dark Energy Survey (DES). This forward-model process can be thought of as a transfer function—a mapping from cosmological/astronomical signals to the final data products used by the scientists. Using output from the cosmological simulations (the Blind Cosmology Challenge), we generate simulated images (the Ultra Fast Image Simulator) and catalogs representative of the DES data. In this work we demonstrate the framework by simulating the 244 deg 2 coadd images and catalogs in five bands for the DES Science Verification data. The simulation output is compared withmore » the corresponding data to show that major characteristics of the images and catalogs can be captured. We also point out several directions of future improvements. Two practical examples—star-galaxy classification and proximity effects on object detection—are then used to illustrate how one can use the simulations to address systematics issues in data analysis. With clear understanding of the simplifications in our model, we show that one can use the simulations side-by-side with data products to interpret the measurements. This forward modeling approach is generally applicable for other upcoming and future surveys. It provides a powerful tool for systematics studies that is sufficiently realistic and highly controllable.« less

Fine Structure of Diffuse Scattering Rings in Al-Li-Cu Quasicrystal: A Comparative X-ray and Electron Diffraction Study

NASA Astrophysics Data System (ADS)

Donnadieu, P.; Dénoyer, F.

1996-11-01

A comparative X-ray and electron diffraction study has been performed on Al-Li-Cu icosahedral quasicrystal in order to investigate the diffuse scattering rings revealed by a previous work. Electron diffraction confirms the existence of rings but shows that the rings have a fine structure. The diffuse aspect on the X-ray diffraction patterns is then due to an averaging effect. Recent simulations based on the model of canonical cells related to the icosahedral packing give diffractions patterns in agreement with this fine structure effect. Nous comparons les diagrammes de diffraction des rayon-X et des électrons obtenus sur les mêmes échantillons du quasicristal icosaèdrique Al-Li-Cu. Notre but est d'étudier les anneaux de diffusion diffuse mis en évidence par un travail précédent. Les diagrammes de diffraction électronique confirment la présence des anneaux mais ils montrent aussi que ces anneaux possèdent une structure fine. L'aspect diffus des anneaux révélés par la diffraction des rayons X est dû à un effet de moyenne. Des simulations récentes basées sur la décomposition en cellules canoniques de l'empilement icosaédrique produisent des diagrammes de diffraction en accord avec ces effects de structure fine.

Mapping and simulating systematics due to spatially-varying observing conditions in DES science verification data

DOE PAGES

Leistedt, B.; Peiris, H. V.; Elsner, F.; ...

2016-10-17

Spatially-varying depth and characteristics of observing conditions, such as seeing, airmass, or sky background, are major sources of systematic uncertainties in modern galaxy survey analyses, in particular in deep multi-epoch surveys. We present a framework to extract and project these sources of systematics onto the sky, and apply it to the Dark Energy Survey (DES) to map the observing conditions of the Science Verification (SV) data. The resulting distributions and maps of sources of systematics are used in several analyses of DES SV to perform detailed null tests with the data, and also to incorporate systematics in survey simulations. Wemore » illustrate the complementarity of these two approaches by comparing the SV data with the BCC-UFig, a synthetic sky catalogue generated by forward-modelling of the DES SV images. We then analyse the BCC-UFig simulation to construct galaxy samples mimicking those used in SV galaxy clustering studies. We show that the spatially-varying survey depth imprinted in the observed galaxy densities and the redshift distributions of the SV data are successfully reproduced by the simulation and well-captured by the maps of observing conditions. The combined use of the maps, the SV data and the BCC-UFig simulation allows us to quantify the impact of spatial systematics on N(z), the redshift distributions inferred using photometric redshifts. We conclude that spatial systematics in the SV data are mainly due to seeing fluctuations and are under control in current clustering and weak lensing analyses. However, they will need to be carefully characterised in upcoming phases of DES in order to avoid biasing the inferred cosmological results. The framework presented is relevant to all multi-epoch surveys, and will be essential for exploiting future surveys such as the Large Synoptic Survey Telescope, which will require detailed null-tests and realistic end-to-end image simulations to correctly interpret the deep, high-cadence observations of the sky.« less

MAPPING AND SIMULATING SYSTEMATICS DUE TO SPATIALLY VARYING OBSERVING CONDITIONS IN DES SCIENCE VERIFICATION DATA

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leistedt, B.; Peiris, H. V.; Elsner, F.

Spatially varying depth and the characteristics of observing conditions, such as seeing, airmass, or sky background, are major sources of systematic uncertainties in modern galaxy survey analyses, particularly in deep multi-epoch surveys. We present a framework to extract and project these sources of systematics onto the sky, and apply it to the Dark Energy Survey (DES) to map the observing conditions of the Science Verification (SV) data. The resulting distributions and maps of sources of systematics are used in several analyses of DES-SV to perform detailed null tests with the data, and also to incorporate systematics in survey simulations. Wemore » illustrate the complementary nature of these two approaches by comparing the SV data with BCC-UFig, a synthetic sky catalog generated by forward-modeling of the DES-SV images. We analyze the BCC-UFig simulation to construct galaxy samples mimicking those used in SV galaxy clustering studies. We show that the spatially varying survey depth imprinted in the observed galaxy densities and the redshift distributions of the SV data are successfully reproduced by the simulation and are well-captured by the maps of observing conditions. The combined use of the maps, the SV data, and the BCC-UFig simulation allows us to quantify the impact of spatial systematics on N(z), the redshift distributions inferred using photometric redshifts. We conclude that spatial systematics in the SV data are mainly due to seeing fluctuations and are under control in current clustering and weak-lensing analyses. However, they will need to be carefully characterized in upcoming phases of DES in order to avoid biasing the inferred cosmological results. The framework presented here is relevant to all multi-epoch surveys and will be essential for exploiting future surveys such as the Large Synoptic Survey Telescope, which will require detailed null tests and realistic end-to-end image simulations to correctly interpret the deep, high-cadence observations of the sky« less

Mapping and simulating systematics due to spatially-varying observing conditions in DES science verification data

DOE Office of Scientific and Technical Information (OSTI.GOV)

Leistedt, B.; Peiris, H. V.; Elsner, F.

Spatially-varying depth and characteristics of observing conditions, such as seeing, airmass, or sky background, are major sources of systematic uncertainties in modern galaxy survey analyses, in particular in deep multi-epoch surveys. We present a framework to extract and project these sources of systematics onto the sky, and apply it to the Dark Energy Survey (DES) to map the observing conditions of the Science Verification (SV) data. The resulting distributions and maps of sources of systematics are used in several analyses of DES SV to perform detailed null tests with the data, and also to incorporate systematics in survey simulations. Wemore » illustrate the complementarity of these two approaches by comparing the SV data with the BCC-UFig, a synthetic sky catalogue generated by forward-modelling of the DES SV images. We then analyse the BCC-UFig simulation to construct galaxy samples mimicking those used in SV galaxy clustering studies. We show that the spatially-varying survey depth imprinted in the observed galaxy densities and the redshift distributions of the SV data are successfully reproduced by the simulation and well-captured by the maps of observing conditions. The combined use of the maps, the SV data and the BCC-UFig simulation allows us to quantify the impact of spatial systematics on N(z), the redshift distributions inferred using photometric redshifts. We conclude that spatial systematics in the SV data are mainly due to seeing fluctuations and are under control in current clustering and weak lensing analyses. However, they will need to be carefully characterised in upcoming phases of DES in order to avoid biasing the inferred cosmological results. The framework presented is relevant to all multi-epoch surveys, and will be essential for exploiting future surveys such as the Large Synoptic Survey Telescope, which will require detailed null-tests and realistic end-to-end image simulations to correctly interpret the deep, high-cadence observations of the sky.« less

Static and Dynamic Disorder in Bacterial Light-Harvesting Complex LH2: A 2DES Simulation Study.

PubMed

Rancova, Olga; Abramavicius, Darius

2014-07-10

Two-dimensional coherent electronic spectroscopy (2DES) is a powerful technique in distinguishing homogeneous and inhomogeneous broadening contributions to the spectral line shapes of molecular transitions induced by environment fluctuations. Using an excitonic model of a double-ring LH2 aggregate, we perform simulations of its 2DES spectra and find that the model of a harmonic environment cannot provide a consistent set of parameters for two temperatures: 77 K and room temperature. This indicates the highly anharmonic nature of protein fluctuations for the pigments of the B850 ring. However, the fluctuations of B800 ring pigments can be assumed as harmonic in this temperature range.

Generic Methodology for Verification and Validation (GM-VV) to Support Acceptance of Models, Simulations and Data (Methodologie generale de verification et de validation (GM-VV) visant a soutenir l acceptation des modeles, simulations et donnees)

DTIC Science & Technology

2015-01-01

RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des informations analogues...rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web (http://www.sto.nato.int/) et vous abonner à ce service...le cas, suivie du numéro de série (par exemple AGARD-AG-315). Des informations analogues, telles que le titre et la date de publication sont

Adaptability in Coalition Teamwork (Faculte d’adaptation au travail d’ equipe en coalition)

DTIC Science & Technology

2008-04-01

et des outils sont nécessaires au développement rapide d’équipes multiculturelles efficaces pour assurer le succès des missions, celles-ci étant...Les principaux résultats des 30 communications théoriques et de recherche ont été les suivants : • Les outils de formation (jeux, simulations...parmi les militaires ; • Le retour d’information sur le moral et les performances des équipes en opérations est un instrument qui est particulièrement

Dark Energy Survey Year 1 Results: Multi-Probe Methodology and Simulated Likelihood Analyses

DOE Office of Scientific and Technical Information (OSTI.GOV)

Krause, E.; et al.

We present the methodology for and detail the implementation of the Dark Energy Survey (DES) 3x2pt DES Year 1 (Y1) analysis, which combines configuration-space two-point statistics from three different cosmological probes: cosmic shear, galaxy-galaxy lensing, and galaxy clustering, using data from the first year of DES observations. We have developed two independent modeling pipelines and describe the code validation process. We derive expressions for analytical real-space multi-probe covariances, and describe their validation with numerical simulations. We stress-test the inference pipelines in simulated likelihood analyses that vary 6-7 cosmology parameters plus 20 nuisance parameters and precisely resemble the analysis to be presented in the DES 3x2pt analysis paper, using a variety of simulated input data vectors with varying assumptions. We find that any disagreement between pipelines leads to changes in assigned likelihoodmore » $$\\Delta \\chi^2 \\le 0.045$$ with respect to the statistical error of the DES Y1 data vector. We also find that angular binning and survey mask do not impact our analytic covariance at a significant level. We determine lower bounds on scales used for analysis of galaxy clustering (8 Mpc$$~h^{-1}$$) and galaxy-galaxy lensing (12 Mpc$$~h^{-1}$$) such that the impact of modeling uncertainties in the non-linear regime is well below statistical errors, and show that our analysis choices are robust against a variety of systematics. These tests demonstrate that we have a robust analysis pipeline that yields unbiased cosmological parameter inferences for the flagship 3x2pt DES Y1 analysis. We emphasize that the level of independent code development and subsequent code comparison as demonstrated in this paper is necessary to produce credible constraints from increasingly complex multi-probe analyses of current data.« less

Calcul numérique accéléré de mesures de performance sur les modèles Markoviens appliqués aux systèmes informatiques et de télécommunications

NASA Astrophysics Data System (ADS)

Ghaddar, A.; Sinno, N.

2005-05-01

La complexité du phénomène de files d'attente dans les systèmes informatiques et télécommunications nécessite leur simulation par des modèles Markoviens pour les mesures de performance, mesure des délais d'attente au niveau des routeurs pour le modèle informatique et l'étude de la gestion des appels téléphoniques pour le modèle des circuits téléphoniques. L'optimisation des méthodes numériques de résolution des équations relatives à ces deux modèles va permettre d' ídentifier les critères de convergence rapide vers les états stationnaires correspondant à ces mesures.

Evaluation d'un ecosysteme pastoral sahelien: Apport de la geomatique (Oursi, Burkina Faso)

NASA Astrophysics Data System (ADS)

Kabore, Seraphine Sawadogo

L'objectif principal de cette recherche est la mise au point d'une architecture d'integration de donnees socio-bio-geographiques et de donnees satellitales dans un Systeme d'Information Geographique (SIG) en vue d'une aide a la prise de decisions dans un environnement semi-aride au nord du Burkina Faso. Elle repond a la question fondamentale de l'interpretation des effets des facteurs climatiques et socioeconomiques sur le milieu pastoral. La recherche s'est appuyee sur plusieurs hypotheses de travail: possibilite d'utilisation de modele de simulation, d'approche multicritere et de donnees de teledetection dans un cadre de systeme d'information geographique. L'evolution spatiotemporelle des parametres de productivite du milieu a ete evaluee par approche dynamique selon le modele de Wu et al. (1996) qui modelise les interactions entre le climat, le milieu physique, le vegetal et l'animal pour mieux quantifier la biomasse primaire. A ce modele, quatre parametres ont ete integres par approche floue et multicritere afin de prendre en compte la dimension socioeconomique de la productivite pastorale (apport majeur de la recherche): la sante, l'education, l'agriculture et l'eau. La teledetection (imagerie SPOT) a permis de definir la production primaire a partir de laquelle les simulations ont ete realisees sur 10 annees. Les resultats obtenus montrent une bonne correlation entre biomasse primaire in situ et celle calculee pour les deux modeles, avec toutefois une meilleure efficacite du modele modifie (4 fois plus) dans les zones de forte productivite ou l'on note un taux de surexploitation agricole eleve. A cause de la variabilite spatiale de la production primaire in situ, les erreurs des resultats de simulation (8 a 11%) sont acceptables et montrent la pertinence de l'approche grace a l'utilisation des SIG pour la spatialisation et l'integration des differents parametres des modeles. Les types de production secondaire preconises (production de lait pendant 7 mois ou de viande pendant 6 mois) sont bases sur les besoins de l'UBT et le disponible fourrager qui est de qualite mediocre en saison seche. Dans les deux cas de figure, un deficit fourrager est observe. Deux types de transhumance sont proposes afin d'assurer une production durable selon deux scenarios: exploitation rationnelle des unites pastorales selon un plan de rotation annuelle et mise en defens a moyen terme des zones degradees pour une regeneration. Les zones potentielles pour la transhumance ont ete determinees selon les limites acceptables des criteres d'exploitation durable des milieux saheliens definis par Kessler (1994) soit 0,2 UBT.ha-1.

Developmental Exposure to Diethylstilbestrol Alters Uterine Gene Expression That May Be Associated With Uterine Neoplasia Later in Life

PubMed Central

Newbold, Retha R.; Jefferson, Wendy N.; Grissom, Sherry F.; Padilla-Banks, Elizabeth; Snyder, Ryan J.; Lobenhofer, Edward K.

2008-01-01

Previously, we described a mouse model where the well-known reproductive carcinogen with estrogenic activity, diethylstilbestrol (DES), caused uterine adenocarcinoma following neonatal treatment. Tumor incidence was dose-dependent reaching >90% by 18 mo following neonatal treatment with 1000 μg/kg/d of DES. These tumors followed the initiation/promotion model of hormonal carcinogenesis with developmental exposure as initiator, and exposure to ovarian hormones at puberty as the promoter. To identify molecular pathways involved in DES-initiation events, uterine gene expression profiles were examined in prepubertal mice exposed to DES (1, 10, or 1000 μg/kg/d) on days 1–5 and compared to controls. Of more than 20 000 transcripts, approximately 3% were differentially expressed in at least one DES treatment group compared to controls; some transcripts demonstrated dose–responsiveness. Assessment of gene ontology annotation revealed alterations in genes associated with cell growth, differentiation, and adhesion. When expression profiles were compared to published studies of uteri from 5-d-old DES-treated mice, or adult mice treated with 17β estradiol, similarities were seen suggesting persistent differential expression of estrogen responsive genes following developmental DES exposure. Moreover, several altered genes were identified in human uterine adenocarcinomas. Four altered genes [lactotransferrin (Ltf), transforming growth factor beta inducible (Tgfb1), cyclin D1 (Ccnd1), and secreted frizzled-related protein 4 (Sfrp4)], selected for real-time RT-PCR analysis, correlated well with the directionality of the microarray data. These data suggested altered gene expression profiles observed 2 wk after treatment ceased, were established at the time of developmental exposure and maybe related to the initiation events resulting in carcinogenesis. PMID:17394237

Developmental exposure to diethylstilbestrol alters uterine gene expression that may be associated with uterine neoplasia later in life.

PubMed

Newbold, Retha R; Jefferson, Wendy N; Grissom, Sherry F; Padilla-Banks, Elizabeth; Snyder, Ryan J; Lobenhofer, Edward K

2007-09-01

Previously, we described a mouse model where the well-known reproductive carcinogen with estrogenic activity, diethylstilbestrol (DES), caused uterine adenocarcinoma following neonatal treatment. Tumor incidence was dose-dependent reaching >90% by 18 mo following neonatal treatment with 1000 microg/kg/d of DES. These tumors followed the initiation/promotion model of hormonal carcinogenesis with developmental exposure as initiator, and exposure to ovarian hormones at puberty as the promoter. To identify molecular pathways involved in DES-initiation events, uterine gene expression profiles were examined in prepubertal mice exposed to DES (1, 10, or 1000 microg/kg/d) on days 1-5 and compared to controls. Of more than 20 000 transcripts, approximately 3% were differentially expressed in at least one DES treatment group compared to controls; some transcripts demonstrated dose-responsiveness. Assessment of gene ontology annotation revealed alterations in genes associated with cell growth, differentiation, and adhesion. When expression profiles were compared to published studies of uteri from 5-d-old DES-treated mice, or adult mice treated with 17beta estradiol, similarities were seen suggesting persistent differential expression of estrogen responsive genes following developmental DES exposure. Moreover, several altered genes were identified in human uterine adenocarcinomas. Four altered genes [lactotransferrin (Ltf), transforming growth factor beta inducible (Tgfb1), cyclin D1 (Ccnd1), and secreted frizzled-related protein 4 (Sfrp4)], selected for real-time RT-PCR analysis, correlated well with the directionality of the microarray data. These data suggested altered gene expression profiles observed 2 wk after treatment ceased, were established at the time of developmental exposure and maybe related to the initiation events resulting in carcinogenesis. (c) 2007 Wiley-Liss, Inc.

Supporting Uncertainty Reasoning in SIMulated Operators for Networks (SIMON) (Le support du raisonnement dans l’incertitude pour des operateurs simules dans un reseau)

DTIC Science & Technology

2005-12-01

moteur de simulation de l’Environnement Intégré de Modélisation de la Performance est utilisé de pair avec l’approche pour démontrer comment des...d’être utilisé dans les forces générées par ordinateur. Le travail ultérieur inclura plus d’essais, l’intégration avec les moteurs de simulateurs et...Aspects are reasoning units relevant to simulated tasks. Each Aspect schema is a 4-tuple: AspectSchema = <MA, WM, LM, CL>, where MA refers to meta

The Geometric Factor of Electrostatic Plasma Analyzers: A Case Study from the Fast Plasma Investigation for the Magnetospheric Multiscale mission

NASA Technical Reports Server (NTRS)

Collinson, Glyn A.; Dorelli, John Charles; Avanov, Leon A.; Lewis, Gethyn R.; Moore, Thomas E.; Pollock, Craig; Kataria, Dhiren O.; Bedington, Robert; Arridge, Chris S.; Chornay, Dennis J.;

Des schémas équivalents pour les circuits couplés multi-enroulements

NASA Astrophysics Data System (ADS)

Keradec, J. P.; Cogitore, B.; Laveuve, E.; Bensoam, M.

1994-04-01

The aim of this paper is to represent the electrical behaviour of any number of magnetically coupled windings with couplers and inductors. Two methods, mathematicaly justified, are proposed. The second one introduces only positive inductances. As an exemple, it is applied to the representation of a three column three phase transformer. The obtained circuits supply the requisite guide to design more complete circuits which allow the high frequency behaviour of wound components to be taken into account, especialy in electronics simulation softwares. Le but de cet article est de traduire le comportement électrique d'un nombre quelconque d'enroulements magnétiquement couplés, par des coupleurs et des inductances. Deux méthodes, établies mathématiquement, sont proposées. La seconde n'introduit que des inductances positives. A titre d'exemple, elle est appliquée à la représentation d'un transformateur triphasé à trois colonnes. Les schémas obtenus fournissent l'indispensable ossature de schémas plus complets, aptes à représenter le comportement haute fréquence des composants bobinés, notamment dans un logiciel de simulation électronique.

Etude thermo-hydraulique de l'ecoulement du moderateur dans le reacteur CANDU-6

NASA Astrophysics Data System (ADS)

Mehdi Zadeh, Foad

Etant donne la taille (6,0 m x 7,6 m) ainsi que le domaine multiplement connexe qui caracterisent la cuve des reacteurs CANDU-6 (380 canaux dans la cuve), la physique qui gouverne le comportement du fluide moderateur est encore mal connue de nos jours. L'echantillonnage de donnees dans un reacteur en fonction necessite d'apporter des changements a la configuration de la cuve du reacteur afin d'y inserer des sondes. De plus, la presence d'une zone intense de radiations empeche l'utilisation des capteurs courants d'echantillonnage. En consequence, l'ecoulement du moderateur doit necessairement etre etudie a l'aide d'un modele experimental ou d'un modele numerique. Pour ce qui est du modele experimental, la fabrication et la mise en fonction de telles installations coutent tres cher. De plus, les parametres de la mise a l'echelle du systeme pour fabriquer un modele experimental a l'echelle reduite sont en contradiction. En consequence, la modelisation numerique reste une alternative importante. Actuellement, l'industrie nucleaire utilise une approche numerique, dite de milieu poreux, qui approxime le domaine par un milieu continu ou le reseau des tubes est remplace par des resistances hydrauliques distribuees. Ce modele est capable de decrire les phenomenes macroscopiques de l'ecoulement, mais ne tient pas compte des effets locaux ayant un impact sur l'ecoulement global, tel que les distributions de temperatures et de vitesses a proximite des tubes ainsi que des instabilites hydrodynamiques. Dans le contexte de la surete nucleaire, on s'interesse aux effets locaux autour des tubes de calandre. En effet, des simulations faites par cette approche predisent que l'ecoulement peut prendre plusieurs configurations hydrodynamiques dont, pour certaines, l'ecoulement montre un comportement asymetrique au sein de la cuve. Ceci peut provoquer une ebullition du moderateur sur la paroi des canaux. Dans de telles conditions, le coefficient de reactivite peut varier de maniere importante, se traduisant par l'accroissement de la puissance du reacteur. Ceci peut avoir des consequences majeures pour la surete nucleaire. Une modelisation CFD (Computational Fluid Dynamics) detaillee tenant compte des effets locaux s'avere donc necessaire. Le but de ce travail de recherche est de modeliser le comportement complexe de l'ecoulement du moderateur au sein de la cuve d'un reacteur nucleaire CANDU-6, notamment a proximite des tubes de calandre. Ces simulations servent a identifier les configurations possibles de l'ecoulement dans la calandre. Cette etude consiste ainsi a formuler des bases theoriques a l'origine des instabilites macroscopiques du moderateur, c.-a-d. des mouvements asymetriques qui peuvent provoquer l'ebullition du moderateur. Le defi du projet est de determiner l'impact de ces configurations de l'ecoulement sur la reactivite du reacteur CANDU-6.

Virtual Reality: State of Military Research and Applications in Member Countries (La realite virutelle: L’etat actuel des travaux de recherche et des applications militaires dans les pays membres de l’Alliance)

DTIC Science & Technology

2003-02-01

conducteur pour des sources liées au véhicule (bruits liés au moteur et à la transmission, bruits d’équipements, bruits des passagers , …), pour des...maquette de film , de pièce de théâtre ou de publicité. Initié par le département Réalité Virtuelle de CS, et financé par la Communauté Européenne, le projet... films vidéo, l’utilisateur interagit avec la simulation. L’objectif était de permettre d’étudier les apports de la Réalité Virtuelle dans les

Mouse hypospadias: A critical examination and definition

PubMed Central

Sinclair, Adriane Watkins; Cao, Mei; Shen, Joel; Cooke, Paul; Risbridger, Gail; Baskin, Laurence; Cunha, Gerald R.

2016-01-01

Hypospadias is a common malformation whose etiology is based upon perturbation of normal penile development. The mouse has been previously used as a model of hypospadias, despite an unacceptably wide range of definitions for this malformation. The current paper presents objective criteria and a definition of mouse hypospadias. Accordingly, diethylstilbestrol (DES) induced penile malformations were examined at 60 days postnatal (P60) in mice treated with DES over the age range of 12 days embryonic to 20 days postnatal (E12 to P20). DES-induced hypospadias involves malformation of the urethral meatus, which is most severe in DES E12-P10, DES P0-P10 and DES P5-P15 groups and less so or absent in the other treatment groups. A frenulum-like ventral tether between the penis and the prepuce was seen in the most severely affected DES-treated mice. Internal penile morphology was also altered in the DES E12-P10, DES P0-P10 and DES P5-P15 groups (with little effect in the other DES treatment groups). Thus, adverse effects of DES are a function of the period of DES treatment and most severe in the P0 to P10 period. In “estrogen mutant mice” (NERKI, βERKO, αERKO and AROM+) hypospadias was only seen in AROM+ male mice having genetically-engineered elevation is serum estrogen. Significantly, mouse hypospadias was only seen distally at and near the urethral meatus where epithelial fusion events are known to take place and never in the penile midshaft, where urethral formation occurs via an entirely different morphogenetic process. PMID:27068029

LAN attack detection using Discrete Event Systems.

PubMed

Hubballi, Neminath; Biswas, Santosh; Roopa, S; Ratti, Ritesh; Nandi, Sukumar

2011-01-01

Address Resolution Protocol (ARP) is used for determining the link layer or Medium Access Control (MAC) address of a network host, given its Internet Layer (IP) or Network Layer address. ARP is a stateless protocol and any IP-MAC pairing sent by a host is accepted without verification. This weakness in the ARP may be exploited by malicious hosts in a Local Area Network (LAN) by spoofing IP-MAC pairs. Several schemes have been proposed in the literature to circumvent these attacks; however, these techniques either make IP-MAC pairing static, modify the existing ARP, patch operating systems of all the hosts etc. In this paper we propose a Discrete Event System (DES) approach for Intrusion Detection System (IDS) for LAN specific attacks which do not require any extra constraint like static IP-MAC, changing the ARP etc. A DES model is built for the LAN under both a normal and compromised (i.e., spoofed request/response) situation based on the sequences of ARP related packets. Sequences of ARP events in normal and spoofed scenarios are similar thereby rendering the same DES models for both the cases. To create different ARP events under normal and spoofed conditions the proposed technique uses active ARP probing. However, this probing adds extra ARP traffic in the LAN. Following that a DES detector is built to determine from observed ARP related events, whether the LAN is operating under a normal or compromised situation. The scheme also minimizes extra ARP traffic by probing the source IP-MAC pair of only those ARP packets which are yet to be determined as genuine/spoofed by the detector. Also, spoofed IP-MAC pairs determined by the detector are stored in tables to detect other LAN attacks triggered by spoofing namely, man-in-the-middle (MiTM), denial of service etc. The scheme is successfully validated in a test bed. Copyright © 2010 ISA. Published by Elsevier Ltd. All rights reserved.

Drug-eluting stents to prevent stent thrombosis and restenosis.

PubMed

Im, Eui; Hong, Myeong-Ki

2016-01-01

Although first-generation drug-eluting stents (DES) have significantly reduced the risk of in-stent restenosis, they have also increased the long-term risk of stent thrombosis. This safety concern directly triggered the development of new generation DES, with innovations in stent platforms, polymers, and anti-proliferative drugs. Stent platform materials have evolved from stainless steel to cobalt or platinum-chromium alloys with an improved strut design. Drug-carrying polymers have become biocompatible or biodegradable and even polymer-free DES were introduced. New limus-family drugs (such as everolimus, zotarolimus or biolimus) were adopted to enhance stent performances. As a result, these new DES demonstrated superior vascular healing responses on intracoronary imaging studies and lower stent thrombotic events in actual patients. Recently, fully-bioresorbable stents (scaffolds) have been introduced, and expanding their applications. In this article, the important concepts and clinical results of new generation DES and bioresorbable scaffolds are described.

Dynamic ambulance reallocation for the reduction of ambulance response times using system status management.

PubMed

Lam, Sean Shao Wei; Zhang, Ji; Zhang, Zhong Cheng; Oh, Hong Choon; Overton, Jerry; Ng, Yih Yng; Ong, Marcus Eng Hock

2015-02-01

Dynamically reassigning ambulance deployment locations throughout a day to balance ambulance availability and demands can be effective in reducing response times. The objectives of this study were to model dynamic ambulance allocation plans in Singapore based on the system status management (SSM) strategy and to evaluate the dynamic deployment plans using a discrete event simulation (DES) model. The geographical information system-based analysis and mathematical programming were used to develop the dynamic ambulance deployment plans for SSM based on ambulance calls data from January 1, 2011, to June 30, 2011. A DES model that incorporated these plans was used to compare the performance of the dynamic SSM strategy against static reallocation policies under various demands and travel time uncertainties. When the deployment plans based on the SSM strategy were followed strictly, the DES model showed that the geographical information system-based plans resulted in approximately 13-second reduction in the median response times compared to the static reallocation policy, whereas the mathematical programming-based plans resulted in approximately a 44-second reduction. The response times and coverage performances were still better than the static policy when reallocations happened for only 60% of all the recommended moves. Dynamically reassigning ambulance deployment locations based on the SSM strategy can result in superior response times and coverage performance compared to static reallocation policies even when the dynamic plans were not followed strictly. Copyright © 2014 Elsevier Inc. All rights reserved.

Application of underdamped Langevin dynamics simulations for the study of diffusion from a drug-eluting stent

NASA Astrophysics Data System (ADS)

Regev, Shaked; Farago, Oded

2018-10-01

We use a one-dimensional two layer model with a semi-permeable membrane to study the diffusion of a therapeutic drug delivered from a drug-eluting stent (DES). The rate of drug transfer from the stent coating to the arterial wall is calculated by using underdamped Langevin dynamics simulations. Our results reveal that the membrane has virtually no delay effect on the rate of delivery from the DES. The work demonstrates the great potential of underdamped Langevin dynamics simulations as an easy to implement, efficient, method for solving complicated diffusion problems in systems with a spatially-dependent diffusion coefficient.

Detached Eddy Simulation of Film Cooling over a GE Flat Plate

NASA Technical Reports Server (NTRS)

Roy, Subrata

2005-01-01

The detached eddy simulation of film cooling has been utilized for a proprietary GE plate-pipe configuration. The blowing ratio was 2.02, the velocity ratio was 1.26, and the temperature ratio was 1.61. Results indicate that the mixing processes downstream of the hole are highly anisotropic. DES solution shows its ability to depict the dynamic nature of the flow and capture the asymmetry present in temperature and velocity distributions. Further, comparison between experimental and DES time-averaged effectiveness is satisfactory. Numerical values of span-averaged effectiveness show better prediction of the experimental values at downstream locations than a steady state Glenn HT solution. While the DES method shows obvious promise, there are several issues that need further investigation. Despite an accurate prediction in the hole vicinity, the simulation still falls short in the region x = 10d to 100d. This should be investigated. Also the model used flat plate. Actual turbine blade should be modeled in the future if additional finding is available.

Modelisation numerique de l'hydrologie pour l'aide a la gestion des bassins versants, par l'utilisation conjointe des systemes d'information geographique et de la methode des elements finis un nouvel outil pour le developpement durable SAGESS

NASA Astrophysics Data System (ADS)

Bel Hadj Kacem, Mohamed Salah

All hydrological processes are affected by the spatial variability of the physical parameters of the watershed, and also by human intervention on the landscape. The water outflow from a watershed strictly depends on the spatial and temporal variabilities of the physical parameters of the watershed. It is now apparent that the integration of mathematical models into GIS's can benefit both GIS and three-dimension environmental models: a true modeling capability can help the modeling community bridge the gap between planners, scientists, decision-makers and end-users. The main goal of this research is to design a practical tool to simulate run-off water surface using Geographic design a practical tool to simulate run-off water surface using Geographic Information Systems and the simulation of the hydrological behavior by the Finite Element Method.

Groundwater and climate change: a sensitivity analysis for the Grand Forks aquifer, southern British Columbia, Canada

NASA Astrophysics Data System (ADS)

Allen, D. M.; Mackie, D. C.; Wei, M.

The Grand Forks aquifer, located in south-central British Columbia, Canada was used as a case study area for modeling the sensitivity of an aquifer to changes in recharge and river stage consistent with projected climate-change scenarios for the region. Results suggest that variations in recharge to the aquifer under the different climate-change scenarios, modeled under steady-state conditions, have a much smaller impact on the groundwater system than changes in river-stage elevation of the Kettle and Granby Rivers, which flow through the valley. All simulations showed relatively small changes in the overall configuration of the water table and general direction of groundwater flow. High-recharge and low-recharge simulations resulted in approximately a +0.05 m increase and a -0.025 m decrease, respectively, in water-table elevations throughout the aquifer. Simulated changes in river-stage elevation, to reflect higher-than-peak-flow levels (by 20 and 50%), resulted in average changes in the water-table elevation of 2.72 and 3.45 m, respectively. Simulated changes in river-stage elevation, to reflect lower-than-baseflow levels (by 20 and 50%), resulted in average changes in the water-table elevation of -0.48 and -2.10 m, respectively. Current observed water-table elevations in the valley are consistent with an average river-stage elevation (between current baseflow and peak-flow stages). L'aquifère de Grand Forks, situé en Colombie britannique (Canada), a été utilisé comme zone d'étude pour modéliser la sensibilité d'un aquifère à des modifications de la recharge et du niveau de la rivière, correspondant à des scénarios envisagés de changement climatique dans cette région. Les résultats font apparaître que les variations de recharge de l'aquifère pour différents scénarios de changement climatique, modélisées pour des conditions de régime permanent, ont un impact sur le système aquifère beaucoup plus faible que les changements du niveau des rivières Kettle et Granby, qui coulent dans la vallée. Toutes les simulations ont montré des différences relativement faibles dans la configuration d'ensemble de la nappe et dans la direction générale des écoulements. Des simulations de conditions de recharge forte et de recharge faible produisent respectivement une remontée de 0,05 m et un abaissement de 0,025 m, approximativement, des cotes de la nappe pour l'ensemble de l'aquifère. Des changements simulés de la cote du niveau de la rivière, pour refléter des niveaux plus hauts que ceux des pics de crues (de 20 et de 50%), produisent respectivement des remontées de la nappe de 2,72 et 3,45 m en moyenne. Des changements simulés de l'altitude du niveau de la rivière, pour refléter des niveaux plus bas que ceux de basses eaux (de 20 et de 50%), produisent respectivement des abaissements de la nappe de 0,48 et 2,10 m en moyenne. Les altitudes courantes observées de la nappe dans la vallée sont cohérentes avec une cote moyenne du niveau de la rivière (entre les niveaux courants de basses eaux et de crues). El acuífero de los Grand Forks, situado al sur de la Columbia Británica central (Canadá) ha sido utilizado como lugar de estudio para modelar la sensibilidad de un acuífero a los cambios en la recarga y el caudal de los ríos de acuerdo con escenarios previstos de cambio climático en la región. Los resultados sugieren que las variaciones en la recarga al acuífero bajo los diversos escenarios, que han sido modelados en régimen estacionario, tienen un impacto mucho menor en las aguas subterráneas que los cambios en el caudal de los ríos Kettle y Granby, que discurren por el valle. Todas las simulaciones muestran diferencias relativamente pequeñas en la configuración regional de los niveles freáticos y en la dirección general del flujo subterráneo. Las simulaciones de recarga elevada y baja causan un incremento de 0,05 m y un decremento de 0,025 m, respectivamente, en los niveles del acuífero. Los cambios de la elevación del río, simulados para reflejar niveles de flujo mayores que los valores pico (en un 20% y un 50%) resultan en cambios medios de los niveles del acuífero de 2,72 m y 3,45 m, respectivamente. Los cambios simulados en la elevación del río para flujos inferiores al caudal de base (en un 20% y en un 50%) provocan descensos en los niveles de 0,48 y 2,10 m, respectivamente. Los niveles actuales del acuífero en el valle son coherentes con una elevación media del nivel en el río (entre el caudal de base actual y los picos de caudal).

Drug-eluting versus bare-metal stents in unprotected left main coronary artery stenosis a meta-analysis.

PubMed

Pandya, Sanjay B; Kim, Young-Hak; Meyers, Sheridan N; Davidson, Charles J; Flaherty, James D; Park, Duk-Woo; Mediratta, Anuj; Pieper, Karen; Reyes, Eric; Bonow, Robert O; Park, Seung-Jung; Beohar, Nirat

2010-06-01

We undertook a meta-analysis to assess outcomes for drug-eluting stents (DES) and bare-metal stents (BMS) in percutaneous coronary intervention for unprotected left main coronary artery (ULMCA) stenosis. Uncertainty exists regarding the relative performance of DES versus BMS in percutaneous coronary intervention for unprotected left main coronary stenosis. Of a total of 838 studies, 44 met inclusion criteria (n = 10,342). The co-primary end points were mortality, myocardial infarction (MI), target vessel/lesion revascularization (TVR/TLR), and major adverse cardiac events (MACE: mortality, MI, TVR/TLR). Event rates for DES and BMS were calculated at 6 to 12 months, at 2 years, and at 3 years. Crude event rates at 3 years were mortality (8.8% and 12.7%), MI (4.0% and 3.4%), TVR/TLR (8.0% and 16.4%), and MACE (21.4% and 31.6%). Nine studies were included in a comparative analysis (n = 5,081). At 6 to 12 months the adjusted odds ratio (OR) for DES versus BMS were: mortality 0.94 (95% confidence interval [CI]: 0.06 to 15.48; p = 0.97), MI 0.64 (95% CI: 0.19 to 2.17; p = 0.47), TVR/TLR 0.10 (95% CI: 0.01 to 0.84; p = 0.01), and MACE 0.34 (95% CI: 0.15 to 0.78; p = 0.01). At 2 years, the OR for DES versus BMS were: mortality 0.42 (95% CI: 0.28 to 0.62; p < 0.01), MI 0.16 (95% CI: 0.01 to 3.53; p = 0.13), and MACE 0.31 (95% CI: 0.15 to 0.66; p < 0.01). At 3 years, the OR for DES versus BMS were: mortality 0.70 (95% CI: 0.53 to 0.92; p = 0.01), MI 0.49 (95% CI: 0.26 to 0.92; p = 0.03), TVR/TLR 0.46 (95% CI: 0.30 to 0.69; p < 0.01), and MACE 0.78 (95% CI: 0.57 to 1.07; p = 0.12). Our meta-analysis suggests that DES is associated with favorable outcomes for mortality, MI, TVR/TLR, and MACE as compared to BMS in percutaneous coronary intervention for unprotected left main coronary artery stenosis. Copyright 2010 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

A Discrete Event Simulation Model of Patient Flow in a General Hospital Incorporating Infection Control Policy for Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE).

PubMed

Shenoy, Erica S; Lee, Hang; Ryan, Erin E; Hou, Taige; Walensky, Rochelle P; Ware, Winston; Hooper, David C

2018-02-01

Hospitalized patients are assigned to available staffed beds based on patient acuity and services required. In hospitals with double-occupancy rooms, patients must be additionally matched by gender. Patients with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus (VRE) must be bedded in single-occupancy rooms or cohorted with other patients with similar MRSA/VRE flags. We developed a discrete event simulation (DES) model of patient flow through an acute care hospital. Patients are matched to beds based on acuity, service, gender, and known MRSA/VRE colonization. Outcomes included time to bed arrival, length of stay, patient-bed acuity mismatches, occupancy, idle beds, acuity-related transfers, rooms with discordant MRSA/VRE colonization, and transmission due to discordant colonization. Observed outcomes were well-approximated by model-generated outcomes for time-to-bed arrival (6.7 v. 6.2 to 6.5 h) and length of stay (3.3 v. 2.9 to 3.0 days), with overlapping 90% coverage intervals. Patient-bed acuity mismatches, where patient acuity exceeded bed acuity and where patient acuity was lower than bed acuity, ranged from 0.6 to 0.9 and 8.6 to 11.1 mismatches per h, respectively. Values for observed occupancy, total idle beds, and acuity-related transfers compared favorably to model-predicted values (91% v. 86% to 87% occupancy, 15.1 v. 14.3 to 15.7 total idle beds, and 27.2 v. 22.6 to 23.7 transfers). Rooms with discordant colonization status and transmission due to discordance were modeled without an observed value for comparison. One-way and multi-way sensitivity analyses were performed for idle beds and rooms with discordant colonization. We developed and validated a DES model of patient flow incorporating MRSA/VRE flags. The model allowed for quantification of the substantial impact of MRSA/VRE flags on hospital efficiency and potentially avoidable nosocomial transmission.

Reactive transport modeling of uranium 238 and radium 226 in groundwater of the Königstein uranium mine, Germany

NASA Astrophysics Data System (ADS)

Nitzsche, O.; Merkel, B.

Knowledge of the transport behavior of radionuclides in groundwater is needed for both groundwater protection and remediation of abandoned uranium mines and milling sites. Dispersion, diffusion, mixing, recharge to the aquifer, and chemical interactions, as well as radioactive decay, should be taken into account to obtain reliable predictions on transport of primordial nuclides in groundwater. This paper demonstrates the need for carrying out rehabilitation strategies before closure of the Königstein in-situ leaching uranium mine near Dresden, Germany. Column experiments on drilling cores with uranium-enriched tap water provided data about the exchange behavior of uranium. Uranium breakthrough was observed after more than 20 pore volumes. This strong retardation is due to the exchange of positively charged uranium ions. The code TReAC is a 1-D, 2-D, and 3-D reactive transport code that was modified to take into account the radioactive decay of uranium and the most important daughter nuclides, and to include double-porosity flow. TReAC satisfactorily simulated the breakthrough curves of the column experiments and provided a first approximation of exchange parameters. Groundwater flow in the region of the Königstein mine was simulated using the FLOWPATH code. Reactive transport behavior was simulated with TReAC in one dimension along a 6000-m path line. Results show that uranium migration is relatively slow, but that due to decay of uranium, the concentration of radium along the flow path increases. Results are highly sensitive to the influence of double-porosity flow. Résumé La protection des eaux souterraines et la restauration des sites miniers et de prétraitement d'uranium abandonnés nécessitent de connaître le comportement des radionucléides au cours de leur transport dans les eaux souterraines. La dispersion, la diffusion, le mélange, la recharge de l'aquifère et les interactions chimiques, de même que la décroissance radioactive, doivent être prises en compte pour obtenir des prédictions fiables concernant le transport des nucléides primaires dans les eaux souterraines. Ce papier montre la nécessité d'établir des stratégies de réhabilitation avant la fermeture de la mine d'uranium de Knigstein, près de Dresde (Allemagne). Des expériences de lessivage en colonne sur des carottes avec de l'eau enrichie en uranium fournissent des données sur le comportement de l'échange de l'uranium. La restitution de l'uranium a été observée après un lessivage par un volume supérieur à 20 fois celui des pores. Ce fort retard est dûà l'échange d'ions uranium positifs. Le code TReAC est un code de transport réactif en 1D, 2D et 3D, qui a été modifié pour prendre en compte la décroissance radioactive de l'uranium et les principaux nucléides descendants, et pour introduire l'écoulement dans un milieu à double porosité. TReAC a simulé de façon satisfaisante les courbes de restitution des expériences sur colonne et a fourni une première approche des paramètres de l'échange. L'écoulement souterrain dans la région de la mine de Knigstein a été simulé au moyen du code FLOWPATH. Le comportement du transport réactif a été simulé avec TReAC en une dimension, le long d'un axe d'écoulement long de 6000 m. Les résultats montrent que la migration de l'uranium est relativement lente ; mais du fait de la décroissance radioactive de l'uranium, la concentration en radium le long de cet axe augmente. Les résultats sont très sensibles à l'influence de l'écoulement en milieu à double porosité.

Mouse hypospadias: A critical examination and definition.

PubMed

Sinclair, Adriane Watkins; Cao, Mei; Shen, Joel; Cooke, Paul; Risbridger, Gail; Baskin, Laurence; Cunha, Gerald R

2016-12-01

Hypospadias is a common malformation whose etiology is based upon perturbation of normal penile development. The mouse has been previously used as a model of hypospadias, despite an unacceptably wide range of definitions for this malformation. The current paper presents objective criteria and a definition of mouse hypospadias. Accordingly, diethylstilbestrol (DES) induced penile malformations were examined at 60 days postnatal (P60) in mice treated with DES over the age range of 12 days embryonic to 20 days postnatal (E12-P20). DES-induced hypospadias involves malformation of the urethral meatus, which is most severe in DES E12-P10, DES P0-P10 and DES P5-P15 groups, and less so or absent in the other treatment groups. A frenulum-like ventral tether between the penis and the prepuce was seen in the most severely affected DES-treated mice. Internal penile morphology was also altered in the DES E12-P10, DES P0-P10 and DES P5-P15 groups (with little effect in the other DES treatment groups). Thus, adverse effects of DES are a function of the period of DES treatment and most severe in the P0-P10 period. In "estrogen mutant mice" (NERKI, βERKO, αERKO and AROM+) hypospadias was only seen in AROM+ male mice having genetically-engineered elevation is serum estrogen. Significantly, mouse hypospadias was only seen distally at and near the urethral meatus where epithelial fusion events are known to take place and never in the penile midshaft, where urethral formation occurs via an entirely different morphogenetic process. Copyright © 2016 International Society of Differentiation. Published by Elsevier B.V. All rights reserved.

Verona Coding Definitions of Emotional Sequences (VR-CoDES): Conceptual framework and future directions.

PubMed

Piccolo, Lidia Del; Finset, Arnstein; Mellblom, Anneli V; Figueiredo-Braga, Margarida; Korsvold, Live; Zhou, Yuefang; Zimmermann, Christa; Humphris, Gerald

2017-12-01

To discuss the theoretical and empirical framework of VR-CoDES and potential future direction in research based on the coding system. The paper is based on selective review of papers relevant to the construction and application of VR-CoDES. VR-CoDES system is rooted in patient-centered and biopsychosocial model of healthcare consultations and on a functional approach to emotion theory. According to the VR-CoDES, emotional interaction is studied in terms of sequences consisting of an eliciting event, an emotional expression by the patient and the immediate response by the clinician. The rationale for the emphasis on sequences, on detailed classification of cues and concerns, and on the choices of explicit vs. non-explicit responses and providing vs. reducing room for further disclosure, as basic categories of the clinician responses, is described. Results from research on VR-CoDES may help raise awareness of emotional sequences. Future directions in applying VR-CoDES in research may include studies on predicting patient and clinician behavior within the consultation, qualitative analyses of longer sequences including several VR-CoDES triads, and studies of effects of emotional communication on health outcomes. VR-CoDES may be applied to develop interventions to promote good handling of patients' emotions in healthcare encounters. Copyright © 2017 Elsevier B.V. All rights reserved.

Comparaison des théories des mouvements des satellites de Saturne avec des observations de phénomènes.

NASA Astrophysics Data System (ADS)

Thuillot, W.; Arlot, J.-E.; Colas, F.; Berthier, J.; Vu, D. T.; Descamps, P.; Ruatti, C.

As every fifteen years, phenomena occurred among the Saturnian system of satellites in 1995. Because the Sun and Earth passed through the equatorial plane of the planet which is close to the orbital planes of its main satellites, eclipses and occultations by Saturn occur as well as eclipses and occultations of a satellite by another. These phenomena lead to accurate astrometric observations; therefore the authors organized an international campaign to observe them. At the present time, they have collected one hundred of such mutual events and have analyzed half of them. In this preliminar analysis they got precisions of 0″048 by comparing the observed data either with the Dourneau's theory or with the Vienne and Duriez TASS theory.

Advantages and disadvantages of biodegradable platforms in drug eluting stents.

PubMed

Rodriguez-Granillo, Agustina; Rubilar, Bibiana; Rodriguez-Granillo, Gaston; Rodriguez, Alfredo E

2011-03-26

Coronary angioplasty with drug-eluting stent (DES) implantation is currently the most common stent procedure worldwide. Since the introduction of DES, coronary restenosis as well as the incidence of target vessel and target lesion revascularization have been significantly reduced. However, the incidence of very late stent thrombosis beyond the first year after stent deployment has more commonly been linked to DES than to bare-metal stent (BMS) implantation. Several factors have been associated with very late stent thrombosis after DES implantation, such as delayed healing, inflammation, stent mal-apposition and endothelial dysfunction. Some of these adverse events were associated with the presence of durable polymers, which were essential to allow the elution of the immunosuppressive drug in the first DES designs. The introduction of erodable polymers in DES technology has provided the potential to complete the degradation of the polymer simultaneously or immediately after the release of the immunosuppressive drug, after which a BMS remains in place. Several DES designs with biodegradable (BIO) polymers have been introduced in preclinical and clinical studies, including randomized trials. In this review, we analyze the clinical results from 6 observational and randomized studies with BIO polymers and discuss advantages and disadvantages of this new technology.

Medical therapy v. PCI in stable coronary artery disease: a cost-effectiveness analysis.

PubMed

Wijeysundera, Harindra C; Tomlinson, George; Ko, Dennis T; Dzavik, Vladimir; Krahn, Murray D

2013-10-01

Percutaneous coronary intervention (PCI) with either drug-eluting stents (DES) or bare metal stents (BMS) reduces angina and repeat procedures compared with optimal medical therapy alone. It remains unclear if these benefits are sufficient to offset their increased costs and small increase in adverse events. Cost utility analysis of initial medical therapy v. PCI with either BMS or DES. . Markov cohort decision model. Data Sources. Propensity-matched observational data from Ontario, Canada, for baseline event rates. Effectiveness and utility data obtained from the published literature, with costs from the Ontario Case Costing Initiative. Patients with stable coronary artery disease, confirmed after angiography, stratified by risk of restenosis based on diabetic status, lesion size, and lesion length. Time Horizon. Lifetime. Perspective. Ontario Ministry of Health and Long Term Care. Interventions. Optimal medical therapy, PCI with BMS or DES. Lifetime costs, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio (ICER). of Base Case Analysis. In the overall population, medical therapy had the lowest lifetime costs at $22,952 v. $25,081 and $25,536 for BMS and DES, respectively. Medical therapy had a quality-adjusted life expectancy of 10.1 v. 10.26 QALYs for BMS, producing an ICER of $13,271/QALY. The DES strategy had a quality-adjusted life expectancy of only 10.20 QALYs and was dominated by the BMS strategy. This ranking was consistent in all groups stratified by restenosis risk, except diabetic patients with long lesions in small arteries, in whom DES was cost-effective compared with medical therapy (ICER of $18,826/QALY). Limitations. There is the possibility of residual unobserved confounding. In patients with stable coronary artery disease, an initial BMS strategy is cost-effective.

Current State of Bioabsorbable Polymer-Coated Drug-Eluting Stents

PubMed Central

Akinapelli, Abhilash; Chen, Jack P.; Roy, Kristine; Donnelly, Joseph; Dawkins, Keith; Huibregtse, Barbara; Hou, Dongming

2017-01-01

Drug-eluting stents (DES) have been shown to significantly reduce clinical and angiograph-ic restenosis compared to bare metal stents (BMS). The polymer coatings on DES elute antiproliferative drugs to inhibit intimal proliferation and prevent restenosis after stent implantation. Permanent poly-mers which do not degrade in vivo may increase the likelihood of stent-related delayed arterial healing or polymer hypersensitivity. In turn, these limitations may contribute to an increased risk of late clinical events. Intuitively, a polymer which degrades after completion of drug release, leaving an inert metal scaffold in place, may improve arterial healing by removing a chronic source of inflammation, neoath-erosclerosis, and/or late thrombosis. In this way, a biodegradable polymer may reduce late ischemic events. Additionally, improved healing after stent implantation could reduce the requirement for long-term dual antiplatelet therapy and the associated risk of bleeding and cost. This review will focus on bioabsorbable polymer-coated DES currently being evaluated in clinical trials.

Integrating Occupational Characteristics into Human Performance Models: IPME Versus ISMAT Approach

DTIC Science & Technology

2009-08-01

modélisation générique de la performance humaine appelé Integrated Performance Modelling Environment (IPME). Ce projet a permis d’explorer l’utilisation de la...groupes professionnels dans des modèles de performance humaine : l’approche IPME et l’approche ISMAT Par Christy Lorenzen; RDDC RC 2009-059; R & D...application de simulation d’événements discrets disponible sur le marché et servant à développer des modèles qui simulent la performance humaine et de

Large Eddy Simulation of Flow in Turbine Cascades Using LESTool and UNCLE Codes

NASA Technical Reports Server (NTRS)

Huang, P. G.

2004-01-01

During the period December 23,1997 and December August 31,2004, we accomplished the development of 2 CFD codes for DNS/LES/RANS simulation of turbine cascade flows, namely LESTool and UNCLE. LESTool is a structured code making use of 5th order upwind differencing scheme and UNCLE is a second-order-accuracy unstructured code. LESTool has both Dynamic SGS and Spalart's DES models and UNCLE makes use of URANS and DES models. The current report provides a description of methodologies used in the codes.

Large Eddy Simulation of Flow in Turbine Cascades Using LEST and UNCLE Codes

NASA Technical Reports Server (NTRS)

Ashpis, David (Technical Monitor); Huang, P. G.

2004-01-01

During the period December 23, 1997 and December August 31, 2004, we accomplished the development of 2 CFD codes for DNS/LES/RANS simulation of turbine cascade flows, namely LESTool and UNCLE. LESTool is a structured code making use of 5th order upwind differencing scheme and UNCLE is a second-order-accuracy unstructured code. LESTool has both Dynamic SGS and Sparlart's DES models and UNCLE makes use of URANS and DES models. The current report provides a description of methodologies used in the codes.

Application d'une technique de modelisation aerodynamique conceptuelle sur la simulation d'un pilote automatique a commande optimale pour un avion d'affaires

NASA Astrophysics Data System (ADS)

Pollender-Moreau, Olivier

Ce document présente, dans le cadre d'un contexte conceptuel, une méthode d'enchaînement servant à faire le lien entre les différentes étapes qui permettent de réaliser la simulation d'un aéronef à partir de ses données géométriques et de ses propriétés massiques. En utilisant le cas de l'avion d'affaires Hawker 800XP de la compagnie Hawker Beechcraft, on démontre, via des données, un processus de traitement par lots et une plate-forme de simulation, comment (1) modéliser la géométrie d'un aéronef en plusieurs surfaces, (2) calculer les forces aérodynamiques selon une technique connue sous le nom de Vortex Lattice Method, (3) construire un modèle de vol servant à la simulation des aéronefs pour leur enveloppe de vol en ajoutant des fonctions supplémentaires, (4) construire un modèle de turbosoufflante simplifié, (5) développer un algorithme d'équilibre (trim) du mouvement longitudinal, (6) développer des algorithmes de contrôle à commande moderne, (7) développer certaines fonctions d'un système de pilotage automatique, et (8) rassembler le tout sous une même plate-forme de simulation. Afin de supporter ce travail, une application publique Matlab, connue sous le nom de Tornado, est utilisée conjointement avec d'autres fonctions pour la conception du modèle de vol aérodynamique. D'ailleurs, il sera démontré que le modèle de vol, quoiqu'il soit quand même crédible, ne concorde pas tout à fait avec les données de référence. Par contre, puisque le modèle des moteurs fonctionne bien, que l'algorithme d'équilibrage du mouvement longitudinal fonctionne bien et que les pôles des systèmes dynamiques concordent avec la littérature, les tests dynamiques effectués au sein de la plate-forme de simulation permettent d'obtenir des résultats fonctionnels et crédibles. D'ailleurs, deux systèmes d'augmentation de la stabilité basés sur la méthode de contrôle moderne LQR et couvrant l'enveloppe de vol de l'aéronef via un système d'ordonnancement des gains sont implémentés respectivement selon les mouvements longitudinal et latéral. Ces fonctions fonctionnent bien et permettent de rencontrer les qualités de vol requises pour un avion d'affaires. Finalement, certaines fonctions concernant un système de pilotage automatique sont implémentées. Dans le cas du mouvement latéral, ces fonctions sont basées sur les méthodes de contrôle modernes et couvrent la totalité de l'enveloppe de vol; mais en ce qui concerne le mouvement longitudinal, elles sont basées sur des algorithmes d'équilibre difficile à gérer pour implémenter sur toute l'enveloppe de vol, c'est pourquoi les tests présentés sont limités à des scénarios bien précis. Dans les deux cas, les essais effectués donnent d'assez bons résultats.

Numerical Simulation of Adaptive Control Applicaton to Unstable Solid Rocket Motors

DTIC Science & Technology

2001-06-01

la Technologie des Lanceurs "Vi- Sciences Meeting & Exhibit, Reno, Jan. 15-18. bration des Lanceurs , Toulouse", 1999. AIAA Paper 96-0759, 1996. 7-8...Schmidt. Some recent de- in the presence of pipeline acoustic resonance. velopments in numerical methods for transonic J. Fluids and Structures ., 5:207

[Management of the cardiovascular disease risk during nilotinib treatment in chronic myeloid leukemia: 2015 recommendations from the France Intergroupe des Leucémies Myéloïdes Chroniques].

PubMed

Rea, Delphine; Ame, Shanti; Charbonnier, Aude; Coiteux, Valérie; Cony-Makhoul, Pascale; Escoffre-Barbe, Martine; Etienne, Gabriel; Gardembas, Martine; Guerci-Bresler, Agnès; Legros, Laurence; Nicolini, Franck; Tulliez, Michel; Hermet, Eric; Huguet, Françoise; Johnson-Ansah, Hyacinthe; Lapusan, Simona; Quittet, Philippe; Rousselot, Philippe; Mahon, François-Xavier; Messas, Emmanuel

2016-02-01

Tyrosine kinase inhibitors targeting the BCR-ABL oncoprotein represent an outstanding progress in chronic myeloid leukemia and long-term progression-free survival has become a reality for a majority of patients. However, tyrosine kinase inhibitors may at best chronicize rather than cure the disease thus current recommendation is to pursue treatment indefinitely. As a consequence, high quality treatment and care must integrate optimal disease control and treatment tolerability. Tyrosine kinase inhibitors have an overall favorable safety profile in clinical practice since most adverse events are mild to moderate in intensity. However, recent evidence has emerged that new generation tyrosine kinase inhibitors may sometimes damage vital organs and if not adequately managed, morbidity and mortality may increase. The 2nd generation tyrosine kinase inhibitor nilotinib is licensed for the treatment of chronic myeloid leukemia with resistance or intolerance to imatinib and newly diagnosed chronic phase-chronic myeloid leukemia. Nilotinib represents an important therapeutic option but it is associated with an increased risk of cardiovascular events. The purpose of this article by the France Intergroupe des Leucémies Myéloïdes Chroniques is to provide an overview of nilotinib efficacy and cardiovascular safety profile and to propose practical recommendations with the goal to minimize the risk and severity of cardiovascular events in nilotinib-treated patients. Copyright © 2015 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pluquet, Alain

Cette théetudie les techniques d'identication de l'electron dans l'experience D0 au laboratoire Fermi pres de Chicago Le premier chapitre rappelle quelques unes des motivations physiques de l'experience physique des jets physique electrofaible physique du quark top Le detecteur D0 est decrit en details dans le second chapitre Le troisieme cha pitre etudie les algorithmes didentication de lelectron trigger reconstruction ltres et leurs performances Le quatrieme chapitre est consacre au detecteur a radiation de transition TRD construit par le Departement dAstrophysique Physique des Particules Physique Nucleaire et dInstrumentation Associee de Saclay il presente son principe sa calibration et ses performances Ennmore » le dernier chapitre decrit la methode mise au point pour lanalyse des donnees avec le TRD et illustre son emploi sur quelques exemples jets simulant des electrons recherche du quark top« less

Molecular diffusion in disordered interfacial media as probed by pulsed field gradients and nuclear magnetic relaxation dispersion

NASA Astrophysics Data System (ADS)

Levitz, P.; Korb, J.-P.; Bryant, R. G.

1999-10-01

We address the question of probing the fluid dynamics in disordered interfacial media by Pulsed field gradient (PFG) and Magnetic relaxation dispersion (MRD) techniques. We show that the PFG method is useful to separate the effects of morphology from the connectivity in disordered macroporous media. We propose simulations of molecular dynamics and spectral density functions, J(ω), in a reconstructed mesoporous medium for different limiting conditions at the pore surface. An algebraic form is found for J(ω) in presence of a surface diffusion and a local exploration of the pore network. A logarithmic form of J(ω) is found in presence of a pure surface diffusion. We present magnetic relaxation dispersion experiments (MRD) for water and acetone in calibrated mesoporous media to support the main results of our simulations and theories. Nous présentons les avantages respectifs des méthodes de gradients de champs pulsés (PFG) et de relaxation magnétique nucléaire en champs cyclés (MRD) pour sonder la dynamique moléculaire dans les milieux interfaciaux désordonnés. La méthode PFG est utile pour séparer la morphologie et la connectivité dans des milieux macroporeux. Des simulations de diffusion moléculaire et de densité spectrale J(ω) en milieux mésoporeux sont présentées dans différentes conditions limites aux interfaces des pores. Nous trouvons une forme de dispersion algébrique de J(ω) pour une diffusion de surface assistée d'une exploration locale du réseau de pores et une forme logarithmique dans le cas d'une simple diffusion de surface. Les résultats expérimentaux de la méthode MRD pour de l'eau et de l'acétone dans des milieux mésoporeux calibrés supportent les résultats principaux de nos simulations et théories.

Monte Carlo simulation of simultaneous radiation detection in the hybrid tomography system ClearPET-XPAD3/CT

NASA Astrophysics Data System (ADS)

Dávila, H. Olaya; Sevilla, A. C.; Castro, H. F.; Martínez, S. A.

2016-07-01

Using the Geant4 based simulation framework SciFW1, a detailed simulation was performed for a detector array in the hybrid tomography prototype for small animals called ClearPET / XPAD, which was built in the Centre de Physique des Particules de Marseille. The detector system consists of an array of phoswich scintillation detectors: LSO (Lutetium Oxy-ortosilicate doped with cerium Lu2SiO5:Ce) and LuYAP (Lutetium Ortoaluminate of Yttrium doped with cerium Lu0.7Y0.3AlO3:Ce) for Positron Emission Tomography (PET) and hybrid pixel detector XPAD for Computed Tomography (CT). Simultaneous acquisition of deposited energy and the corresponding time - position for each recorded event were analyzed, independently, for both detectors. interference between detection modules for PET and CT. Information about amount of radiation reaching each phoswich crystal and XPAD detector using a phantom in order to study the effectiveness by radiation attenuation and influence the positioning of the radioactive source 22Na was obtained. The simulation proposed will improve distribution of detectors rings and interference values will be taken into account in the new versions of detectors.

Hydrodynamic model of cells for designing systems of urban groundwater drainage

NASA Astrophysics Data System (ADS)

Zimmermann, Eric; Riccardi, Gerardo

2000-08-01

An improved mathematical hydrodynamic quasi-two-dimensional model of cells, CELSUB3, is presented for simulating drainage systems that consist of pumping well fields or subsurface drains. The CELSUB3 model is composed of an assemblage of algorithms that have been developed and tested previously and that simulate saturated flow in porous media, closed conduit flow, and flow through pumping stations. A new type of link between aquifer cells and drainage conduits is proposed. This link is verified in simple problems with well known analytical solutions. The correlation between results from analytical and mathematical solutions was considered satisfactory in all cases. To simulate more complex situations, the new proposed version, CELSUB3, was applied in a project designed to control the water-table level within a sewer system in Chañar Ladeado Town, Santa Fe Province, Argentina. Alternative drainage designs, which were evaluated under conditions of dynamic recharge caused by rainfall in a critical year (wettest year for the period of record) and a typical year, are briefly described. After analyzing ten alternative designs, the best technical-economic solution is a subsurface drainage system of closed conduits with pumping stations and evacuation channels. Résumé. Un modèle hydrodynamique perfectionné de cellules en quasi 2D, CELSUB3, est présenté dans le but de simuler des systèmes de drainage qui consistent en des champs de puits de pompage ou de drains souterrains. Le modèle CELSUB3 est composé d'un assemblage d'algorithmes développés et testés précédemment et qui simulent des écoulements en milieu poreux saturé, en conduites et dans des stations de pompage. Un nouveau type de lien entre des cellules d'aquifères et des drains est proposé. Ce lien est vérifié dans des problèmes simples dont les solutions analytiques sont bien connues. La corrélation entre les résultats des solutions analytiques et des solutions mathématiques a été considérée comme satisfaisante dans tous les cas. Afin de simuler des situations plus complexes, la nouvelle version proposée, CELSUB3, a été mise en œuvre dans un projet destiné à contrôler le niveau de la nappe à l'intérieur d'un système d'égouts, dans la ville de Chaar Ladeado (province de Santa Fe, Argentine). Différentes organisations du projet de drainage, qui ont été testées pour des conditions de recharge dynamique causées par la pluie au cours d'une année critique (la plus humide de la chronique disponible) et une année typique, sont brièvement décrites. Après analyse de dix organisations différentes, la meilleure solution technico-économique retenue est un système de drainage souterrain de conduites avec des stations de pompage et des canaux d'évacuation. Resumen. Se presenta un modelo matemático hidrodinámico cuasi-bidimensional de celdas, CELSUB3, apto para la simulación integral de sistemas de drenaje subterráneo basados en campos de bombeo o drenes subsuperficiales. El modelo de simulación presenta un ensamble de algoritmos, previamente desarrollados y testeados, que representan al escurrimiento a través del medio poroso saturado, escurrimiento en conducciones cerradas, estaciones de bombeo, etc. En la estructura del modelo se propone un nuevo tipo de vinculación entre celdas acuíferas y conductos de drenaje, la cual es verificada en problemas simples con solución analítica conocida arrojando, en todos los casos, resultados satisfactorios. Abordando situaciones más complejas, la nueva versión propuesta fue aplicada en un proyecto de control de niveles freáticos que acompaña un sistema de conductos cloacales, en la localidad de Chañar Ladeado, Santa Fe, Argentina. Se describen las alternativas de drenaje consideradas las cuales fueron evaluadas bajo recargas dinámicas provocadas por años críticamente lluviosos y en situaciones típicas. Los resultados derivados permitieron definir, tras analizar una decena de proyectos alternativos, la mejor solución técnico-económica consistente en un sistema de drenes subterráneos, estaciones de bombeo y canales de evacuación.

Optimisation thermique de moules d'injection construits par des processus génératifs

NASA Astrophysics Data System (ADS)

Boillat, E.; Glardon, R.; Paraschivescu, D.

2002-12-01

Une des potentialités les plus remarquables des procédés de production génératifs, comme le frittage sélectif par laser, est leur capacité à fabriquer des moules pour l'injection plastique équipés directement de canaux de refroidissement conformes, parfaitement adaptés aux empreintes Pour que l'industrie de l'injection puisse tirer pleinement parti de cette nouvelle opportunité, il est nécessaire de mettre à la disposition des moulistes des logiciels de simulation capables d'évaluer les gains de productivité et de qualité réalisables avec des systèmes de refroidissement mieux adaptés. Ces logiciels devraient aussi être capables, le cas échéant, de concevoir le système de refroidissement optimal dans des situations où l'empreinte d'injection est complexe. Devant le manque d'outils disponibles dans ce domaine, le but de cet article est de proposer un modèle simple de moules d'injection. Ce modèle permet de comparer différentes stratégies de refroidissement et peut être couplé avec un algorithme d'optimisation.

Methodes de caracterisation des proprietes thermomecaniques d'un acier martensitique =

NASA Astrophysics Data System (ADS)

Ausseil, Lucas

Le but de l'etude est de developper des methodes permettant de mesurer les proprietes thermomecaniques d'un acier martensitique lors de chauffe rapide. Ces donnees permettent d'alimenter les modeles d'elements finis existant avec des donnees experimentales. Pour cela, l'acier 4340 est utilise. Cet acier est notamment utilise dans les roues d'engrenage, il a des proprietes mecaniques tres interessantes. Il est possible de modifier ses proprietes grâce a des traitements thermiques. Le simulateur thermomecanique Gleeble 3800 est utilise. Il permet de tester theoriquement toutes les conditions presentes dans les procedes de fabrication. Avec les tests de dilatation realises dans ce projet, les temperatures exactes de changement de phases austenitiques et martensitiques sont obtenues. Des tests de traction ont aussi permis de deduire la limite d'elasticite du materiau dans le domaine austenitique allant de 850 °C a 1100 °C. L'effet des deformations sur la temperature de debut de transformation est montre qualitativement. Une simulation numerique est aussi realisee pour comprendre les phenomenes intervenant pendant les essais.

Models for Aircrew Safety Assessment: Uses, Limitations and Requirements (la Modelisation des conditions de securite des equipages: applications, limitations et cahiers des charges)

DTIC Science & Technology

1999-08-01

immediately, re- ducing venous return artifacts during the first beat of the simulation. tn+1 - W+ on c+ / \\ W_ on c_ t 1 Xi-l Xi+1 Figure 4...s) Figure 5: The effect of network complexity. The aortic pressure is shown in Figure 5 during the fifth beat for the networks with one and three...Mechanical Engineering Department, Uni- versity of Victoria. [19] Huyghe J.M., 1986, "Nonlinear Finite Element Models of The Beating Left

Precision matrix expansion - efficient use of numerical simulations in estimating errors on cosmological parameters

NASA Astrophysics Data System (ADS)

Friedrich, Oliver; Eifler, Tim

2018-01-01

Computing the inverse covariance matrix (or precision matrix) of large data vectors is crucial in weak lensing (and multiprobe) analyses of the large-scale structure of the Universe. Analytically computed covariances are noise-free and hence straightforward to invert; however, the model approximations might be insufficient for the statistical precision of future cosmological data. Estimating covariances from numerical simulations improves on these approximations, but the sample covariance estimator is inherently noisy, which introduces uncertainties in the error bars on cosmological parameters and also additional scatter in their best-fitting values. For future surveys, reducing both effects to an acceptable level requires an unfeasibly large number of simulations. In this paper we describe a way to expand the precision matrix around a covariance model and show how to estimate the leading order terms of this expansion from simulations. This is especially powerful if the covariance matrix is the sum of two contributions, C = A+B, where A is well understood analytically and can be turned off in simulations (e.g. shape noise for cosmic shear) to yield a direct estimate of B. We test our method in mock experiments resembling tomographic weak lensing data vectors from the Dark Energy Survey (DES) and the Large Synoptic Survey Telescope (LSST). For DES we find that 400 N-body simulations are sufficient to achieve negligible statistical uncertainties on parameter constraints. For LSST this is achieved with 2400 simulations. The standard covariance estimator would require >105 simulations to reach a similar precision. We extend our analysis to a DES multiprobe case finding a similar performance.

Cost-effectiveness analysis of biodegradable polymer versus durable polymer drug-eluting stents incorporating real-world evidence.

PubMed

Teng, Monica; Zhao, Ying Jiao; Khoo, Ai Leng; Ananthakrishna, Rajiv; Yeo, Tiong Cheng; Lim, Boon Peng; Chan, Mark Y; Loh, Joshua P

2018-06-05

Compared with second-generation durable polymer drug-eluting stents (DP-DES), the cost-effectiveness of biodegradable polymer drug-eluting stents (BP-DES) remains unclear in the real-world setting. We assessed the cost-effectiveness of BP-DES in patients with coronary artery disease undergoing percutaneous coronary intervention (PCI). We developed a decision-analytic model to compare the cost-effectiveness of BP-DES to DP-DES over one year and five years from healthcare payer perspective. Relative treatment effects during the first year post-PCI were obtained from a real-world population analysis while clinical event risks in the subsequent four years were derived from a meta-analysis of published studies. At one year, based on the clinical data analysis of 497 propensity-score matched pairs of patients, BP-DES were associated with an incremental cost-effectiveness ratio (ICER) of USD20,503 per quality-adjusted life-year (QALY) gained. At five years, BP-DES yielded an ICER of USD4,062 per QALY gained. At the willingness-to-pay threshold of USD50,400 (one gross domestic product per capita in Singapore in 2015), BP-DES were cost-effective. Sensitivity analysis showed that the cost of stents had a significant impact on the cost-effectiveness of BP-DES. Threshold analysis demonstrated that if the cost difference between BP-DES and DP-DES exceeded USD493, BP-DES would not be cost-effective in patients with one-year of follow-up. BP-DES were cost-effective compared with DP-DES in patients with coronary artery disease at one year and five years after PCI. It is worth noting that the cost of stents had a significant impact on the findings. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Mise au point du rheometre a cisaillement annulaire pour l'etude de rheologie d'un mastic bitumineux avec verre incorpore =

NASA Astrophysics Data System (ADS)

El Mansouri, Souleimane

Dans le domaine viscoelastique lineaire (VEL, domaine des petites deformations), le comportement thermomecanique du bitume et du mastic bitumineux (melange uniforme de bitume et de fillers) a ete caracterise au Laboratoire des Chaussees et Materiaux Bitumineux (LCMB) de l'Ecole de technologie superieure (ETS) avec l'appui de nos partenaires externes : la Societe des Alcools du Quebec (SAQ) et Eco Entreprises Quebec (EEQ). Les proprietes rheologiques des bitumes et des mastics ont ete mesurees grâce a un nouvel outil d'investigation appele, Rheometre a Cisaillement Annulaire (RCA), sous differentes conditions de chargement. Cet appareil permet non seulement de solliciter des eprouvettes de tailles importantes par rapport a celles utilisees lors des essais classiques, mais aussi d'effectuer des essais en conditions quasi-homogenes, ce qui permet de donner acces a la loi de comportement des materiaux. Les essais sont realises sur une large gamme de temperatures et de frequences (de -15 °C a 45°C et de 0,03Hz a 10 Hz). Cette etude a ete menee principalement pour comparer le comportement d'un bitume avec celui d'un mastic bitumineux dans le domaine des petites deformations. neanmoins, dans une seconde perspective, on s'interesse a l'influence des fillers de verre de post-consommation sur le comportement d'un mastic a faibles niveaux de deformations en comparant l'evolution des modules complexes de cisaillements (G*) d'un mastic avec fillers de verre et un mastic avec fillers conventionnels (calcaire). Enfin, le modele analogique 2S2P1D est utilise pour simuler le comportement viscoelastique lineaire des bitumes et des mastics bitumineux testes lors de la campagne experimentale.

Advances in Rotor Performance and Turbulent Wake Simulation Using DES and Adaptive Mesh Refinement

NASA Technical Reports Server (NTRS)

Chaderjian, Neal M.

2012-01-01

Time-dependent Navier-Stokes simulations have been carried out for a rigid V22 rotor in hover, and a flexible UH-60A rotor in forward flight. Emphasis is placed on understanding and characterizing the effects of high-order spatial differencing, grid resolution, and Spalart-Allmaras (SA) detached eddy simulation (DES) in predicting the rotor figure of merit (FM) and resolving the turbulent rotor wake. The FM was accurately predicted within experimental error using SA-DES. Moreover, a new adaptive mesh refinement (AMR) procedure revealed a complex and more realistic turbulent rotor wake, including the formation of turbulent structures resembling vortical worms. Time-dependent flow visualization played a crucial role in understanding the physical mechanisms involved in these complex viscous flows. The predicted vortex core growth with wake age was in good agreement with experiment. High-resolution wakes for the UH-60A in forward flight exhibited complex turbulent interactions and turbulent worms, similar to the V22. The normal force and pitching moment coefficients were in good agreement with flight-test data.

Systematic Biases in Weak Lensing Cosmology with the Dark Energy Survey

DOE Office of Scientific and Technical Information (OSTI.GOV)

Samuroff, Simon

This thesis sets out a practical guide to applying shear measurements as a cosmological tool. We first present one of two science-ready galaxy shape catalogues from Year 1 of the Dark Energy Survey (DES Y1), which covers 1500 square degrees in four bandsmore » $griz$, with a median redshift of $0.59$. We describe the shape measurement process implemented by the DES Y1 imshape catalogue, which contains 21.9 million high-quality $r$-band bulge/disc fits. In Chapter 3 a new suite of image simulations, referred to as Hoopoe, are presented. The Hoopoe dataset is tailored to DES Y1 and includes realistic blending, spatial masks and variation in the point spread function. We derive shear corrections, which we show are robust to changes in calibration method, galaxy binning and variance within the simulated dataset. Sources of systematic uncertainty in the simulation-based shear calibration are discussed, leading to a final estimate of the $$1\\sigma$$ uncertainties in the residual multiplica tive bias after calibration of 0.025. Chapter 4 describes an extension of the analysis on the Hoopoe simulations into a detailed investigation of the impact of galaxy neighbours on shape measurement and shear cosmology. Four mechanisms by which neighbours can have a non-negligible influence on shear measurement are identified. These effects, if ignored, would contribute a net multiplicative bias of $$m \\sim 0.03 - 0.09$$ in DES Y1, though the precise impact will depend on both the measurement code and the selection cuts applied. We use the cosmological inference pipeline of DES Y1 to explore the cosmological implications of neighbour bias and show that omitting blending from the calibration simulation for DES Y1 would bias the inferred clustering amplitude $$S_8 \\equiv \\sigma_8 (\\omegam /0.3)^{0.5}$$ by $$1.5 \\sigma$$ towards low values. Finally, we use the Hoopoe simulations to test the effect of neighbour-induced spatial correlations in the multiplicative bias. We find the cosmo logical impact to be subdominant to statistical error at the! current level of precision. Another major uncertainity in shear cosmology is the accuracy of our ensemble redshift distributions. Chapter 5 presents a numerical investigation into the combined constraining power of cosmic shear, galaxy clustering and their cross-correlation in DES Y1, and the potential for internal calibration of redshift errors. Introducing a moderate uniform bias into the redshift distributions used to model the weak lensing (WL) galaxies is shown to produce a $$> 2\\sigma$$ bias in $$S_8$$. We demonstrate that this cosmological bias can be eliminated by marginalising over redshift error nuisance parameters. Strikingly, the cosmological constraint of the combined dataset is largely undiminished by the loss of prior information on the WL distributions. We demonstrate that this implicit self-calibration is the result of complementary degeneracy directions in the combined data. In Chapter 6 we present the preliminary results of an investigation into galaxy intrin sic alignments. Using the DES Y1 data, we show a clear dependence in alignment amplitude on galaxy type, in agreement with previous results. We subject these findings to a series of initial robustness tests. We conclude with a short overview of the work presented, and discuss prospects for the future.« less

A Discrete Event Simulation Model to Assess the Economic Value of a Hypothetical Pharmacogenomics Test for Statin-Induced Myopathy in Patients Initiating a Statin in Secondary Cardiovascular Prevention.

PubMed

Mitchell, Dominic; Guertin, Jason R; Dubois, Anick; Dubé, Marie-Pierre; Tardif, Jean-Claude; Iliza, Ange Christelle; Fanton-Aita, Fiorella; Matteau, Alexis; LeLorier, Jacques

2018-04-01

Statin (HMG-CoA reductase inhibitor) therapy is the mainstay dyslipidemia treatment and reduces the risk of a cardiovascular (CV) event (CVE) by up to 35%. However, adherence to statin therapy is poor. One reason patients discontinue statin therapy is musculoskeletal pain and the associated risk of rhabdomyolysis. Research is ongoing to develop a pharmacogenomics (PGx) test for statin-induced myopathy as an alternative to the current diagnosis method, which relies on creatine kinase levels. The potential economic value of a PGx test for statin-induced myopathy is unknown. We developed a lifetime discrete event simulation (DES) model for patients 65 years of age initiating a statin after a first CVE consisting of either an acute myocardial infarction (AMI) or a stroke. The model evaluates the potential economic value of a hypothetical PGx test for diagnosing statin-induced myopathy. We have assessed the model over the spectrum of test sensitivity and specificity parameters. Our model showed that a strategy with a perfect PGx test had an incremental cost-utility ratio of 4273 Canadian dollars ($Can) per quality-adjusted life year (QALY). The probabilistic sensitivity analysis shows that when the payer willingness-to-pay per QALY reaches $Can12,000, the PGx strategy is favored in 90% of the model simulations. We found that a strategy favoring patients staying on statin therapy is cost effective even if patients maintained on statin are at risk of rhabdomyolysis. Our results are explained by the fact that statins are highly effective in reducing the CV risk in patients at high CV risk, and this benefit largely outweighs the risk of rhabdomyolysis.

Improving Human Effectiveness Through Embedded Virtual Simulation (Amelioration de l’efficacite humaine grace a la simulation virtuelle integree)

DTIC Science & Technology

2014-01-01

mesurer leur expérience. Le groupe a rencontré des experts des technologies associées : les environnements virtuels, la réalité augmentée, les agents...virtuels, l’entraînement, l’ergonomie et la performance humaine. Les réflexions et conclusions issues de ces réunions et discussions sont résumées dans...en matière de EVS/ET (incluant les caractéristiques de l’utilisateur, la mission et l’environnement) et la gestion de l’entraînement est un

Research Using In Vivo Simulation of Meta-Organizational Shared Decision-making (SDM). Task 4: Modeling of Communication and Decision Functions within a Shared Decision-making (SDM) Framework

DTIC Science & Technology

2011-12-01

la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale 2011, Abstract...modélisation des fonctions de communication et de prise de décision dans le cadre de la prise de décision partagée (PDP) du volet de travail « Recherche par... la simulation in-vivo sur la prise de décision partagée des méta-organisations ». Cette composante du programme

Apport de la simulation numérique à la compréhension des mécanismes d'interaction de cavités dans le cadre de la modélisation de l'endommagement ductile sous sollicitation dynamique

NASA Astrophysics Data System (ADS)

Roy, G.; Buy, F.; Llorca, F.

2002-12-01

L'étude présentée s'inscrit dans le cadre d'une démarche menant à la construction d'un modèle analytique ou semi analytique de comportement élasto-visco-plastique endommageable, applicable aux chargements rencontrés en configuration d'impact violent et générant de l'écaillage ductile. La prise en compte des effets de compressibilité et de micro inertie est essentielle pour modéliser la phase de croissance. Des simulations numériques globales de la structure et locales à l'échelle des hétérogénéités permettent d'évaluer les niveaux de sollicitations dans les zones susceptibles de s'endommager, dévaluer des critères analytiques de germination de l'endommagement et de comprendre les mécanismes d'interaction entre les défauts. Les effets micro inertiels et de compressibilité sont ainsi mis en évidence dans les phases de germination et de coalescence des micro défauts. II s'agit ici d'une illustration non exhaustive de travaux engagés au CEA Valduc sur le tantale, dans le cadre d'une thèse [10]. Un programme matériaux en partenariat CEA-CNRS sur la modélisation multi échelles du comportement de structures a également été initié dans ce contexte.

Detached-Eddy Simulations of Separated Flow Around Wings With Ice Accretions: Year One Report

NASA Technical Reports Server (NTRS)

Choo, Yung K. (Technical Monitor); Thompson, David; Mogili, Prasad

2004-01-01

A computational investigation was performed to assess the effectiveness of Detached-Eddy Simulation (DES) as a tool for predicting icing effects. The AVUS code, a public domain flow solver, was employed to compute solutions for an iced wing configuration using DES and steady Reynolds Averaged Navier-Stokes (RANS) equation methodologies. The configuration was an extruded GLC305/944-ice shape section with a rectangular planform. The model was mounted between two walls so no tip effects were considered. The numerical results were validated by comparison with experimental data for the same configuration. The time-averaged DES computations showed some improvement in lift and drag results near stall when compared to steady RANS results. However, comparisons of the flow field details did not show the level of agreement suggested by the integrated quantities. Based on our results, we believe that DES may prove useful in a limited sense to provide analysis of iced wing configurations when there is significant flow separation, e.g., near stall, where steady RANS computations are demonstrably ineffective. However, more validation is needed to determine what role DES can play as part of an overall icing effects prediction strategy. We conclude the report with an assessment of existing computational tools for application to the iced wing problem and a discussion of issues that merit further study.

Approches pour la reduction de l'impact de defaut dans le transport d'energie du parc eolien offshore via VSC-HVDC =

NASA Astrophysics Data System (ADS)

Benadja, Mounir

Dans ce travail est presente un systeme de generation d'energie d'un parc eolien offshore et un systeme de transport utilisant les stations VSC-HVDC connectees au reseau principal AC onshore. Trois configurations ont ete etudiees, modelisees et validees par simulation. Dans chacune des configurations, des contributions ameliorant les cotes techniques et economiques sont decrites ci-dessous : La premiere contribution concerne un nouvel algorithme MPPT (Maximum Power Point Tracking) utilise pour l'extraction de la puissance maximale disponible dans les eoliennes des parcs offshores. Cette technique d'extraction du MPPT ameliore le rendement energetique de la chaine de conversion des energies renouvelables notamment l'energie eolienne a petite et a grande echelles (parc eolien offshore) qui constitue un probleme pour les constructeurs qui se trouvent confrontes a developper des dispositifs MPPT simples, moins couteux, robustes, fiables et capable d'obtenir un rendement energetique maximal. La deuxieme contribution concerne la reduction de la taille, du cout et de l'impact des defauts electriques (AC et DC) dans le systeme construit pour transporter l'energie d'un parc eolien offshore (OWF) vers le reseau principal AC onshore via deux stations 3L-NPC VSCHVDC. La solution developpee utilise des observateurs non-lineaires bases sur le filtre de Kalman etendu (EKF). Ce filtre permet d'estimer la vitesse de rotation et la position du rotor de chacune des generatrices du parc eolien offshore et de la tension du bus DC de l'onduleur DC-AC offshore et des deux stations 3L-NPC-VSC-HVDC (offshore et onshore). De plus, ce developpement du filtre de Kalman etendu a permis de reduire l'impact des defauts AC et DC. Deux commandes ont ete utilisees, l'une (commande indirect dans le plan abc) avec EKF integre destinee pour controler le convertisseur DC-AC offshore et l'autre (commande d-q) avec EKF integre pour controler les convertisseurs des deux stations AC-DC et DC-AC tout en tenant compte des entrees de chacune des stations. L'integration des observateurs non-lineaires (EKF) dans le controle des convertisseurs permet de resoudre le probleme des incertitudes de mesure, des incertitudes dans la modelisation, en cas du dysfonctionnement ou de panne des capteurs de mesure ainsi que le probleme de l'impact des defauts (AC et DC) sur la qualite d'energie dans les systemes de transmission. Ces estimations contribuent a rendre le cout global du systeme moins cher et sa taille moins encombrante ainsi que la reduction de l'impact des defauts (AC et DC) sur le systeme. La troisieme contribution concerne la reduction de la taille, du cout et de l'impact des defauts electriques (AC et DC) dans le systeme construit pour transporter l'energie d'un parc eolien offshore (OWF) vers le reseau principal AC onshore via deux stations VSC-HVDC. La solution developpee utilise des observateurs non-lineaires bases sur le filtre de Kalman etendu (EKF). Ce filtre permet d'estimer la vitesse de rotation et la position du rotor de chacune des generatrices du parc eolien et de la tension du bus DC de l'onduleur DC-AC offshore. La contribution porte surtout sur le developpement des deux commandes des deux stations. La premiere, la commande non-lineaire modifiee pour controler le premier convertisseur de la station VSC-HVDC offshore assurant le transfert de la puissance generee par le parc eolien vers la station VSC-HVDC onshore. La deuxieme commande non-lineaire modifiee avec integration de la regulation de la tension du bus DC et de la commande a modele de reference adaptative (MRAC) pour la compensation des surintensites et surtensions durant les defauts AC et DC. On peut constater que lors d'un defaut AC au PCC (Point of Common Coupling) du cote reseau onshore, la profondeur de l'impact du defaut AC sur l'amplitude des courants du reseau principal AC onshore qui etait reduit a 60% par les travaux de recherche (Erlich, Feltes et Shewarega, 2014), comparativement a la nouvelle commande proposee MRAC qui reduit la profondeur de l'impact a 35%. Lors de l'apparition des defauts AC et DC, une reduction de l'impact des defauts sur l'amplitude des courants de reseau AC terrestre et du temps de reponse a ete observee et la stabilite du systeme a ete renforcee par l'utilisation de la commande adaptative basee sur le modele de reference MRAC. La quatrieme contribution concerne une nouvelle commande basee sur le mode de glissement (SM) appliquee pour la station VSC-HVDC qui relie le parc eolien offshore (OWF) au reseau principal AC. Ce parc est compose de dix eoliennes basees sur des generatrices synchrones a aimant permanent (VSWT/PMSGs) connectees en parallele et chacune est controlee par son propre convertisseur DC-DC. Une comparaison des performances entre la commande SM et de la commande non-lineaire avec des controleurs PI pour les deux conditions (presence et absence de defaut DC) a ete analysee et montre la superiorite de la commande par SM. Un prototype du systeme etudie a echelle reduite a ete realise et teste au laboratoire GREPCI en utilisant la carte dSPACE-DS1104 pour la validation experimentale. L'analyse et la simulation des systemes etudies sont developpees sous l'environnement Matlab/Simulink/Simpowersystem. Les resultats obtenus a partir des configurations developpees sont valides par simulation et par experimentation. Les performances sont tres satisfaisantes du point de vue reponse dynamique, reponse en regime permanent, stabilite du systeme et qualite de l'energie.

Des Machines pour ecrire (Writing Machines).

ERIC Educational Resources Information Center

Mirande, Corinne

1996-01-01

A variety of formats for writing news articles and announcements on a variety of common topics (current events, cultural events, sports, surveys, interviews, travelogs, and classified advertising) is presented in fill-in-the-blank form. Suggestions are offered for using these formats to teach French usage at all levels. (MSE)

Ajustement statistique des simulations climatiques : l'exemple des précipitations saisonnières de l'Amérique tropicaleStatistical adjustment of simulated climate: example of seasonal rainfall of tropical America.

NASA Astrophysics Data System (ADS)

Moron, Vincent; Navarra, Antonio

2000-05-01

This study presents the skill of the seasonal rainfall of tropical America from an ensemble of three 34-year general circulation model (ECHAM 4) simulations forced with observed sea surface temperature between 1961 and 1994. The skill gives a first idea of the amount of potential predictability if the sea surface temperatures are perfectly known some time in advance. We use statistical post-processing based on the leading modes (extracted from Singular Value Decomposition of the covariance matrix between observed and simulated rainfall fields) to improve the raw skill obtained by simple comparison between observations and simulations. It is shown that 36-55 % of the observed seasonal variability is explained by the simulations on a regional basis. Skill is greatest for Brazilian Nordeste (March-May), but also for northern South America or the Caribbean basin in June-September or northern Amazonia in September-November for example.

Effets de l'humidite sur la propagation du delaminage dans un composite carbone/epoxy sollicite en mode mixte I/II

NASA Astrophysics Data System (ADS)

LeBlanc, Luc R.

Les materiaux composites sont de plus en plus utilises dans des domaines tels que l'aerospatiale, les voitures a hautes performances et les equipements sportifs, pour en nommer quelques-uns. Des etudes ont demontre qu'une exposition a l'humidite nuit a la resistance des composites en favorisant l'initiation et la propagation du delaminage. De ces etudes, tres peu traitent de l'effet de l'humidite sur l'initiation du delaminage en mode mixte I/II et aucune ne traite des effets de l'humidite sur le taux de propagation du delaminage en mode mixte I/II dans un composite. La premiere partie de cette these consiste a determiner les effets de l'humidite sur la propagation du delaminage lors d'une sollicitation en mode mixte I/II. Des eprouvettes d'un composite unidirectionnel de carbone/epoxy (G40-800/5276-1) ont ete immergees dans un bain d'eau distillee a 70°C jusqu'a leur saturation. Des essais experimentaux quasi-statiques avec des chargements d'une gamme de mixites des modes I/II (0%, 25%, 50%, 75% et 100%) ont ete executes pour determiner les effets de l'humidite sur la resistance au delaminage du composite. Des essais de fatigue ont ete realises, avec la meme gamme de mixite des modes I/II, pour determiner 1'effet de 1'humidite sur l'initiation et sur le taux de propagation du delaminage. Les resultats des essais en chargement quasi-statique ont demontre que l'humidite reduit la resistance au delaminage d'un composite carbone/epoxy pour toute la gamme des mixites des modes I/II, sauf pour le mode I ou la resistance au delaminage augmente apres une exposition a l'humidite. Pour les chargements en fatigue, l'humidite a pour effet d'accelerer l'initiation du delaminage et d'augmenter le taux de propagation pour toutes les mixites des modes I/II. Les donnees experimentales recueillies ont ete utilisees pour determiner lesquels des criteres de delaminage en statique et des modeles de taux de propagation du delaminage en fatigue en mode mixte I/II proposes dans la litterature representent le mieux le delaminage du composite etudie. Une courbe de regression a ete utilisee pour determiner le meilleur ajustement entre les donnees experimentales et les criteres de delaminage en statique etudies. Une surface de regression a ete utilisee pour determiner le meilleur ajustement entre les donnees experimentales et les modeles de taux de propagation en fatigue etudies. D'apres les ajustements, le meilleur critere de delaminage en statique est le critere B-K et le meilleur modele de propagation en fatigue est le modele de Kenane-Benzeggagh. Afin de predire le delaminage lors de la conception de pieces complexes, des modeles numeriques peuvent etre utilises. La prediction de la longueur de delaminage lors des chargements en fatigue d'une piece est tres importante pour assurer qu'une fissure interlaminaire ne va pas croitre excessivement et causer la rupture de cette piece avant la fin de sa duree de vie de conception. Selon la tendance recente, ces modeles sont souvent bases sur l'approche de zone cohesive avec une formulation par elements finis. Au cours des travaux presentes dans cette these, le modele de progression du delaminage en fatigue de Landry & LaPlante (2012) a ete ameliore en y ajoutant le traitement des chargements en mode mixte I/II et en y modifiant l'algorithme du calcul de la force d'entrainement maximale du delaminage. Une calibration des parametres de zone cohesive a ete faite a partir des essais quasi-statiques experimentaux en mode I et II. Des resultats de simulations numeriques des essais quasi-statiques en mode mixte I/II, avec des eprouvettes seches et humides, ont ete compares avec les essais experimentaux. Des simulations numeriques en fatigue ont aussi ete faites et comparees avec les resultats experimentaux du taux de propagation du delaminage. Les resultats numeriques des essais quasi-statiques et de fatigue ont montre une bonne correlation avec les resultats experimentaux pour toute la gamme des mixites des modes I/II etudiee.

Deep eutectic solvent formation: a structural view using molecular dynamics simulations with classical force fields

NASA Astrophysics Data System (ADS)

Mainberger, Sebastian; Kindlein, Moritz; Bezold, Franziska; Elts, Ekaterina; Minceva, Mirjana; Briesen, Heiko

2017-06-01

Deep eutectic solvents (DES) have gained a reputation as inexpensive and easy to handle ionic liquid analogues. This work employs molecular dynamics (MD) to simulate a variety of DES. The hydrogen bond acceptor (HBA) choline chloride was paired with the hydrogen bond donors (HBD) glycerol, 1,4-butanediol, and levulinic acid. Levulinic acid was also paired with the zwitterionic HBA betaine. In order to evaluate the reliability of data MD simulations can provide for DES, two force fields were compared: the Merck Molecular Force Field and the General Amber Force Field with two different sets of partial charges for the latter. The force fields were evaluated by comparing available experimental thermodynamic and transport properties against simulated values. Structural analysis was performed on the eutectic systems and compared to non-eutectic compositions. All force fields could be validated against certain experimental properties, but performance varied depending on the system and property in question. While extensive hydrogen bonding was found for all systems, details about the contribution of individual groups strongly varied among force fields. Interaction potentials revealed that HBA-HBA interactions weaken linearly with increasing HBD ratio, while HBD-HBD interactions grew disproportionally in magnitude, which might hint at the eutectic composition of a system.

Development of a High Level Architecture Federation of Ship Replenishment at Sea

DTIC Science & Technology

2011-10-01

utiliser une infrastructure de simulation appelée architecture de haut niveau (HLA) afin de fournir des environne - ments de simulation interarmées...fournir un environnement de simulation qui modélise l’interactions entre les divers composants afin de simuler les conditions qui mènent aux

Simulation of patient flow in multiple healthcare units using process and data mining techniques for model identification.

PubMed

Kovalchuk, Sergey V; Funkner, Anastasia A; Metsker, Oleg G; Yakovlev, Aleksey N

2018-06-01

An approach to building a hybrid simulation of patient flow is introduced with a combination of data-driven methods for automation of model identification. The approach is described with a conceptual framework and basic methods for combination of different techniques. The implementation of the proposed approach for simulation of the acute coronary syndrome (ACS) was developed and used in an experimental study. A combination of data, text, process mining techniques, and machine learning approaches for the analysis of electronic health records (EHRs) with discrete-event simulation (DES) and queueing theory for the simulation of patient flow was proposed. The performed analysis of EHRs for ACS patients enabled identification of several classes of clinical pathways (CPs) which were used to implement a more realistic simulation of the patient flow. The developed solution was implemented using Python libraries (SimPy, SciPy, and others). The proposed approach enables more a realistic and detailed simulation of the patient flow within a group of related departments. An experimental study shows an improved simulation of patient length of stay for ACS patient flow obtained from EHRs in Almazov National Medical Research Centre in Saint Petersburg, Russia. The proposed approach, methods, and solutions provide a conceptual, methodological, and programming framework for the implementation of a simulation of complex and diverse scenarios within a flow of patients for different purposes: decision making, training, management optimization, and others. Copyright © 2018 Elsevier Inc. All rights reserved.

Electromagnetic Gauge Study of Laser-Induced Shock Waves in Aluminium Alloys

NASA Astrophysics Data System (ADS)

Peyre, P.; Fabbro, R.

1995-12-01

The laser-shock behaviour of three industrial aluminum alloys has been analyzed with an Electromagnetic Gauge Method (EMV) for measuring the velocity of the back free surface of thin foils submitted to plane laser irradiation. Surface pressure, shock decay in depth and Hugoniot Elastic Limits (HEL) of the materials were investigated with increasing thicknesses of foils to be shocked. First, surface peak pressures values as a function of laser power density gave a good agreement with conventional piezoelectric quartz measurements. Therefore, comparison of experimental results with computer simulations, using a 1D hydrodynamic Lagrangian finite difference code, were also in good accordance. Lastly, HEL values were compared with static and dynamic compressive tests in order to estimate the effects of a very large range of strain rates (10^{-3} s^{-1} to 10^6 s^{-1}) on the mechanical properties of the alloys. Cet article fait la synthèse d'une étude récente sur la caractérisation du comportement sous choc-laser de trois alliages d'aluminium largement utilisés dans l'industrie à travers la méthode dite de la jauge électromagnétique. Cette méthode permet de mesurer les vitesses matérielles induites en face arrière de plaques d'épaisseurs variables par un impact laser. La mise en vitesse de plaques nous a permis, premièrement, de vérifier la validité des pressions d'impact superficielles obtenues en les comparant avec des résultats antérieurs obtenus par des mesures sur capteurs quartz. Sur des plaques d'épaisseurs croissantes, nous avons caractérisé l'atténuation des ondes de choc en profondeur dans les alliages étudiés et mesuré les limites d'élasticité sous choc (pressions d'Hugoniot) des alliages. Les résultats ont été comparés avec succès à des simulations numériques grâce à un code de calcul monodimensionnel Lagrangien. Enfin, les valeurs des pressions d'Hugoniot mesurées ont permis de tracer l'évolution des contraintes d'écoulement plastique en fonction de la vitesse de déformation pour des valeurs comprises entre 10^{-3} s^{-1} et 10^6 s^{-1}.

Determination of the dissolution slowness surface by study of etched shapes I. Morphology of the dissolution slowness surface and theoretical etched shapes

NASA Astrophysics Data System (ADS)

Leblois, T.; Tellier, C. R.

1992-07-01

We propose a theoretical model for the anisotropic etching of crystals, in order to be applied in the micromachining. The originality of the model is due to the introduction of dissolution tensors to express the representative surface of the dissolution slowness. The knowledge of the equation of the slowness surface allows us to determine the trajectories of all the elements which compose the starting surface. It is then possible to construct the final etched shape by numerical simulation. Several examples are given in this paper which show that the final etched shapes are correlated to the extrema of the dissolution slowness. Since the slowness surface must be determined from experiments, emphasis is placed on difficulties encountered when we correlate theory to experiments. Nous avons modélisé le processus de dissolution anisotrope des cristaux en vue d'une application à la simulation des formes obtenues par photolithogravure chimique. La principale originalité de ce modèle tient à l'introduction de tenseurs de dissolution pour exprimer la surface représentative de la lenteur de dissolution. La connaissance de l'équation de la lenteur de dissolution permet de calculer les trajectoires des différents éléments constituant la surface de départ puis de reconstituer par simulation la forme dissoute. Les simulations démontrent que les formes limites des cristaux dissous sont corrélées aux extrema de la lenteur de dissolution. La détermination de la surface de la lenteur se faisant à partir de mesures expérimetales, nous nous sommes efforcés de montrer toutes les difficultés attachées à cette analyse.

Detached Eddy Simulation of the UH-60 Rotor Wake Using Adaptive Mesh Refinement

NASA Technical Reports Server (NTRS)

Chaderjian, Neal M.; Ahmad, Jasim U.

2012-01-01

Time-dependent Navier-Stokes flow simulations have been carried out for a UH-60 rotor with simplified hub in forward flight and hover flight conditions. Flexible rotor blades and flight trim conditions are modeled and established by loosely coupling the OVERFLOW Computational Fluid Dynamics (CFD) code with the CAMRAD II helicopter comprehensive code. High order spatial differences, Adaptive Mesh Refinement (AMR), and Detached Eddy Simulation (DES) are used to obtain highly resolved vortex wakes, where the largest turbulent structures are captured. Special attention is directed towards ensuring the dual time accuracy is within the asymptotic range, and verifying the loose coupling convergence process using AMR. The AMR/DES simulation produced vortical worms for forward flight and hover conditions, similar to previous results obtained for the TRAM rotor in hover. AMR proved to be an efficient means to capture a rotor wake without a priori knowledge of the wake shape.

Data encryption standard ASIC design and development report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Robertson, Perry J.; Pierson, Lyndon George; Witzke, Edward L.

2003-10-01

This document describes the design, fabrication, and testing of the SNL Data Encryption Standard (DES) ASIC. This device was fabricated in Sandia's Microelectronics Development Laboratory using 0.6 {micro}m CMOS technology. The SNL DES ASIC was modeled using VHDL, then simulated, and synthesized using Synopsys, Inc. software and finally IC layout was performed using Compass Design Automation's CAE tools. IC testing was performed by Sandia's Microelectronic Validation Department using a HP 82000 computer aided test system. The device is a single integrated circuit, pipelined realization of DES encryption and decryption capable of throughputs greater than 6.5 Gb/s. Several enhancements accommodate ATMmore » or IP network operation and performance scaling. This design is the latest step in the evolution of DES modules.« less

Long-term clinical follow-up of the multicentre, randomized study to test immunosuppressive therapy with oral prednisone for the prevention of restenosis after percutaneous coronary interventions: Cortisone plus BMS or DES veRsus BMS alone to EliminAte Restenosis (CEREA-DES).

PubMed

Ribichini, Flavio; Tomai, Fabrizio; Pesarini, Gabriele; Zivelonghi, Carlo; Rognoni, Andrea; De Luca, Giuseppe; Boccuzzi, Giacomo; Presbitero, Patrizia; Ferrero, Valeria; Ghini, Anna S; Marino, Paolo; Vassanelli, Corrado

2013-06-01

To analyse the clinical outcome at 4 years in patients with coronary artery disease treated with bare metal stents (BMS) vs. BMS and oral prednisone, or drug-eluting stents (DES), all assuming similar adjunctive medical treatment. Five Italian hospitals enrolled 375 non-diabetic, ischaemic patients without contraindications to dual anti-platelet treatment or corticosteroid therapy in a randomized controlled study. The primary endpoint was the event-free survival of cardiovascular death, myocardial infarction, and recurrence of ischaemia needing repeated target vessel revascularization at 1 year, and this was significantly lower in the BMS group (80.8%) compared with the prednisone (88.0%) and DES group (88.8%, P = 0.04 and 0.006, respectively). The long-term analysis of the primary endpoint was a pre-specified aim of the trial, and was performed at 1447 days (median, IQ range = 1210-1641). Patients receiving BMS alone had significantly lower event-free survival (75.3%) compared with 84.1% in the prednisone group (HR: 0.447; 95% CI: 0.25-0.80, P = 0.007) and 80.6% in DES patients (HR: 0.519; 95% CI: 0.29-0.93, P = 0.03). Prednisone-treated patients did not develop new treatment-related clinical problems. Drug-eluting stents patients suffered more very late stent thrombosis as a cause of spontaneous myocardial infarction. The need for target vessel revascularization remained lower in the prednisone and DES groups (13.6 and 15.2%, respectively), compared with BMS (23.2%). The clinical benefits of prednisone compared with BMS only persisted almost unchanged at 4 years. Drug-eluting stents performed better than BMS at long-term, although the advantages observed at 1 year were in part attenuated because of the occurrence of very late stent thrombosis and late revascularizations. Clinical Trial NCT 00369356.

Integration of Energy Consumption and CO2 Emissions into the DES Tool with Lean Thinking

NASA Astrophysics Data System (ADS)

Nujoom, Reda; Wang, Qian

2018-01-01

Products are often made by accomplishing a number of manufacturing processes on a sequential flow line which is also known as manufacturing systems. In a traditional way, design or evaluation of a manufacturing system involves a determination or an analysis of the system performance by adjusting system parameters relating to such as system capacity, material processing time, material-handling and transportation and shop-floor layout. Environment related parameters, however, are not considered or considered as separate issues. In the past decade, there has been a growing concern about the environmental protection and governments almost in all over the world enforced certain rules and regulation to promote energy saving and reduce carbon dioxide (CO2) emissions in manufacturing industry. To date, development of a sustainable manufacturing system requires designers who need not merely to apply traditional methods of improving system efficiency and productivity but also examine the environmental issues in production of the developed manufacturing system. Most researchers, however, focused on operational systems, which do not incorporate the effect of environmental factors that may also affect the system performance. This paper presents a research work aiming to addresses these issues in design and evaluation of sustainable manufacturing systems incorporating parameters of energy consumption and CO2 emissions into a DES (discrete event simulation) tool.

Very late outcomes of drug-eluting stents coated with biodegradable polymers: insights from the 5-year follow-up of the randomized PAINT trial

PubMed Central

Marchini, Julio F.; Gomes, Wilton F.; Moulin, Bruno; Perin, Marco A.; Oliveira, Ludmilla A.R.R.; Arruda, J. Airton; Lima, Valter C.; Lima, Antonio A.G.; Caramori, Paulo R.A.; Medeiros, Cesar R.; Barbosa, Mauricio R.; Brito, Fabio S.; Ribeiro, Expedito E.

2014-01-01

Background Few studies have examined the very long-term outcomes after implantation of drug-eluting stents (DES) coated with biodegradable polymers (BP). This report presents the 5-year clinical follow-up of patients treated with BP-DES in the randomized PAINT trial. Methods The PAINT study is a prospective, multicenter randomized controlled trial that allocated 274 patients for treatment with two BP-DES formulations [paclitaxel-eluting stents (PES) or sirolimus-eluting stents (SES)] or bare metal stents (BMS) in a 1:2:2 ratio, respectively. The primary end-point of this sub-study was defined as the composite of the major cardiac adverse events (MACE) cardiac death, myocardial infarction (MI) or ischemia-driven target vessel revascularization (TVR) at 5 years. Results The 5-year MACE rates were different among the groups: 35.3%, 22.5% and 16.9% for BMS, PES and SES, respectively (P<0.05 for both DES vs. bare stent comparisons). The primary end-point was mainly driven by TVR: 31.8%, 14.1% and 12.2% for bare stents, PES and SES, respectively (P<0.05 for both DES vs. bare stent comparisons). The incidence of stent thrombosis (ST) was null for BMS during the entire follow-up. There was no definite or probable ST in the SES group after the second year, while one patient (1.0%) presented with a definite ST episode in the PES group between 4 and 5 years. Conclusions The tested biodegradable-polymer coated stents releasing either paclitaxel or sirolimus, compared with same bare metal platform, sustained their effectiveness in reducing combined major adverse cardiac events and re-intervention without an increase in ST during 5 years of follow-up. PMID:25610805

In-Stent Restenosis of Drug-Eluting Stents Compared With a Matched Group of Patients With De Novo Coronary Artery Stenosis.

PubMed

Buchanan, Kyle D; Torguson, Rebecca; Rogers, Toby; Xu, Linzhi; Gai, Jiaxiang; Ben-Dor, Itsik; Suddath, William O; Satler, Lowell F; Waksman, Ron

2018-03-13

Drug-eluting stents (DES) significantly reduced the incidence of in-stent restenosis (ISR). However, ISR still exists in the contemporary DES era. Previously deemed to be a benign process, ISR leads to complex presentation and intervention. This study aimed to compare the presentation and outcome of DES-ISR versus de novo lesions. We performed a retrospective analysis of 11,666 patients receiving percutaneous coronary intervention from 2003 to 2017 and divided them into 2 groups by de novo stenosis and ISR. They were matched based on common cardiovascular risk factors at a 4:1 ratio, respectively. After matching, a total of 1,888 patients with 3,126 de novo lesions and 472 patients with 508 ISR lesions were analyzed. Patients with ISR presented more often with unstable angina (61% vs 45%, p <0.001) and less often with myocardial infarction (6% vs 14%, p <0.001). One-year composite major adverse cardiovascular event, defined as death, Q-wave myocardial infarction, and target vessel revascularization, was 10% in the de novo group and 17% in the ISR group (hazard ratio 1.98, 95% confidential interval 1.58 to 2.46, p <0.001). After adjusting for myocardial infarction presentation, hazard ratio of major adverse cardiovascular events was still higher for the ISR group at 1 year (2.03, 95% confidential interval 1.62 to 2.55, p <0.001). ISR of DES remains a therapeutic challenge and leads to complex presentation and worse outcomes compared with matched de novo patients. These data show that DES-ISR demands better appreciation and prevention with more precise stent technique and should motivate the continued development of fully bioresorbable scaffolds. Copyright © 2018 Elsevier Inc. All rights reserved.

Du cycle orogénique hercynien au pré-rifting de l'Atlantique central au Maroc occidental : les microdiorites des Jbilet sont-elles des marqueurs magmatiques de ce passage ?From the Hercynian orogenic cycle towards the central Atlantic prerifting in central Morocco: are the Jbilet microdiorites possible magmatic markers for this transition?

NASA Astrophysics Data System (ADS)

Youbi, Nasrreddine; Bellon, Hervé; Marzin, Arnaud; Piqué, Alain; Cotten, Joseph; Cabanis, Bruno

2001-09-01

Microdioritic intrusives crosscut the Hercynian structures of the Jbilet massif in the western Morocco. Their mineralogical, petrological and geochemical compositions display the main characteristics of calc-alkaline magmas and any of the alkaline ones. This magmatic event occurred at ca 255 Ma, as indicated by the 40K- 40Ar age of fresh kaersutite crystals, but seven ages for whole-rock samples, scattered between 231 and 180 Ma, reflect the general rejuvenation of the ages linked to a latter penetrative alteration event of their feldspars and groundmass.

Is it beneficial to increase the provision of thrombolysis?-- a discrete-event simulation model.

PubMed

Barton, M; McClean, S; Gillespie, J; Garg, L; Wilson, D; Fullerton, K

2012-07-01

Although Thrombolysis has been licensed in the UK since 2003, it is still administered only to a small percentage of eligible patients. We consider the impact of investing the impact of thrombolysis on important acute stroke services, and the effect on quality of life. The concept is illustrated using data from the Northern Ireland Stroke Service. Retrospective study. We first present results of survival analysis utilizing length of stay (LOS) for discharge destinations, based on data from the Belfast City Hospital (BCH). None of these patients actually received thrombolysis but from those who would have been eligible, we created two initial groups, the first representing a scenario where they received thrombolysis and the second comprising those who do not receive thrombolysis. On the basis of the survival analysis, we created several subgroups based on discharge destination. We then developed a discrete event simulation (DES) model, where each group is a patient pathway within the simulation. Coxian phase type distributions were used to model the group LOS. Various scenarios were explored focusing on cost-effectiveness across hospital, community and social services had thrombolysis been administered to these patients, and the possible improvement in quality of life, should the proportion of patients who are administered thrombolysis be increased. Our aim in simulating various scenarios for this historical group of patients is to assess what the cost-effectiveness of thrombolysis would have been under different scenarios; from this we can infer the likely cost-effectiveness of future policies. The cost of thrombolysis is offset by reduction in hospital, community rehabilitation and institutional care costs, with a corresponding improvement in quality of life. Our model suggests that provision of thrombolysis would produce moderate overall improvement to the service assuming current levels of funding.

Flash-Flood hydrological simulations at regional scale. Scale signature on road flooding vulnerability

NASA Astrophysics Data System (ADS)

Anquetin, Sandrine; Vannier, Olivier; Ollagnier, Mélody; Braud, Isabelle

2015-04-01

This work contributes to the evaluation of the dynamics of the human exposure during flash-flood events in the Mediterranean region. Understanding why and how the commuters modify their daily mobility in the Cévennes - Vivarais area (France) is the long-term objective of the study. To reach this objective, the methodology relies on three steps: i) evaluation of daily travel patterns, ii) reconstitution of road flooding events in the region based on hydrological simulation at regional scale in order to capture the time evolution and the intensity of flood and iii) identification of the daily fluctuation of the exposition according to road flooding scenarios and the time evolution of mobility patterns. This work deals with the second step. To do that, the physically based and non-calibrated hydrological model CVN (Vannier, 2013) is implemented to retrieve the hydrological signature of past flash-flood events in Southern France. Four past events are analyzed (September 2002; September 2005 (split in 2 different events); October 2008). Since the regional scale is investigated, the scales of the studied catchments range from few km2 to few hundreds of km2 where many catchments are ungauged. The evaluation is based on a multi-scale approach using complementary observations coming from post-flood experiments (for small and/or ungaugged catchments) and operational hydrological network (for larger catchments). The scales of risk (time and location of the road flooding) are also compared to observed data of road cuts. The discussion aims at improving our understanding on the hydrological processes associated with road flooding vulnerability. We specifically analyze runoff coefficient and the ratio between surface and groundwater flows at regional scale. The results show that on the overall, the three regional simulations provide good scores for the probability of detection and false alarms concerning road flooding (1600 points are analyzed for the whole region). Our evaluation procedure provides new insights on the active hydrological processes at small scales (catchments area < 10 km²) since these small scales, distributed over the whole region, are analyzed through road cuts data and post-flood field investigations. As shown in Vannier (2013), the signature of the altered geological layer is significant on the simulated discharges. For catchments under schisty geology, the simulated discharge, whatever the catchment size, is usually overestimated. Vannier, O, 2013, Apport de la modélisation hydrologique régionale à la compréhension des processus de crue en zone méditerranéenne, PhD-Thesis (in French), Grenoble University.

Simulation of granular and gas-solid flows using discrete element method

NASA Astrophysics Data System (ADS)

Boyalakuntla, Dhanunjay S.

2003-10-01

In recent years there has been increased research activity in the experimental and numerical study of gas-solid flows. Flows of this type have numerous applications in the energy, pharmaceuticals, and chemicals process industries. Typical applications include pulverized coal combustion, flow and heat transfer in bubbling and circulating fluidized beds, hopper and chute flows, pneumatic transport of pharmaceutical powders and pellets, and many more. The present work addresses the study of gas-solid flows using computational fluid dynamics (CFD) techniques and discrete element simulation methods (DES) combined. Many previous studies of coupled gas-solid flows have been performed assuming the solid phase as a continuum with averaged properties and treating the gas-solid flow as constituting of interpenetrating continua. Instead, in the present work, the gas phase flow is simulated using continuum theory and the solid phase flow is simulated using DES. DES treats each solid particle individually, thus accounting for its dynamics due to particle-particle interactions, particle-wall interactions as well as fluid drag and buoyancy. The present work involves developing efficient DES methods for dense granular flow and coupling this simulation to continuum simulations of the gas phase flow. Simulations have been performed to observe pure granular behavior in vibrating beds. Benchmark cases have been simulated and the results obtained match the published literature. The dimensionless acceleration amplitude and the bed height are the parameters governing bed behavior. Various interesting behaviors such as heaping, round and cusp surface standing waves, as well as kinks, have been observed for different values of the acceleration amplitude for a given bed height. Furthermore, binary granular mixtures (granular mixtures with two particle sizes) in a vibrated bed have also been studied. Gas-solid flow simulations have been performed to study fluidized beds. Benchmark 2D fluidized bed simulations have been performed and the results have been shown to satisfactorily compare with those published in the literature. A comprehensive study of the effect of drag correlations on the simulation of fluidized beds has been performed. It has been found that nearly all the drag correlations studied make similar predictions of global quantities such as the time-dependent pressure drop, bubbling frequency and growth. In conclusion, discrete element simulation has been successfully coupled to continuum gas-phase. Though all the results presented in the thesis are two-dimensional, the present implementation is completely three dimensional and can be used to study 3D fluidized beds to aid in better design and understanding. Other industrially important phenomena like particle coating, coal gasification etc., and applications in emerging areas such as nano-particle/fluid mixtures can also be studied through this type of simulation. (Abstract shortened by UMI.)

Unsteady RANS/DES analysis of flow around helicopter rotor blades at forword flight conditions

NASA Astrophysics Data System (ADS)

Zhang, Zhenyu; Qian, Yaoru

2018-05-01

In this paper, the complex flows around forward-flying helicopter blades are numerically investigated. Both the Reynolds-averaged Navier-Stokes (RANS) and the Detached Eddy Simulation (DES) methods are used for the analysis of characteristics like local dynamic flow separation, effects of radial sweeping and reversed flow. The flow was solved by a highly efficient finite volume solver with multi-block structured grids. Focusing upon the complexity of the advance ratio effects, above properties are fully recognized. The current results showed significant agreements between both RANS and DES methods at phases with attached flow phases. Detailed information of separating flow near the withdrawal phases are given by DES results. The flow analysis of these blades under reversed flow reveals a significant interaction between the reversed flow and the span-wise sweeping.

Rethinking Counterinsurgency

DTIC Science & Technology

2008-01-01

insurgents IRA Irish Republican Army MoD Ministry of Defence [UK] NATO North Atlantic Treaty Organisation UOIF Union des Organisations Islamiques de...of the government (i.e., police, finance , civil administration, community leaders, special intelligence, and the local British battalion commander... finance and logistics follow. Today, emotional and political support is gained and lost through the interpretation of events rather than the events

A physiology-based model describing heterogeneity in glucose metabolism: the core of the Eindhoven Diabetes Education Simulator (E-DES).

PubMed

Maas, Anne H; Rozendaal, Yvonne J W; van Pul, Carola; Hilbers, Peter A J; Cottaar, Ward J; Haak, Harm R; van Riel, Natal A W

2015-03-01

Current diabetes education methods are costly, time-consuming, and do not actively engage the patient. Here, we describe the development and verification of the physiological model for healthy subjects that forms the basis of the Eindhoven Diabetes Education Simulator (E-DES). E-DES shall provide diabetes patients with an individualized virtual practice environment incorporating the main factors that influence glycemic control: food, exercise, and medication. The physiological model consists of 4 compartments for which the inflow and outflow of glucose and insulin are calculated using 6 nonlinear coupled differential equations and 14 parameters. These parameters are estimated on 12 sets of oral glucose tolerance test (OGTT) data (226 healthy subjects) obtained from literature. The resulting parameter set is verified on 8 separate literature OGTT data sets (229 subjects). The model is considered verified if 95% of the glucose data points lie within an acceptance range of ±20% of the corresponding model value. All glucose data points of the verification data sets lie within the predefined acceptance range. Physiological processes represented in the model include insulin resistance and β-cell function. Adjusting the corresponding parameters allows to describe heterogeneity in the data and shows the capabilities of this model for individualization. We have verified the physiological model of the E-DES for healthy subjects. Heterogeneity of the data has successfully been modeled by adjusting the 4 parameters describing insulin resistance and β-cell function. Our model will form the basis of a simulator providing individualized education on glucose control. © 2014 Diabetes Technology Society.

Systematic Review of Infrapopliteal Drug-Eluting Stents: A Meta-Analysis of Randomized Controlled Trials

DOE Office of Scientific and Technical Information (OSTI.GOV)

Katsanos, Konstantinos, E-mail: katsanos@med.upatras.gr; Spiliopoulos, Stavros; Diamantopoulos, Athanasios

2013-06-15

IntroductionDrug-eluting stents (DES) have been proposed for the treatment of infrapopliteal arterial disease. We performed a systematic review to provide a qualitative analysis and quantitative data synthesis of randomized controlled trials (RCTs) assessing infrapopliteal DES.Materials and MethodsPubMed (Medline), EMBASE (Excerpta Medical Database), AMED (Allied and Complementary medicine Database), Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), online content, and abstract meetings were searched in September 2012 for eligible RCTs according to the preferred reporting items for systematic reviews and meta-analyses selection process. Risk of bias was assessed using the Cochrane Collaboration's tool. Primary endpoint was primary patency defined as absencemore » of {>=}50 % vessel restenosis at 1 year. Secondary outcome measures included patient survival, limb amputations, change of Rutherford-Becker class, target lesion revascularization (TLR) events, complete wound healing, and event-free survival at 1 year. Risk ratio (RRs) were calculated using the Mantel-Haenszel fixed effects model, and number-needed-to-treat values are reported.ResultsThree RCTs involving 501 patients with focal infrapopliteal lesions were analyzed (YUKON-BTX, DESTINY, and ACHILLES trials). All three RCTs included relatively short and focal infrapopliteal lesions. At 1 year, there was clear superiority of infrapopliteal DES compared with control treatments in terms of significantly higher primary patency (80.0 vs. 58.5 %; pooled RR = 1.37, 95 % confidence interval [CI] = 1.18-1.58, p < 0.0001; number-needed-to-treat (NNT) value = 4.8), improvement of Rutherford-Becker class (79.0 vs. 69.6 %; pooled RR = 1.13, 95 % CI = 1.002-1.275, p = 0.045; NNT = 11.1), decreased TLR events (9.9 vs. 22.0 %; pooled RR = 0.45, 95 % CI = 0.28-0.73, p = 0.001; NNT = 8.3), improved wound healing (76.8 vs. 59.7 %; pooled RR = 1.29, 95 % CI = 1.02-1.62, p = 0.04; NNT = 5.9), and better overall event-free survival (72.2 vs. 57.3 %; pooled RR = 1.26, 95 % CI = 1.10-1.44, p = 0.0006; NNT = 6.7). Conclusion. DES for focal infrapopliteal lesions significantly inhibit vascular restenosis and thereby improve primary patency, decrease repeat procedures, improve wound healing, and prolong overall event-free survival.« less

Signification des temps grammaticaux (Significance of Grammatical Tenses).

ERIC Educational Resources Information Center

Cintas, Pierre F.; Descles, Jean-Pierre

1988-01-01

A method for teaching concepts of time (state, event, and process) inherent in grammatical tenses is outlined. The technique uses diagrams to illustrate the concepts and their semantic implications. (MSE)

Comparison of Ohm's Law Terms Using New High Resolution Fast Plasma Investigation Plasma Moments

NASA Astrophysics Data System (ADS)

Rager, A. C.; Dorelli, J.; Gershman, D. J.; Avanov, L. A.; Burch, J. L.; Ergun, R.; Giles, B. L.; Lavraud, B.; Moore, T. E.; Paterson, W. R.; Pollock, C.; Russell, C.; Saito, Y.; Sauvaud, J. A.; Schiff, C.; Strangeway, R. J.; Torbert, R. B.; Figueroa-Vinas, A.

2016-12-01

The Fast Plasma Investigation's Dual Spectrometers, DES and DIS, on the Magnetospheric Multiscale (MMS) mission measure all-sky images of charged particles every 30 and 150ms, respectively. The azimuthal resolution of each skymap results from biasing the electrostatic analyzers through four 11.25 degree deflection states. We present a technique of deconstructing the four deflection states of the FPI analyzers, allowing us to then reconstruct the phase space density with 4x faster, 7.5ms DES and 37.5ms DIS, time resolution at the expense of azimuthal resolution (in that only one fourth of the azimuths are covered). Nonetheless, we show that higher time resolution structure in the plasma moments is reliably recoverable. We validate the resulting 7.5ms DES velocities through the comparison of -vxB with the perpendicular electric field measured by the Electric Field Double Probe instrument and utilizing the Fluxgate Magnetometer instrument on MMS. Using this technique, we provide an unprecedented look at the terms in Ohm's law for several events, including the electron diffusion region event on 16 October, 2015 and a magnetopause crossing under northward interplanetary magnetic field on 25 November, 2015.

Risk of death and myocardial infarction in patients with peripheral arterial disease undergoing percutaneous coronary intervention (from the National Heart, Lung and Blood Institute Dynamic Registry).

PubMed

Parikh, Shailja V; Saya, Shoaib; Divanji, Punag; Banerjee, Subhash; Selzer, Faith; Abbott, J Dawn; Naidu, Srihari S; Wilensky, Robert L; Faxon, David P; Jacobs, Alice K; Holper, Elizabeth M

2011-04-01

Patients with peripheral arterial disease (PAD) undergoing percutaneous coronary intervention (PCI) are at high risk for adverse cardiovascular events. Trends over time in outcomes with advances in PCI and medical therapy are unknown. We evaluated 866 patients with PAD in the National Heart, Lung, and Blood Institute (NHLBI) Dynamic Registry undergoing PCI according to treatment eras: the early bare metal stent (BMS) era (wave 1, 1997 to 1998, n = 180), the BMS era (waves 2 and 3, 1999 and 2001 to 2002, n = 339), and the drug-eluting stent (DES) era (waves 4 and 5, 2004 and 2006, n = 347). We compared in-hospital and 1-year outcomes by recruitment era. In-hospital coronary artery bypass graft surgery rates were significantly lower in the later eras (3.9%, 0.9%, and 0.6% for the early BMS, BMS, and DES eras, respectively, p for trend = 0.005), and an increasing percentage of patients were discharged on aspirin, β blockers, statins, and thienopyridines (p for trend <0.001 for all comparisons). Cumulative 1-year event rates in patients with PAD in the early BMS era, BMS era, and DES era for death were 13.7%, 10.5%, and 9.8% (p for trend = 0.21), those for myocardial infarction (MI) were 9.8%, 8.8%, and 10.0% (p for trend = 0.95), and those for repeat revascularization were 26.8%, 21.0%, and 17.2% (p for trend = 0.008). The 1-year adjusted hazard ratios of adverse events in patients with PAD using the early BMS era as the reference were 0.84 for death in the BMS era (95% confidence interval [CI] 0.46 to 1.55, p = 0.58) and 1.35 in the DES era (95% CI 0.71 to 2.56, p = 0.36), 0.89 for MI in the BMS era (95% CI 0.48 to 1.66, p = 0.72) and 1.02 in the DES era (95% CI 0.55 to 1.87, p = 0.95), and 0.63 for repeat revascularization in the BMS era (95% CI 0.41 to 0.97, p = 0.04) and 0.46 in the DES era (95% CI 0.29 to 0.73, p = 0.001). In conclusion, despite significant improvements in medical therapy and a decrease in repeat revascularization over time, patients with PAD who undergo PCI have a persistent high rate of death and MI. Copyright © 2011 Elsevier Inc. All rights reserved.

Comparative effects of neonatal diethylstilbestrol on external genitalia development in adult males of two mouse strains with differential estrogen sensitivity

PubMed Central

Mahawong, Phitsanu; Sinclair, Adriane; Li, Yi; Schlomer, Bruce; Rodriguez, Esequiel; Ferretti, Max M.; Liu, Baomai; Baskin, Laurence S.; Cunha, Gerald R.

2014-01-01

The effect of neonatal exposure to diethylstilbestrol (DES), a potent synthetic estrogen, was examined to evaluate whether the CD-1 (estrogen insensitive, outbred) and C57 (estrogen sensitive, inbred) mouse strains differ in their response to estrogen disruption of male ExG differentiation. CD-1 and C57BL/6 litters were injected with sesame oil or DES (200 ng/g/5μl in sesame oil vehicle) every other day from birth to day 10. Animals were sacrificed at the following time points: birth, 5, 10 and 60 days postnatal. Neonatally DES-treated mice from both strains had many ExG abnormalities that included the following: (a) severe truncation of the prepuce and glans penis, (b) an abnormal urethral meatus, (c) ventral tethering of the penis, (d) reduced os penis length and glans width, (e) impaired differentiation of cartilage, (f) absence of urethral flaps, and (g) impaired differentiation of erectile bodies. Adverse effects of DES correlated with the expression of estrogen receptors within the affected tissues. While the effects of DES were similar in the more estrogen-sensitive C57BL/6 mice versus the less estrogen-sensitive CD-1 mice, the severity of DES effects was consistently greater in C57BL/6 mice. We suggest that many of the effects of DES, including the induction of hypospadias, are due to impaired growth and tissue fusion events during development. PMID:25449353

Meta-analysis of long-term outcomes of drug-eluting stent implantations for chronic total coronary occlusions.

PubMed

Ma, Jian; Yang, Weiwei; Singh, Manpreet; Peng, Tianqing; Fang, Ningyuan; Wei, Meng

2011-01-01

In the treatment of chronic total occlusions (CTOs), some uncertainty exists regarding the effect of drug-eluting stents (DESs) compared with the effects of bare mental stents (BMSs). We reviewed outcomes of DES vs. BMS implantation for CTO lesions, to evaluate the risk-benefit ratio of DES implantation. Relevant studies of long-term clinical outcomes or angiographic outcomes of both BMS and DES implantation were examined. The primary endpoint comprised major adverse cardiovascular events (MACEs), including all-cause deaths, myocardial infarctions (MIs), and target lesion revascularizations (TLRs). A fixed-effect model and random-effect model were used to analyze the pooling results. Ten studies were included according to the selection criteria. Eight were nonrandomized controlled trials, and two consisted of a randomized controlled comparison between DES and BMS implantation. No significant difference was evident for in-hospital MACE rates between the two groups (odds ratio [OR], 1.07; 95% confidence interval [CI], .53 to 2.13), but the long-term MACE rates in the DES group were significantly lower than in the BMS group (OR, .22; 95% CI, .13 to .38; P < .00001). The rates of stent restenosis and reocclusions were also significantly lower in the DES group (OR, .14; 95% CI, .09 to .20; and OR, .23; 95% CI, .12 to .41, respectively). Implantation of the DES improves long-term angiographic and clinical outcomes compared with BMS in the treatment of CTO lesions. Copyright © 2011 Elsevier Inc. All rights reserved.

Economic evaluation of drug-eluting stents in coronary angioplasty.

PubMed

Santos, Ricardo; Pereira, Hélder

2005-11-01

Coronary angioplasty has revolutionized the treatment of coronary artery disease, from the first balloon angioplasty to the current era of drug-eluting stents (DES), which were developed to eliminate the bare metal stent's (BMS) Achilles' heel, restenosis. DES have an extremely low restenosis rate but are significantly more expensive and need more prolonged dual antiplatelet therapy. Restenosis has a generally benign prognosis and is not associated with higher mortality or major adverse cardiovascular events, which has limited the penetration of DES, whose only advantage is the reduction of restenosis. Economic evaluation of DES is therefore of paramount importance for assessing their appropriate use. In randomized trials in which they are compared with BMS, economic evaluation is advantageous for DES, with good cost-effectiveness ratios for both cost per quality-adjusted life year (QALY) and cost per revascularization avoided. However, these trials have two major limitations--the angiographic follow-up protocol and selection of patients with lower risk--and so their results do not accurately reflect reality. Other studies with unselected populations and cost-effectiveness models show that there is an economic advantage in the use of DES in groups with higher risk of restenosis, but not for the whole population undergoing angioplasty. Use of DES will be more appropriate if we can identify populations with a higher likelihood of restenosis, because these are the patients that will benefit most from their use and in whom they will be economically advantageous.

Risk of stent thrombosis among bare-metal stents, first-generation drug-eluting stents, and second-generation drug-eluting stents: results from a registry of 18,334 patients.

PubMed

Tada, Tomohisa; Byrne, Robert A; Simunovic, Iva; King, Lamin A; Cassese, Salvatore; Joner, Michael; Fusaro, Massimiliano; Schneider, Simon; Schulz, Stefanie; Ibrahim, Tareq; Ott, Ilka; Massberg, Steffen; Laugwitz, Karl-Ludwig; Kastrati, Adnan

2013-12-01

This study sought to compare the risk of stent thrombosis among patients treated with bare-metal stents (BMS), first-generation drug-eluting stents (G1-DES), and second-generation drug-eluting stents (G2-DES) for a period of 3 years. In patients undergoing coronary stenting, there is a scarcity of long-term follow-up data on cohorts large enough to compare rates of stent thrombosis across the stent generations. A total of 18,334 patients undergoing successful coronary stent implantation from 1998 to 2011 at 2 centers in Munich, Germany, were included in this study. Patients were stratified into 3 groups according to treatment with BMS, G1-DES, and G2-DES. The cumulative incidence of definite stent thrombosis at 3 years was 1.5% with BMS, 2.2% with G1-DES, and 1.0% with G2-DES. On multivariate analysis, G1-DES compared with BMS showed a significantly higher risk of stent thrombosis (odds ratio [OR]: 2.05; 95% confidence interval [CI]: 1.47 to 2.86; p < 0.001). G2-DES were associated with a similar risk of stent thrombosis compared with BMS (OR: 0.82; 95% CI: 0.56 to 1.19; p = 0.30). Beyond 1 year, the risk of stent thrombosis was significantly increased with G1-DES compared with BMS (OR: 4.72; 95% CI: 2.01 to 11.1; p < 0.001), but not with G2-DES compared with BMS (OR: 1.01; 95% CI: 0.32 to 3.25; p = 0.98). In a large cohort of unselected patients undergoing coronary stenting, compared with BMS, there was a significant excess risk of stent thrombosis at 3 years with G1-DES, driven by an increased risk of stent thrombosis events beyond 1 year. G2-DES were associated with a similar risk of stent thrombosis compared with BMS. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Dynamique moléculaire et canaux ioniques

NASA Astrophysics Data System (ADS)

Crouzy, S.

2005-11-01

Diffusion de neutrons et Dynamique Moléculaire (DM) sont deux techniques intimement liées car elles portent sur les mêmes échelles de temps: la première apporte des informations structurales ou dynamiques sur le système physique ou biologique, la seconde permet de décoder ces informations à travers un modèle facilitant l'interprétation des résultats. Au delà de l'intérêt que la technique de DM peut avoir en relation directe avec les neutrons, il est intéressant de comprendre comment les modèles sont construits et comment les techniques de simulation peuvent aller beaucoup plus loin que de simples modélisations. Nous décrirons brièvement, dans la suite de cet exposé, la technique de DM et les méthodes plus sophistiquées de calculs d'énergie libre et de potentiels de force moyenne à partir des simulations de DM. Puis nous verrons avec deux exemples tirés de nos travaux théoriques sur les canaux ioniques comment ces calculs peuvent nous donner accès à des vitesses de réaction ou des constantes d'affinité ou de liaison. La première étude porte sur un analogue de la gramicidine A qui forme un canal conducteur d'ions interrompus par le basculement d'un cycle dioxolane [1]. La seconde concerne le canal potassique KcsA dont nous avons étudié le blocage du coté extracellulaire par l'ion Tetra Ethyl Ammonium [2].

Technologies for Future Precision Strike Missile Systems (les Technologies des futurs systemes de missiles pour frappe de precision)

DTIC Science & Technology

2001-07-01

hardware - in - loop (HWL) simulation is also developed...Firings / Engine Tests Structure Test Hardware In - Loop Simulation Subsystem Test Lab Tests Seeker Actuators Sensors Electronics Propulsion Model Aero Model...Structure Test Hardware In - Loop Simulation Subsystem Test Lab Tests Seeker Actuators Sensors Electronics Propulsion Model Aero Model Model

Statistical Results Concerning the Precision of the Methods of Correlation and Interpolation Sub-Pixel Used in Video PIV

DTIC Science & Technology

1998-08-27

serait compI~ men - taire du logiciel "ferm6" du sysf~me dle PlY commercial et qui permettrait d𔄀tudier la pr6cision des math odes dle traitement...de rNaxNt piels antu pourts chauepixelr un nivea des grnis contaont (modanlisa iped 0.5 - R0 .2/9 0.570 Simulations num6riques par une repr~sentation

The sirolimus-eluting Cypher Select coronary stent for the treatment of bare-metal and drug-eluting stent restenosis: insights from the e-SELECT (Multicenter Post-Market Surveillance) registry.

PubMed

Abizaid, Alexandre; Costa, J Ribamar; Banning, Adrian; Bartorelli, Antonio L; Dzavik, Vladimir; Ellis, Stephen; Gao, Runlin; Holmes, David R; Jeong, Muyng Ho; Legrand, Victor; Neumann, Franz-Josef; Nyakern, Maria; Orlick, Amy; Spaulding, Christian; Worthley, Stephen; Urban, Philip M

2012-01-01

This study sought to compare the 1-year safety and efficacy of Cypher Select or Cypher Select Plus (Cordis Corporation, Bridgewater, New Jersey) sirolimus-eluting stents (SES) with the treatment of bare-metal stents (BMS) and drug-eluting stent (DES) in-stent restenosis (ISR) in nonselected, real-world patients. There is paucity of consistent data on DES for the treatment of ISR, especially, DES ISR. The e-SELECT (Multicenter Post-Market Surveillance) registry is a Web-based, multicenter and international registry encompassing virtually all subsets of patients and lesions treated with at least 1 SES during the period from 2006 to 2008. We enrolled in this pre-specified subanalysis all patients with at least 1 clinically relevant BMS or DES ISR treated with SES. Primary endpoint was major adverse cardiac events and stent thrombosis rate at 1 year. Of 15,147 patients enrolled, 1,590 (10.5%) presented at least 1 ISR (BMS group, n = 1,235, DES group, n = 355). Patients with DES ISR had higher incidence of diabetes (39.4% vs. 26.9%, p < 0.001), renal insufficiency (5.8% vs. 2.3%, p = 0.003), and prior coronary artery bypass graft (20.5% vs. 11.8%, p < 0.001). At 1 year, death (1.4% for BMS vs. 2.1% for DES, p = 0.3) and myocardial infarction (2.4% for BMS and 3.3% for DES, p = 0.3) rates were similar, whereas ischemia-driven target lesion revascularization and definite/probable late stent thrombosis were higher in patients with DES ISR (6.9% vs. 3.1%, p = 0.003, and 1.8% vs. 0.5%, p = 0.04, respectively). Use of SES for either BMS or DES ISR treatment is safe and associated with low target lesion revascularization recurrence and no apparent safety concern. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Adsorption de gaz sur les materiaux microporeux modelisation, thermodynamique et applications

NASA Astrophysics Data System (ADS)

Richard, Marc-Andre

2009-12-01

Nos travaux sur l'adsorption de gaz dans les materiaux microporeux s'inscrivent dans le cadre des recherches visant a augmenter l'efficacite du stockage de l'hydrogene a bord des vehicules. Notre objectif etait d'etudier la possibilite d'utiliser l'adsorption afin d'ameliorer l'efficacite de la liquefaction de l'hydrogene des systemes a petite echelle. Nous avons egalement evalue les performances d'un systeme de stockage cryogenique de l'hydrogene base sur la physisorption. Comme nous avons affaire a des plages de temperatures particulierement etendues et a de hautes pressions dans la region supercritique du gaz, nous avons du commencer par travailler sur la modelisation et la thermodynamique de l'adsorption. La representation de la quantite de gaz adsorbee en fonction de la temperature et de la pression par un modele semi-empirique est un outil utile pour determiner la masse de gaz adsorbee dans un systeme mais egalement pour calculer les effets thermiques lies a l'adsorption. Nous avons adapte le modele Dubinin-Astakhov (D-A) pour modeliser des isothermes d'adsorption d'hydrogene, d'azote et de methane sur du charbon actif a haute pression et sur une grande plage de temperatures supercritiques en considerant un volume d'adsorption invariant. Avec cinq parametres de regression (incluant le volume d'adsorption Va), le modele que nous avons developpe permet de tres bien representer des isothermes experimentales d'adsorption d'hydrogene (de 30 a 293 K, jusqu'a 6 MPa), d'azote (de 93 a 298 K, jusqu'a 6 MPa) et de methane (de 243 a 333 K, jusqu'a 9 MPa) sur le charbon actif. Nous avons calcule l'energie interne de la phase adsorbee a partir du modele en nous servant de la thermodynamique des solutions sans negliger le volume d'adsorption. Par la suite, nous avons presente les equations de conservation de la niasse et de l'energie pour un systeme d'adsorption et valide notre demarche en comparant des simulations et des tests d'adsorption et de desorption. En plus de l'energie interne, nous avons evalue l'entropie, l'energie differentielle d'adsorption et la chaleur isosterique d'adsorption. Nous avons etudie la performance d'un systeme de stockage d'hydrogene par adsorption pour les vehicules. La capacite de stockage d'hydrogene et les performances thermiques d'un reservoir de 150 L contenant du charbon actif Maxsorb MSC-30(TM) (surface specifique ˜ 3000 m2/g) ont ete etudiees sur une plage de temperatures de 60 a 298 K et a des pressions allant jusqu'a 35 MPa. Le systeme a ete considere de facon globale, sans nous attarder a un design particulier. Il est possible de stocker 5 kg d'hydrogene a des pressions de 7.8, 15.2 et 29 MPa pour des temperatures respectivement de 80, 114 et 172 K, lorsqu'on recupere l'hydrogene residuel a 2.5 bars en le chauffant. La simulation des phenomenes thermiques nous a permis d'analyser le refroidissement necessaire lors du remplissage, le chauffage lors de la decharge et le temps de dormance. Nous avons developpe un cycle de liquefaction de l'hydrogene base sur l'adsorption avec compression mecanique (ACM) et avons evalue sa faisabilite. L'objectif etait d'augmenter sensiblement l'efficacite des systemes de liquefaction de l'hydrogene a petite echelle (moins d'une tonne/jour) et ce, sans en augmenter le cout en capital. Nous avons adapte le cycle de refrigeration par ACM afin qu'il puisse par la suite etre ajoute a un cycle de liquefaction de l'hydrogene. Nous avons ensuite simule des cycles idealises de refrigeration par ACM. Meme dans ces conditions ideales, la refrigeration specifique est faible. De plus, l'efficacite theorique maximale de ces cycles de refrigeration est d'environ 20 a 30% de l'ideal. Nous avons realise experimentalement un cycle de refrigeration par ACM avec le couple azote/charbon actif. (Abstract shortened by UMI.)

Singularités de Van Hove des transitions inter sous-bande dans les détecteurs infrarouge à multipuits quantiques (MPQ)

NASA Astrophysics Data System (ADS)

Le Rouzo, J.; Ribet-Mohamed, I.; Haidar, R.; Guérineau, N.; Tauvy, M.; Rosencher, E.

2006-10-01

Des mesures de réponse spectrale à très grande dynamique ont été réalisées sur des détecteurs infrarouge à MPQ. Ces mesures montrent la présence de structures spectrales qui n'ont jamais été observées jusqu'alors. Basés sur un modèle de Kronig-Penney, classiquement utilisé dans les structures périodiques, nos résultats de simulation permettent d'attribuer sans ambiguïté ces structures à la présence de mini bandes d'énergie. De plus les exaltations de réponse en bord de bande correspondent à des singularités de Van Hove. Ce résultat important ouvre de nombreuses perspectives dans le domaine de la détection infrarouge.

Use of DES in mildly separated internal flow: dimples in a turbulent channel

NASA Astrophysics Data System (ADS)

Tay, Chien Ming Jonathan; Khoo, Boo Cheong; Chew, Yong Tian

2017-12-01

Detached eddy simulation (DES) is investigated as a means to study an array of shallow dimples with depth to diameter ratios of 1.5% and 5% in a turbulent channel. The DES captures large-scale flow features relatively well, but is unable to predict skin friction accurately due to flow modelling near the wall. The current work instead relies on the accuracy of DES to predict large-scale flow features, as well as its well-documented reliability in predicting flow separation regions to support the proposed mechanism that dimples reduce drag by introducing spanwise flow components near the wall through the addition of streamwise vorticity. Profiles of the turbulent energy budget show the stabilising effect of the dimples on the flow. The presence of flow separation however modulates the net drag reduction. Increasing the Reynolds number can reduce the size of the separated region and experiments show that this increases the overall drag reduction.

Participation and performance trends in multistage ultramarathons—the ‘Marathon des Sables’ 2003–2012

PubMed Central

2012-01-01

Background The purpose of this study was to investigate participation and performance changes in the multistage ultramarathon ‘Marathon des Sables’ from 2003 to 2012. Methods Participation and performance trends in the four- or six-stage running event covering approximately 250 km were analyzed with special emphasis on the nationality and age of the athletes. The relations between gender, age, and nationality of finishers and performance were investigated using regression analyses and analysis of variance. Results Between 2003 and 2012, a number of 7,275 athletes with 938 women (12.9%) and 6,337 men (87.1%) finished the Marathon des Sables. The finisher rate in both women (r2 = 0.62) and men (r2 = 0.60) increased across years (p < 0.01). Men were significantly (p < 0.01) faster than women for overall finishers (5.9 ± 1.6 km·h−1 versus 5.1 ± 1.3 km·h−1) and for the top three finishers (12.2 ± 0.4 km·h−1 versus 8.3 ± 0.6 km·h−1). The gender difference in running speed of the top three athletes decreased (r2 = 0.72; p < 0.01) from 39.5% in 2003 to 24.1% in 2012 with a mean gender difference of 31.7 ± 2.0%. In men, Moroccans won nine of ten competitions, and one edition was won by a Jordanian athlete. In women, eight races were won by Europeans (France five, Luxembourg two, and Spain one, respectively), and two events were won by Moroccan runners. Conclusions The finisher rate in the Marathon des Sables increased this last decade. Men were significantly faster than women with a higher gender difference in performance compared to previous reports. Social or cultural inhibitions may determine the outcome in this event. Future studies need to investigate participation trends regarding nationalities and socioeconomic background, as well as the motivation to compete in ultramarathons. PMID:23849138

Drug-Eluting Stents versus Bare-Metal Stents in Taiwanese Patients with Acute Coronary Syndrome: An Outcome Report of a Multicenter Registry

PubMed Central

Lai, Chi-Cheng; Yip, Hon-Kan; Lin, Tsung-Hsien; Wu, Chiung-Jen; Lai, Wen-Ter; Liu, Chun-Peng; Chang, Shu-Chen; Mar, Guang-Yuan

2014-01-01

Background The study aims to compare cardiovascular outcomes of using bare-metal stents (BMS) and drug-eluting stents (DES) in patients with acute coronary syndrome (ACS) through analysis of the database from the Taiwan ACS registry. Large domestic studies comparing outcomes of interventional strategies using DES and BMS in a Taiwanese population with ACS are limited. Methods and Results Collected data regarding characteristics and cardiovascular outcomes from the registry database were compared between the BMS and DES groups. A Cox regression model was used in an unadjusted or adjusted manner for analysis. Baseline characteristics apparently varied between DES group (n = 650) and BMS group (n = 1672) such as ACS types, Killip’s classifications, or coronary blood flows. Compared with the BMS group, the DES group was associated with significantly lower cumulative incidence of all-cause mortality (3.4% vs. 5.8%, p = 0.008), target vessel revascularization (TVR) (5.2% vs. 7.4%, p = 0.035), or major adverse cardiac events (MACE) (10.2% vs. 15.6%, p < 0.001) at 1 year in a real-world setting. Cox regression analysis showed the BMS group referenced as the DES group had significantly higher risk-adjusted total mortality [hazard ratio (HR) = 1.85, p = 0.026], target vessel revascularization (TVR) (HR = 1.59, p = 0.035), and MACE (HR = 1.68, p = 0.001). Conclusions The data show use of DES over BMS provided advantages to patients with ACS in terms of lower 1-year mortality, TVR, and MACE. The study suggests implantation of DES compared with BMS in Taiwanese patients with ACS is safe and beneficial in the real-world setting. PMID:27122834

"DEP'ART." Un Modele de Prevision des Departs des Enseignants. Documents Demographie Scolaire 9-16 ("DEP'ART." A Model for Predicting Teacher Attrition. Scholastic Demographic Document 9-16).

ERIC Educational Resources Information Center

Meublat, Guy

This document forms part of a research project initiated by the Ministry of Education in Quebec and designed to forecast teacher demand over the next 15 years. It analyzes the problem of identifying potential teacher dropouts by means of a statistical model which provides simulations of various hypotheses and which can be easily revised by the…

Evaluation of Simulated RADARSAT-2 Polarimetry Products

DTIC Science & Technology

2007-09-01

comparativement à l’utilisation d’un radar monocanal pour détecter des navires ainsi que les avantages possibles de la décomposition des cibles polarimétriques...calculation of the ROC can be applied to any designed probability of false alarm, such as PFA = 10-9, provided there are enough ocean samples available. The... designation , trade name, military project code name, geographic location may also be included. If possible keywords should be selected from a published

Design, Performance, and Operation of Efficient Ramjet/Scramjet Combined Cycle Hypersonic Propulsion

DTIC Science & Technology

2009-10-16

simulations, the blending of the RANS and LES portions is handled by the standard DES equations, now referred to as DES97. The one-equation Spalart...think that RANS can capture these dynamics. • Much remains to be learned about how to model chemistry-turbulence interactions in scramjet flows...BILLIG, F. S., R. BAURLE, AND C. TAM 1999 Design and Analysis of Streamline Traced Hypersonic Inlets. AIAA Paper 1999-4974. BILLIG, F.S., AND

Dark Energy Survey Year 1 results: curved-sky weak lensing mass map

NASA Astrophysics Data System (ADS)

Chang, C.; Pujol, A.; Mawdsley, B.; Bacon, D.; Elvin-Poole, J.; Melchior, P.; Kovács, A.; Jain, B.; Leistedt, B.; Giannantonio, T.; Alarcon, A.; Baxter, E.; Bechtol, K.; Becker, M. R.; Benoit-Lévy, A.; Bernstein, G. M.; Bonnett, C.; Busha, M. T.; Rosell, A. Carnero; Castander, F. J.; Cawthon, R.; da Costa, L. N.; Davis, C.; De Vicente, J.; DeRose, J.; Drlica-Wagner, A.; Fosalba, P.; Gatti, M.; Gaztanaga, E.; Gruen, D.; Gschwend, J.; Hartley, W. G.; Hoyle, B.; Huff, E. M.; Jarvis, M.; Jeffrey, N.; Kacprzak, T.; Lin, H.; MacCrann, N.; Maia, M. A. G.; Ogando, R. L. C.; Prat, J.; Rau, M. M.; Rollins, R. P.; Roodman, A.; Rozo, E.; Rykoff, E. S.; Samuroff, S.; Sánchez, C.; Sevilla-Noarbe, I.; Sheldon, E.; Troxel, M. A.; Varga, T. N.; Vielzeuf, P.; Vikram, V.; Wechsler, R. H.; Zuntz, J.; Abbott, T. M. C.; Abdalla, F. B.; Allam, S.; Annis, J.; Bertin, E.; Brooks, D.; Buckley-Geer, E.; Burke, D. L.; Kind, M. Carrasco; Carretero, J.; Crocce, M.; Cunha, C. E.; D'Andrea, C. B.; Desai, S.; Diehl, H. T.; Dietrich, J. P.; Doel, P.; Estrada, J.; Neto, A. Fausti; Fernandez, E.; Flaugher, B.; Frieman, J.; García-Bellido, J.; Gruendl, R. A.; Gutierrez, G.; Honscheid, K.; James, D. J.; Jeltema, T.; Johnson, M. W. G.; Johnson, M. D.; Kent, S.; Kirk, D.; Krause, E.; Kuehn, K.; Kuhlmann, S.; Lahav, O.; Li, T. S.; Lima, M.; March, M.; Martini, P.; Menanteau, F.; Miquel, R.; Mohr, J. J.; Neilsen, E.; Nichol, R. C.; Petravick, D.; Plazas, A. A.; Romer, A. K.; Sako, M.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Smith, M.; Smith, R. C.; Soares-Santos, M.; Sobreira, F.; Suchyta, E.; Tarle, G.; Thomas, D.; Tucker, D. L.; Walker, A. R.; Wester, W.; Zhang, Y.

2018-04-01

We construct the largest curved-sky galaxy weak lensing mass map to date from the DES first-year (DES Y1) data. The map, about 10 times larger than the previous work, is constructed over a contiguous ≈1500 deg2, covering a comoving volume of ≈10 Gpc3. The effects of masking, sampling, and noise are tested using simulations. We generate weak lensing maps from two DES Y1 shear catalogues, METACALIBRATION and IM3SHAPE, with sources at redshift 0.2 < z < 1.3, and in each of four bins in this range. In the highest signal-to-noise map, the ratio between the mean signal to noise in the E-mode map and the B-mode map is ˜1.5 (˜2) when smoothed with a Gaussian filter of σG = 30 (80) arcmin. The second and third moments of the convergence κ in the maps are in agreement with simulations. We also find no significant correlation of κ with maps of potential systematic contaminants. Finally, we demonstrate two applications of the mass maps: (1) cross-correlation

Estimation des masses, des centres de gravite ainsi que des moments d'inertie de l'avion cessna citation X

NASA Astrophysics Data System (ADS)

Chahbani, Samia

The masses, centers of gravity and moments of inertia are the main parameters in the three phases of the design of the aircraft. They are of extreme importance in the studies of the stability and proper functioning of the aircraft by modeling and simulation methods. Unfortunately, these data are not always available given the confidentiality of aerospace field. A question arises naturally: How to estimate the mass, center of gravity and moments of inertia of an aircraft based on only its geometry? In this context in which this thesis is realized, the masses are estimated by Raymer`s methods. The aircraft described in procedures based on mechanical techniques engineers are used for determining the centers of gravity. The DATCOM is applied for obtaining moments of inertia. Finally, the results obtained are validated by using the flight simulator at the LARCASE corresponding to Cessna Citation X. we conclude with a representation of an analytical model that sum up the different step to follow up for estimating masses, centers of gravity and moments of inertia for any commercial aircraft.

Une nouvelle voie pour la conception des implants intervertébraux

NASA Astrophysics Data System (ADS)

Gradel, T.; Tabourot, L.; Arrieux, R.; Balland, P.

2002-12-01

L'objectif de notre travail est la conception d'une nouvelle génération d'implants intersomatiques qui s'adapte parfaitement à la géométrie des plateaux vertébraux en se déformant. Pour cela, nous avons utilisé une nouvelle démarche qui consiste à simuler entièrement le procédé de fabrication en l'occurrence l'emboutissage, Cette simulation, en concervant l'historique des sollicitations exercées sur le matériau lors de sa mise en œuvre permet de valider très précisément sa résistance mécanique en fin de cycle. Au cours de cette étude, nous avons mené en parallèle deux analyses dites “ coopératives ” : l'une fondée sur un modèle phénoménologique de type HILL et l'autre sur un modèle multi-échelles prenant en compte des phénomènes plus physiques afin d'acquérir une bonne connaissance du comportement du matériau lors de la déformation. C'est pour sa bonne résistance, sa biocompatibilité et ses propriétés radiologiques que nous avons choisi le T40 (titane pur) comme matériau.

Multiplicative Process in Turbulent Velocity Statistics: A Simplified Analysis

NASA Astrophysics Data System (ADS)

Chillà, F.; Peinke, J.; Castaing, B.

1996-04-01

A lot of models in turbulence links the energy cascade process and intermittency, the characteristic of which being the shape evolution of the probability density functions (pdf) for longitudinal velocity increments. Using recent models and experimental results, we show that the flatness factor of these pdf gives a simple and direct estimate for what is called the deepness of the cascade. We analyse in this way the published data of a Direct Numerical Simulation and show that the deepness of the cascade presents the same Reynolds number dependence as in laboratory experiments. Plusieurs modèles de turbulence relient la cascade d'énergie et l'intermittence, caractérisée par l'évolution des densités de probabilité (pdf) des incréments longitudinaux de vitesse. Nous appuyant aussi bien sur des modèles récents que sur des résultats expérimentaux, nous montrons que la Curtosis de ces pdf permet une estimation simple et directe de la profondeur de la cascade. Cela nous permet de réanalyser les résultats publiés d'une simulation numérique et de montrer que la profondeur de la cascade y évolue de la même façon que pour les expériences de laboratoire en fonction du nombre de Reynolds.

Interaction and dynamics of (alkylamide + electrolyte) deep eutectics: Dependence on alkyl chain-length, temperature, and anion identity

DOE Office of Scientific and Technical Information (OSTI.GOV)

Guchhait, Biswajit; Das, Suman; Daschakraborty, Snehasis

Here we investigate the solute-medium interaction and solute-centered dynamics in (RCONH{sub 2} + LiX) deep eutectics (DEs) via carrying out time-resolved fluorescence measurements and all-atom molecular dynamics simulations at various temperatures. Alkylamides (RCONH{sub 2}) considered are acetamide (CH{sub 3}CONH{sub 2}), propionamide (CH{sub 3}CH{sub 2}CONH{sub 2}), and butyramide (CH{sub 3}CH{sub 2}CH{sub 2}CONH{sub 2}); the electrolytes (LiX) are lithium perchlorate (LiClO{sub 4}), lithium bromide (LiBr), and lithium nitrate (LiNO{sub 3}). Differential scanning calorimetric measurements reveal glass transition temperatures (T{sub g}) of these DEs are ∼195 K and show a very weak dependence on alkyl chain-length and electrolyte identity. Time-resolved and steady statemore » fluorescence measurements with these DEs have been carried out at six-to-nine different temperatures that are ∼100–150 K above their individual T{sub g}s. Four different solute probes providing a good spread of fluorescence lifetimes have been employed in steady state measurements, revealing strong excitation wavelength dependence of probe fluorescence emission peak frequencies. Extent of this dependence, which shows sensitivity to anion identity, has been found to increase with increase of amide chain-length and decrease of probe lifetime. Time-resolved measurements reveal strong fractional power dependence of average rates for solute solvation and rotation with fraction power being relatively smaller (stronger viscosity decoupling) for DEs containing longer amide and larger (weaker decoupling) for DEs containing perchlorate anion. Representative all-atom molecular dynamics simulations of (CH{sub 3}CONH{sub 2} + LiX) DEs at different temperatures reveal strongly stretched exponential relaxation of wavevector dependent acetamide self dynamic structure factor with time constants dependent both on ion identity and temperature, providing justification for explaining the fluorescence results in terms of temporal heterogeneity and amide clustering in these multi-component melts.« less

Long-term efficacy and safety of biodegradable-polymer biolimus-eluting stents: main results of the Basel Stent Kosten-Effektivitäts Trial-PROspective Validation Examination II (BASKET-PROVE II), a randomized, controlled noninferiority 2-year outcome trial.

PubMed

Kaiser, Christoph; Galatius, Soeren; Jeger, Raban; Gilgen, Nicole; Skov Jensen, Jan; Naber, Christoph; Alber, Hannes; Wanitschek, Maria; Eberli, Franz; Kurz, David J; Pedrazzini, Giovanni; Moccetti, Tiziano; Rickli, Hans; Weilenmann, Daniel; Vuillomenet, André; Steiner, Martin; Von Felten, Stefanie; Vogt, Deborah R; Wadt Hansen, Kim; Rickenbacher, Peter; Conen, David; Müller, Christian; Buser, Peter; Hoffmann, Andreas; Pfisterer, Matthias

2015-01-06

Biodegradable-polymer drug-eluting stents (BP-DES) were developed to be as effective as second-generation durable-polymer drug-eluting stents (DP-DES) and as safe >1 year as bare-metal stents (BMS). Thus, very late stent thrombosis (VLST) attributable to durable polymers should no longer appear. To address these early and late aspects, 2291 patients presenting with acute or stable coronary disease needing stents ≥3.0 mm in diameter between April 2010 and May 2012 were randomly assigned to biolimus-A9-eluting BP-DES, second-generation everolimus-eluting DP-DES, or thin-strut silicon-carbide-coated BMS in 8 European centers. All patients were treated with aspirin and risk-adjusted doses of prasugrel. The primary end point was combined cardiac death, myocardial infarction, and clinically indicated target-vessel revascularization within 2 years. The combined secondary safety end point was a composite of VLST, myocardial infarction, and cardiac death. The cumulative incidence of the primary end point was 7.6% with BP-DES, 6.8% with DP-DES, and 12.7% with BMS. By intention-to-treat BP-DES were noninferior (predefined margin, 3.80%) compared with DP-DES (absolute risk difference, 0.78%; -1.93% to 3.50%; P for noninferiority 0.042; per protocol P=0.09) and superior to BMS (absolute risk difference, -5.16; -8.32 to -2.01; P=0.0011). The 3 stent groups did not differ in the combined safety end point, with no decrease in events >1 year, particularly VLST with BP-DES. In large vessel stenting, BP-DES appeared barely noninferior compared with DP-DES and more effective than thin-strut BMS, but without evidence for better safety nor lower VLST rates >1 year. Findings challenge the concept that durable polymers are key in VLST formation. http://www.clinicaltrials.gov. Unique identifier: NCT01166685. © 2014 American Heart Association, Inc.

Use of DES Modeling for Determining Launch Availability for SLS

NASA Technical Reports Server (NTRS)

Watson, Mike; Staton, Eric; Cates, Grant; Finn, Ron; Altino, Karen; Burns, Lee

2014-01-01

The National Aeronautics and Space Administration (NASA) is developing new capabilities for human and scientific exploration beyond Earth's orbit. This effort includes the Space Shuttle derived Space Launch System (SLS), the Multi-Purpose Crew Vehicle (MPCV) "Orion", and the Ground Systems Development and Operations (GSDO). There are several requirements and Technical Performance Measures (TPMs) that have been levied by the Exploration Systems Development (ESD) upon the SLS, MPCV, and GSDO Programs including an integrated Launch Availability (LA) TPM. The LA TPM is used to drive into the SLS, Orion and GSDO designs a high confidence of successfully launching exploration missions that have narrow Earth departure windows. The LA TPM takes into consideration the reliability of the overall system (SLS, Orion and GSDO), natural environments, likelihood of a failure, and the time required to recover from an anomaly. A challenge with the LA TPM is the interrelationships between SLS, Orion, GSDO and the natural environments during launch countdown and launch delays that makes it impossible to develop an analytical solution for calculating the integrated launch probability. This paper provides an overview of how Discrete Event Simulation (DES) modeling was used to develop the LA TPM, how it was allocated down to the individual programs, and how the LA analysis is being used to inform and drive the SLS, Orion, and GSDO designs to ensure adequate launch availability for future human exploration.

Use of DES Modeling for Determining Launch Availability for SLS

NASA Technical Reports Server (NTRS)

Staton, Eric; Cates, Grant; Finn, Ronald; Altino, Karen M.; Burns, K. Lee; Watson, Michael D.

2014-01-01

The National Aeronautics and Space Administration (NASA) is developing new capabilities for human and scientific exploration beyond Earth's orbit. This effort includes the Space Shuttle derived Space Launch System (SLS), the Orion Multi-Purpose Crew Vehicle (MPCV), and the Ground Systems Development and Operations (GSDO). There are several requirements and Technical Performance Measures (TPMs) that have been levied by the Exploration Systems Development (ESD) upon the SLS, Orion, and GSDO Programs including an integrated Launch Availability (LA) TPM. The LA TPM is used to drive into the SLS, Orion and GSDO designs a high confidence of successfully launching exploration missions that have narrow Earth departure windows. The LA TPM takes into consideration the reliability of the overall system (SLS, Orion and GSDO), natural environments, likelihood of a failure, and the time required to recover from an anomaly. A challenge with the LA TPM is the interrelationships between SLS, Orion, GSDO and the natural environments during launch countdown and launch delays that makes it impossible to develop an analytical solution for calculating the integrated launch probability. This paper provides an overview of how Discrete Event Simulation (DES) modeling was used to develop the LA TPM, how it was allocated down to the individual programs, and how the LA analysis is being used to inform and drive the SLS, Orion, and GSDO designs to ensure adequate launch availability for future human exploration.

Ticagrelor with aspirin or alone in high-risk patients after coronary intervention: Rationale and design of the TWILIGHT study.

PubMed

Baber, Usman; Dangas, George; Cohen, David J; Gibson, C Michael; Mehta, Shamir R; Angiolillo, Dominick J; Pocock, Stuart J; Krucoff, Mitchell W; Kastrati, Adnan; Ohman, E Magnus; Steg, Philippe Gabriel; Badimon, Juan; Zafar, M Urooj; Chandrasekhar, Jaya; Sartori, Samantha; Aquino, Melissa; Mehran, Roxana

2016-12-01

Dual antiplatelet therapy (DAPT) is necessary to prevent thrombosis yet increases bleeding after percutaneous coronary intervention (PCI) with drug-eluting stents (DES). Antiplatelet monotherapy with a potent P2Y 12 receptor antagonist may reduce bleeding while maintaining anti thrombotic efficacy compared with conventional DAPT. TWILIGHT is a randomized, double-blind placebo-controlled trial evaluating the comparative efficacy and safety of antiplatelet monotherapy versus DAPT in up to 9000 high-risk patients undergoing PCI with DES. Upon enrollment after successful PCI, all patients will be treated with open label low-dose aspirin (81-100 mg daily) plus ticagrelor (90 mg twice daily) for 3 months. Event-free patients will then be randomized in a double-blind fashion to low-dose aspirin versus matching placebo with continuation of open-label ticagrelor for an additional 12 months. The primary hypothesis is that a strategy of ticagrelor monotherapy will be superior with respect to the primary endpoint of bleeding academic research consortium type 2, 3 or 5, while maintaining non-inferiority for ischemic events compared with ticagrelor plus ASA. TWILIGHT is the largest study to date that is specifically designed and powered to demonstrate reductions in bleeding with ticagrelor monotherapy versus ticagrelor plus ASA beyond 3 months post-procedure in a high-risk PCI population treated with DES. The trial will provide novel insights with respect to the potential role of ticagrelor monotherapy as an alternative for long-term platelet inhibition in a broad population of patients undergoing PCI with DES. Copyright © 2016 Elsevier Inc. All rights reserved.

Clinical presentation and outcomes of coronary in-stent restenosis across 3-stent generations.

PubMed

Magalhaes, Marco A; Minha, Sa'ar; Chen, Fang; Torguson, Rebecca; Omar, Al Fazir; Loh, Joshua P; Escarcega, Ricardo O; Lipinski, Michael J; Baker, Nevin C; Kitabata, Hironori; Ota, Hideaki; Suddath, William O; Satler, Lowell F; Pichard, Augusto D; Waksman, Ron

2014-12-01

Clinical presentation of bare metal stent in-stent restenosis (ISR) in patients undergoing target lesion revascularization is well characterized and negatively affects on outcomes, whereas the presentation and outcomes of first- and second-generation drug-eluting stents (DESs) remains under-reported. The study included 909 patients (1077 ISR lesions) distributed as follows: bare metal stent (n=388), first-generation DES (n=425), and second-generation DES (n=96), categorized into acute coronary syndrome (ACS) or non-ACS presentation mode at the time of first target lesion revascularization. ACS was further classified as myocardial infarction (MI) and unstable angina. For bare metal stent, first-generation DES and second-generation DES, ACS was the clinical presentation in 67.8%, 71.0%, and 66.7% of patients, respectively (P=0.470), whereas MI occurred in 10.6%, 10.1%, and 5.2% of patients, respectively (P=0.273). The correlates for MI as ISR presentation were current smokers (odds ratio, 3.02; 95% confidence interval [CI], 1.78-5.13; P<0.001), and chronic renal failure (odds ratio, 2.73; 95% CI, 1.60-4.70; P<0.001), with a protective trend for the second-generation DES ISR (odds ratio, 0.35; 95% CI, 0.12-1.03; P=0.060). ACS presentations had an independent effect on major adverse cardiac events (death, MI, and re-target lesion revascularization) at 6 months (MI versus non-ACS: adjusted hazard ratio, 4.06; 95% CI, 1.84-8.94; P<0.001; unstable angina versus non-ACS: adjusted hazard ratio, 1.98; 95% CI, 1.01-3.87; P=0.046). ISR clinical presentation is similar irrespective of stent type. MI as ISR presentation seems to be associated with patient and not device-related factors. ACS as ISR presentation has an independent effect on major adverse cardiac events, suggesting that ISR remains a hazard and should be minimized. © 2014 American Heart Association, Inc.

Study design of the influence of SErotonin inhibition on patients with RENAl impairment or diabetes undergoing drug-eluting stent implantation (SERENADE) study: A multicenter, open-label, prospective, randomized study.

PubMed

Lee, Seung-Ah; Suh, Jung-Won; Park, Jin Joo; Yoon, Chang-Hwan; Cho, Young-Suk; Youn, Tae-Jin; Chae, In-Ho; Kim, Hyo-Soo; Kim, Sang-Hyun; Choi, Dong-Ju

2015-07-01

The rates of stent failure after percutaneous coronary intervention have decreased since the introduction of the drug-eluting stent (DES). However, chronic kidney disease (CKD) and diabetes mellitus (DM) remain strong clinical predictors of poor prognosis despite DES implantation. Sarpogrelate, a selective serotonin (5-hydroxytryptamine (HT)2a [5-HT2A]) receptor antagonist, has antiproliferative effects, reducing neointimal hyperplasia and smooth muscle cell proliferation, as well as potent antiplatelet action, inhibiting 5-HT-induced platelet aggregation. However, efficacy and safety data for sarpogrelate in patients with CKD or DM are limited. We aim to determine whether sarpogrelate has beneficial effects in patients with CDK or DM treated with DES implantation. The SERENADE trial is a multicenter, open-label, prospective, randomized study that will test the superiority of triple anti-platelet therapy (TAT; aspirin, clopidogrel, and sarpogrelate) to conventional dual antiplatelet therapy (DAT; aspirin and clopidogrel) in preventing late lumen loss 9 months after the index procedure in patients with CKD or DM. A total of 220 patients diagnosed with coronary artery disease with DM or CKD will be randomized to the TAT or DAT groups (1:1 ratio) after DES implantation. The primary endpoint is late lumen loss at 9 months assessed by quantitative coronary angiography. Secondary efficacy endpoints are composites of major adverse cardiovascular events including cardiac death, nonfatal myocardial infarction, and target lesion revascularization. Secondary safety endpoints are major bleeding events and hepatic or renal impairment. The SERENADE trial will provide insight on the efficacy of adjunctive therapy with sarpogrelate after DES implantation for patients with high-risk profiles such as CKD or DM. National Institutes of Health Clinical Trials Registry (ClinicalTrials.gov NCT02294643). Copyright © 2015. Published by Elsevier Inc.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Nagamatsu, Shinya, E-mail: shinya@ks.kyorin-u.ac.jp; Ohara-Imaizumi, Mica; Nakamichi, Yoko

Highlights: {yields} Anti-diabetic new drug, DPP-4 inhibitor, can affect the insulin exocytosis. {yields} DPP-4 inhibitor treatment altered syntaxin 1 expression. {yields} Treatment of db/db mice with DPP-4 inhibitor increased insulin release. -- Abstract: Incretin promotes insulin secretion acutely. Recently, orally-administered DPP-4 inhibitors represent a new class of anti-hyperglycemic agents. Indeed, inhibitors of dipeptidyl peptidase-IV (DPP-4), sitagliptin, has just begun to be widely used as therapeutics for type 2 diabetes. However, the effects of sitagliptin-treatment on insulin exocytosis from single {beta}-cells are yet unknown. We therefore investigated how sitagliptin-treatment in db/db mice affects insulin exocytosis by treating db/db mice with des-F-sitagliptinmore » for 2 weeks. Perfusion studies showed that 2 weeks-sitagliptin treatment potentiated insulin secretion. We then analyzed insulin granule motion and SNARE protein, syntaxin 1, by TIRF imaging system. TIRF imaging of insulin exocytosis showed the increased number of docked insulin granules and increased fusion events from them during first-phase release. In accord with insulin exocytosis data, des-F-sitagliptin-treatment increased the number of syntaxin 1 clusters on the plasma membrane. Thus, our data demonstrated that 2-weeks des-F-sitagliptin-treatment increased the fusion events of insulin granules, probably via increased number of docked insulin granules and that of syntaxin 1 clusters.« less

Standardisation for C2-Simulation Interoperation

DTIC Science & Technology

2015-11-01

la continuité du MSG-048 a permis, grâce notamment à la contribution de la communauté opérationnelle, de consolider le besoin et d’approfondir un...demandes de documents STO, RTO ou AGARD doivent comporter la dénomination « STO », « RTO » ou « AGARD » selon le cas, suivi du numéro de série. Des ...disponibilité des rapports de la STO au fur et à mesure de leur publication, vous pouvez consulter notre site Web

The kinematic properties of dwarf early-type galaxies in the Virgo cluster

NASA Astrophysics Data System (ADS)

Toloba, E.; Boselli, A.; Peletier, R. F.; Gorgas, J.

2011-11-01

We present new medium resolution kinematic data for a sample of 21 dwarf early-type galaxies (dEs) mainly in the Virgo cluster. These data are used to study the origin of dEs inhabiting clusters. Within them we detect two populations: half of the sample (52%) are rotationally supported and the other half are pressure supported. We also find that the rotationally supported dEs are located in the outer parts of the cluster, present disky morphological shapes and are younger than those pressure supported that are concentrated in the core of the cluster without any underlying structures. Our analysis reveals that the rotationally supported objects have rotation curves similarly shaped to those of star forming galaxies of similar luminosities and follow the Tully-Fisher relation. This is expected if dEs are the descendant of low luminosity star forming systems which recently entered the cluster and lost their gas due to a ram pressure stripping event, quenching their star formation activity and transforming them into quiescent systems, but conserving their angular momentum.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Flory, John Andrew; Padilla, Denise D.; Gauthier, John H.

Upcoming weapon programs require an aggressive increase in Application Specific Integrated Circuit (ASIC) production at Sandia National Laboratories (SNL). SNL has developed unique modeling and optimization tools that have been instrumental in improving ASIC production productivity and efficiency, identifying optimal operational and tactical execution plans under resource constraints, and providing confidence in successful mission execution. With ten products and unprecedented levels of demand, a single set of shared resources, highly variable processes, and the need for external supplier task synchronization, scheduling is an integral part of successful manufacturing. The scheduler uses an iterative multi-objective genetic algorithm and a multi-dimensional performancemore » evaluator. Schedule feasibility is assessed using a discrete event simulation (DES) that incorporates operational uncertainty, variability, and resource availability. The tools provide rapid scenario assessments and responses to variances in the operational environment, and have been used to inform major equipment investments and workforce planning decisions in multiple SNL facilities.« less

[Modeling in value-based medicine].

PubMed

Neubauer, A S; Hirneiss, C; Kampik, A

2010-03-01

Modeling plays an important role in value-based medicine (VBM). It allows decision support by predicting potential clinical and economic consequences, frequently combining different sources of evidence. Based on relevant publications and examples focusing on ophthalmology the key economic modeling methods are explained and definitions are given. The most frequently applied model types are decision trees, Markov models, and discrete event simulation (DES) models. Model validation includes besides verifying internal validity comparison with other models (external validity) and ideally validation of its predictive properties. The existing uncertainty with any modeling should be clearly stated. This is true for economic modeling in VBM as well as when using disease risk models to support clinical decisions. In economic modeling uni- and multivariate sensitivity analyses are usually applied; the key concepts here are tornado plots and cost-effectiveness acceptability curves. Given the existing uncertainty, modeling helps to make better informed decisions than without this additional information.

Aerodynamic Engine/Airframe Integration for High Performance Aircraft and Missiles (L’Integration Aerodynamique des Moteurs et des Cellules dans les Avions et les Missiles a Hautes Performances)

DTIC Science & Technology

1992-09-01

qui a POUr object d~cvaluer la pertinence du symposium ci Ia mesure dans laquelle il a repondu aux attentes de Ia communautti atirospatiale. a ýtit...testing have progressed steadily in the last 30 years. the context of military and civil engine/airframe integration This paper will focus attention on...events of the early 90s close to our collective and military designs require increased attention to be paid to consciousness, it is clear that a

Approche du Processus d'Auto-Formation Inspiree de la Methode des "Histoires de vie" dans le cadre de la Formation continuee des institutrices maternelles en Communaute francaise de Belgique (Approach to the Process of Self-Instruction Inspired by the "Life History" Method in the Framework of the Continuing Education of Preschool Teachers in the French-Speaking Community in Belgium).

ERIC Educational Resources Information Center

Brandt, Madeleine

1994-01-01

Describes a study of the use of a critical events questionnaire and "educational biography" as means of training preschool teachers to question their role as teachers; to question their relationship with children; and to liberate their consciousness. Discusses the quantitative and qualitative results of the self-evaluation processes. (AC)

Developpement d'un montage simulant l'erosion par la pluie pour l'evaluation des revetements glaciophobes dans le domaine aerospatial

NASA Astrophysics Data System (ADS)

Tremblay, Sarah-Eve

Ce memoire presente le developpement d’un montage simulant l’erosion par la pluie afin d’effectuer l’evaluation de differents revetements glaciophobes dans le domaine aerospatial. Bien que plusieurs revetements presentent une bonne efficacite a reduire l’adherence et/ou l’accumulation de glace, ils ne repondent pas necessairement aux normes de resistance a l’erosion simulee par les gouttes de pluie les frappant a grande vitesse. Il n’existe qu’une installation en Amerique du Nord offrant un service d’essai qui evalue la resistance a l’erosion par la pluie suivant les normes aerospatiales. Etant l’unique institution pouvant faire la certification de peintures utilisees sur les avions en ce qui a trait a l’erosion par la pluie, ce service est donc difficile d’acces et couteux. Le laboratoire international des materiaux antigivre (LIMA) a developpe un essai plus rapide et moins couteux, facilitant ainsi le developpement de revetements glaciophobes devant resister a l’erosion par la pluie. Dans cette etude, le developpement du montage d’erosion par la pluie effectue au laboratoire des materiaux antigivre (LIMA) est presente. En particulier, des essais sur quatre (4) revetements dont la resistance a l’erosion est connue, et sur trois revetements industriels, ont ete effectues afin d’ajuster les differents parametres du montage comme la pression et la temperature de l’eau ainsi que la robustesse du montage. Ensuite, des essais de sensibilite et de reproductibilite des resultats ont egalement ete effectues pour fin de validation du montage et du protocole experimental. Pour ce faire, le montage de type jet d’eau developpe consiste principalement en une pompe a haute pression qui projette un jet d’eau continu passant par les orifices d’un disque tournant. Cette operation permet de generer une goutte de pluie simulee qui est projetee sur un echantillon de revetement statique. L’essai est base sur la norme standard ASTM (Liquid Impingement Erosion Testing, G73-82). La resistance a l’erosion du materiau est determinee a l’aide du nombre d’impacts subi par l’echantillon obtenu avant la production de dommages visibles. Donc, pour determiner le niveau d’erosion, quatre sites d’impacts doivent etre erodes sur cinq sur le meme rang pour le meme nombre d’impact. L’analyse des quatre revetements de resistance a l’erosion connus a ete completee par l’examen microscopique de chaque site d’impact et d’une photo. Le choix des quatre revetements de resistance a l’erosion connue, allant du plus resistant au moins resistant, a permis de verifier que le montage etait assez sensible pour evaluer les revetements souvent utilises dans le domaine aerospatial. De plus, l’evaluation des trois revetements industriels a permis, pour sa part, de confirmer les resultats obtenus precedemment. Finalement, pour evaluer la sensibilite et la reproductibilite des resultats, de deux a six repetitions pour chaque revetement a ete effectuees donnant des taux d’erosion allant de 100 a 100 000 impacts. L’intervalle des ecarts-types varie de ± 0% a ± 47% pour une moyenne de ± 17%. Le critere d’echec a ete determine a l’aide du nombre d’impacts avant l’apparition de dommage visible ainsi que de la repetabilite des resultats.

Developpement d'une methode calorimetrique de mesure des pertes ac pour des rubans supraconducteurs a haute temperature critique

NASA Astrophysics Data System (ADS)

Dolez, Patricia

Le travail de recherche effectue dans le cadre de ce projet de doctorat a permis la mise au point d'une methode de mesure des pertes ac destinee a l'etude des supraconducteurs a haute temperature critique. Pour le choix des principes de cette methode, nous nous sommes inspires de travaux anterieurs realises sur les supraconducteurs conventionnels, afin de proposer une alternative a la technique electrique, presentant lors du debut de cette these des problemes lies a la variation du resultat des mesures selon la position des contacts de tension sur la surface de l'echantillon, et de pouvoir mesurer les pertes ac dans des conditions simulant la realite des futures applications industrielles des rubans supraconducteurs: en particulier, cette methode utilise la technique calorimetrique, associee a une calibration simultanee et in situ. La validite de la methode a ete verifiee de maniere theorique et experimentale: d'une part, des mesures ont ete realisees sur des echantillons de Bi-2223 recouverts d'argent ou d'alliage d'argent-or et comparees avec les predictions theoriques donnees par Norris, nous indiquant la nature majoritairement hysteretique des pertes ac dans nos echantillons; d'autre part, une mesure electrique a ete realisee in situ dont les resultats correspondent parfaitement a ceux donnes par notre methode calorimetrique. Par ailleurs, nous avons compare la dependance en courant et en frequence des pertes ac d'un echantillon avant et apres qu'il ait ete endommage. Ces mesures semblent indiquer une relation entre la valeur du coefficient de la loi de puissance modelisant la dependance des pertes avec le courant, et les inhomogeneites longitudinales du courant critique induites par l'endommagement. De plus, la variation en frequence montre qu'au niveau des grosses fractures transverses creees par l'endommagement dans le coeur supraconducteur, le courant se partage localement de maniere a peu pres equivalente entre les quelques grains de matiere supraconductrice qui restent fixes a l'interface coeur-enveloppe, et le revetement en alliage d'argent. L'interet d'une methode calorimetrique par rapport a la technique electrique, plus rapide, plus sensible et maintenant fiable, reside dans la possibilite de realiser des mesures de pertes ac dans des environnements complexes, reproduisant la situation presente par exemple dans un cable de transport d'energie ou dans un transformateur. En particulier, la superposition d'un courant dc en plus du courant ac habituel nous a permis d'observer experimentalement, pour la premiere fois a notre connaissance, un comportement particulier des pertes ac en fonction de la valeur du courant dc decrit theoriquement par LeBlanc. Nous avons pu en deduire la presence d'un courant d'ecrantage Meissner de 16 A, ce qui nous permet de determiner les conditions dans lesquelles une reduction du niveau de pertes ac pourrait etre obtenue par application d'un courant dc, phenomene denomme "vallee de Clem".

Dark Energy Survey Year 1 results: the impact of galaxy neighbours on weak lensing cosmology with IM3SHAPE

NASA Astrophysics Data System (ADS)

Samuroff, S.; Bridle, S. L.; Zuntz, J.; Troxel, M. A.; Gruen, D.; Rollins, R. P.; Bernstein, G. M.; Eifler, T. F.; Huff, E. M.; Kacprzak, T.; Krause, E.; MacCrann, N.; Abdalla, F. B.; Allam, S.; Annis, J.; Bechtol, K.; Benoit-Lévy, A.; Bertin, E.; Brooks, D.; Buckley-Geer, E.; Carnero Rosell, A.; Carrasco Kind, M.; Carretero, J.; Crocce, M.; D'Andrea, C. B.; da Costa, L. N.; Davis, C.; Desai, S.; Doel, P.; Fausti Neto, A.; Flaugher, B.; Fosalba, P.; Frieman, J.; García-Bellido, J.; Gerdes, D. W.; Gruendl, R. A.; Gschwend, J.; Gutierrez, G.; Honscheid, K.; James, D. J.; Jarvis, M.; Jeltema, T.; Kirk, D.; Kuehn, K.; Kuhlmann, S.; Li, T. S.; Lima, M.; Maia, M. A. G.; March, M.; Marshall, J. L.; Martini, P.; Melchior, P.; Menanteau, F.; Miquel, R.; Nord, B.; Ogando, R. L. C.; Plazas, A. A.; Roodman, A.; Sanchez, E.; Scarpine, V.; Schindler, R.; Schubnell, M.; Sevilla-Noarbe, I.; Sheldon, E.; Smith, M.; Soares-Santos, M.; Sobreira, F.; Suchyta, E.; Tarle, G.; Thomas, D.; Tucker, D. L.; DES Collaboration

2018-04-01

We use a suite of simulated images based on Year 1 of the Dark Energy Survey to explore the impact of galaxy neighbours on shape measurement and shear cosmology. The HOOPOE image simulations include realistic blending, galaxy positions, and spatial variations in depth and point spread function properties. Using the IM3SHAPE maximum-likelihood shape measurement code, we identify four mechanisms by which neighbours can have a non-negligible influence on shear estimation. These effects, if ignored, would contribute a net multiplicative bias of m ˜ 0.03-0.09 in the Year One of the Dark Energy Survey (DES Y1) IM3SHAPE catalogue, though the precise impact will be dependent on both the measurement code and the selection cuts applied. This can be reduced to percentage level or less by removing objects with close neighbours, at a cost to the effective number density of galaxies neff of 30 per cent. We use the cosmological inference pipeline of DES Y1 to explore the cosmological implications of neighbour bias and show that omitting blending from the calibration simulation for DES Y1 would bias the inferred clustering amplitude S8 ≡ σ8(Ωm/0.3)0.5 by 2σ towards low values. Finally, we use the HOOPOE simulations to test the effect of neighbour-induced spatial correlations in the multiplicative bias. We find the impact on the recovered S8 of ignoring such correlations to be subdominant to statistical error at the current level of precision.

Dark Energy Survey Year 1 results: the impact of galaxy neighbours on weak lensing cosmology with IM3SHAPE

DOE PAGES

Samuroff, S.

2017-12-26

We use a suite of simulated images based on Year 1 of the Dark Energy Survey to explore the impact of galaxy neighbours on shape measurement and shear cosmology. The hoopoe image simulations include realistic blending, galaxy positions, and spatial variations in depth and PSF properties. Using the im3shape maximum-likelihood shape measurement code, we identify four mechanisms by which neighbours can have a non-negligible influence on shear estimation. These effects, if ignored, would contribute a net multiplicative bias ofmore » $$m \\sim 0.03 - 0.09$$ in the DES Y1 im3shape catalogue, though the precise impact will be dependent on both the measurement code and the selection cuts applied. This can be reduced to percentage level or less by removing objects with close neighbours, at a cost to the effective number density of galaxies $$n_\\mathrm{eff}$$ of 30%. We use the cosmological inference pipeline of DES Y1 to explore the cosmological implications of neighbour bias and show that omitting blending from the calibration simulation for DES Y1 would bias the inferred clustering amplitude $$S_8\\equiv \\sigma_8 (\\Omega _\\mathrm{m} /0.3)^{0.5}$$ by $$2 \\sigma$$ towards low values. Lastly, we use the hoopoe simulations to test the effect of neighbour-induced spatial correlations in the multiplicative bias. We find the impact on the recovered $$S_8$$ of ignoring such correlations to be subdominant to statistical error at the current level of precision.« less

Dark Energy Survey Year 1 results: the impact of galaxy neighbours on weak lensing cosmology with IM3SHAPE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Samuroff, S.

We use a suite of simulated images based on Year 1 of the Dark Energy Survey to explore the impact of galaxy neighbours on shape measurement and shear cosmology. The hoopoe image simulations include realistic blending, galaxy positions, and spatial variations in depth and PSF properties. Using the im3shape maximum-likelihood shape measurement code, we identify four mechanisms by which neighbours can have a non-negligible influence on shear estimation. These effects, if ignored, would contribute a net multiplicative bias ofmore » $$m \\sim 0.03 - 0.09$$ in the DES Y1 im3shape catalogue, though the precise impact will be dependent on both the measurement code and the selection cuts applied. This can be reduced to percentage level or less by removing objects with close neighbours, at a cost to the effective number density of galaxies $$n_\\mathrm{eff}$$ of 30%. We use the cosmological inference pipeline of DES Y1 to explore the cosmological implications of neighbour bias and show that omitting blending from the calibration simulation for DES Y1 would bias the inferred clustering amplitude $$S_8\\equiv \\sigma_8 (\\Omega _\\mathrm{m} /0.3)^{0.5}$$ by $$2 \\sigma$$ towards low values. Lastly, we use the hoopoe simulations to test the effect of neighbour-induced spatial correlations in the multiplicative bias. We find the impact on the recovered $$S_8$$ of ignoring such correlations to be subdominant to statistical error at the current level of precision.« less

Some Recent Developments in Turbulence Closure Modeling

NASA Astrophysics Data System (ADS)

Durbin, Paul A.

2018-01-01

Turbulence closure models are central to a good deal of applied computational fluid dynamical analysis. Closure modeling endures as a productive area of research. This review covers recent developments in elliptic relaxation and elliptic blending models, unified rotation and curvature corrections, transition prediction, hybrid simulation, and data-driven methods. The focus is on closure models in which transport equations are solved for scalar variables, such as the turbulent kinetic energy, a timescale, or a measure of anisotropy. Algebraic constitutive representations are reviewed for their role in relating scalar closures to the Reynolds stress tensor. Seamless and nonzonal methods, which invoke a single closure model, are reviewed, especially detached eddy simulation (DES) and adaptive DES. Other topics surveyed include data-driven modeling and intermittency and laminar fluctuation models for transition prediction. The review concludes with an outlook.

Detached Eddy Simulation for the F-16XL Aircraft Configuration

NASA Technical Reports Server (NTRS)

Elmiligui, Alaa; Abdol-Hamid, Khaled; Parlette, Edward B.

2015-01-01

Numerical simulations for the flow around the F-16XL configuration as a contribution to the Cranked Arrow Wing Aerodynamic Project International 2 (CAWAPI-2) have been performed. The NASA Langley Tetrahedral Unstructured Software System (TetrUSS) with its USM3D solver was used to perform the unsteady flow field simulations for the subsonic high angle-of-attack case corresponding to flight condition (FC) 25. Two approaches were utilized to capture the unsteady vortex flow over the wing of the F-16XL. The first approach was to use Unsteady Reynolds-Averaged Navier-Stokes (URANS) coupled with standard turbulence closure models. The second approach was to use Detached Eddy Simulation (DES), which creates a hybrid model that attempts to combine the most favorable elements of URANS models and Large Eddy Simulation (LES). Computed surface static pressure profiles are presented and compared with flight data. Time-averaged and instantaneous results obtained on coarse, medium and fine grids are compared with the flight data. The intent of this study is to demonstrate that the DES module within the USM3D solver can be used to provide valuable data in predicting vortex-flow physics on a complex configuration.

Percutaneous coronary intervention with oral sirolimus and bare metal stents has comparable safety and efficacy to treatment with drug eluting stents, but with significant cost saving: long-term follow-up results from the randomised, controlled ORAR III (Oral Rapamycin in ARgentina) study.

PubMed

Rodriguez, Alfredo E; Maree, Andrew; Tarragona, Sonia; Fernandez-Pereira, Carlos; Santaera, Omar; Rodriguez Granillo, Alfredo M; Rodriguez-Granillo, Gaston A; Russo-Felssen, Miguel; Kukreja, Neville; Antoniucci, David; Palacios, Igor F; Serruys, Patrick W

2009-06-01

Previous randomised studies have shown a significant reduction in restenosis when oral rapamycin (OR) is administered to patients undergoing bare metal stent (BMS) implantation. How this regimen compares to drug eluting stents (DES) is unknown. Two-hundred patients with de novo coronary lesions were randomised to treatment with OR plus BMS (100 pts) or with DES (100 pts). OR was given as a bolus of 10 mg per day before PCI followed by daily doses of 3 mg during following 13 days. Primary endpoints were to compare hospital, follow-up and overall cost at one, two, three and five years of follow-up. The secondary endpoints included death, myocardial infarction (MI) and stroke and were analysed as major adverse cardiovascular events (MACCE). Target vessel (TVR) and target lesion revascularisation (TLR) were independently analysed. Costs included procedural resources, hospitalisation, medications, repeat revascularisation procedures and professional fees. Baseline demographic, clinical and angiographic characteristics were similar. At 18.3 +/- 7 months of follow-up, the initial strategy of OR plus BMS resulted in significant cost saving when compared to DES (p=0.0001). TLR rate was 8.2% with DES and 7.0% with OR plus BMS (p=0.84), similarly no differences in TVR rate in both groups was seen (10.6% and 10.5% in OR and DES group respectively, p=0.86). Non-inferiority testing, determined that DES therapy failed to be cost saving compared to OR in all possible cost scenarios. A strategy of OR plus BMS is cost saving compared to DES in patients undergoing PCI for de novo coronary lesions.

Optical follow-up of gravitational wave triggers with DECam

NASA Astrophysics Data System (ADS)

Herner, K.; Annis, J.; Berger, E.; Brout, D.; Butler, R.; Chen, H.; Cowperthwaite, P.; Diehl, H.; Doctor, Z.; Drlica-Wagner, A.; Farr, B.; Finley, D.; Frieman, J.; Holz, D.; Kessler, R.; Lin, H.; Marriner, J.; Nielsen, E.; Palmese, A.; Sako, M.; Soares-Santos, M.; Sobreira, F.; Yanny, B.

2017-10-01

Gravitational wave (GW) events have several possible progenitors, including black hole mergers, cosmic string cusps, supernovae, neutron star mergers, and black hole-neutron star mergers. A subset of GW events are expected to produce electromagnetic (EM) emission that, once detected, will provide complementary information about their astrophysical context. To that end, the LIGO-Virgo Collaboration has partnered with other teams to send GW candidate alerts so that searches for their EM counterparts can be pursued. One such partner is the Dark Energy Survey (DES) and Dark Energy Camera (DECam) Gravitational Waves Program (DES-GW). Situated on the 4m Blanco Telescope at the Cerro Tololo Inter-American Observatory in Chile, DECam is an ideal instrument for optical followup observations of GW triggers in the southern sky. The DES-GW program performs subtraction of new search images with respect to preexisting overlapping images to select candidate sources. Due to the short decay timescale of the expected EM counterparts and the need to quickly eliminate survey areas with no counterpart candidates, it is critical to complete the initial analysis of each night’s images within 24 hours. The computational challenges in achieving this goal include maintaining robust I/O pipelines during the processing, being able to quickly acquire template images of new sky regions outside of the typical DES observing regions, and being able to rapidly provision additional batch computing resources with little advance notice. We will discuss the search area determination, imaging pipeline, general data transfer strategy, and methods to quickly increase the available amount of batch computing. We will present results from the first season of observations from September 2015 to January 2016 and conclude by presenting improvements planned for the second observing season.

Incidence of adverse cardiac events 5 years after polymer-free sirolimus eluting stent implantation: Results from the prospective Bad Berka Yukon Choice™ registry.

PubMed

Ohlow, Marc-Alexander; von Korn, Hubertus; Gunkel, Oliver; Farah, Ahmed; Fuhrmann, Joerg T; Lauer, Bernward

2014-12-01

Drug-eluting stents (DES) constitute a major achievement in preventing re-stenosis, concerns remain regarding the increased inflammatory responses associated with the polymers used. This analysis focuses on outcomes in patients receiving the polymer-free sirolimus-eluting stent system YUKON-Choice (Yukon-DES, Translumina, Germany). From 01/2006-09/2008 all patients receiving Yukon-DES (≥2.5 mm diameter) were prospectively enrolled in our registry. The primary endpoint was long-term major adverse cardiac events (MACE). 701 patients were included in our registry. Mean age was 65.7 ± 10 years (73% male gender, 35.5% diabetes, and 32.2% acute coronary syndrome). 76% of the lesions were of Type B2/C. Lesion length was 24.6 ± 5.2 mm and mean stent diameter was 2.8 ± 0.4 mm. A total of 511 pts (72%) underwent 6-months angiographic follow-up, target vessel revascularization was noted in 23.5%. At 5 years clinical outcomes were: cardiac death 5.8%; myocardial infarction 3.4%; and TVR 24.6%. The incidence of MACE differed significantly between "on-label" and "off-label" indications (14.8% vs. 40.8% MACE; P < 0.001). Incidence of definitive/probable stent thrombosis (ST) was 1.14% (8/701); very late (>1 year) ST occurred in 0.29%. Our data suggests that the implantation of the sirolimus-coated polymer-free YUKON-DES is safe and feasible with a very low incidence of ST in this real world patient cohort with high percentage of diabetes and small vessels. © 2013 Wiley Periodicals, Inc.

Optical follow-up of gravitational wave triggers with DECam

DOE Office of Scientific and Technical Information (OSTI.GOV)

Herner, K.; Annis, J.; Berger, E.

Gravitational wave (GW) events have several possible progenitors, including black hole mergers, cosmic string cusps, supernovae, neutron star mergers, and black hole{neutron star mergers. A subset of GW events are expected to produce electromagnetic (EM) emission that, once detected, will provide complementary information about their astrophysical context. To that end, the LIGO-Virgo Collaboration has partnered with other teams to send GW candidate alerts so that searches for their EM counterparts can be pursued. One such partner is the Dark Energy Survey (DES) and Dark Energy Camera (DECam) Gravitational Waves Program (DES- GW). Situated on the 4m Blanco Telescope at themore » Cerro Tololo Inter-American Observatory in Chile, DECam is an ideal instrument for optical followup observations of GW triggers in the southern sky. The DES-GW program performs subtraction of new search images with respect to preexisting overlapping images to select candidate sources. Due to the short decay timescale of the expected EM counterparts and the need to quickly eliminate survey areas with no counterpart candidates, it is critical to complete the initial analysis of each night's images within 24 hours. The computational challenges in achieving this goal include maintaining robust I/O pipelines during the processing, being able to quickly acquire template images of new sky regions outside of the typical DES observing regions, and being able to rapidly provision additional batch computing resources with little advance notice. We will discuss the search area determination, imaging pipeline, general data transfer strategy, and methods to quickly increase the available amount of batch computing. We will present results from the rst season of observations from September 2015 to January 2016 and conclude by presenting improvements planned for the second observing season.« less

Synthese de champs sonores adaptative

NASA Astrophysics Data System (ADS)

Gauthier, Philippe-Aubert

La reproduction de champs acoustiques est une approche physique au probleme technologique de la spatialisation sonore. Cette these concerne l'aspect physique de la reproduction de champs acoustiques. L'objectif principal est l'amelioration de la reproduction de champs acoustiques par "synthese de champs acoustiques" ("Wave Field Synthesis", WFS), une approche connue, basee sur des hypotheses de champ libre, a l'aide du controle actif par l'ajout de capteurs de l'erreur de reproduction et d'une boucle fermee. Un premier chapitre technique (chapitre 4) expose les resultats d'appreciation objective de la WFS par simulations et mesures experimentales. L'effet indesirable de la salle de reproduction sur les qualites objectives de la WFS fut illustre. Une premiere question de recherche fut ensuite abordee (chapitre 5), a savoir s'il est possible de reproduire des champs progressifs en salle dans un paradigme physique de controle actif: cette possibilite fut prouvee. L'approche technique privilegiee, "synthese de champs adaptative" ("Adaptive Wave Field Synthesis" [AWFS]), fut definie, puis simulee (chapitre 6). Cette approche d'AWFS comporte une originalite en controle actif et en reproduction de champs acoustiques: la fonction cout quadratique representant la minimisation des erreurs de reproduction inclut une regularisation de Tikhonov avec solution a priori qui vient de la WFS. L'etude de l'AWFS a l'aide de la decomposition en valeurs singulieres (chapitre 7) a permis de comprendre les mecanismes propres a l'AWFS. C'est la deuxieme principale originalite de la these. L'algorithme FXLMS (LMS et reference filtree) est modifie pour l'AWFS (chapitre 8). Le decouplage du systeme par decomposition en valeurs singulieres est illustre dans le domaine du traitement de signal et l'AWFS basee sur le controle independant des modes de rayonnement est simulee (chapitre 8). Ce qui constitue la troisieme originalite principale de cette these. Ces simulations du traitement de signal montrent l'efficacite des algorithmes et la capacite de l'AWFS a attenuer les erreurs attribuables a des reflexions acoustiques. Le neuvieme chapitre presente des resultats experimentaux d'AWFS. L'objectif etait de valider la methode et d'evaluer les performances de l'AWFS. Un autre algorithme prometteur est aussi teste. Les resultats demontrent la bonne marche de l'AWFS et des algorithmes testes. Autant dans le cas de la reproduction de champs harmoniques que dans le cas de la reproduction de champs a large bande, l'AWFS reduit l'erreur de reproduction de la WFS et les effets indesirables causes par les lieux de reproduction.

Extended hierarchical solvent perturbations from curved surfaces of mesoporous silica particles in a deep eutectic solvent.

PubMed

Hammons, Joshua A; Zhang, Fan; Ilavsky, Jan

2018-06-15

Many applications of deep eutectic solvents (DES) rely on exploitation of their unique yet complex liquid structures. Due to the ionic nature of the DES components, their diffuse structures are perturbed in the presence of a charged surface. We hypothesize that it is possible to perturb the bulk DES structure far (>100 nm) from a curved, charged surface with mesoscopic dimensions. We performed in situ, synchrotron-based ultra-small angle X-ray scattering (USAXS) experiments to study the solvent distribution near the surface of charged mesoporous silica particles (MPS) (≈0.5 µm in diameter) suspended in both water and a common type of DES (1:2 choline Cl-:ethylene glycol). A careful USAXS analysis reveals that the perturbation of electron density distribution within the DES extends ≈1 μm beyond the particle surface, and that this perturbation can be manipulated by the addition of salt ions (AgCl). The concentration of the pore-filling fluid is greatly reduced in the DES. Notably, we extracted the real-space structures of these fluctuations from the USAXS data using a simulated annealing approach that does not require a priori knowledge about the scattering form factor, and can be generalized to a wide range of complex small-angle scattering problems. Copyright © 2018 Elsevier Inc. All rights reserved.

DES Prediction of Cavitation Erosion and Its Validation for a Ship Scale Propeller

NASA Astrophysics Data System (ADS)

Ponkratov, Dmitriy, Dr

2015-12-01

Lloyd's Register Technical Investigation Department (LR TID) have developed numerical functions for the prediction of cavitation erosion aggressiveness within Computational Fluid Dynamics (CFD) simulations. These functions were previously validated for a model scale hydrofoil and ship scale rudder [1]. For the current study the functions were applied to a cargo ship's full scale propeller, on which the severe cavitation erosion was reported. The performed Detach Eddy Simulation (DES) required a fine computational mesh (approximately 22 million cells), together with a very small time step (2.0E-4 s). As the cavitation for this type of vessel is primarily caused by a highly non-uniform wake, the hull was also included in the simulation. The applied method under predicted the cavitation extent and did not fully resolve the tip vortex; however, the areas of cavitation collapse were captured successfully. Consequently, the developed functions showed a very good prediction of erosion areas, as confirmed by comparison with underwater propeller inspection results.

Investigation of Transonic Wake Dynamics for Mechanically Deployable Entry Systems

NASA Technical Reports Server (NTRS)

Stern, Eric; Barnhardt, Michael; Venkatapathy, Ethiraj; Candler, Graham; Prabhu, Dinesh

2012-01-01

A numerical investigation of transonic flow around a mechanically deployable entry system being considered for a robotic mission to Venus has been performed, and preliminary results are reported. The flow around a conceptual representation of the vehicle geometry was simulated at discrete points along a ballistic trajectory using Detached Eddy Simulation (DES). The trajectory points selected span the low supersonic to transonic regimes with freestream Mach numbers from 1:5 to 0:8, and freestream Reynolds numbers (based on diameter) between 2:09 x 10(exp 6) and 2:93 x 10(exp 6). Additionally, the Mach 0:8 case was simulated at angles of attack between 0 and 5 . Static aerodynamic coefficients obtained from the data show qualitative agreement with data from 70deg sphere-cone wind tunnel tests performed for the Viking program. Finally, the effect of choices of models and numerical algorithms is addressed by comparing the DES results to those using a Reynolds Averaged Navier-Stokes (RANS) model, as well as to results using a more dissipative numerical scheme.

Préface

NASA Astrophysics Data System (ADS)

Schober, Helmut; Fischer, Henry; Leclercq-Hugeux, Françoise

2003-09-01

L'École Thématique “Structure et Dynamique des Systèmes Désordonnés” [1] s'inscrit dans le cadre des écoles organisées sous l'impulsion de la Société Française de la Neutronique (SFN). Elle s'est deroulée en mai 2002 sur la Presqu'île de Giens (Var) en première partie des 11émes Journées de la Diffusion Neutronique. L'Édition de ces cours constitue ainsi le cinquième ouvrage introduisant les techniques neutroniques et leurs apports à differentes thématiques [2]. Le désordre est un facteur déterminant pour pratiquement toutes les propriétés des matériaux. Il est inhérent dans les matériaux amorphes ou liquides, mais il détermine également les propriétés mécaniques et électroniques d'autres composés d'importance technologique comme les matériaux métalliques, dont l'aspect “désordonné” est moins évident. Le désordre enfin joue un rôle essentiel dans tout ce que touche à la vie. En fait, il est difficile d'imaginer des systèmes, à part quelques exceptions rares comme l'hélium ou le silicium de haute pureté, où il n'y ait pas de désordre. En dehors de cet aspect pratique, la description scientifique du désordre atomique pose toujours des problèmes fondamentaux faute de concepts pertinents. Une des tâches importantes du scientifique ou de l'ingenieur est de préciser quel genre de désordre existe à une échelle d'espace et de temps donnée. Un materiau peut très bien être homogène à l'échelle atomique et présenter des défauts ou des hétrogéneité visibles à l'œil et inversement. De même, un système désordonné à un instant donné, peut apparaître ordonné si on moyenne dans le temps. Les techniques de diffusion des neutrons sont idéales pour aborder ces questions. Les neutrons sondent directement les noyaux et ont à la fois des longueurs d'ondes proches des distances inter atomiques et des énergies avoisinant celles des excitations élémentaires de la matière condensée. Ils permettent ainsi une observation directe et non-destructive des positions et des mouvements atomiques. La gamme des distances et des temps sondés par les neutrons autorisent aussi bien de suivre le mouvement des atomes à l'échelle inter atomique que l'évolution d'une structure soit mésoscopique soit macroscopique sur des temps de moins d'une picoseconde à plusieurs heures. La gamme des techniques de diffusion utilisées pour couvrir un tel champ d'application est naturellement très large : différents types de diffractomètres permettent des études de structure atomique trés pointue et résolue dans le temps. Les spectromètres nous donnent accès à la dynamique d'une dizaine de femto- à plusieurs nanosecondes. La diffusion aux petits angles, la reflectomètrie et finalement la tomographie nous permettent de regarder la structure et la dynamique d'objets plus grands. Il était illusoire de prétendre couvrir la totalité des systèmes désordonnés et l'ensemble des techniques de diffusion neutronique pertinentes au cours d'une école de 3 jours. Nous avons donc été amené à nous concentrer sur les liquides, les verres, les cristaux plastiques et les polymères. Ce choix s'est imposé par le souhait d'introduire les concepts de base, en acceptant de sacrifier certains domaines d'applications. Il va de soi que l'étude approfondie de systèmes mettant en jeu plusieurs échelles de distance (structure moléculaire, portée des corrélations entre les molécules) et de temps (relaxations caractéristiques des divers phenomènes dynamiques selon leur extension spatiale) implique une pluralité de techniques expérimentales, complémentaires des différentes techniques neutroniques disponibles. Un des objectifs de cette école etait donc de préciser les domaines de pertinence des différentes techniques neutroniques disponibles en en situant la complémentarité avec d'autres approches instrumentales (diffraction des rayons X, EXAFS, RMN, etc.). Enfin la confrontation avec les résultats obtenus par simulation et modélisation numérique est essentielle à la compréhension des processus élémentaires dans ces systèmes complexes. En première partie de cet ouvrage, on trouvera une description géntrale des systèmes désordonnés et une introduction aux techniques de diffusion de neutrons. Pour la partie concernant la structure, une revue des techniques de diffraction est suivie par des applications à des systèmes de complexité croissante (liquides métalliques simples, alliages liquides, semiconducteurs fondus, solutions aqueuses, verres d'oxydes). L'apport des méthodes de variation de longueur de diffusion (substitution isotopique pour les mesures aux neutrons, diffusion anomale des rayons X ou combinaison de ces deux techniques) permet la détermination des facteurs de structures partiels. Pour la dynamique, on a privilégié une approche introduisant progressivement le désordre en passant des solides aux liquides. Le concept de diffusion puis les particularités dynamiques des verres sont ensuite présentés et illustrés par des exemples concrets. Enfin la dernière partie est consacrée à la simulation numérique des propriétés dynamiques des verres et des liquides et à la modélisation de la structure par méthode de Monte Carlo inverse (RMC) à partir de l'ensemble des données expérimentales existant pour un système donné. La communauté française a joué un rôle important dans le développement des techniques neutroniques dédites à l'étude des systèmes désordonnés et y a acquis une competence reconnue. Nous avons essayé, dans cet ouvrage, de privilégier les aspects pédagogiques des cours, pour les rendre accessibles aux scientifiques francophones non spécialistes en diffusion des neutrons. Nous saluons ici l'effort de rédaction, en langue française, des différents intervenants et souhaitons que cet ouvrage puisse participer à la formation et au renouvellement de la communauté neutronique française. Helmut Schober et Henry Fischer (Editeurs scientifiques) Françoise Leclercq-Hugeux (Présidente de la SFN)

Dark Energy Survey Year 1 Results: Curved-Sky Weak Lensing Mass Map

DOE PAGES

Chang, C.; Sheldon, E.; Pujol, A.; ...

2018-01-04

We construct the largest curved-sky galaxy weak lensing mass map to date from the DES firstyear (DES Y1) data. The map, about 10 times larger than previous work, is constructed over a contiguous ≈1;500 deg 2, covering a comoving volume of ≈10 Gpc 3. The effects of masking, sampling, and noise are tested using simulations. We generate weak lensing maps from two DES Y1 shear catalogs, METACALIBRATION and IM3SHAPE, with sources at redshift 0:2 < z < 1:3; and in each of four bins in this range. In the highest signal-to-noise map, the ratio between the mean signal-to-noise in themore » E-mode and the B-mode map is ~1.5 (~2) when smoothed with a Gaussian filter of sG =30 (80) arcminutes. The second and third moments of the convergence k in the maps are in agreement with simulations. We also find no significant correlation of k with maps of potential systematic contaminants. Finally, we demonstrate two applications of the mass maps: (1) cross-correlation with different foreground tracers of mass and (2) exploration of the largest peaks and voids in the maps.« less

Dark Energy Survey Year 1 Results: Curved-Sky Weak Lensing Mass Map

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chang, C.; Sheldon, E.; Pujol, A.

We construct the largest curved-sky galaxy weak lensing mass map to date from the DES firstyear (DES Y1) data. The map, about 10 times larger than previous work, is constructed over a contiguous ≈1;500 deg 2, covering a comoving volume of ≈10 Gpc 3. The effects of masking, sampling, and noise are tested using simulations. We generate weak lensing maps from two DES Y1 shear catalogs, METACALIBRATION and IM3SHAPE, with sources at redshift 0:2 < z < 1:3; and in each of four bins in this range. In the highest signal-to-noise map, the ratio between the mean signal-to-noise in themore » E-mode and the B-mode map is ~1.5 (~2) when smoothed with a Gaussian filter of sG =30 (80) arcminutes. The second and third moments of the convergence k in the maps are in agreement with simulations. We also find no significant correlation of k with maps of potential systematic contaminants. Finally, we demonstrate two applications of the mass maps: (1) cross-correlation with different foreground tracers of mass and (2) exploration of the largest peaks and voids in the maps.« less

Outcomes of ≤6-month versus 12-month dual antiplatelet therapy after drug-eluting stent implantation

PubMed Central

Villablanca, Pedro A.; Massera, Daniele; Mathew, Verghese; Bangalore, Sripal; Christia, Panagiota; Perez, Irving; Wan, Ningxin; Schulz-Schüpke, Stefanie; Briceno, David F.; Bortnick, Anna E.; Garcia, Mario J.; Lucariello, Richard; Menegus, Mark; Pyo, Robert; Wiley, Jose; Ramakrishna, Harish

2016-01-01

Abstract Background: The benefit of ≤6-month compared with 12-month dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) placement remains controversial. We performed a meta-analysis and meta-regression of ≤6-month versus 12-month DAPT in patients undergoing PCI with DES placement. Methods: We conducted electronic database searches of randomized controlled trials (RCTs) comparing DAPT durations after DES placement. For studies with longer follow-up, outcomes at 12 months were identified. Odds ratios and 95% confidence intervals were computed with the Mantel–Haenszel method. Fixed-effect models were used; if heterogeneity (I2) > 40 was identified, effects were obtained with random models. Results: Nine RCTs were included with total n = 19,224 patients. No significant differences were observed between ≤6-month compared with 12-month DAPT in all-cause mortality (OR 0.87; 95% confidence interval (CI): 0.69–1.11), cardiovascular (CV) mortality (OR 0.89; 95% CI: 0.66–1.21), non-CV mortality (OR 0.85; 95% 0.58–1.24), myocardial infarction (OR 1.10; 95% CI: 0.89–1.37), stroke (OR 0.97; 95% CI: 0.67–1.42), stent thrombosis (ST) (OR 1.37; 95% CI: 0.89–2.10), and target vessel revascularization (OR 0.95; 95% CI: 0.77–1.18). No significant difference in major bleeding (OR 0.72; 95% CI: 0.49–1.05) was observed, though the all-bleeding event rate was significantly lower in the ≤6-month DAPT group (OR 0.76; 95% CI: 0.59–0.96). In the meta-regression analysis, a significant association between bleeding events and non-CV mortality with 12-month DAPT was found, as well as between ST and mortality in addition to MI with ≤6-month DAPT. Conclusion: DAPT for ≤6 months is associated with similar mortality and ischemic outcomes but less bleeding events compared with 12-month DAPT after PCI with DES. PMID:28033306

Algorithmes de couplage RANS et ecoulement potentiel

NASA Astrophysics Data System (ADS)

Gallay, Sylvain

Dans le processus de developpement d'avion, la solution retenue doit satisfaire de nombreux criteres dans de nombreux domaines, comme par exemple le domaine de la structure, de l'aerodynamique, de la stabilite et controle, de la performance ou encore de la securite, tout en respectant des echeanciers precis et minimisant les couts. Les geometries candidates sont nombreuses dans les premieres etapes de definition du produit et de design preliminaire, et des environnements d'optimisations multidisciplinaires sont developpes par les differentes industries aeronautiques. Differentes methodes impliquant differents niveaux de modelisations sont necessaires pour les differentes phases de developpement du projet. Lors des phases de definition et de design preliminaires, des methodes rapides sont necessaires afin d'etudier les candidats efficacement. Le developpement de methodes ameliorant la precision des methodes existantes tout en gardant un cout de calcul faible permet d'obtenir un niveau de fidelite plus eleve dans les premieres phases de developpement du projet et ainsi grandement diminuer les risques associes. Dans le domaine de l'aerodynamisme, les developpements des algorithmes de couplage visqueux/non visqueux permettent d'ameliorer les methodes de calcul lineaires non visqueuses en methodes non lineaires prenant en compte les effets visqueux. Ces methodes permettent ainsi de caracteriser l'ecoulement visqueux sur les configurations et predire entre autre les mecanismes de decrochage ou encore la position des ondes de chocs sur les surfaces portantes. Cette these se focalise sur le couplage entre une methode d'ecoulement potentiel tridimensionnelle et des donnees de section bidimensionnelles visqueuses. Les methodes existantes sont implementees et leurs limites identifiees. Une methode originale est ensuite developpee et validee. Les resultats sur une aile elliptique demontrent la capacite de l'algorithme a de grands angles d'attaques et dans la region post-decrochage. L'algorithme de couplage a ete compare a des donnees de plus haute fidelite sur des configurations issues de la litterature. Un modele de fuselage base sur des relations empiriques et des simulations RANS a ete teste et valide. Les coefficients de portance, de trainee et de moment de tangage ainsi que les coefficients de pression extraits le long de l'envergure ont montre un bon accord avec les donnees de soufflerie et les modeles RANS pour des configurations transsoniques. Une configuration a geometrie hypersustentatoire a permis d'etudier la modelisation des surfaces hypersustentees de la methode d'ecoulement potentiel, demontrant que la cambrure peut etre prise en compte uniquement dans les donnees visqueuses.

A systematic and critical review of model-based economic evaluations of pharmacotherapeutics in patients with bipolar disorder.

PubMed

Mohiuddin, Syed

2014-08-01

Bipolar disorder (BD) is a chronic and relapsing mental illness with a considerable health-related and economic burden. The primary goal of pharmacotherapeutics for BD is to improve patients' well-being. The use of decision-analytic models is key in assessing the added value of the pharmacotherapeutics aimed at treating the illness, but concerns have been expressed about the appropriateness of different modelling techniques and about the transparency in the reporting of economic evaluations. This paper aimed to identify and critically appraise published model-based economic evaluations of pharmacotherapeutics in BD patients. A systematic review combining common terms for BD and economic evaluation was conducted in MEDLINE, EMBASE, PSYCINFO and ECONLIT. Studies identified were summarised and critically appraised in terms of the use of modelling technique, model structure and data sources. Considering the prognosis and management of BD, the possible benefits and limitations of each modelling technique are discussed. Fourteen studies were identified using model-based economic evaluations of pharmacotherapeutics in BD patients. Of these 14 studies, nine used Markov, three used discrete-event simulation (DES) and two used decision-tree models. Most of the studies (n = 11) did not include the rationale for the choice of modelling technique undertaken. Half of the studies did not include the risk of mortality. Surprisingly, no study considered the risk of having a mixed bipolar episode. This review identified various modelling issues that could potentially reduce the comparability of one pharmacotherapeutic intervention with another. Better use and reporting of the modelling techniques in the future studies are essential. DES modelling appears to be a flexible and comprehensive technique for evaluating the comparability of BD treatment options because of its greater flexibility of depicting the disease progression over time. However, depending on the research question, modelling techniques other than DES might also be appropriate in some cases.

Estimation de la superficie du couvert nival a partir d'une combinaison des donnees de teledetection MODIS et AMSR-E dans un contexte de prevision des crues printanieres au Quebec

NASA Astrophysics Data System (ADS)

Bergeron, Jean

Snow cover estimation is a principal source of error for spring streamflow simulations in Québec, Canada. Optical and near infrared remote sensing can improve snow cover area (SCA) estimation due to high spatial resolution but is limited by cloud cover and incoming solar radiation. Passive microwave remote sensing is complementary by its near-transparence to cloud cover and independence to incoming solar radiation, but is limited by its coarse spatial resolution. The study aims to create an improved SCA product from blended passive microwave (AMSR-E daily L3 Brightness Temperature) and optical (MODIS Terra and Aqua daily snow cover L3) remote sensing data in order to improve estimation of river streamflow caused by snowmelt with Québec's operational MOHYSE hydrological model through direct-insertion of the blended SCA product in a coupled snowmelt module (SPH-AV). SCA estimated from AMSR-E data is first compared with SCA estimated with MODIS, as well as with in situ snow depth measurements. Results show good agreement (+95%) between AMSR-E-derived and MODIS-derived SCA products in spring but comparisons with Environment Canada ground stations and SCA derived from Advanced Very High Resolution Radiometer (AVHRR) data show lesser agreements (83 % and 74% respectively). Results also show that AMSR-E generally underestimates SCA. Assimilating the blended snow product in SPH-AV coupled with MOHYSE yields significant improvement of simulated streamflow for the aux Écorces et au Saumon rivers overall when compared with simulations with no update during thaw events, These improvements are similar to results driven by biweekly ground data. Assimilation of remotely-sensed passive microwave data was also found to have little positive impact on springflood forecast due to the difficulty in differentiating melting snow from snow-free surfaces. Considering the direct-insertion and Newtonian nudging assimilation methods, the study also shows the latter method to be superior to the former, notably when assimilating noisy data. Keywords: Snow cover, spring streamflow, MODIS, AMSR-E, hydrological model.

Adaptability in Coalition Teamwork (Facultes d’adaptation au travail d’equipe en coalition)

DTIC Science & Technology

2008-04-01

principaux résultats des 30 communications théoriques et de recherche ont été les suivants : • Les outils de formation (jeux, simulations) fonctionnent...militaires ; • Le retour d’information sur le moral et les performances des équipes en opérations est un instrument qui est particulièrement apprécié...during operations is an instrument that is highly valued by commanders in the field; and • Differences in language proficiency in English confound

Proceedings of the European ISTVS Conference (6th) , OVK Symposium (4th), On ’Off Road Vehicles in Theory and Practice’ , Held at Vienna, Austria on 28-30 September 1994 in Vienna, Austria. Volume 1.

DTIC Science & Technology

1994-09-30

The Commander-in-Chief of the British troops, General Sir Peter de la Billiere, reported that each vehicle of the Tenth Transport Regiment covered 400...Simulation des Reifenprofileinflusses fuir die Gelaindebeweglichkeit von Fahrzeugen C. W. FERVERS IKK-University of German Armed Forces Hamburg, Germany...of the Process) 731 Experimentelle und theoretische Analyse kohaisiven Erdreichs beim Verschiebevorgang (Optimierung des Vorganges) A. JARZEBOWSKI, J

Costs and effectiveness of fingolimod versus alemtuzumab in the treatment of highly active relapsing-remitting multiple sclerosis in the UK: re-treatment, discount, and disutility.

PubMed

Montgomery, Stephen M; Kusel, Jeanette; Nicholas, Richard; Adlard, Nicholas

2017-09-01

Patients with relapsing-remitting multiple sclerosis (RRMS) treated with disease modifying therapies (DMTs) who continue to experience disease activity may be considered for escalation therapies such as fingolimod, or may be considered for alemtuzumab. Previous economic modeling used Markov models; applying one alternative technique, discrete event simulation (DES) modeling, allows re-treatment and long-term adverse events (AEs) to be included in the analysis. A DES was adapted to model relapse-triggered re-treatment with alemtuzumab and the effect of including ongoing quality-adjusted life year (QALY) decrements for AEs that extend beyond previous 1-year Markov cycles. As the price to the NHS of fingolimod in the UK is unknown, due to a confidential patient access scheme (PAS), a variety of possible discounts were tested. The interaction of re-treatment assumptions for alemtuzumab with the possible discounts for fingolimod was tested to determine which DMT resulted in lower lifetime costs. The lifetime QALY results were derived from modeled treatment effect and short- and long-term AEs. Most permutations of fingolimod PAS discount and alemtuzumab re-treatment rate resulted in fingolimod being less costly than alemtuzumab. As the percentage of patients who are re-treated with alemtuzumab due to experiencing a relapse approaches 100% of those who relapse whilst on treatment, the discount required for fingolimod to be less costly drops below 5%. Consideration of treatment effect alone found alemtuzumab generated 0.2 more QALYs/patient; the inclusion of AEs up to a duration of 1 year reduced this advantage to only 0.14 QALYs/patient. Modeling AEs with a lifetime QALY decrement found that both DMTs generated very similar QALYs with the difference only 0.04 QALYs/patient. When the model captured alemtuzumab re-treatment and long-term AE decrements, it was found that fingolimod is cost-effective compared to alemtuzumab, assuming application of only a modest level of confidential PAS discount.

Development of Logistics for Building Radiation Storm Shelters and Their Operational Evaluation

NASA Technical Reports Server (NTRS)

Cerro, Jeffrey A.

2015-01-01

Over the past three years NASA has been studying the operational effectiveness and astronaut protection efficacy of numerous radiation protection shelters for use in space exploration activities outside of earth's magnetosphere. The work presented was part of NASA's Advanced Exploration Systems (AES) RadWorks Storm Shelter project. This paper is a summary of the concept development activities of this third year. Fabricated items were integrated into mock up deep space habitat vehicle sections for operational evaluations. Two full scale human-in-loop simulations were designed, fabricated, and implemented through an Institutional Review Board approved solicited participant assessment process. Fabricated items are described, along with usage scenarios of two protection approaches. Existing ISS type logistics along with proposed variations of those logistics were used. Preliminary Discrete Event Simulation (DES) work is noted to be useful in quantifying and documenting operational performance measures for the two primary shelter methods, including some characterization of radiation dose accumulation over a mission timeline. The project also performed correlation analyses between effective radiation dose and the Risk of Exposure Induced Death (REID) to show that concept level work may be able to include such a performance metric in early stages of mission scenario habitat design trade space investigation.

Human Factors and Their Effects on Human-Centred Assembly Systems - A Literature Review-Based Study

NASA Astrophysics Data System (ADS)

Wang, Q.; Abubakar, M. I.

2017-09-01

If a product has more than one component, then it must be assembled. Assembly of products relies on assembly systems or lines in which assembly of each product is often carried out manually by human workers following assembly sequences in various forms. It is widely understood that efficiency of assembling a product by reducing assembly times (therefore costs) is vital particularly for small and medium-sized manufacturing companies to survive in an increasingly competitive market. Ideally, it is helpful for pre-determining efficiency or productivity of a human-centred assembly system at the early design stage. To date, most research on performance of an assembly system using modelling simulation methods is focused on its “operational functions”. The term used in a narrow sense always indicates the performance of the “operational system”, which does not incorporate the effect of human factors that may also affect the system performance. This paper presents a research outcome of findings through a literature review-based study by identifying possible human factors that mostly affect the performance on human-centred manufacturing systems as part of the research project incorporating parameters of human factors into a DES (discrete event simulation) tool.

Multi-catchment rainfall-runoff simulation for extreme flood estimation

NASA Astrophysics Data System (ADS)

Paquet, Emmanuel

2017-04-01

The SCHADEX method (Paquet et al., 2013) is a reference method in France for the estimation of extreme flood for dam design. The method is based on a semi-continuous rainfall-runoff simulation process: hundreds of different rainy events, randomly drawn up to extreme values, are simulated independently in the hydrological conditions of each day when a rainy event has been actually observed. This allows generating an exhaustive set of crossings between precipitation and soil saturation hazards, and to build a complete distribution of flood discharges up to extreme quantiles. The hydrological model used within SCHADEX, the MORDOR model (Garçon, 1996), is a lumped model, which implies that hydrological processes, e.g. rainfall and soil saturation, are supposed to be homogeneous throughout the catchment. Snow processes are nevertheless represented in relation with altitude. This hypothesis of homogeneity is questionable especially as the size of the catchment increases, or in areas of highly contrasted climatology (like mountainous areas). Conversely, modeling the catchment with a fully distributed approach would cause different problems, in particular distributing the rainfall-runoff model parameters trough space, and within the SCHADEX stochastic framework, generating extreme rain fields with credible spatio-temporal features. An intermediate solution is presented here. It provides a better representation of the hydro-climatic diversity of the studied catchment (especially regarding flood processes) while keeping the SCHADEX simulation framework. It consists in dividing the catchment in several, more homogeneous sub-catchments. Rainfall-runoff models are parameterized individually for each of them, using local discharge data if available. A first SCHADEX simulation is done at the global scale, which allows assigning a probability to each simulated event, mainly based on the global areal rainfall drawn for the event (see Paquet el al., 2013 for details). Then the rainfall of each event is distributed through the different sub-catchments using the spatial patterns calculated in the SPAZM precipitation reanalysis (Gottardi et al., 2012) for comparable situations of the 1948-2005 period. Corresponding runoffs are calculated with the hydrological models and aggregated to compute the discharge at the outlet of the main catchment. A complete distribution of flood discharges is finally computed. This method is illustrated with the example of the Durance at Serre-Ponçon catchment (south of French Alps, 3600 km2) which has been divided in four sub-catchements. The proposed approach is compared with the "classical" SCHADEX approach applied on the whole catchment. References: Garçon, R. (1996). Prévision opérationnelle des apports de la Durance à Serre-Ponçon à l'aide du modèle MORDOR. Bilan de l'année 1994-1995. La Houille Blanche, (5), 71-76. Gottardi, F., Obled, C., Gailhard, J., & Paquet, E. (2012). Statistical reanalysis of precipitation fields based on ground network data and weather patterns: Application over French mountains. Journal of Hydrology, 432, 154-167. Paquet, E., Garavaglia, F., Garçon, R., & Gailhard, J. (2013). The SCHADEX method: A semi-continuous rainfall-runoff simulation for extreme flood estimation. Journal of Hydrology, 495, 23-37.

Effectiveness of Drug-Eluting Stents versus Bare-Metal Stents in Large Coronary Arteries in Patients with Acute Myocardial Infarction

PubMed Central

Sim, Doo Sun; Ahn, Youngkeun; Kim, Young Jo; Chae, Shung Chull; Hong, Taek Jong; Seong, In Whan; Chae, Jei Keon; Kim, Chong Jin; Cho, Myeong Chan; Seung, Ki Bae; Park, Seung Jung

2011-01-01

This study compared clinical outcomes of drug-eluting stents (DES) versus bare-metal stents (BMS) in large coronary arteries in patients with acute myocardial infarction (MI). A total of 985 patients who underwent single-vessel percutaneous coronary intervention (PCI) in large coronary arteries (≥ 3.5 mm) in lesions < 25 mm were divided into DES group (n = 841) and BMS group (n = 144). Clinical outcomes during 12 months were compared. In-hospital outcome was similar between the groups. At six months, death/MI rate was not different. However, DES group had significantly lower rates of target-lesion revascularization (TLR) (1.7% vs 5.6%, P = 0.021), target-vessel revascularization (TVR) (2.2% vs 5.6%, P = 0.032), and total major adverse cardiac events (MACE) (3.4% vs 11.9%, P = 0.025). At 12 months, the rates of TLR and TVR remained lower in the DES group (2.5% vs 5.9%, P = 0.032 and 5.9% vs 3.1%, P = 0.041), but the rates of death/MI and total MACE were not statistically different. The use of DES in large vessels in the setting of acute MI is associated with lower need for repeat revascularization compared to BMS without compromising the overall safety over the course of one-year follow-up. PMID:21468259

CABG Surgery Remains the best Option for Patients with Left Main Coronary Disease in Comparison with PCI-DES: Meta-Analysis of Randomized Controlled Trials

PubMed Central

Sá, Michel Pompeu Barros Oliveira; Soares, Artur Freire; Miranda, Rodrigo Gusmão Albuquerque; Araújo, Mayara Lopes; Menezes, Alexandre Motta; Silva, Frederico Pires Vasconcelos; Lima, Ricardo Carvalho

2017-01-01

Objective To compare the safety and efficacy of coronary artery bypass grafting (CABG) with percutaneous coronary intervention (PCI) using drug-eluting stents (DES) in patients with unprotected left main coronary artery (ULMCA) disease. Methods MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were searched for clinical studies that reported outcomes at 1-year follow-up after PCI with DES and CABG for the treatment of ULMCA stenosis. Five studies fulfilled our eligibility criteria and they included a total of 4.595 patients (2.298 for CABG and 2.297 for PCI with DES). Results At 1-year follow-up, there was no significant difference between CABG and DES groups concerning the risk for death (risk ratio [RR] 0.973, P=0.830), myocardial infarction (RR 0.694, P=0.148), stroke (RR 1.224, P=0.598), and major adverse cerebrovascular and cardiovascular events (RR 0.948, P=0.680). The risk for target vessel revascularization (TVR) was significantly lower in the CABG group compared to the DES group (RR 0.583, P<0.001). It was observed no publication bias regarding the outcomes, but only the outcome TVR was free from substantial statistical heterogeneity of the effects. In the meta-regression, there was evidence that the factor "female gender" modulated the effect regarding myocardial infarction rates, favoring the CABG strategy. Conclusion CABG surgery remains the best option of treatment for patients with ULMCA disease, with lower TVR rates. PMID:29211222

Smoking cessation treatment and outcomes patterns simulation: a new framework for evaluating the potential health and economic impact of smoking cessation interventions.

PubMed

Getsios, Denis; Marton, Jenő P; Revankar, Nikhil; Ward, Alexandra J; Willke, Richard J; Rublee, Dale; Ishak, K Jack; Xenakis, James G

2013-09-01

Most existing models of smoking cessation treatments have considered a single quit attempt when modelling long-term outcomes. To develop a model to simulate smokers over their lifetimes accounting for multiple quit attempts and relapses which will allow for prediction of the long-term health and economic impact of smoking cessation strategies. A discrete event simulation (DES) that models individuals' life course of smoking behaviours, attempts to quit, and the cumulative impact on health and economic outcomes was developed. Each individual is assigned one of the available strategies used to support each quit attempt; the outcome of each attempt, time to relapses if abstinence is achieved, and time between quit attempts is tracked. Based on each individual's smoking or abstinence patterns, the risk of developing diseases associated with smoking (chronic obstructive pulmonary disease, lung cancer, myocardial infarction and stroke) is determined and the corresponding costs, changes to mortality, and quality of life assigned. Direct costs are assessed from the perspective of a comprehensive US healthcare payer ($US, 2012 values). Quit attempt strategies that can be evaluated in the current simulation include unassisted quit attempts, brief counselling, behavioural modification therapy, nicotine replacement therapy, bupropion, and varenicline, with the selection of strategies and time between quit attempts based on equations derived from survey data. Equations predicting the success of quit attempts as well as the short-term probability of relapse were derived from five varenicline clinical trials. Concordance between the five trials and predictions from the simulation on abstinence at 12 months was high, indicating that the equations predicting success and relapse in the first year following a quit attempt were reliable. Predictions allowing for only a single quit attempt versus unrestricted attempts demonstrate important differences, with the single quit attempt simulation predicting 19 % more smoking-related diseases and 10 % higher costs associated with smoking-related diseases. Differences are most prominent in predictions of the time that individuals abstain from smoking: 13.2 years on average over a lifetime allowing for multiple quit attempts, versus only 1.2 years with single quit attempts. Differences in abstinence time estimates become substantial only 5 years into the simulation. In the multiple quit attempt simulations, younger individuals survived longer, yet had lower lifetime smoking-related disease and total costs, while the opposite was true for those with high levels of nicotine dependence. By allowing for multiple quit attempts over the course of individuals' lives, the simulation can provide more reliable estimates on the health and economic impact of interventions designed to increase abstinence from smoking. Furthermore, the individual nature of the simulation allows for evaluation of outcomes in populations with different baseline profiles. DES provides a framework for comprehensive and appropriate predictions when applied to smoking cessation over smoker lifetimes.

Improving Weak Lensing Mass Map Reconstructions using Gaussian and Sparsity Priors: Application to DES SV

NASA Astrophysics Data System (ADS)

Jeffrey, N.; Abdalla, F. B.; Lahav, O.; Lanusse, F.; Starck, J.-L.; Leonard, A.; Kirk, D.; Chang, C.; Baxter, E.; Kacprzak, T.; Seitz, S.; Vikram, V.; Whiteway, L.; Abbott, T. M. C.; Allam, S.; Avila, S.; Bertin, E.; Brooks, D.; Rosell, A. Carnero; Kind, M. Carrasco; Carretero, J.; Castander, F. J.; Crocce, M.; Cunha, C. E.; D'Andrea, C. B.; da Costa, L. N.; Davis, C.; De Vicente, J.; Desai, S.; Doel, P.; Eifler, T. F.; Evrard, A. E.; Flaugher, B.; Fosalba, P.; Frieman, J.; García-Bellido, J.; Gerdes, D. W.; Gruen, D.; Gruendl, R. A.; Gschwend, J.; Gutierrez, G.; Hartley, W. G.; Honscheid, K.; Hoyle, B.; James, D. J.; Jarvis, M.; Kuehn, K.; Lima, M.; Lin, H.; March, M.; Melchior, P.; Menanteau, F.; Miquel, R.; Plazas, A. A.; Reil, K.; Roodman, A.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, M.; Soares-Santos, M.; Sobreira, F.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Thomas, D.; Walker, A. R.

2018-05-01

Mapping the underlying density field, including non-visible dark matter, using weak gravitational lensing measurements is now a standard tool in cosmology. Due to its importance to the science results of current and upcoming surveys, the quality of the convergence reconstruction methods should be well understood. We compare three methods: Kaiser-Squires (KS), Wiener filter, and GLIMPSE. KS is a direct inversion, not accounting for survey masks or noise. The Wiener filter is well-motivated for Gaussian density fields in a Bayesian framework. GLIMPSE uses sparsity, aiming to reconstruct non-linearities in the density field. We compare these methods with several tests using public Dark Energy Survey (DES) Science Verification (SV) data and realistic DES simulations. The Wiener filter and GLIMPSE offer substantial improvements over smoothed KS with a range of metrics. Both the Wiener filter and GLIMPSE convergence reconstructions show a 12% improvement in Pearson correlation with the underlying truth from simulations. To compare the mapping methods' abilities to find mass peaks, we measure the difference between peak counts from simulated ΛCDM shear catalogues and catalogues with no mass fluctuations (a standard data vector when inferring cosmology from peak statistics); the maximum signal-to-noise of these peak statistics is increased by a factor of 3.5 for the Wiener filter and 9 for GLIMPSE. With simulations we measure the reconstruction of the harmonic phases; the phase residuals' concentration is improved 17% by GLIMPSE and 18% by the Wiener filter. The correlation between reconstructions from data and foreground redMaPPer clusters is increased 18% by the Wiener filter and 32% by GLIMPSE.

Improvement of the knowledge in the historical coastal hazards in Brittany by combining archives and geoindicators

NASA Astrophysics Data System (ADS)

Hénaff, A.; Van Vliet-Lanoë, B.; Le Cornec, E.

2012-04-01

Improvement of the knowledge in the historical coastal hazards in Brittany by combining archives and geoindicators. The management of risks of erosion and flood at the coast requires the acquisition of good knowledge of these hazards. The knowledge of the present and past conditions of occurrence and their favourite location at the coast is of major importance. However, this knowledge is often reduced to the inventory of the most-recent events for which direct observations and measurements are available. To improve the historical knowledge of these hazards in Brittany, two sets of data are collected: all indirect indicators susceptible to record over the historic period the meteorological and sea-surface conditions. The first one consists in a regional inventory of the coastal damages generated by storms since the beginning of the XXth century. This inventory is based on the local record in newspapers, university documents and data of archives; it allows the founding of a geo-referenced database. It permits to follow at a regional scale the evolution in space and time of the distribution of the impacts of storms. The second database consists in a record of the historical evolution of trailing spits, a natural geo-indicator of the mean orientation of waves along the coastline. This evolution is followed in time on satellite images, air photos, historical maps and geological sections. Both databases allow at the regional scale a better insight of the coastal hazards and their natural forcing. L'amélioration de la connaissance des aléas côtiers historiques en Bretagne par l'utilisation conjointe des archives et des géo-indicateurs. La gestion des risques côtiers d'érosion et de submersion nécessite de s'appuyer sur une bonne connaissance des aléas. En particulier, la connaissance des conditions actuelles et passées de leur survenue et de leur localisation préférentielle sur les territoires côtiers est déterminante. Pour autant, elle se limite souvent à l'inventaire des événements les plus récents pour lesquels on dispose d'observations directes et de mesures. Afin d'améliorer la connaissance historique des aléas littoraux sur les rivages de la Bretagne, deux types de données sont collectés. Il s'agit d'indicateurs indirects susceptibles de rendre compte des évolutions spatiales et temporelles des conditions météo-marines sur la période historique. Le premier type consiste en un inventaire des dommages générés par les tempêtes sur les littoraux bretons depuis le début du XXe siècle. Cet inventaire construit à partir du dépouillement des journaux locaux, des documents universitaires et des données d'archives ; il a permis de constituer une base de données géoréférencées. Il permet de suivre les évolutions de la distribution spatiale et temporelle des impacts des tempêtes. Le second type consiste en l'enregistrement par des géo-indicateurs naturels que constituent les accumulations littorales en queues de comète dont l'orientation est déterminée par les directions moyennes des houles parvenant sur les rivages. L'évolution de leurs orientations dans le temps et de, manière indirecte, celle de l'orientations des houles est suivi à l'aide des photographies aériennes ainsi que des cartes actuelles et anciennes. L'utilisation conjointe de ces deux types de données permet d'améliorer les connaissances des aléas et des forçages naturels affectant les littoraux à l'échelle régionale.

Registry on acute cardiovascular events during endurance running races: the prospective RACE Paris registry.

PubMed

Gerardin, Benoît; Collet, Jean-Philippe; Mustafic, Hazrije; Bellemain-Appaix, Anne; Benamer, Hakim; Monsegu, Jacques; Teiger, Emmanuel; Livarek, Bernard; Jaffry, Murielle; Lamhaut, Lionel; Fleischel, Catherine; Aubry, Pierre

2016-08-21

Long distance running races are associated with a low risk of life-threatening events much often attributed to hypertrophic cardiomyopathy. However, retrospective analyses of aetiology lack consistency. Incidence and aetiology of life-threatening/fatal events were assessed in long distance races in the prospective Registre des Accidents Cardiaques lors des courses d'Endurance (RACE Paris Registry) from October 2006 to September 2012. Characteristics of life-threatening/fatal events were analysed by interviewing survivors and reviewing medical records including post-mortem data of each case. Seventeen life-threatening events were identified of 511 880 runners of which two were fatal. The vast majority were cardiovascular events (13/17) occurring in experienced male runners [mean (±SD) age 43 ± 10 years], with infrequent cardiovascular risk factors, atypical warning symptoms prior to the race or negative treadmill test when performed. Acute myocardial ischaemia was the predominant aetiology (8 of 13) and led to immediate myocardial revascularization. All cases with initial shockable rhythm survived. There was no difference in event rate according to marathons vs. half-marathons and events were clustered at the end of the race. A meta-analysis of all available studies including the RACE Paris registry (n = 6) demonstrated a low prevalence of life-threatening events (0.75/100 000) and that presentation with non-shockable rhythm [OR = 29.9; 95% CI (4.0-222.5), P = 0.001] or non-ischaemic aetiology [OR = 6.4; 95% CI (1.4-28.8), P = 0.015] were associated with case-fatality. Life-threatening/fatal events during long distance races are rare, most often unpredictable and mainly due to acute myocardial ischaemia. Presentation with non-shockable rhythm and non-ischaemic aetiology are the major determinant of case fatality. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

Unsteady Three-Dimensional Simulation of a Shear Coaxial GO2/GH2 Rocket Injector with RANS and Hybrid-RAN-LES/DES Using Flamelet Models

NASA Technical Reports Server (NTRS)

Westra, Doug G.; West, Jeffrey S.; Richardson, Brian R.

2015-01-01

Historically, the analysis and design of liquid rocket engines (LREs) has relied on full-scale testing and one-dimensional empirical tools. The testing is extremely expensive and the one-dimensional tools are not designed to capture the highly complex, and multi-dimensional features that are inherent to LREs. Recent advances in computational fluid dynamics (CFD) tools have made it possible to predict liquid rocket engine performance, stability, to assess the effect of complex flow features, and to evaluate injector-driven thermal environments, to mitigate the cost of testing. Extensive efforts to verify and validate these CFD tools have been conducted, to provide confidence for using them during the design cycle. Previous validation efforts have documented comparisons of predicted heat flux thermal environments with test data for a single element gaseous oxygen (GO2) and gaseous hydrogen (GH2) injector. The most notable validation effort was a comprehensive validation effort conducted by Tucker et al. [1], in which a number of different groups modeled a GO2/GH2 single element configuration by Pal et al [2]. The tools used for this validation comparison employed a range of algorithms, from both steady and unsteady Reynolds Averaged Navier-Stokes (U/RANS) calculations, large-eddy simulations (LES), detached eddy simulations (DES), and various combinations. A more recent effort by Thakur et al. [3] focused on using a state-of-the-art CFD simulation tool, Loci/STREAM, on a two-dimensional grid. Loci/STREAM was chosen because it has a unique, very efficient flamelet parameterization of combustion reactions that are too computationally expensive to simulate with conventional finite-rate chemistry calculations. The current effort focuses on further advancement of validation efforts, again using the Loci/STREAM tool with the flamelet parameterization, but this time with a three-dimensional grid. Comparisons to the Pal et al. heat flux data will be made for both RANS and Hybrid RANSLES/ Detached Eddy simulations (DES). Computation costs will be reported, along with comparison of accuracy and cost to much less expensive two-dimensional RANS simulations of the same geometry.

Fabrication de memoire monoelectronique non volatile par une approche de nanogrille flottante

NASA Astrophysics Data System (ADS)

Guilmain, Marc

Les transistors monoelectroniques (SET) sont des dispositifs de tailles nanometriques qui permettent la commande d'un electron a la fois et donc, qui consomment peu d'energie. Une des applications complementaires des SET qui attire l'attention est son utilisation dans des circuits de memoire. Une memoire monoelectronique (SEM) non volatile a le potentiel d'operer a des frequences de l'ordre des gigahertz ce qui lui permettrait de remplacer en meme temps les memoires mortes de type FLASH et les memoires vives de type DRAM. Une puce SEM permettrait donc ultimement la reunification des deux grands types de memoire au sein des ordinateurs. Cette these porte sur la fabrication de memoires monoelectroniques non volatiles. Le procede de fabrication propose repose sur le procede nanodamascene developpe par C. Dubuc et al. a 1'Universite de Sherbrooke. L'un des avantages de ce procede est sa compatibilite avec le back-end-of-line (BEOL) des circuits CMOS. Ce procede a le potentiel de fabriquer plusieurs couches de circuits memoirestres denses au-dessus de tranches CMOS. Ce document presente, entre autres, la realisation d'un simulateur de memoires monoelectroniques ainsi que les resultats de simulations de differentes structures. L'optimisation du procede de fabrication de dispositifs monoelectroniques et la realisation de differentes architectures de SEM simples sont traitees. Les optimisations ont ete faites a plusieurs niveaux : l'electrolithographie, la gravure de l'oxyde, le soulevement du titane, la metallisation et la planarisation CMP. La caracterisation electrique a permis d'etudier en profondeur les dispositifs formes de jonction de Ti/TiO2 et elle a demontre que ces materiaux ne sont pas appropries. Par contre, un SET forme de jonction de TiN/Al2O3 a ete fabrique et caracterise avec succes a basse temperature. Cette demonstration demontre le potentiel du procede de fabrication et de la deposition de couche atomique (ALD) pour la fabrication de memoires monoelectroniques. Mots-cles: Transistor monoelectronique (SET), memoire monoelectronique (SEM), jonction tunnel, temps de retention, nanofabrication, electrolithographie, planarisation chimicomecanique.

Detached eddy simulation for turbulent fluid-structure interaction of moving bodies using the constraint-based immersed boundary method

NASA Astrophysics Data System (ADS)

Nangia, Nishant; Bhalla, Amneet P. S.; Griffith, Boyce E.; Patankar, Neelesh A.

2016-11-01

Flows over bodies of industrial importance often contain both an attached boundary layer region near the structure and a region of massively separated flow near its trailing edge. When simulating these flows with turbulence modeling, the Reynolds-averaged Navier-Stokes (RANS) approach is more efficient in the former, whereas large-eddy simulation (LES) is more accurate in the latter. Detached-eddy simulation (DES), based on the Spalart-Allmaras model, is a hybrid method that switches from RANS mode of solution in attached boundary layers to LES in detached flow regions. Simulations of turbulent flows over moving structures on a body-fitted mesh incur an enormous remeshing cost every time step. The constraint-based immersed boundary (cIB) method eliminates this operation by placing the structure on a Cartesian mesh and enforcing a rigidity constraint as an additional forcing in the Navier-Stokes momentum equation. We outline the formulation and development of a parallel DES-cIB method using adaptive mesh refinement. We show preliminary validation results for flows past stationary bodies with both attached and separated boundary layers along with results for turbulent flows past moving bodies. This work is supported by the National Science Foundation Graduate Research Fellowship under Grant No. DGE-1324585.

A three-dimensional ocean mesoscale simulation using data from the SEMAPHORE experiment: Mixed layer heat budget

NASA Astrophysics Data System (ADS)

Caniaux, Guy; Planton, Serge

1998-10-01

A primitive equation model is used to simulate the mesoscale circulation associated with a portion of the Azores Front investigated during the intensive observation period (IOP) of the Structure des Echanges Mer-Atmosphere, Proprietes des Heterogeneites Oceaniques: Recherche Experimentale (SEMAPHORE) experiment in fall 1993. The model is a mesoscale version of the ocean general circulation model (OGCM) developed at the Laboratoire d'Océanographie Dynamique et de Climatologie (LODYC) in Paris and includes open lateral boundaries, a 1.5-level-order turbulence closure scheme, and fine mesh resolution (0.11° for latitude and 0.09° for longitude). The atmospheric forcing is provided by satellite data for the solar and infrared fluxes and by analyzed (or reanalyzed for the wind) atmospheric data from the European Centre for Medium-Range Weather Forecasts (ECMWF) forecast model. The extended data set collected during the IOP of SEMAPHORE enables a detailed initialization of the model, a coupling with the rest of the basin through time dependent open boundaries, and a model/data comparison for validation. The analysis of model outputs indicates that most features are in good agreement with independent available observations. The surface front evolution is subject to an intense deformation different from that of the deep front system, which evolves only weakly. An estimate of the upper layer heat budget is performed during the 22 days of the integration of the model. Each term of this budget is analyzed according to various atmospheric events that occurred during the experiment, such as the passage of a strong storm. This facilitates extended estimates of mixed layer or relevant surface processes beyond those which are obtainable directly from observations. Surface fluxes represent 54% of the heat loss in the mixed layer and 70% in the top 100-m layer, while vertical transport at the mixed layer bottom accounts for 31% and three-dimensional processes account for 14%.

Elaboration de nouvelles approches micromecaniques pour l'optimisation des performances mecaniques des materiaux heterogenes

NASA Astrophysics Data System (ADS)

Aboutajeddine, Ahmed

Les modeles micromecaniques de transition d'echelles qui permettent de determiner les proprietes effectives des materiaux heterogenes a partir de la microstructure sont consideres dans ce travail. L'objectif est la prise en compte de la presence d'une interphase entre la matrice et le renforcement dans les modeles micromecaniques classiques, de meme que la reconsideration des approximations de base de ces modeles, afin de traiter les materiaux multiphasiques. Un nouveau modele micromecanique est alors propose pour tenir compte de la presence d'une interphase elastique mince lors de la determination des proprietes effectives. Ce modele a ete construit grace a l'apport de l'equation integrale, des operateurs interfaciaux de Hill et de la methode de Mori-Tanaka. Les expressions obtenues pour les modules globaux et les champs dans l'enrobage sont de nature analytique. L'approximation de base de ce modele est amelioree par la suite dans un nouveau modele qui s'interesse aux inclusions enrobees avec un enrobage mince ou epais. La resolution utilisee s'appuie sur une double homogeneisation realisee au niveau de l'inclusion enrobee et du materiau. Cette nouvelle demarche, permettra d'apprehender completement les implications des approximations de la modelisation. Les resultats obtenus sont exploites par la suite dans la solution de l'assemblage de Hashin. Ainsi, plusieurs modeles micromecaniques classiques d'origines differentes se voient unifier et rattacher, dans ce travail, a la representation geometrique de Hashin. En plus de pouvoir apprecier completement la pertinence de l'approximation de chaque modele dans cette vision unique, l'extension correcte de ces modeles aux materiaux multiphasiques est rendue possible. Plusieurs modeles analytiques et explicites sont alors proposee suivant des solutions de differents ordres de l'assemblage de Hashin. L'un des modeles explicite apparait comme une correction directe du modele de Mori-Tanaka, dans les cas ou celui ci echoue a donner de bons resultats. Finalement, ce modele de Mori-Tanaka corrige est utilise avec les operateurs de Hill pour construire un modele de transition d'echelle pour les materiaux ayant une interphase elastoplastique. La loi de comportement effective trouvee est de nature incrementale et elle est conjuguee a la relation de la plasticite de l'interphase. Des simulations d'essais mecaniques pour plusieurs proprietes de l'interphase plastique a permis de dresser des profils de l'enrobage octroyant un meilleur comportement au materiau.

Magnetoresistance Studies in the Low-Dimensional Organic Metal α-(ET){2}TlHg(SeCN){4} under Pressure: Experiments and Simulation by Tight Binding Band Structure Calculations

NASA Astrophysics Data System (ADS)

Auban-Senzier, P.; Audouard, A.; Laukhin, V. N.; Rousseau, R.; Canadell, E.; Brossard, L.; Jérome, D.; Kushch, N. D.

1995-10-01

Magnetotransport measurements have been carried out in layered organic metal α-(ET){2}TlHg(SeCN){4} at temperatures down to 0.4 K and under hydrostatic pressure. Only one... Des mesures de magnétorésistance ont été effectuées dans le conducteur organique bidimensionnel α-(ET){2}TlHg(SeCN){4} jusqu'à la température de 0.4 K et sous pression hydrostatique. Une seule série d'oscillations Shubnikov-de Haas est observée dans la gamme de pression comprise entre 3.5 et 11 kbar. La masse cyclotron décroit lentement lorsque la pression augmente et la fréquence des oscillations augmente rapidement depuis la valeur de (653± 3)T à pression ambiante jusqu'à (790± 3)T à 11 kbar. Une modélisation basée sur la méthode des liaisons fortes suggère que la dépendance en pression de l'aire de l'orbite fermée de la surface de Fermi est due au glissement, induit par la pression, des molécules des chaines ne contenant qu'un type de donneurs. Au contraire de son composé frère α-(ET){2}NH{4}Hg(SCN){4}, il présente des oscillations lentes, de fréquence (47± 3)T, à pression ambiante. Elles ne sont pas observées entre 3.5 et 11 kbar et pourraient être en relation avec un emboîtement des orbites ouvertes à pression ambiante qui pourraient détruire la supraconductivité dans le composé à base de sélénium.

Fissuration en relaxation des aciers inoxydables austénitiques au voisinage des soudures

NASA Astrophysics Data System (ADS)

Auzoux, Q.; Allais, L.; Gourgues, A. F.; Pineau, A.

2003-03-01

Des fissures intergranulaires peuvent se développer au voisinage des soudures des aciers inoxydables austénitiques lorsqu'ils sont réchauffés dans le domaine de température compris entre 500^{circ}C et 700^{circ}C. A ces températures, les contraintes résiduelles post-soudage se relaxent par déformation viscoplastique. Il peut arriver que ces zones proches de la soudure soient tellement fragiles, qu'elles ne puissent accommoder cette faible déformation. Afin de préciser quelles peuvent être les modifications microstructurales qui conduisent à une telle fragilisation, on a examiné les microstructures de ces zones et révélé ainsi un écrouissage résiduel, responsable d'une forte élévation de la dureté. On a pu reproduire par hypertrempe puis laminage entre 400^{circ}C et 600^{circ}C une microstructure similaire. Des essais mécaniques (traction, fluage, relaxation, sur éprouvettes lisses et pré-fissurées) ont été réalisés à 550^{circ}C et à 600^{circ}C sur ces zones affectées simulées et sur un état de référence hypertrempé. Ils ont montré que l'écrouissage diminuait la ductilité dans le domaine de rupture intergranulaire, sans modifier qualitativement le mécanisme d'endommagement. Pendant la pré-déformation les incompatibilités de déformation entre grains conduiraient à l'existence de contraintes locales élevées qui favoriseraient la germination des cavités intergranulaires.

The Rapid Disaster Evaluation System (RaDES): A Plan to Improve Global Disaster Response by Privatizing the Assessment Component.

PubMed

Iserson, Kenneth V

2017-09-01

Emergency medicine personnel frequently respond to major disasters. They expect to have an effective and efficient management system to elegantly allocate available resources. Despite claims to the contrary, experience demonstrates this rarely occurs. This article describes privatizing disaster assessment using a single-purposed, accountable, and well-trained organization. The goal is to achieve elegant disaster assessment, rather than repeatedly exhorting existing groups to do it. The Rapid Disaster Evaluation System (RaDES) would quickly and efficiently assess a postdisaster population's needs. It would use an accountable nongovernmental agency's teams with maximal training, mobility, and flexibility. Designed to augment the Inter-Agency Standing Committee's 2015 Emergency Response Preparedness Plan, RaDES would provide the initial information needed to avoid haphazard and overlapping disaster responses. Rapidly deployed teams would gather information from multiple sources and continually communicate those findings to their base, which would then disseminate them to disaster coordinators in a concise, coherent, and transparent way. The RaDES concept represents an elegant, minimally bureaucratic, and effective rapid response to major disasters. However, its implementation faces logistical, funding, and political obstacles. Developing and maintaining RaDES would require significant funding and political commitment to coordinate the numerous agencies that claim to be performing the same tasks. Although simulations can demonstrate efficacy and deficiencies, only field tests will demonstrate RaDES' power to improve interagency coordination and decrease the cost of major disaster response. At the least, the RaDES concept should serve as a model for discussing how to practicably improve our current chaotic disaster responses. Copyright © 2016 Elsevier Inc. All rights reserved.

Effet de la composition des materiaux composites sur la caracterisation et detection par ondes de Lamb

NASA Astrophysics Data System (ADS)

Ostiguy, Pierre-Claude

Les matériaux composites sont de plus en plus utilisés en aéronautique. Leurs excellentes propriétés mécaniques et leur faible poids leur procurent un avantage certain par rapport aux matériaux métalliques. Ceux-ci étant soumis à diverses conditions de chargement et environnementales, ils sont suceptibles de subir plusieurs types d'endommagements, compromettant leur intégrité. Des méthodes fiables d'inspection sont donc nécessaires pour évaluer leur intégrité. Néanmoins, peu d'approches non destructives, embarquées et efficaces sont présentement utilisées. Ce travail de recherche se penche sur l'étude de l'effet de la composition des matériaux composites sur la détection et la caractérisation par ondes guidées. L'objectif du projet est de développer une approche de caractérisation mécanique embarquée permettant d'améliorer la performance d'une approche d'imagerie par antenne piézoélectriques sur des structures composite et métalliques. La contribution de ce projet est de proposer une approche embarquée de caractérisation mécanique par ultrasons qui ne requiert pas une mesure sur une multitude d'échantillons et qui est non destructive. Ce mémoire par articles est divisé en quatre parties, dont les parties deux A quatre présentant les articles publiés et soumis. La première partie présente l'état des connaissances dans la matière nécessaires à l'acomplissement de ce projet de maîtrise. Les principaux sujets traités portent sur les matériaux composites, propagation d'ondes, la modélisation des ondes guidées, la caractérisation par ondes guidées et la surveillance embarquée des structures. La deuxième partie présente une étude de l'effet des propriétés mécaniques sur la performance de l'algorithme d'imagerie Excitelet. L'étude est faite sur une structure isotrope. Les résultats ont démontré que l'algorithme est sensible à l'exactitude des propriétés mécaniques utilisées dans le modèle. Cette sensibilité a également été explorée afin de développer une méthode embarquée permettant d'évaluer les propriétés mécaniques d'une structure. La troisième partie porte sur une étude plus rigoureuse des performances de la méthode de caractérisation mécanique embarquée. La précision, la répétabilité et la robustesse de la méthode sont validés à l'aide d'un simulateur par FEM. Les propriétés estimées avec l'approche de caractérisation sont à moins de 1% des propriétés utilisées dans le modèle, ce qui rivalise avec l'incertitude des méthodes ASTM. L'analyse expérimentale s'est avérée précise et répétable pour des fréquences sous les 200 kHz, permettant d'estimer les propriétés mécaniques à moins de 1% des propriétés du fournisseur. La quatrième partie a démontrée la capacité de l'approche de caractérisation à identifier les propriétés mécaniques d'une plaques composite orthotrope. Les résultats estimés expérimentalement sont inclus dans les barres d'incertitude des propriétés estimées à l'aide des tests ASTM. Finalement, une simulation FEM a démontré la précision de l'approche avec des propriétés mécaniques à moins de 4 % des propriétés du modèle simulé. Mots-clés : Inspection non destructive, composites, caractérisation mécanique, ultrasons, imagerie, SHM, ondes guidées.

Études par diffraction haute résolution et réflectivité de films minces épitaxiés

NASA Astrophysics Data System (ADS)

Baulès, P.; Casanove, M. J.; Roucau, C.; Ousset, J. C.; Bobo, J. F.; Snoeck, E.; Magnoux, D.; Gatel, C.

2002-07-01

The studies we present concern the general researches involved in order to understand the growth mechanisms of thin films deposited on oriented substrates. Among the different investigation technics of the thin layers, X-ray diffraction and reflectivity will be discussed through two applications. In a first step, thediffraction presented, illustrated by reciprocal space mapping, will give information about the layer state of stress and the lattice distorsion of La{1-x}SrxMnO3 deposited on SrTiO3. The results obtained are discussed and compared to those given by electron microscopy. In a second step, we will present an application of reflectivity concerning a very roughness surface of platinum deposited on MgO showing an island growth process. We will verify that reflectivity can lead to the determination of the recovered rate of the surface, even if some problems exist in the simulation of the whole data set. Results obtained in electron microscopy will complete those issued from reflectivity. Les études que nous allons présenter sont à replacer dans le contexte général de la compréhension des mécanismes de croissance des films minces déposés sur des substrats orientés. Parmi les diverses techniques d'investigations des couches minces, la diffraction et la réflectivité des rayons X vont être abordées à travers deux applications. Nous verrons tout d'abord que la diffraction, illustrée par la cartographie en deux dimension du réseau réciproque, permet de remonter à l'état de contrainte ainsi qu'à la déformation de la maille de La{1-x}SrxMnO3 déposé sur SrTiO3. Les résultats déduits de ces mesures seront discutés et comparés à ceux obtenus en microscopie électronique. Dans la suite de l'article, nous verrons une des applications de la réflectivité, sur une surface très perturbée de platine déposé sur MgO et présentant une croissance en îlots. Nous verrons que la réflectivité permet d'estimer le taux de recouvrement de la surface, mais que des problèmes persistent dans la simulation de l'intégralité des données expérimentales. Les résultats obtenus en MET viendront compléter ceux issus de la réflectivité.

Validation of an Acoustic Head Simulator for the Evaluation of Personal Hearing Protection Devices

DTIC Science & Technology

2004-11-01

et recouvert de peau artificielle. Les cavités de chaque côté permettent l’insertion de modules d’oreilles qui reproduisent les mécanismes des ...aux spécifications publiées. Ces différences n’ont pas influé sur la perte d’insertion. Après correction pour tenir compte des effets de la...un simulateur de tête époxy chargé d’aluminium et recouvert de peau artificielle. La tête est soutenue par un module de cou souple rattaché à un

Experimental Verification of Multiple-input Multiple Output (MIMO) Beamforming Capabilities Using a Time-division Coherent MIMO Radar

DTIC Science & Technology

2015-04-01

MIMO cohérents ou co-localisés, pour obtenir une compréhen- sion précise de leurs bénéfices potentiels. Le diagramme de rayonnement de l’antenne...d’expérimentations et de simulations (MESA), sont également discutés. On y trouve que les faisceaux principaux des diagrammes de rayonnement expérimen- taux...concordent avec ceux des diagrammes théoriques. On y montre que MIMO-1 a le même diagramme de rayonnement bidirectionel que la configuration radar à

Experimental Verification of Multiple-input Multiple Output (MIMO) Beamforming Capabilities Using a Time-division Coherent MIMO Radar

DTIC Science & Technology

2015-02-01

MIMO cohérents ou co-localisés, pour obtenir une compréhen- sion précise de leurs bénéfices potentiels. Le diagramme de rayonnement de l’antenne...d’expérimentations et de simulations (MESA), sont également discutés. On y trouve que les faisceaux principaux des diagrammes de rayonnement expérimen- taux...concordent avec ceux des diagrammes théoriques. On y montre que MIMO-1 a le même diagramme de rayonnement bidirectionel que la configuration radar à

Experimental Verification of Multiple-input Multiple Output (MIMO) Beamforming Capabilities Using a Time-division Coherent MIMO Radar

DTIC Science & Technology

2015-03-01

MIMO cohérents ou co-localisés, pour obtenir une compréhen- sion précise de leurs bénéfices potentiels. Le diagramme de rayonnement de l’antenne...d’expérimentations et de simulations (MESA), sont également discutés. On y trouve que les faisceaux principaux des diagrammes de rayonnement expérimen- taux...concordent avec ceux des diagrammes théoriques. On y montre que MIMO-1 a le même diagramme de rayonnement bidirectionel que la configuration radar à

Long term outcomes of new generation drug eluting stents versus coronary artery bypass grafting for multivessel and/or left main coronary artery disease. A Bayesian network meta-analysis of randomized controlled trials.

PubMed

Mina, George S; Watti, Hussam; Soliman, Demiana; Shewale, Anand; Atkins, Jessica; Reddy, Pratap; Dominic, Paari

2018-01-05

Most data guiding revascularization of multivessel disease (MVD) and/or left main disease (LMD) favor coronary artery bypass grafting (CABG) over percutaneous coronary intervention (PCI). However, those data are based on trials comparing CABG to bare metal stents (BMS) or old generation drug eluting stents (OG-DES). Hence, it is essential to outcomes of CABG to those of new generation drug eluting stents (NG-DES). We searched PUBMED and Cochrane database for trials evaluating revascularization of MVD and/or LMD with CABG and/or PCI. A Bayesian network meta-analysis was performed to calculate odds ratios (OR) and 95% credible intervals (CrI). Primary outcome was major adverse cardiovascular events (MACE) at 3-5 years. Secondary outcomes were mortality, cerebrovascular accidents (CVA), myocardial infarction (MI) and repeat revascularization. We included 10 trials with a total of 9287 patients. CABG was associated with lower MACE when compared to BMS or OG-DES. However, MACE was not significantly different between CABG and NG-DES (OR 0.79, CrI 0.45-1.40). Moreover, there were no significant differences between CABG and NG-DES in mortality (OR 0.78, CrI 0.45-1.37), CVA (OR 0.93 CrI 0.35-2.2) or MI (OR 0.6, CrI 0.17-2.0). On the other hand, CABG was associated with lower repeat revascularization (OR 0.55, CrI 0.36-0.84). Our study suggests that NG-DES is an acceptable alternative to CABG in patients with MVD and/or LMD. However, repeat revascularization remains to be lower with CABG than with PCI. Copyright © 2018. Published by Elsevier Inc.

DES14X3taz: A TYPE I SUPERLUMINOUS SUPERNOVA SHOWING A LUMINOUS, RAPIDLY COOLING INITIAL PRE-PEAK BUMP

DOE Office of Scientific and Technical Information (OSTI.GOV)

Smith, M.; Sullivan, M.; D’Andrea, C. B.

2016-02-03

We present DES14X3taz, a new hydrogen-poor superluminous supernova (SLSN-I) discovered by the Dark Energy Survey (DES) supernova program, with additional photometric data provided by the Survey Using DECam for Superluminous Supernovae. Spectra obtained using Optical System for Imaging and low-Intermediate-Resolution Integrated Spectroscopy on the Gran Telescopio CANARIAS show DES14X3taz is an SLSN-I at z = 0.608. Multi-color photometry reveals a double-peaked light curve: a blue and relatively bright initial peak that fades rapidly prior to the slower rise of the main light curve. Our multi-color photometry allows us, for the first time, to show that the initial peak cools frommore » 22,000 to 8000 K over 15 rest-frame days, and is faster and brighter than any published core-collapse supernova, reaching 30% of the bolometric luminosity of the main peak. No physical Ni-56-powered model can fit this initial peak. We show that a shock-cooling model followed by a magnetar driving the second phase of the light curve can adequately explain the entire light curve of DES14X3taz. Models involving the shock-cooling of extended circumstellar material at a distance of similar or equal to 400 R-circle dot are preferred over the cooling of shock-heated surface layers of a stellar envelope. We compare DES14X3taz to the few double-peaked SLSN-I events in the literature. Although the rise. times and characteristics of these initial peaks differ, there exists the tantalizing possibility that they can be explained by one physical interpretation« less

Impact of Paclitaxel-Eluting Balloons Compared to Second-Generation Drug-Eluting Stents for of In-Stent Restenosis in a Primarily Acute Coronary Syndrome Population

PubMed Central

Marquis-Gravel, Guillaume; Matteau, Alexis; Potter, Brian J; Gobeil, François; Noiseux, Nicolas; Stevens, Louis-Mathieu; Mansour, Samer

2017-01-01

Background The place of drug-eluting balloons (DEB) in the treatment of in-stent restenosis (ISR) is not well-defined, particularly in a population of all-comers with acute coronary syndromes (ACS). Objective Compare the clinical outcomes of DEB with second-generation drug-eluting stents (DES) for the treatment of ISR in a real-world population with a high proportion of ACS. Methods A retrospective analysis of consecutive patients with ISR treated with a DEB compared to patients treated with a second-generation DES was performed. The primary endpoint was a composite of major adverse cardiovascular events (MACE: all-cause death, non-fatal myocardial infarction, and target lesion revascularization). Comparisons were performed using Cox proportional hazards multivariate adjustment and Kaplan-Meier analysis with log-rank. Results The cohort included 91 patients treated with a DEB and 89 patients treated with a DES (74% ACS). Median follow-up was 26 months. MACE occurred in 33 patients (36%) in the DEB group, compared to 17 patients (19%) in the DES group (p log-rank = 0.02). After multivariate adjustment, there was no significant difference between the groups (HR for DEB = 1.45 [95%CI: 0.75-2.83]; p = 0.27). Mortality rates at 1 year were 11% with DEB, and 3% with DES (p = 0.04; adjusted HR = 2.85 [95%CI: 0.98-8.32]; p = 0.06). Conclusion In a population with a high proportion of ACS, a non-significant numerical signal towards increased rates of MACE with DEB compared to second-generation DES for the treatment of ISR was observed, mainly driven by a higher mortality rate. An adequately-powered randomized controlled trial is necessary to confirm these findings. PMID:28977052

The efficacy and safety of drug-eluting balloons for the treatment of in-stent restenosis as compared with drug-eluting stents and with conventional balloon angioplasty

PubMed Central

Oh, Pyung Chun; Suh, Soon Yong; Kang, Woong Chol; Lee, Kyounghoon; Han, Seung Hwan; Ahn, Taehoon; Shin, Eak Kyun

2016-01-01

Background/Aims: Treatment of coronary in-stent restenosis (ISR) is still associated with a high incidence of recurrence. We aimed to compare the efficacy and safety of drug-eluting balloons (DEB) for the treatment of ISR as compared with conventional balloon angioplasty (BA) and drug-eluting stents (DES). Methods: Between January 2006 and May 2012 a total of 177 patients (188 lesions, 64.1 ± 11.7 years old) who underwent percutaneous coronary intervention for ISR were retrospectively enrolled. Clinical outcomes were compared between patients treated with DEB (n = 58, 32.8%), conventional BA (n = 65, 36.7%), or DES (n = 54, 30.5%). The primary end point was a major adverse cardiac event (MACE), defined as a composite of cardiac death, myocardial infarction, and target lesion revascularization(TLR). Results: Baseline characteristics were not different except for a history of previous MI, which was more frequent in patients treated by conventional BA or DES than in patients treated by DEB (40.0% vs. 48.1% vs. 17.2%, respectively, p = 0.002). The total incidences of MACEs were 10.7%, 7.4%, and 15.4% in patients treated by DEB, DES, or conventional BA, respectively (p > 0.05). TLR was more frequent in patients treated by conventional BA than in patients treated by DEB or DES, but this was not statistically significant (10.8% vs. 6.9% vs. 3.7%, p > 0.05 between all group pairs, respectively). Conclusions: This study showed that percutaneous coronary intervention using DEB might be a feasible alternative to conventional BA or DES implantation for treatment of coronary ISR. Further large-scaled, randomized study assessing long-term clinical and angiographic outcomes will be needed. PMID:26951915

DES14X3taz: A type I superluminous supernova showing a luminous, rapidly cooling initial pre-peak bump

DOE PAGES

Smith, M.

2016-02-03

Here, we present DES14X3taz, a new hydrogen-poor superluminous supernova (SLSN-I) discovered by the Dark Energy Survey (DES) supernova program, with additional photometric data provided by the Survey Using DECam for Superluminous Supernovae. Spectra obtained using Optical System for Imaging and low-Intermediate-Resolution Integrated Spectroscopy on the Gran Telescopio CANARIAS show DES14X3taz is an SLSN-I at z = 0.608. Multi-color photometry reveals a double-peaked light curve: a blue and relatively bright initial peak that fades rapidly prior to the slower rise of the main light curve. Our multi-color photometry allows us, for the first time, to show that the initial peak cools from 22,000more » to 8000 K over 15 rest-frame days, and is faster and brighter than any published core-collapse supernova, reaching 30% of the bolometric luminosity of the main peak. No physical (56)Ni-powered model can fit this initial peak. We show that a shock-cooling model followed by a magnetar driving the second phase of the light curve can adequately explain the entire light curve of DES14X3taz. Models involving the shock-cooling of extended circumstellar material at a distance of ≃400 R ⊙ are preferred over the cooling of shock-heated surface layers of a stellar envelope. We compare DES14X3taz to the few double-peaked SLSN-I events in the literature. Although the rise times and characteristics of these initial peaks differ, there exists the tantalizing possibility that they can be explained by one physical interpretation.« less

Drug-eluting stent thrombosis: results from the multicenter Spanish registry ESTROFA (Estudio ESpañol sobre TROmbosis de stents FArmacoactivos).

PubMed

de la Torre-Hernández, José M; Alfonso, Fernando; Hernández, Felipe; Elizaga, Jaime; Sanmartin, Marcelo; Pinar, Eduardo; Lozano, Iñigo; Vazquez, Jose M; Botas, Javier; Perez de Prado, Armando; Hernández, Jose M; Sanchis, Juan; Nodar, Juan M Ruiz; Gomez-Jaume, Alfredo; Larman, Mariano; Diarte, Jose A; Rodríguez-Collado, Javier; Rumoroso, Jose R; Lopez-Minguez, Jose R; Mauri, Josepa

2008-03-11

This study sought to assess the incidence, predictors, and outcome of drug-eluting stent(DES) thrombosis in real-world clinical practice. The DES thromboses in randomized trials could not be comparable to those observed in clinical practice, frequently including off-label indications. We designed a large-scale, nonindustry-linked multicentered registry, with 20 centers in Spain. The participant centers provided follow-up data for their patients treated with DES, reporting a detailed standardized form in the event of any angiography-documented DES-associated thrombosis occurring. Of 23,500 patients treated with DES, definite stent thrombosis(ST) developed in 301: 24 acute, 125 subacute, and 152 late. Of the late, 62 occurred >1 year(very late ST). The cumulative incidence was 2% at 3 years. Antiplatelet treatment had been discontinued in 95 cases(31.6%). No differences in incidences were found among stent types. Independent predictors for subacute ST analyzed in a subgroup of 14,120 cases were diabetes, renal failure, acute coronary syndrome, ST-segment elevation myocardial infarction, stent length, and left anterior descending artery stenting, and for late ST were ST-segment elevation myocardial infarction, stenting in left anterior descending artery, and stent length. Mortality at 1-year follow-up was 16% and ST recurrence 4.6%. Older age, left ventricular ejection fraction <45%, nonrestoration of Thrombolysis In Myocardial Infarction flow grade 3, and additional stenting were independent predictors for mortality. The cumulative incidence of ST after DES implantation was 2% at 3 years. No differences were found among stent types. Patient profiles differed between early and late ST. Short-term prognosis is poor, especially when restoration of normal flow fails.

Modélisation de matériaux chiraux à structures hétérogènes (modèle MTWC) : théorie, validations expérimentales et applications

NASA Astrophysics Data System (ADS)

Mariotte, F.; Sauviac, B.; Héliot, J. Ph.

1995-10-01

After a brief overview of the concept of electromagnetic chirality, this paper deals with a numerical simulation of isotropic composites with metallic chiral inclusions: computations of permittivity, permeability and chirality parameter as functions of frequency are presented. The theoretical results are, step by step, compared with measurements of chiral composites at microwave frequencies. The application of such media in Radar Cross-Section (RCS) management and control is discussed. The introduction of chiral inclusions seems to make impedance matching possible and may lead to attractive shields with lower reflectivity and larger bandwidth. However the optimization of material characteristics necessary to get a specific absorber remains a difficult task. Après un bref rappel du principe de la chiralité, cet article présente une modélisation des propriétés effectives des matériaux hétérogènes à inclusions chirales métalliques : calcul de la permittivité, perméabilité et coefficient de chiralité du composite en fonction de la fréquence. Les résultats théoriques sont validés, pas à pas, par des mesures effectuées sur des composites chiraux de natures différentes. L'application de tels matériaux à la conception de matériaux absorbant les ondes électromagnétiques est ensuite envisagée. Les inclusions chirales semblent offrir la possibilité de régler l'impédance à l'interface air-milieu absorbant permettant ainsi de concevoir des absorbants micro-ondes plus performants en terme d'atténuation ou de largeur de bande. L'optimisation des caractéristiques des matériaux pour obtenir des performances données restent néanmoins très délicate.

Methodologies nouvelles pour la realisation d'essais dans la soufflerie Price-Paidoussis

NASA Astrophysics Data System (ADS)

Flores Salinas, Manuel

Le present memoire en genie de la production automatisee vise a decrire le travail effectue dans la soufflerie Price-Paidoussis du laboratoire LARCASE pour trouver les methodologies experimentales et les procedures de tests, qui seront utilisees avec les modeles d'ailes actuellement au laboratoire. Les methodologies et procedures presentees ici vont permettre de preparer les tests en soufflerie du projet MDO-505 Architectures et technologies deformables pour l'amelioration des performances des ailes, qui se derouleront durant l'annee 2015. D'abord, un bref historique des souffleries subsoniques sera fait. Les differentes sections de la soufflerie Price-Paidoussis seront decrites en mettant l'emphase sur leur influence dans la qualite de l'ecoulement qui se retrouve dans la chambre d'essai. Ensuite, une introduction a la pression, a sa mesure lors de tests en soufflerie et les instruments utilises pour les tests en soufflerie au laboratoire LARCASE sera presente, en particulier le capteur piezoelectrique XCQ-062. Une attention particuliere sera portee au mode de fonctionnement, a son installation, a la mesure et a la detection des frequences et aux sources d'erreurs lorsqu'on utilise des capteurs de haute precision comme la serie XCQ-062 du fournisseur Kulite. Finalement, les procedures et les methodologies elaborees pour les tests dans la soufflerie Price-Paidoussis seront utilisees sur quatre types d'ailes differentes. L'article New methodology for wind tunnel calibration using neural networks - EGD approch portant sur une nouvelle facon de predire les caracteristiques de l'ecoulement a l'interieur de la soufflerie Price-Paidoussis se trouve dans l'annexe 2 de ce document. Cet article porte sur la creation d'un reseau de neurones multicouche et sur l'entrainement des neurones, Ensuite, une comparaison des resultats du reseau de neurones a ete fait avec des valeurs simules avec le logiciel Fluent.

78 FR 39399 - Self-Regulatory Organizations; NYSE Arca, Inc.; Notice of Filing of Proposed Rule Change...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-01

... Custodian's custody, subject to certain limitations based on events beyond the Gold Custodian's control... Securities Commission, Autorite des marches financiers, New Brunswick Securities Commission, Nova Scotia... are members of the Intermarket Surveillance Group (``ISG''), and FINRA, on behalf of the Exchange, may...

Lesion length impacts long term outcomes of drug-eluting stents and bare metal stents differently.

PubMed

Chang, Shang-Hung; Chen, Chun-Chi; Hsieh, Ming-Jer; Wang, Chao-Yung; Lee, Cheng-Hung; Hsieh, I-Chang

2013-01-01

Long lesions have been associated with adverse outcomes in percutaneous coronary interventions with bare metal stents (BMS). However, the exact impact of lesion length on the short- and long-term outcomes of drug-eluting stent (DES) implantations is not as clear. This study compared the impact of lesion length on angiographic and clinical outcomes of BMS and DES in a single-center prospective registry. Lesion length was divided into tertiles. The primary endpoints were angiographically defined binary in-stent restenosis (ISR) rate and major adverse cardiac event (MACE). Of the 4,312 de novo lesions in 3,447 consecutive patients in the CAPTAIN registry, 2,791 lesions (of 2,246 patients) received BMS, and the remaining 1,521 lesions (of 1,201 patients) received DES. The mean follow-up duration was 4.5 years. The longer the lesion, the higher the ISR rate (14%, 18%, and 29%, p<0.001) and the lower the MACE-free survivals (p = 0.007) in the BMS group. However, lesion length showed no such correlation with ISR rates (4.7%, 3.3%, and 7.8%, p = 0.67) or MACE-free survivals (p = 0.19) in the DES group. In our single-center prospective registry, lesion length defined in tertiles has no impact on the short-term (ISR) or long-term (MACE) outcomes of patients implanted with DES. In contrast, longer lesion correlates with higher ISR and MACE rates in BMS group.

Comparison of neointimal hyperplasia with drug-eluting stents versus bare metal stents in patients undergoing intracoronary bone-marrow mononuclear cell transplantation following acute myocardial infarction.

PubMed

Villa, Adolfo; Arnold, Roman; Sánchez, Pedro L; Gimeno, Federico; Ramos, Benigno; Cantero, Teresa; Fernández, Maria Eugenia; Sanz, Ricardo; Gutiérrez, Oliver; Mota, Pedro; García-Frade, Javier; San Román, José Alberto; Fernández-Avilés, Francisco

2009-06-15

The aims of this study were to assess the safety of drug-eluting stent (DES) use and to compare the incidence of in-stent restenosis (ISR) and neointimal hyperplasia formation according to the type of stent implanted (DES vs bare-metal stents [BMS]) in patients who underwent intracoronary bone marrow mononuclear cell transplantation after acute ST elevation myocardial infarction. Fifty-nine patients with successfully revascularized ST elevation myocardial infarction (37 using BMS and 22 using DES) underwent paired angiographic examinations at baseline and 6 to 9 months after the intracoronary injection of 91 million +/- 56 million autologous bone marrow mononuclear cells. A subgroup of 30 patients also underwent serial intravascular ultrasound examinations. Off-line angiographic assessment showed 4 cases of binary ISR, primarily in BMS (3 cases), and no major adverse cardiac events were associated with stent type (mean follow-up period 41 +/- 10 months). At follow-up, angiographic late luminal loss was significantly lower in patients with DES than in those patients with BMS (0.35 +/- 0.66 vs 0.71 +/- 0.38 mm, p = 0.011). Multivariate analysis identified the use of DES (beta = -0.32, 95% confidence interval [CI] -0.57 to -0.26, p = 0.03) and a smaller baseline reference vessel diameter (beta = 0.29, 95% CI 0.04 to 0.54, p = 0.02) as independent predictors of lower late loss. Moreover, intravascular ultrasound showed a significant reduction of in-stent neointimal hyperplasia formation related to DES use compared with BMS use (Delta neointimal hyperplasia volume 5.4 mm(3) [95% CI 2.7 to 28.1] vs 35.9 mm(3) [95% CI 22.0 to 43.6], p = 0.035). In conclusion, these findings suggest that the use of DES is safe and may prevent ISR and neointimal hyperplasia formation in patients who undergo intracoronary bone marrow mononuclear cell transplantation after a successfully revascularized ST elevation myocardial infarction.

Drug-eluting stents versus bare-metal stents for off-label indications: a propensity score-matched outcome study.

PubMed

Austin, David; Oldroyd, Keith G; McConnachie, Alex; Slack, Rachel; Eteiba, Hany; Flapan, Andrew D; Jennings, Kevin P; Northcote, Robin J; Pell, Alastair C H; Starkey, Ian R; Pell, Jill P

2008-08-01

The US Food and Drug Administration recently concluded that data on off-label drug-eluting stent (DES) safety are limited. However, in actual clinical practice, DES are often used for off-label indications, and observational studies demonstrate that complications are higher when compared with on-label use. We aimed to determine whether clinical outcomes differ after DES and bare-metal stent implantation in a patient cohort defined by DES off-label indications. We used the national revascularization registry in Scotland to identify patients who underwent coronary stenting for an off-label indication between January 2003 and September 2005. Individual-level linkage to comprehensive national admission and death databases was used to ascertain the end points of death, myocardial infarction, and target-vessel revascularization. We calculated propensity scores on the basis of clinical, demographic, and angiographic variables and matched DES to bare-metal stents on a 1:1 basis. The final study population consisted of 1642 patients, well matched for important covariables at baseline. Event-free survival was calculated over 24 months with the Kaplan-Meier method. All-cause death was more common after bare-metal stent implantation during follow-up (7.7% versus 6.6%; hazard ratio 0.63; 95% confidence interval, 0.40 to 0.99; P=0.04). No difference in the rates of myocardial infarction were noted (7.3% versus 7.5%; hazard ratio 1.02; 95% confidence interval, 0.69 to 1.54; P=0.92). Target-vessel revascularization was reduced in patients treated with DES (13.9% versus 10.7%; hazard ratio 0.67; 95% confidence interval, 0.49 to 0.93; P=0.02). At 24 months, patients treated with DES for off-label indications had lower rates of death and target-vessel revascularization and similar rates of myocardial infarction, as compared with patients treated with bare-metal stents.

Improved outcomes of elderly patients treated with drug-eluting versus bare metal stents in large coronary arteries: results from the BAsel Stent Kosten-Effektivitäts Trial PROspective Validation Examination randomized trial.

PubMed

Kurz, David J; Bernheim, Alain M; Tüller, David; Zbinden, Rainer; Jeger, Raban; Kaiser, Christoph; Galatius, Soeren; Hansen, Kim W; Alber, Hannes; Pfisterer, Matthias; Eberli, Franz R

2015-10-01

Drug-eluting stents (DES) improve outcomes in elderly patients with small coronary artery disease compared with bare-metal stents (BMS), but randomized data in elderly patients in need of large coronary stents are not available. Planned secondary analysis of patients ≥75 years recruited to the "BASKET-PROVE" trial, in which 2,314 patients undergoing percutaneous coronary intervention for large (≥3.0 mm) native vessel disease were randomized 2:1 to DES (everolimus- vs sirolimus-eluting stents 1:1) versus BMS. All patients received 12 months of dual antiplatelet therapy. The primary end point was a composite of cardiac death or nonfatal myocardial infarction at 2 years. Comparison of DES versus BMS among 405 patients ≥75 years showed significantly lower rates of the primary end point for DES (5.0% vs 11.6%; hazard ration (HR) 0.64 [0.44-0.91]; P = .014). Rates of nonfatal myocardial infarction (1.2% vs 5.5%, hazard ration (HR) 0.44 [0.21-0.83]; P = .009), all-cause death (7.4% vs 14.4%; HR 0.7 [0.51-0.95]; P = .02), and target vessel revascularization (TVR) (2.3% vs 6.2%; HR 0.59 [0.34-0.99]; P = .046) were also lower, whereas stent thrombosis and bleeding rates were similar. In contrast, among patients <75 years (n = 1,909), the only significant benefit of DES was a reduced rate of TVR (4.0% vs 8.7%, HR 0.66 [0.55-0.80]; P < .0001). In patients ≥75 years requiring large (≥3.0 mm) coronary stents, use of DES was beneficial compared with BMS and reduced the rate of ischemic events, mortality, and TVR. These data suggest that DES should be preferred over BMS in elderly patients. Copyright © 2015 Elsevier Inc. All rights reserved.

Cost-effectiveness of percutaneous coronary intervention with drug-eluting stents in patients with multivessel coronary artery disease compared to coronary artery bypass surgery five-years after intervention

PubMed Central

Krenn, Lisa; Kopp, Christoph; Glogar, Dietmar; Lang, Irene M; Delle-Karth, Georg; Neunteufl, Thomas; Kreiner, Gerhard; Kaider, Alexandra; Bergler-Klein, Jutta; Khorsand, Aliasghar; Nikfardjam, Mariam; Laufer, Günther; Maurer, Gerald; Gyöngyösi, Mariann

2014-01-01

Objectives Cost-effectiveness of percutaneous coronary intervention (PCI) using drug-eluting stents (DES), and coronary artery bypass surgery (CABG) was analyzed in patients with multivessel coronary artery disease over a 5-year follow-up. Background DES implantation reducing revascularization rate and associated costs might be attractive for health economics as compared to CABG. Methods Consecutive patients with multivessel DES-PCI (n = 114, 3.3 ± 1.2 DES/patient) or CABG (n = 85, 2.7 ± 0.9 grafts/patient) were included prospectively. Primary endpoint was cost-benefit of multivessel DES-PCI over CABG, and the incremental cost-effectiveness ratio (ICER) was calculated. Secondary endpoint was the incidence of major adverse cardiac and cerebrovascular events (MACCE), including acute myocardial infarction (AMI), all-cause death, revascularization, and stroke. Results Despite multiple uses for DES, in-hospital costs were significantly less for PCI than CABG, with 4551 €/patient difference between the groups. At 5-years, the overall costs remained higher for CABG patients (mean difference 5400 € between groups). Cost-effectiveness planes including all patients or subgroups of elderly patients, diabetic patients, or Syntax score >32 indicated that CABG is a more effective, more costly treatment mode for multivessel disease. At the 5-year follow-up, a higher incidence of MACCE (37.7% vs. 25.8%; log rank P = 0.048) and a trend towards more AMI/death/stroke (25.4% vs. 21.2%, log rank P = 0.359) was observed in PCI as compared to CABG. ICER indicated 45615 € or 126683 € to prevent one MACCE or AMI/death/stroke if CABG is performed. Conclusions Cost-effectiveness analysis of DES-PCI vs. CABG demonstrated that CABG is the most effective, but most costly, treatment for preventing MACCE in patients with multivessel disease. © 2014 Wiley Periodicals, Inc. PMID:24403120

Effect of tension and curvature on the chemical potential of lipids in lipid aggregates.

PubMed

Grafmüller, Andrea; Lipowsky, Reinhard; Knecht, Volker

2013-01-21

Understanding the factors that influence the free energy of lipids in bilayer membranes is an essential step toward understanding exchange processes of lipids between membranes. In general, both lipid composition and membrane geometry can affect lipid exchange rates between bilayer membranes. Here, the free energy change ΔG(des) for the desorption of dipalmitoyl-phosphatidylcholine (DPPC) lipids from different lipid aggregates has been computed using molecular dynamics simulations and umbrella sampling. The value of ΔG(des) is found to depend strongly on the local properties of the aggregate, in that both tension and curvature lead to an increase in ΔG(des). A detailed analysis shows that the increased desorption free energy for tense bilayers arises from the increased conformational entropy of the lipid tails, which reduces the favorable component -TΔS(L) of the desorption free energy.

The Effect of Semi-Brittle Rheology on the Seismicity at the Subduction Interface: Coseismic and Aseismic Events

NASA Astrophysics Data System (ADS)

Tong, X.; Lavier, L.

2017-12-01

Cold and warm subduction zones usually have different seismicity and tectonic structure. Aseismic events like episodic tremor and slip (ETS) and slow slip event (SSE) are often observed in warm and young slabs which typically have less megathrust seismicity and smaller seismogenic area (e.g. southwest Japan). On the other hand, cold and old slabs (e.g. Northeast Japan) have more megathrust events and larger seismogenic area and few aseismic events. Recent studies have try to model the differences in seismic behaviors with different approaches, includes rheological heterogeneity (e.g. frictional vs. viscous), petrological heterogeneity (e.g. hydration-dehydration process and mineral phase changes), and the frictional heterogeneity (e.g. rate-and-state dependent friction). Following previous works, we proposed a new model in which the subduction channel has a temperature dependent material assembly which composed of an explicit mixture of basalt/eclogite and mantle peridotite. Our model also take into account rate and state dependent friction and pore fluid pressure. Depending on the temperature, the basalt and peridotite mixture can behave either as an elastoplastic frictional or a Maxwell viscoelastic material. To model the mixture numerically, we use DynEarthSol3D (DES3D). DES3D is a robust, adaptive, multi-dimensional, finite element method solver which has a composite Elasto-Visco-Plastic rheology. We vary the temperature profile, the ratio of basalt vs. peridotite, the rheology of the mantle peridotites and the loading rate of the subduction interface. Over multiple earthquake cycles, our two end member experiments show that megathrust earthquakes are dominate the seismicity for cold condition (e.g. Japan trench) while both coseismic and aseismic events account for the seismicity for warm condition (e.g. Nankai trench).

DES13S2cmm: The first superluminous supernova from the Dark Energy Survey

DOE PAGES

Papadopoulos, A.; Plazas, A. A.; D"Andrea, C. B.; ...

2015-03-23

We present DES13S2cmm, the first spectroscopically-confirmed superluminous supernova (SLSN) from the Dark Energy Survey (DES). We briefly discuss the data and search algorithm used to find this event in the first year of DES operations, and outline the spectroscopic data obtained from the European Southern Observatory (ESO) Very Large Telescope to confirm its redshift (z = 0.663 ± 0.001 based on the host-galaxy emission lines) and likely spectral type (type I). Using this redshift, we find M peak U = –21.05 +0.10 –0.09 for the peak, rest-frame U-band absolute magnitude, and find DES13S2cmm to be located in a faint, low-metallicitymore » (sub-solar), low stellar-mass host galaxy (log(M/M⊙) = 9.3 ± 0.3), consistent with what is seen for other SLSNe-I. We compare the bolometric light curve of DES13S2cmm to fourteen similarly well-observed SLSNe-I in the literature and find it possesses one of the slowest declining tails (beyond +30 days rest frame past peak), and is the faintest at peak. Moreover, we find the bolometric light curves of all SLSNe-I studied herein possess a dispersion of only 0.2–0.3 magnitudes between +25 and +30 days after peak (rest frame) depending on redshift range studied; this could be important for ‘standardising’ such supernovae, as is done with the more common type Ia. We fit the bolometric light curve of DES13S2cmm with two competing models for SLSNe-I – the radioactive decay of ⁵⁶Ni, and a magnetar – and find that while the magnetar is formally a better fit, neither model provides a compelling match to the data. Although we are unable to conclusively differentiate between these two physical models for this particular SLSN-I, further DES observations of more SLSNe-I should break this degeneracy, especially if the light curves of SLSNe-I can be observed beyond 100 days in the rest frame of the supernova.« less

Cost-effectiveness of percutaneous coronary intervention with drug-eluting stents versus bypass surgery for patients with 3-vessel or left main coronary artery disease: final results from the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) trial.

PubMed

Cohen, David J; Osnabrugge, Ruben L; Magnuson, Elizabeth A; Wang, Kaijun; Li, Haiyan; Chinnakondepalli, Khaja; Pinto, Duane; Abdallah, Mouin S; Vilain, Katherine A; Morice, Marie-Claude; Dawkins, Keith D; Kappetein, A Pieter; Mohr, Friedrich W; Serruys, Patrick W

2014-09-30

The Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) trial demonstrated that in patients with 3-vessel or left main coronary artery disease, coronary artery bypass graft surgery (CABG) was associated with a lower rate of cardiovascular death, myocardial infarction, stroke, or repeat revascularization compared with percutaneous coronary revascularization with drug-eluting stents (DES-PCI)). The long-term cost-effectiveness of these strategies is unknown. Between 2005 and 2007, 1800 patients with left main or 3-vessel coronary artery disease were randomized to CABG (n=897) or DES-PCI (n=903). Costs were assessed from a US perspective, and health state utilities were evaluated with the EuroQOL questionnaire. A patient-level microsimulation model based on the 5-year in-trial data was used to extrapolate costs, life expectancy, and quality-adjusted life expectancy over a lifetime horizon. Although initial procedural costs were $3415 per patient lower with CABG, total hospitalization costs were $10 036 per patient higher. Over the next 5 years, follow-up costs were higher with DES-PCI as a result of more frequent hospitalizations, revascularization procedures, and higher medication costs. Over a lifetime horizon, CABG remained more costly than DES-PCI, but the incremental cost-effectiveness ratio was favorable ($16 537 per quality-adjusted life-year gained) and remained <$20 000 per quality-adjusted life-year in most bootstrap replicates. Results were consistent across a wide range of assumptions about the long-term effect of CABG versus DES-PCI on events and costs. In patients with left main disease or a SYNTAX score ≤22, however, DES-PCI was economically dominant compared with CABG, although these findings were less certain. For most patients with 3-vessel or left main coronary artery disease, CABG is a clinically and economically attractive revascularization strategy compared with DES-PCI. However, among patients with less complex disease, DES-PCI may be preferred on both clinical and economic grounds. www.clinicaltrials.gov. Unique identifier: NCT00114972. © 2014 American Heart Association, Inc.

High dose rates obtained outside ISS in June 2015 during SEP event

NASA Astrophysics Data System (ADS)

Dachev, T. P.; Tomov, B. T.; Matviichuk, Yu. N.; Dimitrov, Pl. G.; Bankov, N. G.

2016-06-01

The R3DR2 instrument performed measurements in the European Space Agency (ESA) EXPOSE-R2 platform outside the Russian "Zvezda" module of the International Space Station (ISS) in the period 24 October 2014-11 January 2016. It is the Liulin-type deposited energy spectrometer (DES) (Dachev et al., 2015a). Took place in November 2014, this was the first attempt to monitor a small solar energetic particle (SEP) event outside ISS using the Liulin-type DES (Dachev et al., 2015d). In this study, we describe the dosimetric characteristics of the largest SEP event, observed on 22 June 2015 with the R3DR2 instrument outside ISS. The main finding of this study is that SEP protons with a minimum energy of approximately 7 MeV at the surface of the R3DR2 detector produced high dose rates, reaching >5000 μGy h-1, while the inner radiation belt maximum dose was at the level of 2200 μGy h-1. If a virtual external vehicle activity (EVA) was performed in the same period of the SEP maximum on 22 June 2015, the doses obtained in the skin of cosmonauts/astronauts can reach 2.84 mGy after 6.5 h, which is similar to the average absorbed dose inside ISS for 15 days (Reitz et al., 2005). A comparison with other extreme events measured with Liulin-type instruments shows that SEPs similar to that observed on 22 June 2015 could be one of the most dangerous events for the cosmonauts/astronauts involved in EVA.

Analysis of a Simulation Experiment on Optimized Crewing for Damage Control

DTIC Science & Technology

2012-06-01

base donnaient un rendement supérieur à l’automatisation moyenne pour l’intervention en cas d’inondation. À partir de ces analyses, les auteurs du...et l’analyse ultérieures de données aux fins d’expériences de simulation semblables. Enfin, les auteurs du rapport ont établi des pistes...DRDC Toronto. [6] Floyd, J., Hunt, S., Williams, F., & Tatem, P. (2004). Fire + Smoke Simulator (FSSIM), Version 1 - Theory manual (NRL/MR/6180-04

A direct comparison of efficacy between desloratadine and rupatadine in seasonal allergic rhinoconjunctivitis: a randomized, double-blind, placebo-controlled study.

PubMed

Lukat, Kf; Rivas, P; Roger, A; Kowalski, Ml; Botzen, U; Wessel, F; Sanquer, F; Agache, I; Izquierdo, I

2013-01-01

H1-antihistamines are recommended as the first-line symptomatic treatment of allergic rhinitis. The objective of this study was to evaluate the effects of rupatadine (RUP) versus desloratadine (DES) in subjects with seasonal allergic rhinitis (SAR). To assess the efficacy and safety of RUP in SAR in comparison with placebo (PL) and DES. A randomized, double-blind, multicenter, international, and PL-controlled study was carried out. The main selection criteria included SAR patients over 12 years old with a positive prick test to a relevant seasonal allergen for the geographic area. Symptomatic patients at screening with a nasal symptom sum score of ≥6 points (nasal discharge, nasal obstruction, sneezing, and nasal pruritus), a non-nasal score of ≥3 points (ocular pruritus, ocular redness, and tearing eyes), and a rhinorrhea score of ≥2 points with laboratory test results and electrocardiography within acceptable limits were included in the study. Change from baseline in the total symptom-score (T7SS) over the 4-week treatment period (reflective evaluation) was considered the primary efficacy variable. Secondary efficacy measures included total nasal symptom score (T4NSS) and conjunctival symptom score (T3NNSS), both of which are reflective and instantaneous evaluations. Furthermore questions related to quality of life (eg, sleep disturbances or impairment of daily activities) have also been evaluated. Safety was assessed according to adverse events reported, as well as laboratory and electrocardiography controls. A total of 379 patients were randomized, of which 356 were included and allocated to PL (n = 122), RUP (n = 117), or DES (n = 117). Mean change of T7SS over the 4-week treatment period was significantly reduced in the RUP (-46.1%, P = 0.03) and DES (-48.9%, P = 0.01) groups, compared with PL. Similarly, RUP and DES were comparable and significantly superior to PL for all secondary endpoints, including nasal and conjunctival symptoms and patients' and investigator's overall clinical opinions. Symptom score evaluation (both reflective and instantaneous evaluations) throughout the treatment period showed a progressive and maintained significant improvement with both treatments at day 7 (P = 0.01), day 14 (P = 0.007), and day 21 (P = 0.01) in comparison with PL. Adverse events were scarce and were similar in both treatment groups. Electrocardiography (QTc) and lab test results did not show any relevant findings. RUP is a very good choice for SAR due to its contribution to the improvement of nasal (including obstruction) and non-nasal symptoms to a similar degree as DES.

Computational Simulations of Convergent Nozzles for the AIAA 1st Propulsion Aerodynamics Workshop

NASA Technical Reports Server (NTRS)

Dippold, Vance F., III

2014-01-01

Computational Fluid Dynamics (CFD) simulations were completed for a series of convergent nozzles in participation of the American Institute of Aeronautics and Astronautics (AIAA) 1st Propulsion Aerodynamics Workshop. The simulations were performed using the Wind-US flow solver. Discharge and thrust coefficients were computed for four axisymmetric nozzles with nozzle pressure ratios (NPR) ranging from 1.4 to 7.0. The computed discharge coefficients showed excellent agreement with available experimental data; the computed thrust coefficients captured trends observed in the experimental data, but over-predicted the thrust coefficient by 0.25 to 1.0 percent. Sonic lines were computed for cases with NPR >= 2.0 and agreed well with experimental data for NPR >= 2.5. Simulations were also performed for a 25 deg. conic nozzle bifurcated by a flat plate at NPR = 4.0. The jet plume shock structure was compared with and without the splitter plate to the experimental data. The Wind-US simulations predicted the shock structure well, though lack of grid resolution in the plume reduced the sharpness of the shock waves. Unsteady Reynolds-Averaged Navier-Stokes (URANS) simulations and Detached Eddy Simulations (DES) were performed at NPR = 1.6 for the 25 deg conic nozzle with splitter plate. The simulations predicted vortex shedding from the trailing edge of the splitter plate. However, the vortices of URANS and DES solutions appeared to dissipate earlier than observed experimentally. It is believed that a lack of grid resolution in the region of the vortex shedding may have caused the vortices to break down too soon

Detection of chromosomal aberrations by fluorescence in situ hybridization in cervicovaginal biopsies from women exposed to diethylstilbestrol in utero.

PubMed

Hajek, R A; King, D W; Hernández-Valero, M A; Kaufman, R H; Liang, J C; Chilton, J A; Edwards, C L; Wharton, J T; Jones, L A

2006-01-01

Epidemiologic studies have associated estrogens with human neoplasms such as those in the endometrium, cervix, vagina, breast, and liver. Perinatal exposure to natural (17beta-estradiol [17beta-E(2)]) and synthetic (diethylstilbestrol [DES]) estrogens induces neoplastic changes in humans and rodents. Previous studies demonstrated that neonatal 17beta-E(2) treatment of mice results in increased nuclear DNA content of cervicovaginal epithelium that precedes histologically evident neoplasia. In order to determine whether this effect was associated with chromosomal changes in humans, the frequencies of trisomy of chromosomes 1, 7, 11, and 17 were evaluated by the fluorescence in situ hybridization (FISH) technique in cervicovaginal tissue from 19 DES-exposed and 19 control women. The trisomic frequencies were significantly elevated in 4 of the 19 (21%) DES-exposed patients. One patient presented with trisomy of chromosomes 1, 7, and 11, while trisomy of chromosome 7 was observed in one patient. There were two patients with trisomy of chromosome 1. Trisomy of chromosomes 1, 7, 11, and 17 was not observed in the cervicovaginal tissue taken from control patients. These data suggest that DES-induced chromosomal trisomy may be an early event in the development of cervicovaginal neoplasia in humans.

Correction partielle des Effets de la Turbulence atmosphérique en Interférométrie optique: Traitement des Données et Développement d'Optiques adaptatives pour l'Interféromètre GI2T

NASA Astrophysics Data System (ADS)

Vérinaud, Christophe

2000-11-01

Dans le domaine de la haute résolution angulaire en astronomie, les techniques de l'interférométrie optique et de l'optique adaptative sont en plein essor. La principale limitation de l'interférométrie est laturbulence atmosphérique qui entraîne des pertes de cohérence importantes, préjudiciables à la sensibilité et à la précision des mesures. L'optique adaptative appliquée à l'interférométrie va permettre un gain en sensibilité considérable. Le but de cette thèse est l'étude de l'influence de l'optique adaptative sur les mesures interférométriques et son application au Grand Interféromètre à DeuxTélescopes (GI2T) situé sur le Mont Calern dans le sud de la France. Deux problèmes principaux sont étudiés de manière théorique par des développements analytiques et des simulations numériques: le premier est le contrôle en temps réel de la variation des différences de marche optique, encore appelée piston différentiel, induite par l'optique adaptative ; le deuxième problème important est la calibration des mesures de contraste des franges dans le cas de la correction partielle. Je limite mon étude au cas d'un interféromètre multi-modes en courtes poses, mode de fonctionnement principal du GI2T également prévu sur le Very Large Telescope Interferometer installé au Cerro Paranal au Chili. Je développe une méthode de calibration des pertes de cohérence spatio-temporelles connaissant la fonction de structure des fronts d'onde corrigés. Je montre en particulier qu'il est possible d'estimer fréquence par fréquence la densité spectrale des images en courtes poses, méthode très utile pour augmenter la couverture du plan des fréquences spatiales dans l'observation d'objets étendus. La dernière partie de ce mémoire est consacrée au développements instrumentaux auxquels j'ai participé. J'ai développé un banc de qualification du système d'optique adaptative à courbure destiné au GI2T et j'ai étudié l'implantation optique de deux systèmes dans la table de recombinaison.

Redshift distributions of galaxies in the Dark Energy Survey Science Verification shear catalogue and implications for weak lensing

DOE PAGES

Bonnett, C.; Troxel, M. A.; Hartley, W.; ...

2016-08-30

Here we present photometric redshift estimates for galaxies used in the weak lensing analysis of the Dark Energy Survey Science Verification (DES SV) data. Four model- or machine learning-based photometric redshift methods—annz2, bpz calibrated against BCC-Ufig simulations, skynet, and tpz—are analyzed. For training, calibration, and testing of these methods, we construct a catalogue of spectroscopically confirmed galaxies matched against DES SV data. The performance of the methods is evaluated against the matched spectroscopic catalogue, focusing on metrics relevant for weak lensing analyses, with additional validation against COSMOS photo-z’s. From the galaxies in the DES SV shear catalogue, which have meanmore » redshift 0.72±0.01 over the range 0.38 of approximately 3%. This shift is within the one sigma statistical errors on σ8 for the DES SV shear catalogue. We further study the potential impact of systematic differences on the critical surface density, Σ crit, finding levels of bias safely less than the statistical power of DES SV data. In conclusion, we recommend a final Gaussian prior for the photo-z bias in the mean of n(z) of width 0.05 for each of the three tomographic bins, and show that this is a sufficient bias model for the corresponding cosmology analysis.« less

Development of Dielectric Elastomer Nanocomposites as Stretchable and Flexible Actuating Materials

NASA Astrophysics Data System (ADS)

Wang, Yu

Dielectric elastomers (DEs) are a new type of smart materials showing promising functionalities as energy harvesting materials as well as actuating materials for potential applications such as artificial muscles, implanted medical devices, robotics, loud speakers, micro-electro-mechanical systems (MEMS), tunable optics, transducers, sensors, and even generators due to their high electromechanical efficiency, stability, lightweight, low cost, and easy processing. Despite the advantages of DEs, technical challenges must be resolved for wider applications. A high electric field of at least 10-30 V/um is required for the actuation of DEs, which limits the practical applications especially in biomedical fields. We tackle this problem by introducing the multiwalled carbon nanotubes (MWNTs) in DEs to enhance their relative permittivity and to generate their high electromechanical responses with lower applied field level. This work presents the dielectric, mechanical and electromechanical properties of DEs filled with MWNTs. The micromechanics-based finite element models are employed to describe the dielectric, and mechanical behavior of the MWNT-filled DE nanocomposites. A sufficient number of models are computed to reach the acceptable prediction of the dielectric and mechanical responses. In addition, experimental results are analyzed along with simulation results. Finally, laser Doppler vibrometer is utilized to directly detect the enhancement of the actuation strains of DE nanocomposites filled with MWNTs. All the results demonstrate the effective improvement in the electromechanical properties of DE nanocomposites filled with MWNTs under the applied electric fields.

The Search for RR Lyrae Variables in the Dark Energy Survey

NASA Astrophysics Data System (ADS)

Nielsen, Chandler; Marshall, Jennifer L.; Long, James

2017-01-01

RR Lyrae variables are stars with a characteristic relationship between magnitude and phase and whose distances can be easily determined, making them extremely valuable in mapping and analyzing galactic substructure. We present our method of searching for RR Lyrae variable stars using data extracted from the Dark Energy Survey (DES). The DES probes for stars as faint as i = 24.3. Finding such distant RR Lyrae allows for the discovery of objects such as dwarf spheroidal tidal streams and dwarf galaxies; in fact, at least one RR Lyrae has been discovered in each of the probed dwarf spheroidal galaxies orbiting the Milky Way (Baker & Willman 2015). In turn, these discoveries may ultimately resolve the well-known missing satellite problem, in which theoretical simulations predict many more dwarf satellites than are observed in the local Universe. Using the Lomb-Scargle periodogram to determine the period of the star being analyzed, we could display the relationship between magnitude and phase and visually determine if the star being analyzed was an RR Lyrae. We began the search in frequently observed regions of the DES footprint, known as the supernova fields. We then moved our search to known dwarf galaxies found during the second year of the DES. Unfortunately, we did not discover RR Lyrae in the probed dwarf galaxies; this method should be tried again once more observations are taken in the DES.

Redshift distributions of galaxies in the Dark Energy Survey Science Verification shear catalogue and implications for weak lensing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bonnett, C.; Troxel, M. A.; Hartley, W.

Here we present photometric redshift estimates for galaxies used in the weak lensing analysis of the Dark Energy Survey Science Verification (DES SV) data. Four model- or machine learning-based photometric redshift methods—annz2, bpz calibrated against BCC-Ufig simulations, skynet, and tpz—are analyzed. For training, calibration, and testing of these methods, we construct a catalogue of spectroscopically confirmed galaxies matched against DES SV data. The performance of the methods is evaluated against the matched spectroscopic catalogue, focusing on metrics relevant for weak lensing analyses, with additional validation against COSMOS photo-z’s. From the galaxies in the DES SV shear catalogue, which have meanmore » redshift 0.72±0.01 over the range 0.38 of approximately 3%. This shift is within the one sigma statistical errors on σ8 for the DES SV shear catalogue. We further study the potential impact of systematic differences on the critical surface density, Σ crit, finding levels of bias safely less than the statistical power of DES SV data. In conclusion, we recommend a final Gaussian prior for the photo-z bias in the mean of n(z) of width 0.05 for each of the three tomographic bins, and show that this is a sufficient bias model for the corresponding cosmology analysis.« less

Evaluation of balloon withdrawal forces with bare-metal stents, compared with Taxus and Cypher drug-eluting coronary stents: balloon, stent and polymer interactions.

PubMed

Turk, Marvee; Gupta, Vishal; Fischell, Tim A

2010-03-01

There have been reports of serious complications related to difficulty removing the deflated Taxus stent delivery balloon after stent deployment. The purpose of this study was to determine whether the Taxus SIBS polymer was "sticky" and associated with an increase in the force required to remove the stent delivery balloon after stent deployment, using a quantitative, ex-vivo model. Balloon-polymer-stent interactions during balloon withdrawal were measured with the Taxus Liberté, Liberté bare-metal stent (BMS; no polymer = control), the Cordis Cypher drug-eluting stent (DES; PEVA/PBMA polymer) and the BX Velocity (no polymer). We quantitatively measured the force required to remove the deflated stent delivery balloon from each of these stents in simulated vessels at 37 degrees C in a water bath. Balloon withdrawal forces were measured in straight (0 degree curve), mildly curved (20 degree curve) and moderately curved (40 degree curve) simulated vessel segments. The average peak force required to remove the deflated balloon catheter from the Taxus Liberté DES, the Liberté BMS, the Cypher DES, and the Bx Velocity BMS were similar in straight segments, but were much greater for the Taxus Liberté in the moderately curved segments (1.4 lbs vs. 0.11 lbs, 0.11 lbs and 0.12 lbs, respectively; p < 0.0001). The SIBS polymer of the Taxus Liberté DES appears to be "sticky" and is associated with high forces required to withdraw the deflated balloon from the deployed stent in curved segments. This withdrawal issue may help to explain the clinical complications that have been reported with this device.

Is POEM the Answer for Management of Spastic Esophageal Disorders? A Systematic Review and Meta-Analysis.

PubMed

Khan, Muhammad Ali; Kumbhari, Vivek; Ngamruengphong, Saowanee; Ismail, Amr; Chen, Yen-I; Chavez, Yamile Haito; Bukhari, Majidah; Nollan, Richard; Ismail, Mohammad Kashif; Onimaru, Manabu; Balassone, Valerio; Sharata, Ahmed; Swanstrom, Lee; Inoue, Haruhiro; Repici, Alessandro; Khashab, Mouen A

2017-01-01

Spastic esophageal disorders (SEDs) include spastic achalasia (type III), diffuse esophageal spasm (DES), and nutcracker/jackhammer esophagus (JH). Per-oral endoscopic myotomy (POEM) has demonstrated efficacy and safety in the treatment of achalasia. Recently, POEM has been indicated for the treatment of SEDs. We conducted a systematic review and meta-analysis to determine the clinical success and safety of POEM in SEDs. We searched several databases from 01/01/2007 to 01/10/2016 to identify studies (with five or more patients) on POEM for the treatment of SEDs. Weighted pooled rates (WPRs) for clinical success and adverse events (AEs) were calculated for all SEDs. Clinical success was defined as Eckardt scores of ≤3 and/or improvement in severity of dysphagia based on achalasia disease-specific health-related quality of life questionnaire. The WPRs for clinical success and AEs were analyzed using fixed- or random-effects model based on heterogeneity. The proportionate difference in clinical success and post-procedure adverse event rates among individual types of SEDs was also calculated. A total of eight observational studies with 179 patients were included in the final analysis. Two studies were of good quality and six were of fair quality based on the National Institutes of Health quality assessment tool. The WPR with 95% confidence interval (CI) for cumulative clinical success of POEM in all SEDs was 87% (78, 93%), I 2  = 37%. The total number of patients for individual disorders, i.e., type III achalasia, JH, and DES, was 116, 37, and 18, respectively. The WPRs for clinical success of POEM for type III achalasia, DES, and JH were 92, 88, and 72%, respectively. Proportion difference of WPR for clinical success was significantly higher for type III achalasia in comparison with JH (20%, P = 0.01). The WPR with 95% CI for AEs of POEM in all SEDs was 14% (9, 20%), I 2  = 0%. The WPRs for post-procedure adverse events for type III achalasia, DES, and JH were 11, 14, and 16%, respectively. There was no difference in safety of POEM among individual SEDs. POEM is an effective and safe therapeutic modality for the treatment of spastic esophageal disorders.

Simulation of groundwater drainage into a tunnel in fractured rock and numerical analysis of leakage remediation, Romeriksporten tunnel, Norway

NASA Astrophysics Data System (ADS)

Kitterød, N.-O.; Colleuille, H.; Wong, W. K.; Pedersen, T. S.

2000-09-01

Standard geostatistical methods for simulation of heterogeneity were applied to the Romeriksporten tunnel in Norway, where water was leaking through high-permeable fracture zones into the tunnel while it was under construction, causing drainage problems on the surface. After the tunnel was completed, artificial infiltration of water into wells drilled from the tunnel was implemented to control the leakage. Synthetic heterogeneity was generated at a scale sufficiently small to simulate the effects of remedial actions that were proposed to control the leakage. The flow field depends on the variance of permeabilities and the covariance model used to generate the heterogeneity. Flow channeling is the most important flow mechanism if the variance of the permeability field is large compared to the expected value. This condition makes the tunnel leakage difficult to control. The main effects of permeability changes due to sealing injection are simulated by a simple perturbation of the log-normal probability density function of the permeability. If flow channeling is the major transport mechanism of water into the tunnel, implementation of artificial infiltration of water to control the leakage requires previous chemical-sealing injection to be successful. Résumé. Des méthodes géostatistiques standard ont été employées pour simuler l'hétérogénéité des zones de fractures à fortes perméabilitées dans lesquelles, au cours de la construction du tunnel ferroviaire de Romeriksporten (Norvège), l'eau s'est écoulée, causant des problèmes de drainage en surface. Quand les travaux ont été terminés, l'injection d'eau dans des puits forés à partir du tunnel a été réalisée pour contrôler ces infiltrations. Une hétérogénéité synthétique a été créée à une échelle suffisamment petite pour simuler les effets de l'injection d'eau. Le champ des écoulements dépend de la variance des perméabilités et de la covariance du modèle utilisé pour générer l'hétérogénéité. La chenalisation de l'écoulement est le mécanisme d'écoulement le plus important si la variance du champ de perméabilité est grande par rapport à la valeur moyenne. Cette condition fait que les infiltrations dans le tunnel sont difficiles à contrôler. L'étanchéification du tunnel par des produits chimiques est simulé par une simple perturbation de la fonction de densité de probabilité log-normale de la perméabilité. Si la chenalisation de l'écoulement est le principal mécanisme de transport d'eau entrant dans le tunnel, la création d'une injection artificielle de l'eau pour contrôler l'infiltration dans le tunnel impose, pour réussir, une imperméabilisation préalable par des produits chimiques. Resumen. Se han aplicado métodos estadísticos convencionales para la simulación de la heterogeneidad en el túnel de Roeriksporte (Noruega), donde la presencia de agua en zonas fracturadas de alta permeabilidad originó problemas de drenaje en superficie durante su construcción. Una vez finalizado el túnel, para controlar la infiltración se inyectó agua en los pozos situados en su interior. La generación del campo heterogéneo se realizó a una escala lo suficientemente pequeña que permitiera simular los efectos de las medidas de control propuestas. El campo de flujo depende de la varianza de las permeabilidades y del modelo de covarianza utilizado para generar la heterogeneidad. El flujo a través de canales es el mecanismo dominante si la varianza del campo de permeabilidad es grande en relación con el valor esperado. Este hecho condiciona que las filtraciones en el túnel sean difíciles de controlar. Los principales efectos de los cambios de permeabilidad originados por las inyecciones para el sellado del túnel se simularon mediante una simple perturbación de la función de densidad de probabilidad lognormal de la permeabilidad. Si el flujo a través de canales es el principal mecanismo de la presencia de agua en el túnel, el control de las filtraciones mediante técnicas de inyección de agua en pozos de recarga requiere de la inyección previa de un producto químico para el sellado de las fisuras.

Day of the Dead

ERIC Educational Resources Information Center

Dann, Tammy; Murphy, Amy

2012-01-01

Foreign Language in Elementary School (FLES) teachers in the West Des Moines schools incorporate the Day of the Dead into the fourth grade curriculum each year. The teachers discuss the Day of the Dead celebration at the Art Center, and many ask for volunteers from fourth grade to participate in the event. Student presentations include a wide…

Can Events Predict Violent Intra-State Crises?

DTIC Science & Technology

2011-01-01

violences politiques et à attirer des organisations terroristes, à qui ils fournissent un refuge sûr. Ces situations concernent le Canada, tout...Number of Women Parliamentarians Inequality Score (GINI Coefficient) Percentage of Women Parliamentarians Unemployment by sex (Female...Military Expenditure (% of GDP) Political violence of civilians (fatalities) Human Development (H) Organised crime Child malnourishment

CALIBRATED ULTRA FAST IMAGE SIMULATIONS FOR THE DARK ENERGY SURVEY

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bruderer, Claudio; Chang, Chihway; Refregier, Alexandre

2016-01-20

Image simulations are becoming increasingly important in understanding the measurement process of the shapes of galaxies for weak lensing and the associated systematic effects. For this purpose we present the first implementation of the Monte Carlo Control Loops (MCCL), a coherent framework for studying systematic effects in weak lensing. It allows us to model and calibrate the shear measurement process using image simulations from the Ultra Fast Image Generator (UFig) and the image analysis software SExtractor. We apply this framework to a subset of the data taken during the Science Verification period (SV) of the Dark Energy Survey (DES). Wemore » calibrate the UFig simulations to be statistically consistent with one of the SV images, which covers ∼0.5 square degrees. We then perform tolerance analyses by perturbing six simulation parameters and study their impact on the shear measurement at the one-point level. This allows us to determine the relative importance of different parameters. For spatially constant systematic errors and point-spread function, the calibration of the simulation reaches the weak lensing precision needed for the DES SV survey area. Furthermore, we find a sensitivity of the shear measurement to the intrinsic ellipticity distribution, and an interplay between the magnitude-size and the pixel value diagnostics in constraining the noise model. This work is the first application of the MCCL framework to data and shows how it can be used to methodically study the impact of systematics on the cosmic shear measurement.« less

Automated transient identification in the Dark Energy Survey

DOE Office of Scientific and Technical Information (OSTI.GOV)

Goldstein, D. A.

2015-08-20

We describe an algorithm for identifying point-source transients and moving objects on reference-subtracted optical images containing artifacts of processing and instrumentation. The algorithm makes use of the supervised machine learning technique known as Random Forest. We present results from its use in the Dark Energy Survey Supernova program (DES-SN), where it was trained using a sample of 898,963 signal and background events generated by the transient detection pipeline. After reprocessing the data collected during the first DES-SN observing season (2013 September through 2014 February) using the algorithm, the number of transient candidates eligible for human scanning decreased by a factormore » of 13.4, while only 1.0 percent of the artificial Type Ia supernovae (SNe) injected into search images to monitor survey efficiency were lost, most of which were very faint events. Here we characterize the algorithm's performance in detail, and we discuss how it can inform pipeline design decisions for future time-domain imaging surveys, such as the Large Synoptic Survey Telescope and the Zwicky Transient Facility.« less

Automated transient identification in the Dark Energy Survey

DOE PAGES

Goldstein, D. A.; D'Andrea, C. B.; Fischer, J. A.; ...

2015-09-01

We describe an algorithm for identifying point-source transients and moving objects on reference-subtracted optical images containing artifacts of processing and instrumentation. The algorithm makes use of the supervised machine learning technique known as Random Forest. We present results from its use in the Dark Energy Survey Supernova program (DES-SN), where it was trained using a sample of 898,963 signal and background events generated by the transient detection pipeline. After reprocessing the data collected during the first DES-SN observing season (2013 September through 2014 February) using the algorithm, the number of transient candidates eligible for human scanning decreased by a factormore » of 13.4, while only 1.0% of the artificial Type Ia supernovae (SNe) injected into search images to monitor survey efficiency were lost, most of which were very faint events. Furthermore, we characterize the algorithm's performance in detail, and we discuss how it can inform pipeline design decisions for future time-domain imaging surveys, such as the Large Synoptic Survey Telescope and the Zwicky Transient Facility.« less

Risk Assessment of Anthrax Threat Letters

DTIC Science & Technology

2001-09-01

extent of the hazard. In the experiments, envelopes containing Bacillus globigii spores (a simulant for anthrax) were opened in a mock mail room/office...des spores de Bacillus globigii (une bactérie imitant l’agent de l’anthrax) ont été ouvertes dans un endroit simulant une salle de courrier ou un...provide guidance to first responders and other government departments. In this study (non-pathogenic) Bacillus globigii (BG) spore contaminated

Revetements antireflet-passivation a base de nitrure de silicium PECVD pour cellules solaires triple-jonction III-V/ Ge

NASA Astrophysics Data System (ADS)

Homier, Ram

Dans le contexte environnemental actuel, le photovoltaïque bénéficie de l'augmentation des efforts de recherche dans le domaine des énergies renouvelables. Pour réduire le coût de la production d'électricité par conversion directe de l'énergie lumineuse en électricité, le photovoltaïque concentré est intéressant. Le principe est de concentrer une grande quantité d'énergie lumineuse sur des petites surfaces de cellules solaires multi-jonction à haute efficacité. Lors de la fabrication d'une cellule solaire, il est essentiel d'inclure une méthode pour réduire la réflexion de la lumière à la surface du dispositif. Le design d'un revêtement antireflet (ARC) pour cellules solaires multi-jonction présente des défis à cause de la large bande d'absorption et du besoin d'égaliser le courant produit par chaque sous-cellule. Le nitrure de silicium déposé par PECVD en utilisant des conditions standards est largement utilisé dans l'industrie des cellules solaires à base de silicium. Cependant, ce diélectrique présente de l'absorption dans la plage des courtes longueurs d'onde. Nous proposons l'utilisation du nitrure de silicium déposé par PECVD basse fréquence (LFSiN) optimisé pour avoir un haut indice de réfraction et une faible absorption optique pour l'ARC pour cellules solaires triple-jonction III-V/Ge. Ce matériau peut aussi servir de couche de passivation/encapsulation. Les simulations montrent que l'ARC double couche SiO2/LFSiN peut être très efficace pour réduire les pertes par réflexion dans la plage de longueurs d'onde de la sous-cellule limitante autant pour des cellules solaires triple-jonction limitées par la sous-cellule du haut que pour celles limitées par la sous-cellule du milieu. Nous démontrons aussi que la performance de la structure est robuste par rapport aux fluctuations des paramètres des couches PECVD (épaisseurs, indice de réfraction). Mots-clés : Photovoltaïque concentré (CPV), cellules solaires multi-jonction (MJSC), revêtement antireflet (ARC), passivation des semiconducteurs III-V, nitrure de silicium (Si"Ny), PECVD.

Development of an E-Prime Based Computer Simulation of an Interactive Human Rights Violation Negotiation Script (Developpement d’un Programme de Simulation par Ordinateur Fonde sur le Logiciel E Prime pour la Negociation Interactive en cas de Violation des Droits de la Personne)

DTIC Science & Technology

2010-12-01

Base ( CFB ) Kingston. The computer simulation developed in this project is intended to be used for future research and as a possible training platform...DRDC Toronto No. CR 2010-055 Development of an E-Prime based computer simulation of an interactive Human Rights Violation negotiation script...Abstract This report describes the method of developing an E-Prime computer simulation of an interactive Human Rights Violation (HRV) negotiation. An

Geostatistical mapping of leakance in a regional aquitard, Oak Ridges Moraine area, Ontario, Canada

NASA Astrophysics Data System (ADS)

Desbarats, A. J.; Hinton, M. J.; Logan, C. E.; Sharpe, D. R.

2001-01-01

The Newmarket Till forms a regionally extensive aquitard separating two major aquifer systems in the Greater Toronto area, Canada. The till is incised, and sometimes eroded entirely, by a network of sand- and gravel-filled channels forming productive aquifers and, locally, high-conductivity windows between aquifer systems. Leakage through the till may also be substantial in places. This study investigates the spatial variability of aquitard leakance in order to assess the relative importance of recharge processes to the lower aquifers. With a large database derived from water-well records and containing both hard and soft information, the Sequential Indicator Simulation method is used to generate maps of aquitard thickness and window probability. These can be used for targeting channel aquifers and for identifying potential areas of recharge to the lower aquifers. Conductivities are modeled from sparse data assuming that their correlation range is much smaller than the grid spacing. Block-scale leakances are obtained by upscaling nodal values based on simulated conductivity and thickness fields. Under the "aquifer-flow'' assumption, upscaling is performed by arithmetic spatial averaging. Histograms and maps of upscaled leakances show that heterogeneities associated with aquitard windows have the largest effect on regional groundwater flow patterns. Résumé. La moraine glaciaire de Newmarket constitue un imperméable d'extension régionale séparant deux systèmes aquifères dans la région du Grand Toronto (Canada). La moraine est entaillée, et parfois entièrement érodée, par un réseau de chenaux comblés de sables et de graviers formant des aquifères productifs et, localement, des «fenêtres», zones à forte conductivité hydraulique reliant les systèmes aquifères. Une drainance au travers de la moraine peut également être significative par endroits. Cette étude s'intéresse à la variabilité spatiale de la drainance au travers de l'imperméable, dans le but d'évaluer l'importance relative des processus d'alimentation des aquifères inférieurs. À partir d'une vaste base de données constituée par les mesures faites dans les puits et contenant des informations à la fois certaines et incertaines, la méthode de simulation par indicateur séquentiel est utilisée pour créer des cartes d'épaisseur de l'imperméable et de probabilité d'existence des fenêtres. Ces cartes peuvent être utilisées pour mettre en évidence les aquifères de chenaux et pour identifier les zones potentielles de recharge des aquifères inférieurs. Les conductivités hydrauliques sont modélisées à partir de données clairsemées en supposant que leur gamme de corrélation est beaucoup plus faible que le pas de la grille. La drainance à l'échelle des blocs est obtenue par accroissement du niveau d'échelle des valeurs nodales basé sur les champs de conductivité simulée et des épaisseurs. À partir de l'hypothèse d'écoulement dans l'aquifère, l'accroissement d'échelle est réalisé en faisant une moyenne arithmétique spatiale. Des histogrammes et des cartes de drainance avec accroissement d'échelle montrent que les hétérogénéités associées aux fenêtres dans l'imperméable constituent l'effet le plus important dans l'organisation des écoulements souterrains régionaux. Resumen. El Till de Newmarket forma un acuitardo de extensión regional que separa dos sistemas acuíferos principales en la zona de Greater Toronto (Canadá). El till está horadado, y a veces completamente erosionado, por una red de canales rellenos de arena y grava. Estos constituyen acuíferos productivos y, localmente, conexiones de alta permeabilidad entre sistemas acuíferos. El goteo a través del till puede ser fundamental en ciertos lugares. Este estudio investiga la variabilidad espacial del goteo desde el acuitardo con el fin de establecer la importancia relativa de los procesos de recarga hacia los acuíferos inferiores. Se ha utilizado el método de la Simulación Indicadora Secuencial, soportado por una gran base de datos que contiene registros de sondeos e incluye información blanda y dura, para generar mapas de espesor del acuitardo y mapas de probabilidad de discontinuidades laterales en el acuitardo. Estos resultados se pueden emplear para identificar canales y las zonas de recarga potencial a los acuíferos inferiores. Se han modelado las conductividades a partir de datos dispersos, suponiendo que la distancia de correlación es mucho menor que el espaciado de la malla. Se han calculado valores de goteo a escala de bloque por medio del escalado de los valores nodales, basándose en los campos simulados de conductividad y espesor. El escalado se calcula mediante un promedio aritmético espacial, bajo la hipótesis de "flujo en el acuífero". Los histogramas y mapas de goteos escalados muestran que las heterogeneidades asociadas a las discontinuidades en el acuitardo producen el efecto más notable en la distribución regional del flujo de aguas subterráneas.

Federation Development and Execution Process (FEDEP) Tools in Support of NATO Modelling & Simulation (M&S) Programmes (Des outils d’aide au processus de d’eveloppement et d’execution de federations (FEDEP))

DTIC Science & Technology

2004-05-01

currently contains 79 tools and others should be added as they become known. Finally, the Task Group has recommended that the tool list be made available...approach and analysis. Conclusions and recommendations are contained in Chapter 5. RTO-TR-MSG-005 v Des outils d’aide au processus de développement...generation, Version 1.5 [A.3-1], was created in December 1999 and contained only minor editorial changes. RTO-TR-MSG-005 2 - 1 FEDEP With this

Development of a sharp interface model that simulates coastal aquifer flow with the coupled use of GIS

NASA Astrophysics Data System (ADS)

Gemitzi, Alexandra; Tolikas, Demetrios

A simulation program, which works seamlessly with GIS and simulates flows in coastal aquifers, is presented in the present paper. The model is based on the Galerkin finite element discretization scheme and it simulates both steady and transient freshwater and saltwater flow, assuming that the two fluids are separated by a sharp interface. The model has been verified in simple cases where analytical solutions exist. The simulation program works as a tool of the GIS program, which is the main database that stores and manages all the necessary data. The combined use of the simulation and the GIS program forms an integrated management tool offering a simpler way of simulating and studying saline intrusion in coastal aquifers. Application of the model to the Yermasogia aquifer illustrates the coupled use of modeling and GIS techniques for the examination of regional coastal aquifer systems. Pour étudier un système aquifère côtier, nous avons développé un modèle aux éléments finis en quasi 3-D qui simule les écoulements d'eau douce et d'eau salée en régime aussi bien permanent que transitoire. Les équations qui les régissent sont discrétisées par un schéma de discrétisation de Garlekin aux éléments finis. Le modèle a été vérifié dans des cas simples où il existe des solutions analytiques. Toutes les données nécessaires sont introduites et gérées grâce à un logiciel de gestion de SIG. Le programme de simulation est utilisé comme un outil du logiciel de SIG, constituant ainsi un outil de gestion intégrée dont le but est de simuler et d'étudier l'intrusion saline dans les aquifères côtiers. L'application du modèle à l'aquifère de Yermasogia illustre l'utilisation couplée de la modélisation et des techniques de SIG pour l'étude des systèmes aquifères côtiers régionaux. Se ha desarrollado un modelo casi tridimensional de elementos finitos para simular el flujo de agua dulce y salada, tanto en régimen estacionario como en transitorio, en sistemas acuíferos costeros, bajo la hipótesis de separación por medio de una interfaz abrupta. Las ecuaciones del modelo han sido discretizadas mediante un esquema de Galerkin de discretización en elementos finitos. El modelo ha sido verificado en casos sencillos para los que existe solución analítica. Todos los datos necesarios se introducen y gestionan con un Sistema de Información Geográfica [SIG] por ordenador. El programa de simulación forma parte del programa de SIG, constituyendo una herramienta integrada de gestión para estudiar la intrusión salina en acuíferos costeros. La aplicación del modelo al acuífero de Yermasogia ilustra el uso acoplado de las técnicas de modelación y de SIG con el fin de examinar sistemas acuíferos costeros a escala regional.

Etude et simulation du protocole TTEthernet sur un sous-systeme de gestion de vols et adaptation de la planification des tâches a des fins de simulation

NASA Astrophysics Data System (ADS)

Abidi, Dhafer

TTEthernet is a deterministic network technology that makes enhancements to Layer 2 Quality-of-Service (QoS) for Ethernet. The components that implement its services enrich the Ethernet functionality with distributed fault-tolerant synchronization, robust temporal partitioning bandwidth and synchronous communication with fixed latency and low jitter. TTEthernet services can facilitate the design of scalable, robust, less complex distributed systems and architectures tolerant to faults. Simulation is nowadays an essential step in critical systems design process and represents a valuable support for validation and performance evaluation. CoRE4INET is a project bringing together all TTEthernet simulation models currently available. It is based on the extension of models of OMNeT ++ INET framework. Our objective is to study and simulate the TTEthernet protocol on a flight management subsystem (FMS). The idea is to use CoRE4INET to design the simulation model of the target system. The problem is that CoRE4INET does not offer a task scheduling tool for TTEthernet network. To overcome this problem we propose an adaptation for simulation purposes of a task scheduling approach based on formal specification of network constraints. The use of Yices solver allowed the translation of the formal specification into an executable program to generate the desired transmission plan. A case study allowed us at the end to assess the impact of the arrangement of Time-Triggered frames offsets on the performance of each type of the system traffic.

Improving Weak Lensing Mass Map Reconstructions using Gaussian and Sparsity Priors: Application to DES SV

DOE PAGES

Jeffrey, N.; Abdalla, F. B.; Lahav, O.; ...

2018-05-15

Mapping the underlying density field, including non-visible dark matter, using weak gravitational lensing measurements is now a standard tool in cosmology. Due to its importance to the science results of current and upcoming surveys, the quality of the convergence reconstruction methods should be well understood. We compare three different mass map reconstruction methods: Kaiser-Squires (KS), Wiener filter, and GLIMPSE. KS is a direct inversion method, taking no account of survey masks or noise. The Wiener filter is well motivated for Gaussian density fields in a Bayesian framework. The GLIMPSE method uses sparsity, with the aim of reconstructing non-linearities in themore » density field. We compare these methods with a series of tests on the public Dark Energy Survey (DES) Science Verification (SV) data and on realistic DES simulations. The Wiener filter and GLIMPSE methods offer substantial improvement on the standard smoothed KS with a range of metrics. For both the Wiener filter and GLIMPSE convergence reconstructions we present a 12% improvement in Pearson correlation with the underlying truth from simulations. To compare the mapping methods' abilities to find mass peaks, we measure the difference between peak counts from simulated {\\Lambda}CDM shear catalogues and catalogues with no mass fluctuations. This is a standard data vector when inferring cosmology from peak statistics. The maximum signal-to-noise value of these peak statistic data vectors was increased by a factor of 3.5 for the Wiener filter and by a factor of 9 using GLIMPSE. With simulations we measure the reconstruction of the harmonic phases, showing that the concentration of the phase residuals is improved 17% by GLIMPSE and 18% by the Wiener filter. We show that the correlation between the reconstructions from data and the foreground redMaPPer clusters is increased 18% by the Wiener filter and 32% by GLIMPSE. [Abridged]« less

Improving Weak Lensing Mass Map Reconstructions using Gaussian and Sparsity Priors: Application to DES SV

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jeffrey, N.; et al.

2018-01-26

Mapping the underlying density field, including non-visible dark matter, using weak gravitational lensing measurements is now a standard tool in cosmology. Due to its importance to the science results of current and upcoming surveys, the quality of the convergence reconstruction methods should be well understood. We compare three different mass map reconstruction methods: Kaiser-Squires (KS), Wiener filter, and GLIMPSE. KS is a direct inversion method, taking no account of survey masks or noise. The Wiener filter is well motivated for Gaussian density fields in a Bayesian framework. The GLIMPSE method uses sparsity, with the aim of reconstructing non-linearities in themore » density field. We compare these methods with a series of tests on the public Dark Energy Survey (DES) Science Verification (SV) data and on realistic DES simulations. The Wiener filter and GLIMPSE methods offer substantial improvement on the standard smoothed KS with a range of metrics. For both the Wiener filter and GLIMPSE convergence reconstructions we present a 12% improvement in Pearson correlation with the underlying truth from simulations. To compare the mapping methods' abilities to find mass peaks, we measure the difference between peak counts from simulated {\\Lambda}CDM shear catalogues and catalogues with no mass fluctuations. This is a standard data vector when inferring cosmology from peak statistics. The maximum signal-to-noise value of these peak statistic data vectors was increased by a factor of 3.5 for the Wiener filter and by a factor of 9 using GLIMPSE. With simulations we measure the reconstruction of the harmonic phases, showing that the concentration of the phase residuals is improved 17% by GLIMPSE and 18% by the Wiener filter. We show that the correlation between the reconstructions from data and the foreground redMaPPer clusters is increased 18% by the Wiener filter and 32% by GLIMPSE. [Abridged]« less

Improving Weak Lensing Mass Map Reconstructions using Gaussian and Sparsity Priors: Application to DES SV

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jeffrey, N.; Abdalla, F. B.; Lahav, O.

Mapping the underlying density field, including non-visible dark matter, using weak gravitational lensing measurements is now a standard tool in cosmology. Due to its importance to the science results of current and upcoming surveys, the quality of the convergence reconstruction methods should be well understood. We compare three different mass map reconstruction methods: Kaiser-Squires (KS), Wiener filter, and GLIMPSE. KS is a direct inversion method, taking no account of survey masks or noise. The Wiener filter is well motivated for Gaussian density fields in a Bayesian framework. The GLIMPSE method uses sparsity, with the aim of reconstructing non-linearities in themore » density field. We compare these methods with a series of tests on the public Dark Energy Survey (DES) Science Verification (SV) data and on realistic DES simulations. The Wiener filter and GLIMPSE methods offer substantial improvement on the standard smoothed KS with a range of metrics. For both the Wiener filter and GLIMPSE convergence reconstructions we present a 12% improvement in Pearson correlation with the underlying truth from simulations. To compare the mapping methods' abilities to find mass peaks, we measure the difference between peak counts from simulated {\\Lambda}CDM shear catalogues and catalogues with no mass fluctuations. This is a standard data vector when inferring cosmology from peak statistics. The maximum signal-to-noise value of these peak statistic data vectors was increased by a factor of 3.5 for the Wiener filter and by a factor of 9 using GLIMPSE. With simulations we measure the reconstruction of the harmonic phases, showing that the concentration of the phase residuals is improved 17% by GLIMPSE and 18% by the Wiener filter. We show that the correlation between the reconstructions from data and the foreground redMaPPer clusters is increased 18% by the Wiener filter and 32% by GLIMPSE. [Abridged]« less

DynEarthSol3D: numerical studies of basal crevasses and calving blocks

NASA Astrophysics Data System (ADS)

Logan, E.; Lavier, L. L.; Choi, E.; Tan, E.; Catania, G. A.

2014-12-01

DynEarthSol3D (DES) is a thermomechanical model for the simulation of dynamic ice flow. We present the application of DES toward two case studies - basal crevasses and calving blocks - to illustrate the potential of the model to aid in understanding calving processes. Among the advantages of using DES are: its unstructured meshes which adaptively resolve zones of high interest; its use of multiple rheologies to simulate different types of dynamic behavior; and its explicit and parallel numerical core which both make the implementation of different boundary conditions easy and the model highly scalable. We examine the initiation and development of both basal crevasses and calving blocks through time using visco-elasto-plastic rheology. Employing a brittle-to-ductile transition zone (BDTZ) based on local strain rate shows that the style and development of brittle features like crevasses differs markedly on the rheological parameters. Brittle and ductile behavior are captured by Mohr-Coulomb elastoplasticity and Maxwell viscoelasticity, respectively. We explore the parameter spaces which define these rheologies (including temperature) as well as the BDTZ threshold (shown in the literature as 10-7 Pa s), using time-to-failure as a metric for accuracy within the model. As the time it takes for a block of ice to fail can determine an iceberg's size, this work has implications for calving laws.

Simulation of hypothetical Asian carp egg and larvae development and transport in the Lockport, Brandon Road, Dresden Island, and Marseilles Pools of the Illinois Waterway by use of the Fluvial Egg Drift Simulator (FluEgg) model

USGS Publications Warehouse

Murphy, Elizabeth A.; Garcia, Tatiana; Jackson, P. Ryan; Duncker, James J.

2016-04-05

As part of the Great Lakes and Mississippi River Interbasin Study, the U.S. Army Corps of Engineers (USACE) is conducting an assessment of the vulnerability of the Chicago Area Waterway System and Des Plaines River to Asian carp (specifically, Hypophthalmichthys nobilis (bighead carp) and Hypophthalmichthys molitrix (silver carp)) spawning and recruitment. As part of this assessment, the USACE requested the help of the U.S. Geological Survey in predicting the fate and transport of Asian carp eggs hypothetically spawned at the electric dispersal barrier on the Chicago Sanitary and Ship Canal and downstream of the Brandon Road Lock and Dam on the Des Plaines River under dry weather flow and high water temperature conditions. The Fluvial Egg Drift Simulator (FluEgg) model predicted that approximately 80 percent of silver carp eggs spawned near the electric dispersal barrier would hatch within the Lockport and Brandon Road pools (as close as 3.6 miles downstream of the barrier) and approximately 82 percent of the silver carp eggs spawned near the Brandon Road Dam would hatch in the Des Plaines River (as close as 1.6 miles downstream from the gates of Brandon Road Lock). Extension of the FluEgg model to include the fate and transport of larvae until gas bladder inflation—the point at which the larvae begin to leave the drift—suggests that eggs spawned at the electric dispersal barrier would reach the gas bladder inflation stage primarily within the Dresden Island Pool, and those spawned at the Brandon Road Dam would reach this stage primarily within the Marseilles and Starved Rock Pools.

Modeling of three dimensional structure of human alpha-fetoprotein complexed with diethylstilbestrol: docking and molecular dynamics simulation study.

PubMed

Terentiev, Alexander A; Moldogazieva, Nurbubu T; Levtsova, Olga V; Maximenko, Dmitry M; Borozdenko, Denis A; Shaitan, Konstantin V

2012-04-01

It has been long experimentally demonstrated that human alpha-fetoprotein (HAFP) has an ability to bind immobilized estrogens with the most efficiency for synthetic estrogen analog - diethylstilbestrol (DES). However, the question remains why the human AFP (HAFP), unlike rodent AFP, cannot bind free estrogens. Moreover, despite the fact that AFP was first discovered more than 50 years ago and is presently recognized as a "golden standard" among onco-biomarkers, its three-dimensional (3D) structure has not been experimentally solved yet. In this work using MODELLER program, we generated 3D model of HAFP on the basis of homology with human serum albumin (HSA) and Vitamin D-binding protein (VTDB) with subsequent molecular docking of DES to the model structure and molecular dynamics (MD) simulation study of the complex obtained. The model constructed has U-shaped structure in which a cavity may be distinguished. In this cavity the putative estrogen-binding site is localized. Validation by RMSD calculation and with the use of PROCHECK program showed good quality of the model and stability of extended region of four alpha-helical structures that contains putative hormone-binding residues. Data extracted from MD simulation trajectory allow proposing two types of interactions between amino acid residues of HAFP and DES molecule: (1) hydrogen bonding with involvement of residues S445, R452, and E551; (2) hydrophobic interactions with participation of L138, M448, and M548 residues. A suggestion is made that immobilization of the hormone using a long spacer provides delivery of the estrogen molecule to the binding site and, thereby, facilitates interaction between HAFP and the hormone.

High dose rates obtained outside ISS in June 2015 during SEP event.

PubMed

Dachev, T P; Tomov, B T; Matviichuk, Yu N; Dimitrov, Pl G; Bankov, N G

2016-06-01

The R3DR2 instrument performed measurements in the European Space Agency (ESA) EXPOSE-R2 platform outside the Russian "Zvezda" module of the International Space Station (ISS) in the period 24 October 2014-11 January 2016. It is the Liulin-type deposited energy spectrometer (DES) (Dachev et al., 2015a). Took place in November 2014, this was the first attempt to monitor a small solar energetic particle (SEP) event outside ISS using the Liulin-type DES (Dachev et al., 2015d). In this study, we describe the dosimetric characteristics of the largest SEP event, observed on 22 June 2015 with the R3DR2 instrument outside ISS. The main finding of this study is that SEP protons with a minimum energy of approximately 7MeV at the surface of the R3DR2 detector produced high dose rates, reaching >5000µGyh(-1), while the inner radiation belt maximum dose was at the level of 2200µGyh(-1). If a virtual external vehicle activity (EVA) was performed in the same period of the SEP maximum on 22 June 2015, the doses obtained in the skin of cosmonauts/astronauts can reach 2.84mGy after 6.5h, which is similar to the average absorbed dose inside ISS for 15days (Reitz et al., 2005). A comparison with other extreme events measured with Liulin-type instruments shows that SEPs similar to that observed on 22 June 2015 could be one of the most dangerous events for the cosmonauts/astronauts involved in EVA. Copyright © 2016 The Committee on Space Research (COSPAR). Published by Elsevier Ltd. All rights reserved.

The Psychology of Violent Conflict in Failing States: A Review of the Scientific Literature (Psychologie des Conflits Violents au sein d’etats en Deroute: Analyse de Publications Scientifiques)

DTIC Science & Technology

2010-12-01

however, was the possibility for students to choose the role of insurgents. Two weeks prior to the start of the simulation, the 78 undergraduate ...King, 2009), students in a political science class participated in a week-long simulation of large-scale regional insurgency. Before the simulation... Students could choose to be government officials, such as the president or the secretary of defence of a country. Alternatively students could role-play

Multi-Sensor Systems and Data Fusion for Telecommunications, Remote Sensing and Radar (les Systemes multi-senseurs et le fusionnement des donnees pour les telecommunications, la teledetection et les radars)

DTIC Science & Technology

1998-04-01

The result of the project is a demonstration of the fusion process, the sensors management and the real-time capabilities using simulated sensors...demonstrator (TAD) is a system that demonstrates the core ele- ment of a battlefield ground surveillance system by simulation in near real-time. The core...Management and Sensor/Platform simulation . The surveillance system observes the real world through a non-collocated heterogene- ous multisensory system

CO2 laser irradiation enhances CaF2 formation and inhibits lesion progression on demineralized dental enamel-in vitro study.

PubMed

Zancopé, Bruna R; Rodrigues, Lívia P; Parisotto, Thais M; Steiner-Oliveira, Carolina; Rodrigues, Lidiany K A; Nobre-dos-Santos, Marinês

2016-04-01

This study evaluated if Carbon dioxide (CO2) (λ 10.6 μm) laser irradiation combined with acidulated phosphate fluoride gel application (APF gel) enhances "CaF2" uptake by demineralized enamel specimens (DES) and inhibits enamel lesion progression. Thus, two studies were conducted and DES were subjected to APF gel combined or not with CO2 laser irradiation (11.3 or 20.0 J/cm(2), 0.4 or 0.7 W) performed before, during, or after APF gel application. In study 1, 165 DES were allocated to 11 groups. Fluoride as "CaF2 like material" formed on enamel was determined in 100 DES (n = 10/group), and the surface morphologies of 50 specimens were evaluated by scanning electron microscopy (SEM) before and after "CaF2" extraction. In study 2, 165 DES (11 groups, n = 15), subjected to the same treatments as in study 1, were further subjected to a pH-cycling model to simulate a high cariogenic challenge. The progression of demineralization in DES was evaluated by cross-sectional microhardness and polarized light microscopy analyses. Laser at 11.3 J/cm(2) applied during APF gel application increased "CaF2" uptake on enamel surface. Laser irradiation and APF gel alone arrested the lesion progression compared with the control (p < 0.05). Areas of melting, fusion, and cracks were observed. CO2 laser irradiation, combined with a single APF application enhanced "CaF2" uptake on enamel surface and a synergistic effect was found. However, regarding the inhibition of caries lesion progression, no synergistic effect could be demonstrated. In conclusion, the results have shown that irradiation with specific laser parameters significantly enhanced CaF2 uptake by demineralized enamel and inhibited lesion progression.

Étude de la réponse photoacoustique d'objets massifs en 3D

NASA Astrophysics Data System (ADS)

Séverac, H.; Mousseigne, M.; Franceschi, J. L.

1996-11-01

In some sectors such as microelectronics or the physics of materials, reliability is of capital importance. It is also particularly attractive to have access on informations on the material behaviour without the use of a destructive test like chemical analysis or others mechanical tests. The submitted method for non-destructive testing is based on the waves generation with a laser beam. The aim of studying the various waves in the three-dimensional space is to bring informations about materials response. Thermoelastic modelisation allowed a rigorous analytic approach and to give rise to a software written in Turbo-Pascal for a more general solution. Dans les secteurs où la fiabilité est capitale, tels la micro-électronique ou la physique des matériaux, il est particulièrement utile d'accéder aux informations sur le comportement du matériau sans avoir à utiliser une méthode destructive (analyses chimiques ou autres essais mécaniques). La méthode de contrôle non destructif présentée est basée sur la génération d'ondes par impact d'un faisceau laser focalisé à la surface d'un échantillon, sans atteindre le régime d'ablation. L'étude de la propagation des diverses ondes dans l'espace tridimensionnel permet d'apporter des mesures quantitatives sur l'analyse de la réponse des matériaux utilisés. La modélisation des phénomènes thermoélastiques a permis une approche analytique rigoureuse et donné naissance à un logiciel de simulation écrit en Turbo-Pascal pour des études plus générales.

Altered gene expression patterns during the initiation and promotion stages of neonatally diethylstilbestrol-induced hyperplasia/dysplasia/neoplasia in the hamster uterus.

PubMed

Hendry, William J; Hariri, Hussam Y; Alwis, Imala D; Gunewardena, Sumedha S; Hendry, Isabel R

2014-12-01

Neonatal treatment of hamsters with diethylstilbestrol (DES) induces uterine hyperplasia/dysplasia/neoplasia (endometrial adenocarcinoma) in adult animals. We subsequently determined that the neonatal DES exposure event directly and permanently disrupts the developing hamster uterus (initiation stage) so that it responds abnormally when it is stimulated with estrogen in adulthood (promotion stage). To identify candidate molecular elements involved in progression of the disruption/neoplastic process, we performed: (1) immunoblot analyses and (2) microarray profiling (Affymetrix Gene Chip System) on sets of uterine protein and RNA extracts, respectively, and (3) immunohistochemical analysis on uterine sections; all from both initiation stage and promotion stage groups of animals. Here we report that: (1) progression of the neonatal DES-induced hyperplasia/dysplasia/neoplasia phenomenon in the hamster uterus involves a wide spectrum of specific gene expression alterations and (2) the gene products involved and their manner of altered expression differ dramatically during the initiation vs. promotion stages of the phenomenon. Copyright © 2014 Elsevier Inc. All rights reserved.

Major mutation events in structural genes of peste des petits ruminants virus through serial passages in vitro.

PubMed

Wu, Xiaodong; Liu, Fuxiao; Li, Lin; Zou, Yanli; Liu, Shan; Wang, Zhiliang

2016-06-01

Peste des petits ruminants (PPR) is an highly contagious disease of small ruminants, and caused by peste des petits ruminants virus (PPRV), a member of the genus Morbillivirus in the family Paramyxoviridae. The first outbreak of PPR in China was officially reported in July 2007, when a PPRV strain was successfully isolated from a sick goat in Tibet, followed by sequencing at a full-genome level (China/Tibet/Geg/07-30, GenBank: FJ905304.1). To date, this isolate has been virulently attenuated by more than 90 serial passages in Vero-Dog-SLAM cells at our laboratory. In this study, a total of nine strains by serial passages (namely the 10th, 20th, 30th, 40th, 50th, 60th, 70th, 80th, and 90th passages) were chosen for sequencing of six structural genes in PPRV. The sequence analysis showed that mutation rates in all viral genes were relatively low, and only a few identical mutations within certain genes were stably maintained after an earlier passage, perhaps indicating a predominance of mutants after such a passage.

Search for the Higgs Boson and for Anomalous Quartic Gauge Boson Couplings in the WW Channel with Dielectron Events with the D0 Experiment at the Tevatron; Recherche du boson de Higgs et de couplages de jauge quartiques anormaux dans le canal WW en électrons dans l'expérience D0 au Tevatron (in French)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chapon, Emilien

Le paysage de la physique des particules a subi des changements majeurs entre le début de cette thèse, en septembre 2010, et sa n en juin 2013. On peut notamment qualier l'année 2012 de date-clé dans l'histoire de la physique des particules. En 2012, une nouvelle particule a été découverte au LHC [1, 2], dont la majeure partie de la communauté s'accorde aujourd'hui à dire qu'il s'agit très probablement du boson de Higgs. Cet événement est intervenu peu après une sorte de passage de relais entre le Tevatron, arrêté le 30 septembre 2011, et le LHC, dont les toutes premièresmore » collisions sont intervenues le 23 novembre 2009.« less

Navigation d'un vehicule autonome autour d'un asteroide

NASA Astrophysics Data System (ADS)

Dionne, Karine

Les missions d'exploration planetaire utilisent des vehicules spatiaux pour acquerir les donnees scientifiques qui font avancer notre connaissance du systeme solaire. Depuis les annees 90, ces missions ciblent non seulement les planetes, mais aussi les corps celestes de plus petite taille comme les asteroides. Ces astres representent un defi particulier du point de vue des systemes de navigation, car leur environnement dynamique est complexe. Une sonde spatiale doit reagir rapidement face aux perturbations gravitationnelles en presence, sans quoi sa securite pourrait etre compromise. Les delais de communication avec la Terre pouvant souvent atteindre plusieurs dizaines de minutes, il est necessaire de developper des logiciels permettant une plus grande autonomie d'operation pour ce type de mission. Ce memoire presente un systeme de navigation autonome qui determine la position et la vitesse d'un satellite en orbite autour d'un asteroide. Il s'agit d'un filtre de Kalman etendu adaptatif a trois degres de liberte. Le systeme propose se base sur l'imagerie optique pour detecter des " points de reperes " qui ont ete prealablement cartographies. Il peut s'agir de crateres, de rochers ou de n'importe quel trait physique discernable a la camera. Les travaux de recherche realises se concentrent sur les techniques d'estimation d'etat propres a la navigation autonome. Ainsi, on suppose l'existence d'un logiciel approprie qui realise les fonctions de traitement d'image. La principale contribution de recherche consiste en l'inclusion, a chaque cycle d'estimation, d'une mesure de distance afin d'ameliorer les performances de navigation. Un estimateur d'etat de type adaptatif est necessaire pour le traitement de ces mesures, car leur precision varie dans le temps en raison de l'erreur de pointage. Les contributions secondaires de recherche sont liees a l'analyse de l'observabilite du systeme ainsi qu'a une analyse de sensibilite pour six parametres principaux de conception. Les resultats de simulation montrent que l'ajout d'une mesure de distance par cycle de mise a jour entraine une amelioration significative des performances de navigation. Ce procede reduit l'erreur d'estimation ainsi que les periodes de non-observabilite en plus de contrer la dilution de precision des mesures. Les analyses de sensibilite confirment quant a elles la contribution des mesures de distance a la diminution globale de l'erreur d'estimation et ce pour une large gamme de parametres de conception. Elles indiquent egalement que l'erreur de cartographie est un parametre critique pour les performances du systeme de navigation developpe. Mots cles : Estimation d'etat, filtre de Kalman adaptatif, navigation optique, lidar, asteroide, simulations numeriques

Synthetic Infrared Scene: Improving the KARMA IRSG Module and Signature Modelling Tool SMAT

DTIC Science & Technology

2011-03-01

d’engagements impliquant des autodirecteurs infrarouges dans l’environnement de simulation KARMA. Le travail a été réalisé à partir de novembre 2008...infrarouges dans l’environnement de simulation KARMA. Le travail a été réalisé à partir de novembre 2008 jusqu’à mars 2011. Ce rapport de contrat est axé...74 13 Evaluating Performance Validator tool

Seismic Investigation of the Glacier de la Plaine Morte, Switzerland

NASA Astrophysics Data System (ADS)

Laske, Gabi; Lindner, Fabian; Walter, Fabian; Krage, Manuel

2017-04-01

Glacier de la Plaine Morte is a plateau glacier along the border between Valais and Berne cantons. It covers a narrow elevation range and is extremely vulnerable to climate change. During snow melt, it feeds three marginal lakes that have experienced sudden subglacial drainage in recent years, thereby causing flooding in the Simme Valley below. Of greatest concern is Lac des Faverges at the southeastern end of the glacier that has drained near the end of July in recent years, with flood levels reaching capacity of flood control systems downstream. The lake levels are carefully monitored but precise prediction has not yet been achieved. In the search for precursory ice fracturing to the lake drainage to improve forecast, four seismic arrays comprised of five short-period borehole seismometers provided by Eidgenössische Technische Hochschule (ETH), Zürich as well as fifteen 3-component geophones from the Geophysical Instrument Pool Potsdam (GIPP) collected continuous seismic data for about seven weeks during the summer of 2016. We present initial results on discharge dynamics as well as changing noise levels and seismicity before, during and after the drainage of Lac des Faverges. Compared to previous recent years, the 2016 drainage of Lac des Faverges occurred unusually late on August 28. With an aperture between 100 and 200 m, the small arrays recorded many hundred ice quakes per day. A majority of the events exhibits clearly dispersed, high-frequency Rayleigh waves at about 10 Hz and higher. A wide distribution of events allows us to study azimuthal anisotropy and its relationship with the orientation of glacial crevasses.

Simulations of the OzDES AGN reverberation mapping project

DOE PAGES

King, Anthea L.; Martini, Paul; Davis, Tamara M.; ...

2015-08-26

As part of the Australian spectroscopic dark energy survey (OzDES) we are carrying out a large-scale reverberation mapping study of ~500 quasars over five years in the 30 deg 2 area of the Dark Energy Survey (DES) supernova fields. These quasars have redshifts ranging up to 4 and have apparent AB magnitudes between 16.8 mag < r < 22.5 mag. The aim of the survey is to measure time lags between fluctuations in the quasar continuum and broad emission-line fluxes of individual objects in order to measure black hole masses for a broad range of active galactic nuclei (AGN) andmore » constrain the radius–luminosity (R–L) relationship. Here we investigate the expected efficiency of the OzDES reverberation mapping campaign and its possible extensions. We expect to recover lags for ~35–45 % of the quasars. AGN with shorter lags and greater variability are more likely to yield a lag measurement, and objects with lags ≲6 months or ~1 yr are expected to be recovered the most accurately. The baseline OzDES reverberation mapping campaign is predicted to produce an unbiased measurement of the R–L relationship parameters for Hβ, MgIIλ2798, and C IVλ1549. As a result, extending the baseline survey by either increasing the spectroscopic cadence, extending the survey season, or improving the emission-line flux measurement accuracy will significantly improve the R–L parameter constraints for all broad emission lines.« less

Managing resource capacity using hybrid simulation

NASA Astrophysics Data System (ADS)

Ahmad, Norazura; Ghani, Noraida Abdul; Kamil, Anton Abdulbasah; Tahar, Razman Mat

2014-12-01

Due to the diversity of patient flows and interdependency of the emergency department (ED) with other units in hospital, the use of analytical models seems not practical for ED modeling. One effective approach to study the dynamic complexity of ED problems is by developing a computer simulation model that could be used to understand the structure and behavior of the system. Attempts to build a holistic model using DES only will be too complex while if only using SD will lack the detailed characteristics of the system. This paper discusses the combination of DES and SD in order to get a better representation of the actual system than using either modeling paradigm solely. The model is developed using AnyLogic software that will enable us to study patient flows and the complex interactions among hospital resources for ED operations. Results from the model show that patients' length of stay is influenced by laboratories turnaround time, bed occupancy rate and ward admission rate.

Synchronous Parallel Emulation and Discrete Event Simulation System with Self-Contained Simulation Objects and Active Event Objects

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S. (Inventor)

1998-01-01

The present invention is embodied in a method of performing object-oriented simulation and a system having inter-connected processor nodes operating in parallel to simulate mutual interactions of a set of discrete simulation objects distributed among the nodes as a sequence of discrete events changing state variables of respective simulation objects so as to generate new event-defining messages addressed to respective ones of the nodes. The object-oriented simulation is performed at each one of the nodes by assigning passive self-contained simulation objects to each one of the nodes, responding to messages received at one node by generating corresponding active event objects having user-defined inherent capabilities and individual time stamps and corresponding to respective events affecting one of the passive self-contained simulation objects of the one node, restricting the respective passive self-contained simulation objects to only providing and receiving information from die respective active event objects, requesting information and changing variables within a passive self-contained simulation object by the active event object, and producing corresponding messages specifying events resulting therefrom by the active event objects.

Bertrand's Paradox: A Physical Way out along the Lines of Buffon's Needle Throwing Experiment

ERIC Educational Resources Information Center

Di Porto, P.; Crosignani, B.; Ciattoni, A.; Liu, H. C.

2011-01-01

Bertrand's paradox (Bertrand 1889 "Calcul des Probabilites" (Paris: Gauthier-Villars)) can be considered as a cautionary memento, to practitioners and students of probability calculus alike, of the possible ambiguous meaning of the term "at random" when the sample space of events is continuous. It deals with the existence of different possible…

Extreme flood estimation by the SCHADEX method in a snow-driven catchment: application to Atnasjø (Norway)

NASA Astrophysics Data System (ADS)

Paquet, Emmanuel; Lawrence, Deborah

2013-04-01

The SCHADEX method for extreme flood estimation was developed by Paquet et al. (2006, 2013), and since 2008, it is the reference method used by Electricité de France (EDF) for dam spillway design. SCHADEX is a so-called "semi-continuous" stochastic simulation method in that flood events are simulated on an event basis and are superimposed on a continuous simulation of the catchment saturation hazard usingrainfall-runoff modelling. The MORDOR hydrological model (Garçon, 1999) has thus far been used for the rainfall-runoff modelling. MORDOR is a conceptual, lumped, reservoir model with daily areal rainfall and air temperature as the driving input data. The principal hydrological processes represented are evapotranspiration, direct and indirect runoff, ground water, snow accumulation and melt, and routing. The model has been intensively used at EDF for more than 15 years, in particular for inflow forecasts for French mountainous catchments. SCHADEX has now also been applied to the Atnasjø catchment (463 km²), a well-documented inland catchment in south-central Norway, dominated by snowmelt flooding during spring/early summer. To support this application, a weather pattern classification based on extreme rainfall was first established for Norway (Fleig, 2012). This classification scheme was then used to build a Multi-Exponential Weather Pattern distribution (MEWP), as introduced by Garavaglia et al. (2010) for extreme rainfall estimation. The MORDOR model was then calibrated relative to daily discharge data for Atnasjø. Finally, a SCHADEX simulation was run to build a daily discharge distribution with a sufficient number of simulations for assessing the extreme quantiles. Detailed results are used to illustrate how SCHADEX handles the complex and interacting hydrological processes driving flood generation in this snow driven catchment. Seasonal and monthly distributions, as well as statistics for several thousand simulated events reaching a 1000 years return level value and assessment of snowmelt role in extreme floods are presented. This study illustrates the complexity of the extreme flood estimation in snow driven catchments, and the need for a good representation of snow accumulation and melting processes in simulations for design flood estimations. In particular, the SCHADEX method is able to represent a range of possible catchment conditions (representing both soil moisture and snowmelt) in which extreme flood events can occur. This study is part of a collaboration between NVE and EDF, initiated within the FloodFreq COST Action (http://www.cost-floodfreq.eu/). References: Fleig, A., Scientific Report of the Short Term Scientific Mission Anne Fleig visiting Électricité de France, FloodFreq COST action - STSM report, 2012 Garavaglia, F., Gailhard, J., Paquet, E., Lang, M., Garçon, R., and Bernardara, P., Introducing a rainfall compound distribution model based on weather patterns sub-sampling, Hydrol. Earth Syst. Sci., 14, 951-964, doi:10.5194/hess-14-951-2010, 2010 Garçon, R. Modèle global pluie-débit pour la prévision et la prédétermination des crues, La Houille Blanche, 7-8, 88-95. doi: 10.1051/lhb/1999088 Paquet, E., Gailhard, J. and Garçon, R. (2006), Evolution of the GRADEX method: improvement by atmospheric circulation classification and hydrological modeling, La Houille Blanche, 5, 80-90. doi: 10.1051/lhb/2006091 Paquet, E., Garavaglia, F., Garçon, R. and Gailhard, J. (2012), The SCHADEX method: a semi-continuous rainfall-runoff simulation for extreme food estimation, Journal of Hydrology, under revision

Etude microdosimetrique de l'influence des materiaux sur l'efficacite biologique d'une source d'iode-125

NASA Astrophysics Data System (ADS)

Taschereau, Richard

Cette these concerne les implants permanents pour la prostate. Les isotopes employes, le 103Pd et l'125I, semblent produire les memes resultats cliniques: le premier a cause d'une radiation plus efficace et le second a cause de sa demi-vie plus longue. La recherche utilise le cadre theorique de la microdosimetrie et des simulations Monte Carlo. Elle propose d'employer le spectre d'ejection dans le calcul de l'efficacite; ce changement fait passer l'efficacite relative du 103Pd de 10% a 5%. Elle montre ensuite qu'il est possible d'ameliorer l'efficacite de la radiation de 125I par l'exploitation des rayons X caracteristiques de la capsule. Une source amelioree faite de molybdene et d'yttrium est donnee en exemple. Elle procure une radiation de 5--7% plus efficace, ce qui surclasse les deux sources existantes. Les applications ne se limitent pas au traitement de la prostate; le traitement du melanome oculaire et la curietherapie endovasculaire pourraient en beneficier.

Long-term outcome after drug-eluting versus bare-metal stent implantation in patients with ST-segment elevation myocardial infarction: 5 years follow-up from the randomized DEDICATION trial (Drug Elution and Distal Protection in Acute Myocardial Infarction).

PubMed

Holmvang, Lene; Kelbæk, Henning; Kaltoft, Anne; Thuesen, Leif; Lassen, Jens Flensted; Clemmensen, Peter; Kløvgaard, Lene; Engstrøm, Thomas; Bøtker, Hans E; Saunamäki, Kari; Krusell, Lars R; Jørgensen, Erik; Tilsted, Hans-Henrik; Christiansen, Evald H; Ravkilde, Jan; Køber, Lars; Kofoed, Klaus Fuglsang; Terkelsen, Christian J; Helqvist, Steffen

2013-06-01

This study sought to compare the long-term effects of drug-eluting stent (DES) compared with bare-metal stent (BMS) implantation in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention. The randomized DEDICATION (Drug Elution and Distal Protection in Acute Myocardial Infarction) trial evaluated the outcome after DES compared with BMS implantation in patients with STEMI undergoing primary percutaneous coronary intervention. Patients with a high-grade stenosis/occlusion of a native coronary artery presenting with symptoms <12 h and ST-segment elevation were enrolled after giving informed consent. Patients were randomly assigned to receive a DES or a BMS in the infarct-related lesion. Patients were followed for at least 5 years, and clinical endpoints were evaluated from population registries and hospital charts. The main endpoint was the occurrence of the first major adverse cardiac event (MACE), defined as cardiac death, nonfatal recurrent myocardial infarction, and target lesion revascularization. Complete clinical status was available in 623 patients (99.5%) at 5 years follow-up. The combined MACE rate was insignificantly lower in the DES group (16.9% vs. 23%), mainly driven by a lower need of repeat revascularization (p = 0.07). Whereas the number of deaths from all causes tended to be higher in the DES group (16.3% vs. 12.1%, p = 0.17), cardiac mortality was significantly higher (7.7% vs. 3.2%, p = 0.02). The 5-year stent thrombosis rates were generally low and similar between the DES and the BMS groups. No cardiac deaths occurring within 1 month could be clearly ascribed to stent thrombosis, whereas stent thrombosis was involved in 78% of later-occurring deaths. The 5-year MACE rate was insignificantly different, but the cardiac mortality was higher after DES versus BMS implantation in patients with STEMI. Stent thrombosis was the main cause of late cardiac deaths. Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Are Everolimus-Eluting Stents Associated With Better Clinical Outcomes Compared to Other Drug-Eluting Stents in Patients With Type 2 Diabetes Mellitus?

PubMed Central

Bundhun, Pravesh Kumar; Pursun, Manish; Teeluck, Abhishek Rishikesh; Long, Man-Yun

2016-01-01

Abstract Controversies still exist with the use of Everolimus-Eluting Stents (EES) compared to other Drug-Eluting Stents (DES) in patients with Type 2 Diabetes Mellitus (T2DM). Therefore, in order to solve this issue, we aim to compare the 1-year adverse clinical outcomes between EES and non-EE DES with a larger number of patients with T2DM. Medline, EMBASE, PubMed databases, as well as the Cochrane library were searched for randomized controlled trials (RCTs) and observational studies (OS) comparing EES and non-EE DES in patients with T2DM. One-year adverse outcomes were considered as the clinical endpoints in this study. Odd ratios (OR) with 95% confidence interval (CI) were used to express the pooled effect on discontinuous variables and the pooled analyses were performed with RevMan 5.3. Ten studies consisting of a total of 11,981 patients with T2DM (6800 patients in the EES group and 5181 in the non-EE DES group) were included in this meta-analysis. EES were associated with a significantly lower major adverse cardiac events (MACEs) with OR: 0.83, 95% CI: 0.70–0.98, P = 0.03. Revascularization including target vessel revascularization (TVR) and target lesion revascularization (TLR) were also significantly lower in the EES group with OR: 0.62, 95% CI: 0.40–0.94, P = 0.03 and OR: 0.74, 95% CI: 0.57–0.95, P = 0.02, respectively. Also, a significantly lower rate of stent thrombosis with OR: 0.63, 95% CI: 0.46–0.86, P = 0.003 was observed in the EES group. However, a similar mortality rate was reported between the EES and non-EE DES groups. During this 1-year follow-up period, EES were associated with significantly better clinical outcomes compared to non-EE DES in patients suffering from T2DM. However, further research comparing EES with non-EE DES in insulin-treated and noninsulin-treated patients with T2DM are recommended. PMID:27057888

The dark energy survey Y1 supernova search: Survey strategy compared to forecasts and the photometric type Is SN volumetric rate

NASA Astrophysics Data System (ADS)

Fischer, John Arthur

For 70 years, the physics community operated under the assumption that the expansion of the Universe must be slowing due to gravitational attraction. Then, in 1998, two teams of scientists used Type Ia supernovae to discover that cosmic expansion was actually acceler- ating due to a mysterious "dark energy." As a result, Type Ia supernovae have become the most cosmologically important transient events in the last 20 years, with a large amount of effort going into their discovery as well as understanding their progenitor systems. One such probe for understanding Type Ia supernovae is to use rate measurements to de- termine the time delay between star formation and supernova explosion. For the last 30 years, the discovery of individual Type Ia supernova events has been accelerating. How- ever, those discoveries were happening in time-domain surveys that probed only a portion of the redshift range where expansion was impacted by dark energy. The Dark Energy Survey (DES) is the first project in the "next generation" of time-domain surveys that will discovery thousands of Type Ia supernovae out to a redshift of 1.2 (where dark energy be- comes subdominant) and DES will have better systematic uncertainties over that redshift range than any survey to date. In order to gauge the discovery effectiveness of this survey, we will use the first season's 469 photometrically typed supernovee and compare it with simulations in order to update the full survey Type Ia projections from 3500 to 2250. We will then use 165 of the 469 supernovae out to a redshift of 0.6 to measure the supernovae rate both as a function of comoving volume and of the star formation rate as it evolves with redshift. We find the most statistically significant prompt fraction of any survey to date (with a 3.9? prompt fraction detection). We will also reinforce the already existing tension in the measurement of the delayed fraction between high (z > 1.2) and low red- shift rate measurements, where we find no significant evidence of a delayed fraction at all in our photometric sample.

Operationalizing Healthcare Simulation Psychological Safety: A Descriptive Analysis of an Intervention.

PubMed

Henricksen, Jared W; Altenburg, Catherine; Reeder, Ron W

2017-10-01

Despite efforts to prepare a psychologically safe environment, simulation participants are occasionally psychologically distressed. Instructing simulation educators about participant psychological risks and having a participant psychological distress action plan available to simulation educators may assist them as they seek to keep all participants psychologically safe. A Simulation Participant Psychological Safety Algorithm was designed to aid simulation educators as they debrief simulation participants perceived to have psychological distress and categorize these events as mild (level 1), moderate (level 2), or severe (level 3). A prebrief dedicated to creating a psychologically safe learning environment was held constant. The algorithm was used for 18 months in an active pediatric simulation program. Data collected included level of participant psychological distress as perceived and categorized by the simulation team using the algorithm, type of simulation that participants went through, who debriefed, and timing of when psychological distress was perceived to occur during the simulation session. The Kruskal-Wallis test was used to evaluate the relationship between events and simulation type, events and simulation educator team who debriefed, and timing of event during the simulation session. A total of 3900 participants went through 399 simulation sessions between August 1, 2014, and January 26, 2016. Thirty-four (<1%) simulation participants from 27 sessions (7%) were perceived to have an event. One participant was perceived to have a severe (level 3) psychological distress event. Events occurred more commonly in high-intensity simulations, with novice learners and with specific educator teams. Simulation type and simulation educator team were associated with occurrence of events (P < 0.001). There was no association between event timing and event level. Severe psychological distress as categorized by simulation personnel using the Simulation Participant Psychological Safety Algorithm is rare, with mild and moderate events being more common. The algorithm was used to teach simulation educators how to assist a participant who may be psychologically distressed and document perceived event severity.

Newest-generation drug-eluting and bare-metal stents combined with prasugrel-based antiplatelet therapy in large coronary arteries: the BAsel Stent Kosten Effektivitäts Trial PROspective Validation Examination part II (BASKET-PROVE II) trial design.

PubMed

Jeger, Raban; Pfisterer, Matthias; Alber, Hannes; Eberli, Franz; Galatius, Søren; Naber, Christoph; Pedrazzini, Giovanni; Rickli, Hans; Jensen, Jan Skov; Vuilliomenet, André; Gilgen, Nicole; Kaiser, Christoph

2012-02-01

In the BAsel Stent Kosten Effektivitäts Trial PROspective Validation Examination (BASKET-PROVE), drug-eluting stents (DESs) had similar 2-year rates of death and myocardial infarction but lower rates of target vessel revascularization and major adverse cardiac events compared with bare-metal stents (BMSs). However, comparative clinical effects of newest-generation DES with biodegradable polymers vs second-generation DES or newest-generation BMS with biocompatible coatings, all combined with a prasugrel-based antiplatelet therapy, on 2-year outcomes are not known. In BASKET-PROVE II, 2,400 patients with de novo lesions in native vessels ≥3 mm in diameter are randomized 1:1:1 to receive a conventional DES, a DES with a biodegradable polymer, or a BMS with biocompatible coating. In addition to aspirin, stable patients with BMS will receive prasugrel for 1 month, whereas all others will receive prasugrel for 12 months. The primary end point will be combined cardiac death, nonfatal myocardial infarction, and target vessel revascularization up to 2 years. Secondary end points include stent thrombosis and major bleeding. The primary aim is to test (1) the noninferiority of a biodegradable-polymer DES to a conventional DES and (2) the superiority of both DESs to BMS. A secondary aim is to compare the outcomes with those of BASKET-PROVE regarding the effects of prasugrel-based vs clopidogrel-based antiplatelet therapy. By the end of 2010, 878 patients (37% of those planned) were enrolled. This study will test the comparative long-term safety and efficacy of newest-generation stents on the background of contemporary antiplatelet therapy in a large all-comer population undergoing large native coronary artery stenting. Copyright © 2012 Mosby, Inc. All rights reserved.

Direct simulation of groundwater transit-time distributions using the reservoir theory

NASA Astrophysics Data System (ADS)

Etcheverry, David; Perrochet, Pierre

Groundwater transit times are of interest for the management of water resources, assessment of pollution from non-point sources, and quantitative dating of groundwaters by the use of environmental isotopes. The age of water is the time water has spent in an aquifer since it has entered the system, whereas the transit time is the age of water as it exits the system. Water at the outlet of an aquifer is a mixture of water elements with different transit times, as a consequence of the different flow-line lengths. In this paper, transit-time distributions are calculated by coupling two existing methods, the reservoir theory and a recent age-simulation method. Based on the derivation of the cumulative age distribution over the whole domain, the approach accounts for the whole hydrogeological framework. The method is tested using an analytical example and its applicability illustrated for a regional layered aquifer. Results show the asymmetry and multimodality of the transit-time distribution even in advection-only conditions, due to the aquifer geometry and to the velocity-field heterogeneity. Résumé Les temps de transit des eaux souterraines sont intéressants à connaître pour gérer l'évaluation des ressources en eau dans le cas de pollution à partir de sources non ponctuelles, et aussi pour dater quantitativement les eaux souterraines au moyen des isotopes du milieu. L'âge de l'eau est le temps qu'elle a passé dans un aquifère depuis qu'elle est entrée dans le système, alors que le temps de transit est l'âge de l'eau au moment où elle quitte le système. L'eau à la sortie d'un aquifère est un mélange d'eaux possédant différents temps de transit, du fait des longueurs différentes des lignes de courant suivies. Dans ce papier, les distributions des temps de transit sont calculées en couplant deux méthodes, la théorie du réservoir et une méthode récente de simulation des âges. Basée sur la dérivation de la distribution cumulées des âges sur tout le domaine, l'approche prend en compte le cadre hydrogéologique dans son ensemble. La méthode est testée sur un exemple analytique et son applicabilité est illustrée pour un aquifère stratifié régional. Les résultats montrent l'asymétrie et la plurimodalité de la distribution des temps de transit même dans des conditions uniquement d'advection, à cause de la géométrie de l'aquifère et de l'hétérogénéité du champ des vitesses. Resumen El estudio de los tiempos de tránsito del agua subterránea es muy útil para (1) la gestión de los recursos de agua frente a la contaminación por focos no puntuales, y (2) la datación de aguas mediante isótopos ambientales. La edad de un agua subterránea es el tiempo que ésta ha permanecido en el acuífero contada desde el momento de su entrada, mientras que el tiempo de tránsito corresponde a la edad del agua en el momento en que abandona el sistema. En el punto de descarga en realidad se encuentra una mezcla de aguas con distintos tiempos de tránsito, debido a la yuxtaposición de líneas de flujo con diferentes recorridos. En este artículo se calculan las distribuciones de tiempos de tránsito mediante el acoplamiento de dos métodos ya existentes: la teoría de embalse y un método reciente de simulación de edades. El método se basa en la derivación de la distribución acumulada de edades, y es aplicable en todo el dominio hidrogeológico. El método se ha probado en un ejemplo analítico, y su aplicabilidad se muestra para un acuífero estratificado. Como resultado se obtiene que, aun en el caso de flujo exclusivamente advectivo, la distribución de tiempos de tránsito es asimétrica y multimodal debido a la geometría del acuífero y a la heterogeneidad del campo de velocidades.

Guideline on Scenario Development for (Distributed) Simulation Environments (Guide en vue du developpement de scenario dans le cadre de simulation distribuee)

DTIC Science & Technology

2015-01-01

des lacunes de M&S du MORS du NMSG a déterminé que le manque d’interopérabilité de la simulation constituait la lacune prioritaire à combler en...matière de capacité, une équipe exploratoire (ET-027) a été constituée au sein du NMSG pour étudier l’interopérabilité de la simulation. L’ET-027 a...élevés (autrement dit, aux niveaux pratique, dynamique et conceptuel) de même que l’automatisation relative du développement, de

Description and comparative evaluation of a proposed design for the low visibility approach study

DOT National Transportation Integrated Search

1985-10-01

Ths memorandum was prepared in support of the low visibility simulation study being : conducted by the FAA as a basis for establishing the lowest RVR (runway visual range) : required for safe, fail passive auto landings in Category III weather. A des...

Dark Energy Survey Year 1 Results: Methodology and Projections for Joint Analysis of Galaxy Clustering, Galaxy Lensing, and CMB Lensing Two-point Functions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Giannantonio, T.; et al.

Optical imaging surveys measure both the galaxy density and the gravitational lensing-induced shear fields across the sky. Recently, the Dark Energy Survey (DES) collaboration used a joint fit to two-point correlations between these observables to place tight constraints on cosmology (DES Collaboration et al. 2017). In this work, we develop the methodology to extend the DES Collaboration et al. (2017) analysis to include cross-correlations of the optical survey observables with gravitational lensing of the cosmic microwave background (CMB) as measured by the South Pole Telescope (SPT) and Planck. Using simulated analyses, we show how the resulting set of five two-pointmore » functions increases the robustness of the cosmological constraints to systematic errors in galaxy lensing shear calibration. Additionally, we show that contamination of the SPT+Planck CMB lensing map by the thermal Sunyaev-Zel'dovich effect is a potentially large source of systematic error for two-point function analyses, but show that it can be reduced to acceptable levels in our analysis by masking clusters of galaxies and imposing angular scale cuts on the two-point functions. The methodology developed here will be applied to the analysis of data from the DES, the SPT, and Planck in a companion work.« less

Prevalence, correlates, and impact of coronary calcification on adverse events following PCI with newer-generation DES: Findings from a large multiethnic registry.

PubMed

Copeland-Halperin, Robert S; Baber, Usman; Aquino, Melissa; Rajamanickam, Anitha; Roy, Swathi; Hasan, Choudhury; Barman, Nitin; Kovacic, Jason C; Moreno, Pedro; Krishnan, Prakash; Sweeny, Joseph M; Mehran, Roxana; Dangas, George; Kini, Annapoorna S; Sharma, Samin K

2018-04-01

We sought to determine the prevalence, predictors, and clinical impact of target lesion calcification in patients undergoing percutaneous coronary intervention (PCI) with newer generation drug-eluting stents (DES) and devices. Coronary calcification is independently associated with adverse outcomes following PCI. While newer DES and contemporary devices are considered safer and more efficacious, their influence on outcomes following PCI of heavily calcified lesions is unknown. We performed a retrospective analysis of a large, multiethnic cohort of patients undergoing PCI with new generation DES at an academic center between 2009 and 2013. Coronary calcification was qualitatively assessed as none/mild, moderate, or severe. Independent demographic, clinical, and anatomic predictors of moderate/severe calcification were identified using logistic regression. Associations between coronary calcification and 1-year MACE (death, myocardial infarction, or target vessel revascularization) were examined using Cox modeling. Compared to patients with none/mild (n = 10,180; 82.0%), those with moderate (n = 1,271; 10.0%) or severe (n = 994; 8.0%) calcification were older, more often Caucasian, had more complex target lesions, and worse renal function. The strongest demographic, clinical, and anatomic correlates of moderate/severe calcification were age, Caucasian race, renal dysfunction, lesion length, and left main location. Unadjusted MACE rates among those with none/mild, moderate, and severe calcification were 8.3, 14.6, and 17.8%, respectively (P < 0.001). After multivariable adjustment, the hazard ratio (95% CI) for MACE associated with moderate or severe coronary calcification was 1.63. Target lesion calcification remains independently associated with adverse outcomes in patients treated with newer generation DES and modern devices. © 2017 Wiley Periodicals, Inc.

Randomized comparison of Zotarolimus-Eluting Endeavor Sprint versus bare-metal stent implantation in uncertain drug-eluting stent candidates: rationale, design, and characterization of the patient population for the Zotarolimus-eluting Endeavor Sprint stent in uncertain DES candidates study.

PubMed

Valgimigli, Marco; Patialiakas, Athanasios; Thury, Attila; Colangelo, Salvatore; Campo, Gianluca; Tebaldi, Matteo; Ungi, Imre; Tondi, Stefano; Roffi, Marco; Menozzi, Alberto; de Cesare, Nicoletta; Garbo, Roberto; Meliga, Emanuele; Testa, Luca; Gabriel, Henrique M; Airoldi, Flavio; Ferlini, Marco; Liistro, Francesco; Dellavalle, Antonio; Vranckx, Pascal; Briguori, Carlo

2013-11-01

The use of drug-eluting stent (DES) instead of bare-metal stent (BMS) in patients at high stent thrombosis or bleeding risk as well as in those at low restenosis risk (ie, uncertain DES candidates) remains a matter of debate. Zotarolimus-Eluting Endeavor Sprint stent (E-ZES) (Santa Rosa, CA) is a hydrophilic polymer-based second-generation device with unique drug fast-release profile, which may allow for a shorter dual antiplatelet therapy (DAPT) duration without safety concerns. The primary objective is to assess whether E-ZES implantation followed by a shorter than currently recommended course of DAPT will decrease the incidence of 12-month major adverse cardiovascular events as compared with BMS in undefined DES recipients. Actual duration of DAPT regimen will be dictated by patients' characteristics and not by stent type and, as such, can be as short as 30 days after intervention in both stent groups. The ZEUS study is an open-label randomized clinical trial conducted at 20 clinical sites in Italy, Switzerland, Portugal, and Hungary. With 1,600 individuals, this study will have 85% power to detect a 33% difference in the primary end point consisting of the composite of death, nonfatal myocardial infarction, or target vessel revascularization. The ZEUS trial aims to assess whether the use of E-ZES, followed by a DAPT duration regimen based on patients' characteristics and not by stent type, is superior to conventional BMS implantation in undefined DES recipients who qualify for the presence of high thrombosis, bleeding, or low restenosis risk criteria. © 2013.

The short- and long-term outcomes of percutaneous intervention with drug-eluting stent vs bare-metal stent in saphenous vein graft disease: An updated meta-analysis of all randomized clinical trials.

PubMed

Kheiri, Babikir; Osman, Mohammed; Abdalla, Ahmed; Ahmed, Sahar; Bachuwa, Ghassan; Hassan, Mustafa

2018-05-11

The use of drug-eluting stents (DES) vs bare-metal stents (BMS) in saphenous vein graft (SVG) lesions remains controversial. We conducted a meta-analysis of all randomized clinical trials comparing the outcomes of DES with BMS in SVG percutaneous coronary interventions. A search of PubMed, Embase, the Cochrane Register of Controlled Trials, and Clinicaltrials.gov was performed for all randomized clinical trials. We evaluated the short- and long-term clinical outcomes of the following: all-cause mortality, major adverse cardiovascular events (MACE), definite/probable stent thrombosis, target lesion revascularization (TLR), and target-vessel revascularization (TVR). From a total of 1582 patients in 6 randomized clinical trials, 797 had DES and 785 had BMS. Patients with DES had lower short-term MACE, TLR, and TVR in comparison with BMS (odds ratio [OR]: 0.56, 95% confidence interval [CI]: 0.35-0.91, P = 0.02; OR: 0.43, 95% CI: 0.19-0.99, P = 0.05; and OR: 0.45, 95% CI: 0.22-0.95, P = 0.04, respectively). However, there were no different outcomes for all-cause mortality (P = 0.63) or stent thrombosis (P = 0.21). With long-term follow-up, there were no significant reductions of MACE (P = 0.20), TLR (P = 0.57), TVR (P = 0.07), all-cause mortality (P = 0.29), and stent thrombosis (P = 0.76). The use of DES in SVG lesions was associated with lower short-term MACE, TLR, and TVR in comparison with BMS. However, there were no significant differences with long-term follow-up. © 2018 Wiley Periodicals, Inc.

Comparison between imported versus domestic drug-eluting stents in China: A large single-center data.

PubMed

Liu, Ru; Gao, Zhan; Chen, Jue; Gao, Lijian; Song, Lei; Qiao, Shubin; Yang, Yuejin; Gao, Runlin; Xu, Bo; Yuan, Jinqing

2017-08-01

In recent years, most drug-eluting stents (DESs) were domestically produced in China, but how domestic DESs perform compared to imported DESs was still unknown. A total of 9011 consecutive cases with DESs implantation in a single center throughout 2013 were prospectively collected. Two-year clinical outcomes were evaluated between patients implanted with imported and domestic DESs. During 2-year follow-up, the rates of all-cause death, cardiac death, myocardial infarction, stroke, and stent thrombosis were not significantly different between two groups. However, the rate of revascularization was significantly higher in domestic DES group, shown as higher rates of overall revascularization, target vessel revascularization (TVR), and target lesion revascularization (TLR) (9.7% vs 6.4%, P < 0.001; 5.6% vs 3.2%, P < 0.001; 4.5% vs 2.2%, P < 0.001, respectively). Accordingly, major adverse cardiac events (MACE) rate was significantly higher in domestic DES group (12.1% vs 8.5%, P < 0.001). Multivariable Cox regression analysis indicated that domestic DES was an independent risk factor of MACE (HR [95%CI]: 1.22 [1.05-1.41]), overall revascularization (HR [95%CI]: 1.29 [1.09-1.53]), TVR (HR [95%CI]: 1.54 [1.22-1.94]), and TLR (HR [95%CI]: 1.85 [1.41-2.42]). After propensity score matching, the rates of overall revascularization, TVR, and TLR were still significantly higher in domestic DES group, and domestic DES was still predictive of overall revascularization, TVR, and TLR in multivariate Cox regression analysis. Domestic DESs showed the same safety as imported DESs in this real-world cohort. But, patients implanted with domestic DESs had a higher risk of revascularization than imported DESs. © 2017, Wiley Periodicals, Inc.

A Simulation of Alternatives for Wholesale Inventory Replenishment

DTIC Science & Technology

2016-03-01

algorithmic details. The last method is a mixed-integer, linear optimization model. Comparative Inventory Simulation, a discrete event simulation model, is...simulation; event graphs; reorder point; fill-rate; backorder; discrete event simulation; wholesale inventory optimization model 15. NUMBER OF PAGES...model. Comparative Inventory Simulation, a discrete event simulation model, is designed to find fill rates achieved for each National Item

Synchronization Of Parallel Discrete Event Simulations

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S.

1992-01-01

Adaptive, parallel, discrete-event-simulation-synchronization algorithm, Breathing Time Buckets, developed in Synchronous Parallel Environment for Emulation and Discrete Event Simulation (SPEEDES) operating system. Algorithm allows parallel simulations to process events optimistically in fluctuating time cycles that naturally adapt while simulation in progress. Combines best of optimistic and conservative synchronization strategies while avoiding major disadvantages. Algorithm processes events optimistically in time cycles adapting while simulation in progress. Well suited for modeling communication networks, for large-scale war games, for simulated flights of aircraft, for simulations of computer equipment, for mathematical modeling, for interactive engineering simulations, and for depictions of flows of information.

The imprint of satellite accretion on the chemical and dynamical properties of disc galaxies

NASA Astrophysics Data System (ADS)

Ruiz-Lara, T.; Few, C. G.; Gibson, B. K.; Pérez, I.; Florido, E.; Minchev, I.; Sánchez-Blázquez, P.

2016-02-01

Aims: We study the effects of the cosmological assembly history on the chemical and dynamical properties of the discs of spiral galaxies as a function of radius. Methods: We made use of the simulated Milky Way mass, fully-cosmological discs from Ramses Disc Environment Study (RaDES). We analysed their assembly history by examining the proximity of satellites to the galactic disc, instead of their merger trees, to better gauge which satellites impact the disc. We presented stellar age and metallicity profiles, age-metallicity relation (AMR), age-velocity dispersion relation (AVR), and stellar age distribution (SAD) in several radial bins for the simulated galaxies. Results: Assembly histories can be divided into three different stages: I) a merger dominated phase, when a large number of mergers with mass ratios of ~1:1 take place (lasting ~3.2 ± 0.4 Gyr on average); II) a quieter phase, when ~1:10 mergers take place (lasting ~4.4 ± 2.0 Gyr); and III) a secular phase where the few mergers that take place have mass ratios below 1:100, which do not affect the disc properties (lasting ~5.5 ± 2.0 Gyr). The first two phases are able to kinematically heat the disc and produce a disc that is chemically mixed over its entire radial extension. Phase 2 ends with a final merger event (at time tjump) marking the onset of important radial differences in the AMR, AVR, and SAD. Conclusions: Inverted AMR trends in the outer parts of discs, for stars younger than tjump, are found as the combined effect of radial motions and star formation in satellites temporarily located in these outer parts. U-shaped stellar age profiles change to an old plateau (~10 Gyr) in the outer discs for the entire RaDES sample. This shape is a consequence of inside-out growth of the disc, radial motions of disc stars (inwards and outwards), and the accretion of old stars from satellites. We see comparable age profiles even when ignoring the influence of stellar migration due to the presence of early in situ star formation in the outer regions of the galaxy.

Étude des perturbations conduites et rayonnées dans une cellule de commutation

NASA Astrophysics Data System (ADS)

Costa, F.; Forest, F.; Puzo, A.; Rojat, G.

1993-12-01

The principles used in static conversion and the rise of the performances of the new switching devices contribue to increase the level of electromagnetic noises emitted by electronic converters. We have studied the way how these perturbations are created and coupled through their environment in conducted and radiated mode by a switching cell. This one can work in hard switching, zero current or voltage switching modes. We first outline the general problems of electromagnetic pollution and their metrology in converters. Then we describe the experimental environment. We analyse the mechanisms of generation of parasitic signals in a switching cell related to the electrical constraints and its switching mode. The simulated results, issued of the analytical models obtained, are confronted with the experimental ones. Then we show a method to calculate analytically the E and H near fields. It has been confirmed by experimental results. At last, we present, in a synthetic manner, the main results obtained, relative to the switching mode and the electrical constraints, using a new characterizing method. Theses results will allow the designer to incorporate the electromagnetic considerations in the conception of a converter. Les principes de commutation employés en conversion statique, l'évolution des performances statiques et dynamiques des composants, contribuent à faire des dispositifs de conversion statique de puissants générateurs de perturbations conduites et rayonnées. Nous nous sommes attachés à étudier les mécanismes de génération et de couplage des perturbations, tant en mode conduit que rayonné dans des structures à une seule cellule de commutation et fonctionnant selon les trois principaux modes de commutation : commutation forcée, à zéro de courant (ZCS), et à zéro de tension (ZVS). Après la mise en évidence de la problématique de pollution électromagnétique dans les structures et leur métrologie, nous décrivons l'environnement expérimental étudié. Nous analysons ensuite les principaux mécanismes produisant les perturbations au sein d'une cellule de commutation en introduisant un certain nombre de composants parasites. Les modèles sont simulés et confrontés aux résultats expérimentaux. Nous décrivons alors une méthode, validée expérimentalement et permettant de calculer les intensités des champs E et H proches émis. Enfin, nous présentons de façon synthétique les résultats observés selon les régimes de fonctionnement de la cellule de commutation et les contraintes électriques et dynamiques qu'elle subit. Nous avons, pour ce faire, développé une méthode originale de quantification des signaux perturbateurs. Les résultats obtenus doivent permettre d'intégrer les problèmes de pollution électromagnétique au stade de la conception d'un dispositif.

An approach to developing an integrated pyroprocessing simulator

NASA Astrophysics Data System (ADS)

Lee, Hyo Jik; Ko, Won Il; Choi, Sung Yeol; Kim, Sung Ki; Kim, In Tae; Lee, Han Soo

2014-02-01

Pyroprocessing has been studied for a decade as one of the promising fuel recycling options in Korea. We have built a pyroprocessing integrated inactive demonstration facility (PRIDE) to assess the feasibility of integrated pyroprocessing technology and scale-up issues of the processing equipment. Even though such facility cannot be replaced with a real integrated facility using spent nuclear fuel (SF), many insights can be obtained in terms of the world's largest integrated pyroprocessing operation. In order to complement or overcome such limited test-based research, a pyroprocessing Modelling and simulation study began in 2011. The Korea Atomic Energy Research Institute (KAERI) suggested a Modelling architecture for the development of a multi-purpose pyroprocessing simulator consisting of three-tiered models: unit process, operation, and plant-level-model. The unit process model can be addressed using governing equations or empirical equations as a continuous system (CS). In contrast, the operation model describes the operational behaviors as a discrete event system (DES). The plant-level model is an integrated model of the unit process and an operation model with various analysis modules. An interface with different systems, the incorporation of different codes, a process-centered database design, and a dynamic material flow are discussed as necessary components for building a framework of the plant-level model. As a sample model that contains methods decoding the above engineering issues was thoroughly reviewed, the architecture for building the plant-level-model was verified. By analyzing a process and operation-combined model, we showed that the suggested approach is effective for comprehensively understanding an integrated dynamic material flow. This paper addressed the current status of the pyroprocessing Modelling and simulation activity at KAERI, and also predicted its path forward.

An approach to developing an integrated pyroprocessing simulator

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lee, Hyo Jik; Ko, Won Il; Choi, Sung Yeol

Pyroprocessing has been studied for a decade as one of the promising fuel recycling options in Korea. We have built a pyroprocessing integrated inactive demonstration facility (PRIDE) to assess the feasibility of integrated pyroprocessing technology and scale-up issues of the processing equipment. Even though such facility cannot be replaced with a real integrated facility using spent nuclear fuel (SF), many insights can be obtained in terms of the world's largest integrated pyroprocessing operation. In order to complement or overcome such limited test-based research, a pyroprocessing Modelling and simulation study began in 2011. The Korea Atomic Energy Research Institute (KAERI) suggestedmore » a Modelling architecture for the development of a multi-purpose pyroprocessing simulator consisting of three-tiered models: unit process, operation, and plant-level-model. The unit process model can be addressed using governing equations or empirical equations as a continuous system (CS). In contrast, the operation model describes the operational behaviors as a discrete event system (DES). The plant-level model is an integrated model of the unit process and an operation model with various analysis modules. An interface with different systems, the incorporation of different codes, a process-centered database design, and a dynamic material flow are discussed as necessary components for building a framework of the plant-level model. As a sample model that contains methods decoding the above engineering issues was thoroughly reviewed, the architecture for building the plant-level-model was verified. By analyzing a process and operation-combined model, we showed that the suggested approach is effective for comprehensively understanding an integrated dynamic material flow. This paper addressed the current status of the pyroprocessing Modelling and simulation activity at KAERI, and also predicted its path forward.« less

Automated Transient Identification in the Dark Energy Survey

NASA Astrophysics Data System (ADS)

Goldstein, D. A.; D'Andrea, C. B.; Fischer, J. A.; Foley, R. J.; Gupta, R. R.; Kessler, R.; Kim, A. G.; Nichol, R. C.; Nugent, P. E.; Papadopoulos, A.; Sako, M.; Smith, M.; Sullivan, M.; Thomas, R. C.; Wester, W.; Wolf, R. C.; Abdalla, F. B.; Banerji, M.; Benoit-Lévy, A.; Bertin, E.; Brooks, D.; Carnero Rosell, A.; Castander, F. J.; da Costa, L. N.; Covarrubias, R.; DePoy, D. L.; Desai, S.; Diehl, H. T.; Doel, P.; Eifler, T. F.; Fausti Neto, A.; Finley, D. A.; Flaugher, B.; Fosalba, P.; Frieman, J.; Gerdes, D.; Gruen, D.; Gruendl, R. A.; James, D.; Kuehn, K.; Kuropatkin, N.; Lahav, O.; Li, T. S.; Maia, M. A. G.; Makler, M.; March, M.; Marshall, J. L.; Martini, P.; Merritt, K. W.; Miquel, R.; Nord, B.; Ogando, R.; Plazas, A. A.; Romer, A. K.; Roodman, A.; Sanchez, E.; Scarpine, V.; Schubnell, M.; Sevilla-Noarbe, I.; Smith, R. C.; Soares-Santos, M.; Sobreira, F.; Suchyta, E.; Swanson, M. E. C.; Tarle, G.; Thaler, J.; Walker, A. R.

2015-09-01

We describe an algorithm for identifying point-source transients and moving objects on reference-subtracted optical images containing artifacts of processing and instrumentation. The algorithm makes use of the supervised machine learning technique known as Random Forest. We present results from its use in the Dark Energy Survey Supernova program (DES-SN), where it was trained using a sample of 898,963 signal and background events generated by the transient detection pipeline. After reprocessing the data collected during the first DES-SN observing season (2013 September through 2014 February) using the algorithm, the number of transient candidates eligible for human scanning decreased by a factor of 13.4, while only 1.0% of the artificial Type Ia supernovae (SNe) injected into search images to monitor survey efficiency were lost, most of which were very faint events. Here we characterize the algorithm’s performance in detail, and we discuss how it can inform pipeline design decisions for future time-domain imaging surveys, such as the Large Synoptic Survey Telescope and the Zwicky Transient Facility. An implementation of the algorithm and the training data used in this paper are available at at http://portal.nersc.gov/project/dessn/autoscan.

Modeling economic implications of alternative treatment strategies for acute bacterial skin and skin structure infections.

PubMed

Revankar, Nikhil; Ward, Alexandra J; Pelligra, Christopher G; Kongnakorn, Thitima; Fan, Weihong; LaPensee, Kenneth T

2014-10-01

The economic implications from the US Medicare perspective of adopting alternative treatment strategies for acute bacterial skin and skin structure infections (ABSSSIs) are substantial. The objective of this study is to describe a modeling framework that explores the impact of decisions related to both the location of care and switching to different antibiotics at discharge. A discrete event simulation (DES) was developed to model the treatment pathway of each patient through various locations (emergency department [ED], inpatient, and outpatient) and the treatments prescribed (empiric antibiotic, switching to a different antibiotic at discharge, or a second antibiotic). Costs are reported in 2012 USD. The mean number of days on antibiotic in a cohort assigned to a full course of vancomycin was 11.2 days, with 64% of the treatment course being administered in the outpatient setting. Mean total costs per patient were $8671, with inpatient care accounting for 58% of the costs accrued. The majority of outpatient costs were associated with parenteral administration rather than drug acquisition or monitoring. Scenarios modifying the treatment pathway to increase the proportion of patients receiving the first dose in the ED, and then managing them in the outpatient setting or prescribing an oral antibiotic at discharge to avoid the cost associated with administering parenteral therapy, therefore have a major impact and lower the typical cost per patient by 11-20%. Since vancomycin is commonly used as empiric therapy in clinical practice, based on these analyses, a shift in treatment practice could result in substantial savings from the Medicare perspective. The choice of antibiotic and location of care influence the costs and resource use associated with the management of ABSSSIs. The DES framework presented here can provide insight into the potential economic implications of decisions that modify the treatment pathway.

Developpement d'une methode de Monte Carlo dependante du temps et application au reacteur de type CANDU-6

NASA Astrophysics Data System (ADS)

Mahjoub, Mehdi

La resolution de l'equation de Boltzmann demeure une etape importante dans la prediction du comportement d'un reacteur nucleaire. Malheureusement, la resolution de cette equation presente toujours un defi pour une geometrie complexe (reacteur) tout comme pour une geometrie simple (cellule). Ainsi, pour predire le comportement d'un reacteur nucleaire,un schema de calcul a deux etapes est necessaire. La premiere etape consiste a obtenir les parametres nucleaires d'une cellule du reacteur apres une etape d'homogeneisation et condensation. La deuxieme etape consiste en un calcul de diffusion pour tout le reacteur en utilisant les resultats de la premiere etape tout en simplifiant la geometrie du reacteur a un ensemble de cellules homogenes le tout entoure de reflecteur. Lors des transitoires (accident), ces deux etapes sont insuffisantes pour pouvoir predire le comportement du reacteur. Comme la resolution de l'equation de Boltzmann dans sa forme dependante du temps presente toujours un defi de taille pour tous types de geometries,un autre schema de calcul est necessaire. Afin de contourner cette difficulte, l'hypothese adiabatique est utilisee. Elle se concretise en un schema de calcul a quatre etapes. La premiere et deuxieme etapes demeurent les memes pour des conditions nominales du reacteur. La troisieme etape se resume a obtenir les nouvelles proprietes nucleaires de la cellule a la suite de la perturbation pour les utiliser, au niveau de la quatrieme etape, dans un nouveau calcul de reacteur et obtenir l'effet de la perturbation sur le reacteur. Ce projet vise a verifier cette hypothese. Ainsi, un nouveau schema de calcul a ete defini. La premiere etape de ce projet a ete de creer un nouveau logiciel capable de resoudre l'equation de Boltzmann dependante du temps par la methode stochastique Monte Carlo dans le but d'obtenir des sections efficaces qui evoluent dans le temps. Ce code a ete utilise pour simuler un accident LOCA dans un reacteur nucleaire de type CANDU-6. Les sections efficaces dependantes du temps ont ete par la suite utilisees dans un calcul de diffusion espace-temps pour un reacteur CANDU-6 subissant un accident de type LOCA affectant la moitie du coeur afin d'observer son comportement durant toutes les phases de la perturbation. Dans la phase de developpement, nous avons choisi de demarrer avec le code OpenMC, developpe au MIT,comme plateforme initiale de developpement. L'introduction et le traitement des neutrons retardes durant la simulation ont presente un grand defi a surmonter. Il est important de noter que le code developpe utilisant la methode Monte Carlo peut etre utilise a grande echelle pour la simulation de tous les types des reacteurs nucleaires si les supports informatiques sont disponibles.

Safety of six-month dual antiplatelet therapy after second-generation drug-eluting stent implantation: OPTIMA-C Randomised Clinical Trial and OCT Substudy.

PubMed

Lee, Byoung-Kwon; Kim, Jung-Sun; Lee, Oh-Huyn; Min, Pil-Ki; Yoon, Young-Won; Hong, Bum-Kee; Shin, Dong-Ho; Kang, Tae-Soo; Kim, Byung Ok; Cho, Duk-Kyu; Jeon, Dong Woon; Woo, Sung-Ill; Choi, Seonghoon; Kim, Yong Hoon; Kang, Woong-Chol; Kim, Seunghwan; Kim, Byeong-Keuk; Hong, Myeong-Ki; Jang, Yangsoo; Kwon, Hyuck Moon

2018-03-20

There are few randomised studies concerning the optimal duration of dual antiplatelet therapy (DAPT) for patients who receive a second-generation drug-eluting stent (DES). This trial aimed to investigate the safety of six-month compared with 12-month DAPT maintenance after second-generation DES implantation. A prospective, randomised, multicentre trial was performed at 10 medical centres. The 1,368 patients included in the study received a biolimus-eluting stent (BES) or a zotarolimus-eluting stent (ZES). The primary outcome measured was the composite of major adverse cardiac events (MACE), including cardiac death, myocardial infarction (MI), or ischaemia-driven target lesion revascularisation at the 12-month follow-up. The secondary outcome was the percentage of uncovered struts at six months in 60 patients (30 ZES, 30 BES) using optical coherence tomography (OCT) assessment. Each patient was randomly assigned to six-month (n=684) or 12-month DAPT (n=684). Major adverse cardiac events at 12 months occurred in eight patients (1.2%) in the six-month DAPT group and in four patients (0.6%) in the 12-month DAPT group (risk difference 0.6%; 95% confidence interval [CI]: -0.4-1.6%; p=0.24). The upper 95% CI limit was lower than the pre-specified limit of 4% non-inferiority (p for non-inferiority <0.05). The percentage of uncovered struts was 3.16±4.30% at six months in 60 stents of 60 patients. After second-generation DES implantation, six-month DAPT was not inferior to 12-month DAPT in terms of MACE occurrence over the 12-month follow-up period. OCT examination revealed favourable stent strut coverage at six months after stent implantation.

Routine Angiographic Follow-Up versus Clinical Follow-Up after Percutaneous Coronary Intervention in Acute Myocardial Infarction

PubMed Central

Kim, Yong Hoon; Her, Ae-Young; Choi, Byoung Geol; Shim, Minsuk; Choi, Se Yeon; Byun, Jae Kyeong; Li, Hu; Kim, Woohyeun; Kang, Jun Hyuk; Choi, Jah Yeon; Park, Eun Jin; Park, Sung Hun; Lee, Sunki; Na, Jin Oh; Choi, Cheol Ung; Lim, Hong Euy; Kim, Eung Ju; Park, Chang Gyu; Seo, Hong Seog; Oh, Dong Joo

2017-01-01

Purpose Differences in the utility of routine angiographic follow-up (RAF) and clinical follow-up (CF) after percutaneous coronary intervention (PCI) in acute myocardial infarction (AMI) are not well understood. The present study aimed to compare the 3-year clinical outcomes of RAF and CF in AMI patients who underwent PCI with drug-eluting stents (DES). Materials and Methods A total of 774 consecutive AMI patients who underwent PCI with DES were enrolled. RAF was performed at 6 to 9 months after index PCI (n=425). The remaining patients were medically managed and clinically followed (n=349); symptom-driven events were captured. To adjust for any potential confounders, a propensity score matched analysis was performed using a logistic regression model, and two propensity-matched groups (248 pairs, n=496, C-statistic=0.739) were generated. Cumulative clinical outcomes up to 3 years were compared between RAF and CF groups. Results During the 3-year follow-up period, the cumulative incidences of revascularization [target lesion revascularization: hazard ratio (HR), 2.40; 95% confidence interval (CI), 1.18–4.85; p=0.015, target vessel revascularization (TVR): HR, 3.33; 95% CI, 1.69–6.58; p=0.001, non-TVR: HR, 5.64; 95% CI, 1.90–16.6; p=0.002] and major adverse cardiac events (MACE; HR, 3.32; 95% CI, 1.92–5.73; p<0.001) were significantly higher in the RAF group than the CF group. However, the 3-year incidences of death and myocardial infarction were not different between the two groups. Conclusion RAF following index PCI with DES in AMI patients was associated with increased incidences of revascularization and MACE. Therefore, CF seems warranted for asymptomatic patients after PCI for AMI. PMID:28540983

Absolute change in fasting plasma glucose over 12 months is associated with 2-year and 5-year major adverse cardiovascular events in patients with drug-eluting stent implants.

PubMed

Kang, Dong Oh; Seo, Hong Seog; Choi, Byung Geol; Lee, Eunmi; Kim, Ji Park; Lee, Sun Ki; Im, Sung Il; Na, Jin Oh; Choi, Cheol Ung; Lim, Hong Euy; Kim, Jin Won; Kim, Eung Ju; Rha, Seung-Woon; Park, Chang Gyu; Oh, Dong Joo

2015-01-20

Major adverse cardiovascular events (MACEs) in patients with or without cardiovascular disease (CVD) are greatly affected by various factors associated with metabolism and inflammation. To determine which clinical parameters at treatment are associated with the development of 2-year and 5-year MACEs in high-risk patients with CVD who have undergone drug-eluting stent (DES) implantation. The present study involved a total of 432 patients who underwent percutaneous coronary intervention with DES. Variables representing the average and absolute amount of change in clinical parameters over the 12-month follow-up were assessed for association with 2-year and 5-year development of MACE. The study population was divided into quartiles for the variable showing the highest correlation to MACE development. Estimated incidence of 2-year and 5-year MACEs for each of the quartiles was determined by survival curve analysis, and subgroup analysis was performed for patients with diabetes and statin users. Absolute change in fasting plasma glucose (FPG) over 12 months showed the highest correlation with 2-year and 5-year MACE development. The estimated incidence of MACE increased with increasing quartiles for absolute change in FPG. The association between absolute change in FPG and MACE development exhibited a stronger relationship for the specific subgroups of patients with diabetes and statin users. Increases and decreases in FPG had a comparable contribution to MACE development. A greater absolute change in FPG over 12 months post-PCI is an independent risk factor for 2-year and 5-year MACE development in DES-implanted patients, especially in the diabetes and statin users. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Strategies facilitant les tests en pre-certification pour la robustesse a l'egard des radiations =

NASA Astrophysics Data System (ADS)

Souari, Anis

Les effets des radiations cosmiques sur l'electronique embarquee preoccupent depuis. quelques decennies les chercheurs interesses par la robustesse des circuits integres. Plusieurs. recherches ont ete menees dans cette direction, principalement pour les applications spatiales. ou l’environnement de leur deploiement est hostile. En effet, ces environnements sont denses. en termes de particules qui, lorsqu’elles interagissent avec les circuits integres, peuvent. mener a leur dysfonctionnement, voir meme a leur destruction. De plus, les effets des. radiations s’accentuent pour les nouvelles generations des circuits integres ou la diminution. de la taille des transistors et l’augmentation de la complexite de ces circuits augmentent la. probabilite d’apparition des anomalies et par consequence la croissance des besoins de test. L’expansion de l’electronique grand public (commercial off-the-shelf, COTS) et l’adoption. de ces composants pour des applications critiques comme les applications avioniques et. spatiales incitent egalement les chercheurs a doubler les efforts de verification de la fiabilite. de ces circuits. Les COTS, malgre leurs meilleures caracteristiques en comparaison avec les. circuits durcis tolerants aux radiations qui sont couteux et en retard en termes de technologie. utilisee, sont vulnerables aux radiations. Afin d’ameliorer la fiabilite de ces circuits, une evaluation de leur vulnerabilite dans les. differents niveaux d’abstraction du flot de conception est recommandee. Ceci aide les. concepteurs a prendre les mesures de mitigation necessaires sur le design au niveau. d’abstraction en question. Enfin, afin de satisfaire les exigences de tolerance aux pannes, des. tests tres couteux de certification, obtenus a l’aide de bombardement de particules (protons, neutrons, etc.), sont necessaires. Dans cette these, nous nous interessons principalement a definir une strategie de precertification. permettant d’evaluer d’une facon realiste la sensibilite des circuits integres face. aux effets des radiations afin d’eviter d’envoyer des circuits non robustes a la phase tres. couteuse de la certification. Les circuits cibles par nos travaux sont les circuits integres. programmables par l’usager (FPGA) a base de memoire SRAM et le type de pannes ciblees, causees par les radiations, est les SEU (single event upset) consistant a un basculement de. l’etat logique d’un element de memoire a son complementaire. En effet, les FPGA a base de. memoire SRAM sont de plus en plus demandes par la communaute de l’aerospatial grace a. leurs caracteristiques de prototypage rapide et de reconfiguration sur site mais ils sont. vulnerables face aux radiations ou les SEU sont les pannes les plus frequentes dans les. elements de memoire de type SRAM. Nous proposons une nouvelle approche d’injection de. pannes par emulation permettant de mimer les effets des radiations sur la memoire de. configuration des FPGA et de generer des resultats les plus fideles possibles des resultats des. tests de certification. Cette approche est basee sur la consideration de la difference de. sensibilite des elements de memoire de configuration lorsqu’ils sont a l’etat '1' et a l’etat '0', observee sous des tests acceleres sous faisceaux de protons au renomme laboratoire. TRIUMF, dans la procedure de generation des sequences de test dans le but de mimer la. distribution des pannes dans la memoire de configuration. Les resultats des experimentations. de validation montrent que la strategie proposee est efficace et genere des resultats realistes. Ces resultats revelent que ne pas considerer la difference de sensibilite peut mener a une. sous-estimation de la sensibilite des circuits face aux radiations. Dans la meme optique d’optimisation de la procedure d’injection des pannes par emulation, a. savoir le test de pre-certification, nous proposons une methodologie permettant de maximiser. la detection des bits critiques (bits provoquant une defaillance fonctionnelle s’ils changent. d’etat) pour un nombre bien determine de SEU (qui est le modele de pannes adopte) ou de. maximiser la precision de l’estimation de nombre des bits critiques. Pour ce faire, une. classification des bits de configuration en differents ensembles est tout d’abord mise en. oeuvre, selon leur contenu, les ressources qu’ils configurent et leur criticite. Ensuite, une. evaluation de la sensibilite de chaque ensemble est accomplie. Enfin, la priorisation. d’injection des pannes dans les ensembles les plus sensibles est recommandee. Plusieurs. scenarios d’optimisation d’injection des pannes sont proposes et les resultats sont compares. avec ceux donnes par la methode conventionnelle d’injection aleatoire des pannes. La. methodologie d’optimisation proposee assure une amelioration de plus de deux ordres de. grandeur. Une derniere approche facilitant l’evaluation de la sensibilite des bits configurant les LUT. (look up table) de FPGA, les plus petites entites configurables du FPGA permettant. d’implementer des fonctions combinatoires, utilises par un design est presentee. Elle permet. l’identification facile et sans cout en termes d’utilisation du materiel ou d’outils externes des. bits des LUT. L’approche proposee est simple et efficace, offrant une couverture de pannes. de 100 % et applicable aux nouvelles generations des FPGA de Xilinx. Les approches proposees contribuent a repondre aux exigences du cahier des charges de cette. these et a achever les objectifs definis. Le realisme et la maximisation de l’estimation de la. vulnerabilite des circuits sous test offerts par les nouvelles approches assurent le. developpement d’une strategie de test en pre-certification efficace. En effet, la premiere. approche d’injection de pannes considerant la difference de sensibilite relative des elements. de memoire selon leur contenu genere des resultats donnant une erreur relative atteignant. 3.1 % quand compares aux resultats obtenus a TRIUMF alors que l’erreur relative donnee. par la comparaison des resultats d’une injection conventionnelle aleatoire de pannes avec. ceux de TRIUMF peut atteindre la valeur de 75 %. De plus, l’application de cette approche a. des circuits plus conventionnels montre que 2.3 fois plus d’erreurs sont detectees en. comparaison avec l’injection aleatoire des pannes. Ceci suggere que ne pas considerer la. difference de sensibilite relative dans la procedure d’emulation peut mener a une sousestimation. de la sensibilite du design face aux radiations. Les resultats de la deuxieme. approche proposee ont ete aussi compares aux resultats d’une injection aleatoire de pannes. L’approche proposee, maximisant le nombre des bits critiques inverses, permet d’atteindre. un facteur d’acceleration de 108 de la procedure d’injection des pannes en comparaison a. l’approche aleatoire. Elle permet aussi de minimiser l’erreur d’estimation du nombre des bits. critiques pour atteindre une valeur de ±1.1 % calculee pour un intervalle de confiance de. 95 % tandis que la valeur d’erreur d’estimation des bits critiques generee par l’approche. aleatoire d’injection des pannes pour le meme intervalle de confiance peut atteindre ±8.6 %. Enfin, la derniere approche proposee d’injection de pannes dans les LUT se distingue des. autres approches disponibles dans la litterature par sa simplicite tout en assurant une. couverture maximale de pannes de 100 %. En effet, l’approche proposee est independante. des outils externes permettant d’identifier les bits configurant les LUT qui sont obsoletes ou. ne supportent pas les nouvelles generations des FPGA. Elle agit directement sur les fichiers. generes par l’outil de synthese adopte.

Risk-Based Tailoring of the Verification, Validation, and Accreditation/Acceptance Processes (Adaptation fondee sur le risque, des processus de verification, de validation, et d’accreditation/d’acceptation)

DTIC Science & Technology

2012-04-01

Systems Concepts and Integration SET Sensors and Electronics Technology SISO Simulation Interoperability Standards Organization SIW Simulation...conjunction with 2006 Fall SIW 2006 September SISO Standards Activity Committee approved beginning IEEE balloting 2006 October IEEE Project...019 published 2008 June Edinborough, UK Held in conjunction with 2008 Euro- SIW 2008 September Laurel, MD, US Work on Composite Model 2008 December

Event-driven simulation in SELMON: An overview of EDSE

NASA Technical Reports Server (NTRS)

Rouquette, Nicolas F.; Chien, Steve A.; Charest, Leonard, Jr.

1992-01-01

EDSE (event-driven simulation engine), a model-based event-driven simulator implemented for SELMON, a tool for sensor selection and anomaly detection in real-time monitoring is described. The simulator is used in conjunction with a causal model to predict future behavior of the model from observed data. The behavior of the causal model is interpreted as equivalent to the behavior of the physical system being modeled. An overview of the functionality of the simulator and the model-based event-driven simulation paradigm on which it is based is provided. Included are high-level descriptions of the following key properties: event consumption and event creation, iterative simulation, synchronization and filtering of monitoring data from the physical system. Finally, how EDSE stands with respect to the relevant open issues of discrete-event and model-based simulation is discussed.

Synchronous parallel system for emulation and discrete event simulation

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S. (Inventor)

1992-01-01

A synchronous parallel system for emulation and discrete event simulation having parallel nodes responds to received messages at each node by generating event objects having individual time stamps, stores only the changes to state variables of the simulation object attributable to the event object, and produces corresponding messages. The system refrains from transmitting the messages and changing the state variables while it determines whether the changes are superseded, and then stores the unchanged state variables in the event object for later restoral to the simulation object if called for. This determination preferably includes sensing the time stamp of each new event object and determining which new event object has the earliest time stamp as the local event horizon, determining the earliest local event horizon of the nodes as the global event horizon, and ignoring the events whose time stamps are less than the global event horizon. Host processing between the system and external terminals enables such a terminal to query, monitor, command or participate with a simulation object during the simulation process.

Synchronous Parallel System for Emulation and Discrete Event Simulation

NASA Technical Reports Server (NTRS)

Steinman, Jeffrey S. (Inventor)

2001-01-01

A synchronous parallel system for emulation and discrete event simulation having parallel nodes responds to received messages at each node by generating event objects having individual time stamps, stores only the changes to the state variables of the simulation object attributable to the event object and produces corresponding messages. The system refrains from transmitting the messages and changing the state variables while it determines whether the changes are superseded, and then stores the unchanged state variables in the event object for later restoral to the simulation object if called for. This determination preferably includes sensing the time stamp of each new event object and determining which new event object has the earliest time stamp as the local event horizon, determining the earliest local event horizon of the nodes as the global event horizon, and ignoring events whose time stamps are less than the global event horizon. Host processing between the system and external terminals enables such a terminal to query, monitor, command or participate with a simulation object during the simulation process.

Results of a Multicenter, Randomized, Double-Masked, Placebo-Controlled Clinical Study of the Efficacy and Safety of Visomitin Eye Drops in Patients with Dry Eye Syndrome.

PubMed

Brzheskiy, Vladimir V; Efimova, Elena L; Vorontsova, Tatiana N; Alekseev, Vladimir N; Gusarevich, Olga G; Shaidurova, Ksenia N; Ryabtseva, Alla A; Andryukhina, Olga M; Kamenskikh, Tatiana G; Sumarokova, Elena S; Miljudin, Eugeny S; Egorov, Eugeny A; Lebedev, Oleg I; Surov, Alexander V; Korol, Andrii R; Nasinnyk, Illia O; Bezditko, Pavel A; Muzhychuk, Olena P; Vygodin, Vladimir A; Yani, Elena V; Savchenko, Alla Y; Karger, Elena M; Fedorkin, Oleg N; Mironov, Alexander N; Ostapenko, Victoria; Popeko, Natalia A; Skulachev, Vladimir P; Skulachev, Maxim V

2015-12-01

This article presents the results of an international, multicenter, randomized, double-masked, placebo-controlled clinical study of Visomitin (Mitotech LLC, Moscow, Russian Federation) eye drops in patients with dry eye syndrome (DES). Visomitin is the first registered (in Russia) drug with a mitochondria-targeted antioxidant (SkQ1) as the active ingredient. In this multicenter (10 sites) study of 240 subjects with DES, study drug (Visomitin or placebo) was self-administered three times daily (TID) for 6 weeks, followed by a 6-week follow-up period. Seven in-office study visits occurred every 2 weeks during both the treatment and follow-up periods. Efficacy measures included Schirmer's test, tear break-up time, fluorescein staining, meniscus height, and visual acuity. Safety measures included adverse events, slit lamp biomicroscopy, tonometry, blood pressure, and heart rate. Tolerability was also evaluated. This clinical study showed the effectiveness of Visomitin eye drops in the treatment of signs and symptoms of DES compared with placebo. The study showed that a 6-week course of TID topical instillation of Visomitin significantly improved the functional state of the cornea; Visomitin increased tear film stability and reduced corneal damage. Significant reduction of dry eye symptoms (such as dryness, burning, grittiness, and blurred vision) was also observed. Based on the results of this study, Visomitin is effective and safe for use in eye patients with DES for protection from corneal damage. Mitotech LLC.

A Novel Sterol Desaturase-Like Protein Promoting Dealkylation of Phytosterols in Tetrahymena thermophila▿

PubMed Central

Tomazic, Mariela L.; Najle, Sebastián R.; Nusblat, Alejandro D.; Uttaro, Antonio D.; Nudel, Clara B.

2011-01-01

The gene TTHERM_00438800 (DES24) from the ciliate Tetrahymena thermophila encodes a protein with three conserved histidine clusters, typical of the fatty acid hydroxylase superfamily. Despite its high similarity to sterol desaturase-like enzymes, the phylogenetic analysis groups Des24p in a separate cluster more related to bacterial than to eukaryotic proteins, suggesting a possible horizontal gene transfer event. A somatic knockout of DES24 revealed that the gene encodes a protein, Des24p, which is involved in the dealkylation of phytosterols. Knocked-out mutants were unable to eliminate the C-24 ethyl group from C29 sterols, whereas the ability to introduce other modifications, such as desaturations at positions C-5(6), C-7(8), and C-22(23), were not altered. Although C-24 dealkylations have been described in other organisms, such as insects, neither the enzymes nor the corresponding genes have been identified to date. Therefore, this is the first identification of a gene involved in sterol dealkylation. Moreover, the knockout mutant and wild-type strain differed significantly in growth and morphology only when cultivated with C29 sterols; under this culture condition, a change from the typical pear-like shape to a round shape and an alteration in the regulation of tetrahymanol biosynthesis were observed. Sterol analysis upon culture with various substrates and inhibitors indicate that the removal of the C-24 ethyl group in Tetrahymena may proceed by a mechanism different from the one currently known. PMID:21257793

Developpement d'une commande pour une hydrolienne de riviere et optimisation =

NASA Astrophysics Data System (ADS)

Tetrault, Philippe

Suivant le developpement des energies renouvelables, la presente etude se veut une base theorique quant aux principes fondamentaux necessaires au bon fonctionnement et a l'implementation d'une hydrolienne de riviere. La problematique derriere ce nouveau type d'appareil est d'abord presentee. La machine electrique utilisee dans l'application, c'est-a-dire la machine synchrone a aimants permanents, est etudiee : ses equations dynamiques mecaniques et electriques sont developpees, introduisant en meme temps le concept de referentiel tournant. Le fonctionnement de l'onduleur utilise, soit un montage en pont complet a deux niveaux a semi-conducteurs, est explique et mit en equation pour permettre de comprendre les strategies de modulation disponibles. Un bref historique de ces strategies est fait avant de mettre l'emphase sur la modulation vectorielle qui sera celle utilisee pour l'application en cours. Les differents modules sont assembles dans une simulation Matlab pour confirmer leur bon fonctionnement et comparer les resultats de la simulation avec les calculs theoriques. Differents algorithmes permettant de traquer et maintenir un point de fonctionnement optimal sont presentes. Le comportement de la riviere est etudie afin d'evaluer l'ampleur des perturbations que le systeme devra gerer. Finalement, une nouvelle approche est presentee et comparee a une strategie plus conservatrice a l'aide d'un autre modele de simulation Matlab.

Methodologie de conception numerique d'un ventilateur helico-centrifuge basee sur l'emploi du calcul meridien

NASA Astrophysics Data System (ADS)

Lallier-Daniels, Dominic

La conception de ventilateurs est souvent basée sur une méthodologie « essais/erreurs » d'amélioration de géométries existantes ainsi que sur l'expérience de design et les résultats expérimentaux cumulés par les entreprises. Cependant, cette méthodologie peut se révéler coûteuse en cas d'échec; même en cas de succès, des améliorations significatives en performance sont souvent difficiles, voire impossibles à obtenir. Le projet présent propose le développement et la validation d'une méthodologie de conception basée sur l'emploi du calcul méridien pour la conception préliminaire de turbomachines hélico-centrifuges (ou flux-mixte) et l'utilisation du calcul numérique d'écoulement fluides (CFD) pour la conception détaillée. La méthode de calcul méridien à la base du processus de conception proposé est d'abord présentée. Dans un premier temps, le cadre théorique est développé. Le calcul méridien demeurant fondamentalement un processus itératif, le processus de calcul est également présenté, incluant les méthodes numériques de calcul employée pour la résolution des équations fondamentales. Une validation du code méridien écrit dans le cadre du projet de maîtrise face à un algorithme de calcul méridien développé par l'auteur de la méthode ainsi qu'à des résultats de simulation numérique sur un code commercial est également réalisée. La méthodologie de conception de turbomachines développée dans le cadre de l'étude est ensuite présentée sous la forme d'une étude de cas pour un ventilateur hélico-centrifuge basé sur des spécifications fournies par le partenaire industriel Venmar. La méthodologie se divise en trois étapes: le calcul méridien est employé pour le pré-dimensionnement, suivi de simulations 2D de grilles d'aubes pour la conception détaillée des pales et finalement d'une analyse numérique 3D pour la validation et l'optimisation fine de la géométrie. Les résultats de calcul méridien sont en outre comparés aux résultats de simulation pour la géométrie 3D afin de valider l'emploi du calcul méridien comme outil de prédimensionnement. Mots-clés Turbomachines hélico-centrifuges, Calcul méridien, Simulation numérique d'écoulement fluide, Conception numérique de turbomachines.

Structure-function studies of BPP-BrachyNH2 and synthetic analogues thereof with Angiotensin I-Converting Enzyme.

PubMed

Arcanjo, Daniel D R; Vasconcelos, Andreanne G; Nascimento, Lucas A; Mafud, Ana Carolina; Plácido, Alexandra; Alves, Michel M M; Delerue-Matos, Cristina; Bemquerer, Marcelo P; Vale, Nuno; Gomes, Paula; Oliveira, Eduardo B; Lima, Francisco C A; Mascarenhas, Yvonne P; Carvalho, Fernando Aécio A; Simonsen, Ulf; Ramos, Ricardo M; Leite, José Roberto S A

2017-10-20

The vasoactive proline-rich oligopeptide termed BPP-BrachyNH 2 (H-WPPPKVSP-NH 2 ) induces in vitro inhibitory activity of angiotensin I-converting enzyme (ACE) in rat blood serum. In the present study, the removal of N-terminal tryptophan or C-terminal proline from BPP-BrachyNH 2 was investigated in order to predict which structural components are important or required for interaction with ACE. Furthermore, the toxicological profile was assessed by in silico prediction and in vitro MTT assay. Two BPP-BrachyNH 2 analogues (des-Trp 1 -BPP-BrachyNH 2 and des-Pro 8 -BPP-BrachyNH 2 ) were synthesized, and in vitro and in silico ACE inhibitory activity and toxicological profile were assessed. The des-Trp 1 -BPP-BrachyNH 2 and des-Pro 8 -BPP-BrachyNH 2 were respectively 3.2- and 29.5-fold less active than the BPP-BrachyNH 2 -induced ACE inhibitory activity. Molecular Dynamic and Molecular Mechanics Poisson-Boltzmann Surface Area simulations (MM-PBSA) demonstrated that the ACE/BBP-BrachyNH 2 complex showed lower binding and van der Wall energies than the ACE/des-Pro 8 -BPP-BrachyNH 2 complex, therefore having better stability. The removal of the N-terminal tryptophan increased the in silico predicted toxicological effects and cytotoxicity when compared with BPP-BrachyNH 2 or des-Pro 8 -BPP-BrachyNH 2 . Otherwise, des-Pro 8 -BPP-BrachyNH 2 was 190-fold less cytotoxic than BPP-BrachyNH 2 . Thus, the removal of C-terminal proline residue was able to markedly decrease both the BPP-BrachyNH 2 -induced ACE inhibitory and cytotoxic effects assessed by in vitro and in silico approaches. In conclusion, the aminoacid sequence of BPP-BrachyNH 2 is essential for its ACE inhibitory activity and associated with an acceptable toxicological profile. The perspective of the interactions of BPP-BrachyNH 2 with ACE found in the present study can be used for development of drugs with differential therapeutic profile than current ACE inhibitors. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Modelisation de la diffusion sur les surfaces metalliques: De l'adatome aux processus de croissance

NASA Astrophysics Data System (ADS)

Boisvert, Ghyslain

Cette these est consacree a l'etude des processus de diffusion en surface dans le but ultime de comprendre, et de modeliser, la croissance d'une couche mince. L'importance de bien mai triser la croissance est primordiale compte tenu de son role dans la miniaturisation des circuits electroniques. Nous etudions ici les surface des metaux nobles et de ceux de la fin de la serie de transition. Dans un premier temps, nous nous interessons a la diffusion d'un simple adatome sur une surface metallique. Nous avons, entre autres, mis en evidence l'apparition d'une correlation entre evenements successifs lorsque la temperature est comparable a la barriere de diffusion, i.e., la diffusion ne peut pas etre associee a une marche aleatoire. Nous proposons un modele phenomenologique simple qui reproduit bien les resultats des simulations. Ces calculs nous ont aussi permis de montrer que la diffusion obeit a la loi de Meyer-Neldel. Cette loi stipule que, pour un processus active, le prefacteur augmente exponentiellement avec la barriere. En plus, ce travail permet de clarifier l'origine physique de cette loi. En comparant les resultats dynamiques aux resultats statiques, on se rend compte que la barriere extraite des calculs dynamiques est essentiellement la meme que celle obtenue par une approche statique, beaucoup plus simple. On peut donc obtenir cette barriere a l'aide de methodes plus precises, i.e., ab initio, comme la theorie de la fonctionnelle de la densite, qui sont aussi malheureusement beaucoup plus lourdes. C'est ce que nous avons fait pour plusieurs systemes metalliques. Nos resultats avec cette derniere approche se comparent tres bien aux resultats experimentaux. Nous nous sommes attardes plus longuement a la surface (111) du platine. Cette surface regorge de particularites interessantes, comme la forme d'equilibre non-hexagonale des i lots et deux sites d'adsorption differents pour l'adatome. De plus, des calculs ab initio precedents n'ont pas reussi a confirmer la forme d'equilibre et surestiment grandement la barriere. Nos calculs, plus complets et dans un formalisme mieux adapte a ce genre de probleme, predisent correctement la forme d'equilibre, qui est en fait due a un relachement different du stress de surface aux deux types de marches qui forment les cotes des i lots. Notre valeur pour la barriere est aussi fortement diminuee lorsqu'on relaxe les forces sur les atomes de la surface, amenant le resultat theorique beaucoup plus pres de la valeur experimentale. Nos calculs pour le cuivre demontre en effet que la diffusion de petits i lots pendant la croissance ne peut pas etre negligee dans ce cas, mettant en doute la valeur des interpretations des mesures experimentales. (Abstract shortened by UMI.)

Acid Sphingomyelinase Mediates Oxidized-LDL Induced Apoptosis in Macrophage via Endoplasmic Reticulum Stress

PubMed Central

Zhao, Min; Pan, Wei; Shi, Rui-zheng; Bai, Yong-ping; You, Bo-yang; Zhang, Kai; Fu, Qiong-mei; Schuchman, Edward H.

2016-01-01

Aim: Macrophage apoptosis is a vital event in advanced atherosclerosis, and oxidized low-density lipoprotein (ox-LDL) is a major contributor to this process. Acid sphingomyelinase (ASM) and ceramide are also involved in the induction of apoptosis, particularly in macrophages. Our current study focuses on ASM and investigates its role in ox-LDL-induced macrophage apoptosis. Methods: Human THP-1 and mouse peritoneal macrophages were cultured in vitro and treated with ox-LDL. ASM activity and ceramide levels were quantified using ultra performance liquid chromatography. Protein and mRNA levels were analyzed using Western blot analysis and quantitative realtime PCR, respectively. Cell apoptosis was determined using Hoechst staining and flow cytometry. Results: Ox-LDL-induced macrophage apoptosis was triggered by profound endoplasmic reticulum (ER) stress, leading to an upregulation of ASM activity and ceramide levels at an early stage. ASM was inhibited by siRNA or desipramine (DES), and/or ceramide was degraded by recombinant acid ceramidase (AC). These events attenuated the effect of ox-LDL on ER stress. In contrast, recombinant ASM upregulated ceramide and ER stress. ASM siRNA, DES, recombinant AC, and ER stress inhibitor 4-phenylbutyric acid were blocked by elevated levels of C/EBP homologous protein (CHOP); ox-LDL induced elevated levels of CHOP. These events attenuated macrophage apoptosis. Conclusion: These results indicate that ASM/ceramide signaling pathway is involved in ox-LDL-induced macrophage apoptosis via ER stress pathway. PMID:26923251

F-16XL Hybrid Reynolds-Averaged Navier-Stokes/Large Eddy Simulation on Unstructured Grids

NASA Technical Reports Server (NTRS)

Park, Michael A.; Abdol-Hamid, Khaled S.; Elmiligui, Alaa

2015-01-01

This study continues the Cranked Arrow Wing Aerodynamics Program, International (CAWAPI) investigation with the FUN3D and USM3D flow solvers. CAWAPI was established to study the F-16XL, because it provides a unique opportunity to fuse fight test, wind tunnel test, and simulation to understand the aerodynamic features of swept wings. The high-lift performance of the cranked-arrow wing planform is critical for recent and past supersonic transport design concepts. Simulations of the low speed high angle of attack Flight Condition 25 are compared: Detached Eddy Simulation (DES), Modi ed Delayed Detached Eddy Simulation (MDDES), and the Spalart-Allmaras (SA) RANS model. Iso- surfaces of Q criterion show the development of coherent primary and secondary vortices on the upper surface of the wing that spiral, burst, and commingle. SA produces higher pressure peaks nearer to the leading-edge of the wing than flight test measurements. Mean DES and MDDES pressures better predict the flight test measurements, especially on the outer wing section. Vorticies and vortex-vortex interaction impact unsteady surface pressures. USM3D showed many sharp tones in volume points spectra near the wing apex with low broadband noise and FUN3D showed more broadband noise with weaker tones. Spectra of the volume points near the outer wing leading-edge was primarily broadband for both codes. Without unsteady flight measurements, the flight pressure environment can not be used to validate the simulations containing tonal or broadband spectra. Mean forces and moment are very similar between FUN3D models and between USM3D models. Spectra of the unsteady forces and moment are broadband with a few sharp peaks for USM3D.

Application of stochastic discrete event system framework for detection of induced low rate TCP attack.

PubMed

Barbhuiya, F A; Agarwal, Mayank; Purwar, Sanketh; Biswas, Santosh; Nandi, Sukumar

2015-09-01

TCP is the most widely accepted transport layer protocol. The major emphasis during the development of TCP was its functionality and efficiency. However, not much consideration was given on studying the possibility of attackers exploiting the protocol, which has lead to several attacks on TCP. This paper deals with the induced low rate TCP attack. Since the attack is relatively new, only a few schemes have been proposed to mitigate it. However, the main issues with these schemes are scalability, change in TCP header, lack of formal frameworks, etc. In this paper, we have adapted the stochastic DES framework for detecting the attack, which addresses most of these issues. We have successfully deployed and tested the proposed DES based IDS on a test bed. Copyright © 2015 ISA. Published by Elsevier Ltd. All rights reserved.

Analysis of the pump-turbine S characteristics using the detached eddy simulation method

NASA Astrophysics Data System (ADS)

Sun, Hui; Xiao, Ruofu; Wang, Fujun; Xiao, Yexiang; Liu, Weichao

2015-01-01

Current research on pump-turbine units is focused on the unstable operation at off-design conditions, with the characteristic curves in generating mode being S-shaped. Unlike in the traditional water turbines, pump-turbine operation along the S-shaped curve can lead to difficulties during load rejection with unusual increases in the water pressure, which leads to machine vibrations. This paper describes both model tests and numerical simulations. A reduced scale model of a low specific speed pump-turbine was used for the performance tests, with comparisons to computational fluid dynamics(CFD) results. Predictions using the detached eddy simulation(DES) turbulence model, which is a combined Reynolds averaged Naviers-Stokes(RANS) and large eddy simulation(LES) model, are compared with the two-equation turbulence mode results. The external characteristics as well as the internal flow are for various guide vane openings to understand the unsteady flow along the so called S characteristics of a pump-turbine. Comparison of the experimental data with the CFD results for various conditions and times shows that DES model gives better agreement with experimental data than the two-equation turbulence model. For low flow conditions, the centrifugal forces and the large incident angle create large vortices between the guide vanes and the runner inlet in the runner passage, which is the main factor leading to the S-shaped characteristics. The turbulence model used here gives more accurate simulations of the internal flow characteristics of the pump-turbine and a more detailed force analysis which shows the mechanisms controlling of the S characteristics.

Analysis of Massively Separated Flows of Aircraft Using Detached Eddy Simulation

NASA Astrophysics Data System (ADS)

Morton, Scott

2002-08-01

An important class of turbulent flows of aerodynamic interest are those characterized by massive separation, e.g., the flow around an aircraft at high angle of attack. Numerical simulation is an important tool for analysis, though traditional models used in the solution of the Reynolds-averaged Navier-Stokes (RANS) equations appear unable to accurately account for the time-dependent and three-dimensional motions governing flows with massive separation. Large-eddy simulation (LES) is able to resolve these unsteady three-dimensional motions, yet is cost prohibitive for high Reynolds number wall-bounded flows due to the need to resolve the small scale motions in the boundary layer. Spalart et. al. proposed a hybrid technique, Detached-Eddy Simulation (DES), which takes advantage of the often adequate performance of RANS turbulence models in the "thin," typically attached regions of the flow. In the separated regions of the flow the technique becomes a Large Eddy Simulation, directly resolving the time-dependent and unsteady features that dominate regions of massive separation. The current work applies DES to a 70 degree sweep delta wing at 27 degrees angle of attack, a geometrically simple yet challenging flowfield that exhibits the unsteady three-dimensional massively separated phenomena of vortex breakdown. After detailed examination of this basic flowfield, the method is demonstrated on three full aircraft of interest characterized by massive separation, the F-16 at 45 degrees angle of attack, the F-15 at 65 degree angle of attack (with comparison to flight test), and the C-130 in a parachute drop condition at near stall speed with cargo doors open.

CFD simulation of local and global mixing time in an agitated tank

NASA Astrophysics Data System (ADS)

Li, Liangchao; Xu, Bin

2017-01-01

The Issue of mixing efficiency in agitated tanks has drawn serious concern in many industrial processes. The turbulence model is very critical to predicting mixing process in agitated tanks. On the basis of computational fluid dynamics(CFD) software package Fluent 6.2, the mixing characteristics in a tank agitated by dual six-blade-Rushton-turbines(6-DT) are predicted using the detached eddy simulation(DES) method. A sliding mesh(SM) approach is adopted to solve the rotation of the impeller. The simulated flow patterns and liquid velocities in the agitated tank are verified by experimental data in the literature. The simulation results indicate that the DES method can obtain more flow details than Reynolds-averaged Navier-Stokes(RANS) model. Local and global mixing time in the agitated tank is predicted by solving a tracer concentration scalar transport equation. The simulated results show that feeding points have great influence on mixing process and mixing time. Mixing efficiency is the highest for the feeding point at location of midway of the two impellers. Two methods are used to determine global mixing time and get close result. Dimensionless global mixing time remains unchanged with increasing of impeller speed. Parallel, merging and diverging flow pattern form in the agitated tank, respectively, by changing the impeller spacing and clearance of lower impeller from the bottom of the tank. The global mixing time is the shortest for the merging flow, followed by diverging flow, and the longest for parallel flow. The research presents helpful references for design, optimization and scale-up of agitated tanks with multi-impeller.

Drug-drug interaction predictions with PBPK models and optimal multiresponse sampling time designs: application to midazolam and a phase I compound. Part 1: comparison of uniresponse and multiresponse designs using PopDes.

PubMed

Chenel, Marylore; Bouzom, François; Aarons, Leon; Ogungbenro, Kayode

2008-12-01

To determine the optimal sampling time design of a drug-drug interaction (DDI) study for the estimation of apparent clearances (CL/F) of two co-administered drugs (SX, a phase I compound, potentially a CYP3A4 inhibitor, and MDZ, a reference CYP3A4 substrate) without any in vivo data using physiologically based pharmacokinetic (PBPK) predictions, population PK modelling and multiresponse optimal design. PBPK models were developed with AcslXtreme using only in vitro data to simulate PK profiles of both drugs when they were co-administered. Then, using simulated data, population PK models were developed with NONMEM and optimal sampling times were determined by optimizing the determinant of the population Fisher information matrix with PopDes using either two uniresponse designs (UD) or a multiresponse design (MD) with joint sampling times for both drugs. Finally, the D-optimal sampling time designs were evaluated by simulation and re-estimation with NONMEM by computing the relative root mean squared error (RMSE) and empirical relative standard errors (RSE) of CL/F. There were four and five optimal sampling times (=nine different sampling times) in the UDs for SX and MDZ, respectively, whereas there were only five sampling times in the MD. Whatever design and compound, CL/F was well estimated (RSE < 20% for MDZ and <25% for SX) and expected RSEs from PopDes were in the same range as empirical RSEs. Moreover, there was no bias in CL/F estimation. Since MD required only five sampling times compared to the two UDs, D-optimal sampling times of the MD were included into a full empirical design for the proposed clinical trial. A joint paper compares the designs with real data. This global approach including PBPK simulations, population PK modelling and multiresponse optimal design allowed, without any in vivo data, the design of a clinical trial, using sparse sampling, capable of estimating CL/F of the CYP3A4 substrate and potential inhibitor when co-administered together.

Turbomachinery Design Using CFD (La Conception des Turbomachines par l’Aerodynamique Numerique).

DTIC Science & Technology

1994-05-01

Method for Flow Calculations in Turbomachines", Vrije Thompkins, W.T.,1981, "A Fortran Program for Calcu- Univ.Brussel, Dienst Stromingsmechanica, VUB- STR ...Model Equation for Simulating Flows in mung um Profile Multistage Turbomachinery MBB-Bericht Nr. UFE 1352, 1977 ASME paper 85-GT-226, Houston, March

A Content Analytic Study of "People's Daily" in Its Socialization Process: A Case in Cross-Cultural Communication.

ERIC Educational Resources Information Center

Marr, Theodore J.

The author outlines a study comparing the modes of communication in two newspapers: "Jen Min Jih Pao" (People's Daily) and the Des Moines"Register." He applies a content-category system, based on Hayakawa's trichotomy of sentence types, to the reporting of these two newspapers on five major international events: the 1967 Arab-Israeli conflict, the…

Zuverlässigkeit digitaler Schaltungen unter Einfluss von intrinsischem Rauschen

NASA Astrophysics Data System (ADS)

Kleeberger, V. B.; Schlichtmann, U.

2011-08-01

Die kontinuierlich fortschreitende Miniaturisierung in integrierten Schaltungen führt zu einem Anstieg des intrinsischen Rauschens. Um den Einfluss von intrinsischem Rauschen auf die Zuverlässigkeit zukünftiger digitaler Schaltungen analysieren zu können, werden Methoden benötigt, die auf CAD-Verfahren wie Analogsimulation statt auf abschätzenden Berechnungen beruhen. Dieser Beitrag stellt eine neue Methode vor, die den Einfluss von intrinsischem Rauschen in digitalen Schaltungen für eine gegebene Prozesstechnologie analysieren kann. Die Amplituden von thermischen, 1/f und Schrotrauschen werden mit Hilfe eines SPICE Simulators bestimmt. Anschließend wird der Einfluss des Rauschens auf die Schaltungszuverlässigkeit durch Simulation analysiert. Zusätzlich zur Analyse werden Möglichkeiten aufgezeigt, wie die durch Rauschen hervorgerufenen Effekte im Schaltungsentwurf mit berücksichtigt werden können. Im Gegensatz zum Stand der Technik kann die vorgestellte Methode auf beliebige Logikimplementierungen und Prozesstechnologien angewendet werden. Zusätzlich wird gezeigt, dass bisherige Ansätze den Einfluss von Rauschen bis um das Vierfache überschätzen.

Incidence and Clinical Outcomes of Stent Fractures on the Basis of 6,555 Patients and 16,482 Drug-Eluting Stents From 4 Centers.

PubMed

Kan, Jing; Ge, Zhen; Zhang, Jun-Jie; Liu, Zhi-Zhong; Tian, Nai-Liang; Ye, Fei; Li, Sui-Ji; Qian, Xue-Song; Yang, Song; Chen, Meng-Xuan; Rab, Tanveer; Chen, Shao-Liang

2016-06-13

The present study aimed to analyze the incidence of SF and its correlation with clinical events after DES implantation and the outcome of re-intervention for symptomatic in-stent restenosis (ISR) induced by stent fracture (SF). SF is associated with a high rate of clinical events after the implantation of drug-eluting stents (DES). However, the chronological rate of SF and the effect of SF on clinical outcomes from a large patient population remain underreported. A total of 6,555 patients with 16482 DES in 10751 diseased vessels and surveillance angiography between November 2003 and January 2014 were prospectively studied. The primary endpoints included the incidence of SF, in-stent restenosis (ISR), target lesion revascularization (TLR), and definite stent thrombosis (ST) at the end of follow-up before and after propensity score matching. Clinical outcomes after TLR were also followed up. The SF rate was detected in 803 (12.3%) patients, 3,630 (22.0%) stents, and 1,852 (17.2%) diseased vessels. SF increased over time. SF was associated with higher unadjusted rates of ISR (42.1%), TLR (24.8%, n = 379), and definite ST (4.6%) compared with stents without fracture (10.7%, 6.6%, and 1.03%, all p < 0.001), and the differences remained significant after propensity score matching (all p < 0.05). There was no significant difference in any-cause or cardiac mortality between patients with and without SF. After 1,523 days of follow-up since the first surveillance angiography, repeat ISR was detected in 90 of 379 (23.8%) stents after reintervention, and 6 (7.5%) stents required repeat TLR. SF is more frequently observed after DES implantation. TLR was required in almost one-fourth of fractured stents. Increased events in the SF group did not translate into a difference in mortality compared with the non-SF group. Reintervention was associated with acceptable clinical results. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

The Origin of Inlet Buzz in a Mach 1.7 Low Boom Inlet Design

NASA Technical Reports Server (NTRS)

Anderson, Bernhard H.; Weir, Lois

2014-01-01

Supersonic inlets with external compression, having a good level performance at the critical operating point, exhibit a marked instability of the flow in some subcritical operation below a critical value of the capture mass flow ratio. This takes the form of severe oscillations of the shock system, commonly known as "buzz". The underlying purpose of this study is to indicate how Detached Eddy Simulation (DES) analysis of supersonic inlets will alter how we envision unsteady inlet aerodynamics, particularly inlet buzz. Presented in this paper is a discussion regarding the physical explanation underlying inlet buzz as indicated by DES analysis. It is the normal shock wave boundary layer separation along the spike surface which reduces the capture mass flow that is the controlling mechanism which determines the onset of inlet buzz, and it is the aerodynamic characteristics of a choked nozzle that provide the feedback mechanism that sustains the buzz cycle by imposing a fixed mean corrected inlet weight flow. Comparisons between the DES analysis of the Lockheed Martin Corporation (LMCO) N+2 inlet and schlieren photographs taken during the test of the Gulfstream Large Scale Low Boom (LSLB) inlet in the NASA 8x6 ft. Supersonic Wind Tunnel (SWT) show a strong similarity both in turbulent flow field structure and shock wave formation during the buzz cycle. This demonstrates the value of DES analysis for the design and understanding of supersonic inlets.

Le Phénomène Wolf-Rayet au Sein des Etoiles chaudes de Populations I et II: Histoire des Vents stellaires et Impact sur la Structure nébulaire circumstellaire

NASA Astrophysics Data System (ADS)

Grosdidier, Yves

2000-12-01

Les spectres des étoiles Wolf-Rayet pop. I (WR) présentent de larges raies en émission dues à des vents stellaires chauds en expansion rapide (vitesse terminale de l'ordre de 1000 km/s). Le modèle standard des étoiles WR reproduit qualitativement le profil général et l'intensité des raies observées. Mais la spectroscopie intensive à moyenne résolution de ces étoiles révèle l'existence de variations stochastiques dans les raies (sous-pics mobiles en accélération échelles de temps: environ 10-100 min.). Ces variations ne sont pas comprises dans le cadre du modèle standard et suggèrent une fragmentation intrinsèque des vents. Cette thèse de doctorat présente une étude de la variabilité des raies spectrales en émission des étoiles WR pop. II; la question de l'impact d'un vent WR fragmenté sur le milieu circumstellaire est aussi étudiée: 1) à partir du suivi spectroscopique intensif des raies CIIIl5696 et CIVl5801/12, nous analysons quantitativement (via le calcul des Spectres de Variance Temporelle) les vents issus de 5 étoiles centrales de nébuleuses planétaires (NP) galactiques présentant le phénomène WR; 2) nous étudions l'impact de la fragmentation des vents issus de deux étoiles WR pop. I sur le milieu circumstellaire via: i) l'imagerie IR (NICMOS2/HST) de WR 137, et ii) l'imagerie H-alpha (WFPC2/HST) et l'interférométrie Fabry-Perot H-alpha (SIS-CFHT) de la nébuleuse M 1-67 (étoile centrale: WR 124). Les principaux résultats sont les suivants: VENTS WR POP. II: (1) Nous démontrons la variabilité spectroscopique intrinsèque des vents issus des noyaux de NP HD 826 ([WC 8]), BD +30 3639 ([WC 9]) et LSS 3169 ([WC 9]), observés durant respectivement 22, 15 et 1 nuits, et rapportons des indications de variabilité pour les noyaux [WC 9] HD 167362 et He 2-142. Les variabilités de HD 826 et BD +30 3639 apparaissent parfois plus soutenues (``bursts'' qui se maintiennent durant plusieurs nuits); (2) La cinématique des sous-pics de BD +30 3639 suggère une anisotropie transitoire de la distribution des fragments dans le vent; (3) Le phénomène WR apparaît purement atmosphérique: la cinématique des sous-pics, les amplitudes et les échelles de temps caractéristiques des variations, ainsi que les accélérations observées sont similaires pour les deux populations. Mais, pour HD 826, une accélération maximale d'environ 70 m/s2 est détectée, valeur significativement plus importante que celles rapportées pour les autres étoiles WR pop. I & II (environ 15 m/s2). La petitesse du rayon de HD 826 en serait la cause; (4) Comme pour les WR pop. I, de grands paramètres (β supérieur ou égal à 3-10) sont requis pour ajuster les accélérations observées avec une loi de vitesse de type beta. La loi beta sous-estime systématiquement les gradients de vitesse au sein de la région de formation de la raie CIIIl5696; (5) Les vents WR pop. II étant fragmentés, l'estimation des taux de perte de masse actuels à partir de méthodes supposant les atmosphères homogènes conduit à une surestimation i) des taux de perte de masse eux-mêmes, et ii) des masses initiales des étoiles avant qu'elles n'entrent dans la phase WR. IMPACT DES VENTS: (1) Au périastre, de la poussière est détectée dans l'environnement de la binaire WC+OB WR 137. La formation de poussières est soit facilitée, soit provoquée par la collision des deux vents chauds; le rôle capital de la fragmentation des vents (fournissant une compression localisée supplémentaire du plasma) est suggéré (2) La nébuleuse M 1-67 affiche une interaction avec le milieu interstellaire (MIS) non-négligeable (``bow-shock''). Les champs de densité et de vitesse sont très perturbés. Ces perturbations sont reliées, d'une part, à l'histoire des vents issus de WR 124 durant sa propre évolution, d'autre part, à l'interaction avec le MIS. Les fonctions de structure des champs de densitéet de vitesse de M 1-67 ne révèlent aucun indice en faveur d'une turbulence au sein de la nébuleuse (3) Des simulations hydrodynamiques 2D réalisées avec le code ZEUS-3D montrent qu'un fragment dense formé près du coeur hydrostatique stellaire ne peut probablement pas, sans adjoindre les effets de bouclier et de confinement radiatifs, atteindre des distances nébulaires.

A Systematic Review of Cost-Effectiveness Models in Type 1 Diabetes Mellitus.

PubMed

Henriksson, Martin; Jindal, Ramandeep; Sternhufvud, Catarina; Bergenheim, Klas; Sörstadius, Elisabeth; Willis, Michael

2016-06-01

Critiques of cost-effectiveness modelling in type 1 diabetes mellitus (T1DM) are scarce and are often undertaken in combination with type 2 diabetes mellitus (T2DM) models. However, T1DM is a separate disease, and it is therefore important to appraise modelling methods in T1DM. This review identified published economic models in T1DM and provided an overview of the characteristics and capabilities of available models, thus enabling a discussion of best-practice modelling approaches in T1DM. A systematic review of Embase(®), MEDLINE(®), MEDLINE(®) In-Process, and NHS EED was conducted to identify available models in T1DM. Key conferences and health technology assessment (HTA) websites were also reviewed. The characteristics of each model (e.g. model structure, simulation method, handling of uncertainty, incorporation of treatment effect, data for risk equations, and validation procedures, based on information in the primary publication) were extracted, with a focus on model capabilities. We identified 13 unique models. Overall, the included studies varied greatly in scope as well as in the quality and quantity of information reported, but six of the models (Archimedes, CDM [Core Diabetes Model], CRC DES [Cardiff Research Consortium Discrete Event Simulation], DCCT [Diabetes Control and Complications Trial], Sheffield, and EAGLE [Economic Assessment of Glycaemic control and Long-term Effects of diabetes]) were the most rigorous and thoroughly reported. Most models were Markov based, and cohort and microsimulation methods were equally common. All of the more comprehensive models employed microsimulation methods. Model structure varied widely, with the more holistic models providing a comprehensive approach to microvascular and macrovascular events, as well as including adverse events. The majority of studies reported a lifetime horizon, used a payer perspective, and had the capability for sensitivity analysis. Several models have been developed that provide useful insight into T1DM modelling. Based on a review of the models identified in this study, we identified a set of 'best in class' methods for the different technical aspects of T1DM modelling.

Avant-Propos

NASA Astrophysics Data System (ADS)

Ollivier, J.; Farhi, E.; Ferrand, M.; Benoit, M.

2005-11-01

L'École Thématique “Neutrons et Biologie” s'est tenue du 22 au 26 Mai 2004 à Praz/Arly (Haute-Savoie, France), dans le cadre des 12 èmes Journees de la Diffusion Neutronique de la Societe Française de Neutronique. Cette école a ete organisee avec le concours financier du CNRS (formation permanente), du Laboratoire Léon Brillouin (CEA Saclay), de la region Rhône-Alpes, du conseil général de Haute-Savoie et de l'Université Joseph Fourier de Grenoble. Une cinquantaine de participants, dont une vingtaine d'intervenants, ont largement contribué à la réussite de l'École. D'un point de vue scientifique, l'École s'est déclinée en sept sessions thématiques majeures: - une première session introductive a été consacrée à une revue globale des méthodes biophysiques ayant un fort impact pour l'étude de la structure et de la dynamique des macromolécules biologiques (J. Parello). Un accent tout particulier à été apporté pour décrire les neutrons en tant que composante importante de la panoplie des techniques couramment utilisées en biophysique moléculaire (J. Schweitzer). - une session dédiée aux mesures dynamiques par diffusion incohérente de neutrons a été largement developpée. Qu'ils s'agissent de vibrations et de relaxations moléculaires dans les protéines (J.M. Zanotti), de dynamique globale des protéines (G. Zaccaï), ainsi que de dynamique de l'eau d'hydratation (F. Gabel), de nombreux exemples ont permis d'illustrer la pertinence des neutrons pour étudier la dynamique fonctionnelle des protéines sur l'échelle de temps picosecond nanoseconde. L'analyse des données de diffusion inélastique de neutrons ne peut se passer de modélisation théorique analytique des propriétés dynamique des biomolécules (D. Bicout). - une large place avait été réservée aux études structurales en biologie. Cette troisième session a rassemblé des contributions en diffusion aux petits angles de neutrons pour l'étude structurale en solution (D. Lairez), en réflectométrie de neutrons pour l'étude de systèmes des membranes ou de protéines en interaction avec des membranes (G. Fragneto), ainsi qu'en diffraction de fibres appliquée à l'étude de l'ADN (T. Forsyth). - les simulations de dynamique moléculaire constituent une méthode théorique unique pour étudier, au niveau atomique, les mouvements internes des macromolécules biologiques, que ce soit à l'équilibre (G. Kneller, S. Crouzy) ou hors équilibre (B. Gilquin). Les trajectoires de dynamique moléculaire s'étendent aujourd'hui à la centaine de nanosecondes, et peuvent être de ce fait utilisées par certains programmes pour calculer les observables expérimentales fournies par la diffusion de neutrons (G. Kneller, T. Hinsen). - l'ouverture des neutrons à des techniques instrumentales permettant d'approcher, d'une part, des états hors-équilibre par le biais d'études cinétiques couplées à des mélanges rapides pour des études de croissance de phases (I. Grillo) ou de repliement de protéines, d'autre part, des conditions expérimentales extrèmes (hautes-pressions, M. Plazanet), nous ont semblé constituer des émergences prometteuses. À ce titre, une revue sur le repliement des protéines (V. Forge) a précisé l'importance de nombreuses techniques (fluorescence intrinsèque, dichroïsme, infra-rouge, RMN) dans le domaine, tout en permettant d'entrevoir l'intérêt des études par neutrons. - en marge des sessions purement “neutrons”, il nous semblait important de pouvoir présenter des techniques et méthodes souvent reconnues comme très complémentaires des neutrons, en privilégiant un volet “études structurales” et un volet “études dynamiques”. Côté méthodes dynamiques, la RMN (M. Blackledge) a été positionnée comme une technique permettant d'étudier la flexibilité moléculaire sur des echelles de temps plus lentes (ms). Côté méthodes structurales, la bio-cristallographie des RX appliquée à l'études des structures virales (P. Gouet) a permis de mettre en évidence des aspects complémentaires entre RX et neutrons, et de souligner les avantages et inconvenients respectifs de ces techniques. - l'École Thématique s'est achevée par une session commune avec les Journées Rossat-Mignod, au cours de laquelle J. Helliwell a établi une revue comparative RX/neutrons sur les développements récents en bio-cristallographie des protéines, suivi de deux presentations portant sur la dynamique incohérente et cohérente de systèmes membranaires (F. Natali, M. Rheinstadter). Contrairement aux années précédentes, le contenu de cet ouvrage se veut davantage refléter les applications des neutrons en biologie et biophysique moléculaire, en se reportant à des travaux scientifiques précis, plutôt que d'être constitué d'un recueil de cours, certes trés pédagogiques, mais quelquefois trop éloignés de l'expérience. Nous espérons que ce choix saura satisfaire le lecteur et encourager de nouveaux biologistes à utiliser les neutrons dès que possible pour leurs systèmes d'intérêt. Bonne lecture et bonnes manips !!!!

Signal Sensing and Transduction by Histidine Kinases as Unveiled through Studies on a Temperature Sensor.

PubMed

Abriata, Luciano A; Albanesi, Daniela; Dal Peraro, Matteo; de Mendoza, Diego

2017-06-20

Histidine kinases (HK) are the sensory proteins of two-component systems, responsible for a large fraction of bacterial responses to stimuli and environmental changes. Prototypical HKs are membrane-bound proteins that phosphorylate cognate response regulator proteins in the cytoplasm upon signal detection in the membrane or periplasm. HKs stand as potential drug targets but also constitute fascinating systems for studying proteins at work, specifically regarding the chemistry and mechanics of signal detection, transduction through the membrane, and regulation of catalytic outputs. In this Account, we focus on Bacillus subtilis DesK, a membrane-bound HK part of a two-component system that maintains appropriate membrane fluidity at low growth temperatures. Unlike most HKs, DesK has no extracytoplasmic signal-sensing domains; instead, sensing is carried out by 10 transmembrane helices (coming from two protomers) arranged in an unknown structure. The fifth transmembrane helix from each protomer connects, without any of the intermediate domains found in other HKs, into the dimerization and histidine phosphotransfer (DHp) domain located in the cytoplasm, which is followed by the ATP-binding domains (ABD). Throughout the years, genetic, biochemical, structural, and computational studies on wild-type, mutant, and truncated versions of DesK allowed us to dissect several aspects of DesK's functioning, pushing forward a more general understanding of its own structure/function relationships as well as those of other HKs. We have shown that the sensing mechanism is rooted in temperature-dependent membrane properties, most likely a combination of thickness, fluidity, and water permeability, and we have proposed possible mechanisms by which DesK senses these properties and transduces the signals. X-ray structures and computational models have revealed structural features of TM and cytoplasmic regions in DesK's kinase- and phosphatase-competent states. Biochemical and genetic experiments and molecular simulations further showed that reversible formation of a two-helix coiled coil in the fifth TM segment and the N-terminus of the cytoplasmic domain is essential for the sensing and signal transduction mechanisms. Together with other structural and functional works, the emerging picture suggests that diverse HKs possess distinct sensing and transduction mechanisms but share as rather general features (i) a symmetric phosphatase state and an asymmetric kinase state and (ii) similar functional outputs on the conserved DHp and ABD domains, achieved through different mechanisms that depend on the nature of the initial signal. We here advance (iii) an important role for TM prolines in transducing the initial signals to the cytoplasmic coiled coils, based on simulations of DesK's TM helices and our previous work on a related HK, PhoQ. Lastly, evidence for DesK, PhoQ, BvgS, and DctB HKs shows that (iv) overall catalytic output is tuned by a delicate balance between hydration potentials, coiled coil stability, and exposure of hydrophobic surface patches at their cytoplasmic coiled coils and at the N-terminal and C-terminal sides of their TM helices. This balance is so delicate that small perturbations, either physiological signals or induced by mutations, lead to large remodeling of the underlying conformational landscape achieving clear-cut changes in catalytic output, mirroring the required response speed of these systems for proper biological function.

Long-term cost-effectiveness of initiating treatment for painful diabetic neuropathy with pregabalin, duloxetine, gabapentin, or desipramine.

PubMed

Bellows, Brandon K; Nelson, Richard E; Oderda, Gary M; LaFleur, Joanne

2016-01-01

Painful diabetic neuropathy (PDN) affects nearly half of patients with diabetes. The objective of this study was to compare the cost-effectiveness of starting patients with PDN on pregabalin (PRE), duloxetine (DUL), gabapentin (GABA), or desipramine (DES) over a 10-year time horizon from the perspective of third-party payers in the United States. A Markov model was used to compare the costs (2013 $US) and effectiveness (quality-adjusted life-years [QALYs]) of first-line PDN treatments in 10,000 patients using microsimulation. Costs and QALYs were discounted at 3% annually. Probabilities and utilities were derived from the published literature. Costs were average wholesale price for drugs and national estimates for office visits and hospitalizations. One-way and probabilistic (PSA) sensitivity analyses were used to examine parameter uncertainty. Starting with PRE was dominated by DUL as DUL cost less and was more effective. Starting with GABA was extendedly dominated by a combination of DES and DUL. DES and DUL cost $23,468 and $25,979, while yielding 3.05 and 3.16 QALYs, respectively. The incremental cost-effectiveness ratio for DUL compared with DES was $22,867/QALY gained. One-way sensitivity analysis showed that the model was most sensitive to the adherence threshold and utility for mild pain. PSA showed that, at a willingness-to-pay (WTP) of $50,000/QALY, DUL was the most cost-effective option in 56.3% of the simulations, DES in 29.2%, GABA in 14.4%, and PRE in 0.1%. Starting with DUL is the most cost-effective option for PDN when WTP is greater than $22,867/QALY. Decision makers may consider starting with DUL for PDN patients.

Redshift distributions of galaxies in the Dark Energy Survey Science Verification shear catalogue and implications for weak lensing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bonnett, C.; Troxel, M. A.; Hartley, W.

We present photometric redshift estimates for galaxies used in the weak lensing analysis of the Dark Energy Survey Science Verification (DES SV) data. Four model- or machine learning-based photometric redshift methods { annz2, bpz calibrated against BCC-U fig simulations, skynet, and tpz { are analysed. For training, calibration, and testing of these methods, we also construct a catalogue of spectroscopically confirmed galaxies matched against DES SV data. The performance of the methods is evalu-ated against the matched spectroscopic catalogue, focusing on metrics relevant for weak lensing analyses, with additional validation against COSMOS photo-zs. From the galaxies in the DES SVmore » shear catalogue, which have mean redshift 0.72 ±0.01 over the range 0:3 < z < 1:3, we construct three tomographic bins with means of z = {0.45; 0.67,1.00g}. These bins each have systematic uncertainties δ z ≲ 0.05 in the mean of the fiducial skynet photo-z n(z). We propagate the errors in the redshift distributions through to their impact on cosmological parameters estimated with cosmic shear, and find that they cause shifts in the value of σ 8 of approx. 3%. This shift is within the one sigma statistical errors on σ8 for the DES SV shear catalog. We also found that further study of the potential impact of systematic differences on the critical surface density, Σ crit, contained levels of bias safely less than the statistical power of DES SV data. We recommend a final Gaussian prior for the photo-z bias in the mean of n(z) of width 0:05 for each of the three tomographic bins, and show that this is a sufficient bias model for the corresponding cosmology analysis.« less

A detached eddy simulation model for the study of lateral separation zones along a large canyon-bound river

USGS Publications Warehouse

Alvarez, Laura V.; Schmeeckle, Mark W.; Grams, Paul E.

2017-01-01

Lateral flow separation occurs in rivers where banks exhibit strong curvature. In canyon-boundrivers, lateral recirculation zones are the principal storage of fine-sediment deposits. A parallelized,three-dimensional, turbulence-resolving model was developed to study the flow structures along lateralseparation zones located in two pools along the Colorado River in Marble Canyon. The model employs thedetached eddy simulation (DES) technique, which resolves turbulence structures larger than the grid spacingin the interior of the flow. The DES-3D model is validated using Acoustic Doppler Current Profiler flowmeasurements taken during the 2008 controlled flood release from Glen Canyon Dam. A point-to-pointvalidation using a number of skill metrics, often employed in hydrological research, is proposed here forfluvial modeling. The validation results show predictive capabilities of the DES model. The model reproducesthe pattern and magnitude of the velocity in the lateral recirculation zone, including the size and position ofthe primary and secondary eddy cells, and return current. The lateral recirculation zone is open, havingcontinuous import of fluid upstream of the point of reattachment and export by the recirculation returncurrent downstream of the point of separation. Differences in magnitude and direction of near-bed andnear-surface velocity vectors are found, resulting in an inward vertical spiral. Interaction between therecirculation return current and the main flow is dynamic, with large temporal changes in flow direction andmagnitude. Turbulence structures with a predominately vertical axis of vorticity are observed in the shearlayer becoming three-dimensional without preferred orientation downstream.

A detached eddy simulation model for the study of lateral separation zones along a large canyon-bound river

NASA Astrophysics Data System (ADS)

Alvarez, Laura V.; Schmeeckle, Mark W.; Grams, Paul E.

2017-01-01

Lateral flow separation occurs in rivers where banks exhibit strong curvature. In canyon-bound rivers, lateral recirculation zones are the principal storage of fine-sediment deposits. A parallelized, three-dimensional, turbulence-resolving model was developed to study the flow structures along lateral separation zones located in two pools along the Colorado River in Marble Canyon. The model employs the detached eddy simulation (DES) technique, which resolves turbulence structures larger than the grid spacing in the interior of the flow. The DES-3D model is validated using Acoustic Doppler Current Profiler flow measurements taken during the 2008 controlled flood release from Glen Canyon Dam. A point-to-point validation using a number of skill metrics, often employed in hydrological research, is proposed here for fluvial modeling. The validation results show predictive capabilities of the DES model. The model reproduces the pattern and magnitude of the velocity in the lateral recirculation zone, including the size and position of the primary and secondary eddy cells, and return current. The lateral recirculation zone is open, having continuous import of fluid upstream of the point of reattachment and export by the recirculation return current downstream of the point of separation. Differences in magnitude and direction of near-bed and near-surface velocity vectors are found, resulting in an inward vertical spiral. Interaction between the recirculation return current and the main flow is dynamic, with large temporal changes in flow direction and magnitude. Turbulence structures with a predominately vertical axis of vorticity are observed in the shear layer becoming three-dimensional without preferred orientation downstream.

A combined source and site-effect study of ground motions generated by an earthquake in Port au Prince (Haiti)

NASA Astrophysics Data System (ADS)

St Fleur, Sadrac; Courboulex, Francoise; Bertrand, Etienne; Deschamps, Anne; Mercier de Lepinay, Bernard; Prepetit, Claude; Hough, Suzan

2013-04-01

We present the preliminary results of a study with the aim of understanding how some combinations of source and site effects can generate extreme ground motions in the city of Port au Prince. For this study, we have used the recordings of several tens of earthquakes with magnitude larger than 3.0 at 3 to 14 stations from three networks: 3 stations of the Canadian Broad-band network (RNCan), 2 stations of the educational French network (SaE) and 9 stations of the accelerometric network (Bureau des Mines et de l'Energie of Port au Prince and US Geological survey). In order to estimate site effects under each station, we have applied classical spectral ratio methods: The H/V (Horizontal/Vertical) method was first used to select a reference station, which was itself used in a site/reference method. Because a true reference station was not available, we have used successively stations HCEA, then station PAPH, then an average value of 3 stations. In the frequency range studied (0.5 - 20 Hz), we found a site-to-reference ratio up to 3 to 8. However, these values present a large variability, depending on the earthquake recordings. This may indicate that the observed amplification from one station to the other depends not only from the local site effect but also from the source. We then used the same earthquake recordings as Empirical Green's Functions (EGF) in order to simulate the ground motions generated by a virtual earthquake. For this simulation, we have used a stochastic EGF summation method. We have worked on the simulation of a magnitude Mw=6.8 using successively 2 smaller events that occurred on the Leogane fault as EGF. The results obtained using the two events are surprisingly very different. Using the first EGF, we obtained almost the same ground motion values at each station in Port au Prince, whereas with the second EGF, the results highlight large differences. The large variability obtained in the results indicates that a particular combination of site and source effects may be responsible of large ground motions, especially at some given sites.

Securing Sensitive Flight and Engine Simulation Data Using Smart Card Technology

NASA Technical Reports Server (NTRS)

Blaser, Tammy M.

2003-01-01

NASA Glenn Research Center has developed a smart card prototype capable of encrypting and decrypting disk files required to run a distributed aerospace propulsion simulation. Triple Data Encryption Standard (3DES) encryption is used to secure the sensitive intellectual property on disk pre, during, and post simulation execution. The prototype operates as a secure system and maintains its authorized state by safely storing and permanently retaining the encryption keys only on the smart card. The prototype is capable of authenticating a single smart card user and includes pre simulation and post simulation tools for analysis and training purposes. The prototype's design is highly generic and can be used to protect any sensitive disk files with growth capability to urn multiple simulations. The NASA computer engineer developed the prototype on an interoperable programming environment to enable porting to other Numerical Propulsion System Simulation (NPSS) capable operating system environments.

Evaluating average and atypical response in radiation effects simulations

NASA Astrophysics Data System (ADS)

Weller, R. A.; Sternberg, A. L.; Massengill, L. W.; Schrimpf, R. D.; Fleetwood, D. M.

2003-12-01

We examine the limits of performing single-event simulations using pre-averaged radiation events. Geant4 simulations show the necessity, for future devices, to supplement current methods with ensemble averaging of device-level responses to physically realistic radiation events. Initial Monte Carlo simulations have generated a significant number of extremal events in local energy deposition. These simulations strongly suggest that proton strikes of sufficient energy, even those that initiate purely electronic interactions, can initiate device response capable in principle of producing single event upset or microdose damage in highly scaled devices.

ERRATUM: “Automated Transient Identi cation in the Dark Energy Survey” (2015, AJ, 150, 82)

DOE PAGES

Goldstein, D. A.; D’Andrea, C. B.; Fischer, J. A.; ...

2015-08-20

Here, we describe an algorithm for identifying point-source transients and moving objects on reference-subtracted optical images containing artifacts of processing and instrumentation. The algorithm makes use of the supervised machine learning technique known as Random Forest. We present results from its use in the Dark Energy Survey Supernova program (DES-SN), where it was trained using a sample of 898,963 signal and background events generated by the transient detection pipeline. After reprocessing the data collected during the first DES-SN observing season (2013 September through 2014 February) using the algorithm, the number of transient candidates eligible for human scanning decreased by amore » factor of 13.4, while only 1.0% of the artificial Type Ia supernovae (SNe) injected into search images to monitor survey efficiency were lost, most of which were very faint events. Here we characterize the algorithm's performance in detail, and we discuss how it can inform pipeline design decisions for future time-domain imaging surveys, such as the Large Synoptic Survey Telescope and the Zwicky Transient Facility. An implementation of the algorithm and the training data used in this paper are available at at http://portal.nersc.gov/project/dessn/autoscan.« less

Thermal conditions of rock slopes below unstable infrastructure in Alpine permafrost area: the cases of the Cosmiques hut and the Grands Montets cable-car station (Mont Blanc massif)

NASA Astrophysics Data System (ADS)

Duvillard, Pierre-Allain; Magnin, Florence; Mörtl, Christian; Ravanel, Ludovic; Deline, Philip

2017-04-01

Thermal state of steep permafrost-affected rock faces is crucial to assess the safety and reliability of mountain infrastructure as current permafrost degradation affects the rock slope stability. In the Mont-Blanc massif, 23 infrastructures are built on such a rock face with 13 of them that are characterized by a high risk of destabilization (Duvillard et al., 2015), including the upper station of the Grands Montets cable car (3325 m a.s.l.) as well as the Cosmiques hut (3613 m a.s.l.) on which we will focus. These two buildings have already been affected by different geomorphological processes. A rockfall event (600 m3) occurred for example on the SE face on the Arête inférieure des Cosmiques on the 21st of August 1998 (Ravanel et al., 2013) and the Grands Montets case shows a slow subsidence of the stairway over the last decade. In order to better assess the role of the permafrost in these processes and to gain insight on possible future geomorphic activity, we characterized the current permafrost conditions and simulated its changes up to the end of the 21st century using two complementary approaches: (i) the result of ERT (Electrical Resistivity Tomography) surveys carried out in October 2016 on the northern and southern faces right below the Cosmiques hut (at the level of the foundations) and at the Aiguilles des Grands Montets; (ii) the modeling of mean annual rock surface temperature for 2016 and at the end of the 21st century (Magnin et al., in rev.). Duvillard P.-A., Ravanel L., Deline P. (2015). Risk assessment of infrastructure destabilisation due to global warming in the high French Alps. Journal of Alpine Research, 103 (2). Magnin F., Josnin J.-Y., Ravanel L., Pergaud J., Pohl B., Deline P. (in rev.). Modelling rock wall permafrost degradation in the Mont Blanc massif from the LIA to the end of the 21st century. The Cryosphere Discuss., doi:10.5194/tc-2016-132. Ravanel L., Deline P., Lambiel C. and Vincent C. (2013). Instability of a high alpine rock ridge: the lower arête des Cosmiques, Mont-Blanc massif, France. Geografiska Annaler A, 95 : 51-66.

Menarche, menopause, years of menstruation, and the incidence of osteoporosis: the influence of prenatal exposure to diethylstilbestrol.

PubMed

Parker, Samantha E; Troisi, Rebecca; Wise, Lauren A; Palmer, Julie R; Titus-Ernstoff, Linda; Strohsnitter, William C; Hatch, Elizabeth E

2014-02-01

Estrogen is critical for bone formation and growth in women. Estrogen exposures occur throughout life, including prenatally, and change with reproductive events, such as menarche and menopause. The objective of this study was to investigate the association between age at menarche, age at menopause, and years of menstruation with incidence of osteoporosis and assess the impact of prenatal exposure to diethylstilbestrol (DES), a synthetic estrogen, on such associations. Participants were 5573 women in the National Cancer Institute Combined Cohort Study of DES (1994-2006). Data on reproductive history and medical conditions were collected through questionnaires at baseline in 1994 and subsequently in 1997, 2001, and 2006. Age-stratified Cox regression models were used to calculate multivariable incidence rate ratios (IRRs) and 95% confidence intervals (CIs). Effect measure modification by prenatal DES exposure was assessed using cubic restricted spline regression models. Osteoporosis was the main outcome measure. The IRRs for osteoporosis incidence with age at menarche less than 11 years and age at menopause of 50 years or younger were 0.82 (CI 0.59, 1.14) and 0.61 (CI 0.40, 0.92), respectively. Fewer than 25 years of menstruation was associated with an increased incidence of osteoporosis (IRR 1.80; CI 1.14, 2.86) compared with 35 years or more of menstruation. Associations were stronger among women who had not been prenatally exposed to DES. Our data support the hypothesis that lifetime cumulative exposure to estrogens is protective against osteoporosis. Furthermore, prenatal exposure to estrogen appears to modify these associations, although the mechanism by which this occurs is unknown.

Automatic three-dimensional registration of intra-vascular optical coherence tomography images for the clinical evaluation of stent implantation over time

NASA Astrophysics Data System (ADS)

Ughi, Giovanni J.; Adriaenssens, Tom; Larsson, Matilda; Dubois, Christophe; Sinnaeve, Peter; Coosemans, Mark; Desmet, Walter; D'hooghe, Jan

2012-01-01

In the last decade a large number of new intracoronary devices (i.e. drug-eluting stents, DES) have been developed to reduce the risks related to bare metal stent (BMS) implantation. The use of this new generation of DES has been shown to substantially reduce, compared with BMS, the occurrence of restenosis and recurrent ischemia that would necessitate a second revascularization procedure. Nevertheless, safety issues on the use of DES persist and full understanding of mechanisms of adverse clinical events is still a matter of concern and debate. Intravascular Optical Coherence Tomography (IV-OCT) is an imaging technique able to visualize the microstructure of blood vessels with an axial resolution <20 μm. Due to its very high spatial resolution, it enables detailed in-vivo assessment of implanted devices and vessel wall. Currently, the aim of several major clinical trials is to observe and quantify the vessel response to DES implantation over time. However, image analysis is currently performed manually and corresponding images, belonging to different IV-OCT acquisitions, can only be matched through a very labor intensive and subjective procedure. The aim of this study is to develop and validate a new methodology for the automatic registration of IV-OCT datasets on an image level. Hereto, we propose a landmark based rigid registration method exploiting the metallic stent framework as a feature. Such a tool would provide a better understanding of the behavior of different intracoronary devices in-vivo, giving unique insights about vessel pathophysiology and performance of new generation of intracoronary devices and different drugs.

USMC Inventory Control Using Optimization Modeling and Discrete Event Simulation

DTIC Science & Technology

2016-09-01

release. Distribution is unlimited. USMC INVENTORY CONTROL USING OPTIMIZATION MODELING AND DISCRETE EVENT SIMULATION by Timothy A. Curling...USING OPTIMIZATION MODELING AND DISCRETE EVENT SIMULATION 5. FUNDING NUMBERS 6. AUTHOR(S) Timothy A. Curling 7. PERFORMING ORGANIZATION NAME(S...optimization and discrete -event simulation. This construct can potentially provide an effective means in improving order management decisions. However

ANALYSIS OF INPATIENT HOSPITAL STAFF MENTAL WORKLOAD BY MEANS OF DISCRETE-EVENT SIMULATION

DTIC Science & Technology

2016-03-24

ANALYSIS OF INPATIENT HOSPITAL STAFF MENTAL WORKLOAD BY MEANS OF DISCRETE -EVENT SIMULATION...in the United States. AFIT-ENV-MS-16-M-166 ANALYSIS OF INPATIENT HOSPITAL STAFF MENTAL WORKLOAD BY MEANS OF DISCRETE -EVENT SIMULATION...UNLIMITED. AFIT-ENV-MS-16-M-166 ANALYSIS OF INPATIENT HOSPITAL STAFF MENTAL WORKLOAD BY MEANS OF DISCRETE -EVENT SIMULATION Erich W

Embrace the Dark Side: Advancing the Dark Energy Survey

NASA Astrophysics Data System (ADS)

Suchyta, Eric

The Dark Energy Survey (DES) is an ongoing cosmological survey intended to study the properties of the accelerated expansion of the Universe. In this dissertation, I present work of mine that has advanced the progress of DES. First is an introduction, which explores the physics of the cosmos, as well as how DES intends to probe it. Attention is given to developing the theoretical framework cosmologists use to describe the Universe, and to explaining observational evidence which has furnished our current conception of the cosmos. Emphasis is placed on the dark sector - dark matter and dark energy - the content of the Universe not explained by the Standard Model of particle physics. As its name suggests, the Dark Energy Survey has been specially designed to measure the properties of dark energy. DES will use a combination of galaxy cluster, weak gravitational lensing, angular clustering, and supernovae measurements to derive its state of the art constraints, each of which is discussed in the text. The work described in this dissertation includes science measurements directly related to the first three of these probes. The dissertation presents my contributions to the readout and control system of the Dark Energy Camera (DECam); the name of this software is SISPI. SISPI uses client-server and publish-subscribe communication patterns to coordinate and command actions among the many hardware components of DECam - the survey instrument for DES, a 570 megapixel CCD camera, mounted at prime focus of the Blanco 4-m Telescope. The SISPI work I discuss includes coding applications for DECam's filter changer mechanism and hexapod, as well as developing the Scripts Editor, a GUI application for DECam users to edit and export observing sequence SISPI can load and execute. Next, the dissertation describes the processing of early DES data, which I contributed. This furnished the data products used in the first-completed DES science analysis, and contributed to improving the collaboration-wide treatment of the data. The science measurements themselves are also detailed. We verified DES's capabilities for performing weak lensing analyses by measuring the masses of four galaxy clusters, finding consistency with previous measurements, and utilized DECam's wide field-of-view for a photometric study of filament-like structures in the fields. Finally, my recent work with Balrog is presented. Balrog is a simulation toolkit for embedding fake objects into real survey images in order to correct for systematic biases. We have used Balrog to extend DES galaxy clustering measurements down to fainter limits than previously possible, finding results consistent with higher-resolution space-based data. The methodology used in this analysis generalizes beyond galaxy clustering alone, and promises to be useful in future imaging survey measurements.

Moteurs piézo-électriques à onde progressive : I. Modélisation de la conversion d'énergie mécanique à l'interface stator/rotor

NASA Astrophysics Data System (ADS)

Minotti, P.; Le Moal, P.; Buchaillot, L.; Ferreira, A.

1996-10-01

The modeling of traveling wave type piezoelectric motors involves a large variety of mechanical and physical phenomena and therefore leads to numerous approaches and models. The latter, mainly based on phenomenological and numerical (based on Finite Element Method) analyses, are not suitable for current objectives oriented toward the development of efficient C.A.D. tools. As a result, an attempt is done to investigate analytical approaches, in order to theoretically model the mechanical energy conversion at the stator/rotor interface. This paper is the first in a serie of three articles devoted to the modeling of such rotative motors. After a short description of the operating principles specific to the piezomotors, the mechanical and tribological assumptions made for the driving mechanism of the rotor are briefly described. Then it is shown that the kinematic and dynamic modeling of the stator, combined with the static representation of the stator/rotor interface, gives an efficient way in order to perform the calculation of the loading characteristics of the driving shaft. Finally, the specifications of a new software named C.A.S.I.M.M.I.R.E., which has been recently developed on the basis of our earlier mechanical modeling, are described. In the last of these three papers, the theoretical simulations performed on SHINSEI Japanese motors will show to be close to the experimental data and that the results reported in this paper will lead to the structural optimization of future traveling wave ultrasonic motors. La modélisation des moteurs piézo-électriques à onde progressive implique une grande variété de phénomènes physiques et mécaniques. Cette variété conduit à des approches et modèles tout aussi nombreux et variés, qui reposent principalement sur des analyses phénoménologiques et numériques (Méthode Élements Finis), et ne permettent pas de répondre aux éxigences actuelles concernant le développement d'outils C.A.O. performants. Cette nécessité nous a conduits à développer une modélisation théorique analytique de la conversion d'énergie à l'interface stator/rotor. Ce papier est le premier d'une série de trois articles consacrés à la modélisation des moteurs piézo-électriques rotatifs. Après une rapide description des principes de fonctionnement de ces piézomoteurs, les hypothèses mécaniques et tribologiques concernant le mécanisme d'entraînement du rotor sont énoncées succinctement. On démontre ensuite que la modélisation cinématique et dynamique du stator, combinée à une représentation statique du comportement à l'interface stator/rotor, autorise l'évaluation des caractéristiques en charge des moteurs à onde progressive. Enfin, le logiciel baptisé C.A.S.I.M.M.I.R.E., récemment développé sur la base de la modélisation mécanique précédente, est présenté puis testé. Dans le dernier article de cette série, nous confirmerons la validité des simulations théoriques issues de ce logiciel, à partir de la caractérisation expérimentale de moteurs japonais de la firme SHINSEI. Ce nouveau logiciel constitue d'ores et déjà un outil performant en vue de l'optimisation des futurs moteurs à onde progressive, et a déjà fait l'objet d'une première exploitation en milieu industriel.

An Empirical Study of Combining Communicating Processes in a Parallel Discrete Event Simulation

DTIC Science & Technology

1990-12-01

dynamics of the cost/performance criteria which typically made up computer resource acquisition decisions . offering a broad range of tradeoffs in the way... prcesses has a significant impact on simulation performance. It is the hypothesis of this 3-4 SYSTEM DECOMPOSITION PHYSICAL SYSTEM 1: N PHYSICAL PROCESS 1...EMPTY)) next-event = pop(next-event-queue); lp-clock = next-event - time; Simulate next event departure- consume event-enqueue new event end while; If no

Two-Year Clinical Outcomes of Newer-Generation Drug-Eluting Stent Implantation Following Rotational Atherectomy for Heavily Calcified Lesions.

PubMed

Jinnouchi, Hiroyuki; Kuramitsu, Shoichi; Shinozaki, Tomohiro; Kobayashi, Yohei; Hiromasa, Takashi; Morinaga, Takashi; Mazaki, Toru; Sakakura, Kenichi; Soga, Yoshimitsu; Hyodo, Makoto; Shirai, Shinichi; Ando, Kenji

2015-01-01

Clinical outcomes of implantation of the newer-generation drug-eluting stent (DES) following rotational atherectomy for heavily calcified lesions remain unclear in the real-world setting. We enrolled 252 consecutive patients (273 lesions) treated with newer-generation DES following rotational atherectomy. The primary endpoint was the cumulative 2-year incidence of major adverse cardiovascular events (MACE), defined as cardiac death, myocardial infarction, clinically-driven target lesion revascularization, and definite stent thrombosis. Complete clinical follow-up information at 2-year was obtained for all patients. The mean age was 73.2±9.0 years and 155 patients (61.5%) were male. Cumulative 2-year incidence of MACE (cardiac death, myocardial infarction, clinically-driven target lesion revascularization and definite stent thrombosis) was 20.3% (7.0%, 2.1%, 18.1% and 2.1%, respectively). Predictors of MACE were presenting with acute coronary syndrome (hazard ratio [HR]: 3.80, 95% confidence interval [CI]: 1.29-11.2, P=0.02), hemodialysis (HR: 1.93, 95% CI: 1.04-3.56, P=0.04) and previous coronary artery bypass graft (HR: 2.26, 95% CI: 1.02-5.00, P=0.045). PCI for calcified lesions requiring rotational atherectomy is still challenging even in the era of newer-generation DES.

Culotte stenting for coronary bifurcation lesions with 2nd and 3rd generation everolimus-eluting stents: the CELTIC Bifurcation Study.

PubMed

Walsh, Simon J; Hanratty, Colm G; Watkins, Stuart; Oldroyd, Keith G; Mulvihill, Niall T; Hensey, Mark; Chase, Alex; Smith, Dave; Cruden, Nick; Spratt, James C; Mylotte, Darren; Johnson, Tom; Hill, Jonathan; Hussein, Hafiz M; Bogaerts, Kris; Morice, Marie-Claude; Foley, David P

2018-05-24

The aim of this study was to provide contemporary outcome data for patients with de novo coronary disease and Medina 1,1,1 lesions who were treated with a culotte two-stent technique, and to compare the performance of two modern-generation drug-eluting stent (DES) platforms, the 3-connector XIENCE and the 2-connector SYNERGY. Patients with Medina 1,1,1 bifurcation lesions who had disease that was amenable to culotte stenting were randomised 1:1 to treatment with XIENCE or SYNERGY DES. A total of 170 patients were included. Technical success and final kissing balloon inflation occurred in >96% of cases. Major adverse cardiovascular or cerebrovascular events (MACCE: a composite of death, myocardial infarction [MI], cerebrovascular accident [CVA] and target vessel revascularisation [TVR]) occurred in 5.9% of patients by nine months. The primary endpoint was a composite of death, MI, CVA, target vessel failure (TVF), stent thrombosis and binary angiographic restenosis. At nine months, the primary endpoint occurred in 19% of XIENCE patients and 16% of SYNERGY patients (p=0.003 for non-inferiority for platform performance). MACCE rates for culotte stenting using contemporary everolimus-eluting DES are low at nine months. The XIENCE and SYNERGY stents demonstrated comparable performance for the primary endpoint.

Altered Gene Expression Patterns During the Initiation and Promotion Stages of Neonatally Diethylstilbestrol-Induced Hyperplasia/Dysplasia/Neoplasia in the Hamster Uterus

PubMed Central

Hendry, William J.; Hariri, Hussam Y.; Alwis, Imala D.; Gunewardena, Sumedha S.; Hendry, Isabel R.

2014-01-01

Neonatal treatment of hamsters with diethylstilbestrol (DES) induces uterine hyperplasia/dysplasia/neoplasia (endometrial adenocarcinoma) in adult animals. We subsequently determined that the neonatal DES exposure event directly and permanently disrupts the developing hamster uterus (initiation stage) so that it responds abnormally when it is stimulated with estrogen in adulthood (promotion stage). To identify candidate molecular elements involved in progression of the disruption/neoplastic process, we performed: 1) immunoblot analyses and 2) microarray profiling (Affymetrix Gene Chip System) on sets of uterine protein and RNA extracts, respectively, and 3) immunohistochemical analysis on uterine sections; all from both initiation stage and promotion stage groups of animals. Here we report that: 1) progression of the neonatal DES-induced hyperplasia/dysplasia/neoplasia phenomenon in the hamster uterus involves a wide spectrum of specific gene expression alterations and 2) the gene products involved and their manner of altered expression differ dramatically during the initiation vs. promotion stages of the phenomenon. Particularly interesting changes included members in the functional categories of nuclear receptors (progesterone receptor), cell-cell interactions (E-cadherin, connexins), cytokine action (IRF-1, Stat5A), growth factor action (IRS-1), extracellular matrix component (tenascin-C), transcription factors (Nrf2, Sp1), and multi-functional nuclear protein (SAFB1). PMID:25242112

Chronometric Electrical Stimulation of Right Inferior Frontal Cortex Increases Motor Braking

PubMed Central

Conner, Christopher R.; Aron, Adam R.; Tandon, Nitin

2013-01-01

The right inferior frontal cortex (rIFC) is important for stopping responses. Recent research shows that it is also activated when response emission is slowed down when stopping is anticipated. This suggests that rIFC also functions as a goal-driven brake. Here, we investigated the causal role of rIFC in goal-driven braking by using computer-controlled, event-related (chronometric), direct electrical stimulation (DES). We compared the effects of rIFC stimulation on trials in which responses were made in the presence versus absence of a stopping-goal (“Maybe Stop” [MS] vs “No Stop” [NS]). We show that DES of rIFC slowed down responses (compared with control-site stimulation) and that rIFC stimulation induced more slowing when motor braking was required (MS) compared with when it was not (NS). Our results strongly support a causal role of a rIFC-based network in inhibitory motor control. Importantly, the results extend this causal role beyond externally driven stopping to goal-driven inhibitory control, which is a richer model of human self-control. These results also provide the first demonstration of double-blind chronometric DES of human prefrontal cortex, and suggest that—in the case of rIFC—this could lead to augmentation of motor braking. PMID:24336725

The NICE recommendation for drug-coated balloons and its global impact.

PubMed

Eccleshall, Simon; Waliszewski, M

2015-06-01

The clinical efficacy and safety of drug-coated balloon (DCB) angioplasty in patients with coronary in-stent restenosis (ISR) has been demonstrated. The objective of this article is to provide comparative cost efficacy data for DCB angioplasty in various countries based on the original methodology of the Medical Technologies Evaluation Programme (MTEP) at the National Institute for Health and Clinical Excellence (NICE) in 2010. Published and unpublished Health Technology Assessment (HTA) reports were evaluated for comparison in selected countries. Furthermore, a systematic review of economic evaluations of DCB angioplasty versus standard treatments (uncoated balloon angioplasty or drug-eluting stent implantations) was conducted. National cost efficacy data were evaluated using Markov state transition models which were adapted to fit each country's device and procedure related costs. The clinical input for adverse events was defined with two relevant trials for in-stent restenosis of bare metal stents (BMS-ISR) and of drug-eluting stents (DES-ISR). In the UK, Germany, Switzerland, South Africa, Japan and Brazil, DCB angioplasty is cost-effective when compared with drug-eluting stents to treat either BMS-ISR or DES-ISR. DCB angioplasty ought to be the preferred treatment option for patients with BMS-ISR and DES-ISR from the payers' point of view. © The Author(s), 2015.

The Time Dependent Propensity Function for Acceleration of Spatial Stochastic Simulation of Reaction-Diffusion Systems

PubMed Central

Wu, Sheng; Li, Hong; Petzold, Linda R.

2015-01-01

The inhomogeneous stochastic simulation algorithm (ISSA) is a fundamental method for spatial stochastic simulation. However, when diffusion events occur more frequently than reaction events, simulating the diffusion events by ISSA is quite costly. To reduce this cost, we propose to use the time dependent propensity function in each step. In this way we can avoid simulating individual diffusion events, and use the time interval between two adjacent reaction events as the simulation stepsize. We demonstrate that the new algorithm can achieve orders of magnitude efficiency gains over widely-used exact algorithms, scales well with increasing grid resolution, and maintains a high level of accuracy. PMID:26609185

Expected lifetime numbers and costs of fractures in postmenopausal women with and without osteoporosis in Germany: a discrete event simulation model.

PubMed

Bleibler, Florian; Rapp, Kilian; Jaensch, Andrea; Becker, Clemens; König, Hans-Helmut

2014-06-30

Osteoporotic fractures cause a large health burden and substantial costs. This study estimated the expected fracture numbers and costs for the remaining lifetime of postmenopausal women in Germany. A discrete event simulation (DES) model which tracks changes in fracture risk due to osteoporosis, a previous fracture or institutionalization in a nursing home was developed. Expected lifetime fracture numbers and costs per capita were estimated for postmenopausal women (aged 50 and older) at average osteoporosis risk (AOR) and for those never suffering from osteoporosis. Direct and indirect costs were modeled. Deterministic univariate and probabilistic sensitivity analyses were conducted. The expected fracture numbers over the remaining lifetime of a 50 year old woman with AOR for each fracture type (% attributable to osteoporosis) were: hip 0.282 (57.9%), wrist 0.229 (18.2%), clinical vertebral 0.206 (39.2%), humerus 0.147 (43.5%), pelvis 0.105 (47.5%), and other femur 0.033 (52.1%). Expected discounted fracture lifetime costs (excess cost attributable to osteoporosis) per 50 year old woman with AOR amounted to € 4,479 (€ 1,995). Most costs were accrued in the hospital € 1,743 (€ 751) and long-term care sectors € 1,210 (€ 620). Univariate sensitivity analysis resulted in percentage changes between -48.4% (if fracture rates decreased by 2% per year) and +83.5% (if fracture rates increased by 2% per year) compared to base case excess costs. Costs for women with osteoporosis were about 3.3 times of those never getting osteoporosis (€ 7,463 vs. € 2,247), and were markedly increased for women with a previous fracture. The results of this study indicate that osteoporosis causes a substantial share of fracture costs in postmenopausal women, which strongly increase with age and previous fractures.

Expected lifetime numbers and costs of fractures in postmenopausal women with and without osteoporosis in Germany: a discrete event simulation model

PubMed Central

2014-01-01

Background Osteoporotic fractures cause a large health burden and substantial costs. This study estimated the expected fracture numbers and costs for the remaining lifetime of postmenopausal women in Germany. Methods A discrete event simulation (DES) model which tracks changes in fracture risk due to osteoporosis, a previous fracture or institutionalization in a nursing home was developed. Expected lifetime fracture numbers and costs per capita were estimated for postmenopausal women (aged 50 and older) at average osteoporosis risk (AOR) and for those never suffering from osteoporosis. Direct and indirect costs were modeled. Deterministic univariate and probabilistic sensitivity analyses were conducted. Results The expected fracture numbers over the remaining lifetime of a 50 year old woman with AOR for each fracture type (% attributable to osteoporosis) were: hip 0.282 (57.9%), wrist 0.229 (18.2%), clinical vertebral 0.206 (39.2%), humerus 0.147 (43.5%), pelvis 0.105 (47.5%), and other femur 0.033 (52.1%). Expected discounted fracture lifetime costs (excess cost attributable to osteoporosis) per 50 year old woman with AOR amounted to €4,479 (€1,995). Most costs were accrued in the hospital €1,743 (€751) and long-term care sectors €1,210 (€620). Univariate sensitivity analysis resulted in percentage changes between -48.4% (if fracture rates decreased by 2% per year) and +83.5% (if fracture rates increased by 2% per year) compared to base case excess costs. Costs for women with osteoporosis were about 3.3 times of those never getting osteoporosis (€7,463 vs. €2,247), and were markedly increased for women with a previous fracture. Conclusion The results of this study indicate that osteoporosis causes a substantial share of fracture costs in postmenopausal women, which strongly increase with age and previous fractures. PMID:24981316

Program For Simulation Of Trajectories And Events

NASA Technical Reports Server (NTRS)

Gottlieb, Robert G.

1992-01-01

Universal Simulation Executive (USE) program accelerates and eases generation of application programs for numerical simulation of continuous trajectories interrupted by or containing discrete events. Developed for simulation of multiple spacecraft trajectories with events as one spacecraft crossing the equator, two spacecraft meeting or parting, or firing rocket engine. USE also simulates operation of chemical batch processing factory. Written in Ada.

CFD simulation of an unbaffled stirred tank reactor driven by a magnetic rod: assessment of turbulence models.

PubMed

Li, Jiajia; Deng, Baoqing; Zhang, Bing; Shen, Xiuzhong; Kim, Chang Nyung

2015-01-01

A simulation of an unbaffled stirred tank reactor driven by a magnetic stirring rod was carried out in a moving reference frame. The free surface of unbaffled stirred tank was captured by Euler-Euler model coupled with the volume of fluid (VOF) method. The re-normalization group (RNG) k-ɛ model, large eddy simulation (LES) model and detached eddy simulation (DES) model were evaluated for simulating the flow field in the stirred tank. All turbulence models can reproduce the tangential velocity in an unbaffled stirred tank with a rotational speed of 150 rpm, 250 rpm and 400 rpm, respectively. Radial velocity is underpredicted by the three models. LES model and RNG k-ɛ model predict the better tangential velocity and axial velocity, respectively. RNG k-ɛ model is recommended for the simulation of the flow in an unbaffled stirred tank with magnetic rod due to its computational effort.

Simulation of a master-slave event set processor

DOE Office of Scientific and Technical Information (OSTI.GOV)

Comfort, J.C.

1984-03-01

Event set manipulation may consume a considerable amount of the computation time spent in performing a discrete-event simulation. One way of minimizing this time is to allow event set processing to proceed in parallel with the remainder of the simulation computation. The paper describes a multiprocessor simulation computer, in which all non-event set processing is performed by the principal processor (called the host). Event set processing is coordinated by a front end processor (the master) and actually performed by several other functionally identical processors (the slaves). A trace-driven simulation program modeling this system was constructed, and was run with tracemore » output taken from two different simulation programs. Output from this simulation suggests that a significant reduction in run time may be realized by this approach. Sensitivity analysis was performed on the significant parameters to the system (number of slave processors, relative processor speeds, and interprocessor communication times). A comparison between actual and simulation run times for a one-processor system was used to assist in the validation of the simulation. 7 references.« less

Parallel discrete event simulation: A shared memory approach

NASA Technical Reports Server (NTRS)

Reed, Daniel A.; Malony, Allen D.; Mccredie, Bradley D.

1987-01-01

With traditional event list techniques, evaluating a detailed discrete event simulation model can often require hours or even days of computation time. Parallel simulation mimics the interacting servers and queues of a real system by assigning each simulated entity to a processor. By eliminating the event list and maintaining only sufficient synchronization to insure causality, parallel simulation can potentially provide speedups that are linear in the number of processors. A set of shared memory experiments is presented using the Chandy-Misra distributed simulation algorithm to simulate networks of queues. Parameters include queueing network topology and routing probabilities, number of processors, and assignment of network nodes to processors. These experiments show that Chandy-Misra distributed simulation is a questionable alternative to sequential simulation of most queueing network models.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Romanov, Gennady

Typically the RFQs are designed using the Parmteq, DesRFQ and other similar specialized codes, which produces the files containing the field and geometrical parameters for every cell. The beam dynamic simulations with these analytical fields a re, of course, ideal realizations of the designed RFQs. The new advanced computing capabilities made it possible to simulate beam and even dark current in the realistic 3D electromagnetic fields in the RFQs that may reflect cavity tuning, presence of tune rs and couplers, RFQ segmentation etc. The paper describes the utilization of full 3D field distribution obtained with CST Studio Suite for beammore » dynamic simulations using both PIC solver of CST Particle Studio and the beam dynamic code TRACK.« less

Présentation générale

NASA Astrophysics Data System (ADS)

Volino, F.

Le travail faisant l'objet de cette série d'articles de titre général "Théorie visco-élastique non-extensive", numérotée de (I) à (VI), a été initialement motivé par l'analyse de mesures de Résonance Magnétique Nucléaire (RMN) sur des polymères nématogènes dans les phases nématique et isotrope [1,2,3,4,5,6,7,8]. Sans entrer dans le détail de ces mesures, rappelons que les mouvements des molécules rétrécissent les raies RMN, mais que, avec des molécules aussi grosses que ces polymères, on est en dehors du régime de rétrécissement extrême, donc dans un régime ou la forme de raie dépend du détail des mouvements [9]. La théorie des modes élastiques des nématiques fournissait le cadre conceptuel naturel pour décrire de tels mouvements. L'application de cette théorie, qui, dans une version simplifiée, mais suffisante en pratique, ne fait intervenir que deux paramètres ajustables, le paramètre d'ordre nématique et une viscosité moyenne, a effectivement permis de reproduire dans le détail des formes de raie RMN de polymères en phase nématique, avec des valeurs des deux paramètres en accord avec celles qui avaient pu être estimées par des mesures directes. La théorie des modes élastiques était donc testée avec succès par l'analyse de formes de raies RMN. L'analyse en phase nématique apparaissait bien auto-cohérente [5]. Une incohérence logique est cependant apparue dans les études qui ont suivi. Les ajustements précédents avaient été faits pour des spectres obtenus au milieu de la phase nématique, ou l'ordre orientationnel est relativement élevé. Cependant, l'ordre diminue en chauffant, et on a trouvé qu'il est toujours possible de simuler les formes de raies avec le même modèle, en changeant les valeurs du paramètre d'ordre et de la viscosité. - la transition nématique-isotrope, l'expérience montre que l'allure générale des spectres RMN du polymère change peu, et le calcul montre qu'ils peuvent être simulés, de façon quasi-parfaite, par le même modèle, en supposant que l'échantillon soit "en poudre", et avec des valeurs très faibles du paramètre d'ordre. Une phase isotrope de polymère nématique étant un polymère normal, on a alors testé le modèle avec un polymère conventionnel, et de la même façon, de très bonnes simulations ont été obtenues. L'incohérence logique associée à ces résultats vient du fait que la théorie des modes élastiques ne devrait plus être applicable. En effet, le point de départ de cette théorie est une fonctionnelle énergie libre du nématique distordu par les fluctuations thermiques, qui ne contient que le terme quadratique en gradient d'orientation des molécules par rapport au directeur moyen. La limitation à ce premier terme signifie que la description ne devrait être valable que pour des gradients faibles, donc des paramètres d'ordre élevés. On aboutit donc au paradoxe suivant : la théorie des modes élastiques des nématiques permet de décrire d'autant mieux les spectres RMN de polymères, nématiques ou non, que le paramètre d'ordre est faible, c'est-à-dire qu'elle sort de son domaine d'applicabilité présumé. La façon la plus simple d'expliquer cette situation paradoxale est de dire que si la théorie des modes élastiques marche très bien en toutes circonstances, c'est parce qu'elle est beaucoup plus générale que ne l'ont (implicitement) imaginé leurs auteurs. Mais pour que tout redevienne cohérent, il fallait changer la signification d'au moins un concept de base de la théorie. Il a été décidé de modifier la signification des constantes élastiques et des viscosités, telles qu'elles apparaissent au niveau des équations fondamentales de la théorie standard. En pratique, la modification qui a été faite a été de supposer que ces quantités ne sont pas les quantités macroscopiques, mais des quantités non mesurables, associées aux modes élastiques, dépendant du vecteur d'onde et de la température, selon des formules simples, du type de celles obtenues par les méthodes du groupe de renormalisation, dans la théorie des changements de phase. Dans l'article (I) intitulé "Théorie simplifiée à modes rotationnels", des conséquences nécessaires de cette hypothèse, en phase nématique et isotrope, sont déduites, et un certain nombre de quantités mesurables sont calculées : élasticité, viscosité, effets de champ appliqués, chaleur spécifique... Le formalisme est unifié dans la mesure où les relations obtenues sont valables de part et d'autre de la transition. Le caractère le plus important de ces résultats est cependant le fait que toutes les quantités macroscopiques dépendent de façon non-triviale de la taille de l'échantillon, caractère que l'on a qualifié de "non-extensif". Dans l'article (II) intitulé "Premiers tests expérimentaux de la théorie simplifiée à modes rotationnels", l'ensemble des prédictions décrit dans l'article (I) est testé à l'aide de données de la littérature concernant trois nématiques typiques, pour lesquels la plupart des quantités ont été mesurées indépendamment par différents auteurs. Outre un accord quantitatif étonnant avec l'expérience, cette théorie permet aussi d'expliquer les écarts souvent obtenus par différents auteurs. Le modèle fonctionnant très bien pour décrire les propriétés rotationnelles des phases isotropes, il a été tentant de voir s'il pouvait aussi décrire les propriétés translationnelles. C'est ce qui fait l'objet de l'article (III) intitulé "Théorie simplifiée à modes translationnels". Moyennant une hypothèse concernant la forme mathématique de la contribution à la fonctionnelle énergie libre associée à l'existence de mouvements macroscopiques dans le fluide, couplant les gradients de vitesse aux fluctuations thermiques, on a pu obtenir des expressions, toujours non-extensives, d'un certain nombre de quantités mesurables, dont les coefficients de transport. Dans l'article (IV), intitulé "Premiers tests expérimentaux de la théorie simplifiée à modes translationnels", ces prédictions sont testées à l'aide de données de la littérature sur des liquides simples, dont l'eau. Le résultat est positivement troublant. Il rend compte en particulier des différences observées par des expérimentateurs indépendants mesurant la simple viscosité et surtout le coefficient de diffusion de l'eau pure. Ce liquide n'apparaît d'ailleurs pas comme un cas particulier. Il faut remarquer cependant que cet écart à l'extensivité, supposée depuis toujours dans tous les modèles, n'était pas prévisible a priori, mais que le modèle contient lui-même les conditions nécessaires à son applicabilité. Le fait que ces écarts à l'extensivité ne peuvent être observés que dans certaines conditions s'explique, et il n'y a aucune contradiction avec l'utilisation des modèles extensifs dans la technologie. Dans l'article (V) intitulé "Équations de diffusion, fonctions de distribution, viscosités et coefficients de diffusion, fonctions de corrélation", est abordée une extension de la théorie à la généralisation des équations de diffusion des théories standards. Avec ces équations généralisées apparaissent naturellement les notions de déplacement élastique, décrivant des mouvements aléatoires locaux de faible amplitude, et de déplacement visqueux, décrivant les mouvements aléatoires à grande distance. À chacun de ces deux types de mouvements est associé un temps caractéristique propre, et on montre que ces deux temps peuvent différer d'un grand nombre d'ordre de grandeurs à suffisamment basse température. Les fonctions de corrélations associées à différentes méthodes spectroscopiques sont calculées à l'aide de ces équations de diffusion. On trouve que ces fonctions ne sont pas des exponentielles, mais plutôt des "exponentielles étirées", la forme exponentielle pure n'étant qu'une approximation valide aux temps suffisamment courts, et aux temps suffisamment longs. Enfin, dans l'article (VI) intitulé "Application à un liquide formant une phase vitreuse, l'orthoterphényl (OTP)", la plupart des résultats théoriques obtenus dans les articles précédents est appliqué à la description d'un grand nombre de données expérimentales variées de la littérature, obtenues avec ce système exemplaire. On montre qu'il est ainsi possible de rationaliser l'ensemble de ces données. En particulier, la température de transition vitreuse apparaît comme la limite basse température d'une transition de phase très étalée depuis la température de fusion du cristal, analogue à la transition nématique-isotrope, mais de nature à la fois translationnelle et rotationnelle. Il faut admettre que les conséquences du modèle fabriqué à l'origine pour interpréter des expériences RMN, et surtout celles de son extension en dehors du domaine des seuls cristaux liquides a de quoi surprendre au premier abord. C'est seulement après une revue très complète d'un grand nombre de résultats expérimentaux, revue qui a pris beaucoup de temps et n'a jamais révélé de contradiction, qu'il a été décidé de soumettre ce modèle à l'attention de la communauté. Ce travail ne peut être considéré comme un aboutissement. Un certain nombre d'aspects n'ont pas été abordés. Par exemple, pour les substances nématogènes, le test de la description unifiée des résultats de diffusion de la lumière, qui a été la motivation historique du développement de la théorie standard des modes élastiques pour décrire ces résultats en phase nématique, n'a pas été traité. Autre exemple : pour les liquides usuels, on s'est limité à des situations loin du point critique, c'est-à-dire quand la présence de la phase gazeuse au-dessus du liquide peut être ignorée. Il convient donc de généraliser la théorie au problème des liquides peu denses, ainsi que d'explorer sa possible extension à la phase gazeuse et voir si on peut appliquer ce type de description au système liquide-gaz. Enfin, les aspects purement mécaniques n'ont pas été abordés. Puisque l'élasticité intervient de façon fondamentale dans la description, il faut reformuler la mécanique des fluides standard pour qu'apparaisse explicitement la notion d'élasticité dans les équations. C'est cette reformulation, dont on verra qu'elle permet de décrire de façon unifiée l'essentiel des comportements rhéologiques des fluides (passage continu entre les réponses élastique, visco-élastique, plastique et visqueuse, en fonction de la nature, la durée et l'intensité des sollicitations mécaniques, ainsi que de la température), qui sera l'objet du prochain article de cette série. Enfin, on peut se demander comment raccorder le formalisme hautement non-conventionnel de cette théorie, qui permet de calculer des quantités physiques mesurables, à celui de la théorie statistique standard, qui permet en principe de calculer les mêmes quantités. Ce problème reste pour l'instant ouvert, mais la piste à suivre pour le résoudre semble claire. Elle est probablement contenue dans la forme postulée dans (III) pour le couplage entre les mouvements aléatoires microscopiques, lesquels sont décrits de façon uniquement statistique (à l'aide d'équations de diffusion), et les mouvements macroscopiques qui sont décrits de façon mécaniste. En d'autres termes, on introduit un indéterminisme fondamental dans la description du mouvement des objets. Le raccord avec la théorie standard ne pourra donc se faire qu'au niveau de la statistique quantique, qui elle aussi contient dans son essence un indéterminisme du même type. Une comparaison détaillée ne sera possible que dans un stade ultérieur du développement de la présente théorie, quand tous les aspects mécaniques, dont certains ont été évoqués plus haut, auront été explorés. Il est espéré que ces informations préliminaires aideront le lecteur à la compréhension des articles (I) à (VI) proposés.

Parallel discrete event simulation using shared memory

NASA Technical Reports Server (NTRS)

Reed, Daniel A.; Malony, Allen D.; Mccredie, Bradley D.

1988-01-01

With traditional event-list techniques, evaluating a detailed discrete-event simulation-model can often require hours or even days of computation time. By eliminating the event list and maintaining only sufficient synchronization to ensure causality, parallel simulation can potentially provide speedups that are linear in the numbers of processors. A set of shared-memory experiments, using the Chandy-Misra distributed-simulation algorithm, to simulate networks of queues is presented. Parameters of the study include queueing network topology and routing probabilities, number of processors, and assignment of network nodes to processors. These experiments show that Chandy-Misra distributed simulation is a questionable alternative to sequential-simulation of most queueing network models.

Cost-effectiveness analysis of EGFR mutation testing in patients with non-small cell lung cancer (NSCLC) with gefitinib or carboplatin-paclitaxel.

PubMed

Arrieta, Oscar; Anaya, Pablo; Morales-Oyarvide, Vicente; Ramírez-Tirado, Laura Alejandra; Polanco, Ana C

2016-09-01

Assess the cost-effectiveness of an EGFR-mutation testing strategy for advanced NSCLC in first-line therapy with either gefitinib or carboplatin-paclitaxel in Mexican institutions. Cost-effectiveness analysis using a discrete event simulation (DES) model to simulate two therapeutic strategies in patients with advanced NSCLC. Strategy one included patients tested for EGFR-mutation and therapy given accordingly. Strategy two included chemotherapy for all patients without testing. All results are presented in 2014 US dollars. The analysis was made with data from the Mexican frequency of EGFR-mutation. A univariate sensitivity analysis was conducted on EGFR prevalence. Progression-free survival (PFS) transition probabilities were estimated on data from the IPASS and simulated with a Weibull distribution, run with parallel trials to calculate a probabilistic sensitivity analysis. PFS of patients in the testing strategy was 6.76 months (95 % CI 6.10-7.44) vs 5.85 months (95 % CI 5.43-6.29) in the non-testing group. The one-way sensitivity analysis showed that PFS has a direct relationship with EGFR-mutation prevalence, while the ICER and testing cost have an inverse relationship with EGFR-mutation prevalence. The probabilistic sensitivity analysis showed that all iterations had incremental costs and incremental PFS for strategy 1 in comparison with strategy 2. There is a direct relationship between the ICER and the cost of EGFR testing, with an inverse relationship with the prevalence of EGFR-mutation. When prevalence is >10 % ICER remains constant. This study could impact Mexican and Latin American health policies regarding mutation detection testing and treatment for advanced NSCLC.

Analysis of the hydrological response of a distributed physically-based model using post-assimilation (EnKF) diagnostics of streamflow and in situ soil moisture observations

NASA Astrophysics Data System (ADS)

Trudel, Mélanie; Leconte, Robert; Paniconi, Claudio

2014-06-01

Data assimilation techniques not only enhance model simulations and forecast, they also provide the opportunity to obtain a diagnostic of both the model and observations used in the assimilation process. In this research, an ensemble Kalman filter was used to assimilate streamflow observations at a basin outlet and at interior locations, as well as soil moisture at two different depths (15 and 45 cm). The simulation model is the distributed physically-based hydrological model CATHY (CATchment HYdrology) and the study site is the Des Anglais watershed, a 690 km2 river basin located in southern Quebec, Canada. Use of Latin hypercube sampling instead of a conventional Monte Carlo method to generate the ensemble reduced the size of the ensemble, and therefore the calculation time. Different post-assimilation diagnostics, based on innovations (observation minus background), analysis residuals (observation minus analysis), and analysis increments (analysis minus background), were used to evaluate assimilation optimality. An important issue in data assimilation is the estimation of error covariance matrices. These diagnostics were also used in a calibration exercise to determine the standard deviation of model parameters, forcing data, and observations that led to optimal assimilations. The analysis of innovations showed a lag between the model forecast and the observation during rainfall events. Assimilation of streamflow observations corrected this discrepancy. Assimilation of outlet streamflow observations improved the Nash-Sutcliffe efficiencies (NSE) between the model forecast (one day) and the observation at both outlet and interior point locations, owing to the structure of the state vector used. However, assimilation of streamflow observations systematically increased the simulated soil moisture values.

BENZO[A]PYRENE AND BENZO[C]PHENANTHRENE: THE EFFECT OF STRUCTURE ON THE BINDING OF WATER MOLECULES TO THE DIOL EPOXIDES

EPA Science Inventory

ABSTRACT
The interaction with water of the diol epoxides (DEs) of both a planar and a non-planar PAH have been examined using molecular dynamics. To determine probable water locations around the DE for later use in the study of DE protonation, molecular dynamics simulations u...

Host galaxy identification for supernova surveys

DOE PAGES

Gupta, Ravi R.; Kuhlmann, Steve; Kovacs, Eve; ...

2016-11-08

Host galaxy identification is a crucial step for modern supernova (SN) surveys such as the Dark Energy Survey (DES) and the Large Synoptic Survey Telescope (LSST), which will discover SNe by the thousands. Spectroscopic resources are limited, so in the absence of real-time SN spectra these surveys must rely on host galaxy spectra to obtain accurate redshifts for the Hubble diagram and to improve photometric classification of SNe. In addition, SN luminosities are known to correlate with host-galaxy properties. Therefore, reliable identification of host galaxies is essential for cosmology and SN science. We simulate SN events and their locations withinmore » their host galaxies to develop and test methods for matching SNe to their hosts. We use both real and simulated galaxy catalog data from the Advanced Camera for Surveys General Catalog and MICECATv2.0, respectively. We also incorporate "hostless" SNe residing in undetected faint hosts into our analysis, with an assumed hostless rate of 5%. Our fully automated algorithm is run on catalog data and matches SNe to their hosts with 91% accuracy. We find that including a machine learning component, run after the initial matching algorithm, improves the accuracy (purity) of the matching to 97% with a 2% cost in efficiency (true positive rate). Although the exact results are dependent on the details of the survey and the galaxy catalogs used, the method of identifying host galaxies we outline here can be applied to any transient survey.« less

Host galaxy identification for supernova surveys

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gupta, Ravi R.; Kuhlmann, Steve; Kovacs, Eve

Host galaxy identification is a crucial step for modern supernova (SN) surveys such as the Dark Energy Survey (DES) and the Large Synoptic Survey Telescope (LSST), which will discover SNe by the thousands. Spectroscopic resources are limited, so in the absence of real-time SN spectra these surveys must rely on host galaxy spectra to obtain accurate redshifts for the Hubble diagram and to improve photometric classification of SNe. In addition, SN luminosities are known to correlate with host-galaxy properties. Therefore, reliable identification of host galaxies is essential for cosmology and SN science. We simulate SN events and their locations withinmore » their host galaxies to develop and test methods for matching SNe to their hosts. We use both real and simulated galaxy catalog data from the Advanced Camera for Surveys General Catalog and MICECATv2.0, respectively. We also incorporate "hostless" SNe residing in undetected faint hosts into our analysis, with an assumed hostless rate of 5%. Our fully automated algorithm is run on catalog data and matches SNe to their hosts with 91% accuracy. We find that including a machine learning component, run after the initial matching algorithm, improves the accuracy (purity) of the matching to 97% with a 2% cost in efficiency (true positive rate). Although the exact results are dependent on the details of the survey and the galaxy catalogs used, the method of identifying host galaxies we outline here can be applied to any transient survey.« less

Design and simulation of nanoscale double-gate TFET/tunnel CNTFET

NASA Astrophysics Data System (ADS)

Bala, Shashi; Khosla, Mamta

2018-04-01

A double-gate tunnel field-effect transistor (DG tunnel FET) has been designed and investigated for various channel materials such as silicon (Si), gallium arsenide (GaAs), alminium gallium arsenide (Al x Ga1‑x As) and CNT using a nano ViDES Device and TCAD SILVACO ATLAS simulator. The proposed devices are compared on the basis of inverse subthreshold slope (SS), I ON/I OFF current ratio and leakage current. Using Si as the channel material limits the property to reduce leakage current with scaling of channel, whereas the Al x Ga1‑x As based DG tunnel FET provides a better I ON/I OFF current ratio (2.51 × 106) as compared to other devices keeping the leakage current within permissible limits. The performed silmulation of the CNT based channel in the double-gate tunnel field-effect transistor using the nano ViDES shows better performace for a sub-threshold slope of 29.4 mV/dec as the channel is scaled down. The proposed work shows the potential of the CNT channel based DG tunnel FET as a futuristic device for better switching and high retention time, which makes it suitable for memory based circuits.

Molecular dynamics study of vacancy-like defects in a model glass : static behaviour

NASA Astrophysics Data System (ADS)

Delaye, J. M.; Limoge, Y.

1993-10-01

The possibility of defining vacancy-like defects in a Lennard-Jones glass is searched for in a systematic manner. Considering different relaxation levels of the same system, as well as different external pressures, we use a Molecular Dynamics simulation method, to study at constant volume or external pressure, the relaxation of a “piece” of glass, after the sudden removal of an atom. Three typical kinds of behaviour can be observed: the persistence of the empty volume left by the missing atom, its migration by clearly identifiable atomic jumps and the dissipation “on the spot”. A careful analysis of the probabilities of these three kinds of behaviour shows that a meaningful definition of vacancy-like defects can be given in a Lennard-Jones glass. Dans cet article, nous nous penchons de façon systématique sur la possibilité de définir des défauts de type lacunaire dans un verre de Lennard-Jones, à différents niveaux de relaxation et de pression, par une méthode de simulation numérique en dynamique moléculaire à volume ou à pression constants. Le défaut est créé en supprimant un atome et en suivant la réponse du système. Nous observons trois comportements typiques : la persistance sur place du “trou” laissé par l'atome supprimé, sa migration par des sauts atomiques clairement identifiés et enfin sa dissipation sur place. Une analyse détaillée de ces trois comportements montre qu'il est possible dans un verre de Lennard-Jones de définir des défauts de type lacunaire.

Lévitation magnétique par association d'aimants permanents et de supraconducteurs à haute température critique

NASA Astrophysics Data System (ADS)

Hiebel, P.; Tixador, P.; Chaud, X.

1995-06-01

Since their discovery in the years 1986/87, the high critical temperature superconductors have reached nowadays performances interesting enough to conceive passive magnetic bearings and suspensions which would combined permanent magnets and naturally stable superconducting pellets. After underlining the principal factors that affect the superconductormagnet interaction, different experimental results are given about vertical and axial forces with some stiffness values. The magnetization curve of a superconductor help to understand the hysteretic behavior of the force as a function of the distance between superconductor and magnet. So called simple and hybrid structures of superconducting magnetic suspension are presented. Finally simple numerical simulations allow to draw some interesting conclusions about both geometry and best fitting structure of permanent magnets. Depuis leur découverte dans les années 1986/87, les supraconducteurs à haute température critique ont désormais atteint des performances intéressantes et rendent envisageables des paliers et suspensions magnétiques passives associant aimants permanents et pastilles supraconductrices naturellement stables. Après avoir indiqué les termes importants influençant l'interaction supraconducteur - aimant, différents relevés expérimentaux sont donnés pour les forces verticales et transversales avec quelques valeurs de raideurs. La courbe d'aimantation d'un supraconducteur permet de comprendre le comportement hystérétique de la force en fonction de la distance supraconducteur-aimant. Les structures dites simple et hybride des suspensions magnétiques supraconductrices sont présentées. Enfin quelques simulations numériques simples permettent de dégager quelques conclusions intéressantes quant aux géométries respectives et aux structures d'aimants permanents les mieux adaptées.

Galaxy bias from the Dark Energy Survey Science Verification data: combining galaxy density maps and weak lensing maps

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chang, C.; Pujol, A.; Gaztañaga, E.

We measure the redshift evolution of galaxy bias from a magnitude-limited galaxy sample by combining the galaxy density maps and weak lensing shear maps for amore » $$\\sim$$116 deg$$^{2}$$ area of the Dark Energy Survey (DES) Science Verification data. This method was first developed in Amara et al. (2012) and later re-examined in a companion paper (Pujol et al., in prep) with rigorous simulation tests and analytical treatment of tomographic measurements. In this work we apply this method to the DES SV data and measure the galaxy bias for a magnitude-limited galaxy sample. We find the galaxy bias and 1$$\\sigma$$ error bars in 4 photometric redshift bins to be 1.33$$\\pm$$0.18 (z=0.2-0.4), 1.19$$\\pm$$0.23 (z=0.4-0.6), 0.99$$\\pm$$0.36 ( z=0.6-0.8), and 1.66$$\\pm$$0.56 (z=0.8-1.0). These measurements are consistent at the 1-2$$\\sigma$$ level with mea- surements on the same dataset using galaxy clustering and cross-correlation of galaxies with CMB lensing. In addition, our method provides the only $$\\sigma_8$$-independent constraint among the three. We forward-model the main observational effects using mock galaxy catalogs by including shape noise, photo-z errors and masking effects. We show that our bias measurement from the data is consistent with that expected from simulations. With the forthcoming full DES data set, we expect this method to provide additional constraints on the galaxy bias measurement from more traditional methods. Furthermore, in the process of our measurement, we build up a 3D mass map that allows further exploration of the dark matter distribution and its relation to galaxy evolution.« less

Using Variability to Search for Lensed Quasars in the Dark Energy Survey

NASA Astrophysics Data System (ADS)

Buckley-Geer, Elizabeth J.; Dark Energy Survey Collaboration

2014-01-01

The Dark Energy Survey (DES) has just started its first season of a 5 year program using the DECam instrument on the Blanco 4m telescope at CTIO. Over the course of the 5 year survey we expect to discover about 120 lensed quasars brighter than i=21, including 20 high information-content quads (third brightest image required to be i<21). Strongly lensed quasars can be used to measure cosmological parameters. The time delays between the multiple images can be measured via dedicated monitoring campaigns, while the gravitational potential of the lensing galaxy and of structures along the line of sight can be modeled and measured using deep high resolution imaging and spectroscopy. The combination of these observables enables a distance, known as the time-delay distance (a combination of angular diameter distances) to be measured, which in turn can be converted into a measurement of cosmological parameters including those describing the Dark Energy equation of state. The first step in this measurement is to identify the lensed quasars. Traditionally, quasar candidates have been identified by their blue u-g color which allows them to be separated from the much more numerous stellar contaminants. However, the Dark Energy Survey does not take data in the u-band so other techniques must be employed. One such technique is based on the instrinsic variability of quasars (Schmidt et al, 2010, ApJ 714 1194). We have simulated what we would expect for the DES observing cadence in the first two seasons where we expect four visits to a given patch of sky spread over the two years. We will show results from the simulations as well as a first look at the data from the Science Verification phase of DES.

Hydrologic modeling of two glaciated watersheds in Northeast Pennsylvania

USGS Publications Warehouse

Srinivasan, M.S.; Hamlett, J.M.; Day, R.L.; Sams, J.I.; Petersen, G.W.

1998-01-01

A hydrologic modeling study, using the Hydrologic Simulation Program - FORTRAN (HSPF), was conducted in two glaciated watersheds, Purdy Creek and Ariel Creek in northeastern Pennsylvania. Both watersheds have wetlands and poorly drained soils due to low hydraulic conductivity and presence of fragipans. The HSPF model was calibrated in the Purdy Creek watershed and verified in the Ariel Creek watershed for June 1992 to December 1993 period. In Purdy Creek, the total volume of observed streamflow during the entire simulation period was 13.36 x 106 m3 and the simulated streamflow volume was 13.82 x 106 m3 (5 percent difference). For the verification simulation in Ariel Creek, the difference between the total observed and simulated flow volumes was 17 percent. Simulated peak flow discharges were within two hours of the observed for 30 of 46 peak flow events (discharge greater than 0.1 m3/sec) in Purdy Creek and 27 of 53 events in Ariel Creek. For 22 of the 46 events in Purdy Creek and 24 of 53 in Ariel Creek, the differences between the observed and simulated peak discharge rates were less than 30 percent. These 22 events accounted for 63 percent of total volume of streamflow observed during the selected 46 peak flow events in Purdy Creek. In Ariel Creek, these 24 peak flow events accounted for 62 percent of the total flow observed during all peak flow events. Differences in observed and simulated peak flow rates and volumes (on a percent basis) were greater during the snowmelt runoff events and summer periods than for other times.A hydrologic modeling study, using the Hydrologic Simulation Program - FORTRAN (HSPF), was conducted in two glaciated watersheds, Purdy Creek and Ariel Creek in northeastern Pennsylvania. Both watersheds have wetlands and poorly drained soils due to low hydraulic conductivity and presence of fragipans. The HSPF model was calibrated in the Purdy Creek watershed and verified in the Ariel Creek watershed for June 1992 to December 1993 period. In Purdy Creek, the total volume of observed streamflow during the entire simulation period was 13.36??106 m3 and the simulated streamflow volume was 13.82??106 m3 (5 percent difference). For the verification simulation in Ariel Creek, the difference between the total observed and simulated flow volumes was 17 percent. Simulated peak flow discharges were within two hours of the observed for 30 of 46 peak flow events (discharge greater than 0.1 m3/sec) in Purdy Creek and 27 of 53 events in Ariel Creek. For 22 of the 46 events in Purdy Creek and 24 of 53 in Ariel Creek, the differences between the observed and simulated peak discharge rates were less than 30 percent. These 22 events accounted for 63 percent of total volume of streamflow observed during the selected 46 peak flow events in Purdy Creek. In Ariel Creek, these 24 peak flow events accounted for 62 percent of the total flow observed during all peak flow events. Differences in observed and simulated peak flow rates and volumes (on a percent basis) were greater during the snowmelt runoff events and summer periods than for other times.

Influence of dissimilatory metal reduction on fate of organic and metal contaminants in the subsurface

NASA Astrophysics Data System (ADS)

Lovley, Derek R.; Anderson, Robert T.

Dissimilatory Fe(III)-reducing microorganisms have the ability to destroy organic contaminants under anaerobic conditions by oxidizing them to carbon dioxide. Some Fe(III)-reducing microorganisms can also reductively dechlorinate chlorinated contaminants. Fe(III)-reducing microorganisms can reduce a variety of contaminant metals and convert them from soluble forms to forms that are likely to be immobilized in the subsurface. Studies in petroleum-contaminated aquifers have demonstrated that Fe(III)-reducing microorganisms can be effective agents in removing aromatic hydrocarbons from groundwater under anaerobic conditions. Laboratory studies have demonstrated the potential for Fe(III)-reducing microorganisms to remove uranium from contaminated groundwaters. The activity of Fe(III)-reducing microorganisms can be stimulated in several ways to enhance organic contaminant oxidation and metal reduction. Molecular analyses in both field and laboratory studies have demonstrated that microorganisms of the genus Geobacter become dominant members of the microbial community when Fe(III)-reducing conditions develop as the result of organic contamination, or when Fe(III) reduction is artificially stimulated. These results suggest that further understanding of the ecophysiology of Geobacter species would aid in better prediction of the natural attenuation of organic contaminants under anaerobic conditions and in the design of strategies for the bioremediation of subsurface metal contamination. Des micro-organismes simulant la réduction du fer ont la capacité de détruire des polluants organiques dans des conditions anérobies en les oxydant en dioxyde de carbone. Certains micro-organismes réducteurs de fer peuvent aussi dé-chlorer par réduction des polluants chlorés. Des micro-organismes réducteurs de fer peuvent réduire tout un ensemble de métaux polluants et les faire passer de formes solubles à des formes qui sont susceptibles d'être immobilisées dans le milieu souterrain. Des études d'aquifères pollués par du pétrole ont montré que des micro-organismes réducteurs de fer peuvent être des agents efficaces pour éliminer les hydrocarbures aromatiques des eaux souterraines dans des conditions anérobies. Des études en laboratoire ont montré que des micro-organismes réducteurs de fer avaient la capacité d'éliminer l'uranium d'eaux souterraines polluées. L'activité de micro-organismes réducteurs de fer peut être stimulée de différentes manières pour augmenter l'oxydation de polluants organiques et la réduction de métaux. Des analyses moléculaires concernant des études de terrain et de laboratoire ont montré que des micro-organismes du genre Geobacter deviennent les membres dominants de la communauté microbienne quand les conditions de réduction en Fe(III) sont réalisées à la suite d'une pollution organique, ou lorsque la réduction en Fe(III) est stimulée artificiellement. Ces résultats laissent penser que des connaissances supplémentaires sur l'écophysiologie des espèces Geobacter devraient aider à une meilleure prédiction de la diminution naturelle des teneurs en polluants organiques dans des conditions anérobies, ainsi qu'à la définition de stratégies de dépollution biologique de pollutions souterraines par les métaux. Algunos microorganismos Fe(III)-reductores son capaces de destruir selectivamente determinados contaminantes orgánicos en condiciones anaerobias, oxidándolos a dióxido de carbono. Otros de estos microorganismos Fe(III)-reductores pueden reducir, bien compuestos clorados, bien una gran variedad de metales, que dejan de ser solubles y se inmovilizan en el subsuelo. Estudios realizados en acuéferos contaminados por petróleo muestran que los microorganismos Fe(III)-reductores pueden ser unos agentes muy eficientes para eliminar los hidrocarburos aromáticos de las aguas subterráneas en condiciones anaerobias, mientras que estudios de laboratorio muestran el potencial de estos microorganismos para eliminar uranio. La actividad de los microorganismos Fe(III)-reductores se puede estimular para conseguir una mayor eficiencia en la oxidación de contaminantes orgánicos y en la reducción de metales. Diversos análisis moleculares en estudios de campo y de laboratorio muestran que los microorganismos del género Geobacter se convierten en los miembros dominantes de la comunidad microbiana cuando se desarrollan condiciones Fe(III)-reductoras, bien como resultado de la contaminación orgánica, bien por estimulación artificial. En consecuencia, se hace necesario un mayor entendimiento de la ecofisiologéa de los microorganismos del género Geobacter para mejorar las predicciones sobre atenuación natural de los contaminantes orgánicos bajo condiciones anaerobias y para el diseño de estrategias de biorremediación del subsuelo en los casos de contaminación por metales.

Tsunami hazard assessment in La Reunion and Mayotte Islands in the Indian Ocean : detailed modeling of tsunami impacts for the PREPARTOI project

NASA Astrophysics Data System (ADS)

Quentel, E.; Loevenbruck, A.; Sahal, A.; Lavigne, F.

2011-12-01

Significant tsunamis have often affected the southwest Indian Ocean. The scientific project PREPARTOI (Prévention et REcherche pour l'Atténuation du Risque Tsunami dans l'Océan Indien), partly founded by the MAIF foundation, aims at assessing the tsunami risk on both french islands of this region, La Réunion and Mayotte. Further purpose of this project is the detailed hazard and vulnerability study for specific places of these islands, selected according to their environmental and human issues and observed impacts of past tsunamis. Tsunami hazard in this region, recently highlighted by major events in the southwest Indian Ocean, has never been thoroughly evaluated. Our study, within the PREPARTOI project, contributes to fill in this lack. It aims at examining transoceanic tsunami hazard related to earthquakes by modeling the scenarios of major historical events. We consider earthquakes with magnitude greater than Mw 7.7 located on the Sumatra (1833, 2004, 2010), Java (2006) and Makran (1945) subduction zones. First, our simulations allow us to compare the tsunami impact at regional scale according to the seismic sources; we thus identify earthquakes locations which most affect the islands and describe the impact distribution along their coastline. In general, we note that, for the same magnitude, events coming from the southern part of Sumatra subduction zone induce a larger impact than the north events. The studied tsunamis initiated along the Java and Makran subduction zones have limited effects on both French islands. Then, detailed models for the selected sites are performed based on high resolution bathymetric and topographic data; they provide estimations of the water currents, the water heights and the potential inundations. When available, field measurements and maregraphic records allow testing our models. Arrival time, amplitude of the first wave and impact on the tide gauge time series are well reproduced. Models are consistent with the observations. During historical tsunamis events, Mayotte registered important run-up along its coasts (between 3 and 4.4 m for the 2004 event). In La Réunion, the west coast is the most affected (to 2.7 m in the harbor of La Possession for 2004 event) by transoceanic tsunamis. For example, selected sites situated along the West coast of La Réunion are significantly impacted. Simulations have been performed at St Paul; the low topography of this town could make it particularly vulnerable to tsunami waves. Harbors, particularly prone to undergo significant damages, are also examined. The harbors of La Pointe des Galets and La Possession, respectively west and east of the town of Le Port, are studied in details in order to characterize and quantify potential large waves and strong currents. Outside the harbors as well as at Saint Paul, inundations are predicted along the coastline due to important local water heights (> 2.5 m).

ATLAS Simulation using Real Data: Embedding and Overlay

NASA Astrophysics Data System (ADS)

Haas, Andrew; ATLAS Collaboration

2017-10-01

For some physics processes studied with the ATLAS detector, a more accurate simulation in some respects can be achieved by including real data into simulated events, with substantial potential improvements in the CPU, disk space, and memory usage of the standard simulation configuration, at the cost of significant database and networking challenges. Real proton-proton background events can be overlaid (at the detector digitization output stage) on a simulated hard-scatter process, to account for pileup background (from nearby bunch crossings), cavern background, and detector noise. A similar method is used to account for the large underlying event from heavy ion collisions, rather than directly simulating the full collision. Embedding replaces the muons found in Z→μμ decays in data with simulated taus at the same 4-momenta, thus preserving the underlying event and pileup from the original data event. In all these cases, care must be taken to exactly match detector conditions (beamspot, magnetic fields, alignments, dead sensors, etc.) between the real data event and the simulation. We will discuss the status of these overlay and embedding techniques within ATLAS software and computing.

The effects of multiple aerospace environmental stressors on human performance

NASA Technical Reports Server (NTRS)

Popper, S. E.; Repperger, D. W.; Mccloskey, K.; Tripp, L. D.

1992-01-01

An extended Fitt's law paradigm reaction time (RT) task was used to evaluate the effects of acceleration on human performance in the Dynamic Environment Simulator (DES) at Armstrong Laboratory, Wright-Patterson AFB, Ohio. This effort was combined with an evaluation of the standard CSU-13 P anti-gravity suit versus three configurations of a 'retrograde inflation anti-G suit'. Results indicated that RT and error rates increased 17 percent and 14 percent respectively from baseline to the end of the simulated aerial combat maneuver and that the most common error was pressing too few buttons.

Effectiveness of two-year clopidogrel + aspirin in abolishing the risk of very late thrombosis after drug-eluting stent implantation (from the TYCOON [two-year ClOpidOgrel need] study).

PubMed

Tanzilli, Gaetano; Greco, Cesare; Pelliccia, Francesco; Pasceri, Vincenzo; Barillà, Francesco; Paravati, Vincenzo; Pannitteri, Gaetano; Gaudio, Carlo; Mangieri, Enrico

2009-11-15

It remains unclear whether dual antiplatelet therapy >12 months might carry a better prognosis after percutaneous coronary intervention (PCI) with drug-eluting stents (DESs). To address the hypothesis that in the real world the risk of very late thrombosis after PCI with DESs can be decreased by an extended use of clopidogrel, we set up the Two-Year ClOpidOgrel Need (TYCOON) registry and prospectively investigated the impact on very late thrombosis of 12- versus 24-month dual antiplatelet regimens in an unselected population. The registry enrolled 897 consecutive patients who underwent PCI with stenting from January 1, 2003, to December 31, 2004, and had dual antiplatelet therapy. All patients had a 4-year clinical follow-up. In the 447 patients with DES implantation, the dual antiplatelet regimen after PCI was given for 12 months in the 173 patients treated in 2003 (12-month group) and for 24 months in the 274 patients treated in 2004 (24-month group). Comparison between groups did not reveal any significant difference in baseline clinical characteristics, angiographic and procedural features, and major adverse cardiac events. During follow-up, there were 5 cases of stent thrombosis after PCI in the 12-month DES group and 1 case in the 24-month DES group (p = 0.02). Specifically, there were 2 cases of subacute thrombosis (1 in each group), no case of late thrombosis, and 4 cases of very late thrombosis occurring at 13, 15, 17, and 23 months after DES implantation in the 12-month group only. In conclusion, a 2-year dual antiplatelet regimen with aspirin and clopidogrel can prevent the occurrence of very late stent thrombosis after PCI with DESs.

Rationale and design of the Patient Related OuTcomes with Endeavor versus Cypher stenting Trial (PROTECT): randomized controlled trial comparing the incidence of stent thrombosis and clinical events after sirolimus or zotarolimus drug-eluting stent implantation.

PubMed

Camenzind, Edoardo; Wijns, William; Mauri, Laura; Boersma, Eric; Parikh, Keyur; Kurowski, Volkhard; Gao, Runlin; Bode, Christoph; Greenwood, John P; Gershlick, Anthony; O'Neill, William; Serruys, Patrick W; Jorissen, Brenda; Steg, P Gabriel

2009-12-01

Drug-eluting stents (DES) reduce restenosis rates compared to bare-metal stents. Most trials using DES enrolled selected patient and lesion subtypes, and primary endpoint focused on angiographic metrics or relatively short-term outcomes. When DES are used in broader types of lesions and patients, important differences may emerge in long-term outcomes between stent types, particularly the incidence of late stent thrombosis. PROTECT is a randomized, open-label trial comparing the long-term safety of the zotarolimus-eluting stent and the sirolimus-eluting stent. The trial has enrolled 8,800 patients representative of those seen in routine clinical practice, undergoing elective, unplanned, or emergency procedures in native coronary arteries in 196 centers in 36 countries. Indications for the procedure and selection of target vessel and lesion characteristics were at the operator's discretion. Procedures could be staged, but no more than 4 target lesions could be treated per patient. Duration of dual antiplatelet therapy was prespecified to achieve similar lengths of treatment in both study arms. The shortest predefined duration was 3 months, as per the manufacturer's instructions. The primary outcome measure is the composite rate of definite and probable stent thrombosis at 3 years, centrally adjudicated using Academic Research Consortium definitions. The main secondary end points are 3-year all-cause mortality, cardiac death, large nonfatal myocardial infarction, and all myocardial infarctions. This large, international, randomized, controlled trial will provide important information on comparative rates of stent thrombosis between 2 different DES systems and safety as assessed by patient-relevant long-term clinical outcomes.

Menarche, Menopause, Years of Menstruation, and the Incidence of Osteoporosis: The Influence of Prenatal Exposure to Diethylstilbestrol

PubMed Central

Troisi, Rebecca; Wise, Lauren A.; Palmer, Julie R.; Titus-Ernstoff, Linda; Strohsnitter, William C.; Hatch, Elizabeth E.

2014-01-01

Context: Estrogen is critical for bone formation and growth in women. Estrogen exposures occur throughout life, including prenatally, and change with reproductive events, such as menarche and menopause. Objective: The objective of this study was to investigate the association between age at menarche, age at menopause, and years of menstruation with incidence of osteoporosis and assess the impact of prenatal exposure to diethylstilbestrol (DES), a synthetic estrogen, on such associations. Design, Setting, and Participants: Participants were 5573 women in the National Cancer Institute Combined Cohort Study of DES (1994–2006). Data on reproductive history and medical conditions were collected through questionnaires at baseline in 1994 and subsequently in 1997, 2001, and 2006. Age-stratified Cox regression models were used to calculate multivariable incidence rate ratios (IRRs) and 95% confidence intervals (CIs). Effect measure modification by prenatal DES exposure was assessed using cubic restricted spline regression models. Main Outcome Measure: Osteoporosis was the main outcome measure. Results: The IRRs for osteoporosis incidence with age at menarche less than 11 years and age at menopause of 50 years or younger were 0.82 (CI 0.59, 1.14) and 0.61 (CI 0.40, 0.92), respectively. Fewer than 25 years of menstruation was associated with an increased incidence of osteoporosis (IRR 1.80; CI 1.14, 2.86) compared with 35 years or more of menstruation. Associations were stronger among women who had not been prenatally exposed to DES. Conclusions: Our data support the hypothesis that lifetime cumulative exposure to estrogens is protective against osteoporosis. Furthermore, prenatal exposure to estrogen appears to modify these associations, although the mechanism by which this occurs is unknown. PMID:24248183

[Experience with the use of the bio-active stent coated with titanium nitric oxide compared with zotarolimus-eluting stent: experience of a unit medical high specialty].

PubMed

Garcia-Gutierrez, Juan C; Palacios-Rodríguez, Juan M; Cordova-Correa, Horacio G; Becerra-Laguna, Carlos A; López-López, Hugo A; Salinas Aragón, Miguel A; García-Bonilla, Jorge

2016-01-01

The use of coronary stents in coronary angioplasty has evolved dramatically in its design, type materials, polymers, and a variety of drugs, the use of coronary stents covered nitric oxide have shown satisfactory results in practice, however compared to the results reported drug-eluting stents, there is little information. The aim of this study was to compare clinical outcomes of a stainless steel stent Bioactive nitric oxide coated titanium (BAS) and a drug-eluting stent zotarolimus (DES) in daily clinical practice. A retrospective, analytical, descriptive and comparative study aimed at evaluating the safety and efficacy of two devices with different characteristics in our population. The primary endpoints were: death, acute infarction (AMI), and re intervention injury Treated (RLT). A total of 759 patients were included in the study which was performed angioplasty to a single vessel. Were divided into two arms 382 with DES and 377 patients with BAS, the one year follow up was carried in 95%. After this follow-up period, primary points (cardiovascular death, myocardial infarction, TLR and stent thrombosis) for arm DES vs BAS; 9.5% vs 8.5% P=NS but with shorter periods of dual antiplatelet therapy for arm BAS 6.9±4.1 vs 11.1±2.5 months DES P=.0001. The results were independent of the clinical syndrome of presentation. After one year of follow no statistically significant difference in major clinical events, there was a trend in favour of BAS vs SM with respect to revascularization of the target lesion without reaching statistical significance. Copyright © 2015 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

Formulation, caracterisation, modelisation et prevision du comportement thermomecanique des pieces plastiques et composites de fibres de bois : Application aux engrenages =

NASA Astrophysics Data System (ADS)

Mijiyawa, Faycal

Cette etude permet d'adapter des materiaux composites thermoplastiques a fibres de bois aux engrenages, de fabriquer de nouvelles generations d'engrenages et de predire le comportement thermique de ces engrenages. Apres une large revue de la litterature sur les materiaux thermoplastiques (polyethylene et polypropylene) renforces par les fibres de bois (bouleau et tremble), sur la formulation et l'etude du comportement thermomecanique des engrenages en plastique-composite; une relation a ete etablie avec notre presente these de doctorat. En effet, beaucoup d'etudes sur la formulation et la caracterisation des materiaux composites a fibres de bois ont ete deja realisees, mais aucune ne s'est interessee a la fabrication des engrenages. Les differentes techniques de formulation tirees de la litterature ont facilite l'obtention d'un materiau composite ayant presque les memes proprietes que les materiaux plastiques (nylon, acetal...) utilises dans la conception des engrenages. La formulation des materiaux thermoplastiques renforces par les fibres de bois a ete effectuee au Centre de recherche en materiaux lignocellulosiques (CRML) de l'Universite du Quebec a Trois-Rivieres (UQTR), en collaboration avec le departement de Genie Mecanique, en melangeant les composites avec deux rouleaux sur une machine de type Thermotron-C.W. Brabender (modele T-303, Allemand) ; puis des pieces ont ete fabriquees par thermocompression. Les thermoplastiques utilises dans le cadre de cette these sont le polypropylene (PP) et le polyethylene haute densite (HDPE), avec comme renfort des fibres de bouleau et de tremble. A cause de l'incompatibilite entre la fibre de bois et le thermoplastique, un traitement chimique a l'aide d'un agent de couplage a ete realise pour augmenter les proprietes mecaniques des materiaux composites. Pour les composites polypropylene/bois : (1) Les modules elastiques et les contraintes a la rupture en traction des composites PP/bouleau et PP/tremble evoluent lineairement en fonction du taux de fibres, avec ou sans agent de couplage (Maleate de polypropylene MAPP). De plus, l'adherence entre les fibres de bois et le plastique est amelioree en utilisant seulement 3 % MAPP, entrainant donc une augmentation de la contrainte maximale bien qu'aucun effet significatif ne soit observe sur le module d'elasticite. (2) Les resultats obtenus montrent que, en general, les proprietes en traction des composites polypropylene/bouleau, polypropylene/tremble et polypropylene/bouleau/ tremble sont tres semblables. Les composites plastique-bois (WPCs), en particulier ceux contenant 30 % et 40 % de fibres, ont des modules elastiques plus eleves que certains plastiques utilises dans l'application des engrenages (ex. Nylon). Pour les composites polyethylene/bois, avec 3%Maleate de polyethylene (MAPE): (1) Tests de traction : le module elastique passe de 1.34 GPa a 4.19 GPa pour le composite HDPE/bouleau, alors qu'il passe de 1.34 GPa a 3.86 GPa pour le composite HDPE/tremble. La contrainte maximale passe de 22 MPa a 42.65 MPa pour le composite HDPE/bouleau, alors qu'elle passe de 22 MPa a 43.48 MPa pour le composite HDPE/tremble. (2) Tests de flexion : le module elastique passe de 1.04 GPa a 3.47 GPa pour le composite HDPE/bouleau et a 3.64 GPa pour le composite HDPE/tremble. La contrainte maximale passe de 23.90 MPa a 66.70 MPa pour le composite HDPE/bouleau, alors qu'elle passe a 59.51 MPa pour le composite HDPE/tremble. (3) Le coefficient de Poisson determine par impulsion acoustique est autour de 0.35 pour tous les composites HDPE/bois. (4) Le test de degradation thermique TGA nous revele que les materiaux composites presentent une stabilite thermique intermediaire entre les fibres de bois et la matrice HDPE. (5) Le test de mouillabilite (angle de contact) revele que l'ajout de fibres de bois ne diminue pas de facon significative les angles de contact avec de l'eau parce que les fibres de bois (bouleau ou tremble) semblent etre enveloppees par la matrice sur la surface des composites, comme le montrent des images prises au microscope electronique a balayage MEB. (6) Le modele de Lavengoof-Goettler predit mieux le module elastique du composite thermoplastique/bois. (7) Le HDPE renforce par 40 % de bouleau est mieux adapte pour la fabrication des engrenages, car le retrait est moins important lors du refroidissement au moulage. La simulation numerique semble mieux predire la temperature d'equilibre a la vitesse de 500 tr/min; alors qu'a 1000 tr/min, on remarque une divergence du modele. (Abstract shortened by ProQuest.). None None None None None None None None

Statistical model of quiet Sun coronal heating (French Title: Modèle statistique de chauffage de la couronne solaire calme)

NASA Astrophysics Data System (ADS)

Podladchikova, O.

2002-02-01

The high temperature of the solar corona is still a puzzling problem of solar physics. However, the recent observations of satellites SoHO, Yohkoh or TRACE seem to indicate that the processes responsible for the heating of the closed regions are situated in the low corona or in the chromosphere, thus close to the sun surface, and are associated to the direct currents dissipation. Statistical data analysis suggest that the heating mechanisms result thus from numerous events of current layers dissipation of small scale and weak energy, on the resolution limit of modern instruments. We propose a statistical lattice model, resulting from an approach more physical than self-organized criticality, constituted by a magnetic energy source at small scales and by dissipation mechanisms of the currents, which can be associated either to magnetic reconnection or to anomalous resistivity. The various types of sources and mechanisms of dissipation allow to study their influence on the statistical properties of the system, in particular on the energy dissipation. With the aim of quantifying this behavior and allowing detailed comparisons between models and observations, analysis techniques little used in solar physics, such as the singular values decomposition, entropies, or Pearson technique of PDF classification are introduced and applied to the study of the spatial and temporal properties of the model. La température anormalement élevée de la couronne reste un des problèmes majeurs de la physique solaire. Toutefois, les observations récentes des satellites SoHO, Yohkoh ou TRACE semblent indiquer que les processus responsables du chauffage des régions fermées se situent dans la basse couronne ou dans la chromosphère, donc proches de la surface solaire, et sont associés à la dissipation de couches de courant continu. L'analyse statistique de données suggère que les mécanismes de chauffage résulteraient donc de nombreux événements de dissipation de couches de courant de petite échelle et de faible énergie, àla limite de la résolution des instruments modernes. Nous proposons un modèle statistique sur réseau, résultant d'une approche plus physique que la criticalité auto-organisée, constitué d'une source d'énergie magnétique de petite échelle et de mécanismes de dissipation des courants, qui peuvent être associés soit à la reconnection magnétique soit à la résistivité anormale. Les différents types de sources et de mécanismes de dissipation permettent d'étudier leur influence sur les propriétés statistiques du système, en particulier sur l'énergie dissipée. Dans le but de quantifier ces comportements et de permettre des comparaisons approfondies entres les modèles et les observations, des techniques d'analyse peu utilisées en physique solaire, telles que la décomposition en valeurs singulières, des entropies, ou la technique de Pearson de classification des densités de probabilité, sont introduites et appliquées `a l'étude des propriétés spatiales et temporelles du modèle.

Discrete event simulation and the resultant data storage system response in the operational mission environment of Jupiter-Saturn /Voyager/ spacecraft

NASA Technical Reports Server (NTRS)

Mukhopadhyay, A. K.

1978-01-01

The Data Storage Subsystem Simulator (DSSSIM) simulating (by ground software) occurrence of discrete events in the Voyager mission is described. Functional requirements for Data Storage Subsystems (DSS) simulation are discussed, and discrete event simulation/DSSSIM processing is covered. Four types of outputs associated with a typical DSSSIM run are presented, and DSSSIM limitations and constraints are outlined.

Structural evolution of the Ural-Tian Shan junction: A view from Karatau ridge, South Kazakhstan

USGS Publications Warehouse

Alexeiev, D.V.; Cook, H.E.; Buvtyshkin, V.M.; Golub, L.Y.

2009-01-01

The deformation history of the Late Palaeozoic Ural-Tian Shan junction is discussed for the example of the Karatau ridge in southern Kazakhstan. Three deformation events are recognized. The Late Carboniferous D1 event is characterized by Laramide-style thrust-and-fold structures on the southern margin of Kazakhstan with shortening in a NE-SW direction. The Latest Permian and Triassic D2 event is controlled by compression in an east-west direction, which reflects collisional deformation in the Urals. The main structures are submeridional folds and north-west-striking sinistral strike-slip faults. The Triassic D3 event with shortening in a north-south direction reflects collision of the Turan microcontinent against the southern margin of Kazakhstan. The main structures are north-west-striking dextral strike-slip faults. Our new data provides important clues for the reconstruction of pre-Cretaceous structures between the Urals and the Tian Shan. ?? 2008 Acad??mie des sciences.

Improving prospective memory performance with future event simulation in traumatic brain injury patients.

PubMed

Mioni, Giovanna; Bertucci, Erica; Rosato, Antonella; Terrett, Gill; Rendell, Peter G; Zamuner, Massimo; Stablum, Franca

2017-06-01

Previous studies have shown that traumatic brain injury (TBI) patients have difficulties with prospective memory (PM). Considering that PM is closely linked to independent living it is of primary interest to develop strategies that can improve PM performance in TBI patients. This study employed Virtual Week task as a measure of PM, and we included future event simulation to boost PM performance. Study 1 evaluated the efficacy of the strategy and investigated possible practice effects. Twenty-four healthy participants performed Virtual Week in a no strategy condition, and 24 healthy participants performed it in a mixed condition (no strategy - future event simulation). In Study 2, 18 TBI patients completed the mixed condition of Virtual Week and were compared with the 24 healthy controls who undertook the mixed condition of Virtual Week in Study 1. All participants also completed a neuropsychological evaluation to characterize the groups on level of cognitive functioning. Study 1 showed that participants in the future event simulation condition outperformed participants in the no strategy condition, and these results were not attributable to practice effects. Results of Study 2 showed that TBI patients performed PM tasks less accurately than controls, but that future event simulation can substantially reduce TBI-related deficits in PM performance. The future event simulation strategy also improved the controls' PM performance. These studies showed the value of future event simulation strategy in improving PM performance in healthy participants as well as in TBI patients. TBI patients performed PM tasks less accurately than controls, confirming prospective memory impairment in these patients. Participants in the future event simulation condition out-performed participants in the no strategy condition. Future event simulation can substantially reduce TBI-related deficits in PM performance. Future event simulation strategy also improved the controls' PM performance. © 2017 The British Psychological Society.

An extension of the OpenModelica compiler for using Modelica models in a discrete event simulation

DOE PAGES

Nutaro, James

2014-11-03

In this article, a new back-end and run-time system is described for the OpenModelica compiler. This new back-end transforms a Modelica model into a module for the adevs discrete event simulation package, thereby extending adevs to encompass complex, hybrid dynamical systems. The new run-time system that has been built within the adevs simulation package supports models with state-events and time-events and that comprise differential-algebraic systems with high index. Finally, although the procedure for effecting this transformation is based on adevs and the Discrete Event System Specification, it can be adapted to any discrete event simulation package.

Hydrodynamic Drag Reduction

DTIC Science & Technology

2015-04-01

Computational Engineering unstructured RANS/LES/DES solver , Tenasi, was used to predict drag and simulate the free surface flow around the ACV over a...using a second-order accurate Roe approximate Riemann scheme, while viscous fluxes are evaluated using a second-order directional derivative approach...Predictions of rigid body ship motions for the SI75 container ship in incident waves and methodology for a one-way coupling of the Tenasi flow solver

3D Neutronic Analysis in MHD Calculations at ARIES-ST Fusion Reactors Systems

NASA Astrophysics Data System (ADS)

Hançerliogulları, Aybaba; Cini, Mesut

2013-10-01

In this study, we developed new models for liquid wall (FW) state at ARIES-ST fusion reactor systems. ARIES-ST is a 1,000 MWe fusion reactor system based on a low aspect ratio ST plasma. In this article, we analyzed the characteristic properties of magnetohydrodynamics (MHD) and heat transfer conditions by using Monte-Carlo simulation methods (ARIES Team et al. in Fusion Eng Des 49-50:689-695, 2000; Tillack et al. in Fusion Eng Des 65:215-261, 2003) . In fusion applications, liquid metals are traditionally considered to be the best working fluids. The working liquid must be a lithium-containing medium in order to provide adequate tritium that the plasma is self-sustained and that the fusion is a renewable energy source. As for Flibe free surface flows, the MHD effects caused by interaction with the mean flow is negligible, while a fairly uniform flow of thick can be maintained throughout the reactor based on 3-D MHD calculations. In this study, neutronic parameters, that is to say, energy multiplication factor radiation, heat flux and fissile fuel breeding were researched for fusion reactor with various thorium and uranium molten salts. Sufficient tritium amount is needed for the reactor to work itself. In the tritium breeding ratio (TBR) >1.05 ARIES-ST fusion model TBR is >1.1 so that tritium self-sufficiency is maintained for DT fusion systems (Starke et al. in Fusion Energ Des 84:1794-1798, 2009; Najmabadi et al. in Fusion Energ Des 80:3-23, 2006).

Childhood trauma and dissociation in patients with alcohol dependence, drug dependence, or both-A multi-center study.

PubMed

Schäfer, Ingo; Langeland, Willemien; Hissbach, Johanna; Luedecke, Christel; Ohlmeier, Martin D; Chodzinski, Claudia; Kemper, Ulrich; Keiper, Peter; Wedekind, Dirk; Havemann-Reinecke, Ursula; Teunissen, Sybille; Weirich, Steffen; Driessen, Martin

2010-06-01

The aims of this study were to examine the level of dissociative symptoms in patients with different substance related disorders (alcohol dependence, drug dependence, and combined alcohol and drug dependence), and to investigate the influence of potentially traumatic events in childhood, age, gender, and posttraumatic stress disorder on the relationship between dissociative symptoms and type of substance abuse. Of the 459 participants (59.7% male) 182 (39.7%) were alcohol-dependent (A), 154 (33.6%) were drug-dependent (D), and 123 (26.8%) were dependent on both, alcohol and drugs (AD) based on the DSM-IV criteria for a current diagnosis. Participants completed the Childhood Trauma Questionnaire (CTQ) and the Dissociative Experiences Scale (DES). The International Diagnostics Checklist (IDCL) was administered to diagnose PTSD. Higher levels of dissociation were observed in patients with drug dependence as compared to patients with mere alcohol dependence (mean DES group A: 9.9+/-8.8; group D: 12.9+/-11.7; group AD: 15.1+/-11.3). However, when severity of potentially traumatic events in childhood, PTSD, age and gender were included in the analysis, the influence of the type of substance abuse did not prove to be statistically significant. The variable most strongly related to dissociative symptoms was severity of potentially traumatic events in childhood, in particular emotional abuse, even after controlling for PTSD and other potential confounders. It seems appropriate to screen SUD patients for dissociative symptoms, especially those with a more complex risk profile including (additional) drug abuse, female gender, younger age and most importantly a history of childhood trauma. Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.

The devil is in the details: Comparisons of episodic simulations of positive and negative future events.

PubMed

Puig, Vannia A; Szpunar, Karl K

2017-08-01

Over the past decade, psychologists have devoted considerable attention to episodic simulation-the ability to imagine specific hypothetical events. Perhaps one of the most consistent patterns of data to emerge from this literature is that positive simulations of the future are rated as more detailed than negative simulations of the future, a pattern of results that is commonly interpreted as evidence for a positivity bias in future thinking. In the present article, we demonstrate across two experiments that negative future events are consistently simulated in more detail than positive future events when frequency of prior thinking is taken into account as a possible confounding variable and when level of detail associated with simulated events is assessed using an objective scoring criterion. Our findings are interpreted in the context of the mobilization-minimization hypothesis of event cognition that suggests people are especially likely to devote cognitive resources to processing negative scenarios. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Le role du phytoplancton de petite taille (<20 mum) dans les variations des proprietes optiques des eaux du Saint-Laurent

NASA Astrophysics Data System (ADS)

Mas, Sebastien

Les mesures satellitaires de couleur des oceans sont largement determinees par les proprietes optiques inherentes (IOPs) des eaux de surface. D'autre part, le phytoplancton de petite taille (<20 mum) est le plus souvent dominant dans les oceans, et peut donc etre une source importante de variation des IOPs dans les oceans. Dans ce contexte, le but principal de ce doctorat etait de definir l'impact du phytoplancton (<20 mum) sur les variations des proprietes optiques de l'Estuaire et du Golfe du Saint-Laurent (Canada). Afin d'atteindre cet objectif, il etait necessaire de determiner en milieu controle les facteurs de variabilite des proprietes optiques cellulaires et des IOPs du phytoplancton (<20 mum) des eaux du Saint-Laurent, et d'evaluer la contribution du phytoplancton (<20 mum) aux proprietes optiques totales des eaux du Saint-Laurent. Des experiences en laboratoire ont montre que les variations des proprietes optiques des cellules phytoplanctoniques soumises a un cycle jour-nuit, ainsi qu'a des changements concomitants d'intensite lumineuse, peuvent contribuer significativement a la variabilite des proprietes optiques observee en milieu naturel. D'autres experiences ont, quant a elles, mis en evidence que les variations des proprietes optiques des cellules phytoplanctoniques dues aux phases de croissance peuvent alterer les IOPs des oceans, particulierement pendant les periodes de floraison. De plus, la presence de bacteries et de particules detritiques peut egalement affecter la variabilite des IOPs totales, notamment la diffusion. Au printemps, dans l'Estuaire et le Golfe du Saint-Laurent, la contribution du phytoplancton <20 mum aux IOPs presentait des differences regionales evidentes pour les proprietes d'absorption et de diffusion. En plus de la variabilite spatiale, les proprietes optiques cellulaires presentaient des variations journalieres, et ce particulierement pour le picophytoplancton. Enfin, la plupart des differences observees dans les proprietes biooptiques, particulierement l'absorption, etaient attribuables a la contribution du phytoplancton <20 mum. Ceci confirme l'importance de la structure de taille des communautes phytoplanctoniques dans les modeles bio-optiques appliques au Saint-Laurent. L'ensemble des resultats a permis de mettre en evidence l'importance des mecanismes de photoacclimatation et de synchronisation du cycle cellulaire du phytoplancton sur les variations journalieres des IOPs, ainsi que de l'etat physiologique relie au stade de croissance sur les variations temporelles a long terme des IOPs. De plus, le phytoplancton <20 mum contribue de maniere importante aux IOPs et a leur variabilite dans l'Estuaire et le Golfe du St-Laurent, et ce particulierement pour l'absorption. Cette etude de doctorat souligne donc l'importance du phytoplancton <20 mum sur la variabilite des IOPs des oceans.

Ultra-broadband 2D electronic spectroscopy of carotenoid-bacteriochlorophyll interactions in the LH1 complex of a purple bacterium

DOE Office of Scientific and Technical Information (OSTI.GOV)

Maiuri, Margherita; Department of Chemistry, Princeton University, Washington Road, Princeton, New Jersey 08544; Réhault, Julien

We investigate the excitation energy transfer (EET) pathways in the photosynthetic light harvesting 1 (LH1) complex of purple bacterium Rhodospirillum rubrum with ultra-broadband two-dimensional electronic spectroscopy (2DES). We employ a 2DES apparatus in the partially collinear geometry, using a passive birefringent interferometer to generate the phase-locked pump pulse pair. This scheme easily lends itself to two-color operation, by coupling a sub-10 fs visible pulse with a sub-15-fs near-infrared pulse. This unique pulse combination allows us to simultaneously track with extremely high temporal resolution both the dynamics of the photoexcited carotenoid spirilloxanthin (Spx) in the visible range and the EET betweenmore » the Spx and the B890 bacterio-chlorophyll (BChl), whose Q{sub x} and Q{sub y} transitions peak at 585 and 881 nm, respectively, in the near-infrared. Global analysis of the one-color and two-color 2DES maps unravels different relaxation mechanisms in the LH1 complex: (i) the initial events of the internal conversion process within the Spx, (ii) the parallel EET from the first bright state S{sub 2} of the Spx towards the Q{sub x} state of the B890, and (iii) the internal conversion from Q{sub x} to Q{sub y} within the B890.« less

La planification préalable des soins pour les patients en pédiatrie

PubMed Central

2008-01-01

RÉSUMÉ Les progrès médicaux et technologiques ont permis d’ac-croître les taux de survie et d’améliorer la qualité de vie des nourrissons, des enfants et des adolescents ayant des maladies chroniques mettant la vie en danger. La planifi-cation préalable des soins inclut le processus relié aux discussions sur les traitements essentiels au maintien de la survie et la détermination des objectifs des soins de longue durée. Les dispensateurs de soins pédiatriques ont l’obligation éthique d’assimiler cet aspect des soins médicaux. Le présent document de principes vise à aider les dispensateurs de soins à discuter de la planification préalable des soins des patients pédiatriques dans diverses situations. La planification préalable des soins exige des communications efficaces afin de clarifier les objectifs des soins et de s’entendre sur les traitements pertinents ou non pour réaliser ces objectifs, y compris les mesures de réanimation et les mesures palliatives.

Repetition-Related Reductions in Neural Activity during Emotional Simulations of Future Events.

PubMed

Szpunar, Karl K; Jing, Helen G; Benoit, Roland G; Schacter, Daniel L

2015-01-01

Simulations of future experiences are often emotionally arousing, and the tendency to repeatedly simulate negative future outcomes has been identified as a predictor of the onset of symptoms of anxiety. Nonetheless, next to nothing is known about how the healthy human brain processes repeated simulations of emotional future events. In this study, we present a paradigm that can be used to study repeated simulations of the emotional future in a manner that overcomes phenomenological confounds between positive and negative events. The results show that pulvinar nucleus and orbitofrontal cortex respectively demonstrate selective reductions in neural activity in response to frequently as compared to infrequently repeated simulations of negative and positive future events. Implications for research on repeated simulations of the emotional future in both non-clinical and clinical populations are discussed.

Mechanical behavior of polymer-based vs. metallic-based bioresorbable stents

PubMed Central

Ang, Hui Ying; Huang, Ying Ying; Lim, Soo Teik; Wong, Philip; Joner, Michael

2017-01-01

Bioresorbable scaffolds (BRS) were developed to overcome the drawbacks of current metallic drug-eluting stents (DES), such as late in-stent restenosis and caging of the vessel permanently. The concept of the BRS is to provide transient support to the vessel during healing before being degraded and resorbed by the body, freeing the vessel and restoring vasomotion. The mechanical properties of the BRS are influenced by the choice of the material and processing methods. Due to insufficient radial strength of the bioresorbable material, BRS often required large strut profile as compared to conventional metallic DES. Having thick struts will in turn affect the deliverability of the device and may cause flow disturbance, thereby increasing the incidence of acute thrombotic events. Currently, the bioresorbable poly-l-lactic acid (PLLA) polymer and magnesium (Mg) alloys are being investigated as materials in BRS technologies. The bioresorption process, mechanical properties, in vitro observations and clinical outcomes of PLLA-based and Mg-based BRS will be examined in this review. PMID:28894598

The effects of dissociation on information processing for analogue trauma and neutral stimuli: a laboratory study.

PubMed

Olsen, Shira A; Beck, J Gayle

2012-01-01

This study investigated the effects of high and low levels of dissociation on information processing for analogue trauma and neutral stimuli. Fifty-four undergraduate females who reported high and low levels of trait dissociation were presented with two films, one depicting traumatic events, the other containing neutral material. Participants completed a divided attention task (yielding a proxy measure of attention), as well as explicit memory (free-recall) and implicit memory (word-stem completion) tasks for both films. Results indicated that the high DES group showed less attention and had poorer recall for the analogue trauma stimuli, relative to the neutral stimuli and the low DES group. These findings suggest that high levels of trait dissociation are associated with reductions in attention and memory for analogue trauma stimuli, relative to neutral stimuli and relative to low trait dissociation. Implications for the role of cognitive factors in the etiology of negative post-trauma responses are discussed. Copyright © 2011 Elsevier Ltd. All rights reserved.

A Simulation of Readiness-Based Sparing Policies

DTIC Science & Technology

2017-06-01

variant of a greedy heuristic algorithm to set stock levels and estimate overall WS availability. Our discrete event simulation is then used to test the...available in the optimization tools. 14. SUBJECT TERMS readiness-based sparing, discrete event simulation, optimization, multi-indenture...variant of a greedy heuristic algorithm to set stock levels and estimate overall WS availability. Our discrete event simulation is then used to test the