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| 1 | The role of cochlear implantation in alleviating Tumarkin drop attacks of Meniere's disease;a case report显示文摘Ménière’s disease(MD)patients may suffer episodes of sudden falls,named Tu markin drop attacks(DAs).This fall occurs abruptly and without warning or loss of consciousness.DAs usually aggravate the clinical picture of MD and are challenging to manage.The present report describes a case treated by cochlear implantation(CI)due to concomitant deafness and offers some clinical considerations for this condition.A male patient aged 48 years with a 10-year history of definite bilateral MD had profound SNHL on the right and severe SNHL on the left side.He suffered from intermittent attacks of vertigo,ear fullness,and tinnitus and,in the last year,had developed DAs and experienced 14 episodes in the previous six months.The preoperative category of acoustic performance was 3.The Dizziness Handicap Inventory(DHI)questionnaire showed a total score of 46,which indicated a moderate degree of disability.A CI was planned for the right side.The patient did not report any further DAs episode for two years since then.The postoperative category of acoustic performance became 11,and the postoperative DHI questionnaire showed a decrease in the total score(from 46 to 19),which indicated a mild disability.Unilateral CI effectively alleviated the DAs associated with bilateral MD.Our report proposes a new modality for managing vertiginous symptoms in cases of MD with hearing loss without the need for more aggressive surgical interventions with the need for clinical trials to confirm our results. | Chiara Filippi Edoardo Covelli Haitham H.Elfarargy Simonetta Monini Maurizio Barbara | 2023 | Journal of Otology2023，18，3： | 1 |
| 2 | Multiscale Hybrid Modeling of Proteins in Solvent:SARS-CoV2 Spike Protein as Test Case for Lattice Boltzmann-All Atom Molecular Dynamics Coupling显示文摘Physiological solvent flows surround biological structures triggering therein collective motions.Notable examples are virus/host-cell interactions and solventmediated allosteric regulation.The present work describes a multiscale approach joining the Lattice Boltzmann fluid dynamics(for solvent flows)with the all-atom atomistic molecular dynamics(for proteins)to model functional interactions between flows and molecules.We present,as an applicative scenario,the study of the SARS-CoV-2 virus spike glycoprotein protein interacting with the surrounding solvent,modeled as a mesoscopic fluid.The equilibriumproperties of the wild-type spike and of the Alpha variant in implicit solvent are described by suitable observables.The mesoscopic solvent description is critically compared to the all-atom solvent model,to quantify the advantages and limitations of the mesoscopic fluid description. | Marco Lauricella Letizia Chiodo Fabio Bonaccorso Mihir Durve Andrea Montessori Adriano Tiribocchi Alessandro Loppini Simonetta Filippi Sauro Succi | 2023 | Communications in Computational Physics2023，33，1： | 0 |
| 3 | Modelling Thermo-Electro-Mechanical Effects in Orthotropic Cardiac Tissue显示文摘In this paper we introduce a new mathematical model for the active contraction of cardiac muscle,featuring different thermo-electric and nonlinear conductivity properties.The passive hyperelastic response of the tissue is described by an orthotropic exponential model,whereas the ionic activity dictates active contraction in-corporated through the concept of orthotropic active strain.We use a fully incompressible formulation,and the generated strain modifies directly the conductivity mechanisms in the medium through the pull-back transformation.We also investigate the influence of thermo-electric effects in the onset of multiphysics emergent spatiotem-poral dynamics,using nonlinear diffusion.It turns out that these ingredients have a key role in reproducing pathological chaotic dynamics such as ventricular fibrillation during inflammatory events,for instance.The specific structure of the governing equations suggests to cast the problem in mixed-primal form and we write it in terms of Kirchhoff stress,displacements,solid pressure,dimensionless electric potential,activation generation,and ionic variables.We also advance a new mixed-primal finite element method for its numerical approximation,and we use it to explore the properties of the model and to assess the importance of coupling terms,by means of a few computational experiments in 3D. | Ricardo Ruiz-Baier Alessio Gizzi Alessandro Loppini Christian Cherubini Simonetta Filippi | 2020 | Communications in Computational Physics2020，27，1： | 0 |
| 4 | Theoretical and Numerical Modeling of Nonlinear Electromechanics with applications to Biological Active Media显示文摘We present a general theoretical framework for the formulation of the nonlinear electromechanics of polymeric and biological active media.The approach developed here is based on the additive decomposition of the Helmholtz free energy in elastic and inelastic parts and on the multiplicative decomposition of the deformation gradient in passive and active parts.We describe a thermodynamically sound scenario that accounts for geometric and material nonlinearities.In view of numerical applications,we specialize the general approach to a particular material model accounting for the behavior of fiber reinforced tissues.Specifically,we use the model to solve via finite elements a uniaxial electromechanical problem dynamically activated by an electrophysiological stimulus.Implications for nonlinear solid mechanics and computational electrophysiology are finally discussed. | Alessio Gizzi Christian Cherubini Simonetta Filippi Anna Pandolfi | 2015 | Communications in Computational Physics2015，17，1： | 0 |
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