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Nicolas B. Garnier

Publications and source records attributed to Nicolas B. Garnier.

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Inter-Electrode Pulse Wave Velocity: A Direct Method for Maternal Arterial Stiffness Assessment During Pregnancy Using Multi-Channel ECG

Objective: To validate a novel inter-electrode pulse wave velocity (PWV) method that measures pulse propagation between ECG electrodes without left ventricular ejection time (LVET) estimation. Methods: We analyzed 43 three-channel ECG recordings (1000 Hz) from the FELICITy 2 cohort (approximately 19 and 35 weeks gestation). R-peaks were independently detected per channel using an ensemble approach. Time lags (Delta t) between matched R-peaks across electrode pairs were used to compute PWV as PWV = L / Delta t, where L is effective inter-electrode distance. Three channel pairs yielded independent PWV estimates. Temporal stability was assessed using sliding windows (1-15 minutes). To test whether Delta t reflects morphology or vascular propagation, we evaluated three QRS fiducials (R-peak, QRS onset, maximum dV/dt) and two bandpass filters (0.5-40 and 0.5-100 Hz). Longitudinal changes were compared between control (n=24) and yoga (n=20) groups. Results: PWV values were physiologically plausible and consistent with aortic PWV (5-10 m/s): control 7.40 +/- 1.51 vs 6.98 +/- 1.63 m/s; yoga 7.10 +/- 2.15 vs 8.16 +/- 0.91 m/s (early vs late pregnancy). PWV stabilized at 5 minutes (coefficient of variation 12.3 percent), with 2.6- to 5.2-fold lower variability than heart rate and heart rate variability. Inter-electrode delays (15-27 ms) persisted across fiducials and were minimally affected by filter settings (change -8.5 percent, not significant), arguing against purely morphological distortion; PWV remained within 6.8-9.1 m/s. Preliminary group trends differed (control -5.7 percent, yoga +14.9 percent; interaction p=0.07). Conclusions: Inter-electrode PWV enables direct spatial assessment of pulse propagation with physiologically valid values, is robust to fiducial and filtering choices, and shows promise for pregnancy-related arterial stiffness assessment with standard multi-channel ECG.

physics.med-ph

Dose-Dependent Cardiac Complexity Changes in Children Following Prenatal Glucocorticoid Exposure: Complementary Evidence from Multiscale Entropy Analysis and ECG Foundation Models

\noindent\textbf{Background} Prenatal glucocorticoid exposure alters cardiac development, but whether persistent cardiac effects in childhood follow a dose-response relationship remains unknown. We recently showed that ECG foundation models detect robust cardiac differences between steroid-exposed and control children, while traditional heart rate variability metrics lose significance after covariate adjustment. Here, we investigate the dose-response dimension using complementary analytical approaches. \noindent\textbf{Methods} We studied 49 children (ages 8--15) whose mothers received betamethasone during pregnancy for multiple sclerosis: 12 low-dose ({$<$}5\,g cumulative), 13 high-dose ({$\geq$}5\,g), and 24 controls. Five-minute ECG recordings during the Trier Social Stress Test yielded 251 observations. We computed 12 multiscale complexity features and tested 11 ECG foundation model (FM) dimensions using linear mixed models, Kruskal--Wallis tests with Dunn's post-hoc comparisons, Spearman correlations, and Jonckheere--Terpstra trend tests. \noindent\textbf{Findings} The binary exposed-versus-controls comparison showed no significant complexity effects ($p>0.39$). However, dose-based analysis revealed that high-dose children exhibited significantly faster entropy rate ($h$) decay rates than low-dose children ($p=0.031$); neither sample entropy nor approximate entropy decay rates reached significance ($p=0.18$ and $p=0.12$, respectively). Effects localized to the mental arithmetic stress segment (Kruskal--Wallis $p=0.005$; Dunn's $p=0.004$). A cross-condition robustness analysis confirmed that $h$ decay rate is invariant to input signal choice and normalization ($r>0.98$), while sample and approximate entropy are not. In contrast, the 11 FM dimensions showed weak dose-response evidence: only 1 of 22 covariate-adjusted contrasts survived FDR correction, with paradoxically stronger low-dose effects. \noindent\textbf{Interpretation} The entropy rate decay rate -- uniquely robust across input conditions -- reveals a dose-dependent effect on cardiac autonomic dynamics under cognitive stress, while FM dimensions detect a dose-independent morphological ``exposure fingerprint.'' These exploratory findings suggest a two-component model of prenatal glucocorticoid cardiac programming -- ~morphological (dose-independent) and dynamical (dose-dependent)~ -- providing more complete characterization than either approach alone. Given the small sample size, these results should be considered hypothesis-generating and require replication in larger cohorts.

q-bio.QM

Measuring the time-scale-dependent information flow between maternal and fetal heartbeats during the third trimester

Prenatal maternal stress alters maternal-fetal heart rate coupling, as demonstrated by the Fetal Stress Index derived from bivariate phase-rectified signal averaging. Here, we extend this framework using information-theoretical measures to elucidate underlying mechanisms. In 120 third-trimester pregnancies (58 stressed, 62 control), we computed transfer entropy (TE), entropy rate (ER), and sample entropy (SE) under multiple conditioning paradigms, employing mixed linear models for repeated measures. We identify dual coupling mechanisms at the short-term (0.5 - 2.5 s), but not long-term (2.5 - 5 s) time scales: (1) stress-invariant state-dependent synchronization, with maternal decelerations exerting approximately 60% coupling strength on fetal heart rate complexity - a fundamental coordination conserved across demographics; and (2) stress-sensitive temporal information transfer (TE), showing exploratory associations with maternal cortisol that require replication. A robust sex-by-stress interaction emerged in TE from mixed models, with exploratory female-specific coupling patterns absent in males. Universal acceleration predominance was observed in both maternal and fetal heart rates, stronger in fetuses and independent of sex or stress. We provide insight into the dependence of these findings on the sampling rate of the underlying data, identifying 4 Hz, commonly used for ultrasound-derived fetal heart rate recordings, as the necessary and sufficient sampling rate regime to capture the information flow. Information-theoretical analysis reveals that maternal-fetal coupling operates through complementary pathways with differential stress sensitivity, extending the Fetal Stress Index by elucidating causal foundations. Future studies should explore additional information-theoretical conditional approaches to resolve stress-specific and time-scale-specific differences in information flow.

q-bio.QM

Relationship between unpredictability and intermittency in shell models of turbulence and experiments

We study the predictability of turbulent velocity signals using probabilistic analog-forecasting. Here, predictability is defined by the accuracy of forecasts and the associated uncertainties. We study the Gledzer--Ohkitani--Yamada (GOY) shell model of turbulence as well as experimental measurements from a fully developed turbulent flow. In both cases, we identify the extreme values of velocity at small scales as localized unpredictable events that lead to a loss of predictability: worse mean predictions and increase of their uncertainties. The GOY model, with its explicit scale separation, allows to evaluate the prediction performance at individual scales, and so to better relate the intensity of extreme events and the loss of forecast performance. Results show that predictability decreases systematically from large to small scales. These findings establish a statistical connection between predictability loss across scales and intermittency in turbulent flows.

physics.flu-dyn

Structure functions and flatness of streamwise velocity in a turbulent channel flow

In this article, we present a multiscale characterization of the streamwise velocity of a turbulent channel flow. We study the 2nd and 4th order structure functions and the flatness for scales ranging from the dissipative to the integral domains and for a wide range of distances to the walls spanning four distinct regions of the channel. We characterize the impact of the shear stress induced by the walls on these statistics. Far from the walls, in the outer layer, the impact of the boundaries on the flow is negligible and the flow statistics follow the Kolmogorov-Obukhov theory. In the viscous, buffer and logarithmic regions, the inertial domain can be split in two subdomains of scales with two different statistical behaviors. In the logarithmic region, the scaling of the structure functions agrees with the model of Davidson et al. 2006 but the scaling of the flatness seems to better correspond to the characterization of intermittency proposed by Kolmogorov and Obukhov in 1962. The structure functions and flatness of the streamwise velocity in the buffer and viscous regions are studied for the first time. We show the strong non-Gaussianity of the velocity flow at any scale in the viscous layer with strong intermittent events that may correspond to high shear-induced dissipation.

physics.flu-dyn

Analog-Based Forecasting of Turbulent Velocity: Relationship between Unpredictability and Intermittency

This study evaluates the performance of analog-based methodologies to predict, in a statistical way, the longitudinal velocity in a turbulent flow. The data used comes from hot wire experimental measurements from the Modane wind tunnel. We compared different methods and explored the impact of varying the number of analogs and their sizes on prediction accuracy. We illustrate that the innovation, defined as the difference between the true velocity value and the prediction value, highlights particularly unpredictable events that we directly link with extreme events of the velocity gradients and so to intermittency. A statistical study of the innovation indicates that while the estimator effectively seizes linear correlations, it fails to fully capture higher-order dependencies. The innovation underscores the presence of intermittency, revealing the limitations of current predictive models and suggesting directions for future improvements in turbulence forecasting.This study evaluates the performance of analog-based methodologies to predict the longitudinal velocity in a turbulent flow. The data used comes from hot wire experimental measurements from the Modane wind tunnel. We compared different methods and explored the impact of varying the number of analogs and their sizes on prediction accuracy. We illustrate that the innovation, defined as the difference between the true velocity value and the prediction value, highlights particularly unpredictable events that we directly link with extreme events of the velocity gradients and so to intermittency. This result indicates that while the estimator effectively seizes linear correlations, it fails to fully capture higher-order dependencies. The innovation underscores the presence of intermittency, revealing the limitations of current predictive models and suggesting directions for future improvements in turbulence forecasting.

physics.data-an

Multiscale and Anisotropic Characterization of Images Based on Complexity: an Application to Turbulence

This article presents a multiscale, non-linear and directional statistical characterization of images based on the estimation of the skewness, flatness, entropy and distance from Gaussianity of the spatial increments. These increments are characterized by their magnitude and direction; they allow us to characterize the multiscale properties directionally and to explore anisotropy. To describe the evolution of the probability density function of the increments with their magnitude and direction, we use the skewness to probe the symmetry, the entropy to measure the complexity, and both the flatness and distance from Gaussianity to describe the shape. These four quantities allow us to explore the anisotropy of the linear correlations and non-linear dependencies of the field across scales. First, we validate the methodology on two-dimensional synthetic scale-invariant fields with different multiscale properties and anisotropic characteristics. Then, we apply it on two synthetic turbulent velocity fields: a perfectly isotropic and homogeneous one, and a channel flow where boundaries induce inhomogeneity and anisotropy. Our characterization unambiguously detects the anisotropy in the second case, where our quantities report scaling properties that depend on the direction of analysis. Furthermore, we show in both cases that turbulent velocity fluctuations are always isotropic, when the mean velocity profile is adequately removed.

physics.flu-dyn

Two-dimensional structure functions to characterize convective rolls in the marine atmospheric boundary layer from Sentinel-1 SAR images

We study the shape of convective rolls in the Marine Atmospheric Boundary Layer from Synthetic Aperture Radar images of the ocean. We propose a multiscale analysis with structure functions which allow an easy generalization to analyse high-order statistics and so to finely describe the shape of the rolls. The two main results are : 1) second order structure function characterizes the size and direction of rolls just like correlation or power spectrum do, 2) high order statistics can be studied with skewness and Flatness which characterize the asymmetry and intermittency of rolls respectively. From the best of our knowledge, this is the first time that the asymmetry and intermittency of rolls is shown from radar images of the ocean surface.

cs.IT

Quantifying Non-Stationarity with Information Theory

We introduce an index based on information theory to quantify the stationarity of a stochastic process.The index compares on the one hand the information contained in the increment at the time scale $τ$ of the process at time $t$ with, on the other hand, the extra information in the variable at time $t$ that is not present at time $t-τ$. By varying the scale $τ$, the index can explore a full range of scales. We thus obtain a multi-scale quantity that is not restricted to the first two moments of the density distribution, nor to the covariance, but that probes the complete dependences in the process. This index indeed provides a measure of the regularity of the process at a given scale.Not only is this index able to indicate whether a realization of the process is stationary, but its evolution across scales also indicates how rough and non-stationary it is.We show how the index behaves for various synthetic processes proposed to model fluid turbulence, as well as on experimental fluid turbulence measurements.

physics.data-an

Distance to healthy cardiovascular dynamics from fetal heart rate scale-dependent features in pregnant sheep model of human labor predicts cardiovascular decompensation

The overarching goal of the present work is to contribute to the understanding of the relations between fetal heart rate (FHR) temporal dynamics and the well-being of the fetus, notably in terms of predicting cardiovascular decompensation (CVD). It makes uses of an established animal model of human labor, where fourteen near-term ovine fetuses subjected to umbilical cord occlusions (UCO) were instrumented to permit regular intermittent measurements of metabolites, pH, and continuous recording of electrocardiogram (ECG) and systemic arterial blood pressure (to identify CVD) during UCO. ECG-derived FHR was digitized at the sampling rate of 1000 Hz and resampled to 4Hz, as used in clinical routine. We focused on four FHR variability features which are tunable to temporal scales of FHR dynamics, robustly computable from FHR sampled at $4$Hz and within short-time sliding windows, hence permitting a time-dependent, or local, analysis of FHR which helps dealing with signal noise. Results show the sensitivity of the proposed features for early detection of CVD, correlation to metabolites and pH, useful for early acidosis detection and the importance of coarse time scales (2.5 to 8 seconds) which are not disturbed by the low FHR sampling rate. Further, we introduce the performance of an individualized self-referencing metric of the distance to healthy state, based on a combination of the four features. We demonstrate that this novel metric, applied to clinically available FHR temporal dynamics alone, accurately predicts the time occurrence of CVD which heralds a clinically significant degradation of the fetal health reserve to tolerate the trial of labor.

physics.med-ph

Frequency gradients in heterogeneous oscillatory media can spatially localize self-organized wave sources that coordinate system-wide activity

Rhythmogenesis, which is critical for many biological functions, involves a transition to coherent activity through cell-cell communication. In the absence of centralized coordination by specialized cells (pacemakers), competing oscillating clusters impede this global synchrony. We show that spatial symmetry-breaking through a frequency gradient results in the emergence of localized wave sources driving system-wide activity. Such gradients, arising through heterogeneous inter-cellular coupling, may explain directed rhythmic activity during labor in the uterus despite the absence of pacemakers.

nlin.AO

Information Theory to probe Intrapartum Fetal Heart Rate Dynamics

Intrapartum fetal heart rate (FHR) monitoring constitutes a reference tool in clinical practice to assess the baby health status and to detect fetal acidosis. It is usually analyzed by visual inspection grounded on FIGO criteria. Characterization of Intrapartum fetal heart rate temporal dynamics remains a challenging task and continuously receives academic research efforts. Complexity measures, often implemented with tools referred to as \emph{Approximate Entropy} (ApEn) or \emph{Sample Entropy} (SampEn), have regularly been reported as significant features for intrapartum FHR analysis. We explore how Information Theory, and especially {\em auto mutual information} (AMI), is connected to ApEn and SampEn and can be used to probe FHR dynamics. Applied to a large (1404 subjects) and documented database of FHR data, collected in a French academic hospital, it is shown that i) auto mutual information outperforms ApEn and SampEn for acidosis detection in the first stage of labor and continues to yield the best performance in the second stage; ii) Shannon entropy increases as labor progresses, and is always much larger in the second stage;iii) babies suffering from fetal acidosis additionally show more structured temporal dynamics than healthy ones and that this progressive structuration can be used for early acidosis detection.

physics.med-ph

A Kullback-Leibler divergence measure of intermittency: application to turbulence

For generic systems exhibiting power law behaviors, and hence multiscale dependencies, we propose a new, and yet simple, tool to analyze multifractality and intermittency, after noticing that these concepts are directly related to the deformation of a probability density function from Gaussian at large scales to non-Gaussian at smaller scales. Our framework is based on information theory, and uses Shannon entropy and Kullback-Leibler divergence. We propose an extensive application to three-dimensional fully developed turbulence, seen here as a paradigmatic complex system where intermittency was historically defined. Moreover, the concepts of scale invariance and multifractality were extensively studied in this field and, most importantly, benchmarked. We compute our measure on experimental Eulerian velocity measurements, as well as on synthetic processes and a phenomenological model of fluid turbulence.Our approach is very general and does not require any underlying model of the system, although it can probe the relevance of such a model.

cond-mat.stat-mech

Scaling of Information in Turbulence

We propose a new perspective on Turbulence using Information Theory. We compute the entropy rate of a turbulent velocity signal and we particularly focus on its dependence on the scale. We first report how the entropy rate is able to describe the distribution of information amongst scales, and how one can use it to isolate the injection, inertial and dissipative ranges, in perfect agreement with the Batchelor model and with a fBM model. In a second stage, we design a conditioning procedure in order to finely probe the asymmetries in the statistics that are responsible for the energy cascade. Our approach is very generic and can be applied to any multiscale complex system.

cond-mat.stat-mech

Continuous and discontinuous transitions to synchronization

We describe how the transition to synchronization in a system of globally coupled Stuart-Landau oscillators changes from continuous to discontinuous when the nature of the coupling is moved from diffusive to reactive. We explain this drastic qualitative change as resulting from the co-existence of a particular synchronized macrostate together with the trivial incoherent macrostate, in a range of parameter values for which the later is linearly stable. In contrast to the paradigmatic Kuramoto model, this particular state observed at the synchronization transition contains a finite, non-vanishing number of synchronized oscillators, which results in a discontinuous transition. We consider successively two situations where either a fully synchronized state or a partially synchronized state exist at the transition. Thermodynamic limit and finite size effects are briefly discussed, as well as connections with recently observed discontinuous transitions.

nlin.CD

The role of cellular coupling in the spontaneous generation of electrical activity in uterine tissue

The spontaneous emergence of contraction-inducing electrical activity in the uterus at the beginning of labor remains poorly understood, partly due to the seemingly contradictory observation that isolated uterine cells are not spontaneously active. It is known, however, that the expression of gap junctions increases dramatically in the approach to parturition, which results in a significant increase in inter-cellular electrical coupling. In this paper, we build upon previous studies of the activity of electrically excitable smooth muscle cells (myocytes) and investigate the mechanism through which the coupling of these cells to electrically passive cells results in the generation of spontaneous activity in the uterus. Using a recently developed, realistic model of uterine muscle cell dynamics, we investigate a system consisting of a myocyte coupled to passive cells. We then extend our analysis to a simple two-dimensional lattice model of the tissue, with each myocyte being coupled to its neighbors, as well as to a random number of passive cells. We observe that different dynamical regimes can be observed over a range of gap junction conductances: at low coupling strength, the activity is confined to cell clusters, while the activity for high coupling may spread across the entire tissue. Additionally, we find that the system supports the spontaneous generation of spiral wave activity. Our results are both qualitatively and quantitatively consistent with observations from in vitro experiments. In particular, we demonstrate that an increase in inter-cellular electrical coupling, for realistic parameter values, strongly facilitates the appearance of spontaneous action potentials that may eventually lead to parturition.

q-bio.TO

Heat fluctuations for harmonic oscillators

Heat fluctuations of a harmonic oscillator in contact with a thermostat and driven out of equilibrium by an external deterministic force are studied experimentally and theoretically within the context of Fluctuation Theorems. We consider the case of a periodic forcing of the oscillator, and we calculate the analytic probability density function of heat fluctuations. The limit of large time is discussed and we show that heat fluctuations satisfy the conventional fluctuation theorem, even if a different fluctuation relation exists for this quantity. Experimental results are also given for a transient state.

cond-mat.stat-mech

Work fluctuation theorems for harmonic oscillators

The work fluctuations of an oscillator in contact with a thermostat and driven out of equilibrium by an external force are studied experimentally and theoretically within the context of Fluctuation Theorems (FTs). The oscillator dynamics is modeled by a second order Langevin equation. Both the transient and stationary state fluctuation theorems hold and the finite time corrections are very different from those of a first order Langevin equation. The periodic forcing of the oscillator is also studied; it presents new and unexpected short time convergences. Analytical expressions are given in all cases.

cond-mat.stat-mech