Valorization of Vase Dam by the addition of the cement kiln Dust (CKD)

This study is the valuation of the mud dam Charef - Djelfa Wilaya in basic layers of material by the chemical stabilization process based on the addition of cement kiln dust (CKD) who considered under product from the manufacture of cement. In this context we came through particle size analysis tests, plasticity, chemical analysis, compaction, and simple compression on different samples of mud treated with different percentages of CKD and stored at a period of 28 days to change the consistency of the untreated mud and was a firm consistency to a hard and stable consistency by adding a percentage of 20% CKD

Les patients délirants

Délire: les dires. Quelle est la place de la parole délirante ? - Histoire: le président Schreber - Patient en urgence et délire - Histoire d'une prise en charge au long cours - Contexte et lecture du symptome - Patient en urgence et délir

Polya's inequalities, global uniform integrability and the size of plurisubharmonic lemniscates

First we prove a new inequality comparing uniformly the relative volume of a Borel subset with respect to any given complex euclidean ball \B \sub \C^n with its relative logarithmic capacity in \C^n with respect to the same ball \B. An analoguous comparison inequality for Borel subsets of euclidean balls of any generic real subspace of \C^n is also proved. Then we give several interesting applications of these inequalities. First we obtain sharp uniform estimates on the relative size of \psh lemniscates associated to the Lelong class of \psh functions of logarithmic singularities at infinity on \C^n as well as the Cegrell class of \psh functions of bounded Monge-Amp\`ere mass on a hyperconvex domain \W \Sub \C^n. Then we also deduce new results on the global behaviour of both the Lelong class and the Cegrell class of \psh functions.Comment: 25 page

Constraint on compactification scale via recently observed baryonic Λb→Λℓ+ℓ−\Lambda_b\rightarrow \Lambda \ell^+ \ell^- channel and analysis of the Σb→Σℓ+ℓ−\Sigma_b \rightarrow \Sigma \ell^+ \ell^- transition in SM and UED scenario

We obtain a lower limit on the compactification scale of extra dimension via comparison of the branching ratio in the baryonic $\Lambda_b\rightarrow \Lambda \mu^+ \mu^-$ decay channel recently measured by CDF collaboration and our previous theoretical study. We also use the newly available form factors calculated via light cone QCD sum rules in full theory to analyze the flavour changing neutral current process of the $\Sigma_b \rightarrow \Sigma \ell^+ \ell^-$ in universal extra dimension scenario in the presence of a single extra compact dimension. We calculate various physical quantities like branching ratio, forward-backward asymmetry, baryon polarizations and double lepton polarization asymmetries defining the decay channel under consideration. We also compare the obtained predictions with those of the standard model.Comment: 32 Pages, 27 Figures and one Tabl

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Application of the discrete maximum principle to the short-term scheduling of a hydroelectric power system

The purpose of this study is to develop a general algorithm to solve in a robust, flexible and fast way the short-term scheduling problems of two different multi-reservoir hydroelectric power systems. The first system consists of four reservoirs in series, the second corresponds to that of the Ste Maurice river.The solution method is based on the discrete maximum principle. Gradient method is used for the solution of the two-point boundary value problem. Two algorithms are suggested for dealing with difficulties posed by the state variable constraints. The first uses the augmented lagrangian method, the second is iterative.Both algorithms give a satisfactory solution for the problem. However, the first requires more memory space than the second but converges more rapidly. The second algorithm has the advantage of executing an iteration in less CPU time. For large scale problems the second (iterative) algorithm option is recommended