DESDynI Lidar for Solid Earth Applications

As part of the NASA's DESDynI mission, global elevation profiles from contiguous 25 m footprint Lidar measurements will be made. Here we present results of a performance simulation of a single pass of the multi-beam Lidar instrument over uplifted marine terraces in southern Alaska. The significance of the Lidar simulations is that surface topography would be captured at sufficient resolution for mapping uplifted terraces features but it will be hard to discern I-2m topographic change over features less than tens of meters in width. Since Lidar would penetrate most vegetation, the accurate bald Earth elevation profiles will give new elevation information beyond the standard 30-m OEM

Plate Margin Deformation and Active Tectonics Along the Northern Edge of the Yakutat Terrane in the Saint Elias Orogen, Alaska and Yukon, Canada

The northwest directed motion of the Pacific plate is accompanied by migration and collision of the Yakutat terrane into the cusp of southern Alaska. The nature and magnitude of accretion and translation on upper crustal faults and folds is poorly constrained, however, due to pervasive glaciation. In this study we used high-resolution topography, geodetic imaging, seismic, and geologic data to advance understanding of the transition from strike-slip motion on the Fairweather fault to plate margin deformation on the Bagley fault, which cuts through the upper plate of the collisional suture above the subduction megathrust. The Fairweather fault terminates by oblique-extensional splay faulting within a structural syntaxis, allowing rapid tectonic upwelling of rocks driven by thrust faulting and crustal contraction. Plate motion is partly transferred from the Fairweather to the Bagley fault, which extends 125 km farther west as a dextral shear zone that is partly reactivated by reverse faulting. The Bagley fault dips steeply through the upper plate to intersect the subduction megathrust at depth, forming a narrow fault-bounded crustal sliver in the obliquely convergent plate margin. Since . 20 Ma the Bagley fault has accommodated more than 50 km of dextral shearing and several kilometers of reverse motion along its southern flank during terrane accretion. The fault is considered capable of generating earthquakes because it is linked to faults that generated large historic earthquakes, suitably oriented for reactivation in the contemporary stress field, and locally marked by seismicity. The fault may generate earthquakes of Mw <= 7.5

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Introduction to special section: Mechanical involvement of fluids in faulting

A growing body of evidence suggests that fluids are intimately linked to a variety of faulting processes. These include the long-term structural and compositional evolution of fault zones; fault creep; and the nucleation, propagation, arrest, and recurrence of earthquake ruptures. Besides the widely recognized physical role of fluid pressures in controlling the strength of crustal fault zones, it is also apparent that fluids can exert mechanical influence through a variety of chemical effects. The United States Geological Survey sponsored a Conference on the Mechanical Effects of Fluids in Faulting under the auspices of the National Earthquake Hazards Reduction Program at Fish Camp, California, from June 6 to 10, 1993. The purpose of the conference was to draw together and to evaluate the disparate evidence for the involvement of fluids in faulting; to establish communication on the importance of fluids in the mechanics of faulting between the different disciplines concerned with fault zone processes; and to help define future critical investigations, experiments, and observational procedures for evaluating the role of fluids in faulting. This conference drew together a diverse group of 45 scientists, with expertise in electrical and magnetic methods, geochemistry, hydrology, ore deposits, rock mechanics, seismology, and structural geology

Surgical Treatment for Chronic Otitis Externa; Lateral Ear Resection

It is not uncommon to treat a chronic otitis externa that won't respond to the standard medical therapy. The purpose of this paper is to review the indications for the surgical correction of chronic otitis externa and also the surgical procedure.</p

Manejo del paciente en shock séptico

El shock séptico es la manifestación más grave de una infección. Esta se produce como consecuencia de una respuesta inflamatoria sistémica severa que lleva a un colapso cardiovascular y/o microcirculatorio, y a hipoperfusión tisular. La hipoperfusión constituye el elemento central que define la condición de shock y esta debe ser detectada y revertida en forma urgente desde la atención inicial. La evaluación de la perfusión periférica, la diuresis, y la medición del lactato y de la saturación venosa central, son las principales herramientas para evaluar la perfusión sistémica. La reanimación debe comenzar en forma inmediata con la administración agresiva de fluidos, la cual puede ser guiada por parámetros dinámicos de respuesta a fluidos, y continuada hasta normalizar u optimizar las metas de perfusión. En forma paralela se debe iniciar vasopresores en caso de hipotensión marcada, siendo el agente de elección noradrenalina, y conectar precozmente al paciente a ventilación mecánica frente a hipoperfusión severa que no responde a fluidos, o frente a un aumento del trabajo respiratorio. Adicionalmente, el foco infeccioso debe ser tratado agresivamente iniciando antibióticos lo antes posible

Semi-universal geo-crack detection by machine learning

Introduction: Cracks are a key feature that determines the structural integrity of rocks, and their angular distribution can be used to determine the local or regional stress patterns. The temporal growth of cracks can be monitored in order to predict impending failures of materials or structures such as a weakened dam. Thus, cracks and their spatial-temporal distributions should be automatically monitored for assessing their structural integrity, the associated stress patterns and their potential for failure.Method: We show that the U-Net convolutional neural network, semantic segmentation and transfer learning can be used to accurately detect cracks in drone photos of sedimentary massifs. In this case, the crack distributions are used to assess the safest areas for tunnel excavation. Compared to the coarse performance of ridge detection, the U-Net accuracy in identifying cracks in images can be as high as 98% when evaluated against human identification, which is sufficient for assessing the general crack properties of the rock faces for the engineering project.Result: Based on approximately 100 h of manual cracks labeling in 127 drone photos and 20 h of network training, the U-Net was able to successfully detect cracks in 23,845 high-resolution photographs in less than 22 h using two Nvidia V100 GPUs. Meanwhile, the network was able to detect more than 80% of the observable cracks of a volcanic outcrop in Idaho without additional training. With a modest amount of extra labeling on photos of the volcanic outcrop and transfer training, we found that the accuracy significantly improved. The surprising outcome of this research is that the U-Net crack detector laboriously trained on photos of sedimentary rocks can also be effectively applied to photos of volcanic rock faces. This can be important for real-time assessment of geological hazards and lithology information for dam inspection and planetary exploration by autonomous vehicles. For another application, we accurately detected fractures and faults with a scale of tens of kilometers from Martian photographs.Conclusions: In summary, our methodology of using CNN with transfer training suggests that it can be used as a semi-universal detector of cracks in across a range of diverse geological settings