Endotracheal Intubation Success Rate in an Urban, Supervised, Resident-Staffed Emergency Mobile System: An 11-Year Retrospective Cohort Study.

In the prehospital setting, endotracheal intubation (ETI) is sometimes required to secure a patient's airways. Emergency ETI in the field can be particularly challenging, and success rates differ widely depending on the provider's training, background, and experience. Our aim was to evaluate the ETI success rate in a resident-staffed and specialist-physician-supervised emergency prehospital system. This retrospective study was conducted on data extracted from the Geneva University Hospitals' institutional database. In this city, the prehospital emergency response system has three levels of expertise: the first is an advanced life-support ambulance staffed by two paramedics, the second is a mobile unit staffed by an advanced paramedic and a resident physician, and the third is a senior emergency physician acting as a supervisor, who can be dispatched either as backup for the resident physician or when a regular Mobile Emergency and Resuscitation unit (Service Mobile d'Urgence et de Réanimation, SMUR) is not available. For this study, records of all adult patients taken care of by a second- and/or third-level prehospital medical team between 2008 and 2018 were screened for intubation attempts. The primary outcome was the success rate of the ETI attempts. The secondary outcomes were the number of ETI attempts, the rate of ETI success at the first attempt, and the rate of ETIs performed by a supervisor. A total of 3275 patients were included in the study, 55.1% of whom were in cardiac arrest. The overall ETI success rate was 96.8%, with 74.4% success at the first attempt. Supervisors oversaw 1167 ETI procedures onsite (35.6%) and performed the ETI themselves in only 488 cases (14.9%). A resident-staffed and specialist-physician-supervised urban emergency prehospital system can reach ETI success rates similar to those reported for a specialist-staffed system

Temperature correction to the Casimir force in cryogenic range and anomalous skin effect

Temperature correction to the Casimir force is considered for real metals at low temperatures. With the temperature decrease the mean free path for electrons becomes larger than the field penetration depth. In this condition description of metals with the impedance of anomalous skin effect is shown to be more appropriate than with the permittivity. The effect is crucial for the temperature correction. It is demonstrated that in the zero frequency limit the reflection coefficients should coincide with those of ideal metal if we demand the entropy to be zero at T=0. All the other prescriptions discussed in the literature for the $n=0$ term in the Lifshitz formula give negative entropy. It is shown that the temperature correction in the region of anomalous skin effect is not suppressed as it happens in the plasma model. This correction will be important in the future cryogenic measurements of the Casimir force.Comment: 12 pages, 2 figures, to be published in Phys. Rev.

Violation of the Nernst heat theorem in the theory of thermal Casimir force between Drude metals

We give a rigorous analytical derivation of low-temperature behavior of the Casimir entropy in the framework of the Lifshitz formula combined with the Drude dielectric function. An earlier result that the Casimir entropy at zero temperature is not equal to zero and depends on the parameters of the system is confirmed, i.e. the third law of thermodynamics (the Nernst heat theorem) is violated. We illustrate the resolution of this thermodynamical puzzle in the context of the surface impedance approach by several calculations of the thermal Casimir force and entropy for both real metals and dielectrics. Different representations for the impedances, which are equivalent for real photons, are discussed. Finally, we argue in favor of the Leontovich boundary condition which leads to results for the thermal Casimir force that are consistent with thermodynamics.Comment: 24 pages, 3 figures, accepted for publication in Phys. Rev.

Thermal correction to the Casimir force, radiative heat transfer, and an experiment

The low-temperature asymptotic expressions for the Casimir interaction between two real metals described by Leontovich surface impedance are obtained in the framework of thermal quantum field theory. It is shown that the Casimir entropy computed using the impedance of infrared optics vanishes in the limit of zero temperature. By contrast, the Casimir entropy computed using the impedance of the Drude model attains at zero temperature a positive value which depends on the parameters of a system, i.e., the Nernst heat theorem is violated. Thus, the impedance of infrared optics withstands the thermodynamic test, whereas the impedance of the Drude model does not. We also perform a phenomenological analysis of the thermal Casimir force and of the radiative heat transfer through a vacuum gap between real metal plates. The characterization of a metal by means of the Leontovich impedance of the Drude model is shown to be inconsistent with experiment at separations of a few hundred nanometers. A modification of the impedance of infrared optics is suggested taking into account relaxation processes. The power of radiative heat transfer predicted from this impedance is several times less than previous predictions due to different contributions from the transverse electric evanescent waves. The physical meaning of low frequencies in the Lifshitz formula is discussed. It is concluded that new measurements of radiative heat transfer are required to find out the adequate description of a metal in the theory of electromagnetic fluctuations.Comment: 19 pages, 4 figures. svjour.cls is used, to appear in Eur. Phys. J.

Surface-impedance approach solves problems with the thermal Casimir force between real metals

The surface impedance approach to the description of the thermal Casimir effect in the case of real metals is elaborated starting from the free energy of oscillators. The Lifshitz formula expressed in terms of the dielectric permittivity depending only on frequency is shown to be inapplicable in the frequency region where a real current may arise leading to Joule heating of the metal. The standard concept of a fluctuating electromagnetic field on such frequencies meets difficulties when used as a model for the zero-point oscillations or thermal photons in the thermal equilibrium inside metals. Instead, the surface impedance permits not to consider the electromagnetic oscillations inside the metal but taking the realistic material properties into account by means of the effective boundary condition. An independent derivation of the Lifshitz-type formulas for the Casimir free energy and force between two metal plates is presented within the impedance approach. It is shown that they are free of the contradictions with thermodynamics which are specific to the usual Lifshitz formula for dielectrics in combination with the Drude model. We demonstrate that in the impedance approach the zero-frequency contribution is uniquely fixed by the form of impedance function and does not need any of the ad hoc prescriptions intensively discussed in the recent literature. As an example, the computations of the Casimir free energy between two gold plates are performed at different separations and temperatures. It is argued that the surface impedance approach lays a reliable framework for the future measurements of the thermal Casimir force.Comment: 21 pages, 3 figures, to appear in Phys. Rev.

Thermodynamics and Kinetic Theory of Relativistic Gases in 2-D Cosmological Models

A kinetic theory of relativistic gases in a two-dimensional space is developed in order to obtain the equilibrium distribution function and the expressions for the fields of energy per particle, pressure, entropy per particle and heat capacities in equilibrium. Furthermore, by using the method of Chapman and Enskog for a kinetic model of the Boltzmann equation the non-equilibrium energy-momentum tensor and the entropy production rate are determined for a universe described by a two-dimensional Robertson-Walker metric. The solutions of the gravitational field equations that consider the non-equilibrium energy-momentum tensor - associated with the coefficient of bulk viscosity - show that opposed to the four-dimensional case, the cosmic scale factor attains a maximum value at a finite time decreasing to a "big crunch" and that there exists a solution of the gravitational field equations corresponding to a "false vacuum". The evolution of the fields of pressure, energy density and entropy production rate with the time is also discussed.Comment: 23 pages, accepted in PR

Re-examination of Electroweak Symmetry Breaking in Supersymmetry and Implications for Light Superpartners

We examine arguments that could avoid light superpartners as an implication of supersymmetric radiative electroweak symmetry breaking. We argue that, from the point of view of string theory and standard approaches to generating the mu-term, cancellations among parameters are not a generic feature. While the coefficients relating the Z-mass to parameters in the soft supersymmetry breaking Lagrangian can be made smaller, these same mechanisms lead to lighter superpartner masses at the electroweak scale. Consequently we strengthen the implication that gluinos, neutralinos, and charginos are light and likely to be produced at the Fermilab Tevatron and a linear collider.Comment: 27 pages, 3 figure

Improved tests of extra-dimensional physics and thermal quantum field theory from new Casimir force measurements

We report new constraints on extra-dimensional models and other physics beyond the Standard Model based on measurements of the Casimir force between two dissimilar metals for separations in the range 0.2--1.2 $\mu$m. The Casimir force between an Au-coated sphere and a Cu-coated plate of a microelectromechanical torsional oscillator was measured statically with an absolute error of 0.3 pN. In addition, the Casimir pressure between two parallel plates was determined dynamically with an absolute error of $\approx 0.6$ mPa. Within the limits of experimental and theoretical errors, the results are in agreement with a theory that takes into account the finite conductivity and roughness of the two metals. The level of agreement between experiment and theory was then used to set limits on the predictions of extra-dimensional physics and thermal quantum field theory. It is shown that two theoretical approaches to the thermal Casimir force which predict effects linear in temperture are ruled out by these experiments. Finally, constraints on Yukawa corrections to Newton's law of gravity are strengthened by more than an order of magnitude in the range 56 nm to 330 nm.Comment: Revtex 4, 35 pages, 14 figures in .gif format, accepted for publication in Phys. Rev.

Compactification with Flux on K3 and Tori

We study compactifications of Type IIB string theory on a K3 \times T^2/Z_2 orientifold in the presence of RR and NS flux. We find the most general supersymmetry preserving, Poincare invariant, vacua in this model. All the complex structure moduli and some of the Kahler moduli are stabilised in these vacua. We obtain in an explicit fashion the restrictions imposed by supersymmetry on the flux, and the values of the fixed moduli. Some T-duals and Heterotic duals are also discussed, these are non-Calabi-Yau spaces. A superpotential is constructed describing these duals.Comment: Discussion of susy breaking vacua significantly altere

Near-Surface Interface Detection for Coal Mining Applications Using Bispectral Features and GPR

The use of ground penetrating radar (GPR) for detecting the presence of near-surface interfaces is a scenario of special interest to the underground coal mining industry. The problem is difficult to solve in practice because the radar echo from the near-surface interface is often dominated by unwanted components such as antenna crosstalk and ringing, ground-bounce effects, clutter, and severe attenuation. These nuisance components are also highly sensitive to subtle variations in ground conditions, rendering the application of standard signal pre-processing techniques such as background subtraction largely ineffective in the unsupervised case. As a solution to this detection problem, we develop a novel pattern recognition-based algorithm which utilizes a neural network to classify features derived from the bispectrum of 1D early time radar data. The binary classifier is used to decide between two key cases, namely whether an interface is within, for example, 5 cm of the surface or not. This go/no-go detection capability is highly valuable for underground coal mining operations, such as longwall mining, where the need to leave a remnant coal section is essential for geological stability. The classifier was trained and tested using real GPR data with ground truth measurements. The real data was acquired from a testbed with coal-clay, coal-shale and shale-clay interfaces, which represents a test mine site. We show that, unlike traditional second order correlation based methods such as matched filtering which can fail even in known conditions, the new method reliably allows the detection of interfaces using GPR to be applied in the near-surface region. In this work, we are not addressing the problem of depth estimation, rather confining ourselves to detecting an interface within a particular depth range