1,413 research outputs found

    Well being in hospitals : design-aids for functionally environmentally-sound therapeutic buildings

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    Gauge invariance of parametrized systems and path integral quantization

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    Gauge invariance of systems whose Hamilton-Jacobi equation is separable is improved by adding surface terms to the action fuctional. The general form of these terms is given for some complete solutions of the Hamilton-Jacobi equation. The procedure is applied to the relativistic particle and toy universes, which are quantized by imposing canonical gauge conditions in the path integral; in the case of empty models, we first quantize the parametrized system called ``ideal clock'', and then we examine the possibility of obtaining the amplitude for the minisuperspaces by matching them with the ideal clock. The relation existing between the geometrical properties of the constraint surface and the variables identifying the quantum states in the path integral is discussed.Comment: 23 page

    Spatio-temporal variability of micro-, nano- and pico-phytoplankton in the Mediterranean Sea from satellite ocean colour data of SeaWiFS

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    Abstract. The seasonal and year-to-year variability of the phytoplankton size class (PSC) spatial distribution has been examined in the Mediterranean Sea by using the entire time series of Sea-viewing Wide Field-of-view Sensor (SeaWiFS) space observations (1998–2010). Daily maps of PSCs have been determined using an empirical model based on a synoptic relationship between surface chlorophyll a and diagnostic pigments referred to different taxonomic groups. The analysis of micro-, nano- and pico-phytoplankton satellite time series (1998–2010) describes, quantitatively, the algal assemblage structure over the basin and reveals that the main contribution to chlorophyll a in most of the Mediterranean Sea comes from the pico-phytoplankton component, especially in nutrient-poor environments. Regions with different and peculiar features are the Northwestern Mediterranean Sea, the Alborán Sea and several coastal areas, such as the North Adriatic Sea. In these areas, local interactions between physical and biological components modulate the composition of the three phytoplankton size classes. It results that, during the spring bloom season, micro-phytoplankton dominates in areas of intense vertical winter mixing and deep/intermediate water formation, while in coastal areas micro-phytoplankton dominates in all seasons because of the nutrient supply from the terrestrial inputs. In the Alborán Sea, where the Atlantic inflow modulates the nutrient availability, any predominance of one class over the other two has been observed. The nano-phytoplankton component instead remains widespread over the entire basin along the year, and its contribution to chlorophyll a is of the order of 30–40 %. The largest inter-annual signal occurs in the Northwestern Mediterranean Sea, driven by the year-to-year variation in intensity and extension of the spring bloom, followed by the Alborán Sea, in which the inter-annual variability is strongly modulated by the Atlantic inflow. In absence of sufficient in situ data of community composition, the satellite-based analysis demonstrated that pico-, nano- and micro-phytoplankton classes often coexist. The predominance of one group over the other ones is strongly dependent on the physical and biological processes occurring at the mesoscale. These processes directly influence the nutrient and light availability, which are the principal forcing for the algae growth

    X-ray-absorption fine-structure study of ZnSexTe1−x alloys

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    X-ray-absorption fine-structure experiments at different temperatures in ZnSexTe1−x (x=0, 0.1, 0.2, 0.55, 0.81, 0.93, 0.99, and 1.0) have been performed in order to obtain information about the structural relaxation and disorder effects occurring in the alloys. First and second neighbor distance distributions have been characterized at the Se and Zn K edges, using multiple-edge and multiple-scattering data analysis. The first neighbor distance distribution was found to be bimodal. The static disorder associated with the Zn–Te distance variance did not depend appreciably on composition. On the other hand, the static disorder associated with the Zn–Se distance increased as the Se content diminished. Using the bonding angle information provided by our experiments the point of view of the anion has been related to that of the cation. The resulting structural model indicates that Zn tetrahedra surrounding the anions remain essentially undistorted, but forced to tilt from their ideal zincblende orientation to accommodate the minority element. The main origin of structural disorder is [email protected] ; [email protected]

    Role of surgical setting and patients-related factors in predicting the occurrence of postoperative pulmonary complications after abdominal surgery

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    OBJECTIVE: The aim of this retrospective study was to evaluate the role of surgical setting (urgent vs. elective) and approach (open vs. laparoscopic) in affecting postoperative pulmonary complications (PPCs) prevalence in patients undergoing abdominal surgery. PATIENTS AND METHODS: After local Ethical Committee approval, 409 patients who had undergone abdominal surgery between January and December 2014 were included in the final analysis. PPCs were defined as the development of one of the following new findings: respiratory failure, pulmonary infection, aspiration pneumonia, pleural effusion, pneumothorax, atelectasis on chest X-ray, bronchospasm or un-planned urgent re-intubation. RESULTS: PPCs prevalence was greater in urgent (33%) vs. elective setting (7%) (chi(2) with Yates correction: 44; p=0.0001) and in open (6%) vs. laparoscopic approach (1.9%) (chi(2) with Yates correction: 12; p=0.0006). PPCs occurrence was positively correlated with in-hospital mortality (Biserial Correlation r=0.37; p=0.0001). Logistic regression showed that urgent setting (p=0.000), Ariscat (Assess Respiratory Risk in Surgical Patients in Catalonia) score (p=0.004), and age (p=0.01) were predictors of PPCs. A cutoff of 23 for Ariscat score was also identified as determining factor for PPCs occurrence with 94% sensitivity and 29% specificity. CONCLUSIONS: Patients undergoing abdominal surgery in an urgent setting were exposed to a higher risk of PPCs compared to patients scheduled for elective procedures. Ariscat score fitted with PPCs prevalence and older patients were exposed to a higher risk of PPCs. Prospective studies are needed to confirm these result

    Structural change of carbon supported Pt nanocatalyst subjected to a step-like potential cycling in PEM-FC

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    Abstract In this paper we present detailed X-ray absorption fine structure (XAFS), X-ray diffraction (XRD) and transmission electron microscopy (TEM) investigations of the changes in the local geometric and electronic structure of Pt nanoparticles used as a cathode catalyst in proton exchange membrane fuel cell (PEMFC), working under controlled potential cycling conditions. The body of the results obtained suggests that in the first stage of \{PEMFC\} operation, small particle dissolution was a dominant process. Subsequent 100 h of work led to the progressive agglomeration of nanoparticles followed by a pronounced growth of the mean nanoparticle size. At the same time, high-quality \{XAFS\} spectra analysis demonstrated that negligible changes in structural local ordering and a slight increase in Pt 5d-electron density occurred during the whole \{FC\} operation period under consideration

    Deep infiltrating endometriosis of the colon causing cyclic bleeding

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    [Description] Endometriosis, the presence of functional endometrial tissue outside the uterus, occurs in about 3–10% of women of reproductive age and is a cause of chronic pelvic pain and infertility for some.1 Bowel involvement may be present in about 5–10% of these women, mostly affecting the rectum and distal sigmoid (over 80% of cases), and, more infrequently, the appendix, ileum and caecum. The most common lesions involve only the serosa (endometriotic implants) but they can penetrate the muscular layers of the wall, in which case they are called deep infiltrating endometriosis. (...)(undefined

    Management training for hospital administrators: sentinel lymph-node biopsy under local anaesthetic for carcinoma of the breast–organizational and economic impact

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    This study compares sentinel lymph-node biopsy carried out at the time of removal of the primary breast tumour, under general anaesthetic, with sentinel lymph-node biopsy carried out under local anaesthetic prior to the main operation. It compares the total cost of the two treatment approaches, in terms of average income and of their impact on the subsequent programming of operations and hence on waiting lists and income
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