5 research outputs found

    Questions Ă©thiques relatives Ă  la personne trisomique en fin de vie

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    Une situation vĂ©cue a interpelĂ© des Ă©tudiants en mĂ©decine. Un patient ĂągĂ© de 54 ans, atteint du syndrome de Down, arrive au service des urgences avec une altĂ©ration de l’état gĂ©nĂ©ral et une suspicion de pneumonie ; il a prĂ©sentĂ© rĂ©cemment un Ă©pisode de rectorragies et des douleurs abdominales. Quelle est l’attitude diagnostique la plus adĂ©quate ? A partir de sources scientifiques, Ă©thiques et juridiques, nous apportons une vision nouvelle quant Ă  l’approche de ce type de situation.A situation that happened in a hospital questioned medical students. A 54 years old patient, with Down’s syndrome, came to the emergencies department with a change of the general state, a suspicion of pneumonia and a recent episode of rectal bleeding and abdominal pain. What is the more suitable diagnostic procedure? On the basis of the scientific, ethical and legal aspects, we bring a new vision for the approach of this kind of situation

    Refining the Resolution of DUACS Along-Track Level-3 Sea Level Altimetry Products

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    This paper describes the demonstration of a regional high-resolution level-3 (L3) altimeter data unification and altimeter combination system (DUACS) developed with support from the French space agency (CNES). Deduced from full-rate (20 Hz to 40 Hz) level-2 (L2) altimeter measurements, this product provides sea level anomalies (SLA) and other essential physical variables at a spatial resolution of one sample every ~1 km over the North Atlantic Ocean. This allows us to resolve wavelengths from ~35 km to ~55 km depending on the altimeter considered. This was made possible by recent advances in radar altimeter processing for both synthetic aperture radar (SAR) and low-resolution-mode (LRM) measurements, as well as improvements made to different stages of the DUACS processing chain. Firstly, the new adaptive and low-resolution with range migration correction (LR-RMC) processing techniques were considered for Jason and Sentinel-3 (S3A), respectively. They significantly reduce errors at short wavelengths, and the adaptive processing also reduces possible land contamination near the coast. Next, up-to-date geophysical and environmental corrections were selected for this production. This includes specific corrections intended to reduce the measurement noise on LRM measurements and thus enhance the observability at short wavelengths. Compared with the 1 Hz product, the observable wavelengths reached with the demonstration high-resolution product are reduced by up to one third, or up to half in the northeast Atlantic region. The residual noises were optimally filtered from full-rate measurements, taking into consideration the different observing capabilities of the altimeters processed. A specific data recovery strategy was applied, significantly optimizing the data availability, both in the coastal and open ocean areas. This demonstration L3 product is thus better resolved than the conventional 1 Hz product, especially near the coast, where it is defined up to ~5 km against ~10 km for the 1 Hz version. Multi-mission cross-calibration processing was also optimized with an improved long-wavelength error (LWE) correction, leading to a better consistency between tracks, with a 9–15% reduction in SLA variance at cross-overs. The new L3 product improves the overall consistency with tide gauge measurements, with a reduction in SLA differences variance by 5 and 17% compared with the 1 Hz product from the S3A and Jason-3 (J3) measurements, respectively. Primarily intended for regional applications, this product can significantly contribute to improving high-resolution numerical model output via data assimilation. It also opens new perspectives for a better understanding of regional sea-surface dynamics, with an improved representation of the coastal currents and a refined spectral content revealing the unbalanced signal

    Toward an integrated HF radar network in the Mediterranean Sea to improve search and rescue and oil spill response: the TOSCA project experience

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    High-frequency (HF) coastal radars measure current velocity at the ocean surface with a 30-100 km range and 1-3 km resolution, every 0.25-1 h. HF radars are well suited to many applications, such as search and rescue (SaR), oil-spill mitigation and ecosystem management. Here we present a first organized core of 12 HF radars installed in five sites in four countries (Greece, Italy, France and Spain) within the European MED project, the Tracking Oil Spill and Coastal Awareness (TOSCA) network. Dedicated experiments tested radar capabilities to estimate transport driven by currents, which is the key feature for all the above applications. Experiments involved the deployment of drifters, i.e., floating buoys, acting as proxies for substances passively advected by currents. Using HF radars the search range is reduced by a factor of 1.6 to 5.3 after 24 h. The paper also underlines the importance of sharing common tools for HF radar data processing and the need to mitigate radio frequency interference. The effort can be regarded as an initial step toward the creation of a Mediterranean or European HF radar network, crucial for any European integrated ocean observing system (IOOS

    Toward an integrated HF radar network in the Mediterranean Sea to improve search and rescue and oil spill response: the TOSCA project experience

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    International audienceHigh-frequency (HF) coastal radars measure current velocity at the ocean surface with a 30-100 km range and 1-3 km resolution, every 0.25-1 h. HF radars are well suited to many applications, such as search and rescue (SaR), oil-spill mitigation and ecosystem management. Here we present a first organized core of 12 HF radars installed in five sites in four countries (Greece, Italy, France and Spain) within the European MED project, the Tracking Oil Spill and Coastal Awareness (TOSCA) network. Dedicated experiments tested radar capabilities to estimate transport driven by currents, which is the key feature for all the above applications. Experiments involved the deployment of drifters, i.e., floating buoys, acting as proxies for substances passively advected by currents. Using HF radars the search range is reduced by a factor of 1.6 to 5.3 after 24 h. The paper also underlines the importance of sharing common tools for HF radar data processing and the need to mitigate radio frequency interference. The effort can be regarded as an initial step toward the creation of a Mediterranean or European HF radar network, crucial for any European integrated ocean observing system (IOOS)
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