30 research outputs found
Moving glass theory of driven lattices with disorder
We study periodic structures, such as vortex lattices, moving in a random
potential. As predicted in [T. Giamarchi, P. Le Doussal Phys. Rev. Lett. 76
3408 (1996)] the periodicity in the direction transverse to motion leads to a
new class of driven systems: the Moving Glasses. We analyse using several RG
techniques the properties at T=0 and : (i) decay of translational long
range order (ii) particles flow along static channels (iii) the channel pattern
is highly correlated (iv) barriers to transverse motion. We demonstrate the
existence of the ``transverse critical force'' at T=0. A ``static random
force'' is shown to be generated by motion. Displacements grow logarithmically
in and algebraically in . The persistence of quasi long range
translational order in at weak disorder, or large velocity leads to
predict a topologically ordered ``Moving Bragg Glass''. This state continues
the static Bragg glass and is stable at , with non linear transverse
response and linear asymptotic behavior. In , or in at intermediate
disorder, another moving glass exist (the Moving Transverse Glass) with smectic
quasi order in the transverse direction. A phase diagram in force and
disorder for static and moving structures is proposed. For correlated disorder
we predict a ``moving Bose glass'' state with anisotropic transverse Meissner
effect and transverse pinning. We discuss experimental consequences such as
anomalous Hall effect in Wigner crystal and transverse critical current in
vortex lattice.Comment: 74 pages, 27 figures, RevTe
Managing the Mental Health of Healthcare Professionals in Times of Crisis: The Aruban COVID-19 Experience
A Abstract: PurposeHospital workers in Aruba have been facing an increased demand for healthcare in the unique setting of a Small Island Developing State (SIDS). This study assessed the impact of the first wave of the SARS-CoV-2 pandemic on the mental health of staff at the major hospital in Aruba, examining the differences between employee groups, with the goal of providing recommendations for targeted support and coping strategies in future crises in a small island setting. Patients and methods: In a mixed-method cohort design, Dr. Horacio E. Oduber Hospital staff were asked to complete a 25-item questionnaire about their concerns and worries, organization of work, and general wellbeing; 24% of the hospital staff filled in the questionnaire (mean age 41 +/- 11 years, 79% female). Alongside the needs assessment questionnaire, six focus groups were established to explore staff feelings on specific measures taken by hospital management during the COVID-19 crisis. Results: Questionnaire analysis (n = 231) revealed employees' concerns about infecting their relatives and their financial stability. In particular, nurses were significantly more concerned than other staff groups. In the wellbeing section of the questionnaire, items regarding future security scored poorest, alongside increased levels of tiredness and nervousness. Focus groups discussions revealed frustrations of the hospital staff with the foreign staff brought in to help during the crisis and a need for better leadership and communication practices from hospital management. Conclusions: Comprehensive and holistic approaches should be implemented by the hospital management to prevent occupational burnout and demoralized work ethics and further emotional exhaustion
Managing the Mental Health of Healthcare Professionals in Times of Crisis: The Aruban COVID-19 Experience
Hospital workers in Aruba have been facing an increased demand for healthcare in the unique setting of a Small Island Developing State (SIDS). This study assessed the impact of the first wave of the SARS-CoV-2 pandemic on the mental health of staff at the major hospital in Aruba, examining the differences between employee groups, with the goal of providing recommendations for targeted support and coping strategies in future crises in a small island setting. Patients and methods: In a mixed-method cohort design, Dr. Horacio E. Oduber Hospital staff were asked to complete a 25-item questionnaire about their concerns and worries, organization of work, and general wellbeing; 24% of the hospital staff filled in the questionnaire (mean age 41 ± 11 years, 79% female). Alongside the needs assessment questionnaire, six focus groups were established to explore staff feelings on specific measures taken by hospital management during the COVID-19 crisis. Results: Questionnaire analysis (n = 231) revealed employees’ concerns about infecting their relatives and their financial stability. In particular, nurses were significantly more concerned than other staff groups. In the wellbeing section of the questionnaire, items regarding future security scored poorest, alongside increased levels of tiredness and nervousness. Focus groups discussions revealed frustrations of the hospital staff with the foreign staff brought in to help during the crisis and a need for better leadership and communication practices from hospital management. Conclusions: Comprehensive and holistic approaches should be implemented by the hospital management to prevent occupational burnout and demoralized work ethics and further emotional exhaustion
Leukaemia and lymphoma of the appendix presenting as acute appendicitis or acute abdomen. Four case reports with a review of the literature
Leukaemic and lymphomatous infiltration of the appendix is rare and even rarer is acute appendicitis as the initial manifestation. From our routine biopsy material we collected four cases of haematological malignancies presenting as acute appendicitis or acute abdomen, caused or accompanied by tumoral infiltration of the appendix. Appendicitis was the initial manifestation that allowed diagnosis of the underlying disease. The clinical histories and histological examinations of the appendices and of one autopsy are described. We report the first detailed description of acute myeloid leukaemia involving the appendix, and three cases of lymphomatous infiltration of the appendix presenting with appendicitis, and give an overview of the literature. In these days of budgetary cuts in national health services, where one may be tempted not to have seemingly commonplace cases of appendicitis histologitally verified, our cases emphasize that careful histopathological examination of all appendectomy specimens should be mandatory. Despite the fact that leukaemia and lymphoma of the appendix are rare, our cases illustrate that these must be included in the differential diagnosis of acute appendicitis and that physicians and surgeons have to be aware of these conditions.SCOPUS: ar.jinfo:eu-repo/semantics/publishe