26 research outputs found
Flat bidifferential ideals and semihamiltonian PDEs
In this paper we consider a class of semihamiltonian systems characterized by
the existence of a special conservation law.
The density and the current of this conservation law satisfy a second order
system of PDEs which has a natural interpretation in the theory of flat
bifferential ideals. The class of systems we consider contains important
well-known examples of semihamiltonian systems. Other examples, like genus 1
Whitham modulation equations for KdV, are related to this class by a
reciprocal trasformation.Comment: 18 pages. v5: formula (36) corrected; minor change
Postoperative prolonged infiltration anesthesia for multimodal perioperative pain management in patients with hip replacement arthroplasty
ТАЗОБЕДРЕННЫЙ СУСТАВ /ХИРТОТАЛЬНОЕ ЭНДОПРОТЕЗИРОВАНИЕАНЕСТЕЗИЯ ЭПИДУРАЛЬНАЯАНЕСТЕЗИЯ МЕСТНАЯАНЕСТЕЗИЯ ИНФИЛЬТРАЦИОННАЯРОПИВАКАИНА ГИДРОХЛОРИДМИКРОИНФУЗИОННАЯ ПОМПАЦель. Улучшить эффективность мультимодального периоперационного обезболивания у пациентов при тотальном эндопротезировании тазобедренного сустава за счет применения послеоперационной пролонгированной инфильтрационной анестезии области оперативного вмешательства. Материал и методы. Проведен проспективный сравнительный анализ результатов лечения 78 пациентов, которым было выполнено первичное тотальное эндопротезирование тазобедренного сустава. Пациенты были разделены на две группы: в первой группе в послеоперационном периоде использовали продленную эпидуральную анальгезию, во второй группе применяли пролонгированную 24-часовую инфильтрационную анестезию области операции введением 0,2% раствора ропивакаина гидрохлорида с помощью микроинфузионной помпы с постоянной скоростью 8 мл/час. У всех пациентов анализировали выраженность болевого синдрома, уровень плазменной концентрации кортизола, уровень гликемии. Также оценивали расход тримеперидина и время начала активизации пациентов. Оценку проводили за 24 часа до операции, а также через 6 и 24 часа после нее. Результаты. Через 24 часа после операции в первой и второй группах выраженность боли по шкале ВАШ составила 2,2±0,35 и 1,5±0,42 балла соответственно; уровень плазменного кортизола составил 768,5±45,8 нмоль/л и 584,6±54,2 нмоль/л соответственно; уровень концентрации глюкозы в крови составил 7,03±0,34 ммоль/л и 5,91±0,27 ммоль/л соответственно. Количество использованного тримеперидина за первые 24 часа после операции в первой и второй группах составило 38,6±2,95 мг и 21,3±3,17 мг соответственно. Первое присаживание и вертикализацию пациентов в первой группе осуществляли через 24,8±2,4 и 28±1,4 часа, во второй клинической группе – через 4,5±0,5 и 6,3±0,7 часа соответственно. Заключение. Применение пролонгированной инфильтрационной анестезии позволило на 46,7% эффективнее купировать болевой синдром, на 55,2% снизить количество требуемого тримеперидина в течение первых суток после операции и на 20,3±1,4 часа раньше начать активизацию пациентов по сравнению с продленной эпидуральной анестезией.Objective. To improve the efficiency of multimodal perioperative pain management in patients in case of the hip replacement arthroplasty using postoperative prolonged infiltration anesthesia in the area of surgical intervention. Methods. A prospective comparative analysis of the treatment results of 78 patients underwent the primary hip replacement arthroplasty was performed. The patients were divided into two groups: (1) the first group of patients was treated with prolonged epidural analgesia in the postoperative period, while (2) in the second group, the patients were treated with prolonged 24-hour infiltration anesthesia at the area of the surgical intervention by 0.2% of the ropivacaine hydrochloride solution, administered using microinfusion pump with a constant rate of 8 ml per hour. All patients were assessed for intensity of the pain syndrome, plasma concentrations of the cortisol and blood glucose levels. Also, trimeperidine consumption rate and the start of patient’s activity were assessed. The evaluation was conducted 24 hours prior to the surgical intervention, as well as 6 and 24 hours after. Results. 24 hours after the surgery, the pain intensity scores assessed by the VAS were 2.2±0.35 and 1.5±0.42 points in the first and second clinical groups, respectively; the cortisol plasma levels 24 hours after the surgical intervention were 768.5±45.8 nmol/l and 584.6±54.2 nmol/l in the first and second clinical groups, respectively; the blood glucose levels after the surgical intervention were 7.03±0.34 mmol/l and 5.91±0.27 mmol/l in the first and second clinical groups, respectively. Trimeperidine consumption rates for the first 24 hours after the surgical intervention were 38.6±2.95 mg and 21.3±3.17 mg in the first and second clinical groups, respectively. The first sitting and complete verticalization of patients in the first group were performed in 24.8±2.4 and 28±1.4 hours, while in the second clinical group, these activities were performed in 4.5±0.5 and 6.3±0.7 hours respectively. Conclusions. The use of the prolonged infiltration anesthesia allowed by 46.7% more effectively arresting pain syndrome, by 55.2% reducing trimeperidine consumption rate for the first 24 hours after the surgical intervention and by 20.3±1.4 hours earlier starting activation of patients if compared to the prolonged epidural analgesia
Singular sectors of the 1-layer Benney and dToda systems and their interrelations
Complete description of the singular sectors of the 1-layer Benney system
(classical long wave equation) and dToda system is presented. Associated
Euler-Poisson-Darboux equations E(1/2,1/2) and E(-1/2,-1/2) are the main tool
in the analysis. A complete list of solutions of the 1-layer Benney system
depending on two parameters and belonging to the singular sector is given.
Relation between Euler-Poisson-Darboux equations E(a,a) with opposite sign of a
is discussed.Comment: 15 pages; Theor. Mathem. Physics, 201
Stable one-dimensional periodic waves in Kerr-type saturable and quadratic nonlinear media
We review the latest progress and properties of the families of bright and
dark one-dimensional periodic waves propagating in saturable Kerr-type and
quadratic nonlinear media. We show how saturation of the nonlinear response
results in appearance of stability (instability) bands in focusing (defocusing)
medium, which is in sharp contrast with the properties of periodic waves in
Kerr media. One of the key results discovered is the stabilization of
multicolor periodic waves in quadratic media. In particular, dark-type waves
are shown to be metastable, while bright-type waves are completely stable in a
broad range of energy flows and material parameters. This yields the first
known example of completely stable periodic wave patterns propagating in
conservative uniform media supporting bright solitons. Such results open the
way to the experimental observation of the corresponding self-sustained
periodic wave patterns.Comment: 29 pages, 10 figure
Study of the influence of the electron irradiation dose on the deformation of Mylar films taking into account the processes of destruction and crosslinking
Experimental studies of the dependence of the deformation [epsilon] on the dose of electron irradiation D taking into account the processes of destruction and crosslinking for films of the Mylar type have been carried out. It was obtained that the dependence of [epsilon] on D for the process of cross-linking is described by a linear and destruction by an exponential function
Resolution of a shock in hyperbolic systems modified by weak dispersion
We present a way to deal with dispersion-dominated ``shock-type'' transition
in the absence of completely integrable structure for the systems that one may
characterize as strictly hyperbolic regularized by a small amount of
dispersion. The analysis is performed by assuming that, the dispersive shock
transition between two different constant states can be modelled by an
expansion fan solution of the associated modulation (Whitham) system for the
short-wavelength nonlinear oscillations in the transition region (the so-called
Gurevich -- Pitaevskii problem). We consider as single-wave so bi-directional
systems. The main mathematical assumption is that of hyperbolicity of the
Whitham system for the solutions of our interest. By using general properties
of the Whitham averaging for a certain class of nonlinear dispersive systems
and specific features of the Cauchy data prescription on characteristics we
derive a set of transition conditions for the dispersive shock, actually
bypassing full integration of the modulation equations. Along with model KdV
and mKdV examples, we consider a non-integrable system describing fully
nonlinear ion-acoustic waves in collisionless plasma. In all cases our
transition conditions are in complete agreement with previous analytical and
numerical results.Comment: 56 pages, 5 figures. Misprints corrected. References adde
Stable multicolor periodic-wave arrays
We study the existence and stability of cnoidal periodic wave arrays
propagating in uniform quadratic nonlinear media and discover that they become
completely stable above a threshold light intensity. To the best of our
knowledge, this is the first example in physics of completely stable periodic
wave patterns propagating in conservative uniform media supporting bright
solitons.Comment: 12 pages, 3 figure