350 research outputs found
A Contingent Valuation Study of Lost Passive Use Values Resulting From the Exxon Valdez Oil Spill
We report on the results of a large-scale contingent valuation (CV) study conducted after the Exxon Valdez oil spill to assess the harm caused by it. Among the issues considered are the design features of the CV survey, its administration to a national sample of U.S. households, estimation of household willingness to pay to prevent another Exxon Valdez type oil spill, and issues related to reliability and validity of the estimates obtained. Events influenced by the study’s release are also briefly discussed.contingent valuation, natural resource damage assessment
Hypnosis and superficial cervical anesthesia for total thyroidectomy in a high-risk patient - A case report.
Total thyroidectomy can be challenging in high-risk patients. Local cervical anesthesia with sedation is an alternative to general anesthesia.
A 33-year old male patient with cyanotic congenital heart disease due to unrepaired tricuspid atresia type Ic and associated pulmonary arterial hypertension presented with tachycardic atrial fibrillation and amiodarone-induced thyrotoxicosis resulting in recurrent hemodynamic instability. Because of difficulties controlling the thyrotoxic state, the indication for total thyroidectomy was established. Total thyroidectomy was subsequently performed using local anesthesia combined using a hypnosis-analgesia technique instead of intravenous sedation. The intervention and the post-operative course were uneventful.
A well-established therapist-patient relationship is crucial for a successful induction of hypnosis. Patient motivation and expectations are equally important for a successful implementation of this approach.
We conclude that hypnosis combined with local anesthesia provides an effective alternative in selected patients with very high anesthesiological risk
Quantum Interference of Coulomb Interaction and Disorder: Phase Shift of Friedel Oscillations and an Instability of the Fermi Sea
We investigate the influence of interference between Coulomb interaction and
impurity scattering on the static electronic response in
disordered metals to leading order in the effective Coulomb interaction. When
the transport relaxation time is much shorter than the
quasiparticle life time, we find a \mbox{sgn}(2p_F-q)/\sqrt{|2p_F-q|}
divergence of the polarization function at the Fermi surface (). It
causes a phase shift of the Friedel oscillations as well as an enhancement of
their amplitude. Our results are consistent with experiments and may be
relevant for understanding the stability of the amorphous state of certain
alloys against crystallization.Comment: 11 pages, 4 PostScript figures appended as a self-extracting tar
archive; includes output instruction
Papillary Thyroid Carcinoma with Desmoid-Type Fibromatosis: Review of Published Cases.
Desmoid-type fibromatosis (DTF) is a very rare variant of papillary thyroid carcinoma (PTC). It is essentially a dual tumor with a component of classical PTC with malignant epithelial proliferation (BRAF-mutated) and another component of mesenchymal proliferation (CTNNB1-mutated). We conducted a literature review on PTC-DTF. In total, 31 articles were identified, that together reported on 54 patients. The mean age was 47 years, with a 2.2:1 female predominance. No ultrasound features were found to be helpful in differentiating PTC-DTF from other PTC variants. Of the 43 cases that reported histological details, 60% had locally infiltrative disease (T3b or T4). Around 48% had cervical lymph node metastases, but none had distant metastases. While PTC-DTF may be locally more aggressive than classic PTC, its overall behavior is similar and can include extrathyroidal extension and lymph node metastases, which may contain a stromal component and show extranodal invasion. The mainstay of treatment for PTC-DTF is surgery, and the DTF component is not expected to be sensitive to radioactive iodine. External radiotherapy, non-steroidal anti-inflammatory drugs, tyrosine kinase inhibitors and chemotherapy have also been used in selected cases. Due to the rarity of these tumors and the lack of specific treatment guidelines, management should be discussed in a multidisciplinary team
A Contingent Valuation Study of Lost Passive Use Values Resulting From the Exxon Valdez Oil Spill
We report on the results of a large-scale contingent valuation (CV) study conducted after the Exxon Valdez oil spill to assess the harm caused by it. Among the issues considered are the design features of the CV survey, its administration to a national sample of U.S. households, estimation of household willingness to pay to prevent another Exxon Valdez type oil spill, and issues related to reliability and validity of the estimates obtained. Events influenced by the study’s release are also briefly discussed
High-Energy Aspects of Solar Flares: Overview of the Volume
In this introductory chapter, we provide a brief summary of the successes and
remaining challenges in understanding the solar flare phenomenon and its
attendant implications for particle acceleration mechanisms in astrophysical
plasmas. We also provide a brief overview of the contents of the other chapters
in this volume, with particular reference to the well-observed flare of 2002
July 23Comment: This is the introductory article for a monograph on the physics of
solar flares, inspired by RHESSI observations. The individual articles are to
appear in Space Science Reviews (2011
A Statistical Study on the Morphology of Rays and Dynamics of Blobs in the Wake of Coronal Mass Ejections
In this paper, with a survey through the Large Angle and Spectrometric
Coronagraph (LASCO) data from 1996 to 2009, we present 11 events with plasma
blobs flowing outwards sequentially along a bright coronal ray in the wake of a
coronal mass ejection. The ray is believed to be associated with the current
sheet structure that formed as a result of solar eruption, and the blobs are
products of magnetic reconnection occurring along the current sheet. The ray
morphology and blob dynamics are investigated statistically. It is found that
the apparent angular widths of the rays at a fixed time vary in a range of
2.1-6.6 (2.0-4.4) degrees with an average of 3.5 (2.9) degrees at 3 (4) Rs,
respectively, and the observed durations of the events vary from 12 h to a few
days with an average of 27 h. It is also found, based on the analysis of blob
motions, that 58% (26) of the blobs were accelerated, 20% (9) were decelerated,
and 22% (10) moved with a nearly-constant speed. Comparing the dynamics of our
blobs and those that are observed above the tip of a helmet streamer, we find
that the speeds and accelerations of the blobs in these two cases differ
significantly. It is suggested that these differences of the blob dynamics stem
from the associated magnetic reconnection involving different magnetic field
configurations and triggering processes.Comment: 12 pages, 6 figures, accepted by Solar Physic
Fractal Reconnection in Solar and Stellar Environments
Recent space based observations of the Sun revealed that magnetic
reconnection is ubiquitous in the solar atmosphere, ranging from small scale
reconnection (observed as nanoflares) to large scale one (observed as long
duration flares or giant arcades). Often the magnetic reconnection events are
associated with mass ejections or jets, which seem to be closely related to
multiple plasmoid ejections from fractal current sheet. The bursty radio and
hard X-ray emissions from flares also suggest the fractal reconnection and
associated particle acceleration. We shall discuss recent observations and
theories related to the plasmoid-induced-reconnection and the fractal
reconnection in solar flares, and their implication to reconnection physics and
particle acceleration. Recent findings of many superflares on solar type stars
that has extended the applicability of the fractal reconnection model of solar
flares to much a wider parameter space suitable for stellar flares are also
discussed.Comment: Invited chapter to appear in "Magnetic Reconnection: Concepts and
Applications", Springer-Verlag, W. D. Gonzalez and E. N. Parker, eds. (2016),
33 pages, 18 figure
A Quantitative Model of Energy Release and Heating by Time-dependent, Localized Reconnection in a Flare with a Thermal Loop-top X-ray Source
We present a quantitative model of the magnetic energy stored and then
released through magnetic reconnection for a flare on 26 Feb 2004. This flare,
well observed by RHESSI and TRACE, shows evidence of non-thermal electrons only
for a brief, early phase. Throughout the main period of energy release there is
a super-hot (T>30 MK) plasma emitting thermal bremsstrahlung atop the flare
loops. Our model describes the heating and compression of such a source by
localized, transient magnetic reconnection. It is a three-dimensional
generalization of the Petschek model whereby Alfven-speed retraction following
reconnection drives supersonic inflows parallel to the field lines, which form
shocks heating, compressing, and confining a loop-top plasma plug. The
confining inflows provide longer life than a freely-expanding or
conductively-cooling plasma of similar size and temperature. Superposition of
successive transient episodes of localized reconnection across a current sheet
produces an apparently persistent, localized source of high-temperature
emission. The temperature of the source decreases smoothly on a time scale
consistent with observations, far longer than the cooling time of a single
plug. Built from a disordered collection of small plugs, the source need not
have the coherent jet-like structure predicted by steady-state reconnection
models. This new model predicts temperatures and emission measure consistent
with the observations of 26 Feb 2004. Furthermore, the total energy released by
the flare is found to be roughly consistent with that predicted by the model.
Only a small fraction of the energy released appears in the super-hot source at
any one time, but roughly a quarter of the flare energy is thermalized by the
reconnection shocks over the course of the flare. All energy is presumed to
ultimately appear in the lower-temperature T<20 MK, post-flare loops
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