227 research outputs found

    Directed transport in a classical lattice with a high-frequency driving

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    We analyze the dynamics of a classical particle in a spatially periodic potential under the influence of a periodic in time uniform force. It was shown in [S.Flach, O.Yevtushenko, Y. Zolotaryuk, Phys. Rev. Lett. 84, 2358 (2000)] that despite zero average force, directed transport is possible in the system. Asymptotic description of this phenomenon for the case of slow driving was developed in [X. Leoncini, A. Neishtadt, A. Vasiliev, Phys. Rev. E 79, 026213 (2009)]. Here we consider the case of fast driving using canonical perturbation theory. An asymptotic formula is derived for the average drift velocity as a function of the system parameters and the driving law. We show that directed transport arises in an effective Hamiltonian that does not possess chaotic dynamics, thereby clarifying the relation between chaos and transport in the system. Sufficient conditions for transport are derived.Comment: 5 page

    Le niveau de comprĂ©hension de l’anglais des Ă©tudiants en mĂ©decine peut ĂȘtre amĂ©liorĂ©. RĂ©sultats d’une stratĂ©gie d’évaluation systĂ©matique

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    Objectives To describe the level of English of a population of medical students and the improvement after the implementation of systematic assessment that all students achieve a minimal level. Population and methods For the past 5 years, all medical students in our medical school have been taking the Test of English for International Communication (TOEIC). The baseline population (students entering second year in 2004) had no specific obligation. After 2004, a score above 600 was mandatory for graduation. Teaching was oriented towards training for the TOEIC and the number of hours was more important for low-level students. Results The mean score has increased from 618 ± 146 in 2004, to 687 ± 94, 717 ± 97, 733 ± 96 and 731 ± 104 for the next four years. The proportion of students who do not achieve a score of 550 (B1 level of the European framework) has decreased from 30 to 0%. Discussion Improving the level of English of French medical students is possible, if this is made a priority. The objective, as set in engineering studies, that all medical students reach a B2 level would require national guidelines

    Boundary states for a free boson defined on finite geometries

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    Langlands recently constructed a map that factorizes the partition function of a free boson on a cylinder with boundary condition given by two arbitrary functions in the form of a scalar product of boundary states. We rewrite these boundary states in a compact form, getting rid of technical assumptions necessary in his construction. This simpler form allows us to show explicitly that the map between boundary conditions and states commutes with conformal transformations preserving the boundary and the reality condition on the scalar field.Comment: 16 pages, LaTeX (uses AMS components). Revised version; an analogy with string theory computations is discussed and references adde

    Modeling soil organic carbon dynamics in temperate forests with Yasso07

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    In a context of global changes, modeling and predicting the dynamics of soil carbon stocks (CSs) in forest ecosystems are vital but challenging. Yasso07 is considered to be one of the most promising models for such a purpose. We examine the accuracy of its prediction of soil carbon dynamics over the whole French metropolitan territory at a decennial timescale. We used data from 101 sites in the RENECOFOR network, which encompasses most of the French temperate forests. These data include (i) the quantity of above-ground litterfall from 1994 to 2008, measured yearly, and (ii) the soil CSs measured twice at an interval of approximately 15 years (once in the early 1990s and around 2010). We used Yasso07 to simulate the annual changes in carbon stocks (ACCs; in tC&thinsp;ha−1&thinsp;yr−1) for each site and then compared the estimates with actual recorded data. We carried out meta-analyses to reveal the variability in litter biochemistry in different tree organs for conifers and broadleaves. We also performed sensitivity analyses to explore Yasso07's sensitivity to annual litter inputs and model initialization settings. At the national level, the simulated ACCs (+0.00±0.07&thinsp;tC&thinsp;ha−1&thinsp;yr−1, mean&thinsp;±&thinsp;SE) were of the same order of magnitude as the observed ones (+0.34±0.06&thinsp;tC&thinsp;ha−1&thinsp;yr−1). However, the correlation between predicted and measured ACCs remained weak (R2&lt;0.1). There was significant overestimation for broadleaved stands and underestimation for coniferous sites. Sensitivity analyses showed that the final estimated CS was strongly affected by settings in the model initialization, including litter and soil carbon quantity and quality and also by simulation length. Carbon quality set with the partial steady-state assumption gave a better fit than the model with the complete steady-state assumption. With Yasso07 as the support model, we showed that there is currently a bottleneck in soil carbon modeling and prediction due to a lack of knowledge or data on soil carbon quality and fine-root quantity in the litter.</p

    Global trends in pediatric burn injuries and care capacity from the World Health Organization Global Burn Registry

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    BackgroundBurn injuries are a major cause of death and disability globally. The World Health Organization (WHO) launched the Global Burn Registry (GBR) to improve understanding of burn injuries worldwide, identify prevention targets, and benchmark acute care. We aimed to describe the epidemiology, risk factors, and outcomes of children with burns to demonstrate the GBR's utility and inform needs for pediatric burn prevention and treatment.MethodsWe performed descriptive analyses of children age ≀ 18 years in the WHO GBR. We also described facility-level capacity. Data were extracted in September of 2021.ResultsThere were 8,640 pediatric and adult entries from 20 countries. Of these, 3,649 (42%) were children (0–18 years old) from predominantly middle-income countries. The mean age was 5.3 years and 60% were boys. Children aged 1–5 years comprised 62% (n = 2,279) of the cohort and mainly presented with scald burns (80%), followed by flame burns (14%). Children &gt;5 years (n = 1,219) more frequently sustained flame burns (52%) followed by scald burns (29%). More than half of pediatric patients (52%) sustained a major burn (≄15% total body surface area) and 48% received surgery for wound closure during the index hospitalization. Older children had more severe injuries and required more surgery. Despite the frequency of severe injuries, critical care capacity was reported as “limited” for 23% of pediatric patients.ConclusionsChildren represent a large proportion of people with burn injuries globally and often sustain major injuries that require critical and surgical intervention. However, critical care capacity is limited at contributing centers and should be a priority for healthcare system development to avert preventable death and disability. This analysis demonstrates that the GBR has the potential to highlight key epidemiological characteristics and hospital capacity for pediatric burn patients. To improve global burn care, addressing barriers to GBR participation in low- and low-middle-income countries would allow for greater representation from a diversity of countries, regions, and burn care facilities

    Conidiobolomycose rhinofaciale avec localisations cervicales, thoraciques et brachiales : Ă  propos d’un cas nigĂ©rian

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    We report here the clinical case of a Nigerian adult patient who received medical care during October 2010, at the Center for Diagnosis and Treatment of Buruli ulcer in PobÚ (Benin). He presented a massive facial tumor associated with several subcutaneous (cervical, thoracic and upper limbs) nodules, evolving since several years. Tissue samples collected at PobÚ medical center were addressed to the mycology and histology laboratories of Angers University Hospital (France), according to the medical exchange agreement between the two institutions about the diagnosis and treatment of Buruli ulcer disease. Histological examination showed a Splendore-Hoeppli phenomenon, consisting of a granulomatous reaction made of eosinophilic polynuclear cells surrounding rare, large and irregular, non-septate hyphae. A filamentous fungus was isolated by cultivation of the clinical samples, which was identified as Conidiobolus coronatus. The patient was treated orally with daily doses of ketoconazole (400 mg per day). After 4 months of treatment, a marked regression of the facial lesion was obtained. A first constructive facial surgery was achieved, but the patient did not attend the second step. This case report allows us to remind the mycological diagnosis of this exotic mycosis, but also to emphasize the main difficulties encountered in medical management in the developing countries

    Mycolactone as Analgesic: Subcutaneous Bioavailability Parameters

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    is the bacillus responsible for Buruli ulcer, an infectious disease and the third most important mycobacterial disease worldwide, after tuberculosis and leprosy. infection is a type of panniculitis beginning mostly with a nodule or an oedema, which can progress to large ulcerative lesions. The lesions are caused by mycolactone, the polyketide toxin of . Mycolactone plays a central role for host colonization as it has immunomodulatory and analgesic effects. On one hand, mycolactone induces analgesia by targeting type-2 angiotensin II receptors (ATR), causing cellular hyperpolarization and neuron desensitization. Indeed, a single subcutaneous injection of mycolactone into the mouse footpad induces a long-lasting hypoesthesia up to 48 h. It was suggested that the long-lasting hypoesthesia may result from the persistence of a significant amount of mycolactone locally following its injection, which could be probably due to its slow elimination from tissues. To verify this hypothesis, we investigated the correlation between hypoesthesia and mycolactone bioavailability directly at the tissue level. Various quantities of mycolactone were then injected in mouse tissue and hypoesthesia was recorded with nociception assays over a period of 48 h. The hypoesthesia was maximal 6 h after the injection of 4 ÎŒg mycolactone. The basal state was reached 48 h after injection, which demonstrated the absence of nerve damage. Surprisingly, mycolactone levels decreased strongly during the first hours with a reduction of 70 and 90% after 4 and 10 h, respectively. Also, mycolactone did not diffuse in neighboring skin tissue and only poorly into the bloodstream upon direct injection. Nevertheless, the remaining amount was sufficient to induce hypoesthesia during 24 h. Our results thus demonstrate that intact mycolactone is rapidly eliminated and that very small amounts of mycolactone are sufficient to induce hypoesthesia. Taken together, our study points out that mycolactone ought to be considered as a promising analgesic
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