CLINICAL EVALUATION OF A SPECIFIC BENZODIAZEPINE ANTAGONIST (RO 15-1788): Studies in Elderly Patients after Regional Anaesthesia under Benzodiazepine Sedation

The efficacy, usefulness and side effects of RO 15-1788 (RO), a specific benzodiazepine (BZD) antagonist, have been evaluated. Sixty-two patients (ASA l-lll, mean age 72±9 yr) scheduled for urological surgery under regional anaesthesia and BZD sedation received placebo or RO in a randomized, double-blind fashion at the end of the procedure, folio wing sedation with midazolam. When compared with placebo, RO improved alertness and collaboration for 15 min, and suppressed anterograde amnesia for 60 min. No major side effect was noted, although five patients became anxious after administration of RO. Two cases of a paradoxical reaction to midazolam were treated successfully by R

Caribou, Petroleum, and the Limits of Locality in the Canada–US Borderlands

his article discusses Karsten Heuer’s 2006 book Being Caribou in light of debates in ecocriticism and border studies about how to define the local in the context of environmental problems of vast range and uncertain temporality. It explores how Heuer’s book about following the Porcupine Caribou herd’s migration engages in multiple forms of boundary crossing—between countries, between hemispheric locations, and between species—and shows how insights from Indigenous storytelling complicate the book’s appeal to environmentalist readers by asserting a prior, transnational Indigenous presence in the transboundary landscapes of present-day Alaska and the Yukon

The age, origin and emplacement of the Tsiknias Ophiolite, Tinos, Greece

The Tsiknias Ophiolite, exposed at the highest structural levels of Tinos, Greece, represents a thrust sheet of Tethyan oceanic crust and upper mantle emplaced onto the Attic‐Cycladic Massif. We present new field observations and a new geological map of Tinos, integrated with petrology, THERMOCALC phase diagram modelling, U–Pb geochronology and whole rock geochemistry, resulting in a tectono‐thermal model that describes the formation and emplacement of the Tsiknias Ophiolite and newly identified underlying metamorphic sole. The ophiolite comprises a succession of partially dismembered and structurally repeated ultramafic and gabbroic rocks that represent the Moho Transition Zone. A plagiogranite dated by U‐Pb zircon at 161.9 ± 2.8 Ma, reveals that the Tsiknias Ophiolite formed in a supra‐subduction zone setting, comparable to the “East‐Vardar Ophiolites”, and was intruded by gabbros at 144.4 ± 5.6 Ma. Strongly sheared metamorphic sole rocks show a condensed and inverted metamorphic gradient, from partially anatectic amphibolites at P–T conditions of ca. 8.5 kbar 850‐600 °C, down‐structural section to greenschist‐facies oceanic metasediments over ~250 m. Leucosomes generated by partial melting of the uppermost sole amphibolite, yielded a U–Pb zircon protolith age of ca. 190 Ma and a high‐grade metamorphic‐anatectic age of 74.0 ± 3.5 Ma associated with ophiolite emplacement. The Tsiknias Ophiolite was therefore obducted ~90 Myrs after it formed during initiation of a NE‐dipping intra‐oceanic subduction zone to the northeast of the Cyclades that coincides with Africa's plate motion changing from transcurrent to convergent. Continued subduction resulted in high‐pressure metamorphism of the Cycladic continental margin ~25 Myrs later

Study of mass and momentum transfer in diesel sprays base on X-ray mass distribution measurements and on a theoretical derivation

[EN] In this paper, a research aimed at quantifying mass and momentum transfer in the near-nozzle field of diesel sprays injected into stagnant ambient air is reported. The study combines X-ray measurements for two different nozzles and axial positions, which provide mass distributions in the spray, with a theoretical model based on momentum flux conservation, which was previously validated. This investigation has allowed the validation of Gaussian profiles for local fuel concentration and velocity near the nozzle exit, as well as the determination of Schmidt number at realistic diesel spray conditions. This information could be very useful for those who are interested in spray modeling, especially at high-pressure injection conditions. © 2010 Springer-Verlag.This work was partly sponsored by "Vicerrectorado de Investigacion, Desarrollo e Innovacion'' of the "Universidad Politecnica de Valencia'' in the frame of the project "Estudio del flujo en el interior de toberas de inyeccion Diesel'', reference no. 3150 and by "Generalitat Valenciana'' in the frame of the project with the same title and reference GV/2009/031. This support is gratefully acknowledged by the authors.Desantes, J.; Salvador Rubio, FJ.; López, JJ.; De La Morena, J. (2011). Study of mass and momentum transfer in diesel sprays base on X-ray mass distribution measurements and on a theoretical derivation. Experiments in Fluids. 50(2):233-246. https://doi.org/10.1007/s00348-010-0919-8S233246502Abramovich GN (1963) The theory of turbulent jets. MIT Press, Cambridge, MAAdler D, Lyn WT (1969) The evaporation and mixing of a liquid fuel spray in a Diesel air swirl. Proc Instn Mech Eng 184:171–180Coghe A, Cossali GE (1994) Phase Doppler characterisation of a Diesel spray injected into a high density gas under vaporisation regimes. In: 7th international symposium on application of laser techniques to fluid mechanics, LisbonCorreas D (1998) Theoretical and experimental study of isothermal Diesel free sprays (in Spanish). PhD Thesis, Universidad Politécnica de ValenciaCossali GE (2001) An integral model for gas entrainment into full cone sprays. J Fluid Mech 439:353–366Dent JC (1971) A basis for the comparison of various experimental methods for studying spray penetration. SAE Paper 710571Desantes JM, Payri R, Salvador FJ, Gil A (2006a) Deduction and validation of a theoretical model for a free diesel Spray. Fuel 85:910–917Desantes JM, Arrègle J, López JJ, Cronhjort A (2006b) Scaling laws for free turbulent gas jets and Diesel-like sprays. Atomization Spray 16:443–473Desantes JM, Payri R, García JM, Salvador FJ (2007) A contribution to the understanding of isothermal diesel spray dynamics. Fuel 86:1093–1101Dumouchel C (2008) On the experimental investigation on primary atomization of liquid streams. Exp Fluids 45:371–422Heimgärtner C, Leipertz A (2000) of the primary spray break-up close to the nozzle of a common-rail high pressure diesel injection system. SAE Paper 2000-01-1799Hinze JO (1975) Turbulence. McGraw Hill, New YorkHiroyasu H, Arai M (1990) Structures of fuel sprays in diesel engines. SAE Paper 900475Jawad B, Gulari E, Henein NA (1992) Characteristics of intermittent fuel sprays. Combust Flame 88:384–396Lefèbvre AH (1989) Atomization and sprays. Hemisphere, New YorkLeick P, Riedel T, Bittlinger G, Powell CF, Kastengren AL, Wang J (2007) X-Ray measurements of the mass distribution in the dense primary break-up region of the spray from a standard multi-hole common-rail diesel injection system. In: Proc 21st ILASS (Europe)Linne M, Paciaroni M, Hall T, Parker T (2006) Ballistic imaging of the near field in a diesel spray. Exp Fluids 40:836–846Naber J, Siebers DL (1996) Effects of gas density and vaporisation on penetration and dispersion of diesel sprays. SAE Paper 960034Payri F, Bermúdez V, Payri R, Salvador FJ (2004) The influence of cavitation on the internal flow and the Spray characteristics in diesel injection nozzles. Fuel 83:419–431Payri R, García JM, Salvador FJ, Gimeno J (2005) Using spray momentum flux measurements to understand the influence of diesel nozzle geometry on spray characteristics. Fuel 84:551–561Payri R, Tormos B, Salvador FJ, Araneo L (2008) Spray droplet velocity characterization for convergent nozzles with three different diameters. Fuel 87:3176–3182Post S, Iyer V, Abraham J (2000) A study of near-field entrainment in gas jets and sprays under diesel conditions. ASME J Fluids Eng 122:385–395Prasad CMV, Kar S (1976) An investigation on the diffusion of momentum and mass of fuel in a diesel fuel spray. ASME J Eng Power 76-DGP-1:1–11Rajaratnam N (1976) Turbulent jets. Elsevier, AmsterdamRamirez AI, Som S, Aggarwal SK, Kastengren AL, El-Hannouny EM, Longman DE, Powell CF (2009) Quantitative X-ray measurements of high-pressure fuel sprays from a production heavy duty diesel injector. Exp Fluids 47:119–134Reitz RD, Bracco FV (1982) Mechanism of atomisation of a liquid jet. Phys Fluids 25(10):1730–1742Ricou FP, Spalding DB (1961) Measurements of entrainment by axisymmetrical turbulent jets. J Fluid Mech 11:21–32Rife J, Heywood JB (1974) Photographic and performance studies of diesel combustion with a rapid compression machine. SAE Paper 740948Roisman IV, Tropea C (2001) Flux measurements in sprays using phase doppler techniques. Atomization Spray 11:667–699Roisman IV, Araneo L, Tropea C (2007) Effect of ambient pressure on penetration of a diesel spray. Int J Multiphase Flow 33(8):904–920Saliba R, Baz I, Champoussin JC, Lance M, Marié JL (2004) Cavitation effect on the near nozzle spray development in high-pressure diesel injection. In: Proc 19th ILASS (Europe)Schlichting H (1978) Boundary layer theory. McGraw Hill, New YorkSinnamon JF, Lancaster DR, Stiener JC (1980) An experimental and analytical study of engine fuel spray trajectories. SAE Paper 800135Sou A, Hosokawa S, Tomiyama A (2007) Effects of cavitation in a nozzle on liquid jet atomization. Int J Heat Mass Tran 50(17–18):3575–3582Spalding DB (1979) Combustion and mass transfer. Pergamon Press, New YorkSubramaniam S (2001) Statistical modelling of a spray as using the droplet distribution function. Phys Fluids 13(3):624–642Tanner FX, Feigl A, Ciatti SA, Powell CF, Cheong S-K, Liu J, Wang J (2006) Structure of high-velocity dense sprays in the near-nozzle region. Atomization Spray 16:579–597Way RJB (1977) Investigation of interaction between swirl and jets in direct injection diesel engines using a water model. SAE Paper 770412Wu KJ, Santavicca DA, Bracco FV (1984) LDV measurements of drop velocity in diesel-type sprays. AAIA J 22(9):1263–1270Wu KJ, Reitz RD, Bracco FV (1986) Measurements of drop size at the spray edge near the nozzle in atomising liquid jets. Phys Fluids 29(4):941–951Yue Y, Powell CF, Poola R, Wang J, Schaller JK (2001) Quantitative measurements of diesel fuel spray characteristics in the near-nozzle region using X-ray absorption. Atomization Spray 11(4):471–49

Border Insecurity: Reading Transnational Environments in Jim Lynch’s Border Songs

This article applies an eco-critical approach to contemporary American fiction about the Canada-US border, examining Jim Lynch’s portrayal of the British Columbia-Washington borderlands in his 2009 novel Border Songs. It argues that studying transnational environmental actors in border texts—in this case, marijuana, human migrants, and migratory birds—helps illuminate the contingency of political boundaries, problems of scale, and discourses of risk and security in cross-border regions after 9/11. Further, it suggests that widening the analysis of trans-border activity to include environmental phenomena productively troubles concepts of nature and regional belonging in an era of climate change and economic globalization. Cet article propose une lecture écocritique de la fiction étatsunienne contemporaine portant sur la frontière entre le Canada et les États-Unis, en étudiant le portrait donné par Jim Lynch de la région frontalière entre la Colombie-Britannique et Washington dans son roman Border Songs, paru en 2009. L’article soutient que l’étude, dans les textes sur la frontière, des acteurs environnementaux transnationaux – dans ce cas-ci, la marijuana, les migrants humains et les oiseaux migratoires – jette un jour nouveau sur la contingence des limites territoriales politiques, des problèmes d’échelle et des discours sur le risque et la sécurité des régions transfrontalières après les évènements du 11 septembre 2001. Il suggère également qu’en élargissant l’analyse de l’activité transfrontalière pour y inclure les phénomènes environnementaux, on brouille de façon productive les concepts de nature et d’appartenance régionale d’une époque marquée par les changements climatiques et la mondialisation de l’économie

Opportunities and challenges in the use of coal fly ash for soil improvements – a review

Coal fly ash (CFA), a by-product of coal combustion has been regarded as a problematic solid waste, mainly due to its potentially toxic trace elements, PTEs (e.g. Cd, Cr, Ni, Pb) and organic compounds (e.g. PCBs, PAHs) content. However, CFA is a useful source of essential plant nutrients (e.g. Ca, Mg, K, P, S, B, Fe, Cu and Zn). Uncontrolled land disposal of CFA is likely to cause undesirable changes in soil conditions, including contamination with PTEs, PAHs and PCBs. Prudent CFA land application offers considerable opportunities, particularly for nutrient supplementation, pH correction and ameliorating soil physical conditions (soil compaction, water retention and drainage). Since CFA contains little or no N and organic carbon, and CFA-borne P is not readily plant available, a mixture of CFA and manure or sewage sludge (SS) is better suited than CFA alone. Additionally, land application of such a mixture can mitigate the mobility of SS-borne PTEs, which is known to increase following cessation of SS application. Research analysis further shows that application of alkaline CFA with or without other amendments can help remediate at least marginally metal contaminated soils by immobilisation of mobile metal forms. CFA land application with SS or other source of organic carbon, N and P can help effectively reclaim/restore mining-affected lands. Given the variability in the nature and composition of CFA (pH, macro- and micro-nutrients) and that of soil (pH, texture and fertility), the choice of CFA (acidic or alkaline and its application rate) needs to consider the properties and problems of the soil. CFA can also be used as a low cost sorbent for the removal of organic and inorganic contaminants from wastewater streams; the disposal of spent CFA however can pose further challenges. Problems in CFA use as a soil amendment occur when it results in undesirable change in soil pH, imbalance in nutrient supply, boron toxicity in plants, excess supply of sulphate and PTEs. These problems, however, are usually associated with excess or inappropriate CFA applications. The levels of PAHs and PCBs in CFA are generally low; their effects on soil biota, uptake by plants and soil persistence, however, need to be assessed. In spite of this, co-application of CFA with manure or SS to land enhances its effectiveness in soil improvements

Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

Introduction: The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain. Methods: We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months pre-post impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay. Findings: 264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05). Conclusion: Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (–37.2%) and hospital stays (–38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of –46.3%