Prediction and evaluation of nonlinear site response with potentially liquefiable layers in the area of Nafplion (Peloponnesus, Greece) for a repeat of historical earthquakes

We examine the possible non-linear behaviour of potentially liquefiable layers at selected sites located within the expansion area of the town of Nafplion, East Peloponnese, Greece. Input motion is computed for three scenario earthquakes, selected on the basis of historical seismicity data, using a stochastic strong ground motion simulation technique, which takes into account the finite dimensions of the earthquake sources. Site-specific ground acceleration synthetics and soil profiles are then used to evaluate the liquefaction potential at the sites of interest. The activation scenario of the Iria fault, which is the closest one to Nafplion (<i>M</i>=6.4), is found to be the most hazardous in terms of liquefaction initiation. In this scenario almost all the examined sites exhibit liquefaction features at depths of 6–12 m. For scenario earthquakes at two more distant seismic sources (Epidaurus fault – <i>M</i>6.3; Xylokastro fault – <i>M</i>6.7) strong ground motion amplification phenomena by the shallow soft soil layer are expected to be observed

Toward a joint catalogue of recent seismicity in western Greece: preliminary results

Οι κατάλογοι με δεδομένα πρώτων αφίξεων των σεισμικών κυμάτων που συντάσσονται από τα τρία μόνιμα σεισμολογικά δίκτυα της Ελλάδας ενοποιήθηκαν και υπέστησαν κοινή επεξεργασία προκειμένου να επαναπροσδιοριστούν οι θέσεις των σεισμικών επικέντρου στη Δυτική Ελλάδα. Τα αποτελέσματα της κοινής επεξεργασίας, που παρουσιάζονται στην παρούσα εργασία, αφορούν στην εξαετία 2000 - 2005 και τη γεωγραφική περιοχή μεταξύ 35-42°Β και 19-22°Α. Μετά τη διαδικασία της ενοποίησης των φάσεων των διάφορων κέντρων, ο αριθμός των σεισμικών γεγονότων στον κατάλογο που προέκυψε αυξήθηκε κατά 3000 περίπου σε σχέση με τους προϋπάρχοντες, επιμέρους καταλόγους. Τα επίκεντρα των σεισμών του ενιαίου καταλόγου επαναπροσδιορίστηκαν με τη χρήση του αλγόριθμου Hypoinverse και διάφορους συνδυασμούς μονοδιάστατων μοντέλων ταχυτήτων που έχουν προταθεί για τον ελλαδικό χώρο και συντελεστές βαρύτητας για τα δεδομένα των φάσεων. Από τους διάφορους συνδυασμούς που δοκιμάστηκαν προέκυψε ότι η βαρύτητα που δίνεται στις φάσεις των S κυμάτων επηρεάζει δραστικότερα τα αποτελέσματα του επανα-προσδιορισμού των επικέντρων. Οι μικρότερες τιμές σφαλμάτων στους χρόνους γένεσης των σεισμών και τη χωροθέτηση των επικέντρων τους κατά την οριζόντια και την κατακόρυφη διεύθυνση προκύπτουν όταν οι φάσεις των S κυμάτων δε χρησιμοποιηθούν. Τα επανα προσδιορισμένα επίκεντρα εμφανίζουν περισσότερο διακριτές συγκεντρώσεις και διαγράφουν με μεγαλύτερη σαφήνεια τις τεκτονικές δομές της περιοχής μελέτης.Routine catalogue phase data of three Greek permanent seismic networks are merged and jointly used to relocate earthquakes in western Greece. Processed data refer to the time period from 2000 to 2005 and to the geographical area between 35- 42°N and 19-22Έ. After the merging procedure, the number of events in the joint catalogue is increased by more than 3000 compared to the individual pre-existing catalogues. Earthquakes are relocated using the Hypoinverse algorithm and several different combinations of ID velocity models and phase weighting schemes. Among these two tested factors, S-phase weights are found to affect the relocation results more drastically. In fact, minimum mean rms, erh and erz values (0.28 sees, 3.6 km and 5.8 km, respectively) are found when S-phases are neglected. Relocated epicenters appear more clustered and illuminate well-known, as well as obscure, seismotectonic structures of the are

A Kidney Biopsy Simulation Training Program for Renal Fellows: Two Years of Results

Renal interventions could re-foster interest in Nephrology and attract more medical graduates. Percutaneous kidney biopsy (PKB) is an important diagnostic tool and should be taught through simulation. We initiated a PKB simulation training program and designed a 2-year study to examine its effect on the confidence level, the procedural competence and the satisfaction with this training of Nephrology fellows compared to historical controls. All fellows were consented and trained at UNM’s simulation center (BATCAVE) with a simulation training model (CAE Healthcare Blue PhantomTM). Trainees’ demographics and previous PKB experience were collected. We utilized pre-assigned readings, online videos and hands-on simulation practice. Performance of each trainee during each session was graded with a procedural competence evaluation form. Drs. JO and MER were present in all sessions and completed these forms. Each session lasted 1 to 1-1 1/2 h. Pre-and post-simulation surveys evaluated the participants’ confidence level quantitatively on a 5-point Likert scale. All participants completed the satisfaction with PKB simulation experience scale (PKB-SSE). All three 1st and 2nd year renal fellows completed the simulation training in 2018 and two first year fellows completed the training in 2019. Independent of their previous experience on PKBs all renal fellows expressed a high level of satisfaction from their participation (4 to 5) and increased their confidence level. This year’s trainees increased their performance level from 2 to 5 and from 1 to 5, respectively. PKB simulation may improve trainees’ confidence level and their satisfaction with the training. The procedural competence of the trainees on PKBs will be evaluated during the 2nd year of their fellowship and will be compared to the procedural competence of historical controls. We expect that the simulation training will reduce the discomfort and minimize the adverse PKB outcomes in patients undergoing PKB in UNMH

Fluid balance concepts in medicine: Principles and practice.

The regulation of body fluid balance is a key concern in health and disease and comprises three concepts. The first concept pertains to the relationship between total body water (TBW) and total effective solute and is expressed in terms of the tonicity of the body fluids. Disturbances in tonicity are the main factor responsible for changes in cell volume, which can critically affect brain cell function and survival. Solutes distributed almost exclusively in the extracellular compartment (mainly sodium salts) and in the intracellular compartment (mainly potassium salts) contribute to tonicity, while solutes distributed in TBW have no effect on tonicity. The second body fluid balance concept relates to the regulation and measurement of abnormalities of sodium salt balance and extracellular volume. Estimation of extracellular volume is more complex and error prone than measurement of TBW. A key function of extracellular volume, which is defined as the effective arterial blood volume (EABV), is to ensure adequate perfusion of cells and organs. Other factors, including cardiac output, total and regional capacity of both arteries and veins, Starling forces in the capillaries, and gravity also affect the EABV. Collectively, these factors interact closely with extracellular volume and some of them undergo substantial changes in certain acute and chronic severe illnesses. Their changes result not only in extracellular volume expansion, but in the need for a larger extracellular volume compared with that of healthy individuals. Assessing extracellular volume in severe illness is challenging because the estimates of this volume by commonly used methods are prone to large errors in many illnesses. In addition, the optimal extracellular volume may vary from illness to illness, is only partially based on volume measurements by traditional methods, and has not been determined for each illness. Further research is needed to determine optimal extracellular volume levels in several illnesses. For these reasons, extracellular volume in severe illness merits a separate third concept of body fluid balance

Objective and subjective sleep disorders in automated peritoneal dialysis

Background: Automated peritoneal dialysis (APD) is one of the fastest growing dialysis modalities. It is unknown whether sleep and mood are disturbed while performing repeated overnight exchanges. Objectives: In this report, we aim to describe and compare the prevalence of sleep-disordered breathing (SDB), periodic limb movements (PLMS), poor sleep quality (SQ), and depression among APD patients compared with stages 3b-5 (estimated glomerular filtration rate ≤44 ml/min/1.73 m2) chronic kidney disease (CKD) and hemodialysis (HD) patients. Design: This is a cross-sectional, descriptive study. Setting: Study participants were recruited from outpatient nephrology clinics, local dialysis centers, and the Thomas E. Starzl Transplant Institute in Western Pennsylvania between April 2004 and July 2009. Patients: There were 186 participants in this study including 22 APD patients, 89 CKD patients, and 75 HD patients. Measurements: In-home polysomnography was performed and two questionnaires were completed, the Pittsburgh Sleep Quality Index (PSQI) and the Patient Health Questionnaire-9 (PHQ-9). Methods: SDB and PLMS were quantified by in-home unattended polysomnography; poor SQ was defined by a score >5 on the PSQI, and the presence of moderate to severe depression was defined by a score >5 on the PHQ-9. Results: The APD patients had a median age of 37.5 years, were predominantly female (72.7 %), and had a median body mass index (BMI) of 23.8 kg/m2. In univariate analyses, APD patients had significantly lower apnea-hypopnea index compared to HD patients by 12.2 points (likelihood ratio test p = 0.008) and revealed the least percent of TST with nocturnal hypoxemia compared to CKD patients by 2.7 points, respectively (likelihood ratio test p = 0.01). The APD group had also significantly greater stages 3 to 4 sleep compared to the CKD patients by 8.6 points (likelihood ratio test p = 0.009). In multivariate analyses and after adjustment for age, gender, race, and BMI, both APD and HD patients had higher average PSQI scores than CKD patients by 2.54 and 2.22 points, respectively (likelihood ratio test p = 0.005). No other comparisons of sleep parameters among groups reached statistical significance. Limitations: The limitations of this study are the small sample size of the APD population and the demographic and clinical differences among the three study groups. Conclusions: Despite differences in univariate analyses, after multivariate adjustment, APD patients had similar sleep parameters and sleep architecture and as poor SQ and symptoms of depression as HD patients. Future studies with larger APD cohorts are needed

Slab segmentation controls the interplate slip motion in the SW Hellenic subduction: New insight from the 2008Mw 6.8 Methoni interplate earthquake

We present an integrated approach of the seismic structure and activity along the offshore SW Hellenic subduction from combined observations of marine and land seismic stations. Our imaging of the slab top topography from teleseismic receiver function analysis at ocean bottom seismometers supports a trenchward continuation of the along-dip slab faults beneath the Peloponnesus. We further show that their morphostructural control accounts for the backstepping of the thrust contact of the Mediterranean Ridge accretionary wedge over the upper plate. Local seismic activity offshore SW Peloponnesus constrained by ocean bottom seismometer observations reveals a correlation with specific features of the forearc: the Matapan Troughs. We study the Mw6.8 14.02.2008 interplate earthquake offshore SW Peloponnesus and show that its nucleation, rupture zone, and aftershocks sequence are confined to one slab panel between two adjacent along-dip faults and are thus controlled by not only the offshore slab top segmentation but also the upper plate sea-bottom morphology

Possible relationship between Seismic Electric Signals (SES) lead time and earthquake stress drop

Stress drop values for fourteen large earthquakes with MW ≥ 5.4 which occurred in Greece during the period 1983–2007 are available. All these earthquakes were preceded by Seismic Electric Signals (SES). An attempt has been made to investigate possible correlation between their stress drop values and the corresponding SES lead times. For the stress drop, we considered the Brune stress drop, ΔσB, estimated from far field body wave displacement source spectra and ΔσSB derived from the strong motion acceleration response spectra. The results show a relation may exist between Brune stress drop, ΔσB, and lead time which implies that earthquakes with higher stress drop values are preceded by SES with shorter lead time