1,386 research outputs found

    Equations of motion, Noncommutativity and Quantization

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    We study the relation between a given set of equations of motion in configuration space and a Poisson bracket. A Poisson structure is consistent with the equations of motion if the symplectic form satisfy some consistency conditions. When the symplectic structure is commutative these conditions are the Helmholtz integrability equations for the nonrestricted inverse problem of the calculus of variations. We have found the corresponding consistency conditions for the symplectic noncommutative case.Comment: 18 pages, to appear PL

    Mass-transport deposits on the Algerian margin (Algiers area) : morphology, lithology and sedimentary processes

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    International audienceOn 21st May 2003, a damaging earthquake of Mw: 6.9 struck the region of Boumerdès 40 km east of Algiers in northern Algeria. The seismic shocks had devastating effects in the offshore area between the cities of Algiers and Dellys, where numerous cable breaks were observed. The submarine area encompassing the 2003 Boumerdès epicenter (central Algerian margin) was recently investigated using geophysical and sampling tools. It has been observed that small-size slides and mass-transport deposits occur across this area. Thus, a detailed analysis was performed on 25 submarine slides identified in water depth from 500 m to 2700 m, by measuring different morphological parameters (i.e. surface, head-scarp height, slope in the source area and in adjacent areas).Various deposits consisting of matrix supported mud-clast, distorted stratified sediments and sandturbidite beds were observed in gravity cores near and within the most significant-size slide. Based on this work and previous studies it can be presumed that the recurrent seismic activity can be considered as the main triggering factor for failure in the central Algerian margin

    Burnout in cardiac anesthesiologists. results from a national survey in italy

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    Objective: There is increasing burnout incidence among medical disciplines, and physicians working in emergency settings seem at higher risk. Cardiac anesthesiology is a stressful anesthesiology subspecialty dealing with high-risk patients. The authors hypothesized a high risk of burnout in cardiac anesthesiologists. Design: National survey conducted on burnout Setting: Italian cardiac centers. Participants: Cardiac anesthesiologists. Interventions: The authors administered via email an anonymous questionnaire divided into 3 parts. The first 2 parts evaluated workload and private life. The third part consisted of the Maslach Burnout Inventory test with its 3 constituents: high emotional exhaustion, high depersonalization, and low personal accomplishment. Measurements and Main Results: The authors measured the prevalence and risk of burnout through the Maslach Burnout Inventory questionnaire and analyzed factors influencing burnout. Among 670 contacts from 71 centers, 382 cardiac anesthesiologists completed the survey (57%). The authors found the following mean Maslach Burnout Inventory values: 14.5 ± 9.7 (emotional exhaustion), 9.1 ± 7.1 (depersonalization), and 33.7 ± 8.9 (personal accomplishment). A rate of 34%, 54%, and 66% of respondents scored in “high” or “moderate-high” risk of burnout (emotional exhaustion, depersonalization, and personal accomplishment, respectively). The authors found that, if offered to change subspecialty, 76% of respondents would prefer to remain in cardiac anesthesiology. This preference and parenthood were the only 2 investigated factors with a protective effect against all components of burnout. Significantly lower burnout scores were found in more experienced anesthesiologists. Conclusion: A relatively high incidence of burnout was found in cardiac anesthesiologists, especially regarding high depersonalization and low personal accomplishment. Nonetheless, most of the respondents would choose to remain in cardiac anesthesiology

    Use of the iliac-outlet and iliac-inlet combined views in percutaneous posterior column retrograde screw fixation

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    Posterior column fractures are common acetabular injuries. Although displaced fractures require open reduction and fixation, undisplaced patterns may benefit from percutaneous screw fixation. The combination of iliac oblique with inlet and outlet views offers an intuitive and panoramic rendering of the bony corridor into the posterior column; lateral cross table view completes the sequence of fluoroscopic projections. Herein we describe the use of outlet/inlet iliac views and a detailed procedure for percutaneous retrograde posterior column screw fixation

    Mechanical ventilation parameters in critically ill COVID-19 patients: a scoping review

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    Background: The mortality of critically ill patients with COVID-19 is high, particularly among those receiving mechanical ventilation (MV). Despite the high number of patients treated worldwide, data on respiratory mechanics are currently scarce and the optimal setting of MV remains to be defined. This scoping review aims to provide an overview of available data about respiratory mechanics, gas exchange and MV settings in patients admitted to intensive care units (ICUs) for COVID-19-associated acute respiratory failure, and to identify knowledge gaps. Main text: PubMed, EMBASE, and MEDLINE databases were searched from inception to October 30, 2020 for studies providing at least one ventilatory parameter collected within 24 h from the ICU admission. The quality of the studies was independently assessed using the Newcastle-Ottawa Quality Assessment Form for Cohort Studies. A total of 26 studies were included for a total of 14,075 patients. At ICU admission, positive end expiratory pressure (PEEP) values ranged from 9 to 16.5 cm of water (cmH2O), suggesting that high levels of PEEP were commonly used for setting MV for these patients. Patients with COVID-19 are severely hypoxemic at ICU admission and show a median ratio of partial pressure of arterial oxygen to fraction of inspired oxygen (PaO2/FiO2) ranging from 102 to 198 mmHg. Static respiratory system compliance (Crs) values at ICU admission were highly heterogenous, ranging between 24 and 49 ml/cmH2O. Prone positioning and neuromuscular blocking agents were widely used, ranging from 17 to 81 and 22 to 88%, respectively; both rates were higher than previously reported in patients with "classical" acute respiratory distress syndrome (ARDS). Conclusions: Available data show that, in mechanically ventilated patients with COVID-19, respiratory mechanics and MV settings within 24 h from ICU admission are heterogeneous but similar to those reported for "classical" ARDS. However, to date, complete data regarding mechanical properties of respiratory system, optimal setting of MV and the role of rescue treatments for refractory hypoxemia are still lacking in the medical literature

    Contourite distribution and bottom currents in the NW Mediterranean Sea: Coupling seafloor geomorphology and hydrodynamic modelling

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    Contourites are common morphological features along continental margins where currents encounter the seafloor. They can provide long-term archives of palaeoceanography, may be prone to sediment instability, and can have a great potential for hydrocarbon exploration. Despite their importance and increasingly recognised ubiquitous occurrence worldwide, the link between oceanographic processes and contourite features is poorly constrained. In particular, it is unclear under which specific conditions sediments are mobilised, modified and deposited by bottom currents. Here, we aim to determine key bottom current characteristics (velocity and bottom shear stress) affecting contourite deposition, by assuming that recent oceanographic regimes may be extended back in time over the past glacial-interglacial cycles, with strong winter circulation assumed similar to glacial conditions and weak summer circulation to interglacials. We present an integrated study from the NW Mediterranean Sea that couples results of the MARS3D hydrodynamic model with high-resolution sedimentological and geophysical data (piston cores, multibeam bathymetry and high resolution seismic data). Near bottom circulation was modelled during winter and summer 2013 as representative of past periods of high and low current intensity, respectively. Model results match well with the extent of contourite depositional systems and their different localised morphologic elements. We deduce that higher intensity events control the formation of erosional features such as moats and abraded surfaces. The heterogeneous distribution of bottom-current intensity on slopes explains the development of different types of contourite drifts. Plastered drifts form in zones of low bottom-current velocities constrained upslope and downslope by higher current velocities. Separated elongated mounded drifts develop where fast bottom-currents decelerate at foot of the slope. In contrast, no mounded contourite morphologies develop when the current velocity is homogeneous across the slope, especially in margins prone to downslope sediment transport processes. In confined basins, gyres may transport sediment in suspension from a margin with a high sediment supply to an adjacent starved margin, favouring the development of fine-grained contourites in the latter. Our results provide new insights into how detailed bottom-circulation modelling and seafloor geomorphological analyses can improve the understanding of palaeoflow-regimes, at least over time spans when the overall paleogeography and the distribution of contourite drifts is comparable to present-day conditions. The approach of coupled hydrodynamic models and geomorphological interpretations proposed here for depositional, erosional and mixed contourite features may be used to understand other areas affected by bottom currents, and for a better conceptual understanding of bottom-current processes and their interactions with the seafloor

    Recent and active deformation pattern off the easternmost Algerian margin, Western Mediterranean Sea: New evidence for contractional tectonic reactivation

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    International audienceWe describe for the first time a set of large active thrusts and folds near the foot of the easternmost Algerian margin, Western Mediterranean, from swath bathymetry and high-resolution seismic data acquired in 2005 during the Maradja2/Samra cruise. This active system resumes a previous passive margin and creates growth strata deposition on the limbs of large folds, resulting in the development of perched basins at the foot of the margin since less than ~ 1 Ma. They form a set of overlapping fault segments verging toward the Algerian basin, in a way similar to what has been observed off eastern Algiers on the rupture zone of the 2003 Mw 6.8 Boumerdes earthquake. The horizontal shortening rate across large folds is estimated to be of the order of 1 mm/yr. Although no historical earthquakes are reported here, these fault segments could have been responsible for large (M ~ 7.5) events in the past. This young tectonic system further supports the hypothesis of subduction inception of the Neogene oceanic lithosphere in the context of the Africa–Eurasia convergence
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