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1,525 result(s) for "Benoit, Michel"
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نهايات غامضة : كشفت بعض أسرارها، وبقي الكثير : (16 قصة موت مثيرة)
نجد في هذا الكتاب تحقيقات تتناول ملابسات موت ست عشرة شخصية شهيرة بقيت ملابسات وفاتها لغزا إلى اليوم سنضع بين يديك الروايات والفرضيات المختلفة والقرائن والبيانات المتوفرة، وتلك التي كشف عنها فيما بعد، ونجعلك تعيش المشهد العام السائد وقت وفاة كل منها، كما أن طريقة السرد مشوقة وتجعلك تحبس أنفاسك ستجد في هذا الكتاب : قصص موت شخصيات من المقام الرفيع، طريقة سرد مشوقة، اكتشافات جديدة.
Wave–bottom interaction and extreme wave statistics due to shoaling and de-shoaling of irregular long-crested wave trains over steep seabed changes
The formation of abnormal (extreme) waves in coastal areas can be triggered by wave–seabed interaction, in particular by steep bottom changes. As an incident equilibrium sea state passes over a submerged step or bar, non-equilibrium dynamics appears locally and forces the sea state to a new, finite-depth equilibrium along with strong non-Gaussian statistics and an intensified occurrence probability of large waves. In this study, the experimental case Run 3 reported by Trulsen et al. (J. Fluid Mech., vol. 882, 2020, R2) has been investigated numerically with a fully nonlinear model. Furthermore, as both shoaling and de-shoaling effects exist in the set-up with a bar-profile bottom, an additional simulation with a step-profile bottom is performed to isolate the de-shoaling effects. The model is proven excellent by the confrontation of the measurements and simulated results in both time and spectral domains. Strong non-Gaussian behaviour of the sea state is highlighted after the up-slope transition by combining spectral and bi-spectral analyses, and characteristic parameters. With a harmonic extraction approach, we show evidence that both second- and third-order effects triggered by the non-equilibrium dynamics significantly enhance the local kurtosis and occurrence of extreme waves. The statistics of kinematics shows the asymmetry of the wave field evolves somewhat independently in the horizontal and vertical directions. By comparing the simulations of bar- and step-profile cases, we find the de-shoaling process is responsible for the upstream modulation of nonlinear and dispersive parameters, and the enhancement of kurtosis of both horizontal and vertical velocities and horizontal acceleration over the down-slope area.
Statistics of Extreme Waves in Coastal Waters: Large Scale Experiments and Advanced Numerical Simulations
The formation mechanism of extreme waves in the coastal areas is still an open contemporary problem in fluid mechanics and ocean engineering. Previous studies have shown that the transition of water depth from a deeper to a shallower zone increases the occurrence probability of large waves. Indeed, more efforts are required to improve the understanding of extreme wave statistics variations in such conditions. To achieve this goal, large scale experiments of unidirectional irregular waves propagating over a variable bottom profile considering different transition water depths were performed. The validation of two highly nonlinear numerical models was performed for one representative case. The collected data were examined and interpreted by using spectral or bispectral analysis as well as statistical analysis. The higher probability of occurrence of large waves was confirmed by the statistical distributions built from the measured free surface elevation time series as well as by the local maximum values of skewness and kurtosis around the end of the slope. Strong second-order nonlinear effects were highlighted as waves propagate into the shallower region. A significant amount of wave energy was transmitted to low-frequency modes. Based on the experimental data, we conclude that the formation of extreme waves is mainly related to the second-order effect, which is also responsible for the generation of long waves. It is shown that higher-order nonlinearities are negligible in these sets of experiments. Several existing models for wave height distributions were compared and analysed. It appears that the generalised Boccotti’s distribution can predict the exceedance of large wave heights with good confidence.
Refractive Index Evaluation in Active TDBC Layers for Photonics Applications
Tetrachlorodiethyl Benzimidazo Carbocyanine (TDBC) layers are very interesting for photonics applications due to their huge oscillator strength, narrow absorption and low-cost fabrication. They are mainly used in strong coupling studies but also for wavelength selective grating fabrication, light concentration, absorption enhancement and so on. However, these intrinsic properties, particularly the refractive index, require further investigation. In this work, we first reviewed the values of the refractive index of TDBC layers reported in the literature. Using fitting with the Drude–Lorentz model, differences are highlighted. We then fabricated pure TDBC layers and measured their properties using ellipsometry and absorption spectroscopy. Finally, we also evaluated the refractive index as a function of the layer bleaching. This work shows that although the precise refractive index evaluation of pure TDBC layers is dependent on the measurement method, their oscillator strength force still remains very high without bleaching.
Digital Phenotyping for Differential Diagnosis of Major Depressive Episode: Narrative Review
Major depressive episode (MDE) is a common clinical syndrome. It can be found in different pathologies such as major depressive disorder (MDD), bipolar disorder (BD), posttraumatic stress disorder (PTSD), or even occur in the context of psychological trauma. However, only 1 syndrome is described in international classifications (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]/International Classification of Diseases 11th Revision [ICD-11]), which do not take into account the underlying pathology at the origin of the MDE. Clinical interviews are currently the best source of information to obtain the etiological diagnosis of MDE. Nevertheless, it does not allow an early diagnosis and there are no objective measures of extracted clinical information. To remedy this, the use of digital tools and their correlation with clinical symptomatology could be useful. We aimed to review the current application of digital tools for MDE diagnosis while highlighting shortcomings for further research. In addition, our work was focused on digital devices easy to use during clinical interview and mental health issues where depression is common. We conducted a narrative review of the use of digital tools during clinical interviews for MDE by searching papers published in PubMed/MEDLINE, Web of Science, and Google Scholar databases since February 2010. The search was conducted from June to September 2021. Potentially relevant papers were then compared against a checklist for relevance and reviewed independently for inclusion, with focus on 4 allocated topics of (1) automated voice analysis, behavior analysis by (2) video and physiological measures, (3) heart rate variability (HRV), and (4) electrodermal activity (EDA). For this purpose, we were interested in 4 frequently found clinical conditions in which MDE can occur: (1) MDD, (2) BD, (3) PTSD, and (4) psychological trauma. A total of 74 relevant papers on the subject were qualitatively analyzed and the information was synthesized. Thus, a digital phenotype of MDE seems to emerge consisting of modifications in speech features (namely, temporal, prosodic, spectral, source, and formants) and in speech content, modifications in nonverbal behavior (head, hand, body and eyes movement, facial expressivity, and gaze), and a decrease in physiological measurements (HRV and EDA). We not only found similarities but also differences when MDE occurs in MDD, BD, PTSD, or psychological trauma. However, comparative studies were rare in BD or PTSD conditions, which does not allow us to identify clear and distinct digital phenotypes. Our search identified markers from several modalities that hold promise for helping with a more objective diagnosis of MDE. To validate their potential, further longitudinal and prospective studies are needed.
Operating room tardiness following staffing changes at an ambulatory surgical center
The opportunity to reduce operating room (OR) tardiness and improve operational efficiency requires an understanding of logistics, relatively accurate case duration time estimates, and higher throughput [1]. First case start delays and tardiness were calculated as the difference between the actual time in and the schedule time in. [...]we performed a segmented regression analysis and included a non-parametric comparison over a distribution of linear regression models in each time period by bootstrapping [4,5].
On weakly turbulent scaling of wind sea in simulations of fetch-limited growth
Extensive numerical simulations of fetch-limited growth of wind-driven waves are analysed within two approaches: a ‘traditional’ wind-speed scaling first proposed by Kitaigorodskii (Bull. Acad. Sci. USSR, Geophys. Ser., Engl. Transl., vol. N1, 1962, p. 105) in the early 1960s and an alternative weakly turbulent scaling developed recently by Badulin et al. (J. Fluid Mech. 591, 2007, 339–378). The latter one uses spectral fluxes of wave energy, momentum and action as physical scales of the problem and allows for advanced qualitative and quantitative analysis of wind-wave growth and features of air–sea interaction. In contrast, the traditional approach is shown to be descriptive rather than proactive. Numerical simulations are conducted on the basis of the Hasselmann kinetic equation for deep-water waves in a wide range of wind speeds from 5 to 30 m s −1 and for the ideal case of fetch-limited growth: permanent wind blowing perpendicularly to a straight coastline. Two different wave input functions, Sin, and two methods for calculating the nonlinear transfer term Snl (Gaussian quadrature method, or GQM, a quasi-exact method based on the use of Gaussian quadratures, and the discrete interaction approximation, or DIA) are used in the simulations. Comparison of the corresponding results firstly shows the relevance of the analysis of wind-wave growth in terms of the proposed weakly turbulent scaling, and secondly, allows us to highlight some critical points in the modelling of wind-generated waves. Three stages of wind-wave development corresponding to qualitatively different balance of the source terms, Sin, Sdiss and Snl, are identified: initial growth, growing sea and fully developed sea. Validity of the asymptotic weakly turbulent approach for the stage of growing wind sea is determined by the dominance of nonlinear transfers, which results in a rigid link between spectral fluxes and wave energy. This stage of self-similar growth is investigated in detail and presented as a consequence of three sub-stages of qualitatively different coupling of air flow and growing wind waves. The key self-similarity parameter of the asymptotic theory is estimated to be αss = 0.68 ± 0.1. Further prospects of wind-wave modelling in the context of the presented weakly turbulent scaling are discussed.
Examining transcranial random noise stimulation as an add-on treatment for persistent symptoms in schizophrenia (STIM’Zo): a study protocol for a multicentre, double-blind, randomized sham-controlled clinical trial
Background One out of three patients with schizophrenia failed to respond adequately to antipsychotics and continue to experience debilitating symptoms such as auditory hallucinations and negative symptoms. The development of additional therapeutic approaches for these persistent symptoms constitutes a major goal for patients. Here, we develop a randomized-controlled trial testing the efficacy of high-frequency transcranial random noise stimulation (hf-tRNS) for the treatment of resistant/persistent symptoms of schizophrenia in patients with various profiles of symptoms, cognitive deficits and illness duration. We also aim to investigate the biological and cognitive effects of hf-tRNS and to identify the predictors of clinical response. Methods In a randomized, double-blind, 2-arm parallel-group, controlled, multicentre study, 144 patients with schizophrenia and persistent symptoms despite the prescription of at least one antipsychotic treatment will be randomly allocated to receive either active ( n = 72) or sham ( n = 72) hf-tRNS. hf-tRNS (100–500 Hz) will be delivered for 20 min with a current intensity of 2 mA and a 1-mA offset twice a day on 5 consecutive weekdays. The anode will be placed over the left dorsolateral prefrontal cortex and the cathode over the left temporoparietal junction. Patients’ symptoms will be assessed prior to hf-tRNS (baseline), after the 10 sessions, and at 1-, 3- and 6-month follow-up. The primary outcome will be the number of responders defined as a reduction of at least 25% from the baseline scores on the Positive and Negative Syndrome Scale (PANSS) after the 10 sessions. Secondary outcomes will include brain activity and connectivity, source monitoring performances, social cognition, other clinical (including auditory hallucinations) and biological variables, and attitude toward treatment. Discussion The results of this trial will constitute a first step toward establishing the usefulness of hf-tRNS in schizophrenia whatever the stage of the illness and the level of treatment resistance. We hypothesize a long-lasting effect of active hf-tRNS on the severity of schizophrenia symptoms as compared to sham. This trial will also have implications for the use of hf-tRNS as a preventive intervention of relapse in patients with schizophrenia. Trial registration ClinicalTrials.gov NCT02744989. Prospectively registered on 20 April 2016
COVID-19 Vaccine-Associated Transient Global Amnesia: A Disproportionality Analysis of the WHO Safety Database
Coronavirus disease 2019 (COVID-19) spread rapidly, resulting in a global pandemic for which vaccines were quickly developed. As their safety continues to be monitored, cases of transient global amnesia (TGA) following mRNA vaccination with elasomeran have been reported. TGA is characterized by sudden onset of anterograde amnesia with preservation of other cognitive functions and resolution within 24 h. We aimed to investigate the potential link of TGA with COVID-19 vaccines. We queried the World Health Organization VigiBase ® for all reports of “Transient global amnesia”, up to 6 December 2021. Disproportionality analysis relied on the Reporting Odds Ratio (ROR) with its 95% Confidence Interval (CI) and the Information Component (IC). A positive lower end of the 95% CI of the IC (IC025) is used to statistically detect a signal. Of all TGA cases, 289 were associated with a COVID-19 vaccine, representing the most frequent association. Tozinameran was mostly represented (147, 50.8%), followed by AZD1222 (69, 23,8%), elasomeran (60, 20.8%), and JNJ-78436735 (12, 4.2%). With an IC025 > 0, COVID-19 vaccines showed a significant ROR (5.1; 95%CI 4.4–6.0). Tozinameran reached the strongest ROR (4.6; 95%CI 3.9–5.0), followed by elasomeran (4.4; 95%CI 3.4–6.0), AZD1222 (3.8; 95%CI 3.0–5.0), and JNJ-78436735 (3.7; 95%CI 2.1–6.0). Our analysis of COVID-19 vaccines-related TGA reports shows significant disproportionality. Cerebrovascular, inflammatory, or migrainous mechanisms may underlie this association. Yet, numerous confounding factors cannot be tackled with this approach, and causality cannot be ascertained. The identification of this trigger of TGA may help the clinician in his etiological research.