[COMPREHENSIVE PROPHYLAXIS OF EARLY THROMBOEMBOLISM AND HEMORRHAGE AFTER LARGE JOINT ENDOPROSTHETIC SURGERY].

We examined 160 patients treated by endoprosthetic surgery of hip, knee, shoulder and elbow joints. 80 patients received i/v injections of 250 mg tranexam 30 min before and 4 hr after surgery. 220 mg ofpradax was given within 10-12 hr after surgery and thereafter on a daily basis. Fraxiparin (0.3-0.4 ml) was administered subcutaneously to 80 control patients 12 hr before surgery and once daily in the postoperative period. The intra- andpostoperative blood volume loss, dynamics of hematological parameters, and frequency of thromboembolic complications were determined. A Cell-Trans system was used to drain the surgical wound in the patients of the study group with subsequent reinfusion of blood. In controls, the wound was drained using conventional polyvinyl chloride drains with active aspiration of the contents without reinfusion. It was shown that combined application of tranexam, pradax, and the Cell-Trans system with postoperative blood reinfusion allows to reduce blood losses by 40% at all stages of the study. The total blood loss was 585.4 ± 124.2 ml and 959.8 ± 178.3 ml in study and control groups respectively. The proposed approach provides an effective and safe tool for the prevention of thromboembolic complications and hemorrhage in the early postoperative period after large joint endoprosthetic surgery.

Micropollutants in urban stormwater: occurrence, concentrations, and atmospheric contributions for a wide range of contaminants in three French catchments.

This study aimed at: (a) providing information on the occurrence and concentration ranges in urban stormwater for a wide array of pollutants (n = 77); (b) assessing whether despite the differences between various catchments (land use, climatic conditions, etc.), the trends in terms of contamination level are similar; and (c) analyzing the contribution of total atmospheric fallout (TAF) with respect to sources endogenous to this contamination. The studied contaminants include conventional stormwater contaminants (polycyclic aromatic hydrocarbons (PAHs), Zn, Cu, Pb, etc.), in addition to poorly or undocumented pollutants such as nonylphenol and octylphenol ethoxylates (NPnEO and OPnEO), bisphenol A (BPA), polybrominated diphenyl ethers (PBDEs), a wide variety of pesticides, and various metals of relevance (As, Ti, Sr, V). Sampling and analysis were performed using homogeneous methods on three urban catchments with different land use patterns located in three distinct French towns. For many of these pollutants, the results do not allow highlighting a significant difference in stormwater quality at the scale of the three urban catchments considered. Significant differences were, however, observed for several metals (As, Cr, Cu, Ni, Sr and Zn), PAHs, and PBDEs, though this assessment would need to be confirmed by further experiments. The pollutant distributions between dissolved and particulate phases were found to be similar across the three experimental sites, thus suggesting no site dependence. Lastly, the contributions of TAF to stormwater contamination for micropollutants were quite low. This finding held true not only for PAHs, as previously demonstrated in the literature, but also for a broader range of molecules such as BPA, NPnEO, OPnEO, and PBDEs, whose high local production is correlated with the leaching of urban surfaces, buildings, and vehicles.

[Optimization of diagnosis and control of treatment of gastrointestinal paresis in the early postoperative period in extended peritonitis].

The results of treatment of patients, operated on for extended peritonitis in reactive and toxic phases, presenting with prominent gastrointestinal paresis, using the impulse stimulation of their peristalsis and early enteral nutrition under guidance of electrogastroenterography, are analyzed. The method is simple in application, it may be used in surgical and reanimation stationaries of any level, it has not the current restrictions and special contraindications.

Canonical variables for steep planar water waves over nonuniform beds.

An explicit expression in terms of canonical variables is obtained for the Hamiltonian functional determining the fully nonlinear dynamics of two-dimensional potential flows of an ideal fluid with a free surface over an arbitrary nonuniform depth. The canonically conjugate variables are derived from the previously developed noncanonical conformal description of water waves over a strongly undulating bottom [V. P. Ruban, Phys. Rev. E 70, 066302 (2004)]. Also an alternative approach to the problem is discussed, which gives weakly nonlinear Hamiltonian models of different orders, both for free-surface waves and for interfacial waves.

Two treatment methods for stormwater sediments--pilot plant and landfarming--and reuse of the treated sediments in civil engineering.

The aim of this research was to present a pilot plant for the treatment of stormwater sediments and to compare the decontamination rate to that obtained by landfarming. The possibilities for reuse of the treated sediments in civil engineering are also studied. Four sediments from retention/infiltration ponds or from street sweeping were studied. In each case organic matter (OM), total hydrocarbons (TH) and polycyclic aromatic hydrocarbons (PAH) were measured. Geotechnical tests were carried out to evaluate the reuse possibilities of the treated sediments. Treatment by means of the pilot plant was efficient at reducing TH and PAH concentrations: THs were reduced by 53-97% and PAHs were decreased by 60-95%. By comparison, a reduction of 45-75% in TH concentration is obtained with landfarming, whereas there is no significant decrease in PAHs. Furthermore, geotechnical tests showed that the treated fractions from the pilot plant can be reused as road embankments and as a capping layer. These results are most encouraging and show that stormwater sediments can valuably be reused after treatment in a pilot plant. Landfarming is less efficient but this technique could be used as a pretreatment in the case of high TH pollution.

Two different kinds of rogue waves in weakly crossing sea states.

Formation of giant waves in sea states with two spectral maxima centered at close wave vectors k_{0}+/-Deltak/2 in the Fourier plane is numerically simulated using the fully nonlinear model for long-crested water waves [V. P. Ruban, Phys. Rev. E 71, 055303(R) (2005)]. Depending on an angle theta between the vectors k_{0} and Deltak , which determines a typical orientation of interference stripes in the physical plane, rogue waves arise having different spatial structure. If theta less, < or = arctan(1/sqrt[2]) , then typical giant waves are relatively long fragments of essentially two-dimensional (2D) ridges, separated by wide valleys and consisting of alternating oblique crests and troughs. At nearly perpendicular k_{0} and Deltak , the interference minima develop to coherent structures similar to the dark solitons of the nonlinear Schrodinger equation, and a 2D freak wave looks much as a piece of a one-dimensional freak wave bounded in the transversal direction by two such dark solitons.

Water wave collapses over quasi-one-dimensional nonuniformly periodic bed profiles.

Nonlinear water waves interacting with quasi-one-dimensional nonuniformly periodic bed profiles are studied numerically in the deep-water regime with the help of approximate equations for envelopes of the forward and backward waves. Spontaneous formation of localized two-dimensional wave structures is observed in the numerical experiments, which looks essentially as a wave collapse.

Highly nonlinear Bragg quasisolitons in the dynamics of water waves.

Finite-amplitude gravity water waves in Bragg resonance with a periodic one-dimensional topography are studied numerically using exact equations of motion for ideal potential free-surface flows. Spontaneous formation of highly nonlinear localized structures is observed in the numerical experiments. These coherent structures consisting of several nearly standing extreme waves are similar in many aspects to the Bragg solitons previously known in nonlinear optics.

Reduction of sediment micro-pollution by means of a pilot plant.

Solutions need to be found to manage polluted (organic matter, trace elements, hydrocarbons and PAHs) stormwater sediments while complying with stringent economic and environmental requirements. The cost of transport is a relatively large part of the treatment cost for such sediments, hence the development of a pilot unit that could provide their in situ treatment. Seven stormwater sediments were treated by means of the ATTRISED pilot plant, based on sieving and attrition. The objective is to apply a treatment procedure by which as much clean material as possible is recovered, while the pollutants are concentrated in a small volume ready for final destruction or isolation from the environment. Application of the attrition process serves to remove fine particles and contaminants from the surface of sediments and hydrocyclone separations allow to isolate fine contaminated particles (< 60 microm). The results show that particle size separations coupled to an attrition step allow decontamination efficiencies of 76% and 70% for street sweeping and pond sediments, respectively. Although the experiments were carried out on stormwater sediments, all kinds of sediments may be treated by the ATTRISED pilot plant if the mean particle size is greater than 60 microm.

Explicit equations for two-dimensional water waves with constant vorticity.

Governing equations for two-dimensional inviscid free-surface flows with constant vorticity over arbitrary nonuniform bottom profile are presented in exact and compact form using conformal variables. An efficient and very accurate numerical method for this problem is developed.

Water-wave gap solitons: an approximate theory and numerical solutions of the exact equations of motion.

It is demonstrated that a standard coupled-mode theory can successfully describe weakly nonlinear gravity water waves in Bragg resonance with a periodic one-dimensional topography. Analytical solutions for gap solitons provided by this theory are in reasonable agreement with numerical simulations of the exact equations of motion for ideal planar potential free-surface flows, even for strongly nonlinear waves. In numerical experiments, self-localized groups of nearly standing water waves can exist up to hundreds of wave periods. Generalizations of the model to the three-dimensional case are also derived.

Nonlinear stage of the Benjamin-Feir instability: three-dimensional coherent structures and rogue waves.

A specific, genuinely three-dimensional mechanism of rogue wave formation, in a late stage of the modulational instability of a perturbed Stokes deep-water wave, is recognized through numerical experiments. The simulations are based on fully nonlinear equations describing weakly three-dimensional potential flows of an ideal fluid with a free surface in terms of conformal variables. Spontaneous formation of zigzag patterns for wave amplitude is observed in a nonlinear stage of the instability. If initial wave steepness is sufficiently high (ka>0.06), these coherent structures produce rogue waves. The most tall waves appear in turns of the zigzags. For ka<0.06, the structures decay typically without formation of steep waves.

Breathing rogue wave observed in numerical experiment.

Numerical simulations of the recently derived fully nonlinear equations of motion for long-crested water waves [V. P. Ruban, Phys. Rev. E 71, 055303(R) (2005)] with quasirandom initial conditions are reported, which show the spontaneous formation of a single extreme wave on deep water. This rogue wave behaves in an oscillating manner and exists for a relatively long time (many wave periods) without significant change of its maximal amplitude.

Quasiplanar steep water waves.

A unique description for highly nonlinear potential water waves is suggested, where weak three-dimensional effects are included as small corrections to exact two-dimensional equations written in conformal variables. Contrary to the traditional approach, a small parameter in this theory is not a surface slope, but it is the ratio of a typical wavelength to a large transversal scale along the second horizontal coordinate. A first-order correction for the Hamiltonian functional is calculated, and the corresponding equations of motion are derived for steep water waves over an arbitrary nonuniform quasi-one-dimensional bottom profile.

Quantitative and qualitative hydrologic balance for a suburban watershed with a separate sewer system (Nantes, France).

A qualitative and quantitative budget at the outlet of the storm-water runoff system of a small suburban watershed is presented together with some data regarding waste-water. 445,000 m3 (34% of the rain-water volume) were drained by the storm-water runoff system and 40,879 m3 by the waste-water system from September 2002 to March 2004. Storm-water runoff is generally not heavily polluted with regard to trace metals but concentrations occasionally exceed the standards for surface water of good quality. On the contrary, pesticides (diuron and glyphosate) have very high concentrations especially in spring and autumn when their use is maximum. As the St Joseph storm-water runoff is finally discharged into the Erdre River, measures to reduce the use of these pollutants should be considered.

Mobility of trace metals in retention pond sediments.

This paper presents the results of a study on trace metal mobility in the sediments of several road and urban infiltration/decantation ponds in France; the trace metal concentrations are indeed high. The potential mobility of trace metals (cadmium, nickel, chromium, copper, lead and zinc) was evaluated by application of the sequential extraction BCR protocol. Results have been compared with those from the IHSS protocol, which allows for the extraction of various forms of organic matter. Cadmium is the most easily exchangeable element in the case of variations in physical-chemical conditions (50% to 60% of Cd is exchangeable and 70% to 80% of Cd remains within the fulvic acid fraction) and is thus easily releasable within an acidic medium. Zinc is also potentially mobile and stays mainly concentrated in fulvic acids, except in the case of the Ronchin sediment (more than 50% in humin). In contrast, nickel and chromium are primarily present in the residual fraction and do not exhibit high mobility. Copper and lead are concentrated in both the humic acid fraction (IHSS protocol) and the organic phase (BCR scheme); consequently, their mobility is limited.

Characterization of the organic matter of sludge: determination of lipids, hydrocarbons and PAHs from road retention/infiltration ponds in France.

This paper presents the results of the organic matter characterization of sludge from two ponds (retention and infiltration) located in France. Special focus was placed on studying hydrocarbons and PAHs. This investigation is part of a global project on road and urban sludge with the aim of identifying a better means for managing these materials. Gas chromatographic and GC/MS analyses indicate that the main component of the organic fraction stems from petroleum-derived products like diesel fuel and motor oil. This finding was confirmed by the presence of biomarkers from the hopane series, as well as by pyrolytic and alkylated PAHs. Results from this study clearly show that the contaminants are mainly generated from anthropogenic petroleum sources. Due to their levels of hydrocarbon contamination, these sludge deposits must be considered as waste and cannot therefore be disposed anywhere, especially within the current context of sustainable development.

Water waves over a strongly undulating bottom.

Two-dimensional free-surface potential flows of an ideal fluid over a strongly inhomogeneous bottom are investigated with the help of conformal mappings. Weakly nonlinear and exact nonlinear equations of motion are derived by the variational method for an arbitrary seabed shape parametrized by an analytical function. As applications of this theory, the band structure of linear waves over periodic bottoms is calculated and the evolution of strong solitary waves running from a deep region to a shallow region is numerically simulated.

Toroidal bubbles with circulation in ideal hydrodynamics: a variational approach.

Incompressible, inviscid, irrotational, unsteady flows with circulation Gamma around a distorted toroidal bubble are considered. A general variational principle that determines the evolution of the bubble shape is formulated. For a two-dimensional (2D) cavity with a constant area A, exact pseudodifferential equations of motion are derived, based on variables that determine a conformal mapping of the unit circle exterior into the region occupied by the fluid. A closed expression for the Hamiltonian of the 2D system in terms of canonical variables is obtained. Stability of a stationary drifting 2D hollow vortex is demonstrated, when the gravity is small, gA(3/2)/Gamma(2)<<1. For a circulation-dominated regime of three-dimensional flows a simplified Lagrangian is suggested, inasmuch as the bubble shape is well described by the center line R(xi,t) and by an approximately circular cross section with relatively small area, A(xi,t)<<(contour integral operator |R'|dxi)(2). In particular, a finite-dimensional dynamical system is derived and approximately solved for a vertically moving axisymmetric vortex ring bubble with a compressed gas inside.

Variational principle for frozen-in vorticity interacting with sound waves.

General properties of conservative hydrodynamic-type models are treated from positions of the canonical formalism adopted for liquid continuous media. A variational formulation is found for motion and interaction of frozen-in localized vortex structures and acoustic waves in a special description where dynamical variables are, besides the Eulerian fields of the fluid density and the potential component of the canonical momentum, also the shapes of frozen-in lines of the generalized vorticity. This variational principle can serve as a basis for approximate dynamical models with reduced number of degrees of freedom.