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Identifying the location of a potential noise source assists in understanding the characteristics of the seismic or volcanic activity and provides valuable information for hazard assessment. Unlike the conventional waveform-based techniques that rebuild the source energy into the possible source region, we apply a simplified method to determine the absolute location of the noise source based on the station-pair time-delays from ambient noise interferometry. Synthetic tests demonstrate the robustness of the method and the locating precision is mainly influenced by the signal-to-noise ratio of the synthetic waveforms, and the higher frequency bandwidth source signals are more likely to result in accurate detection of the source. An application at the Central Tien Shan indicates that our method is capable of locating the known virtual source from the empirical Green's functions. Furthermore, assuming a surface wave velocity, the depth of the source can be generally recovered from ambient noise interferometry in a simplified 3-D homogeneous model. The new method sheds light on applications of ambient noise interferometry for locating potential sources, making it suitable for detecting time-dependent behavior.
RESUMO
The destructive 2015 Mw7.8 Gorkha earthquake occurred in the Main Himalayan Thrust due to the collision of the Indian and Asian plates, which provides a unique opportunity to understand the deep dynamic processes and seismogenic mechanisms of strong earthquakes. We construct a regional-scale shear-wave velocity model of the crust and uppermost mantle using ambient seismic noise and teleseismic surface wave at periods of 5-100 s around the Gorkha earthquake region. The new shear-wave velocity model exhibits prominently lateral heterogeneities in the Gorkha earthquake areas. We observe a high-velocity (high-V) zone around the Gorkha main shock in the Main Himalayan Thrust, indicating the existence of a high-strength asperity that sustains the stress accumulating. The aftershocks are primarily located in the low-velocity (low-V) anomalies and enclosed by two high-V anomalies, which appear to act as structural barriers that influence the spread of the aftershocks. Prominent low-Vanomalies from the lower crust to the mantle lithosphere are observed along the north-south trending rifts, suggesting the hot materials upwelling due to the tearing of the northward subducting Indian lithosphere. These observations may indicate that seismic velocity heterogeneity could play an essential role in earthquake initiation and the rupture process.
RESUMO
Introduction: Postoperative delirium (POD) is an acute, transient brain disorder associated with decreased postoperative quality of life, dementia, neurocognitive changes, and mortality. A small number of trials have explored the role of S-ketamine in the treatment of POD due to its neuroprotective effects. Surprisingly, these trials have failed to yield supportive results. However, heterogeneity in delirium assessment methodologies, sample sizes, and outcome settings as well as deficiencies in S-ketamine use methods make the evidence provided by these studies less persuasive. Given the severe impact of POD on the health of elderly patients and the potential for S-ketamine to prevent it, we believe that designing a large sample size, and rigorous randomized controlled trial for further evaluation is necessary. Methods: This is a single-center, randomized, double-blind, placebo-controlled, pragmatic study. Subjects undergoing total hip or knee arthroplasty will be randomized in a 1:1 ratio to intervention (n = 186) and placebo (n = 186) groups. This trial aims to explore the potential role of S-ketamine in the prevention of POD. Its primary outcome is the incidence of POD within 3 postoperative days. Secondary outcomes include the number of POD episodes, the onset and duration of POD, the severity and subtype of POD, pain scores and opioid consumption, sleep quality, clinical outcomes, and safety outcomes. Discussion: To our knowledge, this is the first pragmatic study that proposes to use S-ketamine to prevent POD. We reviewed a large body of literature to identify potential preoperative confounding variables that may bias associations between the intervention and primary outcome. We will use advanced statistical methods to correct potential confounding variables, improving the test's power and external validity of test results. Of note, the patient population included in this trial will undergo intraspinal anesthesia. Although large, multicenter, randomized controlled studies have found no considerable difference in the effects of regional and general anesthesia on POD, patients receiving intraspinal anesthesia have less exposure to at-risk drugs, such as sevoflurane, propofol, and benzodiazepines, than patients receiving general anesthesia. At-risk drugs have been shown to negatively interfere with the neuroprotective effects of S-ketamine, which may be the reason for the failure of a large number of previous studies. There is currently a lack of randomized controlled studies evaluating S-ketamine for POD prevention, and our trial helps to fill a gap in this area.Trial registration: http://www.chictr.org.cn, identifier ChiCTR2300075796.
