An open-label study of herbal topical medication (Psirelax) for patients with chronic plaque psoriasis

Psirelax is an herbal topical medication indicated for the treatment ofpatients with psoriasis. Its efficacy was determined in an open-labelstudy in 22 patients (15 men, 7 women) with a mean age of 48.9±11.8years suffering from chronic plaque psoriasis. The patients weretreated by application of Psirelax twice a day for a period of 4 weeks.Clinical assessment was performed using the Psoriasis Area andSeverity Index (PASI) and the Beer-Sheva Psoriasis Severity Score(BPSS). The results shows that Psirelax was well tolerated and thereno local or systemic side effects. There was 59% reduction in PASI,from a mean of 5.9 ± 4.0 before treatment to 2.4 ± 2.4 after treatment(p<0.001). In 8 patients (36%) PASI decreased in more than 75%(PASI75). In 16 patients (73%) PASI decreased in more than 50%(PASI50). Application of Psirelax was associated with a decrease indisease severity, as assessed by the patients and physicians. It isconcluded that Psirelax treatment was well tolerated in patients withchronic plaque psoriasis

Ceftriaxone-induced toxic epidermal necrolysis mimicking burn injury: a case report

<p>Abstract</p> <p>Introduction</p> <p>Toxic epidermal necrolysis is a rare exfoliative disorder with a high mortality rate.</p> <p>Case presentation</p> <p>We present a 70-year-old woman of Iranian descent who presented with toxic epidermal necrolysis that was initially diagnosed as a scald burn. Further anamnesis prompted by spread of the lesions during hospitalization revealed that the patient had been receiving ceftriaxone for several days. To the best of our knowledge, this is the first case of ceftriaxone-induced toxic epidermal necrolysis in the English literature.</p> <p>Conclusion</p> <p>Toxic epidermal necrolysis is an acute, life-threatening, exfoliative disorder with a high mortality rate. High clinical suspicion, prompt recognition, and initiation of supportive care is mandatory. Thorough investigation of the pathogenetic mechanisms is fundamental. Optimal treatment guidelines are still unavailable.</p

Post-traumatic soft tissue tumors: Case report and review of the literature a propos a Post-traumatic paraspinal desmoid tumor

<p>Abstract</p> <p>Background</p> <p>Antecedent trauma has been implicated in the causation of soft tissue tumors. Several criteria have been established to define a cause-and-effect relationship. We postulate possible mechanisms in the genesis of soft tissue tumors following antecedent traumatic injury.</p> <p>Case presentation</p> <p>We present a 27-year-old woman with a paraspinal desmoid tumor, diagnosed 3-years following a motor vehicle accident. Literature is reviewed.</p> <p>Conclusion</p> <p>Soft tissue tumors arising at the site of previous trauma may be desmoids, pseudolipomas or rarely, other soft tissue growths. The cause-and-effect issue of desmoid or other soft tissue tumors goes beyond their diagnosis and treatment. Surgeons should be acquainted with this diagnostic entity as it may also involve questions of longer follow-up and compensation and disability privileges.</p

Particulate pollution in the Sydney Region: source diagnostics and synoptic controls

Airborne particulate matter (PM2.5) was sampled at Richmond and Liverpool, located in the Sydney Basin, Australia, and ion beam analysis was used to obtain the elemental composition. Using self-organising maps to classify synoptic weather systems, it was found that high PM2.5 concentrations were associated with high pressure systems located to the east of the sampling sites. The highest median sulfur was associated with weak synoptic conditions and high soil dust days were more often associated with frontal systems. To investigate the effect of local flows in the Sydney Basin, the Weather Research and Forecasting model (WRF) was used to generate meteorological data of 12 km resolution. A comparison was made between back trajectories generated using the higher-resolution WRF data, the 0.5° by 0.5° Climate Forecast System data and the 1° by 1° Global Data Assimilation System data. It was found that for high soil dust days, there were small differences between the different back trajectories. However, under weak synoptic conditions (high sulfur days), the back trajectories generated from higher resolution data showed larger variations over a 24 hr period. This was attributed to the meandering of local winds and seabreezes. Lower altitude back trajectories, generated from low resolution data, passed more often over the power stations located on the western side of the Great Dividing Range (while the sampling sites are on the east). This demonstrates the need for higher resolution meteorological data for generating low altitude back trajectories when the source and receptor are separated by hilly terrain. In estimating the number of high sulfur days for which a power station was crossed, there was up to 20% difference at Liverpool and up to 10% difference at Richmond, between back trajectories starting at different altitudes and generated from meteorological data of three different resolutions

Nonattendance in pediatric pulmonary clinics: an ambulatory survey

<p>Abstract</p> <p>Background</p> <p>Nonattendance for scheduled appointments disturbs the effective management of pediatric pulmonary clinics. We hypothesized that the reasons for non-attendance and the necessary solutions might be different in pediatric pulmonary medicine than in other pediatric fields. We therefore investigated the factors associated with nonattendance this field in order to devise a corrective strategy.</p> <p>Methods</p> <p>The effect of age, gender, ethnic origin, waiting time for an appointment and the timing of appointments during the day on nonattendance proportion were assessed. Chi-square tests were used to analyze statistically significant differences of categorical variables. Logistic regression models were used for multivariate analysis.</p> <p>Results</p> <p>A total of 1190 pediatric pulmonology clinic visits in a 21 month period were included in the study. The overall proportion of nonattendance was 30.6%. Nonattendance was 23.8% when there was a short waiting time for an appointment (1–7 days) and 36.3% when there was a long waiting time (8 days and above) (p-value < 0.001). Nonattendance was 28.7% between 8 a.m. to 3 p.m. and 37.5% after 3 p.m. (p = 0.007). Jewish rural patients had 15.4% nonattendance, Jewish urban patients had 31.2% nonattendance and Bedouin patients had 32.9% nonattendance (p < 0.004). Age and gender were not significantly associated with nonattendance proportions. A multivariate logistic regression model demonstrated that the waiting time for an appointment, time of the day, and the patients' origin was significantly associated with nonattendance.</p> <p>Conclusion</p> <p>The factors associated with nonattendance in pediatric pulmonary clinics include the length of waiting time for an appointment, the hour of the appointment within the day and the origin of the patient.</p

Dynamical Mean-Field Theory within an Augmented Plane-Wave Framework: Assessing Electronic Correlations in the Iron Pnictide LaFeAsO

We present an approach that combines the local density approximation (LDA) and the dynamical mean-field theory (DMFT) in the framework of the full-potential linear augmented plane waves (FLAPW) method. Wannier-like functions for the correlated shell are constructed by projecting local orbitals onto a set of Bloch eigenstates located within a certain energy window. The screened Coulomb interaction and Hund's coupling are calculated from a first-principle constrained RPA scheme. We apply this LDA+DMFT implementation, in conjunction with continuous-time quantum Monte-Carlo, to study the electronic correlations in LaFeAsO. Our findings support the physical picture of a metal with intermediate correlations. The average value of the mass renormalization of the Fe 3d bands is about 1.6, in reasonable agreement with the picture inferred from photoemission experiments. The discrepancies between different LDA+DMFT calculations (all technically correct) which have been reported in the literature are shown to have two causes: i) the specific value of the interaction parameters used in these calculations and ii) the degree of localization of the Wannier orbitals chosen to represent the Fe 3d states, to which many-body terms are applied. The latter is a fundamental issue in the application of many-body calculations, such as DMFT, in a realistic setting. We provide strong evidence that the DMFT approximation is more accurate and more straightforward to implement when well-localized orbitals are constructed from a large energy window encompassing Fe-3d, As-4p and O-2p, and point out several difficulties associated with the use of extended Wannier functions associated with the low-energy iron bands. Some of these issues have important physical consequences, regarding in particular the sensitivity to the Hund's coupling.Comment: 16 pages, 9 figures, published versio

Light scattering from three-level systems: The T-matrix of a point-dipole with gain

We present an extension of the T-matrix approach to scattering of light by a three-level system, using a description based on a Master equation. More particularly, we apply our formalism to calculate the T-matrix of a pumped three-level atom, providing an exact and analytical expression describing the influence of a pump on the light scattering properties of an atomic three-level system

Skyrmion Multi-Walls

Skyrmion walls are topologically-nontrivial solutions of the Skyrme system which are periodic in two spatial directions. We report numerical investigations which show that solutions representing parallel multi-walls exist. The most stable configuration is that of the square $N$-wall, which in the $N\to\infty$ limit becomes the cubically-symmetric Skyrme crystal. There is also a solution resembling parallel hexagonal walls, but this is less stable.Comment: 7 pages, 1 figur

Low-temperature specific heat in hydrogenated and Mn-doped La(Fe, Si)(13)

It is now well established that the paramagnetic-to-ferromagnetic transition in the magnetocaloric La(FeSi)13 is a cooperative effect involving spin, charge, and lattice degrees of freedom. However, the influence of this correlated behavior on the ferromagnetic state is as yet little studied. Here we measure the specific heat at low temperatures in a systematic set of LaFexMnySiz samples, with and without hydrogen, to extract the Sommerfeld coefficient, the Debye temperature, and the spin-wave stiffness. Substantial and systematic changes in magnitude of the Sommerfeld coefficient are observed with Mn substitution and introduction of hydrogen, showing that over and above the changes to the density of states at the Fermi energy there are significant enhanced d-band electronic interactions at play. The Sommerfeld coefficient is found to be 90–210mJmol−1K−2, unusually high compared to that expected from band-structure calculations. The Debye temperature determined from the specific heat measurement is insensitive to Mn and Si doping but increases when hydrogen is introduced into the system. The Sommerfeld coefficient is reduced in magnetic field for all compositions that have a measurable spin-wave contribution. These results move our understanding of the cooperative effects forward in this important and interesting class of materials significantly and provide a basis for future theoretical development