Effect of Contrast-Enhanced Echocardiograms on the Prognosis of Infective Endocarditis

Objective - Infective endocarditis (IE) is an infectious disease of the cardiac valves where bacteria colonize the valves; typically, via the formation of vegetations. Recent research has shown that the microbubbles in a contrast-enhanced ultrasound (CEUS) examination can move and dislodge bacterial vegetations in vitro. This study investigated whether CEUS resulted in faster resolution of IE in vivo by dislodging the vegetations. Methods - This IRB approved retrospective study reviewed 36 patients who were diagnosed with IE via echocardiography. Data was sourced from patients within the Jefferson University Hospital’s Cardiology EMR system by searching for contrast and vegetation from January 1st, 2013 – January 1st, 2018. Fifteen patients were not given contrast, whereas 21 patients were given contrast via agitated saline (n=16) or an ultrasound contrast agent (n=5). All patients received an echocardiogram after blood cultures confirmed an infection, but before resolution of infection (defined by negative blood cultures). A student’s t-test was used for analyses. Results - The study population was heterogeneous in terms of sex (67.5% male) and race (70% Caucasian, 25% African American, and 5% Asian), with an average age of 51±20 years, and an average BMI of 29.65±7.43 in the contrast group and 27.67±3.16 in the non-contrast group (p=0.37). Following ultrasound, no patients had documented stroke, pulmonary embolism, or systemic blood clot, which physicians could have attributed to a thrombus resulting from dislodging of bacterial vegetation. Overall, blood cultures did not clear faster in patients receiving CEUS compared to those undergoing standard echocardiography, (2.63±2.69 days vs. 1.34 ±1.11 days, p=0.09). CEUS also did not shorten the admission length in patients with IE, (16.9±7.7 days vs. 19.9±12.1 days; p=0.36). Conclusion - Based on this limited sample size, patients who underwent CEUS did not have a different prognosis when compared to patients who received a non-contrast echocardiogram

Critical point symmetries in boson-fermion systems. The case of shape transition in odd nuclei in a multi-orbit model

We investigate phase transitions in boson-fermion systems. We propose an analytically solvable model (E(5/12)) to describe odd nuclei at the critical point in the transition from the spherical to $\gamma$-unstable behaviour. In the model, a boson core described within the Bohr Hamiltonian interacts with an unpaired particle assumed to be moving in the three single particle orbitals j=1/2,3/2,5/2. Energy spectra and electromagnetic transitions at the critical point compare well with the results obtained within the Interacting Boson Fermion Model, with a boson-fermion Hamiltonian that describes the same physical situation.Comment: Phys. Rev. Lett. (in press

Boundary effects on radiative processes of two entangled atoms

We analyze radiative processes of a quantum system composed by two identical two-level atoms interacting with a massless scalar field prepared in the vacuum state in the presence of perfect reflecting flat mirrors. We consider that the atoms are prepared in a stationary maximally entangled state. We investigate the spontaneous transitions rates from the entangled states to the collective ground state induced by vacuum fluctuations. In the empty-space case, the spontaneous decay rates can be enhanced or inhibited depending on the specific entangled state and changes with the distance between the atoms. Next, we consider the presence of perfect mirrors and impose Dirichlet boundary conditions on such surfaces. In the presence of a single mirror the transition rate for the symmetric state undergoes a slight reduction, whereas for the antisymmetric state our results indicate a slightly enhancement. Finally, we investigate the effect of multiple reflections by two perfect mirrors on the transition rates.Comment: submitted version to the journa

A symmetry adapted approach to vibrational excitations in atomic clusters

An algebraic method especially suited to describe strongly anharmonic vibrational spectra in molecules may be an appropriate framework to study vibrational spectra of Na$^+_n$ clusters, where nearly flat potential energy surfaces and the appearance of close lying isomers have been reported. As an illustration we describe the model and apply it to the Be$_4$, H$_3^+$, Be$_3$ and Na$_3^+$ clusters.Comment: 8 pages with 2 tables, invited talk at `Atomic Nuclei & Metallic Clusters: Finite Many-Fermion Systems', Prague, Czech Republic, September 1-5, 199

Comment on ``Boson-realization model for the vibrational spectra of tetrahedral molecules''

An algebraic model in terms of a local harmonic boson realization was recently proposed to study molecular vibrational spectra [Zhong-Qi Ma et al., Phys. Rev. A 53, 2173 (1996)]. Because of the local nature of the bosons the model has to deal with spurious degrees of freedom. An approach to eliminate the latter from both the Hamiltonian and the basis was suggested. We show that this procedure does not remove all spurious components from the Hamiltonian and leads to a restricted set of interactions. We then propose a scheme in which the physical Hamiltonian can be systematically constructed up to any order without the need of imposing conditions on its matrix elements. In addition, we show that this scheme corresponds to the harmonic limit of a symmetry adapted algebraic approach based on U(2) algebras.Comment: 9 pages Revtex, submitted February 199