Logarithmic perturbation theory for quasinormal modes

Logarithmic perturbation theory (LPT) is developed and applied to quasinormal modes (QNMs) in open systems. QNMs often do not form a complete set, so LPT is especially convenient because summation over a complete set of unperturbed states is not required. Attention is paid to potentials with exponential tails, and the example of a Poschl-Teller potential is briefly discussed. A numerical method is developed that handles the exponentially large wavefunctions which appear in dealing with QNMs.Comment: 24 pages, 4 Postscript figures, uses ioplppt.sty and epsfig.st

Preliminary Observations on the Effects In Vivo and In Vitro of Low Dose Laser on the Epithelia of the Bladder, Trachea and Tongue of the Mouse

The effects of low dose CW laser were studied by in vivo and in vitro systems. The experimental tissues that were used included bladders, tracheas and tongues as experimental tissues. Buddings (round surface projections) from the transitional epithelium of bladder were frequently observed 3 days after laser treatment in both in vivo and in vitro systems. The trachea and tongue were less affected. In both the in vivo and in vitro systems, some epithelial cells of the trachea showed decreased microvilli and cilia 3 days after treatment whereas the epithelial cells of the tongue revealed no response to laser treatment in both systems. Low dose laser, however, appeared to promote the rate of healing of experimental tongue ulcer: healing was about 1 day earlier in the laser treated than non-treated animals and vessel infiltration and epithelialization were detected earlier in the treated

Stimulation of Collagen Formation in the Intestinal Anastomosis by Low Dose He-Ne Laser

The effect of low dose He-Ne laser on the healing of intestinal anastomosis was studied in the albino rat. A small piece of jejunum was removed from each rat and the ends sutured back with a simple interrupted pattern. In the experimental animal, the anastomosis was Irradiated through an optic fiber with a He-Ne laser (1 mW) for 15 minutes whereas in the control animal, the anastomosis was not irradiated. The differences between the two groups were compared by histology, transmission electron microscopy, scanning electron microscopy and autoradiography 3 and 7 days after operation. The laser treated experimental animals demonstrated thicker collagen fibers and an increased quantity of collagen at the junction of the anastomosis compared to control animals. Increased uptake of labelled proline was also evident in the laser treated animals. These observations all point to a possible enhancement of collagen synthesis triggered by laser irradiation

Thermal creep and relaxation of prestressing steel

The thermal creep and relaxation of prestressing steel are crucial to the permanent loss of prestress in post-tensioned concrete structures after fire. Harmathy’s creep model is widely used to account for the irrecoverable thermal creep strain. In view of advances in steel manufacture, it is desirable to determine the relevant parameters of Harmathy’s creep model for common prestressing steel being used. Recently, Gales et al. found that the creep parameters obtained by Harmathy and Stanzak in the 1970s were out of date as the use of these parameters could not give accurate numerical results. They further identified the parameters through testing of prestressing steel to ASTM A417. This study further extended the work of Gales et al. Based on the steady state thermal creep and relaxation tests of prestressing steel to GB/T 5224 (Grade 1860) and BS 5896 (Grade 1860) over wide stress ranges, the parameters of Harmathy’s thermal creep model were identified and calibrated. Using the approach of Maljaars et al., the lower limit of tertiary creep was estimated and the creep model was further fine-tuned to incorporate tertiary creep. Numerical studies were conducted to examine the thermal creep and relaxation of prestressing steel at elevated temperatures using the enhanced creep model. The numerical predictions were found to agree well with the test results in respect of thermal creep and relaxation. In particular, predictions using the enhanced creep model with different sets of thermal creep parameters were compared with results of the thermal relaxation test conducted by MacLean, indicating different thermal creep resistance

Radiosurgery for brainstem metastases with and without whole brain radiotherapy: clinical series and literature review

Objective The objective of this study was to investigate outcomes for patients with brainstem metastases treated with stereotactic radiosurgery (SRS). Methods Patients with brainstem metastases treated with SRS between April 2006 and June 2012 were identified from a prospective database. Patient and treatment-related factors were recorded. Kaplan-Meier analysis was used to calculate survival and freedom from local and distant brain progression. Univariate and multivariate Cox regression was used to identify factors important for overall survival. Results In total, 44 patients received SRS for 48 brainstem metastases of whom 33 (75 %) also received whole brain radiotherapy (WBRT): 23 patients (52 %) WBRT prior to SRS, 6 (13.6 %) WBRT concurrently with SRS and 4 (9.0 %) WBRT after SRS. Eight patients received a second course ofWBRTat further progression. Median target volume was 1.33 cc (range 0.04–12.17) and median prescribed marginal dose was 15 Gy (range 10–22). There were four cases of local failure, and 6-month and 1-year freedom from local failure was 84.6 and 76.9 %, respectively. Median overall survival (OS) was 5.4 months. There were four cases of radionecrosis, 2 (4.8 %) of which were symptomatic. The absence of external beam brain radiotherapy (predominantly WBRT) showed a trend towards improved OS on univariate analysis. Neither local nor distant brain failure significantly impacted OS. Conclusion This retrospective series of patients treated with SRS for brainstem metastases, largely in combination with at least one course of WBRT, demonstrates that this approach is safe and results in good local control. In this cohort, no variables significantly impacted OS, including intracranial control

Hemophilic patient for emergency spinal decompression

Hemophilia is mostly an inherited genetic disorder, caused by mutations in the clotting factor gene. With the available treatment options, life expectancy of a hemophilic patient is usually of that of the general population. Hence, it is not uncommon that they present for surgical procedures. However, hemophilic patients for the major surgical procedure are always a real challenge for the perioperative physician. We have recently encountered one such patient who was hospitalized with acute paraplegia due to a mass lesion of spine and successfully managed with the recovery of motor power. His pre-operative Factor VIII level was 0. Desmopressin nasal spray has a limited role in severe hemophilic. Our main concern was effective replacement therapy and maintenance of desired Factor VIII levels not only during surgery but also in the immediate post-operative period

Exact Ampitude Ratio and Finite-Size Corrections for the M x N Square Lattice Ising Model The :

Let f, U and C represent, respectively, the free energy, the internal energy and the specific heat of the critical Ising model on the square M x N lattice with periodic boundary conditions. We find that N f and U are well-defined odd function of 1/N. We also find that ratios of subdominant (N^(-2 i - 1)) finite-size corrections amplitudes for the internal energy and the specific heat are constant. The free energy and the internal energy at the critical point are calculated asymtotically up to N^(-5) order, and the specific heat up to N^(-3) order.Comment: 18 pages, 4 figures, to be published in Phys. Rev. E 65, 1 February 200

BOVA is Superior to sPESI in Identification of High Risk Pulmonary Embolism Patients

Introduction: Prognostic models exist for the purpose of stratifying patients with acute pulmonary embolism. Of these, the Pulmonary Embolism Severity Index (PESI) and the simplified PESI (sPESI) are the most well-known, although more recent composite models, like the BOVA score, are now being studied and implemented. Comparative efficacy of these scores to predict long term mortality is not well established. Methods: We performed a retrospective analysis of all consecutive patients diagnosed with PE using computed tomography scan from 2014-2016 at an urban tertiary-referral medical center. Cox proportional hazard analyses were performed to compare the performance of two prognostic models – sPESI and BOVA – to predict all-cause in-hospital and cumulative one-year mortality. Results: The all-cause in-hospital mortality rate was 6.0%, and cumulative one-year mortality rate was 21.3%. In adjusted analyses, a BOVA score \u3e4 was significantly associated with an increased in-hospital mortality (HR 3.5, 95% CI: 1.4-9.0, p = 0.009) and one-year mortality (HR 2.0, 95% CI: 1.0-3.9, p = 0.04), as compared to a BOVA score \u3c4. However, the sPESI (p = 0.14) did not show a significant association with one-year mortality. In identifying in-hospital mortality, the sPESI had high sensitivity (100%) and low specificity (10.1%), whereas the BOVA score had low sensitivity (20.0%) and high specificity (92.7%). Similar trends were seen for one-year mortality. Conclusion: In this study, a high BOVA score was found to be the best predictor of both short and long-term mortality in PE patients. A low sPESI score identified with high sensitivity patients with low-risk PEs