Laparoscopic partial adrenalectomy for bilateral pheochromocytomas in a boy with von Hippel-Lindau disease

Objectives: In adults, increasing numbers of adrenalectomies for pheochromocytomas are performed laparoscopically. We report for the first time laparoscopic bilateral subtotal adrenalectomy for pheochromocytomas in an 8-year-old boy with von Hippel-Lindau disease. Methods, In July 1998, an 8-year-old boy with von Hippel-Lindau disease underwent laparoscopic adrenal-sparing surgery for bilateral pheochromocytomas. The boy presented with severe hypertension and two pheochromocytomas on both sides. Results: The child could be solely treated with laparoscopic adrenal-sparing surgery. The procedure was completed as planned. There were absolutely no intraoperative or postoperative complications. Postoperatively, catecholamine levels and hypertension went back to normal. At follow-up no residual tumor could be detected and no steroid replacement therapy was necessary. Conclusions: In experienced hands, laparoscopic adrenal-sparing surgery for pheochromocytomas is feasible and safe. Moreover, this minimal invasive approach represents an exceptional improvement in life quality, especially in children with von Hippel-Lindau disease since surgery will probably be necessary again and again in their future life. Copyright (C) 2000 S. Karger AG, Basel

Symmetry-breaking thermally induced collapse of dipolar Bose-Einstein condensates

We investigate a Bose-Einstein condensate with additional long-range dipolar interaction in a cylindrically symmetric trap within a variational framework. Compared to the ground state of this system, little attention has as yet been payed to its unstable excited states. For thermal excitations, however, the latter is of great interest, because it forms the "activated complex" that mediates the collapse of the condensate. For a certain value of the s-wave scatting length our investigations reveal a bifurcation in the transition state, leading to the emergence of two additional and symmetry-breaking excited states. Because these are of lower energy than their symmetric counterpart, we predict the occurrence of a symmetry-breaking thermally induced collapse of dipolar condensates. We show that its occurrence crucially depends on the trap geometry and calculate the thermal decay rates of the system within leading order transition state theory with the help of a uniform rate formula near the rank-2 saddle which allows to smoothly pass the bifurcation.Comment: 6 pages, 3 figure

Semiclassical quantization of the hydrogen atom in crossed electric and magnetic fields

The S-matrix theory formulation of closed-orbit theory recently proposed by Granger and Greene is extended to atoms in crossed electric and magnetic fields. We then present a semiclassical quantization of the hydrogen atom in crossed fields, which succeeds in resolving individual lines in the spectrum, but is restricted to the strongest lines of each n-manifold. By means of a detailed semiclassical analysis of the quantum spectrum, we demonstrate that it is the abundance of bifurcations of closed orbits that precludes the resolution of finer details. They necessitate the inclusion of uniform semiclassical approximations into the quantization process. Uniform approximations for the generic types of closed-orbit bifurcation are derived, and a general method for including them in a high-resolution semiclassical quantization is devised

Photoabsorption spectra of the diamagnetic hydrogen atom in the transition regime to chaos: Closed orbit theory with bifurcating orbits

With increasing energy the diamagnetic hydrogen atom undergoes a transition from regular to chaotic classical dynamics, and the closed orbits pass through various cascades of bifurcations. Closed orbit theory allows for the semiclassical calculation of photoabsorption spectra of the diamagnetic hydrogen atom. However, at the bifurcations the closed orbit contributions diverge. The singularities can be removed with the help of uniform semiclassical approximations which are constructed over a wide energy range for different types of codimension one and two catastrophes. Using the uniform approximations and applying the high-resolution harmonic inversion method we calculate fully resolved semiclassical photoabsorption spectra, i.e., individual eigenenergies and transition matrix elements at laboratory magnetic field strengths, and compare them with the results of exact quantum calculations.Comment: 26 pages, 9 figures, submitted to J. Phys.

Semiclassical quantization with bifurcating orbits

Bifurcations of classical orbits introduce divergences into semiclassical spectra which have to be smoothed with the help of uniform approximations. We develop a technique to extract individual energy levels from semiclassical spectra involving uniform approximations. As a prototype example, the method is shown to yield excellent results for photo-absorption spectra for the hydrogen atom in an electric field in a spectral range where the abundance of bifurcations would render the standard closed-orbit formula without uniform approximations useless. Our method immediately applies to semiclassical trace formulae as well as closed-orbit theory and offers a general technique for the semiclassical quantization of arbitrary systems

Superiority of semiclassical over quantum mechanical calculations for a three-dimensional system

In systems with few degrees of freedom modern quantum calculations are, in general, numerically more efficient than semiclassical methods. However, this situation can be reversed with increasing dimension of the problem. For a three-dimensional system, viz. the hyperbolic four-sphere scattering system, we demonstrate the superiority of semiclassical versus quantum calculations. Semiclassical resonances can easily be obtained even in energy regions which are unattainable with the currently available quantum techniques.Comment: 10 pages, 1 figure, submitted to Phys. Lett.

Temporal stability of soil moisture and radar backscatter observed by the advanced Synthetic Aperture Radar (ASAR)

The high spatio-temporal variability of soil moisture is the result of atmospheric forcing and redistribution processes related to terrain, soil, and vegetation characteristics. Despite this high variability, many field studies have shown that in the temporal domain soil moisture measured at specific locations is correlated to the mean soil moisture content over an area. Since the measurements taken by Synthetic Aperture Radar (SAR) instruments are very sensitive to soil moisture it is hypothesized that the temporally stable soil moisture patterns are reflected in the radar backscatter measurements. To verify this hypothesis 73 Wide Swath (WS) images have been acquired by the ENVISAT Advanced Synthetic Aperture Radar (ASAR) over the REMEDHUS soil moisture network located in the Duero basin, Spain. It is found that a time-invariant linear relationship is well suited for relating local scale (pixel) and regional scale (50 km) backscatter. The observed linear model coefficients can be estimated by considering the scattering properties of the terrain and vegetation and the soil moisture scaling properties. For both linear model coefficients, the relative error between observed and modelled values is less than 5 % and the coefficient of determination (R-2) is 86 %. The results are of relevance for interpreting and downscaling coarse resolution soil moisture data retrieved from active (METOP ASCAT) and passive (SMOS, AMSR-E) instruments

Citrullination Licenses Calpain to Decondense Nuclei in Neutrophil Extracellular Trap Formation

Neutrophils respond to various stimuli by decondensing and releasing nuclear chromatin characterized by citrullinated histones as neutrophil extracellular traps (NETs). This achieves pathogen immobilization or initiation of thrombosis, yet the molecular mechanisms of NET formation remain elusive. Peptidyl arginine deiminase-4 (PAD4) achieves protein citrullination and has been intricately linked to NET formation. Here we show that citrullination represents a major regulator of proteolysis in the course of NET formation. Elevated cytosolic calcium levels trigger both peptidylarginine deiminase-4 (PAD4) and calpain activity in neutrophils resulting in nuclear decondensation typical of NETs. Interestingly, PAD4 relies on proteolysis by calpain to achieve efficient nuclear lamina breakdown and chromatin decondensation. Pharmacological or genetic inhibition of PAD4 and calpain strongly inhibit chromatin decondensation of human and murine neutrophils in response to calcium ionophores as well as the proteolysis of nuclear proteins like lamin B1 and high mobility group box protein 1 (HMGB1). Taken together, the concerted action of PAD4 and calpain induces nuclear decondensation in the course of calcium-mediated NET formation

Odorant-Dependent Generation of Nitric Oxide in Mammalian Olfactory Sensory Neurons

The gaseous signalling molecule nitric oxide (NO) is involved in various physiological processes including regulation of blood pressure, immunocytotoxicity and neurotransmission. In the mammalian olfactory bulb (OB), NO plays a role in the formation of olfactory memory evoked by pheromones as well as conventional odorants. While NO generated by the neuronal isoform of NO synthase (nNOS) regulates neurogenesis in the olfactory epithelium, NO has not been implicated in olfactory signal transduction. We now show the expression and function of the endothelial isoform of NO synthase (eNOS) in mature olfactory sensory neurons (OSNs) of adult mice. Using NO-sensitive micro electrodes, we show that stimulation liberates NO from isolated wild-type OSNs, but not from OSNs of eNOS deficient mice. Integrated electrophysiological recordings (electro-olfactograms or EOGs) from the olfactory epithelium of these mice show that NO plays a significant role in modulating adaptation. Evidence for the presence of eNOS in mature mammalian OSNs and its involvement in odorant adaptation implicates NO as an important new element involved in olfactory signal transduction. As a diffusible messenger, NO could also have additional functions related to cross adaptation, regeneration, and maintenance of MOE homeostasis