Ocular sarcoidosis and tuberculous lymphadenopathy: coincidence or real association

Tuberculosis and sarcoidosis share similarity in histopathologic findings and clinically occur in association with each other occasionally. Tuberculosis should always be ruled out before the diagnosis of sarcoidosis. But, the diagnosis is often complicated, especially in extrapulmonary cases. Here we present a case of bilateral vitreous hemorrhage with uveitis. Ocular sarcoidosis was initially diagnosed based on the characteristic ocular findings, negative results on chest radiography, tuberculosis culture, and polymerase chain reaction of aqueous, as well as simultaneous presence of panda and lambda sign on gallium-67 scans. The ocular condition improved after pars plana vitrectomy and systemic steroid therapy. However, TB lymphadenopathy but no recurrent ocular inflammation was found 6 years later. The patient received anti-TB treatment for 6 months thereafter. The eyes remained silent except cataract progression and glaucoma under two medications during this period. In conclusion, TB could occur coincidently or in association with sarcoidosis, continued follow-up is important for patients with ocular sarcoidosis

A γA-Crystallin Mouse Mutant Secc with Small Eye, Cataract and Closed Eyelid

published_or_final_versio

Alvimopan for the Management of Postoperative Ileus After Bowel Resection: Characterization of Clinical Benefit by Pooled Responder Analysis

BACKGROUND: A pooled post hoc responder analysis was performed to assess the clinical benefit of alvimopan, a peripherally acting mu-opioid receptor (PAM-OR) antagonist, for the management of postoperative ileus after bowel resection. METHODS: Adult patients who underwent laparotomy for bowel resection scheduled for opioid-based intravenous patient-controlled analgesia received oral alvimopan or placebo preoperatively and twice daily postoperatively until hospital discharge or for 7 postoperative days. The proportion of responders and numbers needed to treat (NNT) were examined on postoperative days (POD) 3-8 for GI-2 recovery (first bowel movement, toleration of solid food) and hospital discharge order (DCO) written. RESULTS: Alvimopan significantly increased the proportion of patients with GI-2 recovery and DCO written by each POD (P \u3c 0.001 for all). More patients who received alvimopan achieved GI-2 recovery on or before POD 5 (alvimopan, 80%; placebo, 66%) and DCO written before POD 7 (alvimopan, 87%; placebo, 72%), with corresponding NNTs equal to 7. CONCLUSIONS: On each POD analyzed, alvimopan significantly increased the proportion of patients who achieved GI-2 recovery and DCO written versus placebo and was associated with relatively low NNTs. The results of these analyses provide additional characterization and support for the overall clinical benefit of alvimopan in patients undergoing bowel resection

Lifshitz/Schr\"odinger D-p-branes and dynamical exponents

We extend our earlier study of special double limits of `boosted' $AdS_5$ black hole solutions to include all black D$p$-branes of type II strings. We find that Lifshitz solutions can be obtained in generality, with varied dynamical exponents, by employing these limits. We then study such double limits for `boosted' D$p$-brane bubble solutions and find that the resulting non-relativistic solutions instead describe Schr\"odinger like spacetimes, having varied dynamical exponents. We get a simple map between these Lifshitz & Schr\"odinger solutions and a relationship between two types of dynamical exponents. We also discuss about the singularities of the Lifshitz solutions and an intriguing thermodynamic duality.Comment: 20 pages; 3 figures; v3: similar to JHE

Holographic RG flow of the shear viscosity to entropy density ratio in strongly coupled anisotropic plasma

We study holographic RG flow of the shear viscosity tensor of anisotropic, strongly coupled N=4 super-Yang-Mills plasma by using its type IIB supergravity dual in anisotropic bulk spacetime. We find that the shear viscosity tensor has three independent components in the anisotropic bulk spacetime away from the boundary, and one of the components has a non-trivial RG flow while the other two have a trivial one. For the component of the shear viscosity tensor with non-trivial RG flow, we derive its RG flow equation, and solve the equation analytically to second order in the anisotropy parameter 'a'. We derive the RG equation using the equation of motion, holographic Wilsonian RG method, and Kubo's formula. All methods give the same result. Solving the equation, we find that the ratio of the component of the shear viscosity tensor to entropy density 'eta/s' flows from above '1/4pi' at the horizon (IR) to below '1/4pi' at the boundary (UV) where it violates the holographic shear viscosity (Kovtun-Son-Starinets) bound and where it agrees with the other longitudinal component.Comment: 17 pages, 2 figures, slight change on the title, more background material added, references added, accepted for publication in JHE

Thermodynamics of deformed AdS5_5 model with a positive/negative quadratic correction in graviton-dilaton system

By solving the Einstein equations of the graviton coupling with a real scalar dilaton field, we establish a general framework to self-consistently solve the geometric background with black-hole for any given phenomenological holographic models. In this framwork, we solve the black-hole background, the corresponding dilaon field and the dilaton potential for the deformed AdS$_5$ model with a positive/negative quadratic correction. We systematically investigate the thermodynamical properties of the deformed AdS$_5$ model with a positive and negative quadratic correction, respectively, and compare with lattice QCD on the results of the equation of state, the heavy quark potential, the Polyakov loop and the spatial Wilson loop. We find that the bulk thermodynamical properties are not sensitive to the sign of the quadratic correction, and the results of both deformed holographic QCD models agree well with lattice QCD result for pure SU(3) gauge theory. However, the results from loop operators favor a positive quadratic correction, which agree well with lattice QCD result. Especially, the result from the Polyakov loop excludes the model with a negative quadratic correction in the warp factor of ${\rm AdS}_5$.Comment: 26 figures,36 pages,V.3: an appendix,more equations and references added,figures corrected,published versio

Designing programs for eliminating canine rabies from islands: Bali, Indonesia as a case study

<p>Background: Canine rabies is one of the most important and feared zoonotic diseases in the world. In some regions rabies elimination is being successfully coordinated, whereas in others rabies is endemic and continues to spread to uninfected areas. As epidemics emerge, both accepted and contentious control methods are used, as questions remain over the most effective strategy to eliminate rabies. The Indonesian island of Bali was rabies-free until 2008 when an epidemic in domestic dogs began, resulting in the deaths of over 100 people. Here we analyze data from the epidemic and compare the effectiveness of control methods at eliminating rabies.</p> <p>Methodology/Principal Findings: Using data from Bali, we estimated the basic reproductive number, R0, of rabies in dogs, to be ~1·2, almost identical to that obtained in ten–fold less dense dog populations and suggesting rabies will not be effectively controlled by reducing dog density. We then developed a model to compare options for mass dog vaccination. Comprehensive high coverage was the single most important factor for achieving elimination, with omission of even small areas (<0.5% of the dog population) jeopardizing success. Parameterizing the model with data from the 2010 and 2011 vaccination campaigns, we show that a comprehensive high coverage campaign in 2012 would likely result in elimination, saving ~550 human lives and ~$15 million in prophylaxis costs over the next ten years.</p> <p>Conclusions/Significance: The elimination of rabies from Bali will not be achieved through achievable reductions in dog density. To ensure elimination, concerted high coverage, repeated, mass dog vaccination campaigns are necessary and the cooperation of all regions of the island is critical. Momentum is building towards development of a strategy for the global elimination of canine rabies, and this study offers valuable new insights about the dynamics and control of this disease, with immediate practical relevance.</p&gt

Holographic Entanglement Entropy in P-wave Superconductor Phase Transition

We investigate the behavior of entanglement entropy across the holographic p-wave superconductor phase transition in an Einstein-Yang-Mills theory with a negative cosmological constant. The holographic entanglement entropy is calculated for a strip geometry at AdS boundary. It is found that the entanglement entropy undergoes a dramatic change as we tune the ratio of the gravitational constant to the Yang-Mills coupling, and that the entanglement entropy does behave as the thermal entropy of the background black holes. That is, the entanglement entropy will show the feature of the second order or first order phase transition when the ratio is changed. It indicates that the entanglement entropy is a good probe to investigate the properties of the holographic phase transition.Comment: 19 pages,15 figures, extended discussion in Sec.5, references adde