4,819 research outputs found
Critical points in a relativistic bosonic gas induced by the quantum structure of spacetime
It is well known that phase transitions arise if the interaction among
particles embodies an attractive as well as a repulsive contribution. In this
work it will be shown that the breakdown of Lorentz symmetry, characterized
through a deformation in the relation dispersion, plus the bosonic statistics
predict the emergence of critical points. In other words, in some quantum
gravity models the structure of spacetime implies the emergence of critical
points even when no interaction among the particle has been considered.Comment: 5 pages, no figure
Pelvic inflammatory disease by actinomyces: report of 1 case and review of the literature
Actinomycosis is a chronic disease that is characterized by the formation of abscesses, fistulas and dense fibrous tissue at the site of involvement. Its distribution is worldwide. However, pelvic actinomycosis has increased in frequency and has been associated with abdominal surgery, intestinal perforation or trauma, due to the destruction of the muscular barrier. The clinical elements of suspicion are the latency of months and even years of symptoms and the history of being a carrier of an intrauterine device. Actinomyces israelli is a rare etiological agent of pelvic inflammatory disease, so it is difficult to reach the diagnosis. A case report is made of a 48-year-old patient with an intrauterine device older than 5 years, who entered the emergency department with abdominal pain syndrome and 7-day evolutionary fever accompanied by dyspareunia. She was hospitalized for antibiotic treatment, presenting an unsatisfactory evolution, with increased leukocytosis and persistent abdominal pain. An exploratory laparotomy with abdominal hysterectomy was performed. The histopathological diagnosis was pelvic inflammatory disease due to actinomyces. We must always suspect in the presence of a pelvic inflammatory disease in any of its clinical forms, the presence of actinomyces as one of the possible causative germs, especially in patients with intrauterine device for more than 5 years
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TESTING PROTOCOL DEVELOPMENT FOR FRACTURE TOUGHNESS OF PARTS BUILT WITH BIG AREA ADDITIVE MANUFACTURING
Mechanical testing of additively manufactured parts has largely relied on existing
standards developed for traditional manufacturing. While this approach leverages the investment
made on current standards development, it inaccurately assumes that mechanical response of AM
parts is identical to that of parts manufactured through traditional processes. When considering
thermoplastic, material extrusion AM, differences in response can be attributed to an AM part’s
inherent inhomogeneity caused by porosity, interlayer zones, and surface texture. Additionally,
interlayer bonding of parts printed with large-scale AM is difficult to adequately assess as much
testing is done such that stress is distributed across many layer interfaces; therefore, the lack of
AM-specific standard to assess interlayer bonding is a significant research gap. To quantify
interlayer bonding via fracture toughness, double cantilever beam (DCB) testing has been used
for some AM materials, and DCB has been generally used for a variety of materials including
metal, wood, and laminates. Mode I DCB testing was performed on thermoplastic matrix
composites printed with Big Area Additive Manufacturing (BAAM). Of particular interest was
the crack shape and deflection speed during testing. A modernization of the testing process was
proposed using visual processing of a recording of the crack propagation to get more accurate
calculations. Results discuss the differences when using two crack types and three deflection
speeds.Mechanical Engineerin
Primary Angioplasty in a Catastrophic Presentation: Acute Left Main Coronary Total Occlusion—The ATOLMA Registry
Objectives. To determine the outcome predictors of in-hospital mortality in acute total occlusion of the left main coronary artery (ATOLMA) patients referred to emergent angioplasty and to describe the clinical presentation and the long-term outcome of these patients.Background. ATOLMA is an uncommon angiographic finding that usually leads to a catastrophic presentation. Limited and inconsistent data have been previously reported regarding true ATOLMA, yet comprehensive knowledge remains scarce.Methods. This is a multicenter retrospective cohort that includes patients presenting with myocardial infarction due to a confirmed ATOLMA who underwent emergency percutaneous coronary intervention (PCI).Results. In the period of the study, 7930 emergent PCI were performed in the five participating centers, and 46 of them had a true ATOLMA (0.58%). At admission, cardiogenic shock was present in 89% of patients, and cardiopulmonary resuscitation was required in 67.4%. All the patients had right dominance. Angiographic success was achieved in 80.4% of the procedures, 13 patients (28.2%) died during the catheterization, and the in-hospital mortality rate was 58.6% (27/46). At one-year and at the final follow-up, 18 patients (39%) were alive, including four cases successfully transplanted. Multivariate analysis showed that postprocedural TIMI flow was the only independent predictor of in-hospital mortality (OR 0.23, (95% CI 0.1-0.36),p<0.001).Conclusions. Our study confirms that the clinical presentation of ATOLMA is catastrophic, presenting a high in-hospital mortality rate; nevertheless, primary angioplasty in this setting is feasible. Postprocedural TIMI flow resulted as the only independent predictor of in-hospital mortality. In-hospital survivors presented an encouraging outcome. ATOLMA and left dominance could be incompatible with life
Randomized clinical trial to evaluate the effect of fecal microbiota transplant for initial Clostridium difficile infection in intestinal microbiome
Objective The aim of this study was to evaluate the impact of fecal donor-unrelated donor mix (FMT-FURM) transplantation as first-line therapy for C. difficile infection (CDI) in intestinal microbiome. Methods We designed an open, two-arm pilot study with oral vancomycin (250mg every 6 h for 10–14 days) or FMT-FURM as treatments for the first CDI episode in hospitalized adult patients in Hospital Universitario “Dr. Jose Eleuterio Gonzalez”. Patients were randomized by a closed envelope method in a 1: 1 ratio to either oral vancomycin or FMT-FURM. CDI resolution was considered when there was a reduction on the Bristol scale of at least 2 points, a reduction of at least 50% in the number of bowel movements, absence of fever, and resolution of abdominal pain (at least two criteria). From each patient, a fecal sample was obtained at days 0, 3, and 7 after treatment. Specimens were cultured to isolate C. difficile, and isolates were characterized by PCR. Susceptibility testing of isolates was performed using the agar dilution method. Fecal samples and FMT-FURM were analyzed by 16S rRNA sequencing. Results We included 19 patients; 10 in the vancomycin arm and 9 in the FMT-FURM arm. However, one of the patients in the vancomycin arm and two patients in the FMT-FURM arm were eliminated. Symptoms resolved in 8/9 patients (88.9%) in the vancomycin group, while symptoms resolved in 4/7 patients (57.1%) after the first FMT-FURM dose (P = 0.26) and in 5/7 patients (71.4%) after the second dose (P = 0.55). During the study, no adverse effects attributable to FMT-FURM were observed in patients. Twelve isolates were recovered, most isolates carried tcdB, tcdA, cdtA, and cdtB, with an 18-bp deletion in tcdC. All isolates were resistant to ciprofloxacin and moxifloxacin but susceptible to metronidazole, linezolid, fidaxomicin, and tetracycline. In the FMT-FURM group, the bacterial composition was dominated by Firmicutes, Bacteroidetes, and Proteobacteria at all-time points and the microbiota were remarkably stable over time. The vancomycin group showed a very different pattern of the microbial composition when comparing to the FMT-FURM group over time. Conclusion The results of this preliminary study showed that FMT-FURM for initial CDI is associated with specific bacterial communities that do not resemble the donors’ sample.Peer reviewedFinal Published versio
10 Years of Experience in Ultrasound-Guided Thrombin Injection, a Safe and Effective Technique in Femoral Pseudoaneurysm Treatment
Introdução: O elevado número de procedimentos vasculares percutâneos resulta num aumento das complicações relacionadas com o acesso vascular. A mais frequente é o falso aneurisma (FA), cuja intervenção de primeira linha é atualmente a injeção eco-guiada de trombina humana (IETH).
MĂ©todos: Estudo observacional retrospetivo realizado atravĂ©s da consulta de processos clĂnicos dos doentes submetidos a IETH por FA femoral num hospital terciário no perĂodo de 2008 a 2018. O end-point primário foi o sucesso desta modalidade terapĂŞutica (trombose primária e Ă reavaliação ecográfica). Os end-points secundários foram complicações relacionadas com o procedimento, reintervenções, duração de internamento e sobrevida.
Resultados: A amostra incluiu 102 doentes. 97% dos FA tinham etiologia iatrogĂ©nica confirmada. 4% foram diagnosticados apĂłs intervenção pela Cirurgia Vascular e 85% apĂłs intervenção pela Cardiologia, dos quais 80% apĂłs cateterismo coronário e 13% apĂłs TAVI (transcatheter aortic valve implantation). 58% dos doentes estavam antiagregados e 50% anticoagulados. 80% dos FA ocorreram Ă direita. 65% afetavam a AFC e 35% a AFS ou AFP. O diâmetro mĂ©dio dos FA tratados por IETH foi de 36,8mm. 29% apresentavam-se lobulados (FA complexos). Quanto Ă s caracterĂsticas do colo do FA, 58% tinham colo longo (≥3mm de comprimento) e 58% tinham colo estreito (<3mm de calibre). O tempo mediano atĂ© Ă IETH apĂłs intervenção causal foi de 6 dias. 89% apresentaram trombose primária apĂłs IETH, decrescendo para 73% Ă reavaliação posterior por Eco Doppler. 16% repetiram IETH, 5% mais que uma vez. NĂŁo foram documentadas complicações relacionadas com o procedimento. Os falsos aneurismas complexos associaram-se a taxas inferiores de trombose completa Ă reavaliação ecográfica (p=0,012). O segmento arterial afetado, realização de antitrombĂłticos, diâmetro do
FA e caracterĂsticas do colo nĂŁo apresentaram associação com a taxa de trombose do FA. 6% dos doentes submetidos a IETH foram submetidos a tratamento cirĂşrgico de FA femoral (a maioria apĂłs mais de 2 IETH), num dos casos por via endovascular. O tempo mediano de internamento apĂłs 1ÂŞ IETH foi de 3 dias, superior nos doentes com etiologia iatrogĂ©nica apĂłs TAVI comparativamente a apĂłs cateterismo coronário (p=0,006). A sobrevida dos doentes submetidos a IETH foi de 97±2% a 1 mĂŞs, 86±4% a 1 ano e 60±7% a 5 anos, sem diferença significativa de acordo com etiologia do FA femoral.
Conclusão: A IETH é uma alternativa segura e com elevada eficácia para o tratamento de FA pós cateterização vascular. É expectável que 1/6 dos doentes necessite de mais do que uma injeção para obter o sucesso desejado, sendo esse risco mais elevado no caso de FA complexos. Apesar dos bons resultados, alguns doentes continuarão a necessitar de correção cirúrgica.info:eu-repo/semantics/publishedVersio
Measurement of Leptonic Asymmetries and Top Quark Polarization in ttbar Production
We present measurements of lepton (l) angular distributions in ttbar -> W+ b
W- b -> l+ nu b l- nubar bbar decays produced in ppbar collisions at a
center-of-mass energy of sqrt(s)=1.96TeV, where l is an electron or muon. Using
data corresponding to an integrated luminosity of 5.4fb^-1, collected with the
D0 detector at the Fermilab Collider, we find that the angular distributions of
l- relative to anti-protons and l+ relative to protons are in agreement with
each other. Combining the two distributions and correcting for detector
acceptance we obtain the forward-backward asymmetry A^l_FB = (5.8 +- 5.1(stat)
+- 1.3(syst))%, compared to the standard model prediction of A^l_FB (predicted)
= (4.7 +- 0.1)%. This result is further combined with the measurement based on
the analysis of the l+jets final state to obtain A^l_FB = (11.8 +- 3.2)%.
Furthermore, we present a first study of the top-quark polarization.Comment: submitted versio
Search for Decay
We have searched for the charmless hadronic decay of B0 mesons into two
neutral pions. Using 9.13fb^-1 taken at the Upsilon(4S) with the CLEO detector,
we obtain an improved upper limit for the branching fraction BR(B0-->pi0pi0) <
5.7*10^-6 at the 90% confidence level.Comment: pages postscript, also available through
http://w4.lns.cornell.edu/public/CLN
Search for Zgamma events with large missing transverse energy in ppbar collisions at sqrt(s)=1.96 TeV
We present the first search for supersymmetry (SUSY) in Zgamma final states
with large missing transverse energy using data corresponding to an integrated
luminosity of 6.2 fb-1 collected with the D0 experiment in ppbar collisions at
sqrt(s)=1.96 TeV. This signature is predicted in gauge-mediated SUSY-breaking
models, where the lightest neutralino is the next-to-lightest supersymmetric
particle (NLSP) and is produced in pairs, possibly through decay from heavier
supersymmetric particles. The NLSP can decay either to a Z boson or a photon
and an associated gravitino that escapes detection. We exclude this model at
the 95% C.L. for SUSY breaking scales of Lambda < 87 TeV, corresponding to
neutralino masses of < 151 GeV.Comment: submitted to Phys. Rev. Let
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