28,534 research outputs found
Endometriosis: A Rare Cause of Large Bowel Obstruction.
Large bowel obstruction can result in significant morbidity and mortality, especially in cases of acute complete obstruction. There are many possible causes, the most common in adults being colorectal cancer. Endometriosis is a benign disease, and the most affected extragenital location is the bowel, especially the rectosigmoid junction. However, transmural involvement and acute occlusion are very rare events. We report an exceptional case of acute large bowel obstruction as the initial presentation of endometriosis. The differential diagnosis of colorectal carcinoma may be challenging, and this case emphasizes the need to consider intestinal endometriosis in females at a fertile age presenting with gastrointestinal symptoms and an intestinal mass causing complete large bowel obstruction.info:eu-repo/semantics/publishedVersio
Understanding thio-effects in simple phosphoryl systems : role of solvent effects and nucleophile charge.
Recent experimental work (J. Org. Chem., 2012, 77, 5829) demonstrated pronounced differences in measured thio-effects for the hydrolysis of (thio)phosphodichloridates by water and hydroxide nucleophiles. In the present work, we have performed detailed quantum chemical calculations of these reactions, with the aim of rationalizing the molecular bases for this discrimination. The calculations highlight the interplay between nucleophile charge and transition state solvation in SN2(P) mechanisms as the basis of these differences, rather than a change in mechanism
Web-assisted tunneling in the kicked harmonic oscillator
We show that heating of harmonically trapped ions by periodic delta kicks is
dramatically enhanced at isolated values of the Lamb-Dicke parameter. At these
values, quasienergy eigenstates localized on island structures undergo avoided
crossings with extended web-states.Comment: 4 pages, 4 figures. Accepted for publication in Phys. Rev. Let
Comment on Bress et al. Effect of Intensive Versus Standard Blood Pressure Treatment According to Baseline Prediabetes Status: A Post Hoc Analysis of a Randomized Trial. Diabetes Care 2017;40:1401-1408.
info:eu-repo/semantics/publishedVersio
Number-Phase Wigner Representation for Efficient Stochastic Simulations
Phase-space representations based on coherent states (P, Q, Wigner) have been
successful in the creation of stochastic differential equations (SDEs) for the
efficient stochastic simulation of high dimensional quantum systems. However
many problems using these techniques remain intractable over long integrations
times. We present a number-phase Wigner representation that can be unraveled
into SDEs. We demonstrate convergence to the correct solution for an anharmonic
oscillator with small dampening for significantly longer than other phase space
representations. This process requires an effective sampling of a non-classical
probability distribution. We describe and demonstrate a method of achieving
this sampling using stochastic weights.Comment: 7 pages, 1 figur
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