Lesson of the month 2: An easily missed cause of confusion

We describe the case of an 85-year-old woman who developed acute confusion, acute kidney injury and temperature spikes while on extended courses of beta-lactams for osteomyelitis. The cause of her deterioration was felt to be due to sepsis when in fact it was as a result of toxicity from antibiotics. This was demonstrated by a rapid resolution in her condition following haemodialysis. We also performed a literature review to appraise the neuro and nephrotoxicity of various antibiotics and how best to manage toxicity when it occurs

Evolution of helicity in NOAA 10923 over three consecutive solar rotations

We have studied the evolution of magnetic helicity and chirality in an active region over three consecutive solar rotations. The region when it first appeared was named NOAA10923 and in subsequent rotations it was numbered NOAA 10930, 10935 and 10941. We compare the chirality of these regions at photospheric, chromospheric and coronal heights. The observations used for photospheric and chromospheric heights are taken from Solar Vector Magnetograph (SVM) and H_alpha imaging telescope of Udaipur Solar Observatory (USO), respectively. We discuss the chirality of the sunspots and associated H_alpha filaments in these regions. We find that the twistedness of superpenumbral filaments is maintained in the photospheric transverse field vectors also. We also compare the chirality at photospheric and chromospheric heights with the chirality of the associated coronal loops, as observed from the HINODE X-Ray Telescope.Comment: 8 pages, 4 figure

Polaronic Heat Capacity in The Anderson - Hasegawa Model

An exact treatment of the Anderson - Hasegawa two - site model, incorporating the presence of superexchange and polarons, is used to compute the heat capacity. The calculated results point to the dominance of the lattice contribution, especially in the ferromagnetic regime. This behavior is in qualitative agreement with experimental findings.Comment: 9 pages, Revtex, 4 postscript figure

Giant cell tumour of the flexor tendon sheath of the hand

Background: Giant cell tumor of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. Recurrence of the tumor is common even after excision.Methods: It is an observational study where we present a review of 10 cases for which excision was done and were kept for regular follow up for minimum 6 months.Results: No recurrences noted in our series with minimum six months to maximum two years follow-up though review literature shows 10-40% recurrence rates.Conclusions: Complete excision with regular follow up care is indicated for this neoplasm due to its high propensity towards recurrence. The most important factor deciding recurrence pattern is incomplete excision and leaving behind satellite nodules.

Accelerating Universe from an Evolving Lambda in Higher Dimension

We find exact solutions in five dimensional inhomogeneous matter dominated model with a varying cosmological constant. Adjusting arbitrary constants of integration one can also achieve acceleration in our model. Aside from an initial singularity our spacetime is regular everywhere including the centre of the inhomogeneous distribution. We also study the analogous homogeneous universe in (4+d) dimensions. Here an initially decelerating model is found to give late acceleration in conformity with the current observational demands. We also find that both anisotropy and number of dimensions have a role to play in determining the time of flip, in fact the flip is delayed in multidimensional models. Some astrophysical parameters like the age, luminosity distance etc are also calculated and the influence of extra dimensions is briefly discussed. Interestingly our model yields a larger age of the universe compared to many other quintessential models.Comment: 18 pages, 9 figure

Coulomb and nuclear breakup effects in the single neutron removal reaction 197Au(17C,16C gamma)X

We analyze the recently obtained new data on the partial cross sections and parallel momentum distributions for transitions to ground as well as excited states of the 16C core, in the one-neutron removal reaction 197Au(17C,16C gamma)X at the beam energy of 61 MeV/nucleon. The Coulomb and nuclear breakup components of the one-neutron removal cross sections have been calculated within a finite range distorted wave Born approximation theory and an eikonal model, respectively. The nuclear contributions dominate the partial cross sections for the core excited states. By adding the nuclear and Coulomb cross sections together, a reasonable agreement is obtained with the data for these states. The shapes of the experimental parallel momentum distributions of the core states are described well by the theory.Comment: Revtex format, two figures included, to appear in Phys. Rev. C. (Rapid communications

Core excitation in Coulomb breakup reactions

Within the pure Coulomb breakup mechanism, we investigate the one-neutron removal reaction of the type A(a,b$\gamma$)X with $^{11}$Be and $^{19}$C projectiles on a heavy target nucleus $^{208}$Pb at the beam energy of 60 MeV/nucleon. Our intention is to examine the prospective of using these reactions to study the structure of neutron rich nuclei. Integrated partial cross sections and momentum distributions for the ground as well as excited bound states of core nuclei are calculated within the finite range distorted wave Born approximation as well as within the adiabatic model of the Coulomb breakup. Our results are compared with those obtained in the studies of the reactions on a light target where the breakup proceeds via the pure nuclear mechanism. We find that the transitions to excited states of the core are quite weak in the Coulomb dominated process as compared to the pure nuclear breakup.Comment: Revtex format, five postscript figures included, to appear in Phys. Rev.

Kaluza-Klein Type Robertson Walker Cosmological Model With Dynamical Cosmological Term Λ\Lambda

In this paper we have analyzed the Kaluza-Klein type Robertson Walker (RW) cosmological models by considering three different forms of variable $\Lambda$: $\Lambda\sim(\frac{\dot{a}}{a})^2$,$\Lambda\sim(\frac{\ddot{a}} {a})$ and $\Lambda \sim \rho$. It is found that, the connecting free parameters of the models with cosmic matter and vacuum energy density parameters are equivalent, in the context of higher dimensional space time. The expression for the look back time, luminosity distance and angular diameter distance are also derived. This work has thus generalized to higher dimensions the well-known results in four dimensional space time. It is found that there may be significant difference in principle at least, from the analogous situation in four dimensional space time.Comment: 16 pages, no figur