Ruptured Peroneal Ganglion Cyst: MRI with Surgical Correlation

AbstractWe describe a case of a proximal anterior leg mass causing weak great toe dorsiflexion. The lesion was demonstrated on MR imaging as a multilocular cystic lesion within the extensor digitorum longus muscle that was connected to the proximal tibio-fibular joint by a pedicle. Fluid extravasation was present that extended inferiorly from the lesion along the fascial planes into the distal anterior lower leg. At surgery, the lesion was found to be compressing the deep peroneal nerve. The final pathologic diagnosis was peroneal ganglion cyst

The scattering of a cylindrical invisibility cloak: reduced parameters and optimization

We investigate the scattering of 2D cylindrical invisibility cloaks with simplified constitutive parameters with the assistance of scattering coefficients. We show that the scattering of the cloaks originates not only from the boundary conditions but also from the spatial variation of the component of permittivity/permeability. According to our formulation, we propose some restrictions to the invisibility cloak in order to minimize its scattering after the simplification has taken place. With our theoretical analysis, it is possible to design a simplified cloak by using some peculiar composites like photonic crystals (PCs) which mimic an effective refractive index landscape rather than offering effective constitutives, meanwhile canceling the scattering from the inner and outer boundaries.Comment: Accepted for J. Phys.

Dissipation in intercluster plasma

We discuss dissipative processes in strongly gyrotropic, nearly collisionless plasma in clusters of galaxies (ICM). First, we point out that Braginsky theory, which assumes that collisions are more frequent that the system's dynamical time scale, is inapplicable to fast, sub-viscous ICM motion. Most importantly, the electron contribution to collisional magneto-viscosity dominates over that of ions for short-scale Alfvenic motions. Thus, if a turbulent cascade develops in the ICM and propagates down to scales $\leq 1$ kpc, it is damped collisionally not on ions, but on electrons. Second, in high beta plasma of ICM, small variations of the magnetic field strength, of relative value $\sim 1/\beta$, lead to development of anisotropic pressure instabilities (firehose, mirror and cyclotron). Unstable wave modes may provide additional resonant scattering of particles, effectively keeping the plasma in a state of marginal stability. We show that in this case the dissipation rate of a laminar, subsonic, incompressible flows scales as inverse of plasma beta parameter. We discuss application to the problem of ICM heating.Comment: 4 pages, accepted by ApJ Let

Casimir-Polder interaction between an atom and a dielectric slab

We present an explicit analytic calculation of the energy-level shift of an atom in front of a non-dispersive and non-dissipative dielectric slab. We work with the fully quantized electromagnetic field, taking retardation into account. We give the shift as a two-dimensional integral and use asymptotic analysis to find expressions for it in various retarded and non-retarded limiting cases. The results can be used to estimate the energy shift of an atom close to layered microstructures.Comment: 10 pages, incl 7 figure

Grating-coupled excitation of multiple surface plasmon-polariton waves

The excitation of multiple surface-plasmon-polariton (SPP) waves of different linear polarization states and phase speeds by a surface-relief grating formed by a metal and a rugate filter, both of finite thickness, was studied theoretically, using rigorous coupled-wave-analysis. The incident plane wave can be either p or s polarized. The excitation of SPP waves is indicated by the presence of those peaks in the plots of absorbance vs. the incidence angle that are independent of the thickness of the rugate filter. The absorbance peaks representing the excitation of s-polarized SPP waves are narrower than those representing p-polarized SPP waves. Two incident plane waves propagating in different directions may excite the same SPP wave. A line source could excite several SPP waves simultaneously

T-cell receptor gene expression in tumour-infiltrating lymphocytes and peripheral blood lymphocytes of patients with nasopharyngeal carcinoma.

The T-cell receptor (TCR) repertoire expression of tumour-infiltrating lymphocytes (TILs) from 19 nasopharyngeal carcinoma (NPC) biopsies was compared with those of lymphocytes from 18 control nasopharyngeal biopsies. mRNA was extracted from these lymphocytes and the cDNA transcribed. A panel of 18 V alpha- and 21 V beta-specific primers was used to detect the TCR gene use from cDNA. The use of V alpha and V beta genes was restricted in TILs compared with lymphocytes from biopsies. The frequencies of V alpha 2, V alpha 3, V alpha 9, V alpha 10, V alpha 11, V alpha 13, V alpha 14, V alpha 15, V beta 11, V beta 15 and V beta 20 were decreased and the frequencies of V alpha 10 [Pc = 0.04; relative risk (RR) = 0.05], V alpha 11 (Pc = 0.02; RR = 0.07), V alpha 13 (Pc = 0.002; RR = 0), V alpha 14 (Pc = 0.04; RR = 0.05), V beta 14 (Pc = 0.001; RR = 0.03) and V beta 20 (Pc = 0.001; RR = 0.03) remained significantly reduced after correction for the number of families typed. The frequency of V alpha 17 was higher in NPC biopsies than in NPC PBLs (P = 0.05), and the frequency of V beta 15 was lower in NPC biopsies than in NPC PBLs (P = 0.02). The frequencies of V alpha 17 and V alpha 18 in HLA-B46+ patients were significantly lower (P = 0.009; P = 0.044) than in B46+ controls. The results suggest that the restriction of TCR gene use in NPC patients may be important in NPC pathogenesis

Shearing Box Simulations of the MRI in a Collisionless Plasma

We describe local shearing box simulations of turbulence driven by the magnetorotational instability (MRI) in a collisionless plasma. Collisionless effects may be important in radiatively inefficient accretion flows, such as near the black hole in the Galactic Center. The MHD version of ZEUS is modified to evolve an anisotropic pressure tensor. A fluid closure approximation is used to calculate heat conduction along magnetic field lines. The anisotropic pressure tensor provides a qualitatively new mechanism for transporting angular momentum in accretion flows (in addition to the Maxwell and Reynolds stresses). We estimate limits on the pressure anisotropy due to pitch angle scattering by kinetic instabilities. Such instabilities provide an effective ``collision'' rate in a collisionless plasma and lead to more MHD-like dynamics. We find that the MRI leads to efficient growth of the magnetic field in a collisionless plasma, with saturation amplitudes comparable to those in MHD. In the saturated state, the anisotropic stress is comparable to the Maxwell stress, implying that the rate of angular momentum transport may be moderately enhanced in a collisionless plasma.Comment: 20 pages, 9 figures, submitted to Ap

A Galerkin boundary element method for high frequency scattering by convex polygons

In this paper we consider the problem of time-harmonic acoustic scattering in two dimensions by convex polygons. Standard boundary or finite element methods for acoustic scattering problems have a computational cost that grows at least linearly as a function of the frequency of the incident wave. Here we present a novel Galerkin boundary element method, which uses an approximation space consisting of the products of plane waves with piecewise polynomials supported on a graded mesh, with smaller elements closer to the corners of the polygon. We prove that the best approximation from the approximation space requires a number of degrees of freedom to achieve a prescribed level of accuracy that grows only logarithmically as a function of the frequency. Numerical results demonstrate the same logarithmic dependence on the frequency for the Galerkin method solution. Our boundary element method is a discretization of a well-known second kind combined-layer-potential integral equation. We provide a proof that this equation and its adjoint are well-posed and equivalent to the boundary value problem in a Sobolev space setting for general Lipschitz domains

Exterior optical cloaking and illusions by using active sources: a boundary element perspective

Recently, it was demonstrated that active sources can be used to cloak any objects that lie outside the cloaking devices [Phys. Rev. Lett. \textbf{103}, 073901 (2009)]. Here, we propose that active sources can create illusion effects, so that an object outside the cloaking device can be made to look like another object. invisibility is a special case in which the concealed object is transformed to a volume of air. From a boundary element perspective, we show that active sources can create a nearly "silent" domain which can conceal any objects inside and at the same time make the whole system look like an illusion of our choice outside a virtual boundary. The boundary element method gives the fields and field gradients (which can be related to monopoles and dipoles) on continuous curves which define the boundary of the active devices. Both the cloaking and illusion effects are confirmed by numerical simulations

Improving recognition of anxiety and depression in rheumatoid arthritis: a qualitative study in a community clinic.

BACKGROUND: Comorbid anxiety and depression are common in patients with rheumatoid arthritis (RA) but are often under-recognised and treated, contributing to worse outcomes. National Institute for Health and Care Excellence (NICE) recommends that patients with RA should be offered a holistic annual review, including an assessment of mood. AIM: To explore patients' perspectives of anxiety and depression in RA and preferences for disclosure and management of mood problems. DESIGN AND SETTING: Qualitative interview study with patients recruited from a nurse-led RA annual review clinic in the Midlands, England. METHOD: Patients attending the clinic who scored ≥3 on the case-finding questions (PHQ-2 and GAD-2) were invited for interview. Data were analysed thematically using principles of constant comparison. RESULTS: Participants recognised a connection between their RA and mood, though this was perceived variably. Some lacked candidacy for care, normalising their mood problems. Fear of stigmatisation, a lack of time, and the perception that clinicians prioritise physical over mental health problems recursively affected help-seeking. Good communication and continuity of care were perceived to be integral to disclosure of mood problems. Participants expressed a preference for psychological therapies, though they reported problems accessing care. Some perceived medication to be offered as a 'quick fix' and feared potential drug interactions. CONCLUSION: Prior experiences can lead patients with RA and comorbid anxiety and depression to feel they lack candidacy for care. Provision of equal priority to mental and physical health problems by GPs and improved continuity of care could help disclosure of mood concerns. Facilitation of access to psychological therapies could improve outcomes for both mental and physical health problems