Nivolumab-induced fulminant diabetic ketoacidosis followed by thyroiditis

Five days following the 3rd cycle of nivolumab, a monoclonal antibody, which acts as immune checkpoint inhibitor against the programmed cell death protein-1, for metastatic lung adenocarcinoma, a 56-year-old woman presented at the hospital critically ill. On admission, she had severe diabetic ketoacidosis (DKA), as evidenced by venous glucose of 47 mmol/L, blood ketones of 7.5 mmol/L, pH of 6.95 and bicarbonate of 6.6 mmol/L. She has had no personal or family history of diabetes mellitus (DM), while random venous glucose, measured 1 week prior to hospitalisation, was 6.1 mmol/L. On admission, her HbA1c was 8.2% and anti-GAD antibodies were 12 kIU/L (0–5 kU/L), while islet cell antibodies and serum C-peptide were undetectable. Nivolumab was recommenced without the development of other immune-mediated phenomena until 6 months later, when she developed hypothyroidism with TSH 18 U/L and low free T4. She remains insulin dependent and has required levothyroxine replacement, while she has maintained good radiological and clinical response to immunotherapy. This case is notable for the rapidity of onset and profound nature of DKA at presentation, which occurred two months following commencement of immunotherapy. Despite the association of nivolumab with immune-mediated endocrinopathies, only a very small number of patients developing type 1 DM has been reported to date. Patients should be closely monitored for hyperglycaemia and thyroid dysfunction prior to and periodically during immunotherapy

Does Every Quasar Harbor A Blazar?

Assuming there is a blazar type continuum in every radio-loud quasar, we find that the free-free heating due to the beamed infrared continuum can greatly enhance collisionally excited lines, and thus explain the stronger CIV $\lambda$1549 line emission observed in radio loud quasars. We further predict that the CIV line should show variability {\it not} associated with observed continuum or Ly$\alpha$ variability.Comment: 15 pages, 3 figures; to appear in Astrophys. J. Let

Anomalous Hall Effect in three ferromagnets: EuFe4Sb12, Yb14MnSb11, and Eu8Ga16Ge30

The Hall resistivity (Rho_xy), resistivity (Rho_xx), and magnetization of three metallic ferromagnets are investigated as a function of magnetic field and temperature. The three ferromagnets, EuFe4Sb12 (Tc = 84 K), Yb14MnSb11 (Tc = 53 K), and Eu8Ga16Ge30 (Tc = 36 K) are Zintl compounds with carrier concentrations between 1 x 10^21 cm^-3 and 3.5 x 10^21 cm^-3. The relative decrease in Rho_xx below Tc [Rho_xx(Tc)/Rho_xx(2 K)] is 28, 6.5, and 1.3 for EuFe4Sb12, Yb14MnSb11, and Eu8Ga16Ge30 respectively. The low carrier concentrations coupled with low magnetic anisotropies allow a relatively clean separation between the anomalous (Rho_'xy), and normal contributions to the measured Hall resistivity. For each compound the anomalous contribution in the zero field limit is fit to alpha Rho_xx + sigma_xy rho_xx^2 for temperatures T < Tc. The anomalous Hall conductivity, sigma_xy, is -220 +- 5 (Ohm^-1 cm^-1), -14.7 +- 1 (Ohm^-1 cm^-1), and 28 +- 3 (Ohm^-1 cm^-1) for EuFe4Sb12, Yb14MnSb11, and Eu8Ga16Ge30 respectively and is independent of temperature for T < Tc if the change in spontaneous magnetization (order parameter) with temperature is taken into account. These data are consistent with recent theories of the anomalous Hall effect that suggest that even for stochiometric ferromagnetic crystals, such as those studied in this article, the intrinsic Hall conductivity is finite at T = 0, and is a ground state property that can be calculated from the electronic structure.Comment: 22 pages, 13 figures Submitted to PR

A Web of Expectations: Evolving Relationships in Community Participatory Geoweb Projects.

This article was first published in ACME: An International Journal for Critical Geographies in 2015, available online: http://ojs.unbc.ca/index.php/acme/article/view/1235/1030.New forms of participatory online geospatial technology have the potential to support citizen engagement in governance and community development. The mechanisms of this contribution have predominantly been cast in the literature as ‘citizens as sensors’, with individuals acting as a distributed network, feeding academics or government with data. To counter this dominant perspective, we describe our shared experiences with the development of three community-based Geospatial Web 2.0 (Geoweb) projects, where community organizations were engaged as partners, with the general aim to bring about social change in their communities through technology development and implementation. Developing Geoweb tools with community organizations was a process that saw significant evolution of project expectations and relationships. As Geoweb tool development encountered the realities of technological development and implementation in a community context, this served to reduce organizational enthusiasm and support for projects as a whole. We question the power dynamics at play between university researchers and organizations, including project financing, both during development and in the long term. How researchers managed, or perpetuated, many of the popular myths of the Geoweb, namely that it is inexpensive and easy to use (thought not to build, perhaps) impacted the success of each project and the sustainability of relationships between researcher and organization. Ultimately, this research shows the continuing gap between the promise of online geospatial technology, and the realities of its implementation at the community level.Peer-reviewe

Minimal Informationally Complete Measurements for Pure States

We consider measurements, described by a positive-operator-valued measure (POVM), whose outcome probabilities determine an arbitrary pure state of a D-dimensional quantum system. We call such a measurement a pure-state informationally complete (PSI-complete) POVM. We show that a measurement with 2D-1 outcomes cannot be PSI-complete, and then we construct a POVM with 2D outcomes that suffices, thus showing that a minimal PSI-complete POVM has 2D outcomes. We also consider PSI-complete POVMs that have only rank-one POVM elements and construct an example with 3D-2 outcomes, which is a generalization of the tetrahedral measurement for a qubit. The question of the minimal number of elements in a rank-one PSI-complete POVM is left open.Comment: 2 figures, submitted for the Asher Peres festschrif

The Accretion Rates and Spectral Energy Distributions of BL Lacertae Objects

We investigate the relationship between accretion rates and the spectral energy distributions (SEDs) of BL Lac objects, using a sample of objects for which published information on the host galaxies, emission-line luminosities, and peak frequencies and luminosities of their SEDs are available. The sample is composed of 43 BL Lac objects which have a relatively continuous distribution of peak frequencies. Under the assumption that the observed emission lines are photoionized by the central accretion disk, we use the line luminosities to estimate the accretion luminosities and hence accretion rates. We find that low frequency-peaked BL Lac objects (LBLs) span a wide range of accretion rates, whereas high frequency-peaked BL Lac objects (HBLs) cover a more restricted range of lower values. There appears to be a continuous distribution of accretion rates between the two subclasses of BL Lac objects. We find that the peak frequency of the SED, \pknu, correlates with the accretion rate, approximately with the form \pknu\propto \Lambda^{-3} in HBLs and \pknu \propto \Lambda^{-0.25} in LBLs, where $\Lambda \equiv L_{\rm lines}/c^2$. The peak luminosity of the SED is also correlated with $\Lambda$. These results suggest that the accretion rate influences the shape of the SED in BL Lac objects. They also support models which couple the jet and the accretion disk. We present a physical scenario to account for the empirical trends.Comment: 6 pages in emulateapj.sty, 3 figures 1 table. The Astrophysical Journal (in press