Fatal anaphylactic sting reaction in a patient with mastocytosis

We report on a 33-year-old female patient with indolent systemic mastocytosis and urticaria pigmentosa who died of an anaphylactic reaction after a yellow jacket sting. As she had no history of previous anaphylactic sting reaction, there was no testing performed in order to detect hymenoptera venom sensitization. But even if a sensitization had been diagnosed, no venom immunotherapy (VIT) would have been recommended. It is almost certain that VIT would have saved her life and it is most likely that VIT is indicated in some patients with mastocytosis with no history of anaphylactic sting reaction. However, no criteria have been established in order to allow a selection of mastocytosis patients eligible for such a `prophylactic' VIT. Copyright (C) 2008 S. Karger AG, Basel

Monodromy-data parameterization of spaces of local solutions of integrable reductions of Einstein's field equations

For the fields depending on two of the four space-time coordinates only, the spaces of local solutions of various integrable reductions of Einstein's field equations are shown to be the subspaces of the spaces of local solutions of the ``null-curvature'' equations constricted by a requirement of a universal (i.e. solution independent) structures of the canonical Jordan forms of the unknown matrix variables. These spaces of solutions of the ``null-curvature'' equations can be parametrized by a finite sets of free functional parameters -- arbitrary holomorphic (in some local domains) functions of the spectral parameter which can be interpreted as the monodromy data on the spectral plane of the fundamental solutions of associated linear systems. Direct and inverse problems of such mapping (``monodromy transform''), i.e. the problem of finding of the monodromy data for any local solution of the ``null-curvature'' equations with given canonical forms, as well as the existence and uniqueness of such solution for arbitrarily chosen monodromy data are shown to be solvable unambiguously. The linear singular integral equations solving the inverse problems and the explicit forms of the monodromy data corresponding to the spaces of solutions of the symmetry reduced Einstein's field equations are derived.Comment: LaTeX, 33 pages, 1 figure. Typos, language and reference correction

Einstein's equations and the chiral model

The vacuum Einstein equations for spacetimes with two commuting spacelike Killing field symmetries are studied using the Ashtekar variables. The case of compact spacelike hypersurfaces which are three-tori is considered, and the determinant of the Killing two-torus metric is chosen as the time gauge. The Hamiltonian evolution equations in this gauge may be rewritten as those of a modified SL(2) principal chiral model with a time dependent `coupling constant', or equivalently, with time dependent SL(2) structure constants. The evolution equations have a generalized zero-curvature formulation. Using this form, the explicit time dependence of an infinite number of spatial-diffeomorphism invariant phase space functionals is extracted, and it is shown that these are observables in the sense that they Poisson commute with the reduced Hamiltonian. An infinite set of observables that have SL(2) indices are also found. This determination of the explicit time dependence of an infinite set of spatial-diffeomorphism invariant observables amounts to the solutions of the Hamiltonian Einstein equations for these observables.Comment: 22 pages, RevTeX, to appear in Phys. Rev.

Realization of the mean-field universality class in spin-crossover materials

In spin-crossover materials, the volume of a molecule changes depending on whether it is in the high-spin (HS) or low-spin (LS) state. This change causes distortion of the lattice. Elastic interactions among these distortions play an important role for the cooperative properties of spin-transition phenomena. We find that the critical behavior caused by this elastic interaction belongs to the mean-field universality class, in which the critical exponents for the spontaneous magnetization and the susceptibility are $\beta = 1/2$ and $\gamma = 1$, respectively. Furthermore, the spin-spin correlation function is a constant at long distances, and it does not show an exponential decay in contrast to short-range models. The value of the correlation function at long distances shows different size-dependences: $O(1/N)$, $O(1/\sqrt{N})$, and constant for temperatures above, at, and below the critical temperature, respectively. The model does not exhibit clusters, even near the critical point. We also found that cluster growth is suppressed in the present model and that there is no critical opalescence in the coexistence region. During the relaxation process from a metastable state at the end of a hysteresis loop, nucleation phenomena are not observed, and spatially uniform configurations are maintained during the change of the fraction of HS and LS. These characteristics of the mean-field model are expected to be found not only in spin-crossover materials, but also generally in systems where elastic distortion mediates the interaction among local states.Comment: 13 pages, 16 figure

High secondary failure rate of rebanding after failed gastric banding

Background: Over the last decade, more than 130,000 laparoscopic adjustable gastric bandings (LAGB) have been performed for the treatment of morbid obesity. Nowadays, longer follow-up data are available in the literature and increasing numbers of late complications and treatment failures of gastric banding have been reported. The aim of the present study was the long-term evaluation of two different rescue operations after failed LAGB: conversion to laparoscopic Roux-en-Y bypass (LRYGB) versus laparoscopic gastric rebanding. Methods: Between January 1997 and November 2002, 74 consecutive patients underwent either laparoscopic gastric rebanding (n = 44) or LRYGB (n = 30) after failed LAGB. There were 14 men and 60 women, with a median age of 42 (23-60) years. The indication for reoperation was an increasing body mass index (BMI) and band-related complications such as pouch dilatation, band slippage, and penetration after LAGB. Rebandings were done by preference during the initial period of the study and LRYGB was the treatment of choice during the latter period. The success of the rescue operation was assessed by postoperative changes in the BMI, improvements of co-morbidities, and the need for further reoperations (secondary failure). The median follow-up was 36 months (range, 24-60 months). Results: Patients who underwent LRYGB had a significantly better weight loss than patients with a rebanding operation (mean −6.1 versus +1.5 BMI points). In addition, the LRYGB patients showed a significantly better control of serum cholesterol during the long term follow-up (−0.6 versus +0.1 mmol/l). Almost half of the patients (45%) in the rebanding group needed a further operative revision, whereas only 20% underwent reoperation after rescue LRYGB. Thus, the secondary failure rate in the rebanding group was significantly higher compared to the bypass group (p = 0.028). Conclusions: The present long-term study confirms our previous finding that LRYGB is a better treatment than rebanding after failed laparoscopic gastric banding regarding weight loss and treatment of co-morbidities. During the long-term follow-up the reoperation rate due to secondary failure became significantly higher in the rebanding group. We therefore recommend that LRYGB should be preferred as rescue procedure after failed laparoscopic adjustable gastric bandin

Infrared receivers for low background astronomy: Incoherent detectors and coherent devices from one micrometer to one millimeter

The status of incoherent detectors and coherent receivers over the infrared wavelength range from one micrometer to one millimeter is described. General principles of infrared receivers are included, and photon detectors, bolometers, coherent receivers, and important supporting technologies are discussed, with emphasis on their suitability for low background astronomical applications. Broad recommendations are presented and specific opportunities are identified for development of improved devices

Constants of motion for vacuum general relativity

The 3+1 Hamiltonian Einstein equations, reduced by imposing two commuting spacelike Killing vector fields, may be written as the equations of the $SL(2,R)$ principal chiral model with certain `source' terms. Using this formulation, we give a procedure for generating an infinite number of non-local constants of motion for this sector of the Einstein equations. The constants of motion arise as explicit functionals on the phase space of Einstein gravity, and are labelled by sl(2,R) indices.Comment: 10 pages, latex, version to appear in Phys. Rev. D

Switching dynamics between metastable ordered magnetic state and nonmagnetic ground state - A possible mechanism for photoinduced ferromagnetism -

By studying the dynamics of the metastable magnetization of a statistical mechanical model we propose a switching mechanism of photoinduced magnetization. The equilibrium and nonequilibrium properties of the Blume-Capel (BC) model, which is a typical model exhibiting metastability, are studied by mean field theory and Monte Carlo simulation. We demonstrate reversible changes of magnetization in a sequence of changes of system parameters, which would model the reversible photoinduced magnetization. Implications of the calculated results are discussed in relation to the recent experimental results for prussian blue analogs.Comment: 12 pages, 13 figure

Solution generating with perfect fluids

We apply a technique, due to Stephani, for generating solutions of the Einstein-perfect fluid equations. This technique is similar to the vacuum solution generating techniques of Ehlers, Harrison, Geroch and others. We start with a ``seed'' solution of the Einstein-perfect fluid equations with a Killing vector. The seed solution must either have (i) a spacelike Killing vector and equation of state P=rho or (ii) a timelike Killing vector and equation of state rho+3P=0. The new solution generated by this technique then has the same Killing vector and the same equation of state. We choose several simple seed solutions with these equations of state and where the Killing vector has no twist. The new solutions are twisting versions of the seed solutions