CT diagnosis of small bowel obstruction caused by internal hernia from persistent attachment of a Meckel's diverticulum to the umbilicus by the obliterated omphalomesenteric duct

We report a case of small bowel obstruction (SBO) caused by internal hernia from persistent attachment of a Meckel's diverticulum (MD) to the umbilicus by the obliterated omphalomesenteric duct that was diagnosed by multidetector CT and confirmed during laparoscopic surgery. Although clinical, pathological and radiological features of MD and its complications are well known, the diagnosis of MD is difficult to establish preoperatively. CT findings that allow the diagnosis of this very unusual cause of SBO are presented here with laparoscopic surgery correlation

A bayesian nonparametric model for white blood cells in patients with lower urinary tract symptoms

Lower Urinary Tract Symptoms (LUTS) affect a significant proportion of the population and often lead to a reduced quality of life. LUTS overlap across a wide variety of diseases, which makes the diagnostic process extremely complicated. In this work we focus on the relation between LUTS and Urinary Tract Infection (UTI). The latter is detected through the number of White Blood Cells (WBC) in a sample of urine: WBC≥ 1 indicates UTI and high levels may indicate complications. The objective of this work is to provide the clinicians with a tool for supporting the diagnostic process, deepening the available knowledge about LUTS and UTI. We analyze data recording both LUTS profile and WBC count for each patient. We propose to model the WBC using a random partition model in which we specify a prior distribution over the partition of the patients which includes the clustering information contained in the LUTS profile. Then, within each cluster, the WBC counts are assumed to be generated by a zero-inflated Poisson distribution. The results of the predictive distribution allows to identify the symptoms configuration most associated with the presence of UTI as well as with severe infections

On the Possibility of Measuring the Gravitomagnetic Clock Effect in an Earth Space-Based Experiment

In this paper the effect of the post-Newtonian gravitomagnetic force on the mean longitudes $l$ of a pair of counter-rotating Earth artificial satellites following almost identical circular equatorial orbits is investigated. The possibility of measuring it is examined. The observable is the difference of the times required to $l$ in passing from 0 to 2$\pi$ for both senses of motion. Such gravitomagnetic time shift, which is independent of the orbital parameters of the satellites, amounts to 5$\times 10^{-7}$ s for Earth; it is cumulative and should be measured after a sufficiently high number of revolutions. The major limiting factors are the unavoidable imperfect cancellation of the Keplerian periods, which yields a constraint of 10$^{-2}$ cm in knowing the difference between the semimajor axes $a$ of the satellites, and the difference $I$ of the inclinations $i$ of the orbital planes which, for $i\sim 0.01^\circ$, should be less than $0.006^\circ$. A pair of spacecrafts endowed with a sophisticated intersatellite tracking apparatus and drag-free control down to 10$^{-9}$ cm s$^{-2}$ Hz$^{-{1/2}}$ level might allow to meet the stringent requirements posed by such a mission.Comment: LaTex2e, 22 pages, no tables, 1 figure, 38 references. Final version accepted for publication in Classical and Quantum Gravit

Gravitomagnetism and Relative Observer Clock Effects

The gravitomagnetic clock effect and the Sagnac effect for circularly rotating orbits in stationary axisymmetric spacetimes are studied from a relative observer point of view, clarifying their relationships and the roles played by special observer families. In particular Semer\'ak's recent characterization of extremely accelerated observers in terms of the two-clock clock effect is shown to be complemented by a similarly special property of the single-clock clock effect.Comment: 19 pages, LaTeX, IOP macros with package epsf and 1 eps figure, to appear in Classical and Quantum Gravity, slight revisio

Phenomenology of the Lense-Thirring effect in the Solar System

Recent years have seen increasing efforts to directly measure some aspects of the general relativistic gravitomagnetic interaction in several astronomical scenarios in the solar system. After briefly overviewing the concept of gravitomagnetism from a theoretical point of view, we review the performed or proposed attempts to detect the Lense-Thirring effect affecting the orbital motions of natural and artificial bodies in the gravitational fields of the Sun, Earth, Mars and Jupiter. In particular, we will focus on the evaluation of the impact of several sources of systematic uncertainties of dynamical origin to realistically elucidate the present and future perspectives in directly measuring such an elusive relativistic effect.Comment: LaTex, 51 pages, 14 figures, 22 tables. Invited review, to appear in Astrophysics and Space Science (ApSS). Some uncited references in the text now correctly quoted. One reference added. A footnote adde

Milky Way Mass Models and MOND

Using the Tuorla-Heidelberg model for the mass distribution of the Milky Way, I determine the rotation curve predicted by MOND. The result is in good agreement with the observed terminal velocities interior to the solar radius and with estimates of the Galaxy's rotation curve exterior thereto. There are no fit parameters: given the mass distribution, MOND provides a good match to the rotation curve. The Tuorla-Heidelberg model does allow for a variety of exponential scale lengths; MOND prefers short scale lengths in the range 2.0 to 2.5 kpc. The favored value of scale length depends somewhat on the choice of interpolation function. There is some preference for the `simple' interpolation function as found by Famaey & Binney. I introduce an interpolation function that shares the advantages of the simple function on galaxy scales while having a much smaller impact in the solar system. I also solve the inverse problem, inferring the surface mass density distribution of the Milky Way from the terminal velocities. The result is a Galaxy with `bumps and wiggles' in both its luminosity profile and rotation curve that are reminiscent of those frequently observed in external galaxies.Comment: Accepted for publication in the Astrophysical Journal. 31 pages including 8 figures and 3 table

Application of Time Transfer Function to McVittie Spacetime: Gravitational Time Delay and Secular Increase in Astronomical Unit

We attempt to calculate the gravitational time delay in a time-dependent gravitational field, especially in McVittie spacetime, which can be considered as the spacetime around a gravitating body such as the Sun, embedded in the FLRW (Friedmann-Lema\^itre-Robertson-Walker) cosmological background metric. To this end, we adopt the time transfer function method proposed by Le Poncin-Lafitte {\it et al.} (Class. Quant. Grav. 21:4463, 2004) and Teyssandier and Le Poncin-Lafitte (Class. Quant. Grav. 25:145020, 2008), which is originally related to Synge's world function $\Omega(x_A, x_B)$ and enables to circumvent the integration of the null geodesic equation. We re-examine the global cosmological effect on light propagation in the solar system. The round-trip time of a light ray/signal is given by the functions of not only the spacial coordinates but also the emission time or reception time of light ray/signal, which characterize the time-dependency of solutions. We also apply the obtained results to the secular increase in the astronomical unit, reported by Krasinsky and Brumberg (Celest. Mech. Dyn. Astron. 90:267, 2004), and we show that the leading order terms of the time-dependent component due to cosmological expansion is 9 orders of magnitude smaller than the observed value of $d{\rm AU}/dt$, i.e., $15 \pm 4$ ~[m/century]. Therefore, it is not possible to explain the secular increase in the astronomical unit in terms of cosmological expansion.Comment: 13 pages, 2 figures, accepted for publication in General Relativity and Gravitatio

Spectrally resolved observations of atmospheric emitted radiance in the H2O rotation band

This paper presents the project Earth Cooling by Water Vapor Radiation, an observational programme, which aims at developing a database of spectrally resolved far infrared observations, in atmospheric dry conditions, in order to validate radiative transfer models and test the quality of water vapor continuum and line parameters. The project provides the very first set of far-infrared spectral downwelling radiance measurements, in dry atmospheric conditions, which are complemented with Raman Lidar-derived temperature and water vapor profiles

Mass Screening in Modified Gravity

Models of modified gravity introduce extra degrees of freedom, which for consistency with the data, should be suppressed at observable scales. In the models that share properties of massive gravity such a suppression is due to nonlinear interactions: An isolated massive astrophysical object creates a halo of a nonzero curvature around it, shielding its vicinity from the influence of the extra degrees of freedom. We emphasize that the very same halo leads to a screening of the gravitational mass of the object, as seen by an observer beyond the halo. We discuss the case when the screening could be very significant and may rule out, or render the models observationally interesting.Comment: 16 pages, 4 figures, A contribution to the Proceedings of the International Workshop on Cosmology and Gravitation, Peyresq 12, June 16-22, 2007, Peyresq, Franc

Methicillin-resistant Staphylococcus epidermidis carrying biofilm formation genes: detection of clinical isolates by multiplex PCR

Staphylococcus epidermidis is the most prevalent coagulase-negative Staphylococcus (CNS) and is a major cause of hospital bacteremia. Based on 18 reference strains and 149 Staphylococcus clinical strains, used in a novel multiplex PCR method, the aim of this study was to identify S. epidermidis with respect to the sequence of three genes: recN, which encodes a recombination/repair protein, mecA (methicillin resistance), and icaAB, which is involved in biofilm formation. Amplicons of 219 bp (S. epidermidis-recN gene), 154 bp (mecA gene), and 546 bp (icaAB genes) were obtained. Reliableresults were achieved for 100% of the evaluated strains, suggesting that this new multiplex-PCR approach could be useful forthe accurate identification of methicillin-resistant S. epidermidis with the potential to produce biofilm. [Int Microbiol 2011;14(1):13-17