Oh No, Guadalajara Won’t Do

My mother and I met Rhonda on the bus ride from San Diego to Mexico

Spontaneous splenic rupture associated with apixaban: a case report.

BACKGROUND: Spontaneous splenic rupture associated with anticoagulant use is a rare but potentially lethal disorder. Lack of prompt recognition can be associated with poor patient outcomes. The use of novel oral anticoagulants is becoming more common and thus consideration of this disorder while evaluating a patient who presents with abdominal pain while using these agents is extremely important. This is the first reported case of spontaneous splenic rupture associated with apixaban. CASE PRESENTATION: We describe the clinical case of an 83-year-old white man who complained of sudden severe abdominal pain 5 days into a hospital stay for acute-on-chronic congestive heart failure and exacerbation of chronic obstructive pulmonary disease. Neither he nor his wife reported any significant trauma for the past 6 months prior to his admission. His medical history included chronic atrial fibrillation treated with medications including apixaban 2.5 mg twice daily. An urgent abdominal computed tomography scan demonstrated a large splenic hematoma and evidence of intraperitoneal bleeding from which he rapidly declined, developing hypovolemic shock. An emergency splenic arteriogram displayed a patent splenic artery and an embolization was successful in stabilizing him. Due to evidence of recurrent bleeding, an exploratory laparotomy and splenectomy was subsequently performed the following day. CONCLUSIONS: The diagnosis of spontaneous splenic rupture is important to consider in a patient using apixaban who presents with abdominal pain and associated signs of hypotension and anemia. For hemodynamically unstable patients, prompt treatment to stop significant bleeding through splenic artery embolization or splenectomy is warranted and may be lifesaving

Boundary effects on the scaling of the superfluid density

We study numerically the influence of the substrate (boundary conditions) on the finite--size scaling properties of the superfluid density $\rho_s$ in superfluid films of thickness $H$ within the XY model employing the Monte Carlo method. Our results suggest that the jump $\rho_s H/T_c$ at the Kosterlitz--Thouless transition temperature $T_c$ depends on the boundary conditions.Comment: 2 pages, 1 Latex file, 1 postscript figure, 2 style file

All-solid-state electrochromic reflectance device for emittance modulation in the far-infrared spectral region

All-solid-state electrochromic reflectance devices for thermal emittance modulation were designed for operation in the spectral region from mid- to far-infrared wavelengths (2–40 μm). All device constituent layers were grown by magnetron sputtering. The electrochromic (polycrystalline WO3), ion conductor (Ta2O5), and Li+ ion-storage layer (amorphous WO3), optimized for their infrared (IR) optical thicknesses, are sandwiched between a highly IR reflecting Al mirror, and a 90% IR transmissive Al grid top electrode, thereby meeting the requirements for a reversible Li+ ion insertion electrochromic device to operate within the 300 K blackbody emission range. Multicycle optical switching and emittance modulation is demonstrated. The measured change in emissivity of the device is to 20%

Scaling of the superfluid density in superfluid films

We study scaling of the superfluid density with respect to the film thickness by simulating the $x-y$ model on films of size $L \times L \times H$ ($L >> H$) using the cluster Monte Carlo. While periodic boundary conditions where used in the planar ($L$) directions, Dirichlet boundary conditions where used along the film thickness. We find that our results can be scaled on a universal curve by introducing an effective thickness. In the limit of large $H$ our scaling relations reduce to the conventional scaling forms. Using the same idea we find scaling in the experimental results using the same value of $\nu = 0.6705$.Comment: 4 pages, one postscript file replaced by one Latex file and 5 postscript figure

Scaling of the specific heat in superfluid films

We study the specific heat of the $x-y$ model on lattices $L \times L \times H$ with $L \gg H$ (i.e. on lattices representing a film geometry) using the Cluster Monte--Carlo method. In the $H$--direction we apply Dirichlet boundary conditions so that the order parameter in the top and bottom layers is zero. We find that our results for the specific heat of various thickness size $H$ collapse on the same universal scaling function. The extracted scaling function of the specific heat is in good agreement with the experimentally determined universal scaling function using no free parameters.Comment: 4 pages, uuencoded compressed PostScrip

Rare-earth doped transparent ceramics for spectral filtering and quantum information processing

Homogeneous linewidths below 10 kHz are reported for the first time in high-quality Eu3+ doped Y 2O3 transparent ceramics. This result is obtained on the 7F0→5D0 transition in Eu3+ doped Y 2O3 ceramics and corresponds to an improvement of nearly one order of magnitude compared to previously reported values in transparent ceramics. Furthermore, we observed spectral hole lifetimes of ∼15 min that are long enough to enable efficient optical pumping of the nuclear hyperfine levels. Additionally, different Eu3+ concentrations (up to 1.0%) were studied, resulting in an increase of up to a factor of three in the peak absorption coefficient. These results suggest that transparent ceramics can be useful in applications where narrow and deep spectral holes can be burned into highly absorbing lines, such as quantum information processing and spectral filteringThis work was supported by the ANR projects RAMACO (No. 12-BS08-0015-01) and DISCRYS (No. 14-CE26-0037-01), Idex No. ANR-10-IDEX-0001-02 PSL⋆, and Nano’K project RECTUS. C.W.T. and R.L.C. acknowledge support from National Science Foundation (NSF) Award Nos. CHE-1416454 and PHY-1415628 and M.O.R. and L.E.B. from Project No. MAT2013- 43301-R of the Spanish Ministry of Economy and Competitiveness (MINECO) and Comunidad Autónoma de Madrid under Grant No. S2013/MIT-274