Do we need MR conditional pacemakers?

Magnetic resonance imaging (MRI) is a widely accepted tool for the diagnosis of a variety of disease states. However, due to safety concerns the presence of an implanted cardiac pacemaker is considered to be a contraindication to MRI in most medical centres. The increasing number of implanted pacemakers and the estimated over 50% probability that a pacemaker patient may be a candidate for an MRI increase the need for safe scanning of pacemaker patients. Over the last ten years a major effort has been made to understand the potential risks. The influences from the three electromagnetic fields on pacemakers are versatile and will be summarised. The research in this area has helped to predict the risks of an MRI scan in patients with conventional pacemakers, and has also stimulated pacemaker manufacturers to improve their devices with the goal of providing MR conditional devices. Since autumn 2008 the first approved MR conditional pacemakers have been on the market and other devices are likely to follow this trend. However, the vast majority of devices are still not approved for MRI, a situation which will take several years to change. It is thus important that a solution be also found for these patients. Several studies including over 500 patients with a pressing need for MRI have been performed at different experienced centres. On the basis of those data various organisations in MRI fields have proposed guidelines for MRI in patients who fulfill given requirements. However, at present, non- MRI modalities should be considered, whenever possible, for diagnosis in pacemaker recipients with conventional devices. If other imaging modalities are not adequate, MRI with careful monitoring and preparation for adverse events may be considered only at experienced centres. With the wider availability of MR conditional devices, the risks of MRI are greatly reduced and non-tertiary centres will be able to perform these investigations. In any case, rapid progress in the field of MR conditional pacing is desirable

slq(2)sl_q(2) Realizations for Kepler and Oscillator Potentials and q-Canonical Transformations

The realizations of the Lie algebra corresponding to the dynamical symmetry group SO(2,1) of the Kepler and oscillator potentials are q-deformed. The q-canonical transformation connecting two realizations is given and a general definition for q-canonical transformation is deduced. q-Schr\"{o}dinger equation for a Kepler like potential is obtained from the q-oscillator Schr\"{o}dinger equation. Energy spectrum and the ground state wave function are calculated.Comment: 12 pages, Latex twice, (Comparison with the other approaches and some refs. added. The version which will appear in J. Phys. A

The effects of crustal magnetic fields and solar EUV flux on ionopause formation at Mars

We study the ionopause of Mars using a database of 6,893 ionopause detections obtained over 11 years by the MARSIS (Mars Advanced Radar for Subsurface and Ionosphere Sounding) experiment. The ionopause, in this work, is defined as a steep density gradient that appears in MARSIS remote sounding ionograms as a horizontal line at frequencies below 0.4 MHz. We find that the ionopause is located on average at an altitude of $363 \pm 65$ km. We also find that the ionopause altitude has a weak dependence on solar zenith angle and varies with the solar extreme ultraviolet (EUV) flux on annual and solar cycle time scales. Furthermore, our results show that very few ionopauses are observed when the crustal field strength at 400 km is greater than 40 nT. The strong crustal fields act as mini-magnetospheres that alter the solar wind interaction and prevent the ionopause from forming.Comment: 22 pages, 5 figure

Endothelin and cardiac arrhythmias: do endothelin antagonists have a therapeutic potential as antiarrhythmic drugs?

Endothelin-1 (ET-1), the predominant isoform of the ET peptide family and a potent vasoconstrictor, has been shown to aggravate ischemia-induced ventricular arrhythmias. However, there is also evidence that ET-1 may have a direct arrhythmogenic action that is not solely attributable to myocardial ischemia. Proposed mechanisms for the arrhythmogenic effects of ET-1 are prolongation or increased dispersion of monophasic action potential duration, QT prolongation, development of early afterdepolarizations, acidosis, and augmentation of cellular injury. As for an ionic basis for the observed electrophysiologic effects, ET-induced Ca2+ release from intracellular stores, generation of inositol triphosphate, inhibition of delayed rectifier K+ current, and stimulation of the Na+/H+ exchanger may be involved. Recently, some studies have shown that ET receptor antagonists, which promise to be powerful tools in cardiovascular medicine, may also demonstrate antiarrhythmic properties. This review describes the current state of knowledge on the interactions between the ET system and cardiac arrhythmias, and discusses the therapeutic potential of ET antagonists as antiarrhythmic drug

Centrifugal terms in the WKB approximation and semiclassical quantization of hydrogen

A systematic semiclassical expansion of the hydrogen problem about the classical Kepler problem is shown to yield remarkably accurate results. Ad hoc changes of the centrifugal term, such as the standard Langer modification where the factor l(l+1) is replaced by (l+1/2)^2, are avoided. The semiclassical energy levels are shown to be exact to first order in $\hbar$ with all higher order contributions vanishing. The wave functions and dipole matrix elements are also discussed.Comment: 5 pages, to appear in Phys. Rev.

Exact expression for the diffusion propagator in a family of time-dependent anharmonic potentials

We have obtained the exact expression of the diffusion propagator in the time-dependent anharmonic potential $V(x,t)={1/2}a(t)x^2+b\ln x$. The underlying Euclidean metric of the problem allows us to obtain analytical solutions for a whole family of the elastic parameter a(t), exploiting the relation between the path integral representation of the short time propagator and the modified Bessel functions. We have also analyzed the conditions for the appearance of a non-zero flow of particles through the infinite barrier located at the origin (b<0).Comment: RevTex, 19 pgs. Accepted in Physical Review