262 research outputs found
The psychosexual profile of sexual assistants: an internet-based explorative study
Sexual assistance may have some aspects that resemble prostitution and others that might lead one to think of sexual assistants as similar to a group of subjects whose sexual object is disability (devotees). In this study, we investigate whether a rigorous selection and training process on the part of specialised organisations may reduce the risk of training subjects with an atypical sexual interest and behaviours resembling prostitution
Non-supersymmetric extremal multicenter black holes with superpotentials
Using the superpotential approach we generalize Denef's method of deriving
and solving first-order equations describing multicenter extremal black holes
in four-dimensional N = 2 supergravity to allow non-supersymmetric solutions.
We illustrate the general results with an explicit example of the stu model.Comment: 17 pages, v2: some clarifications adde
First-order flows and stabilisation equations for non-BPS extremal black holes
We derive a generalised form of flow equations for extremal static and
rotating non-BPS black holes in four-dimensional ungauged N = 2 supergravity
coupled to vector multiplets. For particular charge vectors, we give
stabilisation equations for the scalars, analogous to the BPS case, describing
full known solutions. Based on this, we propose a generic ansatz for the
stabilisation equations, which surprisingly includes ratios of harmonic
functions.Comment: 27 pages; v2: presentation improved and references added as in the
published versio
Nernst branes in gauged supergravity
We study static black brane solutions in the context of N = 2 U(1) gauged
supergravity in four dimensions. Using the formalism of first-order flow
equations, we construct novel extremal black brane solutions including examples
of Nernst branes, i.e. extremal black brane solutions with vanishing entropy
density. We also discuss a class of non-extremal generalizations which is
captured by the first-order formalism.Comment: 44 pages, 3 figures, v2: added appendix B and references, minor
typographic changes, v3: added some clarifying remarks, version published in
JHE
Hypothyroidism in a five-year-old boy with rhabdomyolysis and recent history of cardiac tamponade: a case report
<p>Abstract</p> <p>Introduction</p> <p>Cardiac tamponade is a rare manifestation of hypothyroidism, and a less rare cause of pericardial effusion. The accumulation of the pericardial fluid is gradual, and often does not compromise cardiac hemodynamic function. There is a relationship between the severity and chronicity of the disease with the presence of pericardial effusion. There are few cases describing associated pericardial tamponade published in the literature. When a tamponade occurs, a concomitant provocative factor such as a viral pericarditis may be related. Our patient's case appears to be the youngest patient described so far.</p> <p>Case presentation</p> <p>We report the case of a previously healthy five-year-old Hispanic (non-indigenous) boy who developed rhabdomyolysis with a history of a recent pericardial effusion and tamponade two months before that required the placement of a percutaneous pericardial drainage. Pericardial effusion was considered to be viral. Later on readmission, clinical primary hypothyroidism was diagnosed and thought to be associated with the previous cardiac tamponade. He developed rhabdomyolysis, which was considered to be autoimmune and was treated with steroids. The level of creatine phosphate kinase and creatine kinase MB fraction returned to within the reference rangeone week after our patient was started on steroids and three weeks after he was started on thyroid hormones.</p> <p>Conclusions</p> <p>Physicians should consider hypothyroidism as a differential diagnosis in patients with pericardial effusion. Pericardial effusion may progress and cause a cardiac tamponade with hemodynamic instability. The fact that our patient did not have any manifestations of hypothyroidism might have delayed diagnosis.</p
Consensus statement of the Italian society of pediatric allergy and immunology for the pragmatic management of children and adolescents with allergic or immunological diseases during the COVID-19 pandemic
The COVID-19 pandemic has surprised the entire population. The world has had to face an unprecedented pandemic. Only, Spanish flu had similar disastrous consequences. As a result, drastic measures (lockdown) have been adopted worldwide. Healthcare service has been overwhelmed by the extraordinary influx of patients, often requiring high intensity of care. Mortality has been associated with severe comorbidities, including chronic diseases. Patients with frailty were, therefore, the victim of the SARS-COV-2 infection. Allergy and asthma are the most prevalent chronic disorders in children and adolescents, so they need careful attention and, if necessary, an adaptation of their regular treatment plans. Fortunately, at present, young people are less suffering from COVID-19, both as incidence and severity. However, any age, including infancy, could be affected by the pandemic.Based on this background, the Italian Society of Pediatric Allergy and Immunology has felt it necessary to provide a Consensus Statement. This expert panel consensus document offers a rationale to help guide decision-making in the management of children and adolescents with allergic or immunologic diseases
Narrative review on the management of moderate-severe atopic dermatitis in pediatric age of the Italian Society of Pediatric Allergology and Immunology (SIAIP), of the Italian Society of Pediatric Dermatology (SIDerP) and of the Italian Society of Pediatrics (SIP)
Currently, there are a few detailed guidelines on the overall management of children and adolescents with moderate-severe atopic dermatitis. AD is a complex disease presenting with different clinical phenotypes, which require an individualized and multidisciplinary approach. Therefore, appropriate interaction between primary care pediatricians, pediatric allergists, and pediatric dermatologists is crucial to finding the best management strategy. In this manuscript, members of the Italian Society of Pediatric Allergology and Immunology (SIAIP), the Italian Society of Pediatric Dermatology (SIDerP), and the Italian Society of Pediatrics (SIP) with expertise in the management of moderate-severe atopic dermatitis have reviewed the latest scientific evidence in the field. This narrative review aims to define a pathway to appropriately managing children and adolescents with moderate-severe atopic dermatitis
The Formation and Evolution of the First Massive Black Holes
The first massive astrophysical black holes likely formed at high redshifts
(z>10) at the centers of low mass (~10^6 Msun) dark matter concentrations.
These black holes grow by mergers and gas accretion, evolve into the population
of bright quasars observed at lower redshifts, and eventually leave the
supermassive black hole remnants that are ubiquitous at the centers of galaxies
in the nearby universe. The astrophysical processes responsible for the
formation of the earliest seed black holes are poorly understood. The purpose
of this review is threefold: (1) to describe theoretical expectations for the
formation and growth of the earliest black holes within the general paradigm of
hierarchical cold dark matter cosmologies, (2) to summarize several relevant
recent observations that have implications for the formation of the earliest
black holes, and (3) to look into the future and assess the power of
forthcoming observations to probe the physics of the first active galactic
nuclei.Comment: 39 pages, review for "Supermassive Black Holes in the Distant
Universe", Ed. A. J. Barger, Kluwer Academic Publisher
Non-extremal black holes of N=2, d=4 supergravity
We propose a generic recipe for deforming extremal black holes into
non-extremal black holes and we use it to find and study the non-extremal
black-hole solutions of several N=2,d=4 supergravity models (SL(2,R)/U(1), CPn
and STU with four charges). In all the cases considered, the non-extremal
family of solutions smoothly interpolates between all the different extremal
limits, supersymmetric and not supersymmetric. This fact can be used to find
explicitly extremal non-supersymmetric solutions in the cases in which the
attractor mechanism does not completely fix the values of the scalars on the
event horizon and they still depend on the boundary conditions at spatial
infinity.
We compare (supersymmetry) Bogomol'nyi bounds with extremality bounds, we
find the first-order flow equations for the non-extremal solutions and the
corresponding superpotential, which gives in the different extremal limits
different superpotentials for extremal black holes. We also compute the
"entropies" (areas) of the inner (Cauchy) and outer (event) horizons, finding
in all cases that their product gives the square of the moduli-independent
entropy of the extremal solution with the same electric and magnetic charges.Comment: Many small, inessential changes. Some misprints corrected and a few
references adde
Sfrp Controls Apicobasal Polarity and Oriented Cell Division in Developing Gut Epithelium
Epithelial tubular morphogenesis leading to alteration of organ shape has important physiological consequences. However, little is known regarding the mechanisms that govern epithelial tube morphogenesis. Here, we show that inactivation of Sfrp1 and Sfrp2 leads to reduction in fore-stomach length in mouse embryos, which is enhanced in the presence of the Sfrp5 mutation. In the mono-cell layer of fore-stomach epithelium, cell division is normally oriented along the cephalocaudal axis; in contrast, orientation diverges in the Sfrps-deficient fore-stomach. Cell growth and apoptosis are not affected in the Sfrps-deficient fore-stomach epithelium. Similarly, cell division orientation in fore-stomach epithelium diverges as a result of inactivation of either Stbm/Vangl2, an Fz/PCP component, or Wnt5a. These observations indicate that the oriented cell division, which is controlled by the Fz/PCP pathway, is one of essential components in fore-stomach morphogenesis. Additionally, the small intestine epithelium of Sfrps compound mutants fails to maintain proper apicobasal polarity; the defect was also observed in Wnt5a-inactivated small intestine. In relation to these findings, Sfrp1 physically interacts with Wnt5a and inhibits Wnt5a signaling. We propose that Sfrp regulation of Wnt5a signaling controls oriented cell division and apicobasal polarity in the epithelium of developing gut
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