Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain

We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis

Field dependent thermodynamics and Quantum Critical Phenomena in the dimerized spin system Cu2(C5H12N2)2Cl4

Experimental data for the uniform susceptibility, magnetization and specific heat for the material Cu2(C5H12N2)2Cl4 (abbreviated CuHpCl) as a function of temperature and external field are compared with those of three different dimerized spin models: alternating spin-chains, spin-ladders and the bilayer Heisenberg model. It is shown that because this material consists of weakly coupled spin-dimers, much of the data is insensitive to how the dimers are coupled together and what the effective dimensionality of the system is. When such a system is tuned to the quantum critical point by application of a field, the dimensionality shows up in the power-law dependences of thermodynamic quantities on temperature. We discuss the temperature window for such a quantum critical behavior in CuHpCl.Comment: Revtex, 5 pages, 4 figures (postscript

Magnetic and Orbital States and Their Phase Transition of the Perovskite-Type Ti Oxides: Strong Coupling Approach

The properties and mechanism of the magnetic phase transition of the perovskite-type Ti oxides, which is driven by the Ti-O-Ti bond angle distortion, are studied theoretically by using the effective spin and pseudospin Hamiltonian with strong Coulomb repulsion. It is shown that the A-type antiferromagnetic (AFM(A)) to ferromagnetic (FM) phase transition occurs as the Ti-O-Ti bond angle is decreased. Through this phase transition, the orbital state changes only little whereas the spin-exchange coupling along the c-axis is expected to change from positive to negative nearly continuously and approaches zero at the phase boundary. The resultant strong two-dimensionality in the spin coupling causes rapid suppression of the critical temperature, as observed experimentally. It may induce large quantum fluctuations in this region.Comment: 13 pages, 15 figure

The Effect of the Pairing Interaction on the Energies of Isobar Analog Resonances in 112−124^{112-124}Sb and Isospin Admixture in 100−124^{100-124}Sn Isotopes

In the present study, the effect of the pairing interaction and the isovector correlation between nucleons on the properties of the isobar analog resonances (IAR) in $^{112-124}$Sb isotopes and the isospin admixture in $^{100-124}$Sn isotopes is investigated within the framework of the quasiparticle random phase approximation (QRPA). The form of the interaction strength parameter is related to the shell model potential by restoring the isotopic invariance of the nuclear part of the total Hamiltonian. In this respect, the isospin admixtures in the $^{100-124}$Sn isotopes are calculated, and the dependence of the differential cross section and the volume integral $J_{F}$ for the Sn($^{3}$He,t)Sb reactions at E($^{3}$He)$=200$ MeV occurring by the excitation of IAR on mass number A is examined. Our results show that the calculated value for the isospin mixing in the $^{100}$Sn isotope is in good agreement with Colo et al.'s estimates $(4-5$, and the obtained values for the volume integral change within the error range of the value reported by Fujiwara et al. (53$\pm$5 MeV fm$^{3}$). Moreover, it is concluded that although the differential cross section of the isobar analog resonance for the ($^{3}$He,t) reactions is not sensitive to pairing correlations between nucleons, a considerable effect on the isospin admixtures in $N\approx Z$ isotopes can be seen with the presence of these correlations.Comment: 16 pages, 5 EPS figures and 2 tables, Late

The Exact Correspondence between Phase Times and Dwell Times in a Symmetrical Quantum Tunneling Configuration

The general and explicit relation between the phase time and the dwell time for quantum tunneling or scattering is investigated. Considering a symmetrical collision of two identical wave packets with an one-dimensional barrier, here we demonstrate that these two distinct transit time definitions give connected results where, however, the phase time (group delay) accurately describes the exact position of the scattered particles. The analytical difficulties that arise when the stationary phase method is employed for obtaining phase (traversal) times are all overcome. Multiple wave packet decomposition allows us to recover the exact position of the reflected and transmitted waves in terms of the phase time, which, in addition to the exact relation between the phase time and the dwell time, leads to right interpretation for both of them.Comment: 11 pages, 2 figure

Anharmonic double-phonon excitations in the interacting boson model

Double-$\gamma$ vibrations in deformed nuclei are analyzed in the context of the interacting boson model. A simple extension of the original version of the model towards higher-order interactions is required to explain the observed anharmonicities of nuclear vibrations. The influence of three- and four-body interactions on the moments of inertia of ground- and $\gamma$-bands, and on the relative position of single-$\gamma$ and double-$\gamma$ bands is studied in detail. As an example of a realistic calculation, spectra and transitions of the highly $\gamma$-anharmonic nuclei $^{164}$Dy, $^{166}$Er, and $^{168}$Er are interpreted in this approach.Comment: 38 pages, TeX (ReVTeX). 15 ps figures. Submitted to Phys. Rev.

Epidemic space

The aim of this article is to highlight the importance of 'spatiality' in understanding the materialization of risk society and cultivation of risk sensibilities. More specifically it provides a cultural analysis of pathogen virulence (as a social phenomenon) by means of tracing and mapping the spatial flows that operate in the uncharted zones between the microphysics of infection and the macrophysics of epidemics. It will be argued that epidemic space consists of three types of forces: the vector, the index and the vortex. It will draw on Latour's Actor Network Theory to argue that epidemic space is geared towards instability when the vortex (of expanding associations and concerns) displaces the index (of finding a single cause)