Elementary Kaluza-Klein Towers revisited

Considering that the momentum squared in the extra dimensions is the physically relevant quantity for the generation of the Kaluza-Klein mass states, we have reanalyzed mathematically the procedure for five dimensional scalar fields within the Arkhani-Ahmed, Dimopoulos and Dvali scenario. We find new sets of physically allowed boundary conditions. Beside the usual results, they lead to new towers with non regular mass spacing, to lonely mass states and to tachyons. We remark that, since the SO(1,4) symmetry is to be broken due to the compactification of the extra dimensions, the speed of light could be different in the fifth dimension. This would lead to the possible appearance of a new universal constant besides $\hbar$ and $c$.Comment: 20 pages, 1 figur

Gravitating dyons and the Lue-Weinberg bifurcation

Gravitating t'Hooft-Polyakov magnetic monopoles can be constructed when coupling the Georgi-Glashow model to gravitation. For a given value of the Higgs boson mass, these gravitating solitons exist up to a critical value of the ratio of the vector meson mass to the Planck mass. The critical solution is characterized by a degenerate horizon of the metric. As pointed out recently by Lue and Weinberg, two types of critical solutions can occur, depending on the value of the Higgs boson mass. Here we investigate this transition for dyons and show that the Lue and Weinberg phenomenon is favorized by the presence of the electric-charge degree of freedom.Comment: RevTeX, 6 pages, 8 figure

Risk Factors for Failure of Direct Oral Feeding Following a Totally Minimally Invasive Esophagectomy

Càncer d'esòfag; Jejunostomia; NutricióCáncer de esófago; Yeyunostomía; NutriciónEsophageal cancer; Jejunostomy; NutritionRecently, it has been shown that directly starting oral feeding (DOF) from postoperative day one (POD1) after a totally minimally invasive Ivor-Lewis esophagectomy (MIE-IL) can further improve postoperative outcomes. However, in some patients, tube feeding by a preemptively placed jejunostomy is necessary. This single-center cohort study investigated risk factors associated with failure of DOF in patients that underwent a MIE-IL between October 2015 and April 2021. A total of 165 patients underwent a MIE-IL, in which DOF was implemented in the enhanced recovery after surgery program. Of these, 70.3% (n = 116) successfully followed the nutritional protocol. In patients in which tube feeding was needed (29.7%; n = 49), female sex (compared to male) (OR 3.5 (95% CI 1.5–8.1)) and higher ASA scores (III + IV versus II) (OR 2.2 (95% CI 1.0–4.8)) were independently associated with failure of DOF for any cause. In case of failure, this was either due to a postoperative complication (n = 31, 18.8%) or insufficient caloric intake on POD5 (n = 18, 10.9%). In the subgroup of patients with complications, higher ASA scores (OR 2.8 (95% CI 1.2–6.8)) and histological subtypes (squamous-cell carcinoma versus adenocarcinoma and undifferentiated) (OR 5.2 (95% CI 1.8–15.1)) were identified as independent risk factors. In the subgroup of patients with insufficient caloric intake, female sex was identified as a risk factor (OR 5.8 (95% CI 2.0–16.8)). Jejunostomy-related complications occurred in 17 patients (10.3%). In patients with preoperative risk factors, preemptively placing a jejunostomy may be considered to ensure that nutritional goals are met.The previous NUTRIENT II trial was funded by KWF Kankerbestrijding (Dutch Cancer Society, grant number 10495) and Medtronic (20130529)

Wave activity in the neighborhood of the bowshock of Mars

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95091/1/grl4815.pd

Management of emerging multidrug-resistant tuberculosis in a low-prevalence setting

AbstractMultidrug-resistant (MDR) tuberculosis (TB) is an emerging concern in communities with a low TB prevalence and a high standard of public health. Twenty-three consecutive adult MDR TB patients who were treated at our institution between 2007 and 2013 were reviewed for demographic characteristics and anti-TB treatment management, which included surgical procedures and long-term patient follow-up. This report of our experience emphasizes the need for an individualized approach as MDR TB brings mycobacterial disease management to a higher level of expertise, and for a balance to be found between international current guidelines and patient-tailored treatment strategies

3D multi‐fluid MHD studies of the solar wind interaction with Mars

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95115/1/grl13388.pd

Active spacecraft potential control for Cluster ? implementation and first results

International audienceElectrostatic charging of a spacecraft modifies the distribution of electrons and ions before the particles enter the sensors mounted on the spacecraft body. The floating potential of magnetospheric satellites in sunlight very often reaches several tens of volts, making measurements of the cold (several eV) component of the ambient ions impossible. The plasma electron data become contaminated by large fluxes of photoelectrons attracted back into the sensors. The Cluster spacecraft are equipped with emitters of the liquid metal ion source type, producing indium ions at 5 to 9 keV energy at currents of some tens of microampere. This current shifts the equilibrium potential of the spacecraft to moderately positive values. The design and principles of the operation of the instrument for active spacecraft potential control (ASPOC) are presented in detail. Experience with spacecraft potential control from the commissioning phase and the first two months of the operational phase are now available. The instrument is operated with constant ion current for most of the time, but tests have been carried out with varying currents and a "feedback" mode with the instrument EFW, which measures the spacecraft potential . That has been reduced to values according to expectations. In addition, the low energy electron measurements show substantially reduced fluxes of photoelectrons as expected. The flux decrease in photoelectrons returning to the spacecraft, however, occurs at the expense of an enlarged sheath around the spacecraft which causes problems for boom-mounted probes

Acute cholecystitis in high risk surgical patients: percutaneous cholecystostomy versus laparoscopic cholecystectomy (CHOCOLATE trial): Study protocol for a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Laparoscopic cholecystectomy in acute calculous cholecystitis in high risk patients can lead to significant morbidity and mortality. Percutaneous cholecystostomy may be an alternative treatment option but the current literature does not provide the surgical community with evidence based advice.</p> <p>Methods/Design</p> <p>The CHOCOLATE trial is a randomised controlled, parallel-group, superiority multicenter trial. High risk patients, defined as APACHE-II score 7-14, with acute calculous cholecystitis will be randomised to laparoscopic cholecystectomy or percutaneous cholecystostomy. During a two year period 284 patients will be enrolled from 30 high volume teaching hospitals. The primary endpoint is a composite endpoint of major complications within three months following randomization and need for re-intervention and mortality during the follow-up period of one year. Secondary endpoints include all other complications, duration of hospital admission, difficulty of procedures and total costs.</p> <p>Discussion</p> <p>The CHOCOLATE trial is designed to provide the surgical community with an evidence based guideline in the treatment of acute calculous cholecystitis in high risk patients.</p> <p>Trial Registration</p> <p>Netherlands Trial Register (NTR): <a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2666">NTR2666</a></p

First results of electric field and density observations by Cluster EFW based on initial months of operation

International audienceHighlights are presented from studies of the electric field data from various regions along the Cluster orbit. They all point towards a very high coherence for phenomena recorded on four spacecraft that are separated by a few hundred kilometers for structures over the whole range of apparent frequencies from 1 mHz to 9 kHz. This presents completely new opportunities to study spatial-temporal plasma phenomena from the magnetosphere out to the solar wind. A new probe environment was constructed for the CLUSTER electric field experiment that now produces data of unprecedented quality. Determination of plasma flow in the solar wind is an example of the capability of the instrument

Comparisons between MHD model calculations and observations of Cassini flybys of Titan

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/94689/1/jgra18227.pd