Louse-borne relapsing fever—a systematic review and analysis of the literature: part 2— mortality, Jarisch–Herxheimer reaction, impact on pregnancy

Louse-borne relapsing fever (LBRF) is a classical epidemic disease, which in the past was associated with war, famine, poverty, forced migration, and crowding under poor hygienic conditions around the world. The disease’s causative pathogen, the spirochete bacterium Borrelia recurrentis, is confined to humans and transmitted by a single vector, the human body louse Pediculus humanus corporis. Since the disease was at its peak before the days of modern medicine, many of its aspects have never been formally studied and to date remain incompletely understood. In order to shed light on some of these aspects, we have systematically reviewed the accessible literature on LBRF since the recognition of its mode of transmission in 1907, and summarized the existing data on mortality, Jarisch–Herxheimer reaction (JHR), and impact on pregnancy. Publications were identified by using a predefined search strategy of electronic databases and a subsequent review of the reference lists of the obtained publications. All publications reporting patients with a confirmed diagnosis of LBRF published in English, French, German, and Spanish since 1907 were included. Data extraction followed a predefined protocol and included a grading system to judge the certainty of the diagnosis of reported cases. The high mortality rates often found in literature are confined to extreme scenarios. The case fatality rate (CFR) of untreated cases is on average significantly lower than frequently assumed. In recent years, a rise in the overall CFRs is documented, for which reasons remain unknown. Lacking standardized criteria, a clear diagnostic threshold defining antibiotic treatment-induced JHR does not exist. This explains the wide range of occurrence rates found in literature. Pre-antibiotic era data suggest the existence of a JHR-like reaction also in cases treated with arsenicals and even in untreated cases. LBRF-related adverse outcomes are observed in 3 out of 4 pregnancies

Signatures of Electronic Nematic Phase at Isotropic-Nematic Phase Transition

The electronic nematic phase occurs when the point-group symmetry of the lattice structure is broken, due to electron-electron interactions. We study a model for the nematic phase on a square lattice with emphasis on the phase transition between isotropic and nematic phases within mean field theory. We find the transition to be first order, with dramatic changes in the Fermi surface topology accompanying the transition. Furthermore, we study the conductivity tensor and Hall constant as probes of the nematic phase and its transition. The relevance of our findings to Hall resistivity experiments in the high-$T_c$ cuprates is discussed.Comment: 5 pages, 3 figure

Quasi-1D dynamics and nematic phases in the 2D Emery model

We consider the Emery model of a Cu-O plane of the high temperature superconductors. We show that in a strong-coupling limit, with strong Coulomb repulsions between electrons on nearest-neighbor O sites, the electron-dynamics is strictly one dimensional, and consequently a number of asymptotically exact results can be obtained concerning the electronic structure. In particular, we show that a nematic phase, which spontaneously breaks the point- group symmetry of the square lattice, is stable at low enough temperatures and strong enough coupling.Comment: 8 pages, 5 eps figures; revised manuscript with more detailed discussions; two new figures and three edited figuresedited figures; 14 references; new appendix with a detailed proof of the one-dimensional dynamics of the system in the strong coupling limi

Intestinal perforation due to adult tapeworm of Taenia: a case report and review of the literature

Taeniasis is an intestinal helminth infection due to adult tapeworms belonging to the genus Taenia. Taeniasis remains a major burden in low-income countries in Asia. We present a case of intestinal perforation caused by adult tapeworm of Taenia in a 50-year-old Nepali male. The patients presented to the hospital with severe abdominal pain and intermittent vomiting. Following clinical presentations and imaging features, gastrointestinal perforation was suspected. Surgical removal of adult tapeworm of Taenia, suspected to be T. saginata or T. asiatica, was carried out during exploratory laparotomy, which was followed by an uneventful postoperative period. In addition to case presentation, we systematically review published case reports on taeniasis-related intestinal perforation. A learning point from this case is clinician should maintain a clinical suspicion of taeniasis as a possible cause of intestinal perforation in endemic areas

Fermi surface instabilities at finite Temperature

We present a new method to detect Fermi surface instabilities for interacting systems at finite temperature. We first apply it to a list of cases studied previously, recovering already known results in a very economic way, and obtaining most of the information on the phase diagram analytically. As an example, in the continuum limit we obtain the critical temperature as an implicit function of the magnetic field and the chemical potential $T_c(\mu,h)$. By applying the method to a model proposed to describe reentrant behavior in $Sr_3Ru_2O_7$, we reproduce the phase diagram obtained experimentally and show the presence of a non-Fermi Liquid region at temperatures above the nematic phase.Comment: 10 pages, 10 figure

Renormalized perturbation theory for Fermi systems: Fermi surface deformation and superconductivity in the two-dimensional Hubbard model

Divergencies appearing in perturbation expansions of interacting many-body systems can often be removed by expanding around a suitably chosen renormalized (instead of the non-interacting) Hamiltonian. We describe such a renormalized perturbation expansion for interacting Fermi systems, which treats Fermi surface shifts and superconductivity with an arbitrary gap function via additive counterterms. The expansion is formulated explicitly for the Hubbard model to second order in the interaction. Numerical soutions of the self-consistency condition determining the Fermi surface and the gap function are calculated for the two-dimensional case. For the repulsive Hubbard model close to half-filling we find a superconducting state with d-wave symmetry, as expected. For Fermi levels close to the van Hove singularity a Pomeranchuk instability leads to Fermi surfaces with broken square lattice symmetry, whose topology can be closed or open. For the attractive Hubbard model the second order calculation yeilds s-wave superconductivity with a weakly momentum dependent gap, whose size is reduced compared to the mean-field result.Comment: 18 pages incl. 6 figure

Van Hove singularity and spontaneous Fermi surface symmetry breaking in Sr3Ru2O7

The most salient features observed around a metamagnetic transition in Sr3Ru2O7 are well captured in a simple model for spontaneous Fermi surface symmetry breaking under a magnetic field, without invoking a putative quantum critical point. The Fermi surface symmetry breaking happens in both a majority and a minority spin band but with a different magnitude of the order parameter, when either band is tuned close to van Hove filling by the magnetic field. The transition is second order for high temperature T and changes into first order for low T. The first order transition is accompanied by a metamagnetic transition. The uniform magnetic susceptibility and the specific heat coefficient show strong T dependence, especially a log T divergence at van Hove filling. The Fermi surface instability then cuts off such non-Fermi liquid behavior and gives rise to a cusp in the susceptibility and a specific heat jump at the transition temperature.Comment: 11 pages, 4 figure

Direct mass measurements beyond the proton drip-line

First on-line mass measurements were performed at the SHIPTRAP Penning trap mass spectrometer. The masses of 18 neutron-deficient isotopes in the terbium-to-thulium region produced in fusion-evaporation reactions were determined with relative uncertainties of about $7\cdot 10^{-8}$, nine of them for the first time. Four nuclides ($^{144, 145}$Ho and $^{147, 148}$Tm) were found to be proton-unbound. The implication of the results on the location of the proton drip-line is discussed by analyzing the one-proton separation energies

Spontaneous breaking of four-fold rotational symmetry in two-dimensional electronic systems explained as a continuous topological transition

The Fermi liquid approach is applied to the problem of spontaneous violation of the four-fold rotational point-group symmetry ($C_4$) in strongly correlated two-dimensional electronic systems on a square lattice. The symmetry breaking is traced to the existence of a topological phase transition. This continuous transition is triggered when the Fermi line, driven by the quasiparticle interactions, reaches the van Hove saddle points, where the group velocity vanishes and the density of states becomes singular. An unconventional Fermi liquid emerges beyond the implicated quantum critical point.Comment: 6 pages, 4 figure

Cardiovascular diseases risk factors among recently arrived Eritrean refugees in Switzerland

For the past 10 years, refugees from Eritrea represented the majority of asylum seekers in Switzerland. However, data on their health status remains limited. In this cross-sectional survey followed by a 1-year cohort study, we screened newly arrived Eritrean refugees for cardiovascular risk factors at arrival and 1-year post registration.; Among 107 participants (88.8% male; median age 25, 9 (9%) had a body mass index ≥ 25 kg/m; 2; , one (1%) had elevated blood pressure, one (1%) had diabetes, 19% smoked and two (2%) had a low density lipoprotein (LDL) cholesterol ≥ 4.1 mmol/l. Among the 48 participants (5 females, 43 males) followed, there were no significant changes in cardiovascular risk profile 1 year post-arrival