1,089 research outputs found
Case Report: Delayed presentation and diagnosis of metastatic hepatocellular carcinoma in pregnancy
Hepatocellular carcinoma (HCC) is rare in women of reproductive age. If diagnosed, the underlying cirrhosis is associated with infertility in the majority of cases. There is limited literature on HCC in pregnancy, even more so for cases of metastatic disease. We present a case of delayed presentation and diagnosis of metastatic HCC in pregnancy. A 30-year-old pregnant woman presented at 23 weeks’ gestation and was diagnosed as HIV-infected, with anaemia. She was initiated on an efavirenz-based fixed-dose combination and oral haematinics. She subsequently presented at 32 weeks’ gestation with dyspnoea, and was diagnosed with pre-eclampsia. She was also found to have hepatosplenomegaly and ascites. She went into spontaneous preterm labour at 32 weeks and 4 days. A diagnosis of metastatic HCC was made postpartum, based on the radiological findings and biochemistry. We discuss the challenges of diagnosing metastatic HCC in pregnancy
How can we reduce the risk of mother-to-child transmission of HIV during invasive obstetric procedures?
Antenatal invasive obstetric procedures may be diagnostic or therapeutic, and are performed at different stages of pregnancy for various indications. The most common indication for an invasive procedure during pregnancy is for fetal karyotyping when a chromosomal abnormality or a genetic defect is suspected, either from the couple’s history or from ultrasound assessment of the fetus. Other less common but equally important indications may be diagnostic (fetoscopy, fetal tissue sampling, estimation of fetal haemoglobin) or therapeutic (aspiration of various fetal cavities, fetal blood transfusion and embryo reductions). In a high HIV prevalence setting like South Africa, a significant proportion of pregnant women in need of invasive procedures will be HIV-infected
Super Weyl invariance: BPS equations from heterotic worldsheets
It is well-known that the beta functions on a string worldsheet correspond to
the target space equations of motion, e.g. the Einstein equations. We show that
the BPS equations, i.e. the conditions of vanishing supersymmetry variations of
the space-time fermions, can be directly derived from the worldsheet. To this
end we consider the RNS-formulation of the heterotic string with (2,0)
supersymmetry, which describes a complex torsion target space that supports a
holomorphic vector bundle. After a detailed account of its quantization and
renormalization, we establish that the cancellation of the Weyl anomaly
combined with (2,0) finiteness implies the heterotic BPS conditions: At the one
loop level the geometry is required to be conformally balanced and the gauge
background has to satisfy the Hermitean Yang-Mills equations.Comment: 1+31 pages LaTeX, 5 figures; final version, discussion relation Weyl
invariance and (2,0) finiteness extended, typos correcte
T-duality and closed string non-commutative (doubled) geometry
We provide some evidence that closed string coordinates will become
non-commutative turning on H-field flux background in closed string
compactifications. This is in analogy to open string non-commutativity on the
world volume of D-branes with B- and F-field background. The class of
3-dimensional backgrounds we are studying are twisted tori (fibrations of a
2-torus over a circle) and the their T-dual H-field, 3-form flux backgrounds
(T-folds). The spatial non-commutativity arises due to the non-trivial
monodromies of the toroidal Kahler resp. complex structure moduli fields, when
going around the closed string along the circle direction. In addition we study
closed string non-commutativity in the context of doubled geometry, where we
argue that in general a non-commutative closed string background is T-dual to a
commutative closed string background and vice versa. Finally, in analogy to
open string boundary conditions, we also argue that closed string momentum and
winding modes define in some sense D-branes in closed string doubled geometry.Comment: 31 pages, references added, extended version contains new sections
3.3., 3.4 and
Membrane Sigma-Models and Quantization of Non-Geometric Flux Backgrounds
We develop quantization techniques for describing the nonassociative geometry
probed by closed strings in flat non-geometric R-flux backgrounds M. Starting
from a suitable Courant sigma-model on an open membrane with target space M,
regarded as a topological sector of closed string dynamics in R-space, we
derive a twisted Poisson sigma-model on the boundary of the membrane whose
target space is the cotangent bundle T^*M and whose quasi-Poisson structure
coincides with those previously proposed. We argue that from the membrane
perspective the path integral over multivalued closed string fields in Q-space
is equivalent to integrating over open strings in R-space. The corresponding
boundary correlation functions reproduce Kontsevich's deformation quantization
formula for the twisted Poisson manifolds. For constant R-flux, we derive
closed formulas for the corresponding nonassociative star product and its
associator, and compare them with previous proposals for a 3-product of fields
on R-space. We develop various versions of the Seiberg-Witten map which relate
our nonassociative star products to associative ones and add fluctuations to
the R-flux background. We show that the Kontsevich formula coincides with the
star product obtained by quantizing the dual of a Lie 2-algebra via convolution
in an integrating Lie 2-group associated to the T-dual doubled geometry, and
hence clarify the relation to the twisted convolution products for topological
nonassociative torus bundles. We further demonstrate how our approach leads to
a consistent quantization of Nambu-Poisson 3-brackets.Comment: 52 pages; v2: references adde
Sensitivity of an Ultrasonic Technique for Axial Stress Determination
In machine assembly it is often required that bolts used to fasten machine parts be installed with specific design preloads. Because it is inconvenient to measure preload directly, preload specifications are usually based on some more easily measured quantity with which the level of preload may be correlated. Most often this quantity is the torque to be applied to the bolt at installation. Studies by Blake and Kurtz [1] and Heyman [2] have shown that when bolts are torqued into place, the fraction of applied torque which translates into useful preload is small and widely variable. This is so because the large majority of applied torque is absorbed in overcoming friction in the bolt’s threads and at the underside of the bolt’s head. Consequently, even though the torque to install different bolts may be identical, small variations in frictional conditions from one installation to the next can result in large variations in preload. The unreliability of torque as an indicator of preload has been the motivating factor behind the development of a number of alternate methods of measurement [2–5]
Optimal leverage from non-ergodicity
In modern portfolio theory, the balancing of expected returns on investments
against uncertainties in those returns is aided by the use of utility
functions. The Kelly criterion offers another approach, rooted in information
theory, that always implies logarithmic utility. The two approaches seem
incompatible, too loosely or too tightly constraining investors' risk
preferences, from their respective perspectives. The conflict can be understood
on the basis that the multiplicative models used in both approaches are
non-ergodic which leads to ensemble-average returns differing from time-average
returns in single realizations. The classic treatments, from the very beginning
of probability theory, use ensemble-averages, whereas the Kelly-result is
obtained by considering time-averages. Maximizing the time-average growth rates
for an investment defines an optimal leverage, whereas growth rates derived
from ensemble-average returns depend linearly on leverage. The latter measure
can thus incentivize investors to maximize leverage, which is detrimental to
time-average growth and overall market stability. The Sharpe ratio is
insensitive to leverage. Its relation to optimal leverage is discussed. A
better understanding of the significance of time-irreversibility and
non-ergodicity and the resulting bounds on leverage may help policy makers in
reshaping financial risk controls.Comment: 17 pages, 3 figures. Updated figures and extended discussion of
ergodicit
Validity of new child-specific thoracic gas volume prediction equations for air-displacement plethysmography
BACKGROUND: To determine the validity of the recently developed child-specific thoracic gas volume (TGV) prediction equations for use in air-displacement plethysmography (ADP) in diverse pediatric populations. METHODS: Three distinct populations were studied: European American and African American children living in Birmingham, Alabama and European children living in Lisbon, Portugal. Each child completed a standard ADP testing protocol, including a measured TGV according to the manufactures software criteria. Measured TGV was compared to the predicted TGV from current adult-based ADP proprietary equations and to the recently developed child-specific TGV equations of Fields et al. Similarly, percent body fat, derived using the TGV prediction equations, was compared to percent body fat derived using measured TGV. RESULTS: Predicted TGV from adult-based equations was significantly different from measured TGV in girls from each of the three ethnic groups (P < 0.05), however child-specific TGV estimates did not significantly differ from measured TGV in any of the ethnic or gender groups. Percent body fat estimates using adult-derived and child-specific TGV estimates did not differ significantly from percent body fat measures using measured TGV in any of the groups. CONCLUSION: The child-specific TGV equations developed by Fields et al. provided a modest improvement over the adult-based TGV equations in an ethnically diverse group of children
Comparison of air displacement plethysmography to hydrostatic weighing for estimating total body density in children
BACKGROUND: The purpose of this study was to examine the accuracy of total body density and percent body fat (% fat) using air displacement plethysmography (ADP) and hydrostatic weighing (HW) in children. METHODS: Sixty-six male and female subjects (40 males: 12.4 ± 1.3 yrs, 47.4 ± 14.8 kg, 155.4 ± 11.9 cm, 19.3 ± 4.1 kg/m(2); 26 females: 12.0 ± 1.9 yrs, 41.4 ± 7.7 kg, 152.1 ± 8.9 cm, 17.7 ± 1.7 kg/m(2)) were tested using ADP and HW with ADP always preceding HW. Accuracy, precision, and bias were examined in ADP with HW serving as the criterion method. Lohman's equations that are child specific for age and gender were used to convert body density to % fat. Regression analysis determined the accuracy of ADP and potential bias between ADP and HW using Bland-Altman analysis. RESULTS: For the entire group (Y = 0.835x + 0.171, R(2 )= 0.84, SEE = 0.007 g/cm(3)) and for the males (Y = 0.837x + 0.174, R(2 )= 0.90, SEE = 0.006 g/cm(3)) the regression between total body density by HW and by ADP significantly deviated from the line of identity. However in females, the regression between total body density by HW and ADP did not significantly deviate from the line of identity (Y = 0.750x + 0.258, R(2 )= 0.55, SEE = 0.008 g/cm(3)). The regression between % fat by HW and ADP for the group (Y = 0.84x + 3.81, R(2 )= 0.83, SEE = 3.35 % fat) and for the males (Y = 0.84x + 3.25, R(2 )= 0.90, SEE = 3.00 % fat) significantly deviated from the line of identity. However, in females the regression between % fat by HW and ADP did not significantly deviate from the line of identity (Y = 0.81x + 5.17, R(2 )= 0.56, SEE = 3.80 % fat). Bland-Altman analysis revealed no bias between HW total body density and ADP total body density for the entire group (R = 0.-22; P = 0.08) or for females (R = 0.02; P = 0.92), however bias existed in males (R = -0.37; P ≤ 0.05). Bland-Altman analysis revealed no bias between HW and ADP % fat for the entire group (R = 0.21; P = 0.10) or in females (R = 0.10; P = 0.57), however bias was indicated for males by a significant correlation (R = 0.36; P ≤ 0.05), with ADP underestimating % fat at lower fat values and overestimating at the higher % fat values. CONCLUSION: A significant difference in total body density and % fat was observed between ADP and HW in children 10–15 years old with a potential gender difference being detected. Upon further investigation it was revealed that the study was inadequately powered, thus we recommend that larger studies that are appropriately powered be conducted to better understand this potential gender difference
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