The flight of the bumblebee: vacuum solutions of a gravity model with vector-induced spontaneous Lorentz symmetry breaking

We study the vacuum solutions of a gravity model where Lorentz symmetry is spontaneously broken once a vector field acquires a vacuum expectation value. Results are presented for the purely radial Lorentz symmetry breaking (LSB), radial/temporal LSB and axial/temporal LSB. The purely radial LSB result corresponds to new black hole solutions. When possible, Parametrized Post-Newtonian (PPN) parameters are computed and observational boundaries used to constrain the Lorentz symmetry breaking scale.Comment: 12 pages, 2 figure

Kaluza-Klein towers for real vector fields in flat space

We consider a free real vector field propagating in a five dimensional flat space with its fifth dimension compactified either on a strip or on a circle and perform a Kalaza Klein reduction which breaks SO(4,1) invariance while reserving SO(3,1) invariance. Taking into account the Lorenz gauge condition, we obtain from the most general hermiticity conditions for the relevant operators all the allowed boundary conditions which have to be imposed on the fields in the extra-dimension. The physical Kaluza-Klein mass towers, which result in a four-dimensional brane, are determined in the different distinct allowed cases. They depend on the bulk mass, on the parameters of the boundary conditions and on the extra parameter present in the Lagrangian. In general, they involve vector states together with accompanying scalar states.Comment: 28 pages, 4 independent table

The spherical probe electric field and wave experiment

The experiment is designed to measure the electric field and density fluctuations with sampling rates up to 40,000 samples/sec. The description includes Langmuir sweeps that can be made to determine the electron density and temperature, the study of nonlinear processes that result in acceleration of plasma, and the analysis of large scale phenomena where all four spacecraft are needed

Long-Term Survival Associated with Direct Oral Feeding Following Minimally Invasive Esophagectomy:Results from a Randomized Controlled Trial (NUTRIENT II)

Advancements in perioperative care have improved postoperative morbidity and recovery after esophagectomy. The direct start of oral intake can also enhance short-term outcomes following minimally invasive Ivor Lewis esophagectomy (MIE-IL). Subsequently, short-term outcomes may affect long-term survival. This planned sub-study of the NUTRIENT II trial, a multicenter randomized controlled trial, investigated the long-term survival of direct versus delayed oral feeding following MIE-IL. The outcomes included 3- and 5-year overall survival (OS) and disease-free survival (DFS), and the influence of complications and caloric intake on OS. After excluding cases of 90-day mortality, 145 participants were analyzed. Of these, 63 patients (43.4%) received direct oral feeding. At 3 years, OS was significantly better in the direct oral feeding group (p = 0.027), but not at 5 years (p = 0.115). Moreover, 5-year DFS was significantly better in the direct oral feeding group (p = 0.047) and a trend towards improved DFS was shown at 3 years (p = 0.079). Postoperative complications and caloric intake on day 5 did not impact OS. The results of this study show a tendency of improved 3-year OS and 5-year DFS, suggesting a potential long-term survival benefit in patients receiving direct oral feeding after esophagectomy. However, the findings should be further explored in larger future trials.</p

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

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

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