Cryoablation for Small Renal Masses

Advances in imaging techniques (CT and MRI) and widespread use of imaging especially ultrasound scanning have resulted in a dramatic increase in the detection of small renal masses. While open partial nephrectomy is still the reference standard for the management of these small renal masses, its associated morbidity has encouraged clinicians to exploit the advancements in minimally invasive ablative techniques. The last decade has seen the rapid development of laparoscopic partial nephrectomy and novel ablative techniques such as, radiofrequency ablation (RFA), high-intensity focused ultrasound (HIFU), and cryoablation (CA). In particular, CA for small renal masses has gained popularity as it combines nephron-sparing surgery with a minimally invasive approach. Studies with up to 5-year followup have shown an overall and cancer-specific 5-year survival of 82% and 100%, respectively. This manuscript will focus on the principles and clinical applications of cryoablation of small renal masses, with detailed review of relevant literature

Using the Hadamard and related transforms for simplifying the spectrum of the quantum baker's map

We rationalize the somewhat surprising efficacy of the Hadamard transform in simplifying the eigenstates of the quantum baker's map, a paradigmatic model of quantum chaos. This allows us to construct closely related, but new, transforms that do significantly better, thus nearly solving for many states of the quantum baker's map. These new transforms, which combine the standard Fourier and Hadamard transforms in an interesting manner, are constructed from eigenvectors of the shift permutation operator that are also simultaneous eigenvectors of bit-flip (parity) and possess bit-reversal (time-reversal) symmetry.Comment: Version to appear in J. Phys. A. Added discussions; modified title; corrected minor error

Symmetrically coupled higher-order nonlinear Schroedinger equations: singularity analysis and integrability

The integrability of a system of two symmetrically coupled higher-order nonlinear Schr\"{o}dinger equations with parameter coefficients is tested by means of the singularity analysis. It is proven that the system passes the Painlev\'{e} test for integrability only in ten distinct cases, of which two are new. For one of the new cases, a Lax pair and a multi-field generalization are obtained; for the other one, the equations of the system are uncoupled by a nonlinear transformation.Comment: 12 pages, LaTeX2e, IOP style, final version, to appear in J.Phys.A:Math.Ge

Nonholonomic deformation of KdV and mKdV equations and their symmetries, hierarchies and integrability

Recent concept of integrable nonholonomic deformation found for the KdV equation is extended to the mKdV equation and generalized to the AKNS system. For the deformed mKdV equation we find a matrix Lax pair, a novel two-fold integrable hierarchy and exact N-soliton solutions exhibiting unusual accelerating motion. We show that both the deformed KdV and mKdV systems possess infinitely many generalized symmetries, conserved quantities and a recursion operator.Comment: Latex, 2 figures, 16 pages. Revised with more explanations after Referees' feedback.To be published in J. Phys.

Formulation and Evaluation of Cephalexin Extended-release Matrix Tablets Using Hydroxy Propyl Methyl Cellulose as Rate-controlling Polymer

The present investigation reports the design and evaluation of six-hour extended release film-coated matrix tablets of cephalexin using different grades of hydrophilic polymer hydroxypropylmethylcellulose (HPMC) employing direct compression method. The preformulation studies performed included the physical compatibility studies, Differential Scanning Calorimetry analysis, drug characterization using Fourier Transform Infra Red spectroscopic analysis and particle size analysis using sieve method. The tablets were evaluated for weight variation, hardness, thickness and friability. Results of the studies indicate that the polymers used have significant release-retarding effect on the formulation. The dissolution profile comparison of the prepared batches P1 to P8 and market preparation (Sporidex AF 375) was done by using Food and Drug Administration-recommended similarity factor (f2) determination. The formulation P8 (10% HPMC K4M, 15% HPMC 15cps) with a similarity factor (f2) of 77.75 was selected as the optimized formulae for scale-up batches. The dissolution data of the best formulation P8 was fitted into zero order, first order, Higuchi and Korsemeyer-Peppas models to identify the pharmacokinetics and mechanism of drug release. The results of the accelerated stability study of best formulation P8 for three months revealed that storage conditions were not found to have made any significant changes in final formulation F3. The release of cephalexin was prolonged for 6 h by using polymer combinations of HPMC and a twice daily matrix tablet was formulated

Heterologous Production of 1-Tuberculosinyladenosine in Mycobacterium kansasii Models Pathoevolution towards the Transcellular Lifestyle of Mycobacterium tuberculosis

ABSTRACT Mycobacterium kansasii is an environmental nontuberculous mycobacterium that causes opportunistic tuberculosis-like disease. It is one of the most closely related species to the Mycobacterium tuberculosis complex. Using M. kansasii as a proxy for the M. kansasii-M. tuberculosis common ancestor, we asked whether introducing the M. tuberculosis-specific gene pair Rv3377c-Rv3378c into M. kansasii affects the course of experimental infection. Expression of these genes resulted in the production of an adenosine-linked lipid species, known as 1-tuberculosinyladenosine (1-TbAd), but did not alter growth in vitro under standard conditions. Production of 1-TbAd enhanced growth of M. kansasii under acidic conditions through a bacterial cell-intrinsic mechanism independent of controlling pH in the bulk extracellular and intracellular spaces. Production of 1-TbAd led to greater burden of M. kansasii in the lungs of C57BL/6 mice during the first 24 h after infection, and ex vivo infections of alveolar macrophages recapitulated this phenotype within the same time frame. However, in long-term infections, production of 1-TbAd resulted in impaired bacterial survival in both C57BL/6 mice and Ccr2−/− mice. We have demonstrated that M. kansasii is a valid surrogate of M. tuberculosis to study virulence factors acquired by the latter organism, yet shown the challenge inherent to studying the complex evolution of mycobacterial pathogenicity with isolated gene complementation. IMPORTANCE This work sheds light on the role of the lipid 1-tuberculosinyladenosine in the evolution of an environmental ancestor to M. tuberculosis. On a larger scale, it reinforces the importance of horizontal gene transfer in bacterial evolution and examines novel models and methods to provide a better understanding of the subtle effects of individual M. tuberculosis-specific virulence factors in infection settings that are relevant to the pathogen

Matter-Wave Solitons in an F=1 Spinor Bose-Einstein Condensate

Following our previous work [J. Ieda, T. Miyakawa, M. Wadati, cond-mat/0404569] on a novel integrable model describing soliton dynamics of an F=1 spinor Bose--Einstein condensate, we discuss in detail the properties of the multi-component system with spin-exchange interactions. The exact multiple bright soliton solutions are obtained for the system where the mean-field interaction is attractive (c_0 < 0) and the spin-exchange interaction is ferromagnetic (c_2 < 0). A complete classification of the one-soliton solution with respect to the spin states and an explicit formula of the two-soliton solution are presented. For solitons in polar state, there exists a variety of different shaped solutions including twin peaks. We show that a "singlet pair" density can be used to distinguish those energetically degenerate solitons. We also analyze collisional effects between solitons in the same or different spin state(s) by computing the asymptotic forms of their initial and final states. The result reveals that it is possible to manipulate the spin dynamics by controlling the parameters of colliding solitons.Comment: 12 pages, 9 figures, to appear in J. Phys. Soc. Jpn. Vol.73 No.11 (2004

Continuous Symmetries of Difference Equations

Lie group theory was originally created more than 100 years ago as a tool for solving ordinary and partial differential equations. In this article we review the results of a much more recent program: the use of Lie groups to study difference equations. We show that the mismatch between continuous symmetries and discrete equations can be resolved in at least two manners. One is to use generalized symmetries acting on solutions of difference equations, but leaving the lattice invariant. The other is to restrict to point symmetries, but to allow them to also transform the lattice.Comment: Review articl

Conducting Anilate-Based Mixed-Valence Fe(II)Fe(III) Coordination Polymer: Small-polaron Hopping Model for Oxalate-Type Fe(II)Fe(III) 2D Networks

The mixed-valence FeIIFeIII 2D coordination polymer formulated as [TAG][FeIIFeIII(ClCNAn)3]·(solvate) 1 (TAG = tris(amino)-guanidinium, ClCNAn2− = chlorocyanoanilate dianionic ligand) crystallized in the polar trigonal space group P3. In the solid-state structure, determined both at 150 and at 10 K, anionic 2D honeycomb layers [FeIIFeIII(ClCNAn)3]− establish in the ab plane, with an intralayer metal−metal distance of 7.860 Å, alternating with cationic layers of TAG. The similar Fe−O distances suggest electron delocalization and an average oxidation state of +2.5 for each Fe center. The cation imposes its C3 symmetry to the structure and engages in intermolecular N−H···Cl hydrogen bonding with the ligand. Magnetic susceptibility characterization indicates magnetic ordering below 4 K and the presence of a hysteresis loop at 2 K with a coercive field of 60 Oe. Mössbauer measurements are in agreement with the existence of Fe(+2.5) ions at RT and statistic charge localization at 10 K. The compound shows semiconducting behavior with the in-plane conductivity of 2 × 10−3 S/cm, 3 orders of magnitude higher than the perpendicular one. A small-polaron hopping model has been applied to a series of oxalate-type FeIIFeIII 2D coordination polymers, providing a clear explanation on the much higher conductivity of the anilate-based systems than the oxalate ones