2,991 research outputs found

    Worsening of cerebral hyperemia by the administration of terlipressin in acute liver failure with severe hepatic encephalopathy

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    There is increasing evidence that terlipressin is useful in patients with cirrhosis and hepatorenal syndrome, but there are no data of its use in patients with acute liver failure (ALF) in whom hepatorenal syndrome is common. Although terlipressin produces systemic vasoconstriction, it produces cerebral vasodilatation and may increase cerebral blood flow (CBF). Increased CBF contributes to intracranial hypertension in patients with ALF. The aim of this study was to evaluate the safety of terlipressin in patients with ALF with respect to cerebral haemodynamics. Six successive patients with ALF were electively ventilated for grade IV hepatic encephalopathy. Patients were monitored invasively and CBF was measured (Kety- Schmidt technique). Measurements were made before, at 1, 3 hour and 5 hours after intravenous (single bolus) administration of terlipressin (0.005 mg/kg) )intravenously (single bolus), median 0.25mg (range 0.2-0.3). There was no significant change in heart rate, mean arterial pressure or cardiac output. CBF and jugular venous oxygen saturation both increased significantly at 1 hour (p<0.0=0.016) respectively. Intracranial pressure increased significantly at 21 hours (p<0=.0.031), returning back to baseline values at 42 hours. This study shows that administration of terlipressin, at a dose that did not alter systemic haemodynamicshemodynamics, resulted in worsening of cerebral hyperemia and intracranial hypertension in patients with ALF and severe hepatic encephalopathy. These data suggest the need to exercise extreme caution in the use of terlipressin in these patients in view of its potentially deleterious consequences on cerebral haemodynamics

    Antimicrobial activities of marine fungi from Malaysia

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    Copyright 2011 Elsevier B.V., All rights reserved.Peer reviewedPublisher PD

    Comment on the "Coupling Constant and Quark Loop Expansion for Corrections to the Valence Appeoximation" by Lee and Weingarten

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    Lee and Weingarten have recently criticized our calculation of quarkonium and glueball scalars as being "incomplete" and "incorrect". Here we explain the relation of our calculations to full QCD.Comment: 5 pages,2 epsfigs. Submitted to the Comment section of Phys. Rev. D 28th April 199

    Fluid evolution in CM carbonaceous chondrites tracked through the oxygen isotopic compositions of carbonates

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    The oxygen isotopic compositions of calcite grains in four CM carbonaceous chondrites have been determined by NanoSIMS, and results reveal that aqueous solutions evolved in a similar manner between parent body regions with different intensities of aqueous alteration. Two types of calcite were identified in Murchison, Mighei, Cold Bokkeveld and LaPaz Icefield 031166 by differences in their petrographic properties and oxygen isotope values. Type 1 calcite occurs as small equant grains that formed by filling of pore spaces in meteorite matrices during the earliest stages of alteration. On average, the type 1 grains have a δ18O of ∼32–36‰ (VSMOW), and Δ17O of between ∼2‰ and −1‰. Most grains of type 2 calcite precipitated after type 1. They contain micropores and inclusions, and have replaced ferromagnesian silicate minerals. Type 2 calcite has an average δ18O of ∼21–24‰ (VSMOW) and a Δ17O of between ∼−1‰ and −3‰. Such consistent isotopic differences between the two calcite types show that they formed in discrete episodes and from solutions whose δ18O and δ17O values had changed by reaction with parent body silicates, as predicted by the closed-system model for aqueous alteration. Temperatures are likely to have increased over the timespan of calcite precipitation, possibly owing to exothermic serpentinisation. The most highly altered CM chondrites commonly contain dolomite in addition to calcite. Dolomite grains in two previously studied CM chondrites have a narrow range in δ18O (∼25–29‰ VSMOW), with Δ17O ∼−1‰ to −3‰. These grains are likely to have precipitated between types 1 and 2 calcite, and in response to a transient heating event and/or a brief increase in fluid magnesium/calcium ratios. In spite of this evidence for localised excursions in temperature and/or solution chemistry, the carbonate oxygen isotope record shows that fluid evolution was comparable between many parent body regions. The CM carbonaceous chondrites studied here therefore sample either several parent bodies with a very similar initial composition and evolution or, more probably, a single C-type asteroid

    Classical Cepheids: Yet another version of the Baade-Becker-Wesselink method

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    We propose a new version of the Baade--Becker--Wesselink technique, which allows one to independently determine the colour excess and the intrinsic colour of a radially pulsating star, in addition to its radius, luminosity, and distance. It is considered to be a generalization of the Balona approach. The method also allows the function F(CI) = BC + 10 log (Teff) for the class of pulsating stars considered to be calibrated. We apply this technique to a number of classical Cepheids with very accurate light and radial-velocity curves and with bona fide membership in open clusters (SZ Tau, CF Cas, U Sgr, DL Cas, GY Sge), and find the results to agree well with the reddening estimates of the host open clusters. The new technique can also be applied to other pulsating variables, e.g. RR Lyrae and RV Tauri.Comment: 6 pages, 2 figures, 1 table; Submitted to Astrophysical Bulletin, 201

    Probing singularities in quantum cosmology with curvature scalars

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    We provide further evidence that the canonical quantization of cosmological models eliminates the classical Big Bang singularity, using the {\it DeBroglie-Bohm} interpretation of quantum mechanics. The usual criterion for absence of the Big Bang singularity in Friedmann-Robertson-Walker quantum cosmological models is the non-vanishing of the expectation value of the scale factor. We compute the `local expectation value' of the Ricci and Kretschmann scalars, for some quantum FRW models. We show that they are finite for all time. Since these scalars are elements of general scalar polynomials in the metric and the Riemann tensor, this result indicates that, for the quantum models treated here, the `local expectation value' of these general scalar polynomials should be finite everywhere. Therefore, we have further evidence that the quantization of the models treated here eliminates the classical Big Bang singularity. PACS: 04.40.Nr, 04.60.Ds, 98.80.Qc.Comment: 9 pages, 6 figure

    Very large dielectric response of thin ferroelectric films with the dead layers

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    We study the dielectric response of ferroelectric (FE) thin films with "dead" dielectric layer at the interface with electrodes. The domain structure inevitably forms in the FE film in presence of the dead layer. As a result, the effective dielectric constant of the capacitor ϵeff\epsilon_{eff} increases abruptly when the dead layer is thin and, consequently, the pattern of 180-degree domains becomes "soft". We compare the exact results for this problem with the description in terms of a popular "capacitor" model, which is shown to give qualitatively incorrect results. We relate the present results to fatigue observed in thin ferroelectric films.Comment: 5 pages, REVTeX 3.1 with one eps-figure. A note added that the linear response is not changed by electromechanical effect. To appear in Phys. Rev.
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