46 research outputs found
Intraosseous Lipoma of the Proximal Radius with Extraosseous Extension: A Case Report
Examination of lipomatous tumors with ultrasound (US) is generally limited to the soft tissue component of the mass and cortical contours of the involved bone. We report a patient with an intraosseous lipoma of the proximal radius with extra-osseous extension. US showed a heterogeneous hyperechoic mass lesion (3.5 × 3.0 cm in size) at the radial aspect of the left elbow, with bony cortex interruption. The lesion was associated with increased marginal color flow signals on color Doppler US study. Atypical lipoma or low-grade liposarcoma was diagnosed. The pathologic examination of the lesion demonstrated an abnormal collection of mature adipose tissue consistent with lipoma
Scale-Invariance and the Strong Coupling Problem
The effective theory of adiabatic fluctuations around arbitrary
Friedmann-Robertson-Walker backgrounds - both expanding and contracting -
allows for more than one way to obtain scale-invariant two-point correlations.
However, as we show in this paper, it is challenging to produce scale-invariant
fluctuations that are weakly coupled over the range of wavelengths accessible
to cosmological observations. In particular, requiring the background to be a
dynamical attractor, the curvature fluctuations are scale-invariant and weakly
coupled for at least 10 e-folds only if the background is close to de Sitter
space. In this case, the time-translation invariance of the background
guarantees time-independent n-point functions. For non-attractor solutions, any
predictions depend on assumptions about the evolution of the background even
when the perturbations are outside of the horizon. For the simplest such
scenario we identify the regions of the parameter space that avoid both
classical and quantum mechanical strong coupling problems. Finally, we present
extensions of our results to backgrounds in which higher-derivative terms play
a significant role.Comment: 17 pages + appendices, 3 figures; v2: typos fixe
Rogue Trends in Sovereign Debt: Argentina, Vulture Funds, and Pari Passu Under New York Law
Equilibrium configurations of fluids and their stability in higher dimensions
We study equilibrium shapes, stability and possible bifurcation diagrams of
fluids in higher dimensions, held together by either surface tension or
self-gravity. We consider the equilibrium shape and stability problem of
self-gravitating spheroids, establishing the formalism to generalize the
MacLaurin sequence to higher dimensions. We show that such simple models, of
interest on their own, also provide accurate descriptions of their general
relativistic relatives with event horizons. The examples worked out here hint
at some model-independent dynamics, and thus at some universality: smooth
objects seem always to be well described by both ``replicas'' (either
self-gravity or surface tension). As an example, we exhibit an instability
afflicting self-gravitating (Newtonian) fluid cylinders. This instability is
the exact analogue, within Newtonian gravity, of the Gregory-Laflamme
instability in general relativity. Another example considered is a
self-gravitating Newtonian torus made of a homogeneous incompressible fluid. We
recover the features of the black ring in general relativity.Comment: 42 pages, 11 Figures, RevTeX4. Accepted for publication in Classical
and Quantum Gravity. v2: Minor corrections and references adde
A Job is Not a Hobby: The Judicial Revival of Corporate Paternalism and its Problematic Implications
Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world
Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic.
Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality.
Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States.
Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis.
Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection