Seizures after carotid endarterectomy: Hyperperfusion, dysautoregulation or hypertensive encephalopathy?

AbstractObjectives: presentation, management and outcome following seizure after carotid endarterectomy (CEA). Materials and Design: prospective audit. Results: Eight patients (0.8%) suffered a seizure (three bilateral) <30 days following 949 CEAs. Seizure was not associated with age, gender or presentation. Seven were treated hypertensives but four had labile BP pre-operatively. Five had severe bilateral carotid disease and four had vertebral/subclavian stenoses. Six had a >50% drop in middle cerebral artery blood flow velocity (MCAV) with clamping. Only three had >100% increase in MCAV with flow restoration. Five required treatment for post-operative hypertension. Two suffered seizures <36 hrs of CEA, the remainder were at 3-8 days. All eight had significantly elevated blood pressure at onset of seizures. Four underwent immediate MCAV monitoring and each was elevated. Emergency CT scanning/autopsy showed normal scans (n = 3), white matter oedema (n = 3), oedema and diffuse haemorrhage (n = 1), intracranial haemorrhage (n = 1). Seven developed a post-ictal neurological deficit (stroke = 5, TIA = 2). Overall, two patients either died or suffered a disabling stroke. Conclusions: post-CEA seizure was associated with adverse outcome. Most were labile hypertensives with severe bilateral carotid/vertebral disease. MCAV changes suggested poor collateral recruitment, but no consistent pattern of early hyperperfusion emerged. It remains uncertain whether high MCAVs and severe hypertension after seizure onset are cause or effect. Clinicians treating these patients in acute medical units were generally unaware of the “post-CEA hyperperfusion syndrome” and tended to treat the hypertension less aggressively.Eur J Vasc Endovasc Surg 26, 39-44 (2003

Determination of the high-twist contribution to the structure function xF3νNxF^{\nu N}_3

We extract the high-twist contribution to the neutrino-nucleon structure function $xF_3^{(\nu+\bar{\nu})N}$ from the analysis of the data collected by the IHEP-JINR Neutrino Detector in the runs with the focused neutrino beams at the IHEP 70 GeV proton synchrotron. The analysis is performed within the infrared renormalon (IRR) model of high twists in order to extract the normalization parameter of the model. From the NLO QCD fit to our data we obtained the value of the IRR model normalization parameter $\Lambda^2_{3}=0.69\pm0.37~({\rm exp})\pm0.16~({\rm theor})~{\rm GeV}^2$. We also obtained $\Lambda^2_{3}=0.36\pm0.22~({\rm exp})\pm0.12~({\rm theor})~{\rm GeV}^2$ from a similar fit to the CCFR data. The average of both results is $\Lambda^2_{3}=0.44\pm0.19~({\rm exp})~{\rm GeV}^2$.Comment: preprint IHEP-01-18, 7 pages, LATEX, 1 figure (EPS

Static black holes with a negative cosmological constant: Deformed horizon and anti-de Sitter boundaries

Using perturbative techniques, we investigate the existence and properties of a new static solution for the Einstein equation with a negative cosmological constant, which we call the deformed black hole. We derive a solution for a static and axisymmetric perturbation of the Schwarzschild-anti-de Sitter black hole that is regular in the range from the horizon to spacelike infinity. The key result is that this perturbation simultaneously deforms the two boundary surfaces--i.e., both the horizon and spacelike two-surface at infinity. Then we discuss the Abbott-Deser mass and the Ashtekar-Magnon one for the deformed black hole, and according to the Ashtekar-Magnon definition, we construct the thermodynamic first law of the deformed black hole. The first law has a correction term which can be interpreted as the work term that is necessary for the deformation of the boundary surfaces. Because the work term is negative, the horizon area of the deformed black hole becomes larger than that of the Schwarzschild-anti-de Sitter black hole, if compared under the same mass, indicating that the quasistatic deformation of the Schwarzschild-anti-de Sitter black hole may be compatible with the thermodynamic second law (i.e., the area theorem).Comment: 31 pages, 5 figures, one reference added, to be published in PR

Charged AdS Black Holes and Catastrophic Holography

We compute the properties of a class of charged black holes in anti-de Sitter space-time, in diverse dimensions. These black holes are solutions of consistent Einstein-Maxwell truncations of gauged supergravities, which are shown to arise from the inclusion of rotation in the transverse space. We uncover rich thermodynamic phase structures for these systems, which display classic critical phenomena, including structures isomorphic to the van der Waals-Maxwell liquid-gas system. In that case, the phases are controlled by the universal `cusp' and `swallowtail' shapes familiar from catastrophe theory. All of the thermodynamics is consistent with field theory interpretations via holography, where the dual field theories can sometimes be found on the world volumes of coincident rotating branes.Comment: 19 pages, revtex, psfig, 6 multicomponent figures, typos, references and a few remarks have been repaired, and adde

The antagonist and synergist potential of cholinium-based deep eutectic solvents

The design of environmentally friendlier solvents has gained increasing relevance in the last decade. Deep eutectic solvents (DES) have recently emerged, with advantages like low-cost and putative lower environmental impact. However, information about DES toxicity is still scarce. This work aims to contribute to profiling the ecotoxicity of DES based on cholinium chloride ([Chol]Cl). Six DES were addressed, combining [Chol]Cl (as hydrogen bond acceptor - HBA) with ethylene glycol, glycerol, 1,2-propanediol, propionic acid, 1-propanol, and urea as hydrogen bond donors (HBD), in different molar ratios. The Microtox® Acute Toxicity Test, was used for assessing their toxicity towards the marine bacteria Allivibrio fischeri . Because the dissociation of DES in water is expected, analysis appraising the mixtures toxicity theory should be considered, which is a step forward in this field. This analysis suggested that [Chol]Cl and all HBD with the exception of propionic acid:[Chol]Cl 1:2 and 4:1 behave antagonistically, which is contrary to what has been suggested previously. The most extreme cases are Urea:[Chol]Cl and 1-Propanol:[Chol]Cl, with EC50 values higher than their starting materials dosed singly, configuring very promising and biocompatible alternative solvents. Toxicity was found to be dependent on DES composition, as well as on molar proportions of the starting materials.publishe

Gauge and Scheme Dependence of Mixing Matrix Renormalization

We revisit the issue of mixing matrix renormalization in theories that include Dirac or Majorana fermions. We show how a gauge-variant on-shell renormalized mixing matrix can be related to a manifestly gauge-independent one within a generalized ${\bar {\rm MS}}$ scheme of renormalization. This scheme-dependent relation is a consequence of the fact that in any scheme of renormalization, the gauge-dependent part of the mixing-matrix counterterm is ultra-violet safe and has a pure dispersive form. Employing the unitarity properties of the theory, we can successfully utilize the afore-mentioned scheme-dependent relation to preserve basic global or local symmetries of the bare Lagrangian through the entire process of renormalization. As an immediate application of our study, we derive the gauge-independent renormalization-group equations of mixing matrices in a minimal extension of the Standard Model with isosinglet neutrinos.Comment: 31 pages, LaTeX, uses axodraw.st

Search for Eccentric Binary Black Hole Mergers with Advanced LIGO and Advanced Virgo during Their First and Second Observing Runs

When formed through dynamical interactions, stellar-mass binary black holes (BBHs) may retain eccentric orbits (e &gt; 0.1 at 10 Hz) detectable by ground-based gravitational-wave detectors. Eccentricity can therefore be used to differentiate dynamically formed binaries from isolated BBH mergers. Current template-based gravitational-wave searches do not use waveform models associated with eccentric orbits, rendering the search less efficient for eccentric binary systems. Here we present the results of a search for BBH mergers that inspiral in eccentric orbits using data from the first and second observing runs (O1 and O2) of Advanced LIGO and Advanced Virgo. We carried out the search with the coherent WaveBurst algorithm, which uses minimal assumptions on the signal morphology and does not rely on binary waveform templates. We show that it is sensitive to binary mergers with a detection range that is weakly dependent on eccentricity for all bound systems. Our search did not identify any new binary merger candidates. We interpret these results in light of eccentric binary formation models. We rule out formation channels with rates ⪆100 Gpc-3 yr-1 for e &gt; 0.1, assuming a black hole mass spectrum with a power-law index ≲2