Cardiomyopathy Secondary to Thyroid and Parathyroid Dysfunction: Case Report and Literature Review

Heart failure due to metabolic derangements is not common in clinical practice. However, outcome is usually positive given that the precipitating factor is recognized and treatment is initiated in a timely fashion. We report an unusual case of reduced left ventricular systolic function as a result of hypocalcemia and long standing untreated primary hypothyroidism in a patient without structural heart disease. Delay in seeking appropriate medical attention for both disorders has culminated in cardiac dysfunction that was favorably altered with correction of underlying etiologies. Therefore, early recognition and expedient management of hypocalcemia and hypothyroidism can result in an imminent improvement of cardiac function

Characterization of the chemical signatures of air masses observed during the PEM experiments over the western Pacific

Extensive observations of tropospheric trace species during the second NASA Global Tropospheric Experiment Western Pacific Exploratory Mission (PEM-West B) in February-March 1994 showed significant seasonal variability in comparison with the first mission (PEM-West A), conducted in September-October 1991. In this study we adopt a previously established analytical method, i.e., the ratio C2H2/CO as a measure of the relative degree of atmospheric processing, to elucidate the key similarities and variations between the two missions. In addition, the C2H2/CO ratio scheme is combined with the back-trajectory-based and the LIDAR-based air mass classification schemes, respectively, to make in-depth analysis of the seasonal variation between PEM-West A and PEM-West B (hereinafter referred to as PEM-WA and PEM-WB). A large number of compounds, including long-lived NMHCs, CH4, and CO2, are, as expected, well correlated with the ratio C2H2/CO. In comparison with PEM-WA, a significantly larger range of observed C2H2/CO values at the high end for the PEM-WB period indicates that the western Pacific was more impacted by "fresher" source emissions, i.e., faster or more efficient continental outflow. As in the case of PEM-WA, the C2H2/CO scheme complements the back-trajectory air mass classification scheme very well. By combining the two schemes, we found that the atmospheric processing in the region is dominated by atmospheric mixing for the trace species analyzed. This PEM-WB wintertime result is similar to that found in PEM-WA for the autumn. In both cases, photochemical reactions are found to play a significant role in determining the background mixing ratios of trace gases, and in this way the two processes are directly related and dependent upon each other. This analysis also indicates that many of the upper tropospheric air masses encountered over the western Pacific during PEM-WB may have had little impact from eastern Asia's continental surface sources. NOx mixing ratios were significantly enhanced during PEM-WB when compared with PEM-WA, in the upper troposphere's more atmospherically processed air masses. These high levels of NOx resulted in a substantial amount of photochemical production of O3. A lack of corresponding enhancements in surface emission tracers strongly implies that in situ atmospheric sources such as lightning are responsible for the enhanced upper tropospheric NOx. The similarity in NOx values between the northern (higher air traffic) and southern continental air masses together with the indications of a large seasonal shift suggests that aircraft emissions are not the dominant source. However, photochemical recycling cannot be ruled out as this in situ source of NOx. Copyright 1999 by the American Geophysical Union

In-Situ Infrared Transmission Study of Rb- and K-Doped Fullerenes

We have measured the four IR active $C_{60}$ molecular vibrations in $M_{x}C_{60}$ $(M = K, Rb)$ as a function of doping $x$. We observe discontinuous changes in the vibrational spectra showing four distinct phases (presumably $x = 0, 3, 4$, and 6). The $1427cm^{-1}$ and $576cm^{-1}$ modes show the largest changes shifting downward in frequency in four steps as the doping increases. Several new very weak modes are visible in the $x=6$ phase and are possibly Raman modes becoming weakly optically active. We present quantitative fits of the data and calculate the electron-phonon coupling of the $1427cm^{-1}$ IR mode.Comment: 3 pages, Figure 1 included, 3 more figures available by request. REVTEX v3.0 IRC60DO

Insulating and Conducting Phases of RbC60

Optical measurements were performed on thin films of Rb$_{x}$C$_{60}$, identified by X-ray diffraction as mostly $x=1$ material. The samples were subjected to various heat treatments, including quenching and slow cooling from 400K. The dramatic increase in the transmission of the quenched samples, and the relaxation towards the transmission observed in slow cooled samples provides direct evidence for the existence of a metastable insulating phase. Slow cooling results in a phase transition between two electrically conducting phases.Comment: Minor revisions. Submitted to PRB, RevTeX 3.0 file, 2 postscript figures included, ir_dop

Nonperturbative approach to the Hubbard model in C60 cluster

We propose a computational scheme for the Hubbard model in the C60 cluster in which the interaction with the Fermi sea of charges added to the neutral molecule is switched on sequentially. This is applied to the calculation of the balance of charging energies, within a low-energy truncation of the space of states which produces moderate errors for an intermediate range of the interaction strength.Comment: 5 pages, Revtex, 2 figure

Acute myopathy secondary to oral steroid therapy in a 49-year-old man: a case report

<p>Abstract</p> <p>Introduction</p> <p>Acute myopathy caused by oral corticosteroids is rare. We present a case of myopathy occurring after two doses of methylprednisolone. Typically, acute steroid myopathy occurs with therapy using intravenous corticosteroids at high doses. Acute myopathy developing very early in the course of treatment with oral corticosteroids has been reported only once in the literature. Corticosteroid therapy may be complicated by myopathy, usually chronic, after prolonged high-dose therapy. Acute myopathy caused by exogenous corticosteroids is rare, usually with intravenous corticosteroids at high doses.</p> <p>Case presentation</p> <p>A 49-year-old Caucasian man developed acute myopathy after taking oral methylprednisolone for only two days, 24 mg on day 1 and 20 mg on day 2. He discontinued the medication because of new-onset myalgias and lethargy on day 3 and was seen in our clinic four days after beginning therapy. He completely recovered in four weeks by discontinuing the corticosteroids.</p> <p>Conclusion</p> <p>Among the many complications of corticosteroid therapy, acute myopathy is very rare. It requires prompt recognition and adjustment of therapy.</p

Renormalization Group Approach to the Coulomb Pseudopotential for C_{60}

A numerical renormalization group technique recently developed by one of us is used to analyse the Coulomb pseudopotential (${\mu^*}$) in ${{\rm C}_{60}}$ for a variety of bare potentials. We find a large reduction in ${\mu^*}$ due to intraball screening alone, leading to an interesting non-monotonic dependence of ${\mu^*}$ on the bare interaction strength. We find that ${\mu^*}$ is positive for physically reasonable bare parameters, but small enough to make the electron-phonon coupling a viable mechanism for superconductivity in alkali-doped fullerides. We end with some open problems.Comment: 12 pages, latex, 7 figures available from [email protected]

GaN Homoepitaxy on Freestanding (11̄00) Oriented GaN Substrates

We report homoepitaxialGaNgrowth on freestanding (11̄00) oriented (M-plane GaN) substrates using low-pressure metalorganic chemical vapor deposition.Scanning electron microscopy,atomic-force microscopy, and photoluminescence were used to study the influence of growth conditions such as the V/III molar ratio and temperature on the surface morphology and optical properties of the epilayers. Optimized growth conditions led to high quality (11̄00) oriented GaN epilayers with a smooth surface morphology and strong band-edge emission. These layers also exhibited strong room temperature stimulated emission under high intensity pulsed optical pumping. Since for III-N materials the (11̄00) crystal orientation is free from piezoelectric or spontaneous polarization electric fields, our work forms the basis for developing high performance III-N optoelectronic devices