1,787 research outputs found

    Fermionic entanglement extinction in non-inertial frames

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    We study families of fermionic field states in non-inertial frames which show no entanglement survival in the infinite acceleration limit. We generalise some recent results where some particular examples of such states where found. We analyse the abundance and characteristics of the states showing this behaviour and discuss its relation with the statistics of the field. We also consider the phenomenon beyond the single mode approximation.Comment: 6 pages, 4 figures, revtex4-

    Metastasis of spindle cell malignant melanoma in gallbladder

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    Malignant melanoma is an aggressive neoplasm with a high tendency to metastasize. Gastrointestinal metastases, although described in the literature, are infrequent. We present the case of a 51-year-old male patient with a surfcial spreading melanoma stage IIIc with BRAF mutation who presented a gallbladder outgrowth lesion, compatible with a polyp. A signifcant growth of the lesion was observed in subsequent TC studies and a laparoscopic cholecystectomy was performed. The anatomopathological study of the specimen confrmed the diagnosis of gallbladder metastasis due to epithelioid and spindle cell malignant melanoma. The presence of a gallbladder lesion in the context of a patient diagnosed with melanoma should establish the diagnostic suspicion of metastasis, and an early extension study and laparoscopic cholecystectomy should be considered. The palliative surgical approach to avoid hepatobiliary symptomatology can be considered

    Entropy based parametrization of soils: Models and Tools

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    Particle-size distribution (PSD) is a fundamental soil physical property. The PSD is commonly reported in terms of the mass percentages of sand, silt and clay present

    The BIDIAP index: a clinical, analytical and ultrasonographic score for the diagnosis of acute appendicitis in children

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    Background: Pediatric acute appendicitis (PAA) continues to be a diagnostic challenge today. The diagnostic performance of classical indices is only moderate, especially in pediatric population. This study aimed to define a clinical, radiological and analytical index for the diagnosis of PAA. Materials and methods: This prospective study included 151 patients divided into two groups: (1) 53 patients with non-surgical abdominal pain (NSAP) and (2) 98 patients with a confirmed PAA. Sociodemographic and clinical characteristics were compared between groups using the Mann-Whitney U test and the Fisher exact test. To identify the predictors of PAA, we performed a multivariable logistic regression using a forward stepwise analysis and we assigned multiples of integer values to the selected variables. The diagnostic performance of the index was assessed by calculating the area under the receiver operating characteristic curve. Intra-cohort calibration was assessed with the Hosmer-Lemeshow test. Results: We developed the BIDIAP index (BIomarkers for the DIagnosis of Appendicitis in Pediatrics), which included three variables that independently predicted higher odds of PAA: appendiceal caliber (≥ 6.9 mm), systemic immune-inflammation index (≥ 890) and peritoneal irritation, which scored 4, 3 and 2 points, respectively. Mean (SD) score of the participants was 2.38 (2.06) in group 1 and 7.89 (1.50) in group 2. The area under the ROC was 0.97 (95% CI 0.95-0.99). The cut-off point was established at 4 points, resulting in a sensitivity of 98.98% and a specificity of 77.78%. Conclusions: The BIDIAP index has an exceptional diagnostic performance in PAA. The importance of these results lies in its novelty and in the simplicity of the index. Although external validation will be necessary, initial results look promising

    Alterations and diagnostic performance of capillary ketonemia in pediatric acute appendicitis: a pilot study

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    Introduction: The diagnostic performance of capillary ketonemia (CK) has been previously evaluated in context of pediatric acute gastroenteritis. To our knowledge, there is no literature on its performance in the setting of pediatric acute appendicitis (PAA). Materials and methods: In this study, 151 patients were prospectively included and divided into two groups: (1) patients with non-surgical abdominal pain in whom the diagnosis of PAA was excluded (n : 53) and (2) patients with a confirmed diagnosis of PAA (n : 98). In 80 patients (Group 1, n : 23 and group 2, n : 57) a CK was measured at the time of diagnosis. The PAA group was further classified into complicated (n : 18) and uncomplicated PAA (n : 39). Quantitative variables were compared between groups using the Mann-Whitney U test. Diagnostic performance of CK was evaluated with ROC curves. Results: CK values were 0.3 [0.1-0.9] mmol/L in group 1 and 0.7 [0.4-1.4] mmol/L in group 2 (p = 0.01). Regarding the type of PAA, CK values were 0.6 [0.4-0.9] mmol/L in uncomplicated PAA and 1.2 [0.8-1.4] mmol/L in complicated PAA (p : 0.02). The AUC for the discrimination between groups 1 and 2 was 0.68 (95/100 IC 0.53-0.82) (p : 0.24) and the AUC for the discrimination between uncomplicated PAA and complicated PAA was 0.69 (95/100 IC 0.54-0.85) (p : 0.04). The best cut-off point (group 1 vs group 2) resulted in 0.4 mmol/L, with a sensitivity of 80.7/100 and a specificity of 52.2/100. The best cut-off point (non-complicated vs complicated PAA) resulted in 1.1 mmol/L, with a sensitivity of 61.1/100 and a specificity of 76.9/100. Conclusions: This study found significantly higher levels of CK in patients with PAA than in those with NSAP. Similarly, significantly higher levels were observed in patients with complicated than in those with uncomplicated PAA. Nevertheless, the diagnostic performance of CK was only moderate in the two settings analyzed. The potential usefulness of CK determination as a tool to guide the preoperative rehydration regimen of patients with PAA to prevent postoperative hyporexia and vomiting is a promising line of research and should be evaluated in future studies

    Supersymmetric One-family Model without Higgsinos

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    The Higgs potential and the mass spectrum of the N=1 supersymmetric extension of a recently proposed one-family model based on the local gauge group SU(3)cSU(3)LU(1)XSU(3)_c \otimes SU(3)_L \otimes U(1)_X, which is a subgroup of the electroweak-strong unification group E6E_6, is analyzed. In this model the slepton multiplets play the role of the Higgs scalars and no Higgsinos are needed, with the consequence that the sneutrino, the selectron and six other sleptons play the role of the Goldstone bosons. We show how the μ\mu problem is successfully addressed in the context of this model which also predicts the existence of a light CP-odd scalar.Comment: REVTeX 4, 10 pages. Included discussions about constraints coming from the rho-parameter and from Muon (g-2). References added. Version to appear in Phys. Rev.

    PRISM: A Non-Equilibrium, Multiphase Interstellar Medium Model for Radiation Hydrodynamics Simulations of Galaxies

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    We introduce the PRISM interstellar medium (ISM) model for thermochemistry and its implementation in the RAMSES-RTZ code. The model includes a non-equilibrium primordial, metal, and molecular chemistry network for 115 species coupled to on-the-fly multifrequency radiation transport. PRISM accurately accounts for the dominant ISM cooling and heating processes in the low-density regime (i.e. ρ<105 cm3\rho<10^5\ {\rm cm^{-3}}), including photoheating, photoelectric heating, H2_2 heating/cooling, cosmic-ray heating, H/He cooling, metal-line cooling, CO cooling, and dust cooling (recombination and gas-grain collisions). We validate the model by comparing 1D equilibrium simulations across six dex in metallicity to existing 1D ISM models in the literature. We apply PRISM to high-resolution (4.5 pc) isolated dwarf galaxy simulations that include state-of-the-art models for star formation and stellar feedback to take an inventory of which cooling and heating processes dominate each different gas phase of a galaxy and to understand the importance of non-equilibrium effects. We show that most of the ISM gas is either close to thermal equilibrium or exhibits a slight cooling instability, while from a chemical perspective, the non-equilibrium electron fraction is often more than three times higher or lower than the equilibrium value, which impacts cooling, heating, and observable emission lines. Electron enhancements are attributed to recombination lags while deficits are shown to be due to rapid cosmic-ray heating. The PRISM model and its coupling to RAMSES-RTZ is applicable to a wide variety of astrophysical scenarios, from cosmological simulations to isolated giant molecular clouds, and is particularly useful for understanding how changes to ISM physics impact observable quantities such as metallic emission lines.Comment: 21 pages, 16 figures, submitted to MNRA

    Recovery of early meteorological records from Extremadura region (SW Iberia): The ''CliPastExtrem'' (v1.0) database

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    In this work, we provide instrumental meteorological data recovered for the Extremadura region (interior SW Iberia), from 1826 to mid-20th century. Meteorological variables such as air temperature, atmospheric pressure, precipitation, wind direction and humidity, among others, were retrieved. In total, more than 750 000 instrumental data in 157 meteorological series belonging to 131 different locations throughout Extremadura were rescued. It must be noted that daily resolution data constitutes 80% of the database. This great effort of digitization and data collection has been carried out with the aim of contributing to a significant expansion of the length of the databases with meteorological information in this region. Therefore, this database will provide a better understanding of climate variability, trends and extreme events of the Extremadura region

    Leucine-Rich Alpha-2-Glycoprotein as a non-invasive biomarker for pediatric acute appendicitis: a systematic review and meta-analysis

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    The aim of this study was to analyze the diagnostic performance of Leucine-Rich Alpha-2-Glycoprotein (LRG1) in pediatric acute appendicitis (PAA). We conducted a systematic review of the literature in the main databases of medical bibliography. Two independent reviewers selected the articles and extracted relevant data. Methodological quality was assessed using the QUADAS2 index. A synthesis of the results, standardization of the metrics and 4 random-effect meta-analyses were performed. Eight studies with data from 712 participants (305 patients with confirmed diagnosis of PAA and 407 controls) were included in this review. The random-effect meta-analysis of serum LRG1 (PAA vs control) resulted in a significant mean difference (95% CI) of 46.76 μg/mL (29.26–64.26). The random-effect meta-analysis for unadjusted urinary LRG1 (PAA vs control) resulted in a significant mean difference (95% CI) of 0.61 μg/mL (0.30–0.93). The random-effect metaanalysis (PAA vs control) for urinary LRG1 adjusted for urinary creatinine resulted in a significant mean difference (95% CI) of 0.89 g/mol (0.11–1.66). Conlusion: Urinary LRG1 emerges as a potential non-invasive biomarker for the diagnosis of PAA. On the other hand, due to the high between-study heterogeneity, the results on serum LRG1 should be interpreted with caution. The only study that analyzed salivary LRG1 showed promising results. Further prospective studies are needed to confirm these findings
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