Endovascular exclusion of iliac artery to iliac vein fistula after lumbar disk surgery

AbstractIliac arteriovenous (AV) fistula is rare after lumbar disk surgery. Traditionally, open repair through the arterial lumen was performed. We report endovascular exclusion of an iliac AV fistula in a 41-year-old woman 8 years after lumbar diskectomy. An angiogram showed an AV fistula connecting the right common iliac artery and vein. This was repaired with placement of two covered wall stents in the right common artery and external iliac artery, and embolization of the right internal iliac artery. Contrast medium-enhanced computed tomography scan at 5 months confirmed elimination of the AV fistula and right iliac artery patency. This technique should be considered in management of iliac AV fistulas. (J Vasc Surg 2003;37:1091-3.

Critical Behavior of a Three-State Potts Model on a Voronoi Lattice

We use the single-histogram technique to study the critical behavior of the three-state Potts model on a (random) Voronoi-Delaunay lattice with size ranging from 250 to 8000 sites. We consider the effect of an exponential decay of the interactions with the distance,$J(r)=J_0\exp(-ar)$, with $a>0$, and observe that this system seems to have critical exponents $\gamma$ and $\nu$ which are different from the respective exponents of the three-state Potts model on a regular square lattice. However, the ratio $\gamma/\nu$ remains essentially the same. We find numerical evidences (although not conclusive, due to the small range of system size) that the specific heat on this random system behaves as a power-law for $a=0$ and as a logarithmic divergence for $a=0.5$ and $a=1.0$Comment: 3 pages, 5 figure

Safety, tolerability and efficacy of intradermal rabies immunization with DebioJect™.

In a single-center study, 66 healthy volunteers aged between 18 and 50years were randomized to be immunized against rabies with three different injection routes: intradermal with DebioJect™ (IDJ), standard intradermal with classical needle (IDS), also called Mantoux method, and intramuscular with classical needle (IM). "Vaccin rabique Pasteur®" and saline solution (NaCl 0.9%) were administered at D0, D7 and D28. Antigen doses for both intradermal routes were 1/5 of the dose for IM. Tolerability, safety and induced immunogenicity of IDJ were compared to IDS and IM routes. Pain was evaluated at needle insertion and at product injection for all vaccination visits. Solicited Adverse Event (SolAE) and local reactogenicity symptoms including pain, redness and pruritus were recorded daily following each vaccination visit. Adverse events (AE) were recorded over the whole duration of the study. Humoral immune response was measured by assessing the rabies virus neutralizing antibody (VNA) titers using Rapid Fluorescent Focus Inhibition Test (RFFIT). Results demonstrated that the DebioJect™ is a safe, reliable and efficient device. Significant decreases of pain at needle insertion and at vaccine injection were reported with IDJ compared to IDS and IM. All local reactogenicity symptoms (pain, redness and pruritus) after injection with either vaccine or saline solution, were similar for IDJ and IDS, except that IDJ injection induced more redness 30min after saline solution. No systemic SolAE was deemed related to DebioJect™ and classical needles. No AE was deemed related to DebioJect™. No Serious Adverse Event (SAE) was reported during the study. At the end of the study all participants were considered immunized against rabies and no significant difference in humoral response was observed between the 3 studied routes

Effects of old landfills on groundwater quality. Phase 2, investigation of the Thriplow landfill 1996–1997

Disused sand and gravel excavations overlying the major Chalk aquifer at Thriplow in Cambridgeshire have been filled with domestic waste in two phases. One area (Phase 1) was filled between 1957–77 with little compaction of the refuse and was left uncapped, while Phase 2 was deposited between 1981–87 and capped with clay. Aerial photography and surface resistivity surveys indicate that the site geometry is complex, with several phases of landfilling into excavations of differing depths. Drilling through the waste indicates that leachate production and waste stabilisation proceed at different rates in capped and uncapped landfills. Analysis of leachate obtained by centrifugation or squeezing appears to give more insight into the pollution potential than do leach tests with distilled water. The Biological Methane Potential (BMP) of the waste appears to be related to the quantity of decomposable material but the chemical oxygen demand (COD) values are distorted by the presence of reduced metals. Too few boreholes have been drilled to define the leachate source in terms of its spatial distribution and little is known of how its composition has changed with time. However, hydraulic conductivity measurements on the landfill caps suggest that it is sufficiently permeable for all rainfall to potentially infiltrate the waste. Boreholes outside the landfill penetrate the Upper and Lower Chalk, and identify the Melbourn Rock and underlying Plenus Marls at the junction of the two formations about 20 m below ground level (bgl). Surface resistivity surveys using the BGS RESCAN system, confirm aerial photographs of the extent of the landfill and also suggest that leachate has migrated beyond the base of the landfill. Evidence of leachate migration in pre-existing screened boreholes completed above and below the Plenus Marls suggests that leachate is flowing above the Plenus Marls. Hydraulic head measurements whilst drilling a borehole to the base of the lower Chalk approx. 70 m bgl revealed the potential for upward groundwater flow through the Plenus Marls. Thus, previously-drilled boreholes penetrating the Plenus Marls are expected to recharge upwards into the shallow aquifer above the Plenus Marls diluting any leachate in the upper aquifer and distorting the flow regime. Several of these boreholes have subsequently been modified to stem the flow across the Plenus Marls. One borehole down-gradient to the west of the site revealed a large thickness of drift composed of both sand and clay rich material. This suggests the existence of a buried channel, the hydrogeological significance of which has yet to be assessed. Groundwater chemistry appears to be influenced by three major factors. (a) the landfill leachate (b) the composition of shallow groundwater in the top 10 m of the Chalk, and (c) the composition of water from the Lower Chalk. Limited groundwater monitoring data appear to display a cyclic variation in chloride concentration. The origin for this is not clear but it may correlate with cyclic variations in groundwater levels when the water table rises into the waste. Cyclic flushing of the landfill may release leachate into the aquifer giving rise to pulses of chloride. Alternatively changes in chloride may arise by the changing direction of groundwater flow which as yet has not been assessed. A conceptual hydrogeological model in which flow is limited to above the Plenus Marls has been used to develop a more appropriate groundwater flow and solute transport model. However, the model lacks data on aquifer properties, on contaminant inputs concentrations, fluxes and spatial variations, and there is a paucity of monitoring data for calibration. Nonetheless preliminary transport modelling using an equivalent porous medium approach shows that an effective porosity of about 5% best fits the regional data. Since this is much less than the total porosity of about 40% for the Chalk, it would appear that only part of the Chalk is available for flow but that matrix diffusion could play an important role in leachate attenuation. Discrete fracture modelling using the FRACTRAN code has allowed some scoping to be made of the hydraulic properties of the aquifer by comparison with chloride hydrographs, but these again need to be better conditioned by in-situ measurement of fracture distributions and transmissivities. A number of additional activities are required to improve the understanding of flow and contaminant transport at the site. These include better spatial definition of the waste distribution, improved data on the hydraulic properties of the Chalk aquifer, and the use of automatic monitoring to record temporal changes in groundwater chemistry and groundwater levels

Stability and renormalization of Yang-Mills theory with Background Field Method: a regularization independent proof

In this paper the stability and the renormalizability of Yang-Mills theory in the Background Field Gauge are studied. By means of Ward Identities of Background gauge invariance and Slavnov-Taylor Identities the stability of the classical model is proved and, in a regularization independent way, its renormalizability is verified. A prescription on how to build the counterterms is given and the possible anomalies which may appear for Ward Identities and for Slavnov-Taylor Identities are shown.Comment: 25 pages, Latex 2.09, no figure

The Two-Loop Pinch Technique in the Electroweak Sector

The generalization of the two-loop Pinch Technique to the Electroweak Sector of the Standard Model is presented. We restrict ourselves to the case of conserved external currents, and provide a detailed analysis of both the charged and neutral sectors. The crucial ingredient for this construction is the identification of the parts discarded during the pinching procedure with well-defined contributions to the Slavnov-Taylor identity satisfied by the off-shell one-loop gauge-boson vertices; the latter are nested inside the conventional two-loop self-energies. It is shown by resorting to a set of powerful identities that the two-loop effective Pinch Technique self-energies coincide with the corresponding ones computed in the Background Feynman gauge. The aforementioned identities are derived in the context of the Batalin-Vilkovisky formalism, a fact which enables the individual treatment of the self-energies of the photon and the $Z$-boson. Some possible phenomenological applications are briefly discussed.Comment: 50 pages, uses axodra

Citrullinated human and murine MOG_35–55 display distinct biophysical and biochemical behavior

The peptide spanning residues 35 to 55 of the protein myelin oligodendrocyte glycoprotein (MOG) has been studied extensively in its role as a key autoantigen in the neuroinflammatory autoimmune disease multiple sclerosis. Rodents and nonhuman primate species immunized with this peptide develop a neuroinflammatory condition called experimental autoimmune encephalomyelitis, often used as a model for multiple sclerosis. Over the last decade, the role of citrullination of this antigen in the disease onset and progression has come under increased scrutiny. We recently reported on the ability of these citrullinated MOG35–55 peptides to aggregate in an amyloid-like fashion, suggesting a new potential pathogenic mechanism underlying this disease. The immunodominant region of MOG is highly conserved between species, with the only difference between the murine and human protein, a polymorphism on position 42, which is serine in mice and proline for humans. Here, we show that the biophysical and biochemical behavior we previously observed for citrullinated murine MOG35–55 is fundamentally different for human and mouse MOG35–55. The citrullinated human peptides do not show amyloid-like behavior under the conditions where the murine peptides do. Moreover, we tested the ability of these peptides to stimulate lymphocytes derived from MOG immunized marmoset monkeys. While the citrullinated murine peptides did not produce a proliferative response, one of the citrullinated human peptides did. We postulate that this unexpected difference is caused by disparate antigen processing. Taken together, our results suggest that further study on the role of citrullination in MOG-induced experimental autoimmune encephalomyelitis is necessary.</p

Pinch Technique and the Batalin-Vilkovisky formalism

In this paper we take the first step towards a non-diagrammatic formulation of the Pinch Technique. In particular we proceed into a systematic identification of the parts of the one-loop and two-loop Feynman diagrams that are exchanged during the pinching process in terms of unphysical ghost Green's functions; the latter appear in the standard Slavnov-Taylor identity satisfied by the tree-level and one-loop three-gluon vertex. This identification allows for the consistent generalization of the intrinsic pinch technique to two loops, through the collective treatment of entire sets of diagrams, instead of the laborious algebraic manipulation of individual graphs, and sets up the stage for the generalization of the method to all orders. We show that the task of comparing the effective Green's functions obtained by the Pinch Technique with those computed in the background field method Feynman gauge is significantly facilitated when employing the powerful quantization framework of Batalin and Vilkovisky. This formalism allows for the derivation of a set of useful non-linear identities, which express the Background Field Method Green's functions in terms of the conventional (quantum) ones and auxiliary Green's functions involving the background source and the gluonic anti-field; these latter Green's functions are subsequently related by means of a Schwinger-Dyson type of equation to the ghost Green's functions appearing in the aforementioned Slavnov-Taylor identity.Comment: 45 pages, uses axodraw; typos corrected, one figure changed, final version to appear in Phys.Rev.

Confinement and Chiral Symmetry Breaking via Domain-Like Structures in the QCD Vacuum

A qualitative mechanism for the emergence of domain structured background gluon fields due to singularities in gauge field configurations is considered, and a model displaying a type of mean field approximation to the QCD partition function based on this mechanism is formulated. Estimation of the vacuum parameters (gluon condensate, topological susceptibility, string constant and quark condensate) indicates that domain-like structures lead to an area law for the Wilson loop, nonzero topological susceptibility and spontaneous breakdown of chiral symmetry. Gluon and ghost propagators in the presence of domains are calculated explicitly and their analytical properties are discussed. The Fourier transforms of the propagators are entire functions and thus describe confined dynamical fields.Comment: RevTeX, 48 pages (32 pages + Appendices A-E), new references added [1,2,4,5] and minor formulae corrected for typographical error

On the selection of AGN neutrino source candidates for a source stacking analysis with neutrino telescopes

The sensitivity of a search for sources of TeV neutrinos can be improved by grouping potential sources together into generic classes in a procedure that is known as source stacking. In this paper, we define catalogs of Active Galactic Nuclei (AGN) and use them to perform a source stacking analysis. The grouping of AGN into classes is done in two steps: first, AGN classes are defined, then, sources to be stacked are selected assuming that a potential neutrino flux is linearly correlated with the photon luminosity in a certain energy band (radio, IR, optical, keV, GeV, TeV). Lacking any secure detailed knowledge on neutrino production in AGN, this correlation is motivated by hadronic AGN models, as briefly reviewed in this paper. The source stacking search for neutrinos from generic AGN classes is illustrated using the data collected by the AMANDA-II high energy neutrino detector during the year 2000. No significant excess for any of the suggested groups was found.Comment: 43 pages, 12 figures, accepted by Astroparticle Physic