Characteristics of fecal microbiota transplantation use in inflammatory bowel disease cohort

Background: There is a growing interest in the role of gut bacteria in a number of diseases and an emerging hypothesis that inflammatory bowel disease (IBD) is triggered by microbial dysbiosis in genetically susceptible individuals. Currently, fecal microbiota transplantation (FMT) is utilized for the treatment of Clostridium difficile colitis. Data on the efficacy of FMT for IBD are mixed, but patients are interested in its use for the treatment of IBD. We sought to describe the use of FMT (self or medical professional administered) in individuals with IBD using IBD Partners, an Internet-based cohort. Methods: Patients enrolled in the IBD Partners cohort were offered the opportunity to complete an optional survey on the use of FMT between January 2017 to September 2018 (n = 5430). A cross-sectional analysis was performed within patients who completed the survey and did not have a pouch or ostomy. Patients' demographic characteristics, disease activity and phenotype, mode of FMT delivery, and patient-reported efficacy were compared. Results: Among 3274 eligible patients, 51 (1.6%) responded that they had an FMT in the past. Of patients undergoing FMT, 22 patients had the FMT for C. difficile while 29 reported that the FMT was for another indication. Most patients receiving FMT for an indication other than C. difficile had ulcerative colitis/indeterminate colitis (25, 86.2%). Colonoscopy (68.2%) and nasogastric tube (18.2%) were the most common routes of administration for patients receiving FMT for C. difficile colitis. Self-administration (72.4%) and enemas (17.2%) were the most common routes of administration in patients receiving FMT for an alternate indication. Patients reporting FMT for an indication other than C. difficile were less likely to have a physician directing their FMT treatment (20.6%) as compared to patients receiving FMT for C. difficile (86.3%). Patient-reported efficacy was lower for FMT given for a non-C. difficile indication. Conclusions: Patients undergoing FMT for an indication other than C. difficile infection were more likely to have ulcerative colitis, self-administer FMT, and were less likely to be receiving FMT under the guidance of a medical professional. FMT was not as effective for symptoms when given for a non-C. difficile indication. Patients should be counseled on potential harms and lack of proven benefit associated with FMT for IBD indications to try to discourage self-administered FMT without proper medical oversite

Black and White Patients with Inflammatory Bowel Disease Show Similar Biologic Use Patterns with Medicaid Insurance

Background: Prior studies have identified racial disparities in the treatment and outcomes of inflammatory bowel disease (IBD). These disparities could be secondary to differences in biology, care delivery, or access to appropriate therapy. The primary aim of this study was to compare medication use among Medicaid-insured black and white patients with IBD, given uniform access to gastroenterologists and therapies. Methods: We analyzed Medicaid Analytic eXtract data from 4 states (California, Georgia, North Carolina, and Texas) between 2006 and 2011. We compared the use of IBD-specific therapies, including analyses of postoperative therapy among patients with Crohn disease (CD). We performed bivariate analyses and multivariable logistic regression, adjusting for potential confounders. Results: We identified 14,735 patients with IBD (4672 black [32%], 8277 with CD [58%]). In multivariable analysis, there was no significant difference in the odds of anti-tumor necrosis factor use by race for CD (adjusted odds ratio [aOR] = 1.13; 95% confidence interval [CI], 0.99-1.28] or ulcerative colitis (aOR = 1.12; 95% CI, 0.96-1.32). Black patients with CD were more likely than white patients to receive combination therapy (aOR = 1.50; 95% CI, 1.15-1.96), and black patients were more likely than white patients to receive immunomodulator monotherapy after surgery for CD (31% vs 18%; P = 0.004). Conclusions: In patients with Medicaid insurance, where access to IBD-specific therapy should be similar for all individuals, there was no significant disparity by race in the utilization of IBD-specific therapies. Disparities in IBD treatment discussed in prior literature seem to be driven by socioeconomic or other issues affecting access to care

Mixed-parity superconductivity in centrosymmetric crystals

A weak-coupling formalism for superconducting states possessing both singlet (even parity) and triplet (odd parity) components of the order parameter in centrosymmetric crystals is developed. It is shown that the quasiparticle energy spectrum may be non-degenerate even if the triplet component is unitary. The superconducting gap of a mixed-parity state may have line nodes in the strong spin-orbit coupling limit. The pseudospin carried by the superconducting electrons is calculated, from which follows a prediction of a kink anomaly in the temperature dependence of muon spin relaxation rate. The anomaly occurs at the phase boundary between the bare triplet and mixed-parity states. The stability of mixed-parity states is discussed within Ginzburg-Landau theory. The results may have immediate application to the superconducting series Pr(Os,Ru)4Sb12.Comment: 5 pages, 2 figures. Final version accepted to PR

Applicability of perturbative QCD to Λb→Λc\Lambda_b \to \Lambda_c decays

We develop perturbative QCD factorization theorem for the semileptonic heavy baryon decay $\Lambda_b \to \Lambda_c l\bar{\nu}$, whose form factors are expressed as the convolutions of hard $b$ quark decay amplitudes with universal $\Lambda_b$ and $\Lambda_c$ baryon wave functions. Large logarithmic corrections are organized to all orders by the Sudakov resummation, which renders perturbative expansions more reliable. It is observed that perturbative QCD is applicable to $\Lambda_b \to \Lambda_c$ decays for velocity transfer greater than 1.2. Under requirement of heavy quark symmetry, we predict the branching ratio $B(\Lambda_b \to \Lambda_c l{\bar\nu})\sim 2$, and determine the $\Lambda_b$ and $\Lambda_c$ baryon wave functions.Comment: 12 pages in Latex file, 3 figures in postscript files, some results are changed, but the conclusion is the sam

Simulating Turbulence Using the Astrophysical Discontinuous Galerkin Code TENET

In astrophysics, the two main methods traditionally in use for solving the Euler equations of ideal fluid dynamics are smoothed particle hydrodynamics and finite volume discretization on a stationary mesh. However, the goal to efficiently make use of future exascale machines with their ever higher degree of parallel concurrency motivates the search for more efficient and more accurate techniques for computing hydrodynamics. Discontinuous Galerkin (DG) methods represent a promising class of methods in this regard, as they can be straightforwardly extended to arbitrarily high order while requiring only small stencils. Especially for applications involving comparatively smooth problems, higher-order approaches promise significant gains in computational speed for reaching a desired target accuracy. Here, we introduce our new astrophysical DG code TENET designed for applications in cosmology, and discuss our first results for 3D simulations of subsonic turbulence. We show that our new DG implementation provides accurate results for subsonic turbulence, at considerably reduced computational cost compared with traditional finite volume methods. In particular, we find that DG needs about 1.8 times fewer degrees of freedom to achieve the same accuracy and at the same time is more than 1.5 times faster, confirming its substantial promise for astrophysical applications.Comment: 21 pages, 7 figures, to appear in Proceedings of the SPPEXA symposium, Lecture Notes in Computational Science and Engineering (LNCSE), Springe

Time-ordering and a generalized Magnus expansion

Both the classical time-ordering and the Magnus expansion are well-known in the context of linear initial value problems. Motivated by the noncommutativity between time-ordering and time derivation, and related problems raised recently in statistical physics, we introduce a generalization of the Magnus expansion. Whereas the classical expansion computes the logarithm of the evolution operator of a linear differential equation, our generalization addresses the same problem, including however directly a non-trivial initial condition. As a by-product we recover a variant of the time ordering operation, known as T*-ordering. Eventually, placing our results in the general context of Rota-Baxter algebras permits us to present them in a more natural algebraic setting. It encompasses, for example, the case where one considers linear difference equations instead of linear differential equations

Emotion: Appraisal-coping model for the "Cascades" problem

Modelling emotion has become a challenge nowadays. Therefore, several models have been produced in order to express human emotional activity. However, only a few of them are currently able to express the close relationship existing between emotion and cognition. An appraisal-coping model is presented here, with the aim to simulate the emotional impact caused by the evaluation of a particular situation (appraisal), along with the consequent cognitive reaction intended to face the situation (coping). This model is applied to the "Cascades" problem, a small arithmetical exercise designed for ten-year-old pupils. The goal is to create a model corresponding to a child's behaviour when solving the problem using his own strategies.Comment: 6 page

Decay of Classical Chaotic Systems - the Case of the Bunimovich Stadium

The escape of an ensemble of particles from the Bunimovich stadium via a small hole has been studied numerically. The decay probability starts out exponentially but has an algebraic tail. The weight of the algebraic decay tends to zero for vanishing hole size. This behaviour is explained by the slow transport of the particles close to the marginally stable bouncing ball orbits. It is contrasted with the decay function of the corresponding quantum system.Comment: 16 pages, RevTex, 3 figures are available upon request from [email protected], to be published in Phys.Rev.

Theoretical study of incoherent phi photoproduction on a deuteron target

We study the photoproduction of phi mesons in deuteron, paying attention to the modification of the cross section from bound protons to the free ones with the aim of comparing with recent results at LEPS. For this purpose we take into account Fermi motion in single scattering and rescattering of the phi to account for phi absorption on a second nucleon as well as the rescattering of the proton. We find that the contribution of the double scattering is much smaller than the typical cross section of gamma p to phi p in free space, which implies a very small screening of the phi production in deuteron. The contribution from the proton rescattering, on the other hand, is found to be not negligible compared to the cross section of gamma p to phi p in free space, and leads to a moderate reduction of the phi photoproduction cross section on a deuteron at forward angles if LEPS set up is taken into account. The Fermi motion allows contribution of the single scattering in regions forbidden by phase space in the free case. In particular, we find that for momentum transferred squared close to the maximum value, the Fermi motion changes drastically the shape of d sigma / dt, to the point that the ratio of this cross section to the free one becomes very sensitive to the precise value of t chosen, or the size of the bin used in an experimental analysis. Hence, this particular region of t does not seem the most indicated to find effects of a possible phi absorption in the deuteron. This reaction is studied theoretically as a function of t and the effect of the experimental angular cuts at LEPS is also discussed, providing guidelines for future experimental analyses of the reaction.Comment: 17 pages, 16 figure

Symmetries of Pairing Correlations in Superconductor-Ferromagnet Nanostructures

Using selection rules imposed by the Pauli principle, we classify pairing correlations according to their symmetry properties with respect to spin, momentum, and energy. We observe that inhomogeneity always leads to mixing of even- and odd-energy pairing components. We investigate the superconducting pairing correlations present near interfaces between superconductors and ferromagnets, with focus on clean systems consisting of singlet superconductors and either weak or half-metallic ferromagnets. Spin-active scattering in the interface region induces all of the possible symmetry components. In particular, the long-range equal-spin pairing correlations have odd-frequency s-wave and even-frequency p-wave components of comparable magnitudes. We also analyze the Josephson current through a half-metal. We find analytic expressions and an interesting universality in the temperature dependence of the critical current in the tunneling limit.Comment: 20 pages, 5 figures, added citations, corrected typo