Lesson of the month 2: An easily missed cause of confusion

We describe the case of an 85-year-old woman who developed acute confusion, acute kidney injury and temperature spikes while on extended courses of beta-lactams for osteomyelitis. The cause of her deterioration was felt to be due to sepsis when in fact it was as a result of toxicity from antibiotics. This was demonstrated by a rapid resolution in her condition following haemodialysis. We also performed a literature review to appraise the neuro and nephrotoxicity of various antibiotics and how best to manage toxicity when it occurs

Evolution of helicity in NOAA 10923 over three consecutive solar rotations

We have studied the evolution of magnetic helicity and chirality in an active region over three consecutive solar rotations. The region when it first appeared was named NOAA10923 and in subsequent rotations it was numbered NOAA 10930, 10935 and 10941. We compare the chirality of these regions at photospheric, chromospheric and coronal heights. The observations used for photospheric and chromospheric heights are taken from Solar Vector Magnetograph (SVM) and H_alpha imaging telescope of Udaipur Solar Observatory (USO), respectively. We discuss the chirality of the sunspots and associated H_alpha filaments in these regions. We find that the twistedness of superpenumbral filaments is maintained in the photospheric transverse field vectors also. We also compare the chirality at photospheric and chromospheric heights with the chirality of the associated coronal loops, as observed from the HINODE X-Ray Telescope.Comment: 8 pages, 4 figure

Giant cell tumour of the flexor tendon sheath of the hand

Background: Giant cell tumor of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. Recurrence of the tumor is common even after excision.Methods: It is an observational study where we present a review of 10 cases for which excision was done and were kept for regular follow up for minimum 6 months.Results: No recurrences noted in our series with minimum six months to maximum two years follow-up though review literature shows 10-40% recurrence rates.Conclusions: Complete excision with regular follow up care is indicated for this neoplasm due to its high propensity towards recurrence. The most important factor deciding recurrence pattern is incomplete excision and leaving behind satellite nodules.

Drawdown prepreg coating method using epoxy terminated butadiene nitrile rubber to improve fracture toughness of glass epoxy composites

Laminates of fibre-reinforced prepreg have excellent in-plane mechanical properties, but have inadequate performance in the through thickness direction. Here, we address this issue by application of epoxy-terminated butadiene nitrile (ETBN) liquid rubber between the prepreg laminae using an automatic draw bar coating technique. Test results reveal that by adding ETBN in small quantities in the range of 9.33–61.33 g/m2, the interlaminar critical energy release rates (GIc and GIIc) are improved by up to 122% in mode-I and 49% in mode-II. Moreover, this finding is further supported by the dynamic mechanical analysis thermograms that clearly indicate that coating has not altered the Tg of ETBN-coated samples. Scanning electron microscopic analysis of fracture surfaces showed that rubber particles formed micro cavitations in the epoxy, causing localised rubber rich regions. These resin-rich regions require more energy to fracture, resulting in increased toughness of the glass epoxy prepreg systems. </jats:p

Accelerating Universe from an Evolving Lambda in Higher Dimension

We find exact solutions in five dimensional inhomogeneous matter dominated model with a varying cosmological constant. Adjusting arbitrary constants of integration one can also achieve acceleration in our model. Aside from an initial singularity our spacetime is regular everywhere including the centre of the inhomogeneous distribution. We also study the analogous homogeneous universe in (4+d) dimensions. Here an initially decelerating model is found to give late acceleration in conformity with the current observational demands. We also find that both anisotropy and number of dimensions have a role to play in determining the time of flip, in fact the flip is delayed in multidimensional models. Some astrophysical parameters like the age, luminosity distance etc are also calculated and the influence of extra dimensions is briefly discussed. Interestingly our model yields a larger age of the universe compared to many other quintessential models.Comment: 18 pages, 9 figure

Osteosclerosis in the extinct Cayaoa Bruneti (Aves, anseriformes) : insights on behavior and fligftlessness

Fil: Mendoza, Ricardo de. División Paleontología Vertebrados. Facultad de Ciencias Naturales y Museo. Universidad Nacional de La PlataFil: Tambussi, Claudia Patricia. Centro de Investigaciones en Ciencias de la Tierra (CICTERRA). Universidad Nacional de Córdoba; Argentin

Kaluza-Klein Type Robertson Walker Cosmological Model With Dynamical Cosmological Term Λ\Lambda

In this paper we have analyzed the Kaluza-Klein type Robertson Walker (RW) cosmological models by considering three different forms of variable $\Lambda$: $\Lambda\sim(\frac{\dot{a}}{a})^2$,$\Lambda\sim(\frac{\ddot{a}} {a})$ and $\Lambda \sim \rho$. It is found that, the connecting free parameters of the models with cosmic matter and vacuum energy density parameters are equivalent, in the context of higher dimensional space time. The expression for the look back time, luminosity distance and angular diameter distance are also derived. This work has thus generalized to higher dimensions the well-known results in four dimensional space time. It is found that there may be significant difference in principle at least, from the analogous situation in four dimensional space time.Comment: 16 pages, no figur

Dark sectors 2016 Workshop: community report

This report, based on the Dark Sectors workshop at SLAC in April 2016, summarizes the scientific importance of searches for dark sector dark matter and forces at masses beneath the weak-scale, the status of this broad international field, the important milestones motivating future exploration, and promising experimental opportunities to reach these milestones over the next 5-10 years

Higher Dimensional Cosmological Implications Of A Decay Law For Λ\Lambda Term : Expressions For Some Observable Quantities

Implications of cosmological model with a cosmological term of the form $\Lambda = \beta \frac{\ddot {a}}{a}$, where $\beta$ is a constant, are analyzed in multidimensional space time. The proper distance, the luminosity distance-redshift, the angular diameter distance-redshift, and look back time-redshift for the model are presented. It has been shown that such models are found to be compatible with the recent observations. This work has thus generalized to higher dimensions the well-know result in four dimensional space time. It is found that there may be significant difference in principle at least,from the analogous situation in four dimensional space time.Comment: 11 pages, no figur