6,654 research outputs found

    First-Order Transition and Critical End-Point in Vortex Liquids in Layered Superconductors

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    We calculate various thermodynamic quantities of vortex liquids in a layered superconductor by using the nonperturbative parquet approximation method, which was previously used to study the effect of thermal fluctuations in two-dimensional vortex systems. We find there is a first-order transition between two vortex liquid phases which differ in the magnitude of their correlation lengths. As the coupling between the layers increases,the first-order transition line ends at a critical point. We discuss the possible relation between this critical end-point and the disappearance of the first-order transition which is observed in experiments on high temperature superconductors at low magnetic fields.Comment: 9 pages, 5 figure

    Modified Appleby Procedure with Arterial Reconstruction for Locally Advanced Pancreatic Adenocarcinoma: A Literature Review and Report of Three Unusual Cases.

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    BACKGROUND: Pancreatic body and tail ductal adenocarcinomas are often diagnosed with local vascular invasion of the celiac axis (CA) and its various branches. With such involvement, these tumors have traditionally been considered unresectable. The modified Appleby procedure allows for margin negative resection of some such locally advanced tumors. This procedure involves distal pancreatectomy with en bloc splenectomy and CA resection and relies on the presence of collateral arterial circulation via an intact pancreaticoduodenal arcade and the gastroduodenal artery to maintain prograde hepatic arterial perfusion. When the resultant collateral circulation is inadequate to provide sufficient hepatic and gastric arterial inflow, arterial reconstruction (AR) is necessary to supercharge the inflow. Herein, we review all reported cases of AR with modified Appleby procedures that we have identified in the literature, and we report our experience of three recent cases with arterial reconstruction including two cases with arterial bypasses not requiring interposition grafting. METHODS: Perioperative and oncologic outcomes from our Institutional Review Board-approved database of pancreatic resections at the Thomas Jefferson University were reviewed. Additionally, PubMed search for cases of distal or total pancreatectomy with celiac axis resection and concurrent AR was performed. RESULTS: From the literature, 12 reports involving 28 patients were identified of distal and total pancreatectomy with AR after CA resection. The most common AR in the literature, performed in 12 patients, was a bypass from the aorta to the common hepatic artery (CHA) using a variety of interposition conduits. In our institutional experience, patient #1 had a primary side-to-end aorto-CHA bypass, patient #2 had a primary end-to-end bypass of the transected distal CHA to the left gastric artery in the setting a replaced left hepatic artery, and patient #3 required an aortic to proper hepatic artery bypass with saphenous vein graft and portal venous reconstruction. All patients recovered from their operations without ischemic complications, and they are currently 16, 15, and 13 months post-op, respectively. CONCLUSIONS: The criteria for resectability in patients with locally advanced pancreatic body and tail neoplasms are expanding due to increasing experience with AR in the setting of the modified Appleby procedure. When performing AR, primary arterial re-anastomosis may be considered preferable to interposition grafting as it decreases the potential for the infectious and thrombotic complications associated with conduits and it reduces the number of vascular anastomoses from two to one. Consideration must also be given to normal variant anatomy of the hepatic circulation during operative planning as the origin of the left gastric artery is resected with the CA. The modified Appleby procedure with AR, when used in appropriately selected patients, offers the potential for safe, margin negative resection of locally advanced pancreatic body and tail tumors

    No evidence of a significant role for CTLA-4 in multiple sclerosis

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    Variation in the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) gene plays a significant role in determining susceptibility to autoimmune thyroid disease and type 1 diabetes. Its role in multiple sclerosis is more controversial. In order to explore this logical candidate more thoroughly, we genotyped 771 multiple sclerosis trio families from the United Kingdom for the 3? untranslated region variable number tandem repeat, the CT60 single nucleotide polymorphism (SNP) and five haplotype-tagging SNPs. No individual marker or common haplotype showed evidence of association with disease. These data suggest that any effect of CTLA-4 on multiple sclerosis susceptibility is likely to be very small

    Chevalier Jackson, M.D. (1865-1958): Il ne se repose jamais.

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    In the final year of the American Civil War, 1865, Chevalier Jackson was born on the 4th of November just outside Pittsburgh, Pennsylvania. The eldest of three sons of a poor, livestock-raising family, Jackson was raised in a period of social and political unrest. He was perhaps an even more unrestful boy. The description of his childhood days from his father’s father—Il ne se repose jamais, ‘‘He never rests’’—would ultimately reflect the man, doctor, and evangelist Jackson would later become.1 Indeed, he never did rest, Jackson would tirelessly pave the way for modern bronchoscopy and endoscopy as a whole; bringing international renown not only to himself, but also to his specialty

    Surface acoustic wave solid-state rotational micromotor

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    Surface acoustic waves (SAWs) are used to drive a 1mm diameter rotor at speeds exceeding 9000 rpm and torque of nearly 5 nNm. Unlike recent high-speed SAW rotary motors, however, the present design does not require a fluid coupling layer but interestingly exploits adhesive stiction as an internal preload, a force usually undesirable at these scales; with additional preloads, smaller rotors can be propelled to 15 000 rpm. This solid-state motor has no moving parts except for the rotor and is sufficiently simple to allow integration into miniaturized drive systems for potential use in microfluidic diagnostics, optical switching and microrobotics

    Transmitting high power RF acoustic radiation via fluid couplants into superstrates for microfluidics

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    In this study, surface acoustic radiation is refracted from lithium niobate through a fluid coupling into a thin glass plate. We demonstrate and explain its propagation as an asymmetric Lamb wave along the glass plate with sufficient power to transport fluid droplets across the glass surface at 8 mm/s. Such technology enables the use of standard processing techniques to fabricate an inexpensive and disposable microfluidics device together with the power transmission capabilities of surface acoustic wave devices with an easily renewable coupling

    Non-commutative field theory approach to two-dimensional vortex liquid system

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    We investigate the non-commutative (NC) field theory approach to the vortex liquid system restricted to the lowest Landau level (LLL) approximation. NC field theory effectively takes care of the phase space reduction of the LLL physics in a ⋆\star-product form and introduces a new gauge invariant form of a quartic potential of the order parameter in the Ginzburg-Landau (GL) free energy. This new quartic interaction coupling term has a non-trivial equivalence relation with that obtained by Br\'ezin, Nelson and Thiaville in the usual GL framework. The consequence of the equivalence is discussed.Comment: Add vortex lattice formation, more references, and one autho

    Samuel D. Gross, M.D. (1805-1884): an innovator, even in death.

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    Dr. Samuel Gross\u27 contributions to the field of surgery are well known and range from numerous clinical advances to pioneering scholarship and professional activities. Dr. Gross was ceaselessly ambitious and even remarked in his autobiography that his ‘‘conviction has always been that is far better for a man to wear out than to rust out.’’1 It is through this frame of motivation that Dr. Gross lived his life
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