A case of toxicity to excess 'carbocaine' with probable reactivity of rheumatic disease

No Abstrac

Kinetic Anomalies in Addition-Aggregation Processes

We investigate irreversible aggregation in which monomer-monomer, monomer-cluster, and cluster-cluster reactions occur with constant but distinct rates K_{MM}, K_{MC}, and K_{CC}, respectively. The dynamics crucially depends on the ratio gamma=K_{CC}/K_{MC} and secondarily on epsilon=K_{MM}/K_{MC}. For epsilon=0 and gamma<2, there is conventional scaling in the long-time limit, with a single mass scale that grows linearly in time. For gamma >= 2, there is unusual behavior in which the concentration of clusters of mass k, c_k decays as a stretched exponential in time within a boundary layer k<k* propto t^{1-2/gamma} (k* propto ln t for gamma=2), while c_k propto t^{-2} in the bulk region k>k*. When epsilon>0, analogous behaviors emerge for gamma<2 and gamma >= 2.Comment: 6 pages, 2 column revtex4 format, for submission to J. Phys.

The impact of loco-regional recurrences on metastatic progression in early-stage breast cancer: a multistate model

To study whether the effects of prognostic factors associated with the occurrence of distant metastases (DM) at primary diagnosis change after the incidence of loco-regional recurrences (LRR) among women treated for invasive stage I or II breast cancer. The study population consisted of 3,601 women, enrolled in EORTC trials 10801, 10854, or 10902 treated for early-stage breast cancer. Data were analysed in a multivariate, multistate model by using multivariate Cox regression models, including a state-dependent covariate. The presence of a LRR in itself is a significant prognostic risk factor (HR: 3.64; 95%-CI: 2.02-6.5) for the occurrence of DM. Main prognostic risk factors for a DM are young age at diagnosis (</=40: HR: 1.79; 95%-CI: 1.28-2.51), larger tumour size (HR: 1.58; 95%-CI: 1.35-1.84) and node positivity (HR: 2.00; 95%-CI: 1.74-2.30). Adjuvant chemotherapy is protective for a DM (HR: 0.66; 95%-CI: 0.55-0.80). After the occurrence of a LRR the latter protective effect has disappeared (P = 0.009). The presence of LRR in itself is a significant risk factor for DM. For patients who are at risk of developing LRR, effective local control should be the main target of therapy

Fluctuation-driven insulator-to-metal transition in an external magnetic field

We consider a model for a metal-insulator transition of correlated electrons in an external magnetic field. We find a broad region in interaction and magnetic field where metallic and insulating (fully magnetized) solutions coexist and the system undergoes a first-order metal-insulator transition. A global instability of the magnetically saturated solution precedes the local ones and is caused by collective fluctuations due to poles in electron-hole vertex functions.Comment: REVTeX 4 pages, 3 PS figure

Diagnostic hysteroscopy and saline infusion sonography in the diagnosis of intrauterine abnormalities: an assessment of patient preference

This study was conducted to assess whether women would prefer to undergo saline infusion sonography (SIS) or office hysteroscopy for the investigation of the uterine cavity. In a randomised controlled trial, 100 patients underwent SIS or office hysteroscopy for assessing patients' pain scores. After the investigation, 92 of them were asked to fill out an anonymous questionnaire addressing their preference regarding the method of evaluation and treatment of the uterine cavity. A control group, consisting of 50 women who never underwent SIS or office hysteroscopy, was also asked to complete an identical questionnaire. The questionnaire was completed by 113 women (83.7%). Twenty-four (21.2%) women would opt for SIS, whereas 52 (46.0%) would opt for office hysteroscopy, and 37 (32.7%) had no preference. If therapy would be necessary, 48.7% of the women would opt for an outpatient treatment, whereas 33.0% of the women would prefer treatment under general anaesthesia. Despite the fact that SIS is less painful, the majority of the women prefer office hysteroscopy. Additionally, therapy in an outpatient setting is preferred to a day case setting

Temperature dependence of antiferromagnetic order in the Hubbard model

We suggest a method for an approximative solution of the two dimensional Hubbard model close to half filling. It is based on partial bosonisation, supplemented by an investigation of the functional renormalisation group flow. The inclusion of both the fermionic and bosonic fluctuations leads in lowest order to agreement with the Hartree-Fock result or Schwinger-Dyson equation and cures the ambiguity of mean field theory . We compute the temperature dependence of the antiferromagnetic order parameter and the gap below the critical temperature. We argue that the Mermin-Wagner theorem is not practically applicable for the spontaneous breaking of the continuous spin symmetry in the antiferromagnetic state of the Hubbard model. The long distance behavior close to and below the critical temperature is governed by the renormalisation flow for the effective interactions of composite Goldstone bosons and deviates strongly from the Hartree-Fock result.Comment: New section on critical behavior 31 pages,17 figure

Phase separation and the segregation principle in the infinite-U spinless Falicov-Kimball model

The simplest statistical-mechanical model of crystalline formation (or alloy formation) that includes electronic degrees of freedom is solved exactly in the limit of large spatial dimensions and infinite interaction strength. The solutions contain both second-order phase transitions and first-order phase transitions (that involve phase-separation or segregation) which are likely to illustrate the basic physics behind the static charge-stripe ordering in cuprate systems. In addition, we find the spinodal-decomposition temperature satisfies an approximate scaling law.Comment: 19 pages and 10 figure

Dynamically coupling full Stokes and shallow shelf approximation for marine ice sheet flow using Elmer/Ice (v8.3)

Ice flow forced by gravity is governed by the full Stokes (FS) equations, which are computationally expensive to solve due to the nonlinearity introduced by the rheology. Therefore, approximations to the FS equations are commonly used, especially when modeling a marine ice sheet (ice sheet, ice shelf, and/or ice stream) for 103 years or longer. The shallow ice approximation (SIA) and shallow shelf approximation (SSA) are commonly used but are accurate only for certain parts of an ice sheet. Here, we report a novel way of iteratively coupling FS and SSA that has been implemented in Elmer/Ice and applied to conceptual marine ice sheets. The FS–SSA coupling appears to be very accurate; the relative error in velocity compared to FS is below 0.5&thinsp;% for diagnostic runs and below 5&thinsp;% for prognostic runs. Results for grounding line dynamics obtained with the FS–SSA coupling are similar to those obtained from an FS model in an experiment with a periodical temperature forcing over 3000 years that induces grounding line advance and retreat. The rapid convergence of the FS–SSA coupling shows a large potential for reducing computation time, such that modeling a marine ice sheet for thousands of years should become feasible in the near future. Despite inefficient matrix assembly in the current implementation, computation time is reduced by 32&thinsp;%, when the coupling is applied to a 3-D ice shelf.</p

A Survey of Numerical Solutions to the Coagulation Equation

We present the results of a systematic survey of numerical solutions to the coagulation equation for a rate coefficient of the form A_ij \propto (i^mu j^nu + i^nu j^mu) and monodisperse initial conditions. The results confirm that there are three classes of rate coefficients with qualitatively different solutions. For nu \leq 1 and lambda = mu + nu \leq 1, the numerical solution evolves in an orderly fashion and tends toward a self-similar solution at large time t. The properties of the numerical solution in the scaling limit agree with the analytic predictions of van Dongen and Ernst. In particular, for the subset with mu > 0 and lambda < 1, we disagree with Krivitsky and find that the scaling function approaches the analytically predicted power-law behavior at small mass, but in a damped oscillatory fashion that was not known previously. For nu \leq 1 and lambda > 1, the numerical solution tends toward a self-similar solution as t approaches a finite time t_0. The mass spectrum n_k develops at t_0 a power-law tail n_k \propto k^{-tau} at large mass that violates mass conservation, and runaway growth/gelation is expected to start at t_crit = t_0 in the limit the initial number of particles n_0 -> \infty. The exponent tau is in general less than the analytic prediction (lambda + 3)/2, and t_0 = K/[(lambda - 1) n_0 A_11] with K = 1--2 if lambda > 1.1. For nu > 1, the behaviors of the numerical solution are similar to those found in a previous paper by us. They strongly suggest that there are no self-consistent solutions at any time and that runaway growth is instantaneous in the limit n_0 -> \infty. They also indicate that the time t_crit for the onset of runaway growth decreases slowly toward zero with increasing n_0.Comment: 41 pages, including 14 figures; accepted for publication in J. Phys.