Late spontaneous rupture of the extensor pollicis longus tendon after corticosteroid injection for flexor tenosynovitis

INTRODUCTION: Spontaneous rupture of the extensor pollicis longus (EPL) tendon has been reported after trauma, rheumatoid arthritis and sports. Rupture may also occur as a consequence of the use of anabolic steroids for recreational purposes, or systemic steroids for the treatment of a variety of medical conditions. CASE REPORT: We present a case report of a woman affected with a spontaneous EPL tendon rupture resulted 14 months after a corticosteroid injection for flexor tenosynovitis, "trigger finger," of the thumb. The edges of the tendon were debrided and sutured using figure of eight stitch and a running locked stitch. In addition multiple specimens were sent to Pathology. DISCUSSION: Duplay in 1876 described spontaneous rupture as a problem of mechanical and pressure phenomena. Another cause of EPL rupture is related to the development and persistence of inflammatory processes seen in patients with medical illnesses such as rheumatoid arthritis. There have been no reports in the literature to date of spontaneous EPL tendon rupture in the late period after steroid injection. Tendon ruptures in the hand usually occur one or two weeks after a corticosteroid injection, and the affected tendons are usually in neighbouring areas

Quantum machine learning: a classical perspective

Recently, increased computational power and data availability, as well as algorithmic advances, have led machine learning techniques to impressive results in regression, classification, data-generation and reinforcement learning tasks. Despite these successes, the proximity to the physical limits of chip fabrication alongside the increasing size of datasets are motivating a growing number of researchers to explore the possibility of harnessing the power of quantum computation to speed-up classical machine learning algorithms. Here we review the literature in quantum machine learning and discuss perspectives for a mixed readership of classical machine learning and quantum computation experts. Particular emphasis will be placed on clarifying the limitations of quantum algorithms, how they compare with their best classical counterparts and why quantum resources are expected to provide advantages for learning problems. Learning in the presence of noise and certain computationally hard problems in machine learning are identified as promising directions for the field. Practical questions, like how to upload classical data into quantum form, will also be addressed.Comment: v3 33 pages; typos corrected and references adde

East Asian hydroclimate modulated by the position of the westerlies during Termination I.

Speleothem oxygen isotope records have revolutionized our understanding of the paleo East Asian monsoon, yet there is fundamental disagreement on what they represent in terms of the hydroclimate changes. We report a multiproxy speleothem record of monsoon evolution during the last deglaciation from the middle Yangtze region, which indicates a wetter central eastern China during North Atlantic cooling episodes, despite the oxygen isotopic record suggesting a weaker monsoon. We show that this apparent contradiction can be resolved if the changes are interpreted as a lengthening of the Meiyu rains and shortened post-Meiyu stage, in accordance with a recent hypothesis. Model simulations support this interpretation and further reveal the role of the westerlies in communicating the North Atlantic influence to the East Asian climate

Resolving the M2-brane

We construct deformed, T^2 wrapped, rotating M2-branes on a resolved cone over Q^{1,1,1} and Q^{1,1,1}/Z_2, as well as on a product of two Eguchi-Hanson instantons. All worldvolume directions of these supersymmetric and regular solutions are fibred over the transverse space. These constitute gravity duals of D=3, N=2 gauge theories. In particular, the deformed M2-brane on a resolved cone over Q^{1,1,1} and the S^1 wrapped M2-brane on a resolved cone over Q^{1,1,1}/Z_2 provide explicit realizations of holographic renormalization group flows in M-theory for which both conformal and Lorentz symmetries are broken in the IR region and restored in the UV limit. These solutions can be dualized to supersymmetric type IIB pp-waves, which are rendered non-singular either by additional flux or a twisted time-like direction.Comment: Latex, 23 pages, references adde

An hydrodynamic shear instability in stratified disks

We discuss the possibility that astrophysical accretion disks are dynamically unstable to non-axisymmetric disturbances with characteristic scales much smaller than the vertical scale height. The instability is studied using three methods: one based on the energy integral, which allows the determination of a sufficient condition of stability, one using a WKB approach, which allows the determination of the necessary and sufficient condition for instability and a last one by numerical solution. This linear instability occurs in any inviscid stably stratified differential rotating fluid for rigid, stress-free or periodic boundary conditions, provided the angular velocity $\Omega$ decreases outwards with radius $r$. At not too small stratification, its growth rate is a fraction of $\Omega$. The influence of viscous dissipation and thermal diffusivity on the instability is studied numerically, with emphasis on the case when $d \ln \Omega / d \ln r =-3/2$ (Keplerian case). Strong stratification and large diffusivity are found to have a stabilizing effect. The corresponding critical stratification and Reynolds number for the onset of the instability in a typical disk are derived. We propose that the spontaneous generation of these linear modes is the source of turbulence in disks, especially in weakly ionized disks.Comment: 19 pages, 13 figures, to appear in A&

The T Tauri star RY Tau as a case study of the inner regions of circumstellar dust disks

We study the inner region of the circumstellar disk around the TTauri star RY Tau. Our aim is to find a physical description satisfying the available interferometric data, obtained with the mid-infrared interferometric instrument at the Very Large Telescope Interferometer, as well as the spectral energy distribution. We also compare the findings with the results of similar studies, including those of intermediate-mass stars. Our analysis is done within the framework of a passive circumstellar disk, which is optionally supplemented by the effects of accretion and an added envelope. To achieve a more consistent and realistic model, we used our continuum transfer code MC3D. In addition, we studied the shape of the 10um silicate emission feature in terms of the underlying dust population, both for single-dish and for interferometric measurements. We show that a modestly flaring disk model with accretion can explain both the observed spectral energy distribution and the mid-infrared visibilities obtained with the mid-infrared infrared instrument. We found an interesting ambiguity: a circumstellar active disk model with an added envelope, and a lower accretion rate than in the active disk model without envelope, could represent the observations equally as well. This type of model with the envelope should be considered a viable alternative in future models of other TTauri stars. The approach of a disk with a puffed-up inner rim wall and the influence of a stellar companion is also discussed. From the study of the silicate emission feature we see evidence for dust evolution in a TTauri star, with a decreasing fraction of small amorphous and an increasing fraction of crystalline particles closer to the star.Comment: 19 pages, 23 figures; accepted by Astronomy & Astrophysic

The Edgeworth-Kuiper debris disk

(Abridged) The Edgeworth-Kuiper belt with its presumed dusty debris is a natural reference for extrsolar debris disks. We employ a new algorithm to eliminate the inclination and the distance selection effects in the known TNO populations to derive expected parameters of the "true" EKB. Its estimated mass is M_EKB=0.12 M_earth, which is by a factor of \sim 15 larger than the mass of the EKB objects detected so far. About a half of the total EKB mass is in classical and resonant objects and another half is in scattered ones. Treating the debiased populations of EKB objects as dust parent bodies, we then "generate" their dust disk with our collisional code. Apart from accurate handling of collisions and direct radiation pressure, we include the Poynting-Robertson (P-R) drag, which cannot be ignored for the EKB dust disk. Outside the classical EKB, the radial profile of the optical depth approximately follows tau \sim r^-2 which is roughly intermediate between the slope predicted analytically for collision-dominated (r^-1.5) and transport-dominated (r^-2.5) disks. The cross section-dominating grain size still lies just above the blowout size (\sim 1...2 \microm), as it would without the P-R transport. However, if the EKB were by one order of magnitude less massive, the optical depth profile would fall off as tau \sim r^-3, and the cross section-dominating grain size would shift from \sim 1...2\microm to ~100 \microm. These properties are seen if dust is assumed to be generated only by known TNOs. If the solar system were observed from outside, the thermal emission flux from the EKB dust would be about two orders of magnitude lower than for solar-type stars with the brightest known infrared excesses observed from the same distance. Herschel and other new-generation facilities should reveal extrasolar debris disks nearly as tenuous as the EKB disk. The Herschel/PACS instrument should be able to detect disks at a \sim 1...2M_EKB level.Comment: 18 pages, 14 figures, accepted for publication in A&

Chiral unitary approach to S-wave meson baryon scattering in the strangeness S=0 sector

We study the S-wave interaction of mesons with baryons in the strangeness S=0 sector in a coupled channel unitary approach. The basic dynamics is drawn from the lowest order meson baryon chiral Lagrangians. Small modifications inspired by models with explicit vector meson exchange in the t-channel are also considered. In addition the pi pi N channel is included and shown to have an important repercussion in the results, particularly in the isospin 3/2 sector.Comment: 23 pages, LaTeX, 21 figure