What is Causing This Man\u27s Rectal Pain and Urinary Retention?

Case: A 23-year-old man presented to an urgent care office with a 2-week history of rectal pain and scant rectal bleeding. In the few days leading up to his presentation, he also had a fever of 101° F (38.3° C), inguinal lymphadenopathy, and urinary retention

An Algorithm for constructing Hjelmslev planes

Projective Hjelmslev planes and Affine Hjelmselv planes are generalisations of projective planes and affine planes. We present an algorithm for constructing a projective Hjelmslev planes and affine Hjelsmelv planes using projective planes, affine planes and orthogonal arrays. We show that all 2-uniform projective Hjelmslev planes, and all 2-uniform affine Hjelsmelv planes can be constructed in this way. As a corollary it is shown that all 2-uniform Affine Hjelmselv planes are sub-geometries of 2-uniform projective Hjelmselv planes.Comment: 15 pages. Algebraic Design Theory and Hadamard matrices, 2014, Springer Proceedings in Mathematics & Statistics 13

An explanation of the Newman-Janis Algorithm

After the original discovery of the Kerr metric, Newman and Janis showed that this solution could be ``derived'' by making an elementary complex transformation to the Schwarzschild solution. The same method was then used to obtain a new stationary axisymmetric solution to Einstein's field equations now known as the Kerr-newman metric, representing a rotating massive charged black hole. However no clear reason has ever been given as to why the Newman-Janis algorithm works, many physicist considering it to be an ad hoc procedure or ``fluke'' and not worthy of further investigation. Contrary to this belief this paper shows why the Newman-Janis algorithm is successful in obtaining the Kerr-Newman metric by removing some of the ambiguities present in the original derivation. Finally we show that the only perfect fluid generated by the Newman-Janis algorithm is the (vacuum) Kerr metric and that the only Petrov typed D solution to the Einstein-Maxwell equations is the Kerr-Newman metric.Comment: 14 pages, no figures, submitted to Class. Quantum Gra

Hysteresis and competition between disorder and crystallization in sheared and vibrated granular flow

Experiments on spherical particles in a 3D Couette cell vibrated from below and sheared from above show a hysteretic freezing/melting transition. Under sufficient vibration a crystallized state is observed, which can be melted by sufficient shear. The critical line for this transition coincides with equal kinetic energies for vibration and shear. The force distribution is double-peaked in the crystalline state and single-peaked with an approximately exponential tail in the disordered state. A linear relation between pressure and volume ($dP/dV > 0$) exists for a continuum of partially and/or intermittently melted states over a range of parameters

Complications of Pulmonary Angiography

Although data are available indicating the complication rates for routine cardiac catheterization, information has been lacking on the morbidity of pulmonary angiography in symptomatic patients. This retrospective study was undertaken to assess the risks of this procedure, by analyzing all cases undergoing pulmonary angiography from June 10, 1964. to December 31, 1967. Only two deaths were considered to be causally related to the pulmonary angiogram, a mortality rate of 1.4%. The overall complication rate was 15%. There was no correlation of the complications with the average age, or the concentration of the Hypaque used. There was a correlation between complications and the mean pulmonary artery pressure, if the pulmonary angiogram was positive. The patients least likely to tolerate the procedure are the patients in whom a definite diagnosis of pulmonary embolism and knowledge of its extent is imperative. Because of this, and because of the difficulty in establishing causal relationship, the relatively high incidence of complications is not considered to be an indictment of this diagnostic procedure

The Effects of Turbulence on Three-Dimensional Magnetic Reconnection at the Magnetopause

Two- and three-dimensional particle-in-cell simulations of a recent encounter of the Magnetospheric Multiscale Mission (MMS) with an electron diffusion region at the magnetopause are presented. While the two-dimensional simulation is laminar, turbulence develops at both the x-line and along the magnetic separatrices in the three-dimensional simulation. The turbulence is strong enough to make the magnetic field around the reconnection island chaotic and produces both anomalous resistivity and anomalous viscosity. Each contribute significantly to breaking the frozen-in condition in the electron diffusion region. A surprise is that the crescent-shaped features in velocity space seen both in MMS observations and in two-dimensional simulations survive, even in the turbulent environment of the three-dimensional system. This suggests that MMS's measurements of crescent distributions do not exclude the possibility that turbulence plays an important role in magnetopause reconnection.Comment: Revised version accepted by GR

The evolutionary state of short-period magnetic white dwarf binaries

We present phase-resolved spectroscopy of two new short-period low accretion rate magnetic binaries, SDSS J125044.42+154957.3 (Porb= 86 min) and SDSS J151415.65+074446.5 (Porb= 89 min). Both systems were previously identified as magnetic white dwarfs from the Zeeman splitting of the Balmer absorption lines in their optical spectra. Their spectral energy distributions exhibit a large near-infrared excess, which we interpret as a combination of cyclotron emission and possibly a late-type companion star. No absorption features from the companion are seen in our optical spectra. We derive the orbital periods from a narrow, variable Hα emission line which we show to originate on the companion star. The high radial velocity amplitude measured in both systems suggests a high orbital inclination, but we find no evidence for eclipses in our data. The two new systems resemble the polar EF Eri in its prolonged low state and also SDSS J121209.31+013627.7, a known magnetic white dwarf plus possible brown dwarf binary, which was also recovered by our method