71 research outputs found

    5-Fluorouracil-induced cardiotoxicity mimicking myocardial infarction: a case report

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    BACKGROUND: Severe cardiotoxicity is a documented, but very unusual side-effect of intravenous 5-fluorouracil therapy. The mechanism producing cardiotoxicity is poorly understood. CASE PRESENTATION: A case of 5-fluorouracil-induced cardiotoxicity, possibly due to coronary artery spasm, and mimicking acute anterolateral myocardial infarction is presented and discussed. Electrocardiographs highlighting the severity of the presentation are included in the report along with coronary angiograms demonstrating the absence of significant coronary atherosclerosis. CONCLUSION: Severe 5-fluorouracil-induced cardiotoxicity is rare, but can be severe and may mimic acute myocardial infarction, leading to diagnostic and therapeutic dilemmas. Readministration of 5-fluorouracil is not advised following an episode of cardiotoxicity

    Ground State Vortex Lattice Structures in d-wave Superconductors

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    We show in a realistic dx2y2d_{x^{2}-y^{2}} symmetry gap model for a cuprate superconductor that the clean vortex lattice has discontinuous structural transitions (at and near T=0), as a function of the magnetic field BB along the c-axis. The transitions arise from the singular nonlocal and anisotropic susceptibility of the dx2y2d_{x^{2}-y^{2}} superconductor to the perturbation caused by supercurrents associated with vortices. The susceptibility, due to virtual Dirac quasiparticle-hole excitation, is calculated carefully, and leads to a ground state transition for the triangular lattice from an orientation along one of the crystal axis to one at 45o^o to them, i.e, along the gap zero direction. The field scale is seen to be 5 Tesla (Δ0/ta)2Φ0 \sim (\Delta_{0}/ta)^{2}\Phi_{0}, where Δ0\Delta_{0} is the gap maximum, tt is the nearest neighbour hopping, aa is the lattice constant, and Φ0\Phi_{0} is the flux quantum. At much higher fields (28T\sim 28T) there is a discontinuous transition to a centred square structure. The source of the differences from existing calculations, and experimental observability are discussed, the latter especially in view of the very small (a few degrees KK per vortex) differences in the ground state energy.Comment: To be published in Phys. Rev.

    Antiferromagnetic Domains and Superconductivity in UPt3

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    We explore the response of an unconventional superconductor to spatially inhomogeneous antiferromagnetism (SIAFM). Symmetry allows the superconducting order parameter in the E-representation models for UPt3 to couple directly to the AFM order parameter. The Ginzburg-Landau equations for coupled superconductivity and SIAFM are solved numerically for two possible SIAFM configurations: (I) abutting antiferromagnetic domains of uniform size, and (II) quenched random disorder of `nanodomains' in a uniform AFM background. We discuss the contributions to the free energy, specific heat, and order parameter for these models. Neither model provides a satisfactory account of experiment, but results from the two models differ significantly. Our results demonstrate that the response of an E_{2u} superconductor to SIAFM is strongly dependent on the spatial dependence of AFM order; no conclusion can be drawn regarding the compatibility of E_{2u} superconductivity with UPt3 that is independent of assumptions on the spatial dependence of AFMComment: 12 pages, 13 figures, to appear in Phys. Rev.

    Odd Frequency Pairing in the Kondo Lattice

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    We discuss the possibility that heavy fermion superconductors involve odd-frequency pairing of the kind first considered by Berezinskii. Using a toy model for odd frequency triplet pairing in the Kondo lattice we are able to examine key properties of this new type of paired state. To make progress treating the strong nf=1n_f=1 constraint in the Kondo lattice model we use the technical trick of a Majorana representation of the local moments, which permits variational treatments of the model without a Gutzwiller approximation. The simplest mean field theory involves the development of bound states between the local moments and conduction electrons, characterized by a spinor order parameter. We show that this state is a stable realization of odd frequency triplet superconductivity with surfaces of gapless excitations whose spin and charge coherence factors vanish linearly in the quasiparticle energy. A T3T^3 NMR relaxation rate coexists with a linear specific heat. We discuss possible extensions of our toy model to describe heavy fermion superconductivity.Comment: 67 page

    Depilated (dep), a Mutant Gene That Affects the Coat of the Mouse and Acts in the Epidermis

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    Depilated is a recessive mutation on Chromosome 4 in the position b(-)1.93±0.51(-) dep(-)3.45±0.68.(-)Pt. It causes severe abnormalities of hair structure. The site of action of dep was investigated by the method of dermal-epidermal recombination. Skins from 14-day mutant and normal mouse embryos were separated into dermal and epidermal components, recombined, and grown in histocompatible mouse testes for 20 days. The recombinations made were +/+ epidermis with +/+ dermis, +/+ epidermis with dep/dep dermis, dep/dep epidermis with +/+ dermis and dep/dep epidermis with dep/dep dermis. Grafts that contained mutant epidermis as one of the components produced hairs that were similar to those found in depilated mice. There was no observable effect of the dermis on hair types produced in this experiment

    Potential reduction of contralateral second breast-cancer risks by prophylactic mammary irradiation: validation in a breast-cancer-prone mouse model.

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    Long-term breast-cancer survivors have a highly elevated risk (1 in 6 at 20 years) of contralateral second breast cancer. This high risk is associated with the presence of multiple pre-malignant cell clones in the contralateral breast at the time of primary breast cancer diagnosis. Mechanistic analyses suggest that a moderate dose of X-rays to the contralateral breast can kill these pre-malignant clones such that, at an appropriate Prophylactic Mammary Irradiation (PMI) dose, the long-term contralateral breast cancer risk in breast cancer survivors would be considerably decreased.To test the predicted relationship between PMI dose and cancer risk in mammary glands that have a high risk of developing malignancies.We tested the PMI concept using MMTV-PyVT mammary-tumor-prone mice. Mammary glands on one side of each mouse were irradiated with X-rays, while those on the other side were shielded from radiation. The unshielded mammary glands received doses of 0, 4, 8, 12 and 16 Gy in 4-Gy fractions.In high-risk mammary glands exposed to radiation doses designed for PMI (12 and 16 Gy), tumor incidence rates were respectively decreased by a factor of 2.2 (95% CI, 1.1-5.0) at 12 Gy, and a factor of 3.1 (95% CI, 1.3-8.3) at 16 Gy, compared to those in the shielded glands that were exposed to very low radiation doses. The same pattern was seen for PMI-exposed mammary glands relative to zero-dose controls.The pattern of cancer risk reduction by PMI was consistent with mechanistic predictions. Contralateral breast PMI may thus have promise as a spatially targeted breast-conserving option for reducing the current high risk of contralateral second breast cancers. For estrogen-receptor positive primary tumors, PMI might optimally be used concomitantly with systemically delivered chemopreventive drugs such as tamoxifen or aromatase inhibitors, while for estrogen-receptor negative tumors, PMI might be used alone
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