Effective-one-body Hamiltonian with next-to-leading order spin-spin coupling

We propose a way of including the next-to-leading (NLO) order spin-spin coupling into an effective-one-body (EOB) Hamiltonian. This work extends [S. Balmelli and P. Jetzer, Phys. Rev. D 87, 124036 (2013)], which is restricted to the case of equatorial orbits and aligned spins, to general orbits with arbitrary spin orientations. This is done applying appropriate canonical phase-space transformations to the NLO spin-spin Hamiltonian in Arnowitt-Deser-Misner (ADM) coordinates, and systematically adding "effectiv" quantities at NLO to all spin-squared terms appearing in the EOB Hamiltonian. As required by consistency, the introduced quantities reduce to zero in the test- mass limit. We expose the result both in a general gauge and in a gauge-fixed form. The last is chosen such as to minimize the number of new coefficients that have to be inserted into the effective spin squared. As a result, the 25 parameters that describe the ADM NLO spin-spin dynamics get condensed into only 12 EOB terms.Comment: 12 pages, 1 figure. Submitted to Phys. Rev.

Gonococcal Tonsillar Infection—ACase Report and Literature Review

Abstract. : Oral gonococcal infection is an uncommon but well-described manifestation of gonococcal infection, usually described as pharyngitis in the literature. Tonsillitis is much rarer and its role in the clinical presentation in oral gonorrhea is less clear. We describe a case of oral gonorrhea presenting with tonsillitis and a discrete cervical lymphadenopathy and present a review of the literature from 1961 to 2002. Of the 512 reported cases of oral gonococcal infection, only 61 have been described to be tonsillitis. The tonsils were invariably enlarged and infected. A whitish-yellow exudate in the cryptae was described in 12 cases (20.6%). Fever and cervical lymphadenopathy appear to be rather uncommon, since they have been described in only five (8.2%) and six (9.3%) of the 61 patients with tonsillitis, respectively. Gonococcal tonsillitis should be included in the differential diagnosis of tonsillitis in sexually active patient

Quasiuniversal properties of neutron star mergers

Binary neutron star mergers are studied using nonlinear 3+1 numerical relativity simulations and the analytical effective-one-body (EOB) model. The EOB model predicts quasiuniversal relations between the mass-rescaled gravitational wave frequency and the binding energy at the moment of merger, and certain dimensionless binary tidal coupling constants depending on the stars Love numbers, compactnesses and the binary mass ratio. These relations are quasiuniversal in the sense that, for a given value of the tidal coupling constant, they depend significantly neither on the equation of state nor on the mass ratio, though they do depend on stars spins. The spin dependence is approximately linear for small spins aligned with the orbital angular momentum. The quasiuniversality is a property of the conservative dynamics; nontrivial relations emerge as the binary interaction becomes tidally dominated. This analytical prediction is qualitatively consistent with new, multi-orbit numerical relativity results for the relevant case of equal-mass irrotational binaries. Universal relations are thus expected to characterize neutron star mergers dynamics. In the context of gravitational wave astronomy, these universal relations may be used to constrain the neutron star equation of state using waveforms that model the merger accurately

A yeast-based bioassay for the determination of functional and non-functional estrogen receptors

The response to endocrine therapy of breast cancer is not entirely predictable from hormone receptor status alone since some point mutated or splicing variants of the estrogen receptor (ER) show altered biological activities. In order to characterize the activities of all forms of ER in a heterogeneous breast tumor, a functional assay in Saccharomyces cerevisiae was developed. Total RNA isolated from breast cancer cells and one breast cancer specimen was reverse transcribed and the ER cDNA was amplified by PCR. The products were then cloned into an expression vector by in vivo homologous recombination in yeast. The yeast strain carries a reporter gene (ADE2) coupled to an estrogen response element. Activation of the reporter by ER yielded white colonies whereas lack of ER activity produced red colonies. This permitted the testing for functionality of individual ER molecules and subsequent analysis by rescuing of the ER expression plasmids and complete DNA sequencing. This simple visual test allows discrimination between wild-type ER, constitutively active ER and inactive E

Contact tracing investigation after professional exposure to tuberculosis in a Swiss hospital using both tuberculin skin test and IGRA.

SETTING: A 950 bed teaching hospital in Switzerland. AIM: To describe the result of a contact investigation among health care workers (HCW) and patients after exposure to a physician with smear-positive pulmonary tuberculosis in a hospital setting using standard tuberculin skin tests (TST) and Interferon-gamma release assay (IGRA). METHOD: HCW with a negative or unknown TST at hiring had a TST two weeks after the last contact with the index case (T0), repeated six weeks later if negative (T6). All exposed HCW had a T-SPOT.TB at T0 and T6. Exposed patients had a TST six weeks after the last contact, and a T-SPOT.TB if the TST was positive. RESULTS: Among 101 HCW, 17/73 (22%) had a positive TST at T0. TST was repeated in 50 at T6 and converted from negative to positive in eight (16%). Twelve HCW had a positive T-SPOT.TB at T0 and ten converted from negative to positive at T6. Seven HCW with a positive T-SPOT.TB reverted to negative at T6 or at later controls, most of them with test values close to the cut-off. Among 27 exposed patients tested at six weeks, ten had a positive TST, five of them confirmed by a positive T-SPOT.TB. CONCLUSIONS: HCW tested twice after exposure to a case of smear-positive pulmonary TB demonstrated a possible conversion in 10% with T-SPOT and 16% with TST. Some T-SPOT.TB reverted from positive to negative during the follow-up, mostly tests with a value close to the cut-off. Due to the variability of the test results, it seems advisable to repeat the test with values close to the cut-off before diagnosing the presence of a tuberculous infection

Highly analysable, reusable, and realisable architectural designs with XCD

Connector-Centric Design (XcD) is a new approach to specifying software architectures. XcD views complex connectors as highly significant in architectural designs, as it is the complex connectors that non-functional quality properties in systems can emanate from. So, XcD promotes in designs a clean separation of connectors (interaction behaviours) from components (functional behaviours). Designers can then specify connectors in detail explicitly thus easing the analysis of system designs for quality properties. Furthermore, XcD separates control behaviour from connectors as control strategies. Architectural designs in XcD thus become highly modular with re-usable components, connectors, and control strategies (representing design solutions for quality properties). The end result is the eased architectural experimentation with different design solutions by re-using components/connectors and formal analysis of these solutions to find out the optimal ones

Xcd - Modular, Realizable Software Architectures

Connector-Centric Design (Xcd) is centred around a new formal architectural description language, focusing mainly on complex connectors. Inspired by Wright and BIP, Xcd aims to cleanly separate in a modular manner the high-level functional, interaction, and control system behaviours. This can aid in both increasing the understandability of architectural specifications and the reusability of components and connectors themselves. Through the independent specification of control behaviours, Xcd allows designers to experiment more easily with different design decisions early on, without having to modify the functional behaviour specifications (components) or the interaction ones(connectors). At the same time Xcd attempts to ease the architectural specification by following (and extending) a Design-by-Contract approach, which is more familiar to software developers than process algebras like CSP or languages like BIP that are closer to synchronous/hardware specification languages. Xcd extends Design-by-Contract (i) by separating component contracts into functional and interaction sub-contracts, and (ii) by allowing service consumers to specify their own contractual clauses. Xcd connector specifications are completely decentralized, foregoing Wright’s connector glue, to ensure their realizability by construction

Utile or futile: biomarkers in the ICU

Biomarkers complement other clinical information by proving quantitative data regarding a pathophysiological mechanism that can be used for the early diagnosis of a specific disease, to monitor and guide treatment, and to predict the risk of death or other adverse events. The stronger the link between the information provided by the biomarker and the immediate clinical course of action that we physicians take in response, the higher the clinical utility of the biomarker. This link is weakest for prognostic biomarkers applied in patients with a wide variety of diseases, such as in unselected intensive care unit (ICU) patients. Although the added value on top of current ICU mortality scores seems to be too low to justify clinical use, the observation that hemodynamic cardiac stress and inflammation are present in multiple conditions provides important insights into the pathophysiology of common disorders in the ICU

Early diagnosis of acute myocardial infarction in patients with pre-existing coronary artery disease using more sensitive cardiac troponin assays

Aims We sought to examine the diagnostic and prognostic utility of sensitive cardiac troponin (cTn) assays in patients with pre-existing coronary artery disease (CAD). Methods and results We conducted a multicentre study to examine the diagnostic accuracy of one high-sensitive and two sensitive cTn assays in 1098 consecutive patients presenting with symptoms suggestive of acute myocardial infarction (AMI), of whom 401 (37%) had pre-existing CAD. Measurements of Roche high-sensitive cTnT (hs-cTnT), Siemens cTnI-Ultra, Abbott-Architect cTnI and the standard assay (Roche cTnT) were performed in a blinded fashion. The final diagnosis was adjudicated by two independent cardiologists. Acute myocardial infarction was the final diagnosis in 19% of CAD patients. Among patients with diagnoses other than AMI, baseline cTn levels were elevated above the 99th percentile with Roche hs-cTnT in 40%, with Siemens TnI-Ultra in 15%, and Abbott-Architect cTnI in 13% of them. In patients with pre-existing CAD, the diagnostic accuracy at presentation, quantified by the area under the receiver operator characteristic curve (AUC), was significantly greater for the sensitive cTn assays compared with the standard assay (AUC for Roche hs-cTnT, 0.92; Siemens cTnI-Ultra, 0.94; and Abbott-Architect cTnI, 0.93 vs. AUC for the standard assay, 0.87; P < 0.01 for all comparisons). Elevated levels of cTn measured with the sensitive assays predicted mortality irrespective of pre-existing CAD, age, sex, and cardiovascular risk factors. Conclusion Sensitive cTn assays have high-diagnostic accuracy also in CAD patients. Mild elevations are common in non-AMI patients and test-specific optimal cut-off levels tend to be higher in CAD patients than in patients without history of CAD. Sensitive cTn assays also retain prognostic value. (ClinicalTrials.gov number, NCT00470587