22 research outputs found

    Total Anterior Staphyloma Secondary to Acanthamoeba Keratitis.

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    ABSTRACT There are very few published cases of total anterior staphyloma, all of which have been reported as secondary to fungal keratitis. This study reports the clinical and histopathological findings and subsequent management of a 27-year-old healthy female patient who developed total anterior staphyloma after poor compliance with treatment for clinically diagnosed acanthamoeba keratitis. She underwent a successful evisceration with good long-term results. This case highlights that total anterior staphyloma may also result from untreated keratitis which is not fungal in origin. In cases of fungal and acanthamoeba keratitis, patient compliance with both treatment and follow-up is paramount to avoid vision-threatening sequelae that present significant challenges in their management

    CO2-dependent opening of connexin 26 and related beta connexins

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    We have previously shown connexin mediated CO2-dependent ATP release from the surface of the medulla oblongata. Given the localization of connexin 26 (Cx26) to the chemosensing areas of the medulla, we have tested in a heterologous expression system (HeLa cells) whether Cx26 may be sensitive to changes in P-CO2. Cx26 responded to an increase in P-CO2 at constant extracellular pH by opening and to a decrease in P-CO2 by closing. Furthermore, Cx26 was partially activated at a physiological P-CO2 of around 40 mmHg. Cx26 in isolated patches responded to changes in P-CO2, suggesting direct CO2 sensitivity of the hemichannel to CO2. Heterologous expression of Cx26 in HeLa cells was sufficient to endow them with the capacity to release ATP in a CO2-sensitive manner. We have examined other heterologously expressed connexins for their ability to respond to changes in P-CO2. The closely related beta connexins Cx30 and Cx32 also displayed sensitivity to changes in P-CO2, but with slightly different characteristics from Cx26. The more distant Cx43 exhibited CO2-dependent closing (possibly mediated through intracellular acidification), while Cx36 displayed no CO2 sensitivity. These surprising findings suggest that connexins may play a hitherto unappreciated variety of signalling roles, and that Cx26 and related beta connexins may impart direct sensitivity to CO2 throughout the brain

    NUCLEAR DETERRENCE AND NORTH KOREA―DISSUASION OR PERSUASION?

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    The threat of nuclear war has been a possibility since the first atomic device was invented during World War II. From the end of World War II through the Cold War period, the greatest risk of nuclear proliferation was between the main superpowers at the time, the United States and the Soviet Union. U.S. nuclear deterrence doctrine promised mutually assured destruction (MAD): if the Soviets were to launch a nuclear missile at the United States, the United States would retaliate in such a way to ensure the annihilation of the Soviet Union. The global economic, social, and political environment has changed since the end of the Cold War; however, the threat of atomic warfare still exists with the emergence of the Democratic People’s Republic of North Korea as a nuclear threat. This thesis explores the question of whether the doctrine developed during the Cold War is still valid: Is the U.S. nuclear strategy sufficient to deter North Korea from attacking the United States and its allies in the East Asian region? In formulating an answer to the question, the author analyzed the motivations, perceptions, and intentions of North Korea’s regime from the country’s formation to present day. While it is clear that the original Cold War MAD doctrine will not work for North Korea, it is recommended that the right combination of MAD elements, conventional forces, UN sanctions, and negotiations will provide a chance for the denuclearization of the Korean Peninsula to become a reality.Approved for public release; distribution is unlimited.Civilian, Department of Homeland Securityhttp://archive.org/details/nucleardeterrenc109456408

    Religious Syncretism and Literary Innovation. New Perspectives on Bhakti and Rasas in the Vijñānagītā by Keshavdas

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    The Vijñānagītā (1610) is one of the last works composed by Keśavadāsa. As a work of his old age, growing apart from Rīti mannerism and courtly themes, it seems to answer to the author’s enquiry for spirituality and religious desire. The author’s literary concern is expressed in the framework of the allegory, which represents a structural device enriching the potentiality of poetic significance. The Vijñānagītā is one of the many Hindi adaptations of the Prabodhacandrodaya by Kṛṣṇamiśra, enriched with many philosophical and religious hints coming from different religious traditions. Giving up any mere translation of the Sanskrit text, the author inserts the classical allegoric drama about the war between Mahāmoha and Viveka within the religious and cultural context of the early Seventeenth century north India. The story becomes a pretext to compose a compendium of philosophy extending from classical purāṇic lore, to treatises on moral, up to the popular attitude for devotion in later Vaishavism. Some interesting influences of Bhakti can be traced out in the many quotations taken from the most disparate works, such as Yogavāśiṣṭa. Purāṇas, Rāmāyaṇa up to the Nāṭyaśāstra, allowing hypothesizing some relationship with the concepts of rasas belonging to classical aesthetics applied to the metaphysics of devotion. Dealing with a concept already theorized by Caitanya and well-known in some Vaishnava circles, he interprets the theory of aesthetic emotions in the new context of devotionalism, allowing tracing some connections between the Rīti poetry developed in the literary setting of courts and the popular Bhakti tradition, which so far had always been considered as detached from it, on the basis of different intents and expressive techniques

    Role of legislature in the democratization process in Malawi

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    Among the many countries that underwent the democratization process in Africa in the mid-1990s, Malawi remains in the transition process while struggling to fully consolidate. Its parliament faces challenges impacting its performance of the core functions: executive oversight, constituency service and legislation. Despite the challenges the Malawi parliament faces, it distinguished itself in 2002 when it helped to maintain constitutionality by denying the president's bid to change the constitution to allow him to stand beyond the constitutional limit of two terms. Since then, the parliament has been less effective in performing its main functions. This thesis compares the parliament's performance of its core functions in the periods 1994-2004 and 2004-2009 to explain why its performance declined over time. It finds that the struggle for control of the House undermined the parliament's ability to perform these key functions, and thereby weakened the democratization process.Approved for public release; distribution is unlimited.Malawi Defence Force author updated aq 04/13/2011.http://archive.org/details/roleoflegislatur10945506

    Fermionic Hamiltonians without trivial low-energy states

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    One of the main problems in computational physics is predicting the low-energy behavior of many-body quantum systems. The computational complexity of this problem, however, is relatively poorly understood. A recent major progress in this direction has been the no low-energy trivial states (NLTS) theorem; it gives a family of qubit Hamiltonians whose low-energy states cannot be reached by shallow quantum circuits. In this work we provide a fermionic counterpart to this theorem, constructing local fermionic Hamiltonians with no low-energy trivial states. Distinct from the qubit case, we define trivial states via finite-depth fermionic quantum circuits. We further strengthen the result, allowing free access to (generally, deep) Gaussian fermionic circuits into our notion of a trivial state. The desired fermionic Hamiltonian can be constructed using any qubit Hamiltonian which has the NLTS property via well-spread distributions over bitstrings. We also define a fermionic analog of quantum probabilistically checkable proofs (PCPs) and explore the relation of fermionic PCP class with the qubit version
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