Multiple Myeloma Therapy: Emerging Trends and Challenges

Multiple myeloma (MM) is a complex hematologic malignancy characterized by the uncontrolled proliferation of clonal plasma cells in the bone marrow that secrete large amounts of immunoglobulins and other non-functional proteins. Despite decades of progress and several landmark therapeutic advancements, MM remains incurable in most cases. Standard of care frontline therapies have limited durable efficacy, with the majority of patients eventually relapsing, either early or later. Induced drug resistance via up-modulations of signaling cascades that circumvent the effect of drugs and the emergence of genetically heterogeneous sub-clones are the major causes of the relapsed-refractory state of MM. Cytopenias from cumulative treatment toxicity and disease refractoriness limit therapeutic options, hence creating an urgent need for innovative approaches effective against highly heterogeneous myeloma cell populations. Here, we present a comprehensive overview of the current and future treatment paradigm of MM, and highlight the gaps in therapeutic translations of recent advances in targeted therapy and immunotherapy. We also discuss the therapeutic potential of emerging preclinical research in multiple myeloma.

High-T_{c} Superconductivity in FeSe at High Pressure: Dominant Hole Carriers and Enhanced Spin Fluctuations

The importance of electron-hole interband interactions is widely acknowledged for iron-pnictide superconductors with high transition temperatures (T_{c}). However, the absence of hole pockets near the Fermi level of the iron-selenide (FeSe) derived high-T_{c} superconductors raises a fundamental question of whether iron pnictides and chalcogenides have different pairing mechanisms. Here, we study the properties of electronic structure in the high-T_{c} phase induced by pressure in bulk FeSe from magnetotransport measurements and first-principles calculations. With increasing pressure, the low-T_{c} superconducting phase transforms into the high-T_{c} phase, where we find the normal-state Hall resistivity changes sign from negative to positive, demonstrating dominant hole carriers in contrast to other FeSe-derived high-T_{c} systems. Moreover, the Hall coefficient is enlarged and the magnetoresistance exhibits anomalous scaling behaviors, evidencing strongly enhanced interband spin fluctuations in the high-T_{c} phase. These results in FeSe highlight similarities with high-T_{c} phases of iron pnictides, constituting a step toward a unified understanding of iron-based superconductivity.

Photomediated Larvicidal Activity of Pheophorbide a against Cercaria Larvae of Fasciola gigantica

Fasciolosis is a parasitic disease caused by Fasciola gigantica. The freshwater snail Lymnaea acuminata is the intermediate host of F. gigantica which cause endemic fasciolosis in the northern part of India. To investigate larvicidal activity of pure and laboratory extracted pheophorbide a (Pa) against cercaria larvae of F. gigantica, data were analyzed in different spectra of visible light, sunlight, and laboratory conditions. Photostimulation of chlorophyll derivative pheophorbide a (Pa) caused time and concentration dependent larvicidal activity against cercaria larvae of F. gigantica. Larvicidal activity of pure Pa under 650 nm and 400-650 nm (8 h LC₅₀ 0.006 mg/10 mL) was more pronounced than extracted Pa under same irradiations (650 nm LC₅₀ 0.12 mg/10 mL, 400-650 nm LC₅₀ 0.14 mg/10 mL). Lowest toxicity of pure (8 h LC₅₀ 0.14 mg/10 mL) and extracted Pa (8 h LC₅₀ 1.25 mg/10 mL) was noted under 400 nm. Pa was found to be toxic in laboratory conditions also. The results presented in this paper indicate that pheophorbide a possess potential larvicidal activity against Fasciola gigantica larvae in different wavelengths of visible light, sunlight, and laboratory conditions.

Candidate Elastic Quantum Critical Point in LaCu_{6-x}Au_{x}

The structural properties of LaCu_{6-x}Au_{x} are studied using neutron diffraction, x-ray diffraction, and heat capacity measurements. The continuous orthorhombic-monoclinic structural phase transition in LaCu_{6} is suppressed linearly with Au substitution until a complete suppression of the structural phase transition occurs at the critical composition x_{c}=0.3. Heat capacity measurements at low temperatures indicate residual structural instability at x_{c}. The instability is ferroelastic in nature, with density functional theory calculations showing negligible coupling to electronic states near the Fermi level. The data and calculations presented here are consistent with the zero temperature termination of a continuous structural phase transition suggesting that the LaCu_{6-x}Au_{x} series hosts an elastic quantum critical point.

Spin-orbit coupling control of anisotropy, ground state and frustration in 5d(2) Sr2MgOsO6

The influence of spin-orbit coupling (SOC) on the physical properties of the 5d² system Sr₂MgOsO₆ is probed via a combination of magnetometry, specific heat measurements, elastic and inelastic neutron scattering, and density functional theory calculations. Although a significant degree of frustration is expected, we find that Sr₂MgOsO₆ orders in a type I antiferromagnetic structure at the remarkably high temperature of 108 K. The measurements presented allow for the first accurate quantification of the size of the magnetic moment in a 5d² system of 0.60(2) μ_B–a significantly reduced moment from the expected value for such a system. Furthermore, significant anisotropy is identified via a spin excitation gap, and we confirm by first principles calculations that SOC not only provides the magnetocrystalline anisotropy, but also plays a crucial role in determining both the ground state magnetic order and the size of the local moment in this compound. Through comparison to Sr₂ScOsO₆, it is demonstrated that SOC-induced anisotropy has the ability to relieve frustration in 5d² systems relative to their 5d³ counterparts, providing an explanation of the high T_N found in Sr₂MgOsO₆.

ANTHELMINTIC ACTIVITY OF CHLOROPHYLLIN AGAINST DIFFERENT LARVAL STAGES OF Fasciola gigantica

Fasciolosis is a food borne zoonosis, caused by the digenetic trematode Fasciola. Freshwater lymnaeid snails are the intermediate host of the trematodes. Chlorophyllin, a semi-synthetic derivative of chlorophyll and its formulations obtained from freeze dried cow urine (FCU) had their toxicity tested against redia and cercaria larvae of F. gigantica. The larvicidal activity of chlorophyllin and its formulations were found to depend on both, time and concentration used against the larvae. Toxicity of chlorophyllin + FCU (1:1 ratio) in sunlight against redia larva (8 h LC₅₀: 0.03 mg/mL) was more pronounced than using just chlorophyllin (8 h LC₅₀: 0.06 mg/mL). Toxicity of chlorophyllin + FCU in sunlight against redia (8 h LC₅₀: 0.03 mg/mL) was higher than against cercaria (8 h LC₅₀: 0.06 mg/mL). The larvicidal activity of chlorophyllin in sunlight (redia/cercaria larvae: 8 h LC₅₀: 0.06 mg/mL) was more pronounced than under laboratory conditions (redia: 8 h LC₅₀: 22.21 mg/mL/, cercaria 8 h LC₅₀: 96.21 mg/mL). Toxicity of FCU against both larvae was lower than that of chlorophyllin and chlorophyllin + FCU. Chlorophyllin and its formulations + FCU were 357.4 to 1603.5 times more effective against redia/cercaria larvae in sunlight than under laboratory conditions. The present study has shown that chlorophyllin formulations may be used as potent larvicides against fasciolosis.

Phytotherapy of chlorophyllin exposed Lymnaea acuminata: A new biotechnological tool for fasciolosis control

Phytotherapy of chlorophyllin formulations against Fasciola gigantica infected Lymnaea acuminata under sunlight exposure was highly toxic against redia and cercaria larvae. Binary combinations (1:1 ratio) of chlorophyllin (CHL) + freeze dried cow urine (FCU) were more toxic against cercariae (8 h LC₅₀: 9.6 mg L^- 1) than single treatment with chlorophyllin (8 h LC₅₀: 12.6 mg L^- 1) in sunlight. The larvicidal activity of sunlight exposed CHL against rediae (8 h LC₅₀: 13.5 mg L^- 1) and cercariae (8 h LC₅₀: 12.6 mg L^- 1) was more pronounced than laboratory conditions CHL treatment (rediae- 8 h LC₅₀: 305.9 mg L^- 1; cercariae- 8 h LC₅₀: 765.4 mg L^- 1). Larvicidal activity of FCU was less than CHL and CHL + FCU against both redia and cercaria. Chlorophyllin and its formulations were more toxic against redia and cercaria larvae in sunlight than laboratory conditions. CHL and its different formulations may be used as potent larvicides against Fasciola gigantica larvae. Chlorophyllin formulations will be economical, ecologically sounder and their use in aquatic environment will be safe.

Ferromagnetism and nonmetallic transport of thin-film α-FeSi(2): a stabilized metastable material

A metastable phase α-FeSi_{2} was epitaxially stabilized on a silicon substrate using pulsed laser deposition. Nonmetallic and ferromagnetic behaviors are tailored on α-FeSi_{2} (111) thin films, while the bulk material of α-FeSi_{2} is metallic and nonmagnetic. The transport property of the films renders two different conducting states with a strong crossover at 50 K, which is accompanied by the onset of a ferromagnetic transition as well as a substantial magnetoresistance. These experimental results are discussed in terms of the unusual electronic structure of α-FeSi_{2} obtained within density functional calculations and Boltzmann transport calculations with and without strain. Our finding sheds light on achieving ferromagnetic semiconductors through both their structure and doping tailoring, and provides an example of a tailored material with rich functionalities for both basic research and practical applications.

Toxicity of chlorophyllin in different wavelengths of visible light against Fasciola gigantica larvae

Toxicity of chlorophyllin against redia and cercaria larvae of Fasciola gigantica was studied under irradiation of visible light. Highest and lowest toxicity of chlorophyllin against both larvae was noted under red (redia - 8 h LC₅₀ 7.88 mg/10 mL and cercaria - 11.99 mg/10 mL) and green (redia - 8 h LC₅₀ 32.12 mg/10 mL and cercaria - 8 h LC₅₀ 43.80 mg/10 mL) light irradiation respectively. The highest toxicity of chlorophyllin under red light irradiation against redia (8h LC₅₀ 7.88 mg/10 mL)/cercaria (8h LC₅₀ 11.99 mg/10 mL) was followed by white (8 h LC₅₀ redia - 20.48 mg/10 mL, 8 h LC₅₀ cercaria - 18.0 3mg/10 mL), blue (8 h LC₅₀ redia - 33.10 mg/10 mL/ 8 h LC₅₀ cercaria - 19.98 mg/10 mL) and yellow (8 h LC₅₀ redia - 23.87 mg/10 mL/ 8 h LC₅₀ cercaria - 23.48 mg/10 mL). Chlorophyllin treatment in darkness (control I) and without treatment of chlorophyllin, while all other conditions were same as treatment group (control II) caused no mortality of redia/cercaria larva. Chlorophyllin might be a promising new safe strategy to replace synthetic larvicide in fasciolosis control programme.

Phonon self-energy and origin of anomalous neutron scattering spectra in SnTe and PbTe thermoelectrics

The anharmonic lattice dynamics of rock-salt thermoelectric compounds SnTe and PbTe are investigated with inelastic neutron scattering (INS) and first-principles calculations. The experiments show that, surprisingly, although SnTe is closer to the ferroelectric instability, phonon spectra in PbTe exhibit a more anharmonic character. This behavior is reproduced in first-principles calculations of the temperature-dependent phonon self-energy. Our simulations reveal how the nesting of phonon dispersions induces prominent features in the self-energy, which account for the measured INS spectra and their temperature dependence. We establish that the phase space for three-phonon scattering processes, combined with the proximity to the lattice instability, is the mechanism determining the complex spectrum of the transverse-optic ferroelectric mode.

Development of Chitosan-based Dry Powder Inhalation System of Cisplatin for Lung Cancer

Cisplatin, a platinum compound, exerts its cytotoxic effects by coordinating to DNA where it inhibits both replication and transcription, and induces programmed cell death. It is used in the treatment of non-small cell lung cancer. In the present study, an attempt was made to achieve better treatment of lung cancer by direct lung delivery of cisplatin microparticulate systems, which helps to localize the drug in the lungs, and also provide sustained action. Cisplatin-loaded chitosan microspheres were prepared by emulsification and ionotropic gelation method, and characterized for drug content, particle size, densities, flow properties, moisture content, and surface topography by SEM and in vitro drug release was evaluated in simulated lung fluid at 37° at pH 7.4. The respirable or fine particle fraction (FPF) was determined by using twin stage impinger (TSI). Further stability evaluation of cisplatin-loaded DPI systems was carried out at 25°/60% RH and at 40°/75% RH.

Inhalational system for Etoposide liposomes: formulation development and in vitro deposition

Etoposide is a semisynthetic compound, widely used in treatment of non small cell lung cancer. However, frequent dosing and adverse effects remain a major concern in the use of etoposide. Liposomal systems for pulmonary drug delivery have been particularly attractive because of their compatibility with lung surfactant components. In the present investigation, pulmonary liposomal delivery system of etoposide was prepared by film hydration method. Various parameters were optimized with respect to entrapment efficiency as well as particle size of etoposide liposomes. For better shelf life of etoposide liposomes, freeze drying using trehalose as cryoprotectant was carried out. The liposomes were characterized for entrapment efficiency, particle size, surface topography, and in vitro drug release was carried out in simulated lung fluid at 37° at pH 7.4. The respirable or fine particle fraction was determined by using twin stage impinger. The stability study of freeze dried as well as aqueous liposomal systems was carried out at 2-8° and at ambient temperature (28±4°). The freeze dried liposomes showed better fine particle fraction and drug content over the period of six months at ambient as well as at 2-8° storage condition compared to aqueous dispersion of liposomes.

Quasi-one-dimensional magnons in an intermetallic marcasite

We present inelastic neutron scattering measurements and first principles calculations examining the intermetallic marcasite CrSb(2). The observed spin-wave dispersion implies that the magnetic interactions are strongly one-dimensional with antiferromagnetic chains parallel to the crystalline c axis. Such low-dimensional excitations are unexpected in a semiconducting intermetallic system. Moreover, we observe a clear anisotropic thermal conductivity indicating that the magnetic anisotropy enhances thermoelectric properties along particular crystallographic directions.

Spin ice: magnetic excitations without monopole signatures using muon spin rotation

Theory predicts the low temperature magnetic excitations in spin ices consist of deconfined magnetic charges, or monopoles. A recent transverse-field (TF) muon spin rotation (μSR) experiment [S. T. Bramwell et al., Nature (London) 461, 956 (2009)] reports results claiming to be consistent with the temperature and magnetic field dependence anticipated for monopole nucleation-the so-called second Wien effect. We demonstrate via a new series of μSR experiments in Dy(2)Ti(2)O(7) that such an effect is not observable in a TF μSR experiment. Rather, as found in many highly frustrated magnetic materials, we observe spin fluctuations which become temperature independent at low temperatures, behavior which dominates over any possible signature of thermally nucleated monopole excitations.

Giant anharmonic phonon scattering in PbTe

Understanding the microscopic processes affecting the bulk thermal conductivity is crucial to develop more efficient thermoelectric materials. PbTe is currently one of the leading thermoelectric materials, largely thanks to its low thermal conductivity. However, the origin of this low thermal conductivity in a simple rocksalt structure has so far been elusive. Using a combination of inelastic neutron scattering measurements and first-principles computations of the phonons, we identify a strong anharmonic coupling between the ferroelectric transverse optic mode and the longitudinal acoustic modes in PbTe. This interaction extends over a large portion of reciprocal space, and directly affects the heat-carrying longitudinal acoustic phonons. The longitudinal acoustic-transverse optic anharmonic coupling is likely to play a central role in explaining the low thermal conductivity of PbTe. The present results provide a microscopic picture of why many good thermoelectric materials are found near a lattice instability of the ferroelectric type.

Low-temperature magnetothermal transport investigation of a Ni-based superconductor BaNi2As2: evidence for fully gapped superconductivity

We have performed low-temperature specific heat and thermal conductivity measurements of the Ni-based superconductor BaNi2As2 (T{c}=0.7 K) in a magnetic field. In a zero field, thermal conductivity shows T-linear behavior in the normal state and exhibits a BCS-like exponential decrease below T{c}. The field dependence of the residual thermal conductivity extrapolated to zero temperature is indicative of a fully gapped superconductor. This conclusion is supported by the analysis of the specific heat data, which are well fit by the BCS temperature dependence from T{c} down to the lowest temperature of 0.1 K.

Evidence for strong itinerant spin fluctuations in the normal state of CeFeAsO0.89F0.11 iron-oxypnictide superconductors

The electronic structure in the normal state of CeFeAsO0.89F0.11 oxypnictide superconductors has been investigated with x-ray absorption and photoemission spectroscopy. All of the data exhibit signatures of Fe d-electron itinerancy. Exchange multiplets appearing in the Fe 3s core level indicate the presence of itinerant spin fluctuations. These findings suggest that the underlying physics and the origin of superconductivity in these materials are likely to be quite different from those of the cuprate high-temperature superconductors. These materials provide opportunities for elucidating the role of magnetic fluctuations in high-temperature superconductivity.

Unconventional superconductivity with a sign reversal in the order parameter of LaFeAsO1-xFx

We argue that the newly discovered superconductivity in a nearly magnetic, Fe-based layered compound is unconventional and mediated by antiferromagnetic spin fluctuations, though different from the usual superexchange and specific to this compound. This resulting state is an example of extended s-wave pairing with a sign reversal of the order parameter between different Fermi surface sheets. The main role of doping in this scenario is to lower the density of states and suppress the pair-breaking ferromagnetic fluctuations.

Fermi surface and van Hove singularities in the itinerant Metamagnet Sr3Ru2O7

The low-energy electronic structure of the itinerant metamagnet Sr3Ru2O7 is investigated by angle-resolved photoemission and density-functional calculations. We find well-defined quasiparticle bands with resolution-limited linewidths and Fermi velocities up to an order of magnitude lower than in single layer Sr2RuO4. The complete topography, the cyclotron masses, and the orbital character of the Fermi surface are determined, in agreement with bulk sensitive de Haas-van Alphen measurements. An analysis of the dxy band dispersion reveals a complex density of states with van Hove singularities near the Fermi level, a situation which is favorable for magnetic instabilities.

Density functional study of LaFeAsO(1-x)F(x): a low carrier density superconductor near itinerant magnetism

Density functional studies of 26 K superconducting LaFeAs(O,F) are reported. We find a low carrier density, high density of states, N(E(F)), and modest phonon frequencies relative to T(c). The high N(E(F)) leads to proximity to itinerant magnetism, with competing ferromagnetic and antiferromagnetic fluctuations and the balance between these controlled by the doping level. Thus LaFeAs(O,F) is in a unique class of high T(c) superconductors: high N(E(F)) ionic metals near magnetism.

Tests of the efficiency of an augmented distorted planewave basis in electronic structure calculations

An augmented distorted planewave plus local orbital basis set has been developed and implemented in a simple fashion in order to test its efficiency for electronic structure calculations. It is based on the idea of using distorted planewaves (Gygi 1993 Phys. Rev. B 48 11692) as basis functions in the interstitial region instead of ordinary planewaves, as in the usual linearized augmented planewave and augmented planewave plus local orbitals methods. This is shown to lead to a significantly more rapid convergence for open structures as well as a modestly improved convergence for close packed structures.

Polar behavior in a magnetic perovskite from a-site size disorder: a density functional study

We elucidate a mechanism for obtaining polar behavior in magnetic perovskites based on A-site disorder and demonstrate this mechanism by density functional calculations for the double perovskite (La,Lu)MnNiO6 with Lu concentrations at and below 50%. We show that this material combines polar behavior and ferromagnetism. The mechanism is quite general and may be applicable to a wide range of magnetic perovskites.

Ferrimagnetism in EuFe4Sb12 due to the interplay of f-electron moments and a nearly ferromagnetic host

We combine x-ray magnetic circular dichroism spectroscopy at Fe L2,3 edges, at Eu M4,5 edges, x-ray absorption spectroscopy (XAS) investigation of Eu valence, and local spin density calculations, to show that the filled skutterudite Eu0.95Fe4Sb12 is a ferrimagnet in which the Fe 3d moment and the Eu2+ 4f moment are magnetically ordered with dominant antiferromagnetic coupling. From Eu L3 edge XAS, we find that about 13% of the Eu have a formal valence of 3+. We ascribe the origin of ferrimagnetism at a relatively high transition temperature TC of 85 K in Eu0.95Fe4Sb12 to f-electron interaction with the nearly ferromagnetic [Fe4Sb12]2.2- host lattice.

Destruction of the small Fermi surfaces in NaxCoO2 by disorder

We show using density functional calculations that the small e'g Fermi surfaces in NaxCoO2 are destroyed by Na disorder. This provides a means to resolve the prediction of these sections in band structure calculations with their nonobservation in angle resolved photoemission experiments.

Fermi surface and quasiparticle excitations of Sr2RhO4

The electronic structure of the layered 4d transition metal oxide Sr2RhO4 is investigated by angle resolved photoemission. We find well-defined quasiparticle excitations with a highly anisotropic dispersion, suggesting a quasi-two-dimensional Fermi-liquid-like ground state. Markedly different from the isostructural Sr2RuO4, only two bands with dominant Rh 4dxz,zy character contribute to the Fermi surface. A quantitative analysis of the photoemission quasiparticle band structure is in excellent agreement with bulk data. In contrast, it is found that state-of-the-art density functional calculations in the local density approximation differ significantly from the experimental findings.

Frustration of tilts and A-site driven ferroelectricity in KNbO3-LiNbO3 alloys

Density functional calculations for K(0.5)Li(0.5)NbO(3) show strong A-site driven ferroelectricity, even though the average tolerance factor is significantly smaller than unity and there is no stereochemically active A-site ion. This is due to the frustration of tilt instabilities by A-site disorder. There are very large off centerings of the Li ions, which contribute strongly to the anisotropy between the tetragonal and rhombohedral ferroelectric states, yielding a tetragonal ground state even without strain coupling.

Electronic structure and bulk spin-valve behavior in Ca3Ru2O7

Density functional calculations of the fermiology and magnetic properties of Ca3Ru2O7 reveal an unusual state: a bulk spin valve. The ground state consists of nearly half-metallic bilayers stacked antiferromagnetically with a weak coupling. Out of plane transport is very strongly suppressed by the antiferromagnetic alignment, which can be destroyed in favor of ferromagnetism at low energy cost. Furthermore, the spin transport in the ferromagnetic state is highly unusual; opposite sign spin polarizations are found for currents in plane and out of plane.

Severe Fermi surface reconstruction at a metamagnetic transition in Ca2-xSrxRuO4 (for 0.2 <or=x<or=0.5)

We report an electrical transport study in Ca2-xSrxRuO4 single crystals at high magnetic fields (B). For x=0.2, the Hall constant Rxy decreases sharply at an anisotropic metamagnetic transition, reaching its value for Sr2RuO4 at high fields. A sharp decrease in the coefficient of the resistivity T2 term and a change in the structure of the angular magnetoresistance oscillations for B rotating in the planes confirms the reconstruction of the Fermi surface. Our observations and local-density-approximation calculations indicate a strong dependence of the Fermi surface on Ca concentration and suggest the coexistence of itinerant and localized electronic states in single layered ruthenates.

Geometric frustration, electronic instabilities, and charge singlets in Y2Nb2O7

Pyrochlore Y2Nb2O7 is studied with density functional calculations. In the ideal pyrochlore structure, no magnetism is found, consistent with experiments, but the band structure is metallic. The phonon dispersions show unstable modes corresponding to charge instabilities. These frustrated instabilities lead to a metal-insulator transition with the formation of "charge singlets". Partial substitution of Ti for Nb results in moment formation due to the occurrence of Ti3+.

Nesting, spin fluctuations, and odd-gap superconductivity in NaxCoO2.yH2O

We calculated the one-electron susceptibility of hydrated NaxCoO2 and find strong nesting, involving about 70% of all electrons at the Fermi level and nearly commensurate with a 2 x 2 superstructure. This nesting creates a tendency to a charge density wave compatible with the charge order often seen at x approximately 0.5 and usually ascribed to electrostatic repulsion of Na ions. In the spin channel, it leads to strong spin fluctuations, which should be important for superconductivity. The state most compatible with this nesting structure is an odd-gap triplet s-wave state.

Why Ni3Al is an itinerant ferromagnet but Ni3Ga is not

Ni3Al and Ni3Ga are closely related materials on opposite sides of a ferromagnetic quantum critical point. The Stoner factor of Ni is virtually the same in both compounds and the density of states is larger in Ni3Ga. Thus in Stoner theory it should be more magnetic, and in local-density approximation (LDA) calculations it is. However, experimentally it is a paramagnet, while Ni3Al is an itinerant ferromagnet. We show that critical spin fluctuations are stronger in Ni3Ga, due to weaker q dependence of the susceptibility, and this effect is enough to reverse the trend. The approach combines LDA calculations with Landau theory and the fluctuation-dissipation theorem using the same momentum cutoff for both compounds. The calculations provide evidence for strong, beyond LDA, spin fluctuations associated with the critical point in both materials, but stronger in Ni3Ga than in Ni3Al.

Metallic "ferroelectricity" in the pyrochlore Cd2Re2O7

A class of materials known as "ferroelectric metals" was discussed theoretically by Anderson and Blount in 1965 [Phys. Rev. Lett. 14, 217 (1965)]], but to date no examples of this class of materials have been reported. Here we present measurements of the elastic moduli of Cd2Re2O7 through the 200 K cubic-to-tetragonal phase transition. A Landau analysis of the moduli reveals that the transition is consistent with Cd2Re2O7 being classified as a ferroelectric metal in the weaker sense described by Anderson and Blount (loss of a center of symmetry). First-principles calculations of the lattice instabilities indicate that the dominant lattice instability corresponds to a twofold degenerate mode with E(u) symmetry and that motions of the O ions forming the O octahedra dominate the energetics of the transition.

Competition of spin fluctuations and phonons in superconductivity of ZrZn(2)

It has long been suspected that spin fluctuations in ZrZn2 may lead to a triplet superconductivity. We point out another possibility, an inhomogeneous singlet (Fulde-Ferrell) state. We calculated the electronic structure, as well as the zone center phonons and their coupling with electrons. We find that the exchange splitting is nonuniform and the Fermi surface exhibits substantial nesting. Both factors favor a Fulde-Ferrell state at parts of the Fermi surface. We find a substantial coupling of Zr rattling modes with electrons, which can provide the necessary pairing in the s-channel.

Transitional cell carcinoma manifesting as acute cor pulmonale: cause of microscopic tumor embolism

Acute cor pulmonale is an uncommon manifestation of microscopic pulmonary tumor embolism. We describe the case of an 84-year-old man with a history of transitional cell carcinoma (TCC) of the urinary bladder who had acute cor pulmonale and died within a few hours after the onset of dyspnea. Autopsy showed that the right ventricle was dilated without hypertrophy. Microscopic examination of the lung showed that the small arteries, arterioles, and capillaries were filled with micrometastases of TCC. Microscopic pulmonary tumor embolism has rarely been reported with TCC, and to the best of our knowledge, such a fulminant course has not been previously described in the English language.

Efficacy of coronary stenting in the management of cardiac allograft vasculopathy

We undertook a study to determine the efficacy of stents in reducing restenosis in cardiac allograft vasculopathy. The result shows that coronary stenting significantly reduces restenosis in cardiac allograft vasculopathy compared with balloon angioplasty alone.

Cryohaemorrhoidectomy for primary haemorrhoids: an evaluation of the procedure in the Indian population

Cryotherapy is one of the available modalities for the management of primary haemorrhoids. It is a simple non-invasive procedure conducted without anaesthesia, ideal for surgery outpatients' department. Though practically given up in the west due to a distressing side-effect in the local population, it was evaluated for its efficacy and acceptability in the Indian population. The study of 174 patients revealed the procedure to be well accepted, extremely cost effective and with a low complication rate in the Indian population, in contrast to the western experience.

STRESS FRACTURES OF THE FEMORAL SHAFT IN MILITARY RECRUITS

Stress fractures amongst military recruits are limited to the lower extremities; yet involvement of the shaft of the femur is unusual. Seven such cases in a series of 352 stress fractures are presented. The importance of early recognition and management is emphasized with a view to prevent bony disruption in an otherwise easily treatable condition.