920 research outputs found
In situ measurement of humidity induced changes in the refractive index and thickness of polyethylene glycol thin films
6th International Conference on PhotonicsHumidity induced changes in the refractive index and thickness of polyethylene glycol (PEG) thin films are in situ determined by optical waveguide spectroscopy. PEG brushes are covalently attached to the surface of a thin gold film on a borosilicate crown glass (BK7) using a grafting-from chemical synthesis technique. The measurements are carried out in an attenuated total internal reflection setup. At low humidity levels, both the refractive index and the thickness change gradually due to swelling of the PEG thin films upon water intake. At around 80% relative humidity, a steep decrease in the refractive index and a steep increase in the thickness are observed as a result of a phase change from a semicrystalline state to a physical gel state. The hydrogenation of PEG films causes a less pronounced phase change from a semicrystalline state to a gel state. Due to fewer ether oxygen atoms available for the water molecules to make hydrogen bonding, the polymer has a more stable structure than before and the phase change is observed to shift to higher humidity levels. It is discussed that such a humidity induced change in the index of refraction can be utilized in constructing of a PEG based humidity sensor.Czech & Slovak Soc Photonc; Act M Agcy; Czech Tech Univ; Acad Sci Czech Republic; Slovak Acad Sci; Meopta Prerov; SPIE; SPIE Europe; European Opt Soc; Opt Soc Ame
Developmental Measures: The Zika Virus, Microcephaly, and Histories of Global Northern State Anxieties
This project seeks to understand anxious and fearful responses to the Zika virus and microcephaly that began circulating widely in February, 2016. My project works to uncover racial histories embedded in the contemporary scientific and medical practice of measuring head circumference. By arguing that microcephaly is a racialized metric of civilizational and human development, I show that responses to Zika’s proliferation invoke state security because Global Northern states imagine microcephaly as a developmental, economic, and cultural lag. Dominant scientific and medical characterizations of microcephaly constitute modern, developed states as such by making political conceptions of normalcy and capacity seem natural: microcephaly is marked as “abnormal” in the scientific literature that instructs the measurement, surveillance, and diagnosis developmental and cognitive disabilities. Seemingly disparate contemporary moments and histories–among them the 2016 Rio Olympics, histories of racial purity and contamination, phrenology, and eighteenth-century racialized notions of sexuality—are inextricably linked to ideals and practices of white, bourgeois subjectivity. Like the diagnostic category of microcephaly, these ideals and practices are inherently unstable and insecure: they cannot exist nor materialize without the economic and social exploitation of racialized and disabled populations
Prediction of remission and low disease activity in disease-modifying anti-rheumatic drug-refractory patients with rheumatoid arthritis treated with golimumab
OBJECTIVE: To create a tool to predict probability of remission and low disease activity (LDA) in patients with RA being considered for anti-TNF treatment in clinical practice.
METHODS: We analysed data from GO-MORE, an open-label, multinational, prospective study in biologic-naïve patients with active RA (DAS28-ESR ⩾3.2) despite DMARD therapy. Patients received 50 mg s.c. golimumab (GLM) once monthly for 6 months. In secondary analyses, regression models were used to determine the best set of baseline factors to predict remission (DAS28-ESR <2.6) at month 6 and LDA (DAS28-ESR ⩽3.2) at month 1.
RESULTS: In 3280 efficacy-evaluable patients, of 12 factors included in initial regression models predicting remission or LDA, six were retained in final multivariable models. Greater likelihood of LDA and remission was associated with being male; younger age; lower HAQ, ESR (or CRP) and tender joint count (or swollen joint count) scores; and absence of comorbidities. In models predicting 1-, 3- and 6-month LDA or remission, area under the receiver operating curve was 0.648-0.809 (R(2) = 0.0397-0.1078). The models also predicted 6-month HAQ and EuroQoL-5-dimension scores. A series of matrices were developed to easily show predicted rates of remission and LDA.
CONCLUSION: A matrix tool was developed to show predicted GLM treatment outcomes in patients with RA, based on a combination of six baseline characteristics. The tool could help provide practical guidance in selection of candidates for anti-TNF therapy
Immune Dysregulation and Self-Reactivity in Schizophrenia: Do Some Cases of Schizophrenia Have an Autoimmune Basis?
Schizophrenia affects 1% of the world's population, but its cause remains obscure. Numerous theories have been proposed regarding the cause of schizophrenia, ranging from developmental or neurodegenerative processes or neurotransmitter abnormalities to infectious or autoimmune processes. In this review, findings suggestive of immune dysregulation and reactivity to self in patients with schizophrenia are examined with reference to criteria for defining whether or not a human disease is autoimmune in origin. Associations with other autoimmune diseases and particular MHC haplotypes, increased serum levels of autoantibodies, and in vivo and in vitro replication of some of the functional and ultrastructural abnormalities of schizophrenia by transfer of autoantibodies from the sera of patients with schizophrenia suggest that, in some patients at least, autoimmune mechanisms could play a role in the development of disease. Recent findings regarding specific autoimmune responses directed against neurotransmitter receptors in the brain in patients with schizophrenia will also be reviewed
Long-Term Follow-Up of Flexible Bronchoscopic Treatment for Bronchial Carcinoids with Curative Intent
Background. Typical pulmonary carcinoids represent less than 5% of primary lung tumors. In patients with typical bronchial carcinoid, formal surgical resection still remains the gold-standard treatment. Data regarding long-term outcome in using flexible bronchoscope-based modalities under conscious sedation is very limited.
Objectives. We sought to investigate, over extended follow-up period, the effectiveness of endobronchial resection for carcinoid tumors with curative intent using flexible bronchoscopy.
Methods. Nd:YAG laser photoresection using flexible bronchoscope under conscious
sedation. Follow-up included repeat bronchoscopy every 6 months and chest CT every year.
Results.
Ten patients aged 24 to 70 years with endobronchial carcinoid were treated. The tumor location was variable: 2 left Main bronchus, 1 left upper lobe bronchus, 2 right main bronchus, 2 right middle lobe bronchus and 3 right lower lobe bronchus. No major complications were observed. The patients required between 2 and 4 procedures. Patients were followed for a median period of 29 months with no evidence of tumor recurrence.
Conclusions. Endobronchial laser photoresection of typical bronchial carcinoids using flexible bronchsocopy under conscious sedation is an effective treatment modality for a subgroup of patients that provides excellent long-term results that are similar to outcome obtained by more invasive procedures
Enthesitis: Much More Than Focal Insertion Point Inflammation
Purpose of Review
Recognition of the importance of enthesitis as the pivotal pathological process underpinning spondyloarthropathies (SpA) has increased in recent years. Thus, we summarized the current knowledge on the pathogenic role of enthesitis on SpA shown by both animal models and human studies in vivo.
Recent Findings
Experimental models have shown several SpA-like diseases that commence at entheses and are linked to nail disease as well as dactylitis, two important entheseal-associated conditions in humans. Frequently, enthesitis is not the primary outcome measure in studies of peripheral PsA and SpA although arguably it is the key parameter being indirectly assessed in spinal disease in ankylosing spondylitis. The use of different agents including JAK, IL-17, and IL-23 inhibitors contributes significantly to our understanding of enthesitis in terms of involved immune pathways.
Summary
Enthesitis and enthesis organ inflammation may be the primary pathological process underlying SpA associated skeletal inflammation. Emergent studies are beginning to elucidate the molecular basis for this type of joint inflammatory response
Causes of Sudden Death Related to Sexual Activity : Results of a Medicolegal Postmortem Study from 2001 to 2005
Sexual activity (SA), combined with organic heart disease, may cause sudden death (SD). However, the causes of SD related to SA are not known well. The aim of this study was to assess the causes of SD related to SA. From August 2001 to November 2005, all autopsies (n=1,379) performed at Kyungpook National University were prospectively searched for SD cases related to SA. Fourteen cases (46±11 yr old, 9 males) of SD related to SA were found. All were heterosexual. The toxicologic study was negative in all. Ten cases were witnessed; during SA in 4 cases, just after SA in another 4 cases, 2 and 5 hr after in 1 each case. In 4 unwitnessed cases the victims were found dead less than 12 hr from the end of their SA. The partners were steady extramarital partners (n=8), prostitutes (n=2), marital partner (n=1) and unknown (n=3). The causes of the SD were as follows; coronary artery disease in 6, subarachnoid hemorrhage with ruptured berry aneurysm in 4, fibromuscular dysplasia of the atrioventricular nodal artery in 2, and unknown in 2. Coronary artery disease and subarachnoid hemorrhage with ruptured berry aneurysm were important as causes of SD related to SA
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