Adjunctive quetiapine for serotonin reuptake inhibitor-resistant obsessive-compulsive disorder: A meta-analysis of randomised controlled treatment trials

Small studies have shown positive effects from adding a variety of antipsychotic agents in patients with obsessive–compulsive disorder who are unresponsive to treatment with serotonin reuptake inhibitors. The evidence, however, is contradictory. This paper reports a meta-analysis of existing double-blind randomized placebo-controlled studies looking at the addition of the second-generation antipsychotic quetiapine in such cases. Three studies fulfilled the inclusion criteria. Altogether 102 individuals were subjected to analysis using Review Manager (4.2.7). The results showed evidence of efficacy for adjunctive quetiapine (< 400 mg/day) on the primary efficacy criterion, measured as changes from baseline in total Yale–Brown Obsessive Compulsive Scale scores (P = 0.008), the clinical significance of which was limited by between-study heterogeneity. The mechanism underlying the effect may involve serotonin and/or dopamine neurotransmission

Evolution of the Spin Hall Magnetoresistance in Cr2_2O3_3/Pt bilayers close to the N\'eel temperature

We study the evolution of magnetoresistance with temperature in thin film bilayers consisting of platinum and the antiferromagnet Cr$_2$O$_3$ with its easy axis out of the plane. We vary the temperature from 20 - 60{\deg}C, close to the N\'eel temperature of Cr$_2$O$_3$ of approximately 37{\deg}C. The magnetoresistive response is recorded during rotations of the external magnetic field in three mutually orthogonal planes. A large magnetoresistance having a symmetry consistent with a positive spin Hall magnetoresistance is observed in the paramagnetic phase of the Cr$_2$O$_3$, which however vanishes when cooling to below the N\'eel temperature. Comparing to analogous experiments in a Gd$_3$Ga$_5$O$_{12}$/Pt heterostructure, we conclude that a paramagnetic field induced magnetization in the insulator is not sufficient to explain the observed magnetoresistance. We speculate that the type of magnetic moments at the interface qualitatively impacts the spin angular momentum transfer, with the $3d$ moments of Cr sinking angular momentum much more efficiently as compared to the more localized $4f$ moments of Gd.Comment: 5 pages, 3 figure

Enhancement and suppression of tunneling by controlling symmetries of a potential barrier

We present a class of 2D systems which shows a counterintuitive property that contradicts a semi classical intuition: A 2D quantum particle "prefers" tunneling through a barrier rather than traveling above it. Viewing the one particle 2D system as the system of two 1D particles, it is demonstrated that this effect occurs due to a specific symmetry of the barrier that forces excitations of the interparticle degree of freedom that, in turn, leads to the appearance of an effective potential barrier even though there is no "real" barrier. This phenomenon cannot exist in 1D.Comment: 10 pages and 7 figure

Diagnostic performance of MRI for detection of intestinal fistulas in patients with complicated inflammatory bowel conditions

The diagnostic performance of magnetic resonance imaging (MRI) for detection of intestinal fistulas, other than perianal, in patients with known complicated inflammatory bowel conditions (CIBC) was investigated. Our study group consisted of 20 patients (12 women, mean age 43years) with CIBC, including Crohn's disease (n=13), colonic diverticulitis (n=3), colitis after radiotherapy (n=3) and of postoperative origin (n=1). Eleven surgically proven enteral fistulas were known in ten (50%) of these patients, being of enterovesical (n=3), enterocolic (n=2), enteroenteral (n=2), rectovaginal (n=2), rectovaginovesical (n=1) and of entercutaneous (n=1) localisation. The other ten patients (50%), used as the control group, showed MR features of CIBC, although without any fistulous tract. Multiplanar T1- and T2-weighted sequences had been performed, including gadolinium-enhanced acquisition with fat saturation (1.5T). MR findings were independently blindly and retrospectively reviewed by three radiologists for the presence and etiology of any fistula, as well as visualization and characterization of the fistulous tract. Results were compared with surgical findings (n=16) and clinical evolution (n=4). Interobserver agreement was calculated. Interobserver agreement kappa for fistula detection was 0.71. Overall sensitivity, specificity and accuracy for fistula detection were 78.6%, 75% and 77.2%, respectively. Sensitivity for fistula characterization was 80.6%, with visualization of the fistulous tract in all cases, whereby T1-weighted gadolinium-enhanced fat-saturated images were considered the most useful sequences. Gadolinium-enhanced MRI is a reliable and reproducible tool for detection of enteral fistulas secondary to inflammatory condition

Effectiveness and tolerability of pegylated interferon alfa-2b in combination with ribavirin for treatment of chronic hepatitis C: the PegIntrust Study

Background and study aims : Large international clinical trials conducted in the past 5 years rapidly improved the treatment of chronic hepatitis C; however, it is unclear whether the advances seen in clinical trials are being paralleled by similar improvements in routine clinical practice. PegIntrust is a Belgian community-based trial evaluating the sustained virological response. Patients and Methods : Observational study of 219 patients receiving pegylated interferon alfa-2b (1.5 mu g/kg/wk) and weight. based ribavirin (800-1200 mg/day) for 48 weeks. Primary study end point was sustained virological response (SVR), defined as undetectable HCV RNA 6 months after the completion of treatment. Results : In total, 108 patients (49.3 %) had undetectable HCV RNA at the end of therapy, 91(41.6%) attaining SVR. Of the 111 patients without an end-of-treatment response, 28 were non-responders, and 21 had virological breakthrough. In total, 134 patients attained early virological response (EVR); 88 (65.7%) of those patients attained SVR. In contrast, 82 (96.5 %) of the 85 patients who did not attain EVR also did not attain SVR. Age, fibrosis score and baseline viral load were identified as important predictors of treatment outcome. The most frequently reported serious adverse events resulting in treatment discontinuation were anemia (n = 10), fatigue/asthenia/malaise (n = 6) and fever (n = 3). Conclusion : Our data indicate that treatment of chronic hepatitis C with PEG-IFN alfa-2b plus weight-based ribavirin results in favourable treatment outcomes in a Belgian cohort of patients treated in community-based clinical practice. (Ada gastroenterol. belg., 2010, 73, 5-11)

The opposite of Dante's hell? The transfer of ideas for social housing at international congresses in the 1850s–1860s

With the advent of industrialization, the question of developing adequate housing for the emergent working classes became more pressing than before. Moreover, the problem of unhygienic houses in industrial cities did not stop at the borders of a particular nation-state; sometimes literally as pandemic diseases spread out 'transnationally'. It is not a coincidence that in the nineteenth century the number of international congresses on hygiene and social topics expanded substantially. However, the historiography about social policy in general and social housing in particular, has often focused on individual cases because of the different pace of industrial and urban development and is thus dominated by national perspectives. In this paper, I elaborate on transnational exchange processes and local adaptations and transformations. I focus on the transfer of the housing model of SOMCO in Mulhouse, (a French house building association) during social international congresses. I examine whether cross-national networking enabled and facilitated the implementation of ideas on the local scale. I will elaborate on the transmission and the local adaptation of the Mulhouse-model in Belgium. Convergences, divergences, and different factors that influenced the local transformations (personal choice, political situation, socioeconomic circumstances) will be taken into accoun

On the contribution of the horizontal sea-bed displacements into the tsunami generation process

The main reason for the generation of tsunamis is the deformation of the bottom of the ocean caused by an underwater earthquake. Usually, only the vertical bottom motion is taken into account while the horizontal co-seismic displacements are neglected in the absence of landslides. In the present study we propose a methodology based on the well-known Okada solution to reconstruct in more details all components of the bottom coseismic displacements. Then, the sea-bed motion is coupled with a three-dimensional weakly nonlinear water wave solver which allows us to simulate a tsunami wave generation. We pay special attention to the evolution of kinetic and potential energies of the resulting wave while the contribution of the horizontal displacements into wave energy balance is also quantified. Such contribution of horizontal displacements to the tsunami generation has not been discussed before, and it is different from the existing approaches. The methods proposed in this study are illustrated on the July 17, 2006 Java tsunami and some more recent events.Comment: 30 pages; 14 figures. Accepted to Ocean Modelling. Other authors papers can be downloaded at http://www.lama.univ-savoie.fr/~dutykh

Shapes of leading tunnelling trajectories for single-electron molecular ionization

Based on the geometrical approach to tunnelling by P.D. Hislop and I.M. Sigal [Memoir. AMS 78, No. 399 (1989)], we introduce the concept of a leading tunnelling trajectory. It is then proven that leading tunnelling trajectories for single-active-electron models of molecular tunnelling ionization (i.e., theories where a molecular potential is modelled by a single-electron multi-centre potential) are linear in the case of short range interactions and "almost" linear in the case of long range interactions. The results are presented on both the formal and physically intuitive levels. Physical implications of the obtained results are discussed.Comment: 14 pages, 5 figure

Changes in axonal excitability of primary sensory afferents with general anaesthesia in humans

BACKGROUND: Intraoperative monitoring of neuronal function is important in a variety of surgeries. The type of general anaesthetic used can affect the interpretation and quality of such recordings. Although the principal effects of general anaesthetics are synaptically mediated, the extent to which they affect excitability of the peripheral afferent nervous system is unclear. METHODS: Forty subjects were randomized in a stratified manner into two groups, anaesthetized with either propofol or sevoflurane. The threshold tracking technique (QTRAC(®)) was used to measure nerve excitability parameters of the sensory action potential of the median nerve before and after induction of general anaesthesia. RESULTS: Several parameters of peripheral sensory afferent nerve excitability changed after induction of general anaesthesia, which were similar for both propofol and sevoflurane. The maximum amplitude of the sensory nerve action potential decreased in both groups (propofol: 25.3%; sevoflurane: 29.5%; both P<0.01). The relative refractory period [mean (sd)] also decreased similarly in both groups [propofol: -0.6 (0.7) ms; sevoflurane: -0.3 (0.5) ms; both P<0.01]. Skin temperature at the stimulation site increased significantly in both groups [propofol: +1.2 (1.0)°C; sevoflurane: +1.7 (1.4)°C; both P<0.01]. CONCLUSIONS: Small changes in excitability of primary sensory afferents after the induction of anaesthesia with propofol or sevoflurane were detected. These effects, which were non-specific and are possibly explained by changes observed in temperature, demonstrate possible anaesthetic effects on intraoperative neuromonitoring

Crustal strain in central Greece from repeated GPS measurements in the interval 1989-1997

A 66-station GPS network spanning central Greece, first observed in 1989, has been occupied fully on three occasions: June 1989, October 1991 and May 1993. Subsets of this network bounding the Gulf of Korinthos have also been occupied in June 1995, October 1995, May 1996 and September/October 1997. The first three occupations were processed using a fiducial GPS methodology, whereas later surveys were processed using CODE precise orbits. Combination of data from different surveys to yield smooth site velocities requires global network translations at each epoch to compensate for errors in the realization of the reference frame. This method provides a posteriori estimates of the relative coordinate errors and reference frame noise. Only one earthquake, the 1995 June 15 Egion event, has caused significant local coseismic displacement, and its effects on the interseismic velocity field are removed using an elastic dislocation model. We constrain the orientation of the 100 yr triangulation—GPS velocity estimates of Davies et al. (1997) using 14 sites common to the two networks. The goodness of fit of this transformation indicates that the short-term and 100 yr geodetic estimates of deformation are highly compatible. We infer that short-term geodetic studies are capable of determining longer-term deformation rates provided that transient, local effects can be modelled. From the combined velocity field, we estimate principal strains and rigid-body rotation rates at points on a regular grid using data from neighbouring sites. Strain rates are high within the Gulf of Korinthos and much lower elsewhere. The extension rate across the Gulf of Korinthos increases from east to west. Comparison of the extension rate with historical and recent rates of seismic release of strain reveals significant medium-term seismic hazard in the western Gulf of Korinthos, and may also indicate long-term aseismic strai