108 research outputs found
Continuation for thin film hydrodynamics and related scalar problems
This chapter illustrates how to apply continuation techniques in the analysis
of a particular class of nonlinear kinetic equations that describe the time
evolution through transport equations for a single scalar field like a
densities or interface profiles of various types. We first systematically
introduce these equations as gradient dynamics combining mass-conserving and
nonmass-conserving fluxes followed by a discussion of nonvariational amendmends
and a brief introduction to their analysis by numerical continuation. The
approach is first applied to a number of common examples of variational
equations, namely, Allen-Cahn- and Cahn-Hilliard-type equations including
certain thin-film equations for partially wetting liquids on homogeneous and
heterogeneous substrates as well as Swift-Hohenberg and Phase-Field-Crystal
equations. Second we consider nonvariational examples as the
Kuramoto-Sivashinsky equation, convective Allen-Cahn and Cahn-Hilliard
equations and thin-film equations describing stationary sliding drops and a
transversal front instability in a dip-coating. Through the different examples
we illustrate how to employ the numerical tools provided by the packages
auto07p and pde2path to determine steady, stationary and time-periodic
solutions in one and two dimensions and the resulting bifurcation diagrams. The
incorporation of boundary conditions and integral side conditions is also
discussed as well as problem-specific implementation issues
Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease
Background: Experimental and clinical data suggest that reducing inflammation without affecting lipid levels may reduce the risk of cardiovascular disease. Yet, the inflammatory hypothesis of atherothrombosis has remained unproved. Methods: We conducted a randomized, double-blind trial of canakinumab, a therapeutic monoclonal antibody targeting interleukin-1β, involving 10,061 patients with previous myocardial infarction and a high-sensitivity C-reactive protein level of 2 mg or more per liter. The trial compared three doses of canakinumab (50 mg, 150 mg, and 300 mg, administered subcutaneously every 3 months) with placebo. The primary efficacy end point was nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. RESULTS: At 48 months, the median reduction from baseline in the high-sensitivity C-reactive protein level was 26 percentage points greater in the group that received the 50-mg dose of canakinumab, 37 percentage points greater in the 150-mg group, and 41 percentage points greater in the 300-mg group than in the placebo group. Canakinumab did not reduce lipid levels from baseline. At a median follow-up of 3.7 years, the incidence rate for the primary end point was 4.50 events per 100 person-years in the placebo group, 4.11 events per 100 person-years in the 50-mg group, 3.86 events per 100 person-years in the 150-mg group, and 3.90 events per 100 person-years in the 300-mg group. The hazard ratios as compared with placebo were as follows: in the 50-mg group, 0.93 (95% confidence interval [CI], 0.80 to 1.07; P = 0.30); in the 150-mg group, 0.85 (95% CI, 0.74 to 0.98; P = 0.021); and in the 300-mg group, 0.86 (95% CI, 0.75 to 0.99; P = 0.031). The 150-mg dose, but not the other doses, met the prespecified multiplicity-adjusted threshold for statistical significance for the primary end point and the secondary end point that additionally included hospitalization for unstable angina that led to urgent revascularization (hazard ratio vs. placebo, 0.83; 95% CI, 0.73 to 0.95; P = 0.005). Canakinumab was associated with a higher incidence of fatal infection than was placebo. There was no significant difference in all-cause mortality (hazard ratio for all canakinumab doses vs. placebo, 0.94; 95% CI, 0.83 to 1.06; P = 0.31). Conclusions: Antiinflammatory therapy targeting the interleukin-1β innate immunity pathway with canakinumab at a dose of 150 mg every 3 months led to a significantly lower rate of recurrent cardiovascular events than placebo, independent of lipid-level lowering. (Funded by Novartis; CANTOS ClinicalTrials.gov number, NCT01327846.
Ectopic Cushing' syndrome caused by a neuroendocrine carcinoma of the mesentery
BACKGROUND: ACTH overproduction within the pituitary gland or ectopically leads to hypercortisolism. Here, we report the first case of Cushing' syndrome caused by an ectopic ACTH-secreting neuroendocrine carcinoma of the mesentery. Moreover, diagnostic procedures and pitfalls associated with ectopic ACTH-secreting tumors are demonstrated and discussed. CASE PRESENTATION: A 41 year-old man presented with clinical features and biochemical tests suggestive of ectopic Cushing's syndrome. First, subtotal thyroidectomy was performed without remission of hypercortisolism, because an octreotide scan showed increased activity in the left thyroid gland and an ultrasound revealed nodules in both thyroid lobes one of which was autonomous. In addition, the patient had a 3 mm hypoenhancing lesion of the neurohypophysis and a 1 cm large adrenal tumor. Surgical removal of the pituitary lesion within the posterior lobe did not improve hypercortisolism and we continued to treat the patient with metyrapone to block cortisol production. At 18-months follow-up from initial presentation, we detected an ACTH-producing neuroendocrine carcinoma of the mesentery by using a combination of octreotide scan, computed tomography scan, and positron emission tomography. Intraoperatively, use of a gamma probe after administration of radiolabeled (111)In-pentetreotide helped identify the mesenteric neuroendocrine tumor. After removal of this carcinoma, the patient improved clinically. Laboratory testing confirmed remission of hypercortisolism. An octreotide scan 7 months after surgery showed normal results. CONCLUSION: This case underscores the diagnostic challenge in identifying an ectopic ACTH-producing tumor and the pluripotency of cells, in this case of mesenteric cells that can start producing and secreting ACTH. It thereby helps elucidate the pathogenesis of neuroendocrine tumors. This case also suggests that patients with ectopic Cushing's syndrome and an octreotide scan positive in atypical locations may benefit from explorative radioguided surgery using (111)In-pentetreotide and a gamma probe
Phosphodiesterase Inhibition Increases CREB Phosphorylation and Restores Orientation Selectivity in a Model of Fetal Alcohol Spectrum Disorders
Background: Fetal alcohol spectrum disorders (FASD) are the leading cause of mental retardation in the western world and children with FASD present altered somatosensory, auditory and visual processing. There is growing evidence that some of these sensory processing problems may be related to altered cortical maps caused by impaired developmental neuronal plasticity. Methodology/Principal Findings: Here we show that the primary visual cortex of ferrets exposed to alcohol during the third trimester equivalent of human gestation have decreased CREB phosphorylation and poor orientation selectivity revealed by western blotting, optical imaging of intrinsic signals and single-unit extracellular recording techniques. Treating animals several days after the period of alcohol exposure with a phosphodiesterase type 1 inhibitor (Vinpocetine) increased CREB phosphorylation and restored orientation selectivity columns and neuronal orientation tuning. Conclusions/Significance: These findings suggest that CREB function is important for the maturation of orientation selectivity and that plasticity enhancement by vinpocetine may play a role in the treatment of sensory problems in FASD
Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients
Fraction of χc decays in prompt J/ψ production measured in pPb collisions at √sNN = 8.16 TeV
The fraction of
χ
c
1
and
χ
c
2
decays in the prompt
J
/
ψ
yield,
F
χ
c
→
J
/
ψ
=
σ
χ
c
→
J
/
ψ
/
σ
J
/
ψ
, is measured by the LHCb detector in
p
Pb
collisions at
√
s
NN
=
8.16
TeV
. The study covers the forward (
1.5
<
y
∗
<
4.0
) and backward (
−
5.0
<
y
∗
<
−
2.5
) rapidity regions, where
y
∗
is the
J
/
ψ
rapidity in the nucleon-nucleon center-of-mass system. Forward and backward rapidity samples correspond to integrated luminosities of
13.6
±
0.3
and
20.8
±
0.5
nb
−
1
, respectively. The result is presented as a function of the
J
/
ψ
transverse momentum
p
T
,
J
/
ψ
in the range
1
<
p
T
,
J
/
ψ
<
20
GeV
/
c
. The
F
χ
c
→
J
/
ψ
fraction at forward rapidity is compatible with the LHCb measurement performed in
p
p
collisions at
√
s
=
7
TeV
, whereas the result at backward rapidity is
2.4
σ
larger than in the forward region for
1
<
p
T
,
J
/
ψ
<
3
GeV
/
c
. The increase of
F
χ
c
→
J
/
ψ
at low
p
T
,
J
/
ψ
at backward rapidity is compatible with the suppression of the
ψ
(
2
S
)
contribution to the prompt
J
/
ψ
yield. The lack of in-medium dissociation of
χ
c
states observed in this study sets an upper limit of 180 MeV on the free energy available in these
p
Pb
collisions to dissociate or inhibit charmonium state formation
Enhanced production of Λb0 baryons in high-multiplicity pp collisions at √s = 13 TeV
The production rate of
Λ
0
b
baryons relative to
B
0
mesons in
p
p
collisions at a center-of-mass energy
√
s
=
13
TeV
is measured by the LHCb experiment. The ratio of
Λ
0
b
to
B
0
production cross sections shows a significant dependence on both the transverse momentum and the measured charged-particle multiplicity. At low multiplicity, the ratio measured at LHCb is consistent with the value measured in
e
+
e
−
collisions, and increases by a factor of
∼
2
with increasing multiplicity. At relatively low transverse momentum, the ratio of
Λ
0
b
to
B
0
cross sections is higher than what is measured in
e
+
e
−
collisions, but converges with the
e
+
e
−
ratio as the momentum increases. These results imply that the evolution of heavy
b
quarks into final-state hadrons is influenced by the density of the hadronic environment produced in the collision. Comparisons with several models and implications for the mechanisms enforcing quark confinement are discussed
Measurement of Λb0 , Λc+ , and Λ decay parameters using Λb0→Λc+h− decays
A comprehensive study of the angular distributions in the bottom-baryon decays
Λ0
b → Λ
c+h−(h = π, K), followed by Λþ
c → Λhþ with Λ → pπ− or Λþ
c → pK0
S decays, is performed
using a data sample of proton-proton collisions corresponding to an integrated luminosity of 9 fb−1
collected by the LHCb experiment at center-of-mass energies of 7, 8, and 13 TeV. The decay parameters
and the associated charge-parity (CP) asymmetries are measured, with no significant CP violation
observed. For the first time, the Λ0
b → Λþ
c h− decay parameters are measured. The most precise
measurements of the decay parameters α, β, and γ are obtained for Λþ
c decays and an independent
measurement of the decay parameters for the strange-baryon Λ decay is provided. The results deepen our
understanding of weak decay dynamics in baryon decays
Modification of χc1(3872) and ψ(2S) production in pPb collisions at √sNN = 8.16 TeV
The LHCb Collaboration measures production of the exotic hadron χc1(3872) in proton-nucleus collisions for the first time. Comparison with the charmonium state ψ(2S) suggests that the exotic χc1(3872) experiences different dynamics in the nuclear medium than conventional hadrons, and comparison with data from proton-proton collisions indicates that the presence of the nucleus may modify χc1(3872) production rates. This is the first measurement of the nuclear modification factor of an exotic hadron
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