MRI changes in psoriatic dactylitisextent of pathology, relationship to tenderness and correlation with clinical indices

Objectives. To quantify the extent of inflammation in psoriatic dactylitis and to examine the relationship between clinical and magnetic resonance imaging (MRI) data in both tender and non-tender dactylitis. Methods. Seventeen patients with psoriatic dactylitis underwent clinical assessment for 6 months after change of treatment, usually to methotrexate. Measures of dactylitis included the Leeds Dactylitis Index, the assessment tool used in the Infliximab in Psoriatic Arthritis Clinical Trial (IMPACT), a simple count of tender dactlylitic digits and a count of all dactylitic digits, both tender and non-tender. MRI scans of the affected hand or foot were performed before and after treatment using a 1.5T Siemens scanner pre- and post-contrast. Results. All patients improved clinically, as did their respective dactylitis scores and MRI images. The findings on MRI in both dactylitic and non-dactylitic digits were profound and widespread. The difference between tender and non-tender dactylitis was quantitative rather than qualitative. Synovitis and soft-tissue oedema were the most frequent abnormalities being present in 69 of tender dactylitic digits but bone oedema and flexor tenosynovitis were also frequently seen. Soft-tissue oedema was circumferential and enhancing and not limited to association with the flexor or extensor tendons. None of the clinical indices of dactylitis showed a close relationship to the extent of MRI abnormalities. Conclusions. MRI images demonstrate widespread abnormalities in digits of people with psoriatic arthritis. Tender dactylitic digits have more abnormalities than other digits but the relationship between clinical and MRI scores is not strong

Modelling nitrogen dynamics at Lochnagar, N.E. Scotland.

International audienceControls on nitrate leaching from upland moorland catchments are not yet fully understood and yet, despite agreements on emission reductions, increased surface water nitrate concentrations may affect significantly the acidity status of these waters in the future. At Lochnagar, an upland moorland catchment in N.E. Scotland, 12 years of surface water chemistry observations have identified a steady increase in nitrate concentration despite no measured change in inorganic nitrogen deposition. The MAGIC model has been applied to simulate a "best case" situation assuming nitrate in surface water represents "hydrological" contributions (direct run-off) and a ?worst case' assuming a nitrogen saturation mechanism in the catchment soil. Only the ?saturation' model is capable of matching the 12 years of observation for nitrate but both model structures match the pH and acid neutralising capacity record. Future predictions to 2040, in response to the agreed emission reductions under the Gothenburg Protocol, are markedly different. The worst case predicts continued surface water acidification whilst the best case predicts a steady recovery. Keywords: nitrogen saturation, modelling, Lochnagar, Gothenburg Protoco

Quantum healing of classical singularities in power-law spacetimes

We study a broad class of spacetimes whose metric coefficients reduce to powers of a radius r in the limit of small r. Among these four-parameter "power-law" metrics we identify those parameters for which the spacetimes have classical singularities as r approaches 0. We show that a large set of such classically singular spacetimes is nevertheless nonsingular quantum mechanically, in that the Hamiltonian operator is essentially self-adjoint, so that the evolution of quantum wave packets lacks the ambiguity associated with scattering off singularities. Using these metrics, the broadest class yet studied to compare classical with quantum singularities, we explore the physical reasons why some that are singular classically are "healed" quantum mechanically, while others are not. We show that most (but not all) of the remaining quantum-mechanically singular spacetimes can be excluded if either the weak energy condition or the dominant energy condition is invoked, and we briefly discuss the effect of this work on the strong cosmic censorship hypothesis.Comment: 14 pages, 1 figure; extensive revision

An assessment of the performance of the PLUS+ tool in supporting the evaluation of Water Framework Directive compliance in Scottish standing waters

Phosphorus is one of the main causes of waterbodies in Scotland being at less than good ecological status (GES) in terms of the water framework directive (WFD). In Scotland, there are more than 8000 standing waters, defined as lakes and reservoirs that have a surface area of more than 1 hectare. Only about 330 of these are monitored routinely to assess compliance with the WFD. The export coefficient tool PLUS+ (phosphorus land use and slope) has been developed to estimate total phosphorus (TP) concentrations in the unmonitored sites; modelled values are then compared to WFD target concentrations for high, good, moderate, poor, and bad status to assess compliance. These type-specific or site-specific targets are set by the regulatory authority and form part of a suite of physical, chemical, and ecological targets that are used to assess GES, all of which must be met. During development, the PLUS+ tool was applied to 323 monitored catchments and 7471 unmonitored catchments. The efficacy of the tool was assessed against TP concentrations observed in 2014 and found to perform well in the rural catchments. 51% of standing waters had the same modelled and observed WFD class (i.e., High, Good, Moderate, Poor, Bad), and a further 40% of standing waters had a modelled WFD class that was within one class of observed water quality. The tool performed less well in catchments with larger inputs of TP from urban sources (e.g., sewage). The greatest deviations between measured and modelled classes were explained by the shortage of information on wastewater treatment works, fish farms, migratory birds, levels of uncertainty in TP measurements, and the amount of in-lake re-cycling of P. The limitations of the tool are assessed using data from six well documented case study sites and recommendations for improving the model performance are propose

Can AI Mind Be Extended?

Andy Clark and David Chalmers’s theory of extended mind can be reevaluated in today’s world to include computational and Artificial Intelligence (AI) technology. This paper argues that AI can be an extension of human mind, and that if we agree that AI can have mind, it too can be extended. It goes on to explore the example of Ganbreeder, an image-making AI which utilizes human input to direct behavior. Ganbreeder represents one way in which AI extended mind could be achieved. The argument of this paper is that AI can utilize human input as a social extension of mind, allowing AI to access the external world that it would not otherwise be able to access

Psoriasis, psoriatic arthritis, and rheumatoid arthritis: Is all inflammation the same?

AbstractObjectivesTo review the pathophysiology, co-morbidities, and therapeutic options for psoriasis, psoriatic arthritis and rheumatoid arthritis in order to further understand the similarities and differences in treatment paradigms in the management of each disease. New targets for individualized therapeutic decisions are also identified with the aim of improving therapeutic outcome and reducing toxicity.Search strategyUsing the PubMed database, we searched literature published from 2000 to 2015 using combinations of the key words “psoriasis,” “psoriatic arthritis,” “rheumatoid arthritis,” “pathogenesis,” “immunomodulation,” and “treatment.”Inclusion and exclusion criteriaThis was a non-systematic review and there were no formal inclusion and exclusion criteria.Data extractionAbstracts identified in the search were screened for relevance and articles considered appropriate evaluated further. References within these selected articles were also screened. Information was extracted from 198 articles for inclusion in this report.Data synthesisThere was no formal data synthesis. Articles were reviewed and summarized according to disease area (psoriasis, psoriatic arthritis, and rheumatoid arthritis).Headline resultsThe pathophysiology of psoriasis, psoriatic arthritis, and rheumatoid arthritis involves chronic inflammation mediated by pro-inflammatory cytokines. Dysfunction in integrated signaling pathways affecting different constituents of the immune system result in varying clinical features in the three diseases. Co-morbidities, including cardiovascular disease, malignancies, and non-alcoholic fatty liver disease are increased. Increased understanding of the immunopathogenesis allowed development of targeted treatments; however, despite a variety of potentially predictive genetic, protein and cellular biomarkers, there is still significant unmet need in these three inflammatory disorders

Land use influences on acidification and recovery of freshwaters in Galloway, south-west Scotland

International audienceThe long term response of surface waters to changes in sulphur deposition and afforestation is investigated for three upland river systems in the Galloway region of south-west Scotland. From 1984-1999, these rivers exhibited a statistically significant decline in non-marine sulphate concentrations in response to reduced acid deposition. This reduction in non-marine sulphate was, however, insufficient to induce a pH recovery over the period. A statistically significant increase in river pH was observed between 1956-1970 (0.05 yr-1) when subsidised agricultural lime payments were at a maximum. In 1976, this subsidy ceased and surface waters have progressively acidified. In addition, climatic change is found to influence long-term trends in pH. Mean annual pH was greatest during a dry period between 1969-1973 when total annual discharge was low. Thereafter, pH declined gradually in response to higher rainfall and increased total annual discharge. Overall, surface waters draining the afforested catchments of the Rivers Cree and Bladnoch are more acid than those draining the moorland catchment of the Luce. These results indicate that in afforested catchments, current reductions in sulphur emissions have not led to an observed improvement in the acid status of surface waters. Forestry, therefore, represents a confounding factor with regard to chemical recovery from acidification in this region. Keywords: acidification, afforestation, deposition, rivers, lochs, non-marine sulphate, p

Syntheses and Properties of Salts of Chromophores with Ferrocenyl Electron Donor Groups and Quaternary Nitrogen Acceptors

A series of five new dipolar cations has been synthesized with ferrocenyl (Fc) electron donor groups connected to N-arylpyridinium, N-methylquinolinium, N-methylbenzothiazolium, or N-methylacridinium acceptors. Together with their known N-methylpyridinium analogue, these chromophores have been characterized as their PF_6^− salts by using various techniques including electronic absorption spectroscopy and cyclic voltammetry. Nine single-crystal X-ray structures have been determined, including two polymorphs of one salt obtained from a single crystallization experiment, and two of these are polar materials. A highly favorable degree of dipolar alignment for bulk NLO effects is observed in one case. Molecular quadratic nonlinear optical (NLO) responses have been determined by using femtosecond hyper-Rayleigh scattering (HRS) at 1300 nm and also via Stark (electroabsorption) spectroscopic studies on the intense π → π^* intraligand and d → π^* metal-to-ligand charge-transfer bands. A broad correlation between the electron acceptor strength and the HRS-derived first hyperpolarizabilities β and the static first hyperpolarizabilities β0 estimated from the Stark data is evident. This is the first time that meaningful (albeit indirectly determined) β_0 data have been reported for Fc compounds, allowing quantitative comparisons with the chromophore in the technologically important material (E)-4′-(dimethylamino)-N-methyl-4-stilbazolium (DAS) tosylate. The observed β_0 values are in several cases similar to that of [DAS]PF_6, and possibly even larger in one instance

Recovery from acidification of lochs in Galloway, south-west Scotland, UK: 1979-1998

International audienceThe Galloway region of south-west Scotland has historically been subject to long-term deposition of acidic precipitation which has resulted in acidification of soils and surface waters and subsequent damage to aquatic ecology. Since the end of the 1970s, however, acidic deposition has decreased substantially. The general pattern is for a rapid decline in non-marine sulphate in rainwater over the period 1978-1988 followed by stable concentrations to the mid-1990s. Concentrations of nitrate and ammonium in deposition have remained constant between 1980 and 1998. Seven water quality surveys of 48 lochs in the Galloway region have been conducted between 1979 and 1998. During the first 10 years, from 1979, there was a major decline in regional sulphate concentrations in the lochs, which was expected to have produced a decline in base cations and an increase in the acid neutralising capacity. But sea-salt levels (as indicated by chloride concentrations) were approximately 25% higher in 1988 than in 1979 and thus short-term acidification due to sea-salts offset much of the long-term recovery trend expected in the lochs. During the next 10 years, however, the chloride concentrations returned to 1979 levels and the lochs showed large increases in acid neutralising capacity despite little change in sulphate concentrations. From the observed decline in sulphate deposition and concentrations of sulphate in the lochs, it appears that approximately 75% of the possible improvement in acid neutralising capacity has already occurred over the 20-year period (1979-1998). The role of acid deposition as a driving factor for change in water chemistry in the Galloway lochs is confounded by concurrent changes in other driving variables, most notably, factors related to episodic and year-to-year variations in climate. In addition to inputs of sea-salts, climate probably also influences other chemical signals such as peaks in regional nitrate concentrations and the sharp increase in dissolved organic carbon during the 1990s. Keywords: acidification, recovery, Galloway, sulphur, nitroge