Treatment Of Psoriasis With Oral Mycophenolic Acid

Mycophenolic acid (MPA), an inhibitor of purine synthesis, was evaluated for its therapeutic and adverse effects in 29 patients with psoriasis. MPA was administered orally for at least 12 weeks, during which time the daily dose was increased from 1600 to 4800mg depending on occurrence of adverse reactions. Complete clearing occurred in 1 of the patients, almost complete clearing in 14, definite improvement in 13, slight or doubtful improvement in 1. The full effect of MPA required a median time of 8 weeks (range 5–14). After discontinuing MPA, relapses began at a median time of 4 weeks (range 3–8). The severity of psoriasis was scored on a 0 to 108 scale using a newly devised system. The mean severity and range beibre treatment was 47 (21–88); after 12 weeks, 15 (0–50). Adjustment of dose on the basis of side effects resulted in a median daily dose of 3600mg (range 2400–4800mg; 30–96mg/kg ideal weight). Characteristic dose-limiting side effects were soft or frequent bowel movements, diarrhea, nausea, and anorexia. One instance of reversible, dose-related leukopenia was identified

Stability of a vortex in a small trapped Bose-Einstein condensate

A second-order expansion of the Gross-Pitaevskii equation in the interaction parameter determines the thermodynamic critical angular velocity Omega_c for the creation of a vortex in a small axisymmetric condensate. Similarly, a second-order expansion of the Bogoliubov equations determines the (negative) frequency omega_a of the anomalous mode. Although Omega_c = -omega_a through first order, the second-order contributions ensure that the absolute value |omega_a| is always smaller than the critical angular velocity Omega_c. With increasing external rotation Omega, the dynamical instability of the condensate with a vortex disappears at Omega*=|omega_a|, whereas the vortex state becomes energetically stable at the larger value Omega_c. Both second-order contributions depend explicitly on the axial anisotropy of the trap. The appearance of a local minimum of the free energy for a vortex at the center determines the metastable angular velocity Omega_m. A variational calculation yields Omega_m=|\omega_a| to first order (hence Omega_m also coincides with the critical angular velocity Omega_c to this order). Qualitatively, the scenario for the onset of stability in the weak-coupling limit is the same as that found in the strong-coupling (Thomas-Fermi) limit.Comment: 8 pages, RevTe

A low accretion efficiency of planetesimals formed at planetary gap edges

Observations and models of giant planets indicate that such objects are enriched in heavy elements compared to solar abundances. The prevailing view is that giant planets accreted multiple Earth masses of heavy elements after the end of core formation. Such late solid enrichment is commonly explained by the accretion of planetesimals. Planetesimals are expected to form at the edges of planetary gaps, and here we address the question of whether these planetesimals can be accreted in large enough amounts to explain the inferred high heavy element contents of giant planets. We performed a series of N-body simulations of the dynamics of planetesimals and planets during the planetary growth phase, taking gas drag into account as well as the enhanced collision cross section caused by the extended envelopes. We considered the growth of Jupiter and Saturn via gas accretion after reaching the pebble isolation mass and we included their migration in an evolving disk. We find that the accretion efficiency of planetesimals formed at planetary gap edges is very low: less than 10% of the formed planetesimals are accreted even in the most favorable cases, which in our model corresponds to a few Earth masses. When planetesimals are assumed to form beyond the feeding zone of the planets, extending to a few Hill radii from a planet, accretion becomes negligible. Furthermore, we find that the accretion efficiency increases when the planetary migration distance is increased and that the efficiency does not increase when the planetesimal radii are decreased. Based on these results, we conclude that it is difficult to explain the large heavy element content of giant planets with planetesimal accretion during the gas accretion phase. Alternative processes most likely are required, such as accretion of vapor deposited by drifting pebbles

Beyond multimorbidity:What can we learn from complexity science?

Multimorbidity - the occurrence of two or more long-term conditions in an individual - is a major global concern, placing a huge burden on healthcare systems, physicians, and patients. It challenges the current biomedical paradigm, in particular conventional evidence-based medicine's dominant focus on single-conditions. Patients' heterogeneous range of clinical presentations tend to escape characterization by traditional means of classification, and optimal management cannot be deduced from clinical practice guidelines. In this article, we argue that person-focused care based in complexity science may be a transformational lens through which to view multimorbidity, to complement the specialism focus on each particular disease. The approach offers an integrated and coherent perspective on the person's living environment, relationships, somatic, emotional and cognitive experiences and physiological function. The underlying principles include non-linearity, tipping points, emergence, importance of initial conditions, contextual factors and co-evolution, and the presence of patterned outcomes. From a clinical perspective, complexity science has important implications at the theoretical, practice and policy levels. Three essential questions emerge: (1) What matters to patients? (2) How can we integrate, personalize and prioritize care for whole people, given the constraints of their socio-ecological circumstances? (3) What needs to change at the practice and policy levels to deliver what matters to patients? These questions have no simple answers, but complexity science principles suggest a way to integrate understanding of biological, biographical and contextual factors, to guide an integrated approach to the care of people with multimorbidity

Design approaches in technology enhanced learning

Design is a critical to the successful development of any interactive learning environment (ILE). Moreover, in technology enhanced learning (TEL), the design process requires input from many diverse areas of expertise. As such, anyone undertaking tool development is required to directly address the design challenge from multiple perspectives. We provide a motivation and rationale for design approaches for learning technologies that draws upon Simon's seminal proposition of Design Science (Simon, 1969). We then review the application of Design Experiments (Brown, 1992) and Design Patterns (Alexander et al., 1977) and argue that a patterns approach has the potential to address many of the critical challenges faced by learning technologists

Stability of rotating states in a weakly-interacting Bose-Einstein condensate

We investigate the lowest state of a rotating, weakly-interacting Bose-Einstein condensate trapped in a harmonic confining potential that is driven by an infinitesimally asymmetric perturbation. Although in an axially-symmetric confining potential the gas has an axially-symmetric single-particle density distribution, we show that in the presence of the small asymmetric perturbation its lowest state is the one given by the mean-field approximation, which is a broken-symmetric state. We also estimate the rate of relaxation of angular momentum when the gas is no longer driven by the asymmetric perturbation and identify two regimes of "slow" and "fast" relaxation. States of certain symmetry are found to be more robust.Comment: 6 pages, RevTe

High accuracy calculation of 6s -> 7s parity nonconserving amplitude in Cs

We calculated the parity nonconserving (PNC) 6s -> 7s amplitude in Cs. In the Dirac-Coulomb approximation our result is in a good agreement with other calculations. Breit corrections to the PNC amplitude and to the Stark-induced amplitude $\beta$ are found to be -0.4% and -1% respectively. The weak charge of $^{133}$Cs is $Q_W=-72.5 \pm 0.7$ in agreement with the standard model.Comment: 4 pages, LaTeX2e, uses revtex4.cls, submitted to PR

PARENTS' SATISFACTION AND DISSATISFACTION WITH THEIR CHILDREN'S DENTIST *

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66344/1/j.1752-7325.1973.tb03989.x.pd