Serum creatine kinase isoenzymes in children with osteogenesis imperfecta

This study evaluates serum creatine kinase isoenzyme activity in children with osteogenesis imperfecta to determine its usefulness as a biochemical marker during treatment with bisphosphonate. The changes of creatine kinase (CK) isoenzyme activity during and after discontinuation therapy were observed. These results could be useful in addressing over-treatment risk prevention. Introduction The brain isoenzyme of creatine kinase (CKbb) is highly expressed in mature osteoclasts during osteoclastogenesis, thus plays an important role in bone resorption. We previously identified high serum CKbb levels in 18 children with osteogenesis imperfect (OI) type 1 treated for 1 year with bisphosphonate (neridronate). In the present study, serum CK isoenzymes were evaluated in the same children with continuous versus discontinued neridronate treatment over a further 2-year follow-up period. Methods This study included 18 children with OI type 1, 12 with continued (group A) and 6 with ceased (group B) neridronate treatment. Auxological data, serum biochemical markers of bone metabolism, bone mineral density z-score, and serum total CK and isoenzyme activities were determined in both groups. Results Serum CKbb was progressively and significantly increased in group A (p < 0.004) but rapidly decreased to undetectable levels in group B. In both groups, the cardiac muscle creatine kinase isoenzyme (CKmb) showed a marked decrease, while serum C-terminal telopeptide (CTx) levels were almost unchanged. Conclusions This study provides evidence of the cumulative effect of neridronate administration in increasing serum CKbb levels and the reversible effect after its discontinuation. This approach could be employed for verifying the usefulness of serum CKbb as a biochemical marker in patients receiving prolonged bisphosphonate treatment. Moreover, the decreased serum CKmb levels suggest a systemic effect of these drugs

Charge redistribution in the formation of one-dimensional lithium wires on Cu(001)

We describe the formation of one-dimensional lithium wires on a Cu(001) substrate, providing an atomic-scale description of the onset of metallization in this prototypical adsorption system. A combination of helium atom scattering and density-functional theory reveals pronounced changes in the electronic charge distribution on the formation of the c(5√2×√2)R45° Li/Cu(001) structure, as in-plane bonds are created. Charge donation from Li-substrate bonds is found to facilitate the formation of stable, bonded, and depolarized chains of Li adatoms that coexist with an interleaved phase of independent adatoms. The resultant overlayer has a commensurate charge distribution and lattice modulations but differs fundamentally from structurally similar charge-density wave systems

On Mixed Convection in a Horizontal Channel, Viscous Dissipation and Flow Duality

The conditions defining a stationary fluid flow may lead to a multiplicity of solutions. This circumstance is widely documented in the literature when mixed convection in a vertical channel or duct is accompanied by an important effect of viscous dissipation. Usually, there are double stationary solutions with a parallel velocity field which satisfy given temperature boundary conditions and with a prescribed mass flow rate. However, in a vertical internal flow, the dual solutions can be determined only numerically as they do not have a closed analytical form. This study shows that, in a horizontal channel, stationary mixed convection with viscous dissipation shows up dual flow branches whose mathematical expressions can be determined analytically. The features of these dual flows are discussed

Resonant Processes in a Frozen Gas

We present a theory of resonant processes in a frozen gas of atoms interacting via dipole-dipole potentials that vary as $r^{-3}$, where $r$ is the interatomic separation. We supply an exact result for a single atom in a given state interacting resonantly with a random gas of atoms in a different state. The time development of the transition process is calculated both on- and off-resonance, and the linewidth with respect to detuning is obtained as a function of time $t$. We introduce a random spin Hamiltonian to model a dense system of resonators and show how it reduces to the previous model in the limit of a sparse system. We derive approximate equations for the average effective spin, and we use them to model the behavior seen in the experiments of Anderson et al. and Lowell et al. The approach to equilibrium is found to be proportional to $\exp (-\sqrt{\gamma_{eq}t}$), where the constant $\gamma _{eq}$ is explicitly related to the system's parameters.Comment: 30 pages, 6 figure

Dissipation instability of Couette-like adiabatic flows in a plane channel

The mixed convection flow in a plane channel with adiabatic boundaries is examined. The boundaries have an externally prescribed relative velocity defining a Couette-like setup for the flow. A stationary flow regime is maintained with a constant velocity difference between the boundaries, considered as thermally insulated. The effect of viscous dissipation induces a heat source in the flow domain and, hence, a temperature gradient. The nonuniform temperature distribution causes, in turn, a buoyancy force and a combined forced and free flow regime. Dual mixed convection flows occur for a given velocity difference. Their structure is analysed where, in general, only one branch of the dual flows is compatible with the Oberbeck-Boussinesq approximation, for realistic values of the Gebhart number. A linear stability analysis of the basic stationary flows with viscous dissipation is carried out. The stability eigenvalue problem is solved numerically, leading to the determination of the neutral stability curves and the critical values of the P\'eclet number, for different Gebhart numbers. An analytical asymptotic solution in the special case of perturbations with infinite wavelength is also developed.Comment: 24 pages, 11 figure

Onset of Darcy-B\ue9nard convection under throughflow of a shear-thinning fluid

We present an investigation on the onset of Darcy-B\ue9nard instability in a two-dimensional porous medium saturated with a non-Newtonian fluid and heated from below in the presence of a uniform horizontal pressure gradient. The fluid is taken to be of power-law nature with constant rheological index and temperature-dependent consistency index. A two-dimensional linear stability analysis in the vertical plane yields the critical wavenumber and the generalised critical Rayleigh number as functions of dimensionless problem parameters, with a non-monotonic dependence from and with maxima/minima at given values of , a parameter representing the effects of consistency index variations due to temperature. A series of experiments are conducted in a Hele-Shaw cell of aspect ratio to provide a verification of the theory. Xanthan Gum mixtures (nominal concentration from 0.10 % to 0.20 %) are employed as working fluids with a parameter range and. The experimental critical wavenumber corresponding to incipient instability of the convective cells is derived via image analysis for different values of the imposed horizontal velocity. Theoretical results for critical wavenumber favourably compare with experiments, systematically underestimating their experimental counterparts by 10 % at most. The discrepancy between experiments and theory is more relevant for the critical Rayleigh number, with theory overestimating the experiments by a maximum factor less than two. Discrepancies are attributable to a combination of factors: nonlinear phenomena, possible subcritical bifurcations, and unaccounted-for disturbing effects such as approximations in the rheological model, wall slip, ageing and degradation of the fluid properties