5,037 research outputs found

    Clinical Characteristics of Monomorphic Post-transplant Lymphoproliferative Disorders

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    Post-transplant lymphoproliferative disorders (PTLD) are a heterogeneous group of lymphoproliferative disorders associated with immunosuppression and Epstein-Barr virus infection. PTLD is classified into three major categories: early lesions, polymorphic PTLD, and monomorphic PTLD. The majority of monomorphic PTLD cases are non-Hodgkin's lymphoma of B-cell origin. This retrospective study was conducted to investigate the incidence, clinical manifestation, treatment, and outcomes of monomorphic PTLD among 5,817 recipients of solid organ or allogeneic hematopoietic stem cell transplantation from five institutions. Fourteen patients with monomorphic PTLD were identified (male:female 11:3; median age 42.6 yr, range 24-60). The overall incidence rate was 0.24%. The most common disease type was diffuse large B cell lymphoma (n=7). The median time between the transplant and diagnosis of PTLD was 85.8 months. However, all cases of PTLD after allogeneic hematopoietic stem cell transplantation occurred within 1 yr after transplantation. Ten of the 14 patients had EBV-positive tumor. Fourteen patients received combination systemic chemotherapy and four patients were treated with radiation therapy. Ten patients achieved a complete response (CR) and two patients a partial response (PR). The median follow-up period for surviving patients was 36.6 months. Nine patients remain alive (eight CR, one PR). Nine of 11 solid organ transplantations preserved graft function. The present study indicates a lower incidence rate and a longer median time before the development of PTLD than those of previous reports. Careful monitoring was needed after allogeneic hematopoietic stem cell transplantation for PTLD

    Development of a Multi-material Stereolithography System

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    Researchers continue to explore possibilities for expanding additive manufacturing (AM) technologies into direct product manufacturing. One limitation is in the materials available for use in AM that can meet the needs of end-use applications. Stereolithography (SL) is an AM technology well known for its precision and high quality surface finish capabilities. SL builds parts by selectively crosslinking or solidifying photo-curable liquid resins, and the resin industry has been continuously developing new resins with improved performance characteristics. This paper introduces a unique SL machine that can fabricate parts out of multiple SL materials. The technology is based on using multiple vats positioned on a rotating vat carousel that contain different photo-curable materials. To change the material during the process, the build platform is raised out of the current vat, a new vat with a different material is rotated under the platform, and the platform is submerged into the new vat so that the new material can be used. This paper introduces a new vat exchange mechanism, cleaning process, recoating process, resin leveling mechanism and process planning technologies for the implementation of multiple material SL. An overview of the system framework is provided and the system integration and control software is described. In addition, several multiple material test parts are designed, fabricated, and described

    Distribution and Kinematics of H I through Raman He II Spectroscopy of NGC 6302

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    The young planetary nebula NGC 6302 is known to exhibit Raman-scattered He II features at 6545 and 4851 Angstrom. These features are formed through inelastic scattering of He IIλλ\lambda\lambda 1025 and 972 with hydrogen atoms in the ground state, for which the cross sections are 1.2Γ—10βˆ’211.2 \times 10^{-21} and 1.4Γ—10βˆ’22Β cm21.4\times 10^{-22} {\rm\ cm^2}, respectively. We investigate the spectrum of NGC 6302 archived in the ESO Science Portal. Our Gaussian line fitting analysis shows that the Raman-scattered He II features are broader and more redshifted than the hypothetical model Raman features that would be formed in a cold static H I medium. We adopt a simple scattering geometry consisting of a compact He II emission region surrounded by a H I medium to perform Monte Carlo simulations using the radiative transfer code STaRS{\it STaRS}. Our simulations show that the H I region is characterized by the H I column density NHI=3Γ—1021Β cmβˆ’2N_{\rm HI}=3\times 10^{21}{\rm\ cm^{-2}} with the random speed component vran=10Β kmΒ sβˆ’1v_{\rm ran}=10{\rm\ km\ s^{-1}} expanding with a speed $v_{\rm exp}= 13{\rm\ km\ s^{-1}}fromtheHeIIemissionregion.Basedonourbestfitparameters,weestimatetheHImassoftheneutralmedium from the He II emission region. Based on our best fit parameters, we estimate the H I mass of the neutral medium M_{\rm HI} \simeq 1.0\times 10^{-2}\ {\rm M_\odot}$, pointing out the usefulness of Raman He II spectroscopy as a tool to trace H I components.Comment: 12 pages, 8 figures, accepted for publication in Ap

    Role of G{alpha}12 and G{alpha}13 as Novel Switches for the Activity of Nrf2, a Key Antioxidative Transcription Factor

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    G{alpha}12 and G{alpha}13 function as molecular regulators responding to extracellular stimuli. NF-E2-related factor 2 (Nrf2) is involved in a protective adaptive response to oxidative stress. This study investigated the regulation of Nrf2 by G{alpha}12 and G{alpha}13. A deficiency of G{alpha}12, but not of G{alpha}13, enhanced Nrf2 activity and target gene transactivation in embryo fibroblasts. In mice, G{alpha}12 knockout activated Nrf2 and thereby facilitated heme catabolism to bilirubin and its glucuronosyl conjugations. An oligonucleotide microarray demonstrated the transactivation of Nrf2 target genes by G{alpha}12 gene knockout. G{alpha}12 deficiency reduced Jun N-terminal protein kinase (JNK)-dependent Nrf2 ubiquitination required for proteasomal degradation, and so did G{alpha}13 deficiency. The absence of G{alpha}12, but not of G{alpha}13, increased protein kinase C {delta} (PKC {delta}) activation and the PKC {delta}-mediated serine phosphorylation of Nrf2. G{alpha}13 gene knockout or knockdown abrogated the Nrf2 phosphorylation induced by G{alpha}12 deficiency, suggesting that relief from G{alpha}12 repression leads to the G{alpha}13-mediated activation of Nrf2. Constitutive activation of G{alpha}13 promoted Nrf2 activity and target gene induction via Rho-mediated PKC {delta} activation, corroborating positive regulation by G{alpha}13. In summary, G{alpha}12 and G{alpha}13 transmit a JNK-dependent signal for Nrf2 ubiquitination, whereas G{alpha}13 regulates Rho-PKC {delta}-mediated Nrf2 phosphorylation, which is negatively balanced by G{alpha}12

    The value of type IV collagen immunohistochemical staining in the differential diagnosis of autoimmune subepidermal bullous diseases

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    Autoimmune subepidermal bullous diseases (AISBDs) exhibit various clinical presentations, histological appearances, prognoses, and responses to treatment. Many diagnostic techniques, such as direct immunofluorescence (IF), indirect salt-split skin IF, and enzyme-linked immunosorbent assays, are used in the differential diagnoses of AISBDs. However, these techniques require fresh frozen tissue, expensive laboratory equipment, and sophisticated laboratory techniques. The purpose of this study was to evaluate the value of type IV collagen immunohistochemical (IHC) staining for the differential diagnosis of AISBDs. Paraffin-embedded blocks of skin biopsies were selected from 28 patients with autoimmune subepidermal bullous diseases. Among these 28 cases, 24 patients exhibited bullous pemphigoid (BP), 2 exhibited epidermolysis bullosa acquisita (EBA), 1 exhibited linear immunoglobulin A dermatosis (LAD), and 1 exhibited bullous systemic lupus erythematosus (BSLE). Sections were stained for type IV collagen and examined to determine the location of type IV collagen in the subepidermal blister. Type IV collagen positivity was observed on the base of the subepidermal blister in patients with BP (24 of 24 cases) and LAD (1 of 1 case). Staining was observed on the roof of the blister in patients with EBA (2 of 2 cases) and BSLE (1 of 1 case), and irregular staining was also observed on the base in patients with EBA. In conclusion, type IV collagen IHC staining is a simple and useful diagnostic technique for the differential diagnosis of AISBDs. .042) compared with controls. The filiform papillae had partially or completely regenerated in 85.7% of cases in the test group and in 23.1% of the controls (P=0.001). Red patches with raised keratotic rims may have healed spontaneously and reappeared in constantly changing patterns that are typical for MG. This phenomenon was not observed in patients supplemented with zinc, and new atrophy areas occurred in only one case. Low-dose zinc gluconate supplementation may have a positive therapeutic effect on tongue epithelium regeneration and symptomatology in patients with MG. Β  in our region were consistent with those from other studies.Β </p

    Simple Structured DPP-based Small Molecules for High Efficient Organic Photovoltaics

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