466 research outputs found
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Dupilumab for bullous pemphigoid with intractable pruritus
Bullous pemphigoid (BP) is an autoimmune blistering disorder that predominantly affects the elderly. Treatment regimens typically include topical and systemic immunosuppressive medications. Although effective, systemic corticosteroids are sometimes poorly tolerated in the elderly patient, contributing to the overall morbidity and mortality of BP. Dupilumab is a monoclonal antibody targeting interleukin 4 receptor alpha (IL4R?), approved for the treatment of atopic dermatitis, as well as moderate to severe asthma and chronic rhinosinusitis with nasal polyposis. In recent reports, dupilumab has been successfully used off-label to treat a variety of pruritic disorders, including chronic spontaneous urticaria [1], anal and genital itch [2], allergic contact dermatitis [3], and prurigo nodularis [4, 5]. We report here a case of an elderly patient with refractory BP whose symptoms of pruritus and blistering became well-controlled with the addition of dupilumab to the treatment regimen
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Characterization of lipoprotein composition and function in pediatric psoriasis reveals a more atherogenic profile
Radiation induced force between two planar waveguides
We study the electromagnetic force exerted on a pair of parallel slab
waveguides by the light propagating through them. We have calculated the
dependence of the force on the slab separation by means of the Maxwell--Stress
tensor formalism and we have discussed its main features for the different
propagation modes: spatially symmetric (antisymmetric) modes give rise to an
attractive (repulsive) interaction. We have derived the asymptotic behaviors of
the force at small and large separation and we have quantitatively estimated
the mechanical deflection induced on a realistic air-bridge structure.Comment: 10 pages, 6 figure
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Long-term safety and efficacy of trifarotene 50 μg/g cream, a first-in-class RAR-γ selective topical retinoid, in patients with moderate facial and truncal acne.
BackgroundTreatment for both facial and truncal acne has not sufficiently been studied.ObjectivesTo evaluate the long-term safety and efficacy of trifarotene in both facial and truncal acne.MethodsIn a multicentre, open-label, 52-week study, patients with moderate facial and truncal acne received trifarotene 50 μg/g cream (trifarotene). Assessments included local tolerability, safety, investigator and physician's global assessments (IGA, PGA) and quality of life (QOL). A validated QOL questionnaire was completed by the patient at Baseline, Week 12, 26 and 52/ET.ResultsOf 453 patients enrolled, 342 (75.5%) completed the study. Trifarotene-related treatment-emergent adverse events (TEAEs) were reported in 12.6% of patients, and none was serious. Most related TEAEs were cutaneous and occurred during the first 3 months. Signs and symptoms of local tolerability were mostly mild or moderate and severe signs, and symptoms were reported for 2.2% to 7.1% of patients for the face and 2.5% to 5.4% for the trunk. Local irritation increased during the first week of treatment on the face and up to Weeks 2 to 4 on the trunk with both decreasing thereafter. At Week 12, IGA and PGA success rates were 26.6% and 38.6%, respectively. Success rates increased to 65.1% and 66.9%, respectively at Week 52. Overall success (both IGA and PGA success in the same patient) was 57.9% at Week 52. At Week 52 visit, 92/171 (53.8%) patients who had completed their assessments had scores from 0 to 1 (i.e. no effect of acne on their QOL) vs. 47/208 (22.6%) patients at Baseline visit.ConclusionIn this 52-week study, trifarotene was safe, well tolerated and effective in moderate facial and truncal acne
A picogram and nanometer scale photonic crystal opto-mechanical cavity
We describe the design, fabrication, and measurement of a cavity
opto-mechanical system consisting of two nanobeams of silicon nitride in the
near-field of each other, forming a so-called "zipper" cavity. A photonic
crystal patterning is applied to the nanobeams to localize optical and
mechanical energy to the same cubic-micron-scale volume. The picrogram-scale
mass of the structure, along with the strong per-photon optical gradient force,
results in a giant optical spring effect. In addition, a novel damping regime
is explored in which the small heat capacity of the zipper cavity results in
blue-detuned opto-mechanical damping.Comment: 15 pages, 4 figure
Broadband Reconfiguration of OptoMechanical Filters
We demonstrate broad-band reconfiguration of coupled photonic crystal
nanobeam cavities by using optical gradient force induced mechanical actuation.
Propagating waveguide modes that exist over wide wavelength range are used to
actuate the structures and in that way control the resonance of localized
cavity mode. Using this all-optical approach, more than 18 linewidths of tuning
range is demonstrated. Using on-chip temperature self-referencing method that
we developed, we determined that 20 % of the total tuning was due to
optomechanical reconfiguration and the rest due to thermo-optic effects.
Independent control of mechanical and optical resonances of our structures, by
means of optical stiffening, is also demonstrated
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