16 research outputs found
Quantitative analysis of the relation between entropy and nucleosynthesis in central Ca + Ca and Nb + Nb collisions
The final states of central Ca + Ca and Nb + Nb collisions at 400 and 1050 MeV/nucleon and at 400 and 650 MeV/nucleon, respectively, are studied with two independently developed statistical models, namely the classical microcanonical model and the quantum-statistical grand canonical model. It is shown that these models are in agreement with each other for these systems. Furthermore, it is demonstrated that there is essentially a one-to-one relationship between the observed relative abundances of the light fragments p, d, t, 3He, and α and the entropy per nucleon, for breakup temperatures greater than 30 MeV. Entropy values of 3.5–4 are deduced from high-multiplicity selected fragment yield data
Nuclear transport models can reproduce charged-particle-inclusive measurements but are not strongly constrained by them
Nuclear transport models are important tools for interpretation of many heavy-ion experiments and are essential in efforts to probe the nuclear equation of state. In order to fulfill these roles, the model predictions should at least agree with observed single-particle-inclusive momentum spectra; however, this agreement has recently been questioned. The present work compares the Vlasov-Uehling-Uhlenbeck model to data for mass-symmetric systems ranging from 12C+12C to 139La+139La, and we find good agreement within experimental uncertainties at 0.4A and 0.8A GeV. For currently available data, these uncertainties are too large to permit effective nucleon-nucleon scattering cross sections in the nuclear medium to be extracted at a useful level of precision
High-p_T pion and kaon production in relativistic nuclear collisions
High-p_T pion and kaon production is studied in relativistic proton-proton,
proton-nucleus, and nucleus-nucleus collisions in a wide energy range. Cross
sections are calculated based on perturbative QCD, augmented by a
phenomenological transverse momentum distribution of partons (``intrinsic
k_T''). An energy dependent width of the transverse momentum distribution is
extracted from pion and charged hadron production data in
proton-proton/proton-antiproton collisions. Effects of multiscattering and
shadowing in the strongly interacting medium are taken into account.
Enhancement of the transverse momentum width is introduced and parameterized to
explain the Cronin effect. In collisions between heavy nuclei, the model
over-predicts central pion production cross sections (more significantly at
higher energies), hinting at the presence of jet quenching. Predictions are
made for proton-nucleus and nucleus-nucleus collisions at RHIC energies.Comment: 26 pages in Latex, 19 EPS figure
Symptom-based stratification of patients with primary Sjögren's syndrome: multi-dimensional characterisation of international observational cohorts and reanalyses of randomised clinical trials
Background
Heterogeneity is a major obstacle to developing effective treatments for patients with primary Sjögren's syndrome. We aimed to develop a robust method for stratification, exploiting heterogeneity in patient-reported symptoms, and to relate these differences to pathobiology and therapeutic response.
Methods
We did hierarchical cluster analysis using five common symptoms associated with primary Sjögren's syndrome (pain, fatigue, dryness, anxiety, and depression), followed by multinomial logistic regression to identify subgroups in the UK Primary Sjögren's Syndrome Registry (UKPSSR). We assessed clinical and biological differences between these subgroups, including transcriptional differences in peripheral blood. Patients from two independent validation cohorts in Norway and France were used to confirm patient stratification. Data from two phase 3 clinical trials were similarly stratified to assess the differences between subgroups in treatment response to hydroxychloroquine and rituximab.
Findings
In the UKPSSR cohort (n=608), we identified four subgroups: Low symptom burden (LSB), high symptom burden (HSB), dryness dominant with fatigue (DDF), and pain dominant with fatigue (PDF). Significant differences in peripheral blood lymphocyte counts, anti-SSA and anti-SSB antibody positivity, as well as serum IgG, κ-free light chain, β2-microglobulin, and CXCL13 concentrations were observed between these subgroups, along with differentially expressed transcriptomic modules in peripheral blood. Similar findings were observed in the independent validation cohorts (n=396). Reanalysis of trial data stratifying patients into these subgroups suggested a treatment effect with hydroxychloroquine in the HSB subgroup and with rituximab in the DDF subgroup compared with placebo.
Interpretation
Stratification on the basis of patient-reported symptoms of patients with primary Sjögren's syndrome revealed distinct pathobiological endotypes with distinct responses to immunomodulatory treatments. Our data have important implications for clinical management, trial design, and therapeutic development. Similar stratification approaches might be useful for patients with other chronic immune-mediated diseases.
Funding
UK Medical Research Council, British Sjogren's Syndrome Association, French Ministry of Health, Arthritis Research UK, Foundation for Research in Rheumatology
Recommended from our members