Evaluation of patients treated with natalizumab for progressive multifocal leukoencephalopathy

Background: Progressive multifocal leukoencephalopathy (PML) was reported to have developed in three patients treated with natalizumab. We conducted an evaluation to determine whether PML had developed in any other treated patients. Methods: We invited patients who had participated in clinical trials in which they received recent or long-term treatment with natalizumab for multiple sclerosis, Crohn's disease, or rheumatoid arthritis to participate. The clinical history, physical examination, brain magnetic resonance imaging (MRI), and testing of cerebrospinal fluid for JC virus DNA were used by an expert panel to evaluate patients for PML. We estimated the risk of PML in patients who completed at least a clinical examination for PML or had an MRI. Results: Of 3417 patients who had recently received natalizumab while participating in clinical trials, 3116 (91 percent) who were exposed to a mean of 17.9 monthly doses underwent evaluation for PML. Of these, 44 patients were referred to the expert panel because of clinical findings of possible PML, abnormalities on MRI, or a high plasma viral load of JC virus. No patient had detectable JC virus DNA in the cerebrospinal fluid. PML was ruled out in 43 of the 44 patients, but it could not be ruled out in one patient who had multiple sclerosis and progression of neurologic disease because data on cerebrospinal fluid testing and follow-up MRI were not available. Only the three previously reported cases of PML were confirmed (1.0 per 1000 treated patients; 95 percent confidence interval, 0.2 to 2.8 per 1000). Conclusions: A detailed review of possible cases of PML in patients exposed to natalizumab found no new cases and suggested a risk of PML of roughly 1 in 1000 patients treated with natalizumab for a mean of 17.9 months. The risk associated with longer treatment is not known

An outflow in the Seyfert ESO 362-G18 revealed by Gemini-GMOS/IFU observations

Indexación: Scopus.We present two-dimensional stellar and gaseous kinematics of the inner 0.7 × 1.2 kpc2 of the Seyfert 1.5 galaxy ESO 362-G18, derived from optical (4092-7338 Å) spectra obtained with the GMOS integral field spectrograph on the Gemini South telescope at a spatial resolution of ≈ 170 pc and spectral resolution of 36 km s-1. ESO 362-G18 is a strongly perturbed galaxy of morphological type Sa or S0/a, with a minor merger approaching along the NE direction. Previous studies have shown that the [O III] emission shows a fan-shaped extension of ≈ 10′′ to the SE. We detect the [O III] doublet, [N II] and Hα emission lines throughout our field of view. The stellar kinematics is dominated by circular motions in the galaxy plane, with a kinematic position angle of ≈ 137° and is centred approximately on the continuum peak. The gas kinematics is also dominated by rotation, with kinematic position angles ranging from 122° to 139°, projected velocity amplitudes of the order of 100 km s-1, and a mean velocity dispersion of 100 km s-1. A double-Gaussian fit to the [O III]λ5007 and Hα lines, which have the highest signal to noise ratios of the emission lines, reveal two kinematic components: (1) a component at lower radial velocities which we interpret as gas rotating in the galactic disk; and (2) a component with line of sight velocities 100-250 km s-1 higher than the systemic velocity, interpreted as originating in the outflowing gas within the AGN ionization cone. We estimate a mass outflow rate of 7.4 × 10-2 M⊙ yr-1 in the SE ionization cone (this rate doubles if we assume a biconical configuration), and a mass accretion rate on the supermassive black hole (SMBH) of 2.2 × 10-2 M⊙ yr-1. The total ionized gas mass within ∼84 pc of the nucleus is 3.3 × 105 M⊙; infall velocities of ∼34 km s-1 in this gas would be required to feed both the outflow and SMBH accretion. © ESO 2018.https://www.aanda.org/articles/aa/abs/2018/06/aa31671-17/aa31671-17.htm

Gravity wave analogs of black holes

It is demonstrated that gravity waves of a flowing fluid in a shallow basin can be used to simulate phenomena around black holes in the laboratory. Since the speed of the gravity waves as well as their high-wavenumber dispersion (subluminal vs. superluminal) can be adjusted easily by varying the height of the fluid (and its surface tension) this scenario has certain advantages over the sonic and dielectric black hole analogs, for example, although its use in testing quantum effects is dubious. It can be used to investigate the various classical instabilities associated with black (and white) holes experimentally, including positive and negative norm mode mixing at horizons. PACS: 04.70.-s, 47.90.+a, 92.60.Dj, 04.80.-y.Comment: 14 pages RevTeX, 5 figures, section VI modifie

Determination of the Deep Inelastic Contribution to the Generalised Gerasimov-Drell-Hearn Integral for the Proton and Neutron

The virtual photon absorption cross section differences [sigma_1/2-sigma_3/2] for the proton and neutron have been determined from measurements of polarised cross section asymmetries in deep inelastic scattering of 27.5 GeV longitudinally polarised positrons from polarised 1H and 3He internal gas targets. The data were collected in the region above the nucleon resonances in the kinematic range nu < 23.5 GeV and 0.8 GeV**2 < Q**2 < 12 GeV**2. For the proton the contribution to the generalised Gerasimov-Drell-Hearn integral was found to be substantial and must be included for an accurate determination of the full integral. Furthermore the data are consistent with a QCD next-to-leading order fit based on previous deep inelastic scattering data. Therefore higher twist effects do not appear significant.Comment: 6 pages, 3 figures, 1 table, revte

Hydration pathways of CaCl₂ inside matrices with different pore sizes

For use as a heat storage material, CaCl2 is often impregnated into porous materials. This is done to stabilize the salt against conglomeration and its dissolution due to the low deliquescence relative humidity. However, CaCl2 has overlapping temperature and water vapor pressure conditions for its trito- and monohydrate, which are kinetically hindered against each other creating path-dependent (de-)hydration steps. These pathways may change under the influence of confinement. These changes can influence the temperature output for heat batteries using CaCl2 composites and could make the taken pathways for hydration and dehydration either more complex or simpler than the pure salt. So, in this research, the hydration and dehydration steps of CaCl2 inside different clays (Vermiculite, Halloysite, and Sepiolite) and silica gels were investigated with respect to their transformations compared to the bulk salt. Therefore, the kinetic phase transition onsets were determined with isobaric TGA measurements together with PXRD in situ experiments to confirm or identify the crystalline phases. This showed that inside pores, CaCl2 forms the monohydrate rather than the tritohydrate. The decrease of pore diameter leads to easier formation of monohydrate over tritohydrate. This trend can be explained by the crystal structures of the hydrates and their unit cell volumes considering that larger crystals are difficult to form in the limited space inside the pore systems. This change in phase transition steps influences the transition temperatures, which affects its application for heat storage.</p

Observation of a Coherence Length Effect in Exclusive Rho^0 Electroproduction

Exclusive incoherent electroproduction of the rho^0(770) meson from 1H, 2H, 3He, and 14N targets has been studied by the HERMES experiment at squared four-momentum transfer Q**2>0.4 GeV**2 and positron energy loss nu from 9 to 20 GeV. The ratio of the 14N to 1H cross sections per nucleon, known as the nuclear transparency, was found to decrease with increasing coherence length of quark-antiquark fluctuations of the virtual photon. The data provide clear evidence of the interaction of the quark- antiquark fluctuations with the nuclear medium.Comment: RevTeX, 5 pages, 3 figure

On a global differential geometric approach to the rational mechanics of deformable media

In the past the rational mechanics of deformable media was largely concerned with materials governed by linear constitutive equations. In recent years, the theory has expanded considerably towards covering materials for which the constitutive equations are inherently nonlinear, and/or whose mechanical properties resemble in some respects those of a fluid and in others those of a solid. In the present article we formulate a satisfactory global mathematical theory of moving deformable media, which includes all these aspects