Hyperfine Populations Prior to Muon Capture

It is shown that the 1S level hyperfine populations prior to muon capture will be statistical when either target or beam are unpolarised independent of the atomic level at which the hyperfine interaction becomes appreciable. This assertion holds in the absence of magnetic transitions during the cascade and is true because of minimal polarisation after atomic capture and selective feeding during the cascade.Comment: (revtex, 6 preprint pages, no figures

Blockade but not overexpression of the junctional adhesion molecule C influences virus-induced type 1 diabetes in mice

Type 1 diabetes (T1D) results from the autoimmune destruction of insulin-producing beta-cells in the pancreas. Recruitment of inflammatory cells is prerequisite to beta-cell-injury. The junctional adhesion molecule (JAM) family proteins JAM-B and JAM–C are involved in polarized leukocyte transendothelial migration and are expressed by vascular endothelial cells of peripheral tissue and high endothelial venules in lympoid organs. Blocking of JAM-C efficiently attenuated cerulean-induced pancreatitis, rheumatoid arthritis or inflammation induced by ischemia and reperfusion in mice. In order to investigate the influence of JAM-C on trafficking and transmigration of antigen-specific, autoaggressive T-cells, we used transgenic mice that express a protein of the lymphocytic choriomeningitis virus (LCMV) as a target autoantigen in the β-cells of the islets of Langerhans under the rat insulin promoter (RIP). Such RIP-LCMV mice turn diabetic after infection with LCMV. We found that upon LCMV-infection JAM-C protein was upregulated around the islets in RIP-LCMV mice. JAM-C expression correlated with islet infiltration and functional beta-cell impairment. Blockade with a neutralizing anti-JAM-C antibody reduced the T1D incidence. However, JAM-C overexpression on endothelial cells did not accelerate diabetes in the RIP-LCMV model. In summary, our data suggest that JAM-C might be involved in the final steps of trafficking and transmigration of antigen-specific autoaggressive T-cells to the islets of Langerhans

Hépatite contagieuse du Chien (maladie de Rubarth). Premier cas identifié au Maroc

Martin L.- A., Goret Pierre, Hintermann J., Doux G. Hépatite contagieuse du Chien (maladie de Rubarth). Premier cas identifié au Maroc. In: Bulletin de l'Académie Vétérinaire de France tome 105 n°9, 1952. pp. 383-385

Simultaneous bilateral total knee and ankle arthroplasty as a single surgical procedure

<p>Abstract</p> <p>Background</p> <p>Simultaneous osteoarthritis (OA) of the ankle joint complicates primary total knee arthroplasty (TKA). In such cases, rehabilitation of TKA is limited by debilitating ankle pain, but varus or valgus ankle arthritis may even compromise placement of knee prosthetic components.</p> <p>Case presentation</p> <p>We present a patient with simultaneous bilateral valgus and patellofemoral OA of the knees and bilateral varus OA of the ankle joints that equally contributed to overall disability. This 63 years old, motivated and otherwise healthy patient was treated by simultaneous bilateral total knee and ankle arthroplasty (quadruple total joint arthroplasty, TJA) during the same anesthesia. Two years outcome showed excellent alignment and function of all four replaced joints. Postoperative time for rehabilitation, back to work (6th week) and hospital stay (12 days) of this special patient was markedly reduced compared to the usual course of separate TJA.</p> <p>Conclusions</p> <p>Simultaneous quadruple TJA in equally disabling OA of bilateral deformed knees and ankles resulted in a better functional outcome and faster recovery compared to the average reported results after TKA and TAA in literature. However, careful preoperative planning, extensive patient education, and two complete surgical teams were considered essential for successful performance. To the best of our knowledge this is the first case report in literature about quadruple major total joint arthroplasty implanted during the same anesthesia in the same patient.</p

Thrombembolische Komplikationen nach Sprunggelenkprothesenimplantation

Zusammenfassung: Einleitung: Der endoprothetische Ersatz des oberen Sprunggelenks (OSG) wird zunehmend als therapeutische Option bei Patienten mit fortgeschrittenen degenerativen Veränderungen des OSG angewendet. Es gibt jedoch wenige Angaben in der aktuellen Literatur über die Inzidenz der thrombembolischen Komplikationen. Aus diesem Grund haben wir eine Literaturreview mit folgenden Fragestellungen durchgeführt: Thrombembolieprophylaxe und Inzidenz der postoperativen Thrombose/Embolie nach endoprothetischem Ersatz des OSG. Außerdem haben wir die Inzidenz thrombembolischer Komplikationen in unserem Patientenkollektiv evaluiert. Methoden: Die systematische Literaturreview wurde unter Verwendung von gängigen Datenbanken der medizinischen Literatur durchgeführt. Folgende Angaben wurden berücksichtigt: Methode und Dauer der Thrombembolieprophylaxe und Dokumentation einer Thrombose/Embolie als postoperative Komplikation. Die Inzidenz thrombembolischer Komplikationen wurde in unserem Patientenkollektiv mit 964 Prothesen des OSG evaluiert. Ergebnisse: Insgesamt wurden 21 klinische Studien für die systemische Literaturreview eingeschlossen. Die Inzidenz thrombembolischer Komplikationen lag zwischen 0,0 und 4,8 %. Die Inzidenz der symptomatischen tiefen Beinvenenthrombose betrug in unserem Patientenkollektiv 3,4 %. Es wurden keine Lungenembolien diagnostiziert. Alle Patienten erhielten niedermolekulares Heparin (Dalteparin) als Thrombembolieprophylaxe. Schlussfolgerung: Die Inzidenz der thrombembolischen Komplikationen in unserem Patientenkollektiv war vergleichbar mit der Inzidenz von Patienten mit endoprothetischem Ersatz des Knie- oder Hüftgelenks oder einer Arthrodese des OSG. Wir empfehlen die Thrombembolieprophylaxe mit einem niedermolekularen Heparin nach endoprothetischem Ersatz des OS

The importance of early arthroscopy in athletes with painful cartilage lesions of the ankle: a prospective study of 61 consecutive cases

BACKGROUND Ankle sprains are common in sports and can sometimes result in a persistent pain condition. PURPOSE Primarily to evaluate clinical symptoms, signs, diagnostics and outcomes of surgery for symptomatic chondral injuries of the talo crural joint in athletes. Secondly, in applicable cases, to evaluate the accuracy of MRI in detecting these injuries. Type of study: Prospective consecutive series. METHODS Over around 4 years we studied 61 consecutive athletes with symptomatic chondral lesions to the talocrural joint causing persistent exertion ankle pain. RESULTS 43% were professional full time athletes and 67% were semi-professional, elite or amateur athletes, main sports being soccer (49%) and rugby (14%). The main subjective complaint was exertion ankle pain (93%). Effusion (75%) and joint line tenderness on palpation (92%) were the most common clinical findings. The duration from injury to arthroscopy for 58/61 cases was 7 months (5.7–7.9). 3/61 cases were referred within 3 weeks from injury. There were in total 75 cartilage lesions. Of these, 52 were located on the Talus dome, 17 on the medial malleolus and 6 on the Tibia plafond. Of the Talus dome injuries 18 were anteromedial, 14 anterolateral, 9 posteromedial, 3 posterolateral and 8 affecting mid talus. 50% were grade 4 lesions, 13.3% grade 3, 16.7% grade 2 and 20% grade 1. MRI had been performed pre operatively in 26/61 (39%) and 59% of these had been interpreted as normal. Detection rate of cartilage lesions was only 19%, but subchondral oedema was present in 55%. At clinical follow up average 24 months after surgery (10–48 months), 73% were playing at pre-injury level. The average return to that level of sports after surgery was 16 weeks (3–32 weeks). However 43% still suffered minor symptoms. CONCLUSION Arthroscopy should be considered early when an athlete presents with exertion ankle pain, effusion and joint line tenderness on palpation after a previous sprain. Conventional MRI is not reliable for detecting isolated cartilage lesions, but the presence of subchondral oedema should raise such suspicion

Folding transitions of the triangular lattice with defects

A recently introduced model describing the folding of the triangular lattice is generalized allowing for defects in the lattice and written as an Ising model with nearest-neighbor and plaquette interactions on the honeycomb lattice. Its phase diagram is determined in the hexagon approximation of the cluster variation method and the crossover from the pure Ising to the pure folding model is investigated, obtaining a quite rich structure with several multicritical points. Our results are in very good agreement with the available exact ones and extend a previous transfer matrix study.Comment: 16 pages, latex, 5 postscript figure

Structure and properties of small sodium clusters

We have investigated structure and properties of small metal clusters using all-electron ab initio theoretical methods based on the Hartree-Fock approximation and density functional theory, perturbation theory and compared results of our calculations with the available experimental data and the results of other theoretical works. We have systematically calculated the optimized geometries of neutral and singly charged sodium clusters having up to 20 atoms, their multipole moments (dipole and quadrupole), static polarizabilities, binding energies per atom, ionization potentials and frequencies of normal vibration modes. Our calculations demonstrate the great role of many-electron correlations in the formation of electronic and ionic structure of small metal clusters and form a good basis for further detailed study of their dynamic properties, as well as structure and properties of other atomic cluster systems.Comment: 47 pages, 16 figure

Breaking tolerance to the natural human liver autoantigen cytochrome P450 2D6 by virus infection

Autoimmune liver diseases, such as autoimmune hepatitis (AIH) and primary biliary cirrhosis, often have severe consequences for the patient. Because of a lack of appropriate animal models, not much is known about their potential viral etiology. Infection by liver-tropic viruses is one possibility for the breakdown of self-tolerance. Therefore, we infected mice with adenovirus Ad5 expressing human cytochrome P450 2D6 (Ad-2D6). Ad-2D6–infected mice developed persistent autoimmune liver disease, apparent by cellular infiltration, hepatic fibrosis, “fused” liver lobules, and necrosis. Similar to type 2 AIH patients, Ad-2D6–infected mice generated type 1 liver kidney microsomal–like antibodies recognizing the immunodominant epitope WDPAQPPRD of cytochrome P450 2D6 (CYP2D6). Interestingly, Ad-2D6–infected wild-type FVB/N mice displayed exacerbated liver damage when compared with transgenic mice expressing the identical human CYP2D6 protein in the liver, indicating the presence of a stronger immunological tolerance in CYP2D6 mice. We demonstrate for the first time that infection with a virus expressing a natural human autoantigen breaks tolerance, resulting in a chronic form of severe, autoimmune liver damage. Our novel model system should be instrumental for studying mechanisms involved in the initiation, propagation, and precipitation of virus-induced autoimmune liver diseases

Homogenized dynamics of stochastic partial differential equations with dynamical boundary conditions

A microscopic heterogeneous system under random influence is considered. The randomness enters the system at physical boundary of small scale obstacles as well as at the interior of the physical medium. This system is modeled by a stochastic partial differential equation defined on a domain perforated with small holes (obstacles or heterogeneities), together with random dynamical boundary conditions on the boundaries of these small holes. A homogenized macroscopic model for this microscopic heterogeneous stochastic system is derived. This homogenized effective model is a new stochastic partial differential equation defined on a unified domain without small holes, with static boundary condition only. In fact, the random dynamical boundary conditions are homogenized out, but the impact of random forces on the small holes' boundaries is quantified as an extra stochastic term in the homogenized stochastic partial differential equation. Moreover, the validity of the homogenized model is justified by showing that the solutions of the microscopic model converge to those of the effective macroscopic model in probability distribution, as the size of small holes diminishes to zero.Comment: Communications in Mathematical Physics, to appear, 200