Self reported stressful life events and exacerbations in multiple sclerosis: prospective study

OBJECTIVE: To study the relation between self reported stressful life events not related to multiple sclerosis and the occurrence of exacerbations in relapsing-remitting multiple sclerosis. DESIGN: Longitudinal, prospective cohort study. SETTING: Outpatient clinic of department of neurology in the Netherlands. PARTICIPANTS: Patients aged 18-55 with relapsing-remitting multiple sclerosis, who could walk with a cane or better (score of 0-6.0 on the expanded disability status scale), and had had at least two exacerbations in 24 months before inclusion in the study. Patients with other serious conditions were excluded. MAIN OUTCOME MEASURE: The risk of increased disease activity as measured by the occurrence of exacerbations after weeks with stressful events. RESULTS: Seventy out of 73 included patients (96%) reported at least one stressful event. In total, 457 stressful life events were reported that were not related to multiple sclerosis. Average follow up time was 1.4 years. Throughout the study, 134 exacerbations occurred in 56 patients and 136 infections occurred in 57 patients. Cox regression analysis with time dependent variables showed that stress was associated with a doubling of the exacerbation rate (relative risk 2.2, 95% confidence interval 1.2 to 4.0, P = 0.014) during the subsequent four weeks. Infections were associated with a threefold increase in the risk of exacerbation, but this effect was found to be independent of experienced stress. CONCLUSION: Stressful events were associated with increased exacerbations in relapsing-remitting multiple sclerosis. This association was independent of the triggering effect of infections on exacerbations of multiple sclerosis

Arts Undergraduate Handbook 2009

PURPOSE: Anemia is associated with poor tumor control. It was previously observed that accelerated radiotherapy combined with carbogen breathing and nicotinamide (ARCON) can correct this adverse outcome in patients with head and neck cancer. The purpose of this study was to validate this observation based on data from a randomized trial. EXPERIMENTAL DESIGN: Of 345 patients with cT2-4 laryngeal cancer, 174 were randomly assigned to accelerated radiotherapy and 171 to ARCON. Hemoglobin levels, measured before treatment, were defined as low when <7.5 mmol/L for women and <8.5 mmol/L for men. The hypoxia marker pimonidazole was used to assess the oxygenation status in tumor biopsies. Data were analyzed 2 years after inclusion of the last patient. RESULTS: Pretreatment hemoglobin levels were available and below normal in 27 of 173 (16%) accelerated radiotherapy and 27 of 167 (16%) ARCON patients. In patients with normal pretreatment, hemoglobin levels treatment with ARCON had no significant effect on 5-year loco-regional control (LRC, 79% versus 75%; P = 0.44) and disease-free survival (DFS, 75% vs. 70%; P = 0.46) compared with accelerated radiotherapy. However, in patients with low pretreatment, hemoglobin levels ARCON significantly improved 5-year LRC (79% vs. 53%; P = 0.03) and DFS (68% vs. 45%; P = 0.04). In multivariate analysis including other prognostic factors, pretreatment hemoglobin remained prognostic for LRC and DFS in the accelerated radiotherapy treatment arm. No correlation between pretreatment hemoglobin levels and pimonidazole uptake was observed. CONCLUSION: Results from the randomized phase III trial support previous observations that ARCON has the potential to correct the poor outcome of cancer patients with anemia (ClinicalTrials.gov number, NCT00147732). Clin Cancer Res; 20(5); 1345-54. (c)2014 AACR

The 136Xe + 198Pt reaction: a detailed re-examination

We extend previous measurements of the transfer product yields in the reaction of Ec.m.=450MeV136Xe with 198Pt by measurements of the product yields using Gammasphere. By recording events occurring in beam bursts and in between beam bursts, we are able to extend the number of measured product yields from 78 to 171 nuclides. Our new data span a much wider range of Z and A than observed in previous work and when compared to theoretical predictions, these new measurements provide a more stringent and thorough test of models of multi-nucleon transfer (MNT) reactions

Design of SECAR a recoil mass separator for astrophysical capture reactions with radioactive beams

A recoil mass separator SECAR has been designed for the purpose of studying low-energy (p,γ) and (α,γ) reactions in inverse kinematics with radioactive beams for masses up to about A = 65. Their reaction rates are of importance for our understanding of the energy production and nucleosynthesis during explosive hydrogen and helium burning. The radiative capture reactions take place in a windowless hydrogen or He gas target at the entrance of the separator, which consists of four Sections. The first Section selects the charge state of the recoils. The second and third Sections contain Wien Filters providing high mass resolving power to separate efficiently the intense beam from the few reaction products. In the following fourth Section, the reaction products are guided into a detector system capable of position, angle and time-of-flight measurements. In order to accept the complete kinematic cone of recoil particles including multiple scattering in the target in the center of mass energy range of 0.2 MeV to 3.0 MeV, the system must have a large polar angle acceptance of ± 25 mrad. This requires a careful minimization of higher order aberrations. The present system will be installed at the NSCL ReA3 accelerator and will be used with the much higher beam intensities of the FRIB facility when it becomes available

T=1 states in Rb74 and their Kr74 analogs

Charge symmetry breaking effects that perturb analog symmetry between nuclei are usually small but are important in extracting reliable Fermi matrix elements from "superallowed" β decays and testing conserved vector current theory, especially for the heavier cases. We have used the Ca40(Ar36, pn)Rb74 and Ca40(Ca40,αpn)Rb74 reactions at 108, 123 and 160 MeV, respectively, to populate Rb74 and determine the analog distortion through comparison of T=1 states in Rb74 with their corresponding Kr74 levels. We have traced the analogs of the Kr74 ground-state band in Rb74 to a candidate spin J=8 state and determined the Coulomb energy differences. They are small and positive and increase smoothly with spin. New T=0 states were found that better delineate the deformed band structure and clarify the steps in deexcitation from high spin. A new T=0 band was found. No evidence was found for γ decay to or from a low-lying Jπ=0+ state in Rb74 despite a careful search

Terminating states in the positive-parity structures of As 67

The energy levels and γ-ray decay scheme of the positive-parity states in the Tz=12 nucleus As67 have been studied by using the Ca40(Ar36,2αp)As67 reaction at a beam energy of 145 MeV. Two new band structures have been identified which can be connected to the previously known levels. The results for these bands are compared with configuration-dependent cranked Nilsson-Strutinsky calculations. The good level of agreement between theory and experiment suggests that these structures can be interpreted in terms of configurations that involve three g92 particles and that both possess noncollective terminating states

Can Current Moisture Responses Predict Soil CO2 Efflux Under Altered Precipitation Regimes? A Synthesis of Manipulation Experiments

As a key component of the carbon cycle, soil CO2 efflux (SCE) is being increasingly studied to improve our mechanistic understanding of this important carbon flux. Predicting ecosystem responses to climate change often depends on extrapolation of current relationships between ecosystem processes and their climatic drivers to conditions not yet experienced by the ecosystem. This raises the question to what extent these relationships remain unaltered beyond the current climatic window for which observations are available to constrain the relationships. Here, we evaluate whether current responses of SCE to fluctuations in soil temperature and soil water content can be used to predict SCE under altered rainfall patterns. Of the 58 experiments for which we gathered SCE data, 20 were discarded because either too few data were available, or inconsistencies precluded their incorporation in the analyses. The 38 remaining experiments were used to test the hypothesis that a model parameterized with data from the control plots (using soil temperature and water content as predictor variables) could adequately predict SCE measured in the manipulated treatment. Only for seven of these 38 experiments, this hypothesis was rejected. Importantly, these were the experiments with the most reliable datasets, i.e., those providing high-frequency measurements of SCE. Accordingly, regression tree analysis demonstrated that measurement frequency was crucial; our hypothesis could be rejected only for experiments with measurement intervals of less than 11 days, and was not rejected for any of the 24 experiments with larger measurement intervals. This highlights the importance of high-frequency measurements when studying effects of altered precipitation on SCE, probably because infrequent measurement schemes have insufficient capacity to detect shifts in the climate-dependencies of SCE. We strongly recommend that future experiments focus more strongly on establishing response functions across a broader range of precipitation regimes and soil moisture conditions. Such experiments should make accurate measurements of water availability, they require high-frequency SCE measurements and they should consider both instantaneous responses and the potential legacy effects of climate extremes. This is important, because we demonstrated that at least for some ecosystems, current moisture responses cannot be extrapolated to predict SCE under altered rainfall

Alignment delays in the N = Z nuclei 72Kr, 76Sr, and 80Zr

The ground state rotational bands of the N = Z nuclei 72Kr, 76Sr, and 80Zr have been extended into the angular momentum region where rotation alignment of particles is normally expected. By measuring the moments of inertia of these bands we have observed a consistent increase in the rotational frequency required to start pair breaking, when compared to neighboring nuclei. 72Kr shows the most marked effect. It has been widely suggested that these “delayed alignments” arise from np-pairing correlations. However, alignment frequencies are very sensitive to shape degrees of freedom and normal pairing, so the new experimental observations are still open to interpretation

Testing mean-field models near the N=Z line: γ-ray spectroscopy of the Tz=1/2 nucleus 73Kr

Excited states in the N=Z+1 nucleus 73Kr have been investigated using the 40Ca(36Ar, 2pn) and 40Ca(40Ca, α2pn) reactions at 145 and 160 MeV, respectively. γ rays were detected using the Gammasphere array and events were recorded in coincidence with charged-particle and neutron detectors. The three previously observed bands were extended to high spin, and a new unfavored positive-parity band has been observed. The alignment characteristics and decay properties of the bands are all consistent with large-deformation prolate rotation, with no clear evidence for oblate bands or shape coexistence. This is quite different from neighboring 72,74Kr, indicating a strong shape-stabilizing role for the valence neutron. The experimental results are compared to extended total Routhian surface, cranked Nilsson Strutinsky, and cranked relativistic mean-field calculations. The results suggest that the paired calculations lack some important physics. Neutron-proton correlations may be the missing ingredient. There is also evidence for an unusual band crossing in the negative-parity bands, which may indicate the presence of T=0 pairing correlations. At high spin all the models can reproduce the experimental data

Shape coexistence in neutron-deficient Hg isotopes studied via lifetime measurements in Hg 184, 186 and two-state mixing calculations

The neutron-deficient mercury isotopes, Hg184,186, were studied with the recoil distance Doppler-shift method using the Gammasphere array and the Köln plunger device. The differential decay curve method was employed to determine the lifetimes of the yrast states in Hg184,186. An improvement on previously measured values of yrast states up to 8+ is presented as well as first values for the 93 state in Hg184 and 10+ state in Hg186. B(E2) values are calculated and compared to a two-state mixing model which utilizes the variable moment of inertia model, allowing for extraction of spin-dependent mixing strengths and amplitudes