Jorgensen's inequality for non-Archimedean metric spaces.

Jørgensen’s inequality gives a necessary condition for a non-elementary group of Möbius transformations to be discrete. In this paper we generalise this to the case of groups of Möbius transformations of a non-Archimedean metric space. As an application, we give a version of Jørgensen’s inequality for SL(2, ℚ p )

Clinical trial of FK 506 immunosuppression in adult cardiac transplantation

The new immunosuppressive agent FK 506 was used as primary immunotherapy in conjunction with low-dose steroids and azathioprine in 72 patients subsequent to orthotopic cardiac transplantation. Overall patient survival at a mean follow-up of 360 days was 92%. The number of episodes of cardiac rejection (grade 3A or greater) within 90 days of transplantation was 0.95 per patient. The actuarial freedom from rejection at 90 days was 41%. Achievement of this level of immunosuppression is comparable with that of cyclosporine-based triple-drug therapy with OKT3 immunoprophylaxis. Thirty percent of patients were tapered off all steroids, and the average steroid dose in the group who received steroids was 8.6 mg of prednisone per day. The incidence of infection reflected the diminished necessity for steroids: seven major infections (10%) and 11 minor infections (16%). Renal dysfunction occurred during the perioperative period in most patients in this trial. However, the incidence of hypertension was 54% compared with 70% during the cyclosporine era. Ten adults underwent successful rescue therapy with FK 506 after cardiac rejection refractory to conventional immunotherapy. Side effects of FK 506 were notably few, and the results of the trial are encouraging for the future of the cardiac transplant recipient. © 1992

The debris disk - terrestrial planet connection

The eccentric orbits of the known extrasolar giant planets provide evidence that most planet-forming environments undergo violent dynamical instabilities. Here, we numerically simulate the impact of giant planet instabilities on planetary systems as a whole. We find that populations of inner rocky and outer icy bodies are both shaped by the giant planet dynamics and are naturally correlated. Strong instabilities -- those with very eccentric surviving giant planets -- completely clear out their inner and outer regions. In contrast, systems with stable or low-mass giant planets form terrestrial planets in their inner regions and outer icy bodies produce dust that is observable as debris disks at mid-infrared wavelengths. Fifteen to twenty percent of old stars are observed to have bright debris disks (at wavelengths of ~70 microns) and we predict that these signpost dynamically calm environments that should contain terrestrial planets.Comment: Contribution to proceedings of IAU 276: Astrophysics of Planetary System

Effects of mangrove cover on coastal erosion during a hurricane in Texas, USA

We tested the hypothesis that mangroves provide better coastal protection than salt marsh vegetation using 10 1,008-m2 plots in which we manipulated mangrove cover from 0 to 100%. Hurricane Harvey passed over the plots in 2017. Data from erosion stakes indicated up to 26 cm of vertical and 970 cm of horizontal erosion over 70 months in the plot with 0% mangrove cover, but relatively little erosion in other plots. The hurricane did not increase erosion, and erosion decreased after the hurricane passed. Data from drone images indicated 196 m2 of erosion in the 0% mangrove plot, relatively little erosion in other plots, and little ongoing erosion after the hurricane. Transects through the plots indicated that the levee (near the front of the plot) and the bank (the front edge of the plot) retreated up to 9 m as a continuous function of decreasing mangrove cover. Soil strength was greater in areas vegetated with mangroves than in areas vegetated by marsh plants, or nonvegetated areas, and increased as a function of plot-level mangrove cover. Mangroves prevented erosion better than marsh plants did, but this service was nonlinear, with low mangrove cover providing most of the benefits

Accretion disc-stellar magnetosphere interaction: field line inflation and the effect on the spin-down torque

We calculate the structure of a force-free magnetosphere which is assumed to corotate with a central star and which interacts with an embedded differentially rotating accretion disc. The magnetic and rotation axes are aligned and the stellar field is assumed to be a dipole. We concentrate on the case when the amount of field line twisting through the disc-magnetosphere interaction is large and consider different outer boundary conditions. In general the field line twisting produces field line inflation (eg. Bardou & Heyvaerts 1996) and in some cases with large twisting many field lines can become open. We calculate the spin-down torque acting between the star and the disc and we find that it decreases significantly for cases with large field line twisting. This suggests that the oscillating torques observed for some accreting neutron stars could be due to the magnetosphere varying between states with low and high field line inflation. Calculations of the spin evolution of T Tauri stars may also have to be revised in light of the significant effect that field line twisting has on the magnetic torque resulting from star-disc interactions.Comment: Accepted by MNRAS. 21 pages, 15 figures. LaTeX2e in the MN style. PostScript files are also available from http://www-star.qmw.ac.uk/~va/ or by e-mail: [email protected]

A decade (1982 to 1992) of pediatric cardiac transplantation and the impact of FK 506 immunosuppression

The decade from 1982 through 1992 witnessed tremendous growth in pediatric cardiac transplantation. At Children's Hospital of Pittsburgh 66 cardiac transplants were performed during this period (age range 7 hours to 18 years). The cause of cardiomyopathy was congenital (n = 30), cardiomyopathy (n = 29), myocarditis (n = 2), doxorubicin toxicity (n = 2), ischemic (n = 1), valvular (n = 1), and cardiac angiosarcoma (n = 1). Nine children (14 %) required mechanical circulatory support before transplantation: extracorporeal membrane oxygenation (n = 8) and Novacor left ventricular assist system (n = 1) (Baxter Healthcare Corp., Novacor Div., Oakland, Calif.). The mean follow-up time was 2 years (range 4 months to 8 years). The overall survival in the group was 67 %. In children with congenital heart disease (>6 months of age) the perioperative (30 day) mortality was 66 % before mid-1988 (n = 10) and 0 % since mid-1988 (n = 11). The late mortality (>30 days) in children with cardiomyopathy transplanted prior to mid-1988 was 66 % (n = 14) and 7 % since mid-1988 (n = 15). Since mid-1988 1- and 3-year survival was 82 % in children with congenital heart disease and 90 % in children with cardiomyopathy. Twenty-six children have had FK 506 as their primary immunosuppressive therapy since November 1989. Survival in this group was 82 % at 1 and 3 years. The actuarial freedom from grade 3A rejection in the FK group was 60 % at 3 and 6 months after transplantation versus 20 % and 12 %, respectively, in the 15 children operated on before the advent of FK 506, who were treated with cyclosporine-based triple-drug therapy (p < 0.001, Mantel-Cox and Breslow). Twenty of 24 children (83 %) in the FK 506 group are receiving no steroids. The prevalence of posttransplantation hypertension was 4 % in the FK 506 group versus 70 % in the cyclosporine group (p < 0.001, Fisher). Renal toxicity in children treated with FK 506 has been mild. Additionally, eight children have been switched to FK 506 because of refractory rejection and drug toxicity. FK 506 has not produced hirsutism, gingival hyperplasia, or abnormal facial bone growth. The absence of these debilitating side effects, together with the observed immune advantage and steroid-sparing effects of FK 506, hold tremendous promise for the young patient facing cardiac transplantation and a future wedded to immunosuppression

Progress toward curing HIV infection with hematopoietic cell transplantation.

HIV-1 infection afflicts more than 35 million people worldwide, according to 2014 estimates from the World Health Organization. For those individuals who have access to antiretroviral therapy, these drugs can effectively suppress, but not cure, HIV-1 infection. Indeed, the only documented case for an HIV/AIDS cure was a patient with HIV-1 and acute myeloid leukemia who received allogeneic hematopoietic cell transplantation (HCT) from a graft that carried the HIV-resistant CCR5-∆32/∆32 mutation. Other attempts to establish a cure for HIV/AIDS using HCT in patients with HIV-1 and malignancy have yielded mixed results, as encouraging evidence for virus eradication in a few cases has been offset by poor clinical outcomes due to the underlying cancer or other complications. Such clinical strategies have relied on HIV-resistant hematopoietic stem and progenitor cells that harbor the natural CCR5-∆32/∆32 mutation or that have been genetically modified for HIV-resistance. Nevertheless, HCT with HIV-resistant cord blood remains a promising option, particularly with inventories of CCR5-∆32/∆32 units or with genetically modified, human leukocyte antigen-matched cord blood

Salivary melatonin onset in youth at familial risk for bipolar disorder

Melatonin secretion and polysomnography (PSG) were compared among a group of healthy adolescents who were at high familial risk for bipolar disorder (HR) and a second group at low familial risk (LR). Adolescent participants (n = 12) were a mean age 14 ± 2.3 years and included 8 females and 4 males. Saliva samples were collected under standardized condition light (red light) and following a 200 lux light exposure over two consecutive nights in a sleep laboratory. Red Light Melatonin onset (RLMO) was defined as saliva melatonin level exceeding the mean of the first 3 readings plus 2 standard deviations. Polysomnography was also completed during each night. HR youth, relative to LR, experienced a significantly earlier melatonin onset following 200 lux light exposure. Polysomnography revealed that LR youth, relative to HR, spent significantly more time in combined stages 3 and 4 (deep sleep) following red light exposure. Additionally, regardless of the group status (HR or LR), there was no significant difference in Red Light Melatonin Onset recorded at home or in the laboratory, implying its feasibility and reliability

Affinities of the family Sollasellidae (Porifera, Demospongiae). II. Molecular evidence

This is the second part of a revision and re-classification of the demosponge family Sollasellidae, and an example of a successful use of combined morphological and molecular data. Sollasella had been a poorly known, long forgotten taxon, placed incertae sedis in the order Hadromerida in the last major revision of the demosponges. It has recently been suggested to belong to Raspailiidae in the order Poecilosclerida due to striking morphological similarities. The present analysis verified this re-classification using molecular markers. Comparing 28S rDNA fragments of Sollasella cervicornis, a newly described species S. moretonensis and a representative set of raspailiid and hadromerid samples. In our analyses Sollasella clearly clusters inside the Raspailiidae clade, and distantly from hadromerid taxa. Supporting morphological hypothesis of Van Soest et al. (2006), that Sollasella is a raspailiid sponge

Critical values for Lawshe's content validity ratio: revisiting the original methods of calculation

YesThe content validity ratio originally proposed by Lawshe is widely used to quantify content validity and yet methods used to calculate the original critical values were never reported. Methods for original calculation of critical values are suggested along with tables of exact binomial probabilities