Comparison of structural magnetic resonance imaging findings between neuropsychiatric systemic lupus erythematosus and systemic lupus erythematosus patients: A systematic review and meta-analysis

Introduction: Neuropsychiatric systemic lupus erythematosus is often clinically challenging to diagnose, treat and monitor. Although brain magnetic resonance imaging is frequently performed before lumbar puncture in neuropsychiatric systemic lupus erythematosus, it is not clear from the literature whether specific brain magnetic resonance imaging findings are associated with distinct clinical features of neuropsychiatric systemic lupus erythematosus. Methods: We conducted a systematic review and meta-analysis on published studies of neuropsychiatric systemic lupus erythematosus including brain magnetic resonance imaging and the 1999 American College of Rheumatology-defined clinical neuropsychiatric systemic lupus erythematosus syndromes to determine their relationship. Pooled prevalence and risk ratio for distinct neuropsychiatric systemic lupus erythematosus associations were determined with 95% confidence intervals. Results: Of 821 studies screened, 21 fulfilled inclusion criteria. A total of 818 participants were evaluated (91% female) with 1064 neuropsychiatric systemic lupus erythematosus episodes assessed. Neuropsychiatric systemic lupus erythematosus features included headache (24%), seizures (19%), cerebrovascular disease (18%), cognitive dysfunction (15%) and acute confusional state (14%). Normal magnetic resonance imaging was significant for anxiety disorder (risk ratio: 9.00; 95% confidence interval: 2.40, 33.79), autonomic disorder (risk ratio: 7.00; 95% confidence interval: 0.51, 96.06) and plexopathy (risk ratio: 5.00; 95% confidence interval: 0.81, 31.00). Highest risk ratio of neuropsychiatric systemic lupus erythematosus syndrome with abnormal magnetic resonance imaging was observed for cerebrovascular disease (risk ratio: 0.15; 95% confidence interval: 0.10, 0.24) and demyelination (risk ratio: 0.11; 95% confidence interval: 0.02, 0.72). Conclusion: Normal magnetic resonance imaging in neuropsychiatric systemic lupus erythematosus was the most significant correlate from our meta-analysis for psychological symptoms including anxiety and peripheral nerve features of autonomic disorder and plexopathy. The main abnormal brain magnetic resonance imaging correlates included cerebrovascular disease and demyelination. Brain magnetic resonance imaging correlates poorly with neuropsychiatric systemic lupus erythematosus features, and specific clinical symptoms should be the main determinants of performing magnetic resonance imaging rather than presence of neuropsychiatric systemic lupus erythematosus per se

Artificial Neural Network-based error compensation procedure for low-cost encoders

An Artificial Neural Network-based error compensation method is proposed for improving the accuracy of resolver-based 16-bit encoders by compensating for their respective systematic error profiles. The error compensation procedure, for a particular encoder, involves obtaining its error profile by calibrating it on a precision rotary table, training the neural network by using a part of this data and then determining the corrected encoder angle by subtracting the ANN-predicted error from the measured value of the encoder angle. Since it is not guaranteed that all the resolvers will have exactly similar error profiles because of the inherent differences in their construction on a micro scale, the ANN has been trained on one error profile at a time and the corresponding weight file is then used only for compensating the systematic error of this particular encoder. The systematic nature of the error profile for each of the encoders has also been validated by repeated calibration of the encoders over a period of time and it was found that the error profiles of a particular encoder recorded at different epochs show near reproducible behavior. The ANN-based error compensation procedure has been implemented for 4 encoders by training the ANN with their respective error profiles and the results indicate that the accuracy of encoders can be improved by nearly an order of magnitude from quoted values of ~6 arc-min to ~0.65 arc-min when their corresponding ANN-generated weight files are used for determining the corrected encoder angle.Comment: 16 pages, 4 figures. Accepted for Publication in Measurement Science and Technology (MST

Black Hole Entropy from Spin One Punctures

Recent suggestion, that the emission of a quantum of energy corresponding to the asymptotic value of quasinormal modes of a Schwarzschild black hole should be associated with the loss of spin one punctures from the black hole horizon, fixes the Immirzi parameter to a definite value. We show that saturating the horizon with spin one punctures reproduces the earlier formula for the black hole entropy, including the $ln (area)$ correction with definite coefficient (- 3/2) for large area.Comment: 4 pages. RevTe

Spin-orbit tuned metal-insulator transitions in single-crystal Sr2Ir1-xRhxO4 (0\leqx\leq1)

Sr2IrO4 is a magnetic insulator driven by spin-orbit interaction (SOI) whereas the isoelectronic and isostructural Sr2RhO4 is a paramagnetic metal. The contrasting ground states have been shown to result from the critical role of the strong SOI in the iridate. Our investigation of structural, transport, magnetic and thermal properties reveals that substituting 4d Rh4+ (4d5) ions for 5d Ir4+(5d5) ions in Sr2IrO4 directly reduces the SOI and rebalances the competing energies so profoundly that it generates a rich phase diagram for Sr2Ir1-xRhxO4 featuring two major effects: (1) Light Rh doping (0\leqx\leq0.16) prompts a simultaneous and precipitous drop in both the electrical resistivity and the magnetic ordering temperature TC, which is suppressed to zero at x = 0.16 from 240 K at x=0. (2) However, with heavier Rh doping (0.24< x<0.85 (\pm0.05)) disorder scattering leads to localized states and a return to an insulating state with spin frustration and exotic magnetic behavior that only disappears near x=1. The intricacy of Sr2Ir1-xRhxO4 is further highlighted by comparison with Sr2Ir1-xRuxO4 where Ru4+(4d4) drives a direct crossover from the insulating to metallic states.Comment: 5 figure

Metal-insulator transition induced by 16O -18O oxygen isotope exchange in colossal negative magnetoresistance manganites

The effect of 16O-18O isotope exchange on the electric resistivity was studied for (La(1-y)Pr(y))0.7Ca0.3MnO3 ceramic samples. Depending on y, this mixed perovskite exhibited different types of low-temperature behavior ranging from ferromagnetic metal (FM) to charge ordered (CO) antiferromagnetic insulator. It was found that at y=0.75, the substitution of 16O by 18O results in the reversible transition from a FM to a CO insulator at zero magnetic field. The applied magnetic field (H >= 2 T) transformed the sample with 18O again to the metallic state and caused the increase in the FM transition temperature Tc of the 16O sample. As a result, the isotope shift of Tc at H = 2 T was as high as 63 K. Such unique sensitivity of the system to oxygen isotope exchange, giving rise even to the metal-insulator transition, is discussed in terms of the isotope dependence of the effective electron bandwidth which shifts the balance between the CO and FM phases.Comment: 5 pages (RevTeX), 2 eps figures included, to appear in J. Appl. Phys. 83, (1998

Meditation acutely improves psychomotor vigilance, and may decrease sleep need

BACKGROUND: A number of benefits from meditation have been claimed by those who practice various traditions, but few have been well tested in scientifically controlled studies. Among these claims are improved performance and decreased sleep need. Therefore, in these studies we assess whether meditation leads to an immediate performance improvement on a well validated psychomotor vigilance task (PVT), and second, whether longer bouts of meditation may alter sleep need. METHODS: The primary study assessed PVT reaction times before and after 40 minute periods of mediation, nap, or a control activity using a within subject cross-over design. This study utilized novice meditators who were current university students (n = 10). Novice meditators completed 40 minutes of meditation, nap, or control activities on six different days (two separate days for each condition), plus one night of total sleep deprivation on a different night, followed by 40 minutes of meditation.A second study examined sleep times in long term experienced meditators (n = 7) vs. non-meditators (n = 23). Experienced meditators and controls were age and sex matched and living in the Delhi region of India at the time of the study. Both groups continued their normal activities while monitoring their sleep and meditation times. RESULTS: Novice meditators were tested on the PVT before each activity, 10 minutes after each activity and one hour later. All ten novice meditators improved their PVT reaction times immediately following periods of meditation, and all but one got worse immediately following naps. Sleep deprivation produced a slower baseline reaction time (RT) on the PVT that still improved significantly following a period of meditation. In experiments with long-term experienced meditators, sleep duration was measured using both sleep journals and actigraphy. Sleep duration in these subjects was lower than control non-meditators and general population norms, with no apparent decrements in PVT scores. CONCLUSIONS: These results suggest that meditation provides at least a short-term performance improvement even in novice meditators. In long term meditators, multiple hours spent in meditation are associated with a significant decrease in total sleep time when compared with age and sex matched controls who did not meditate. Whether meditation can actually replace a portion of sleep or pay-off sleep debt is under further investigation

Parameter constraints for high-energy models of colliding winds of massive stars: the case WR 147

We explore the ability of high energy observations to constrain orbital parameters of long period massive binary systems by means of an inverse Compton model acting in colliding wind environments. This is particular relevant for (very) long period binaries where orbital parameters are often poorly known from conventional methods, as is the case e.g. for the Wolf-Rayet (WR) star binary system WR 147 where INTEGRAL and MAGIC upper limits on the high-energy emission have recently been presented. We conduct a parameter study of the set of free quantities describing the yet vaguely constrained geometry and respective effects on the non-thermal high-energy radiation from WR 147. The results are confronted with the recently obtained high-energy observations and with sensitivities of contemporaneous high-energy instruments like Fermi-LAT. For binaries with sufficient long periods, like WR 147, gamma-ray attenuation is unlikely to cause any distinctive features in the high-energy spectrum. This leaves the anisotropic inverse Compton scattering as the only process that reacts sensitively on the line-of-sight angle with respect to the orbital plane, and therefore allows the deduction of system parameters even from observations not covering a substantial part of the orbit. Provided that particle acceleration acts sufficiently effectively to allow the production of GeV photons through inverse Compton scattering, our analysis indicates a preference for WR 147 to possess a large inclination angle. Otherwise, for low inclination angles, electron acceleration is constrained to be less efficient as anticipated here.Comment: 33 pages, 9 figures; accepted by Ap

Disruption of Parasite hmgb2 Gene Attenuates Plasmodium berghei ANKA Pathogenicity

Eukaryotic high-mobility-group-box (HMGB) proteins are nuclear factors involved in chromatin remodeling and transcription regulation. When released into the extracellular milieu, HMGB1 acts as a proinflammatory cytokine that plays a central role in the pathogenesis of several immune-mediated inflammatory diseases. We found that the Plasmodium genome encodes two genuine HMGB factors, Plasmodium HMGB1 and HMGB2, that encompass, like their human counterparts, a proinflammatory domain. Given that these proteins are released from parasitized red blood cells, we then hypothesized that Plasmodium HMGB might contribute to the pathogenesis of experimental cerebral malaria (ECM), a lethal neuroinflammatory syndrome that develops in C57BL/6 (susceptible) mice infected with Plasmodium berghei ANKA and that in many aspects resembles human cerebral malaria elicited by P. falciparum infection. The pathogenesis of experimental cerebral malaria was suppressed in C57BL/6 mice infected with P. berghei ANKA lacking the hmgb2 gene (Δhmgb2 ANKA), an effect associated with a reduction of histological brain lesions and with lower expression levels of several proinflammatory genes. The incidence of ECM in pbhmgb2-deficient mice was restored by the administration of recombinant PbHMGB2. Protection from experimental cerebral malaria in Δhmgb2 ANKA-infected mice was associated with reduced sequestration in the brain of CD4(+) and CD8(+) T cells, including CD8(+) granzyme B(+) and CD8(+) IFN-γ(+) cells, and, to some extent, neutrophils. This was consistent with a reduced parasite sequestration in the brain, lungs, and spleen, though to a lesser extent than in wild-type P. berghei ANKA-infected mice. In summary, Plasmodium HMGB2 acts as an alarmin that contributes to the pathogenesis of cerebral malaria.Pitié-Salpêtrière, Institut Pasteur (Paris)