86 research outputs found

    Intravitreal triamcinolone for cancer-associated retinopathy refractory to systemic therapy

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    Purpose: The purpose of this study is to report the use of intravitreal triamcinolone for treatment of cancer-associated retinopathy (CAR) refractory to systemic therapy. Methods: This was a retrospective chart review study. Results: A 67-year-old man presented with cancer-associated retinopathy with antibodies against a 46-kDa retinal protein, alpha enolase. There was disease progression despite therapy with mycophenolate and intravenous immunoglobulin. Serial intravitreal injections of triamcinolone resulted in restoration of photoreceptor anatomy on optical coherence tomography and visual improvement. The patient’s vision was preserved at 20/40 OD and 20/32 OS until his death from lung cancer 31 months after CAR diagnosis. Conclusions: Intravitreal triamcinolone may be beneficial for maintenance of vision in patients with CAR

    MIPS 24 Micron Observations of the Hubble Deep Field South: Probing the IR-Radio Correlation of Galaxies at z > 1

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    We present MIPS 24 micron observations of the Hubble Deep Field South taken with the Spitzer Space Telescope. The resulting image is 254 arcmin^2 in size and has a sensitivity ranging between ~12 to ~30 microJy rms, with a median sensitivity of ~20 microJy rms. A total of 495 sources have been cataloged with a signal-to-noise ratio greater than 5 sigma. The source catalog is presented as well as source counts which have been corrected for completeness and flux boosting. The IR sources are then combined with MUSYC optical/NIR and ATHDFS radio observations to obtain redshifts and radio flux densities of the sample. We use the IR/radio flux density ratio (q_24) to explore the IR-radio correlation for this IR sample and find q_24 = 0.71 +- 0.31 for sources detected in both IR and radio. The results are extended by stacking IR sources not detected in the radio observations and we derive an average q_24 for redshift bins between 0 1) sources have an average q_{24} ratio which is better fit by local LIRG SEDs rather than local ULIRG SEDs, indicating that high redshift ULIRGs differ in their IR/radio properties. So ULIRGs at high redshift have SEDs different from those found locally. Infrared faint radio sources are examined, and while nine radio sources do not have a MIPS detection and are therefore radio-loud AGN, only one radio source has an extreme IRAC 3.6 micron to radio flux density ratio indicating it is a radio-loud AGN at z > 1.Comment: 11 pages, 8 figures, accepted for publication in Ap

    MIPS 24 ÎŒm observations of the hubble deep field south: probing the IR-radio correlation of galaxies at z > 1

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    We present MIPS 24 ÎŒm observations of the Hubble Deep Field South taken with the Spitzer Space Telescope. The resulting image is 254 arcmin^2 in size and has a sensitivity ranging between ~12 and ~30 ÎŒJy rms, with a median sensitivity of ~20 ÎŒJy rms. A total of 495 sources have been cataloged with a signal-to-noise ratio greater than 5σ. The source catalog is presented as well as source counts which have been corrected for completeness and flux boosting. The IR sources are then combined with MUSYC optical/NIR and ATHDFS radio observations to obtain redshifts and radio flux densities of the sample.We use the IR/radio flux density ratio (q_(24)) to explore the IR–radio correlation for this IR sample and find q_(24) = 0.71 ± 0.31 for sources detected in both IR and radio. The results are extended by stacking IR sources not detected in the radio observations and we derive an average q_(24) for redshift bins between 0 1) sources have an average q_(24) ratio which is better fit by local LIRG SEDs rather than local ULIRG SEDs, indicating that high-redshift ULIRGs differ in their IR/radio properties. So, ULIRGs at high-redshift have SEDs different from those found locally. Infrared-faint radio sources are examined, and while nine radio sources do not have an MIPS detection and are therefore radio-loud active galactic nuclei (AGNs), only one radio source has an extreme IRAC 3.6ÎŒm to radio flux density ratio indicating it is a radio-loud AGN at z > 1

    Multidisciplinary recommendations for essential baseline functional and laboratory tests to facilitate early diagnosis and management of immune-related adverse events among cancer patients.

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    Immune checkpoint inhibitors (ICIs) have fundamentally changed the treatment landscape of various cancers. While ICI treatments result in improved survival, quality of life and are cost-effective, the majority of patients experience at least one immune-related adverse event (irAE). Many of these side effects cause little discomfort or are asymptomatic; however, irAEs can affect any organ and are potentially life-threatening. Consequently, early diagnosis and appropriate treatment of irAEs are critical for optimizing long-term outcomes and quality of life in affected patients. Some irAEs are diagnosed according to typical symptoms, others by abnormal findings from diagnostic tests. While there are various guidelines addressing the management of irAEs, recommendations for the early recognition of irAEs as well as the optimal extent and frequency of laboratory tests are mostly lacking. In clinical practice, blood sampling is usually performed before each ICI administration (i.e., every 2-3 weeks), often for several months, representing a burden for patients as well as health care systems. In this report, we propose essential laboratory and functional tests to improve the early detection and management of irAEs and in cancer patients treated with ICIs. These multidisciplinary expert recommendations regarding essential laboratory and functional tests can be used to identify possible irAEs at an early time point, initiate appropriate interventions to improve patient outcomes, and reduce the burden of blood sampling during ICI treatment

    Interferon regulatory factor 8-deficiency determines massive neutrophil recruitment but T cell defect in fast growing granulomas during tuberculosis

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    Following Mycobacterium tuberculosis (Mtb) infection, immune cell recruitment in lungs is pivotal in establishing protective immunity through granuloma formation and neogenesis of lymphoid structures (LS). Interferon regulatory factor-8 (IRF-8) plays an important role in host defense against Mtb, although the mechanisms driving anti-mycobacterial immunity remain unclear. In this study, IRF-8 deficient mice (IRF-8−/−) were aerogenously infected with a low-dose Mtb Erdman virulent strain and the course of infection was compared with that induced in wild-type (WT-B6) counterparts. Tuberculosis (TB) progression was examined in both groups using pathological, microbiological and immunological parameters. Following Mtb exposure, the bacterial load in lungs and spleens progressed comparably in the two groups for two weeks, after which IRF-8−/− mice developed a fatal acute TB whereas in WT-B6 the disease reached a chronic stage. In lungs of IRF-8−/−, uncontrolled growth of pulmonary granulomas and impaired development of LS were observed, associated with unbalanced homeostatic chemokines, progressive loss of infiltrating T lymphocytes and massive prevalence of neutrophils at late infection stages. Our data define IRF-8 as an essential factor for the maintenance of proper immune cell recruitment in granulomas and LS required to restrain Mtb infection. Moreover, IRF-8−/− mice, relying on a common human and mouse genetic mutation linked to susceptibility/severity of mycobacterial diseases, represent a valuable model of acute TB for comparative studies with chronically-infected congenic WT-B6 for dissecting protective and pathological immune reactions

    Evolution of the Far-Infrared-Radio Correlation and Infrared SEDs of Massive Galaxies over z = 0 - 2

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    We investigate the far-infrared-radio correlation (FRC) of stellar-mass-selected galaxies in the Extended Chandra Deep Field South using far-infrared imaging from Spitzer and radio imaging from the Very Large Array and Giant Metre-Wave Radio Telescope. We stack in redshift bins to probe galaxies below the noise and confusion limits. Radio fluxes are K-corrected using observed flux ratios, leading to tentative evidence for an evolution in spectral index. We compare spectral energy distribution (SED) templates of local galaxies for K-correcting FIR fluxes, and show that the data are best fit by a quiescent spiral template (M51) rather than a warm starburst (M82) or ULIRG (Arp220), implying a predominance of cold dust in massive galaxies at high redshift. In contrast we measure total infrared luminosities that are consistent with high star-formation rates. We observe that the FRC index (q) does not evolve significantly over z=0-2 when computed from K-corrected 24 or 160-mum photometry, but that using 70-mum fluxes leads to an apparent decline in q beyond z~1. This suggests some change in the SED at high redshift, either a steepening of the spectrum at rest-frame ~25-35mum or a deficiency at ~70mum leading to a drop in the total infrared/radio ratios. We compare our results to other work in the literature and find synergies with recent findings on the high-redshift FRC, high specific star-formation rates of massive galaxies and the cold dust temperatures in these galaxies.Comment: 21 pages, 13 figures, accepted for publication in MNRA

    Model Order Reduction in Fluid Dynamics: Challenges and Perspectives

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    This chapter reviews techniques of model reduction of fluid dynamics systems. Fluid systems are known to be difficult to reduce efficiently due to several reasons. First of all, they exhibit strong nonlinearities — which are mainly related either to nonlinear convection terms and/or some geometric variability — that often cannot be treated by simple linearization. Additional difficulties arise when attempting model reduction of unsteady flows, especially when long-term transient behavior needs to be accurately predicted using reduced order models and more complex features, such as turbulence or multiphysics phenomena, have to be taken into consideration. We first discuss some general principles that apply to many parametric model order reduction problems, then we apply them on steady and unsteady viscous flows modelled by the incompressible Navier-Stokes equations. We address questions of inf-sup stability, certification through error estimation, computational issues and — in the unsteady case — long-time stability of the reduced model. Moreover, we provide an extensive list of literature references

    Addressing climate change with behavioral science:A global intervention tournament in 63 countries

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    Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p
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