Efficacy of adalimumab as second-line therapy in a pediatric cohort of crohn’s disease patients who failed infliximab therapy: The Italian society of pediatric gastroenterology, hepatology, and nutrition experience

Background: Adalimumab (Ada) treatment is an available option for pediatric Crohn’s disease (CD) and the published experience as rescue therapy is limited. Objectives: We investigated Ada efficacy in a retrospective, pediatric CD cohort who had failed previous infliximab treatment, with a minimum follow-up of 6 months. Methods: In this multicenter study, data on demographics, clinical activity, growth, laboratory values (CRP) and adverse events were collected from CD patients during follow-up. Clinical remission (CR) and response were defined with Pediatric CD Activity Index (PCDAI) score ≤10 and a decrease in PCDAI score of ≥12.5 from baseline, respectively. Results: A total of 44 patients were consecutively recruited (mean age 14.8 years): 34 of 44 (77%) had active disease (mean PCDAI score 24.5) at the time of Ada administration, with a mean disease duration of 3.4 (range 0.3–11.2) years. At 6, 12, and 18 months, out of the total of the enrolled population, CR rates were 55%, 78%, and 52%, respectively, with a significant decrease in PCDAI scores (P<0.01) and mean CRP values (mean CRP 5.7 and 2.4 mL/dL, respectively; P<0.01) at the end of follow-up. Steroid-free remission rates, considered as the total number of patients in CR who were not using steroids at the end of this study, were 93%, 95%, and 96% in 44 patients at 6, 12, and 18 months, respectively. No significant differences in growth parameters were detected. In univariate analysis of variables related to Ada efficacy, we found that only a disease duration >2 years was negatively correlated with final PCDAI score (P<0.01). Two serious adverse events were recorded: 1 meningitis and 1 medulloblastoma. Conclusion: Our data confirm Ada efficacy in pediatric patients as second-line biological therapy after infliximab failure. Longer-term prospective data are warranted to define general effectiveness and safety in pediatric CD patients

Microturbulence studies in RFX-mod

Present-days Reversed Field Pinches (RFPs) are characterized by quasi-laminar magnetic configurations in their core, whose boundaries feature sharp internal transport barriers, in analogy with tokamaks and stellarators. The abatement of magnetic chaos leads to the reduction of associated particle and heat transport along wandering field lines. At the same time, the growth of steep temperature gradients may trigger drift microinstabilities. In this work we summarize the work recently done in the RFP RFX-mod in order to assess the existence and the impact upon transport of such electrostatic and electromagnetic microinstabilities as Ion Temperature Gradient (ITG), Trapped Electron Modes (TEM) and microtearing modes.Comment: Work presented at the 2010 Varenna workshop "Theory of Fusion Plasmas". To appear in Journal of Physics Conference Serie

Classical diamagnetism, magnetic interaction energies, and repulsive forces in magnetized plasmas

The Bohr-van Leeuwen theorem is often summarized as saying that there is no classical magnetic susceptibility, in particular no diamagnetism. This is seriously misleading. The theorem assumes position dependent interactions but this is not required by classical physics. Since the work of Darwin in 1920 it has been known that the magnetism due to classical charged point particles can only be described by allowing velocity dependent interactions in the Lagrangian. Legendre transformation to an approximate Hamiltonian can give an estimate of the Darwin diamagnetism for a system of charged point particles. Comparison with experiment, however, requires knowledge of the number of classically behaving electrons in the sample. A new repulsive effective many-body force, which should be relevant in plasmas, is predicted by the Hamiltonian.Comment: added references, revise

Observation of interference between two distinct autoionizing states in dissociative photoionization of H 2

Dissociative photoionization (DPI) of randomly oriented H2 molecules has been studied using linearly polarized synchrotron radiation at selected photon energies of 31, 33, and 35 eV. Large amplitude oscillations in the photoelectron asymmetry parameter β, as a function of electron energy, have been observed. The phase of these β oscillations are in excellent agreement with the results of recent close coupling calculations [Fernández and Martín, New J. Phys. 11, 043020 (2009)]. We show that the oscillations are the signature of interferences between the 1Q1 Σu+1 and 1Q2 Πu1 doubly excited states decaying at different internuclear distances. The oscillations thus provide information about the classical paths followed by the nuclei. The presence of such oscillations is predicted to be a general phenomenon in DPIWe acknowledge NSERC, CLS, and UoW for their support. We thank Mare Nostrum BSC and CCC-UAM for allocation of computer time. Work partially supported by the MICINN Projects No. FIS2010-15127, No. ACI2008-0777, and No. CSD 2007-00010, the European MC-ITN CORINF, and the COST Action CM070