75 research outputs found

    Magnetically textured y-Fe2O3 nanoparticles in a silica gel matrix: structural and magnetic properties

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    International audienceThis paper is devoted to magnetic and structural properties of anisotropic g -Fe2O3 superparamagnetic particles dispersed in a transparent xerogel matrix. The effect of frozen anisotropy axes and magnetic texture, induced by a magnetic field applied during the solidification of the matrix on the in-field magnetization process, is studied by alternating gradient force magnetometry and first and second order magneto-optical effects. The changes of magnetization curves with respect to the ferrofluid solution at the same particle concentration are interpreted on the basis of an existing statistical approach extended to systems with particle size distribution, which has to be taken into account for real samples. A very good agreement between the experiment and theory was achieved for a log-normal distribution of diameters which well resembles that deduced from electron microscopy observations in different imaging modes. This structural analysis states the parameter values used in calculations and confirms the relevance of basic assumptions of the model for the specimens studied. The experimental results and the related theoretical discussion should be of use to understand magnetic properties of other magnetically textured superparamagnetic system

    Hemophagocytic lymphohistiocytosis in critically ill patients: diagnostic reliability of HLH-2004 criteria and HScore

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    Background: Hemophagocytic lymphohistiocytosis (HLH) is a rare though often fatal hyperinflammatory syndrome mimicking sepsis in the critically ill. Diagnosis relies on the HLH-2004 criteria and HScore, both of which have been developed in pediatric or adult non-critically ill patients, respectively. Therefore, we aimed to determine the sensitivity and specificity of HLH-2004 criteria and HScore in a cohort of adult critically ill patients. Methods: In this further analysis of a retrospective observational study, patients ≥ 18 years admitted to at least one adult ICU at Charité - Universitätsmedizin Berlin between January 2006 and August 2018 with hyperferritinemia of ≥ 500 μg/L were included. Patients' charts were reviewed for clinically diagnosed or suspected HLH. Receiver operating characteristics (ROC) analysis was performed to determine prediction accuracy. Results: In total, 2623 patients with hyperferritinemia were included, of whom 40 patients had HLH. We found the best prediction accuracy of HLH diagnosis for a cutoff of 4 fulfilled HLH-2004 criteria (95.0% sensitivity and 93.6% specificity) and HScore cutoff of 168 (100% sensitivity and 94.1% specificity). By adjusting HLH-2004 criteria cutoffs of both hyperferritinemia to 3000 μg/L and fever to 38.2 °C, sensitivity and specificity increased to 97.5% and 96.1%, respectively. Both a higher number of fulfilled HLH-2004 criteria [OR 1.513 (95% CI 1.372-1.667); p < 0.001] and a higher HScore [OR 1.011 (95% CI 1.009-1.013); p < 0.001] were significantly associated with in-hospital mortality. Conclusions: An HScore cutoff of 168 revealed a sensitivity of 100% and a specificity of 94.1%, thereby providing slightly superior diagnostic accuracy compared to HLH-2004 criteria. Both HLH-2004 criteria and HScore proved to be of good diagnostic accuracy and consequently might be used for HLH diagnosis in critically ill patients. Clinical trial registration: The study was registered with www.ClinicalTrials.gov (NCT02854943) on August 1, 2016

    Diagnostic biomarkers for adult haemophagocytic lymphohistiocytosis in critically ill patients (HEMICU): a prospective observational study protocol

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    INTRODUCTION: Haemophagocytic lymphohistiocytosis (HLH) in adults is characterised by toxic immune activation and a sepsis-like syndrome, leading to high numbers of undiagnosed cases and mortality rates of up to 68%. Early diagnosis and specific immune suppressive treatment are mandatory to avoid fatal outcome, but the diagnostic criteria (HLH-2004) are adopted from paediatric HLH and have not been validated in adults. Experimental studies suggest biomarkers to sufficiently diagnose HLH. However, biomarkers for the diagnosis of adult HLH have not yet been investigated. METHODS AND ANALYSIS: The HEMICU (Diagnostic biomarkers for adult haemophagocytic lymphohistiocytosis in critically ill patients) study aims to estimate the incidence rate of adult HLH among suspected adult patients in intensive care units (ICUs). Screening for HLH will be performed in 16 ICUs of Charité - Universitätsmedizin Berlin. The inclusion criteria are bicytopaenia, hyperferritinaemia (≥500 µg/L), fever or when HLH is suspected by the clinician. Over a period of 2 years, we expect inclusion of about 100 patients with suspected HLH. HLH will be diagnosed if at least five of the HLH-2004 criteria are fulfilled, together with an expert review; all other included patients will serve as controls. Second, a panel of potential biomarker candidates will be explored. DNA, plasma and serum will be stored in a biobank. The primary endpoint of the study is the incidence rate of adult HLH among suspected adult patients during ICU stay. Out of a variety of measured biomarkers, this study furthermore aims to find highly potential biomarkers for the diagnosis of adult HLH in ICU. The results of this study will contribute to improved recognition and patient outcome of adult HLH in clinical routine

    Influence of Co on the Magnetic and Magneto-Optical Properties of Co-Ni/Pt and Co-Ni/Au Multilayers

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    Nous décrivons nos études magnétiques et magnéto-optiques sur des multicouches Co-Ni/M (M = Pt, Au) préparées par évaporation sous ultra vide. L'anisotropie de surface Ks augmente linéairement avec la teneur en Co ce qui vérifie le modèle à un ion. La teneur relative de Ni permet d'ajuster la température de Curie afin de pouvoir utiliser ces matériaux pour l'enregistrement thérmomagnétique. La rotation Kerr présente un pic vers 4 eV pour les multicouches à base de Pt, qui se situe vers 2,5 eV pour celles d'or. On discute des résultats

    Magnetooptical Kerr spectra in sputtered strontium ferrite films

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    Magnetooptic (MO) polar Kerr effect spectra and MO hysteresis loops of SrFe12O19 hexagonal ferrite films are presented. The films were prepared by rf sputtering and subsequently annealed at 800 or 900 degrees C in O-2/Ar. The crystallographic orientation with the c-axis perpendicular to the film plane was checked using XRD. The films display perpendicular magnetic anisotropy and rectangular hysteresis loops with a remanence ratio close to one. At low photon energies below the absorption edge of SrFe12O19 at 2 5 eV MO spectra are affected by the radiation penetration into the film and the quartz substrate. Above this energy they display the features typical for bulk SrFe12O19 crystals. The coercive field, structure of the MO spectra and the magnitude of the prominent peak in the spectra near 4.5 eV can be correlated with the structural quality of the films. Consequently, the magnetooptics can serve as a diagnostics tool for these films
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