Synergistic effect of mycophenolate mofetil and angiotensin-converting enzyme inhibitor in patients with chronic allograft nephropathy

Experimental data and few clinical non-randomized studies have shown that inhibition of the renin-angiotensin system by angiotensin-converting enzyme (ACE) associated or not with the use of mycophenolate mofetil (MMF) could delay or even halt the progression of chronic allograft nephropathy (CAN). In this retrospective historical study, we investigated whether ACE inhibition (ACEI) associated or not with the use of MMF has the same effect in humans as in experimental studies and what factors are associated with a clinical response. A total of 160 transplant patients with biopsy-proven CAN were enrolled. Eighty-one of them were on ACE therapy (G1) and 80 on ACEI_free therapy (G2). Patients were further stratified for the use of MMF. G1 patients showed a marked decrease in proteinuria and stabilized serum creatinine with time. Five-year graft survival after CAN diagnosis was more frequent in G1 (86.9 vs 67.7%; P < 0.05). In patients on ACEI-free therapy, the use of MMF was associated with better graft survival. The use of ACEI therapy protected 79% of the patients against graft loss (OR = 0.079, 95%CI = 0.015-0.426; P = 0.003). ACEI and MMF or the use of MMF alone after CAN diagnosis conferred protection against graft loss. This finding is well correlated with experimental studies in which ACEI and MMF interrupt the progression of chronic allograft dysfunction and injury. The use of ACEI alone or in combination with MMF significantly reduced proteinuria and stabilized serum creatinine, consequently improving renal allograft survival.Universidade Federal de São Paulo (UNIFESP) Hospital do Rim e Hipertensão Disciplina de NefrologiaUniversidade Federal de São Paulo (UNIFESP) Departamento de PatologiaUniversidade de São Paulo Instituto de Ciências Biomédicas IV Departamento de ImunologiaUNIFESP, Hospital do Rim e Hipertensão Disciplina de NefrologiaUNIFESP, Depto. de PatologiaSciEL

Atom gratings produced by large angle atom beam splitters

An asymptotic theory of atom scattering by large amplitude periodic potentials is developed in the Raman-Nath approximation. The atom grating profile arising after scattering is evaluated in the Fresnel zone for triangular, sinusoidal, magneto-optical, and bichromatic field potentials. It is shown that, owing to the scattering in these potentials, two \QTR{em}{groups} of momentum states are produced rather than two distinct momentum components. The corresponding spatial density profile is calculated and found to differ significantly from a pure sinusoid.Comment: 16 pages, 7 figure

Multifractal Analysis of inhomogeneous Bernoulli products

We are interested to the multifractal analysis of inhomogeneous Bernoulli products which are also known as coin tossing measures. We give conditions ensuring the validity of the multifractal formalism for such measures. On another hand, we show that these measures can have a dense set of phase transitions

Search for the Electric Dipole Moment of the tau Lepton

We have searched for a CP violation signature arising from an electric dipole moment (d_tau) of the tau lepton in the e+e- -> tau+tau- reaction. Using an optimal observable method and 29.5 fb^{-1} of data collected with the Belle detector at the KEKB collider at sqrt{s} = 10.58 GeV, we find Re(d_tau) = (1.15 +- 1.70) x 10^{-17} ecm and Im(d_tau) = (-0.83 +- 0.86) x 10^{-17} ecm and set the 95% confidence level limits -2.2 < Re(d_tau) < 4.5 (10^{-17}ecm) and -2.5 < Im(d_tau) < 0.8 (10^{-17}ecm).Comment: 15 pages, LaTeX, 21 figures, submitted to Phys. Lett.

Search for neutrinoless decays tau -> 3l

We have searched for neutrinoless tau lepton decays into three charged leptons using an 87.1 fb^{-1} data sample collected with the Belle detector at the KEKB e^+e^- collider. Since the number of signal candidate events is compatible with that expected from the background, we set 90% confidence level upper limits on the branching fractions in the range (1.9-3.5) x 10^{-7} for various decay modes tau -> l l l where l represents e or mu.Comment: 12 pages, 4figure

Search for B -> h(*) nu nubar Decays at Belle

We present a search for the rare decays B -> h(*) nu nubar, where h(*) stands for a light meson. A data sample of 535 million BBbar pairs collected with the Belle detector at the KEKB e+e- collider is used. Signal candidates are required to have an accompanying B meson fully reconstructed in a hadronic mode and signal-side particles consistent with a single h(*) meson. No significant signal is observed and we set upper limits on the branching fractions at 90% confidence level. The limits on B0 -> K*0 nu nubar and B+ -> K+ nu nubar decays are more stringent than the previous constraints, while the first searches for B0 -> K0 nu nubar, pi0 nu nubar, rho0 nu nubar, phi nu nubar and B+ -> K*+ nu nubar, rho+ nu nubar are reported.Comment: 6 pages, 2 figures, submit to PR

Spectra of prompt electrons from decays of B+ and B0 mesons and ratio of inclusive semielectronic branching fractions

We present spectra of prompt electrons from decays of neutral and charged B mesons. The results are based on 140 /fb of data collected by the Belle detector on the Upsilon(4S) resonance at the KEKB e+e- asymmetric collider. We tag Upsilon(4S) -> B \bar{B} events by reconstructing a B meson in one of several hadronic decay modes; the semileptonic decay of the other B meson is inferred from the presence of an identified electron. We obtain for charged and neutral B mesons the partial rates of semileptonic decay, to electrons with momentum greater than 0.6 GeV/c in the B rest frame, and their ratio b_+/b_0 = 1.08 +- 0.05 +- 0.02, where the first and second errors are statistical and systematic, respectively.Comment: 16 pages, 2 figure files, submitted to Phys. Lett.

Observation of B+ -> K+ eta gamma

We report measurements of radiative B decays with K eta gamma final states, using a data sample of 253 /fb recorded at the Upsilon(4S) resonance with the Belle detector at the KEKB e+e- storage ring. We observe B+ -> K+ eta gamma for the first time with a branching fraction of (8.4 +- 1.5(stat) +1.2 -0.9(syst)) X 10^{-6} for M(Keta) K0 eta gamma. We also search for B -> K3*(1780) gamma.Comment: 12 pages, 5 figures, accepted by Phys. Lett.

Study of B0ˉ→D(∗)0π+π−\bar{B^{0}} \to D^{(*)0} \pi^+ \pi^- Decays

We report on a study of $\bar{B^{0}} \to D^{(*) 0} \pi^+ \pi^-$ decays using 29.1 fb$^{-1}$ of $e^{+}e^{-}$ annihilation data recorded at the $\Upsilon(4S)$ resonance with the Belle detector at the KEKB storage ring. Making no assumptions about the intermediate mechanism, the branching fractions for $\bar{B}^0 \to D^0 \pi^+ \pi^-$ and $\bar{B}^0 \to D^{* 0} \pi^+ \pi^-$ are determined to be $(8.0 \pm 0.6 \pm 1.5) \times 10^{-4}$ and $(6.2 \pm 1.2 \pm 1.8) \times 10^{-4}$ respectively. An analysis of $\bar{B^{0}} \to D^{0} \pi^+ \pi^-$ candidates yields to the first observation of the color-suppressed hadronic decay $\bar{B}^0 \to D^0 \rho^0$ with the branching fraction $(2.9 \pm 1.0 \pm 0.4) \times 10^{-4}$. We measure the ratio of branching fractions ${\mathcal B}(\bar{B^0} \to D^0 \rho^0) / {\mathcal B}(\bar{B^0} \to D^0 \omega)$ = 1.6 $\pm$ 0.8.Comment: 13 pages, LaTex, 4 figures, submitted to Phys. Lett.

The global functioning: Social and role scales-further validation in a large sample of adolescents and young adults at clinical high risk for psychosis

Objective: Traditional measures for assessing functioning with adult patients with schizophrenia have been shown to be insufficient for assessing the issues that occur in adolescents and young adults at clinical high risk (CHR) for psychosis. The current study provides an expanded validation of the Global Functioning: Social (GF:Social) and Role (GF:Role) scales developed specifically for use with CHR individuals and explores the reliability and accuracy of the ratings, the validity of the scores in comparison to other established clinical measures, stability of functioning over a 2-year period, and psychosis predictive ability. Methods: Seven hundred fifty-five CHR individuals and 277 healthy control (HC) participants completed the GF:Social and Role scales at baseline as part of the North American Prodrome Longitudinal Study (NAPLS2). Results: Inter-rater reliability and accuracy were high for both scales. Correlations between the GF scores and other established clinical measures demonstrated acceptable convergent and discriminant validity. In addition, GF:Social and Role scores were unrelated to positive symptoms. CHR participants showed large impairments in social and role functioning over 2-years, relative to the HCs, even after adjusting for age, IQ, and attenuated positive symptoms. Finally, social decline prior to baseline was more pronounced in CHR converters, relative to non-converters. Conclusions: The GF scales can be administered in a large-scale multi-site study with excellent inter-rater reliability and accuracy. CHR individuals showed social and role functioning impairments over time that were not confounded by positive symptom severity levels. The results of this study demonstrate that social decline is a particularly effective predictor of conversion outcome