984 research outputs found

    PT 679.02: Contemporary Systems Trends – Neurology Journal Club

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    PT 527.01: Electrotherapeutic Testing and Therapy

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    PT 573.01: Orthopedics

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    Razor-thin dust layers in protoplanetary disks:Limits on the vertical shear instability

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    Context. Recent observations with the Atacama Large Millimeter Array (ALMA) have shown that the large dust aggregates observed at millimeter wavelengths settle to the midplane into a remarkably thin layer. This sets strong limits on the strength of the turbulence and other gas motions in these disks. Aims. We intend to find out if the geometric thinness of these layers is evidence against the vertical shear instability (VSI) operating in these disks. We aim to verify if a dust layer consisting of large enough dust aggregates could remain geometrically thin enough to be consistent with the latest observations of these dust layers, even if the disk is unstable to the VSI. If this is falsified, then the observed flatness of these dust layers proves that these disks are stable against the VSI, even out to the large radii at which these dust layers are observed. Methods. We performed hydrodynamic simulations of a protoplanetary disk with a locally isothermal equation of state, and let the VSI fully develop. We sprinkled dust particles with a given grain size at random positions near the midplane and followed their motion as they got stirred up by the VSI, assuming no feedback onto the gas. We repeated the experiment for different grain sizes and determined for which grain size the layer becomes thin enough to be consistent with ALMA observations. We then verified if, with these grain sizes, it is still possible (given the constraints of dust opacity and gravitational stability) to generate a moderately optically thick layer at millimeter wavelengths, as observations appear to indicate. Results. We found that even very large dust aggregates with Stokes numbers close to unity get stirred up to relatively large heights above the midplane by the VSI, which is in conflict with the observed geometric thinness. For grains so large that the Stokes number exceeds unity, the layer can be made to remain thin, but we show that it is hard to make dust layers optically thick at ALMA wavelengths (e.g., τ1.3mm ≳ 1) with such large dust aggregates. Conclusions. We conclude that protoplanetary disks with geometrically thin midplane dust layers cannot be VSI unstable, at least not down to the disk midplane. Explanations for the inhibition of the VSI out to several hundreds of au include a high dust-to-gas ratio of the midplane layer, a modest background turbulence, and/or a reduced dust-to-gas ratio of the small dust grains that are responsible for the radiative cooling of the disk. A reduction of small grains by a factor of between 10 and 100 is sufficient to quench the VSI. Such a reduction is plausible in dust growth models, and still consistent with observations at optical and infrared wavelengths

    PT 567.01: Principles of Adult Neurological Rehabilitation

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    PT 529.01: Biomechanics and Exercise Interventions

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    Strontium ranelate decreases the incidence of new caudal vertebral fractures in a growing mouse model with spontaneous fractures by improving bone microarchitecture

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    Summary Young mice over-expressing Runx2 fail to gain bone relative to wild type mice with growth and present spontaneous fractures. It allows, for the first time in rodents, direct assessment of anti-fracture efficacy of strontium ranelate which was able to decrease caudal vertebrae fracture incidence through an improvement of trabecular and cortical architecture. Introduction The aim was to investigate whether strontium ranelate was able to decrease fracture incidence in mice over-expressing Runx2, model of severe developmental osteopenia associated with spontaneous vertebral fractures. Methods Transgenic mice and their wild type littermates were treated by oral route with strontium ranelate or vehicle for 9 weeks. Caudal fracture incidence was assessed by repeated X-rays, resistance to compressive loading by biochemical tests, and bone microarchitecture by histomorphometry. Results Transgenic mice receiving strontium ranelate had significantly fewer new fractures occurring during the 9 weeks of the study (−60%, p < 0.05). In lumbar vertebrae, strontium ranelate improves resistance to compressive loading (higher ultimate force to failure, +120%, p < 0.05) and trabecular microarchitecture (higher bone volume and trabecular number, lower trabecular separation, +60%, +50%, −39%, p < 0.05) as well as cortical thickness (+17%, p < 0.05). In tibiae, marrow cavity cross-section area and equivalent diameter were lower (−39%, −21%, p < 0.05). The strontium level in plasma and bone was in the same range as the values measured in treated postmenopausal women. Conclusions This model allows, for the first time, direct assessment of anti-fracture efficacy of strontium ranelate treatment in rodents. In these transgenic mice, strontium ranelate was able to decrease caudal vertebral fracture incidence through an improvement of trabecular and cortical architecture

    Retroviral replicating vector-mediated gene therapy achieves long-term control of tumor recurrence and leads to durable anticancer immunity.

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    BackgroundProdrug-activator gene therapy with Toca 511, a tumor-selective retroviral replicating vector (RRV) encoding yeast cytosine deaminase, is being evaluated in recurrent high-grade glioma patients. Nonlytic retroviral infection leads to permanent integration of RRV into the cancer cell genome, converting infected cancer cell and progeny into stable vector producer cells, enabling ongoing transduction and viral persistence within tumors. Cytosine deaminase in infected tumor cells converts the antifungal prodrug 5-fluorocytosine into the anticancer drug 5-fluorouracil, mediating local tumor destruction without significant systemic adverse effects.MethodsHere we investigated mechanisms underlying the therapeutic efficacy of this approach in orthotopic brain tumor models, employing both human glioma xenografts in immunodeficient hosts and syngeneic murine gliomas in immunocompetent hosts.ResultsIn both models, a single injection of replicating vector followed by prodrug administration achieved long-term survival benefit. In the immunodeficient model, tumors recurred repeatedly, but bioluminescence imaging of tumors enabled tailored scheduling of multicycle prodrug administration, continued control of disease burden, and long-term survival. In the immunocompetent model, complete loss of tumor signal was observed after only 1-2 cycles of prodrug, followed by long-term survival without recurrence for >300 days despite discontinuation of prodrug. Long-term survivors rejected challenge with uninfected glioma cells, indicating immunological responses against native tumor antigens, and immune cell depletion showed a critical role for CD4+ T cells.ConclusionThese results support dual mechanisms of action contributing to the efficacy of RRV-mediated prodrug-activator gene therapy: long-term tumor control by prodrug conversion-mediated cytoreduction, and induction of antitumor immunity

    Vertebral fractures are associated with increased cortical porosity in iliac crest bone biopsy of men with idiopathic osteoporosis

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    In men, vertebral fractures are poorly associated with bone density, and both cortical and trabecular micro-architectural changes could contribute to bone fragility. Bone histomorphometry makes it possible to investigate both the thickness and porosity of cortical bone, which has been reported to have a major impact on the biomechanical properties of bone. We therefore conducted a cross sectional study using iliac crest biopsies to investigate the trabecular and cortical bone structure in men with or without vertebral fractures.We selected 93 bone biopsies from men with idiopathic osteoporosis (defined as a T-score <− 2.5), between 40 and 70 years of age. Patients were divided into two groups on the basis of the presence (n = 46) or absence (n = 47) of prevalent vertebral fracture (VFX). We measured micro-architectural indices in trabecular and cortical bone by histomorphometry at the iliac crest. Patients with VFX had lower trabecular bone volume (BV/TV: 12.4 ± 3.8 versus 14.7 ± 3.1 % (m ± SD)), p < 0.01), higher trabecular separation (Tb.Sp: 871 ± 279 versus 719 ± 151 μm, p < 0.01), and higher marrow star volume (V*m.space: 1.617 ± 1.257 versus 0.945 ± 0.466 mm3, p < 0.01). Cortical thickness (Ct.Th) was the same in patients with or without VFX, whereas cortical porosity (Ct.Po) was higher in patients with VFX (6.5 ± 2.6 versus 5.0 ± 2.0 %, p < 0.01), because their Haversian canals had higher mean areas (8291 ± 4135 versus 5438 ± 2809 μm2, p < 0.001). There was no correlation between any trabecular and cortical micro-architectural parameters. Using a logistic regression model, we evaluated the VFX as a function of the V⁎m.space and Ct.Po, adjusted for age. The odds-ratio of having a VFX was 3.89 (95% CI 1.19–12.7, p = 0.02) for the third tertile of V*m.space (adjusted on age and Ct.Po), and 4.07 (95% CI 1.25–13.3, p = 0.02) for the third tertile of Ct.Po (adjusted on age and V*m.space). Our data show that both trabecular and cortical bone microarchitecture contribute independently to vertebral fractures in men with idiopathic osteoporosis. In contrast to data reported in women, in men it is cortical porosity, and not cortical width, that is associated with vertebral fractures. This suggests that the cortical deficit is different in men and in women with fragility fractures

    PT 516.00: Movement System Exam and Evaluation

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