The PML-RAR alpha transcript in long-term follow-up of acute promyelocytic leukemia patients

Background and Objectives. Detection of PML-RAR alpha transcripts by RT-PCR is now established as a rapid and sensitive method for diagnosis of acute promyelocytic leukemia (APL), Although the majority of patients in longterm clinical remission are negative by consecutive reverse transcription polymerase chain reaction (RT-PCR) assays, negative tests are still observed in patients who ultimately relapse. Conversion from negative to positive PCR has been observed after consolidation and found to be a much stronger predictor of relapse. This study reports on 47 APL patients to determine the correlation between minimal residual disease (MRD) status and clinical outcome in our cohort of patients. Design and Methods. The presence of PML-RAR alpha t transcripts was investigated in 47 APL patients (37 adults and 10 children) using a semi-nested reverse transcriptase-polymerase chain reaction to evaluate the prognostic value of RT-PCR tests. Results. All patients achieved complete clinical remission (CCR) following induction treatment with all-trans retinoic acid (ATRA) and chemotherapy (CHT) or ATRA alone. Patients were followed up between 2 and 117.6 months (median: 37 months). Relapses occurred in 11 patients (9 adults and 2 children) between 11.4 and 19 months after diagnosis (median: 15.1 months) while 36 patients (28 adults and 8 children) remained in CCR, Seventy-five percent of patients carried the PML-RARa long isoform (bcr 1/2) which also predominated among the relapsed cases (9 of 11) but did not associate with any adverse outcome (p = 0.37), For the purpose of this analysis, minimal residual disease tests were clustered into four time-intervals: 0-2 months, 3-5 months, 5-9 months and 10-24 months. Interpretation and Conclusions. Children showed persisting disease for longer than adults during the first 2 months of treatment, At 2 months, 10 (50%) of 20 patients who remained in CCR and 4 (80%) of 5 patients who subsequently relapsed were positive. Patients who remained in CCR had repeatedly negative results beyond 5.5 months from diagnosis. A positive MRD test preceded relapse in 3 of 4 tested patients. The ability of a negative test to predict CCR (predictive negative value, PNV) was greater after 6 months (> 83%), while the ability of a positive test to predict relapse (predictive positive value, PPV) was most valuable only beyond 10 months (100%). This study (i) highlights the prognostic value of RT-PCR monitoring after treatment of APL patients but only from the end of treatment, (ii) shows an association between conversion to a positive test and relapse and (iii) suggests that PCR assessments should be carried out at 3-month intervals to provide a more accurate prediction of hematologic relapses but only after the end of treatment, (C) 2001, Ferrata Storti Foundatio

Derived equivalence classification of the cluster-tilted algebras of Dynkin type E

We obtain a complete derived equivalence classification of the cluster-tilted algebras of Dynkin type E. There are 67, 416, 1574 algebras in types E6, E7 and E8 which turn out to fall into 6, 14, 15 derived equivalence classes, respectively. This classification can be achieved computationally and we outline an algorithm which has been implemented to carry out this task. We also make the classification explicit by giving standard forms for each derived equivalence class as well as complete lists of the algebras contained in each class; as these lists are quite long they are provided as supplementary material to this paper. From a structural point of view the remarkable outcome of our classification is that two cluster-tilted algebras of Dynkin type E are derived equivalent if and only if their Cartan matrices represent equivalent bilinear forms over the integers which in turn happens if and only if the two algebras are connected by a sequence of "good" mutations. This is reminiscent of the derived equivalence classification of cluster-tilted algebras of Dynkin type A, but quite different from the situation in Dynkin type D where a far-reaching classification has been obtained using similar methods as in the present paper but some very subtle questions are still open.Comment: 19 pages. v4: completely rewritten version, to appear in Algebr. Represent. Theory. v3: Main theorem strengthened by including "good" mutations (cf. also arXiv:1001.4765). Minor editorial changes. v2: Third author added. Major revision. All questions left open in the earlier version by the first two authors are now settled in v2 and the derived equivalence classification is completed. arXiv admin note: some text overlap with arXiv:1012.466

Vascular complications after liver transplantation: A 5-year experience

During the past 5 years, 104 angiographic studies were performed in 87 patients (45 children and 42 adults) with 92 transplanted livers for evaluation of possible vascular complications. Seventy percent of the studies were abnormal. Hepatic artery thrombosis was the most common complication (seen in 42% of children studied, compared with only 12% of adults) and was a major complication that frequently resulted in graft failure, usually necessitating retransplantation. In six children, reconstitution of the intrahepatic arteries by collaterals was seen. Three survived without retransplant. Arterial stenosis at the anastomosis or in the donor hepatic artery was observed in 11% of patients. Portal vein thrombosis or stenosis occurred in 13% of patients. Two children and one adult with portal vein thrombosis demonstrated hepatopetal collaterals that reconstituted the intrahepatic portal vessels. Uncommon complications included anastomotic and donor hepatic artery pseudoaneurysms, a hepatic artery-dissecting aneurysm, pancreaticoduodenal mycotic aneurysms, hepatic artery-portal vein fistula, biliary-portal vein fistula, hepatic vein occlusion, and inferior vena cava thrombosis

On O(1) contributions to the free energy in Bethe Ansatz systems: the exact g-function

We investigate the sub-leading contributions to the free energy of Bethe Ansatz solvable (continuum) models with different boundary conditions. We show that the Thermodynamic Bethe Ansatz approach is capable of providing the O(1) pieces if both the density of states in rapidity space and the quadratic fluctuations around the saddle point solution to the TBA are properly taken into account. In relativistic boundary QFT the O(1) contributions are directly related to the exact g-function. In this paper we provide an all-orders proof of the previous results of P. Dorey et al. on the g-function in both massive and massless models. In addition, we derive a new result for the g-function which applies to massless theories with arbitrary diagonal scattering in the bulk.Comment: 28 pages, 2 figures, v2: minor corrections, v3: minor corrections and references adde

On the determination of flow stress using bulge test and mechanical measurement

The standard uniaxial tensile test is a widely accepted method to obtain relevant properties of sheet metal materials. These fundamental parameters can be used in numerical modeling of sheet forming operations to predict and assess formability and failure analysis. However the range of strain obtained from tensile test is limited and therefore if one will need further information on material behavior, extrapolation of tensile data is performed. The bulge test is an alternative to obtain ranges of deformation higher than tensile test, thus being possible to obtain non-extrapolated data for material behavior. Several methods may be used to obtain stress-strain data from bulge test, but a common concept is behind them, which needs the measurement of bulge pressure, curvature of bulge specimen, its thickness at the pole and the application of membrane theory. Concerning such measurements, optical methods are being used recently but classical mechanical methods are still an alternative with its own strengths. This paper presents the use and development of a mechanical measuring system to be incorporated in a hydraulic bulge test for flow curve determination, which permits real-time data acquisition under controlled strain rates up to high levels of plastic deformation. Numerical simulations of bulge test using FEM are performed and a sensitivity analysis is done for some influencing variables used in measurements, thus giving some directions in the design and use of the experimental mechanical system. Also, first experimental results are presented, showing an efficient testing procedure method for real time data acquisition with a stable evaluation of the flow curve.open11617Nsciescopu

Firms' Main Market, Human Capital and Wages

Recent international trade literature emphasizes two features in characterizing the current patterns of trade: efficiency heterogeneity at the firm level and quality differentiation. This paper explores human capital and wage differences across firms in that context. We build a partial equilibrium model predicting that firms selling in more-remote markets employ higher human capital and pay higher wages to employees within each education group. The channel linking these variables is firms’ endogenous choice of quality. Predictions are tested using Spanish employer-employee matched data that classify firms according to four main destination markets: local, national, European Union, and rest of the World. Employees’ average education is increasing in the remoteness of firm’s main output market. Market–destination wage premia are large, increasing in the remoteness of the market, and increasing in individual education. These results suggest that increasing globalization may play a significant role in raising wage inequality within and across education groups

Pyrolysis GC–MS as a novel analysis technique to determine the biochemical composition of microalgae

The biochemical composition of microalgae is a major factor in the feasibility of microalgae biofuel systems. Currently full compositional analysis entails tedious, costly and time consuming analysis methods. In the current research, an attempt has been made to use Analytical Pyrolysis Gas Chromatography Mass Spectrometry (Py–GC–MS) to determine the biochemical composition of microalgae. By identifying pyrolysis marker compounds of each main biochemical component of microalgae, the composition of algae samples could be estimated. This was aided by performing Py–GC–MS of a model protein, carbohydrate and lipid. Indole was shown to be a decomposition product from the protein fraction and its levels were consistent with the changing protein content. The lipid content of the microalgae could be estimated from the presence of alkanes and the carbohydrate fraction by the presence of 1,2-cyclopentanedione, 3-methyl-. A total of 26 different microalgae and cyanobacteria strains were investigated for their protein, carbohydrate and lipid levels using established analysis techniques. The biochemical compositions are compared to the results from the novel technique using Py–GC–MS and are shown to correspond well; R2 values were found to be 0.6–0.9. The results suggest that Py–GC–MS can be used as a rapid test for studying levels and changes in biochemical composition of different algae using one fast technique with minimal sample preparation

Pentazocine abuse in sickle cell anaemia patients: a report of two case vignetes

The article aims to draw attention of clinicians to the addictive potentials of Pentazocine use in sickle cell anaemia patients and to highlight some of the associated problems of pentazocine abuse. It also hopes to stimulate the need to review guidelines for the use of analgesics in the management of bone pain crisis or other chronic pains. Two case reports of pentazocine abuse seen in a psychiatry clinic at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria were made. It was found that both patients who were sickle cell anaemia (HbS) patients were first given intramuscular pentazocine in private hospitals during an episode of bone pain crises. They claimed that though the bone pain crises subsided after a few days on admission, they continued to feign pains in order to be given pentazocine because they enjoyed its dysphoric effect. There were features of pentazocine dependence as shown by intense craving for the drug, excessive sweating, body (not bone) pains, signs of needle pricks on the body, sudden extravagance, begging for money, stealing and poor academic performance among other things. There was no clinical evidence of bone crisis or complications of sickle cell anaemia. It was concluded that more than before, clinicians should be cautious in the use of analgesics which has potential for addiction in sickle cell anaemia and chronic pain patients. Keywords: Pentazocine abuse; Sickle cell anaemia, Nigeria Key words: Pentazocine abuse; Sickle cell anaemia, Nigeri

Scattering and duality in the 2 dimensional OSP(2|2) Gross Neveu and sigma models

We write the thermodynamic Bethe ansatz for the massive OSp(2|2) Gross Neveu and sigma models. We find evidence that the GN S matrix proposed by Bassi and Leclair [12] is the correct one. We determine features of the sigma model S matrix, which seem highly unconventional; we conjecture in particular a relation between this sigma model and the complex sine-Gordon model at a particular value of the coupling. We uncover an intriguing duality between the OSp(2|2) GN (resp. sigma) model on the one hand, and the SO(4) sigma (resp. GN model) on the other, somewhat generalizing to the massive case recent results on OSp(4|2). Finally, we write the TBA for the (SUSY version of the) flow into the random bond Ising model proposed by Cabra et al. [39], and conclude that their S matrix cannot be correct.Comment: 41 pages, 27 figures. v2: minor revisio