SCREENING FOR HEPATITIS C Response from Hepatitis C Trust, BASL, BIA, BVHG, BSG, and BHIVA to article asking whether widespread screening for hepatitis C is justified

This is the peer reviewed published version of the following article: Response from Hepatitis C Trust, BASL, BIA, BVHG, BSG, and BHIVA to article asking whether widespread screening for hepatitis C is justified, which has been published in final form at 10.1136/bmj.h998. This article may be used for non-commercial purposes in accordance with BMJ's Terms and Conditions for Self-Archiving.This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/ by/4.0

Clonal analysis of a human antibody response. Quantitation of precursors of antibody-producing cells and generation and characterization of monoclonal IgM, IgG, and IgA to rabies virus.

We quantitated and characterized the changes in the human B cell repertoire, at the clonal level, before and after immunization with rabies virus. Moreover, we generated 10 monoclonal cell lines producing IgM, IgG, and IgA antibodies to the virus. We found that in healthy subjects, not previously exposed to the virus, nearly 2% of the circulating B lymphocytes were committed to the production of antibodies that bound the virus. These B cells expressed the surface CD5 molecule. The antibodies they produced were polyreactive IgM that displayed a relatively low affinity for the virus components (Kd, 1.0-2.4 x 10(-6) g/microliters). After immunization, different anti-virus (IgG and IgA) antibody-producing cells consistently appeared in the circulation and increased from less than 0.005% to greater than 10% of the total B cells committed to the production of IgG and IgA, respectively. Most of such B cells do not express CD5 and produce monoreactive antibodies of high affinity for rabies virus (Kd, 6.5 x 10(-9) to 1.2 x 10(-10) g/microliters). One of these IgG mAbs efficiently neutralized rabies virus in vitro and in vivo, as detailed elsewhere (Dietzschold, B., P. Casali, Y. Ueki, M. Gore, C. E. Rupprecht, A. L. Notkins, and H. Koprowski, manuscript submitted for publication). Hybridization experiments using probes specific for the different human V gene segment families revealed that cell precursors producing low affinity IgM binding to rabies virus utilized a restricted number of VH gene segments (i.e., only members of the VHIIIb subfamily), whereas cell precursors producing high affinity IgG and IgA to rabies virus utilized an assortment of different VH gene segments (i.e., members of the VHI, VHIII, VHIV, and VHVI families and VHIIIb subfamily). In conclusion, our studies show that EBV transformation in conjunction with limiting dilution technology and somatic cell hybridization techniques are useful methods for quantitating, at the B cell clonal level, the human antibody response to foreign Ags and for generating human mAbs of predetermined specificity and high affinity

Radiation Intensity of a Turbulent Sooting Ethylene Flame

Turbulent sooting flame radiation is relevant to applications ranging from fire safety to gas turbine engines. The complex direct interactions of soot and radiation intensity are of particular importance when creating accurate soot prediction models. Previous studies have measured gas-band and broadband radiation intensity from turbulent sooting flames. The focus of the current study is the characterization of radiation intensity emanating from soot. A high-speed infrared camera (FLIR Phoenix) was used to acquire time-dependent quantitative images of radiation intensity of a turbulent sooting ethylene flame. The flame had a Reynolds number of 15,200 and was stabilized on a burner with an exit diameter of 8mm. The radiation intensity was collected utilizing a bandpass filter (3.77 ± .12 μm) to limit the radiation intensity source to soot. Time-dependent and time-averaged soot radiation intensities are plotted. Radiation intensity structures similar to those found in soot volume fraction diagnostics are observed and statistical analyses are employed to characterize the distribution of soot radiation intensity. The centerline distribution of radiation intensity from soot was qualitatively similar to earlier measurements of gas-band radiation intensity. Time-dependent images of radiation intensity exhibited discrete structures similar to images of soot volume fraction measured by laser-induced incandescence

Spectral and total radiation properties of turbulent carbon monoxide/air diffusion flames

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76724/1/AIAA-1986-294-399.pd

Assessment of friction from compression ring conjunction of a high performance internal combustion engine: a combined numerical and experimental study

The paper presents direct measurement of in-cylinder friction from a single cylinder motocross race engine under motored conditions and compares the same with a new analytical predictive method. These conditions are encountered in piston-cylinder system with the application of cylinder deactivation (CDA) technology, which is a growing trend. The analytical method takes into account the various regions within instantaneous contact of compression ring-cylinder liner, including lubricant film rupture, cavitation zone and the subsequent lubricant film reformation. The analysis also includes the effect of boundary friction and lubricant rheology. The predictions and direct measurements of cyclic friction show good agreement and indicate dominance of viscous friction under the investigated engine running conditions. In particular, it is shown that the compression ring contribution to in-cycle friction is most pronounced in the region of high cylinder pressures because of combined Poiseuille friction and some boundary solid interactions. The combined experimental-analytical approach has not hitherto been reported in literatur

Time history of the magnetospheric cavity

Laboratory scale model simulation of effect of solar wind on magnetosphere by propelling plasma stream into dipole magnetic field - time history of magnetospheric cavit

ChlVPP combination chemotherapy for Hodgkin's disease: long-term results.

Two hundred and eighty-four patients with advanced Hodgkin's disease (HD) (stage II with poor prognostic features and stage III/IV) have been treated with the ChlVPP combination chemotherapy regimen (chlorambucil, vinblastine, procarbazine and prednisolone) in a single-centre unselected series. Median follow up is 92 months. Fifty-five patients had previously received radiotherapy but none had received previous chemotherapy. Eighty-five per cent of previously untreated patients and 91% of previously irradiated patients entered complete remission (CR); 71% and 68% of these respectively remain in CR at 10 years and 65% and 64% of each group respectively are alive at 10 years. On univariate analysis, age, stage, site of visceral disease and lymphocyte count predicted survival and on multivariate analysis age, absence of symptoms, absence of lung, liver or bone marrow disease and achieving a CR remained important predictors of survival. Acute toxicity was mild. The 10 year actuarial risk of acute leukaemia was 2.7%. This study adds further support to the view that chlorambucil is as effective and less toxic than mustine in combination chemotherapy for HD. We suggest that MOPP chemotherapy is no longer routinely indicated for HD

Reproducibility of measurements of oestrogen-receptor concentration in breast cancer.

The reproducibility of measurements of oestrogen-receptor activity has been examined in multiple specimens from a rabbit uterus, a rat mammary tumour and human breast tumours. The relationship between receptor concentration and tumour histology has also been investigated in 11 large primary tumours. In the animal tissues, receptor measurements were relatively reproducible (coefficient of variance: wet wt. basis 16-17%, protein basis 16-21%) but in human breast tumours receptor activity varied considerably (c.v.: wet wt. basis, 22-125%; protein basis, 28-72%). In addition to these variations in receptor activity within tumours, there was a difference between tumours, as demonstrated by an analysis of variance (P less than 0.01). In the 11 primary breast cancers selected for study, the level of receptor activity was related to menopausal status and the tumour content of the specimen. We conclude that the receptor activity detected varies within a tumour and depends upon the tumour content of the biopsy specimen. Predictions based on precise quantitation of receptor concentrations may therefore necessitate replicate tumour sampling and correction for the fraction of non-tumour tissue in each sample