Collaborative International Research in Clinical and Longitudinal Experience Study in NMOSD

OBJECTIVE: To develop a resource of systematically collected, longitudinal clinical data and biospecimens for assisting in the investigation into neuromyelitis optica spectrum disorder (NMOSD) epidemiology, pathogenesis, and treatment. METHODS: To illustrate its research-enabling purpose, epidemiologic patterns and disease phenotypes were assessed among enrolled subjects, including age at disease onset, annualized relapse rate (ARR), and time between the first and second attacks. RESULTS: As of December 2017, the Collaborative International Research in Clinical and Longitudinal Experience Study (CIRCLES) had enrolled more than 1,000 participants, of whom 77.5% of the NMOSD cases and 71.7% of the controls continue in active follow-up. Consanguineous relatives of patients with NMOSD represented 43.6% of the control cohort. Of the 599 active cases with complete data, 84% were female, and 76% were anti-AQP4 seropositive. The majority were white/Caucasian (52.6%), whereas blacks/African Americans accounted for 23.5%, Hispanics/Latinos 12.4%, and Asians accounted for 9.0%. The median age at disease onset was 38.4 years, with a median ARR of 0.5. Seropositive cases were older at disease onset, more likely to be black/African American or Hispanic/Latino, and more likely to be female. CONCLUSION: Collectively, the CIRCLES experience to date demonstrates this study to be a useful and readily accessible resource to facilitate accelerating solutions for patients with NMOSD

Delayed neutron spectra from short pulse fission of uranium-235

Delayed neutron spectra from individual short pulse (approx.50 ..mu..s) fission of small /sup 235/U samples (50 mg) were measured using a small (5 cm OD x 5 cm length) NE 213 neutron spectrometer. The irradiating fast neutron flux (approx.10/sup 13/ neutrons/cm/sup 2/) for these measurements was provided by the Godiva fast burst reactor at the Los Alamos Critical Experiment Facility (LACEF). A high speed pneumatic transfer system was used to transfer the 50 mg /sup 235/U samples from the irradiation position near the Godiva assembly to a remote shielded counting room containing the NE 213 spectrometer and associated electronics. Data were acquired in sixty-four 0.5 s time bins and over an energy range 1 to 7 MeV. Comparisons between these measurements and a detailed model calculation performed at Los Alamos is presented