147 research outputs found
A thermodynamical fiber bundle model for the fracture of disordered materials
We investigate a disordered version of a thermodynamic fiber bundle model
proposed by Selinger, Wang, Gelbart, and Ben-Shaul a few years ago. For simple
forms of disorder, the model is analytically tractable and displays some new
features. At either constant stress or constant strain, there is a non
monotonic increase of the fraction of broken fibers as a function of
temperature. Moreover, the same values of some macroscopic quantities as stress
and strain may correspond to different microscopic cofigurations, which can be
essential for determining the thermal activation time of the fracture. We argue
that different microscopic states may be characterized by an experimentally
accessible analog of the Edwards-Anderson parameter. At zero temperature, we
recover the behavior of the irreversible fiber bundle model.Comment: 18 pages, 10 figure
Feasibility Study for a Chemical Process Particle Size Characterization System for Explosive Environments Using Low Laser Power
The industrial particle sensor market lacks simple, easy to use, low cost yet robust, safe and fast response solutions. Towards development of such a sensor, for in-line use in micro channels under continuous flow conditions, this work introduces static light scattering (SLS) determination of particle diameter using a laser with an emission power of less than 5 ”W together with sensitive detectors with detection times of 1 ms. The measurements for the feasibility studies are made in an angular range between 20° and 160° in 2° increments. We focus on the range between 300 and 1000 nm, for applications in the production of paints, colors, pigments and crystallites. Due to the fast response time, reaction characteristics in microchannel designs for precipitation and crystallization processes can be studied. A novel method for particle diameter characterization is developed using the positions of maxima and minima and slope distribution. The novel algorithm to classify particle diameter is especially developed to be independent of dispersed phase concentration or concentration fluctuations like product flares or signal instability. Measurement signals are post processed and particle diameters are validated against Mie light scattering simulations. The design of a low cost instrument for industrial use is proposed
Neurochemical markers in CSF of adolescent and adult SMA patients undergoing nusinersen treatment
Background: There is limited information on neurochemical markers being used to support and monitor the affection of motoneurons in patients with spinal muscular atrophy (SMA). The objective of this study was to examine neurochemical markers in cerebrospinal fluid (CSF) under treatment with the antisense-oligonucleotide (ASO), nusinersen. Methods: We measured markers of axonal degeneration [neurofilament light chain (NfL) and phosphorylated neurofilament heavy chain (pNfH)] along with basic CSF parameters in 25 adolescent and adult SMA type 2 and 3 patients at baseline and after four intrathecal injections of nusinersen. Neurochemical markers were compared with controls. In addition, neurochemical markers in SMA patients were related to the Hammersmith Functional Rating Scale Expanded (HFMSE). Results: No significant difference in neurofilament (Nf) values was observed between SMA and control group, neither at baseline nor after four injections of nusinersen. NfL, protein and quotients of albumin (Qalb) increased slightly in SMA patients after the fourth injection. The slight increase of NfL could be related to the development of mild CSF flow change. No relations were observed between changes in Nf and HFMSE. Conclusion: We assume that Nf levels in CSF in these patients may result from slow disease progression in this stage of disease, pre-existing loss of motoneurons due to long disease duration besides affection of the LMN only. Therefore, we conclude that Nf levels in CSF do not seem useful as diagnostic and monitoring markers in adolescent and adult SMA type 2 and 3 patients
Knocking out C9ORF72 Exacerbates Axonal Trafficking Defects Associated with Hexanucleotide Repeat Expansion and Reduces Levels of Heat Shock Proteins
In amyotrophic lateral sclerosis (ALS) motor neurons (MNs) undergo dying-back, where the distal axon degenerates before the soma. The hexanudeotide repeat expansion (HRE) in C9ORF72 is the most common genetic cause of ALS, but the mechanism of pathogenesis is largely unknown with both gain- and loss-of-function mechanisms being proposed. To better understand C9ORF72-ALS pathogenesis, we generated isogenic induced pluripotent stem cells. MNs with HRE in C9ORF72 showed decreased axonal trafficking compared with gene corrected MNs. However, knocking out C9ORF72 did not recapitulate these changes in MNs from healthy controls, suggesting a gain-of-function mechanism. In contrast, knocking out C9ORF72 in MNs with HRE exacerbated axonal trafficking defects and increased apoptosis as well as decreased levels of HSP70 and HSP40, and inhibition of HSPs exacerbated ALS phenotypes in MNs with HRE. Therefore, we propose that the HRE in C9ORF72 induces ALS pathogenesis via a combination of gain- and loss-of-function mechanisms
Informal Caregiving in Amyotrophic Lateral Sclerosis (ALS): A High Caregiver Burden and Drastic Consequences on Caregiversâ Lives
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that causes progressive autonomy loss and need for care. This does not only affect patients themselves, but also the patientsâ informal caregivers (CGs) in their health, personal and professional lives. The big efforts of this multi-center study were not only to evaluate the caregiversâ burden and to identify its predictors, but it also should provide a specific understanding of the needs of ALS patientsâ CGs and fill the gap of knowledge on their personal and work lives. Using standardized questionnaires, primary data from patients and their main informal CGs (n = 249) were collected. Patientsâ functional status and disease severity were evaluated using the Barthel Index, the revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) and the Kingâs Stages for ALS. The caregiversâ burden was recorded by the Zarit Burden Interview (ZBI). Comorbid anxiety and depression of caregivers were assessed by the Hospital Anxiety and Depression Scale. Additionally, the EuroQol Five Dimension Five Level Scale evaluated their health-related quality of life. The caregiversâ burden was high (mean ZBI = 26/88, 0 = no burden, â„24 = highly burdened) and correlated with patientsâ functional status (rp = â0.555, p < 0.001, n = 242). It was influenced by the CGsâ own mental health issues due to caregiving (+11.36, 95% CI [6.84; 15.87], p < 0.001), patientsâ wheelchair dependency (+9.30, 95% CI [5.94; 12.66], p < 0.001) and was interrelated with the CGsâ depression (rp = 0.627, p < 0.001, n = 234), anxiety (rp = 0.550, p < 0.001, n = 234), and poorer physical condition (rp = â0.362, p < 0.001, n = 237). Moreover, female CGs showed symptoms of anxiety more often, which also correlated with the patientsâ impairment in daily routine (rs = â0.280, p < 0.001, n = 169). As increasing disease severity, along with decreasing autonomy, was the main predictor of caregiver burden and showed to create relevant (negative) implications on CGsâ lives, patient care and supportive therapies should address this issue. Moreover, in order to preserve the mental and physical health of the CGs, new concepts of care have to focus on both, on not only patients but also their CGs and gender-associated specific issues. As caregiving in ALS also significantly influences the socioeconomic status by restrictions in CGsâ work lives and income, and the main reported needs being lack of psychological support and a high bureaucracy, the situation of CGs needs more attention. Apart from their own multi-disciplinary medical and psychological care, more support in care and patient management issues is required
Statistical properties of microcracking in polyurethane foams under tensile test, influence of temperature and density
We report tensile failure experiments on polyurethane (PU) foams. Experiments
have been performed by imposing a constant strain rate. We work on
heterogeneous materials for whom the failure does not occur suddenly and can
develop as a multistep process through a succession of microcracks that end at
pores. The acoustic energy and the waiting times between acoustic events follow
power-law distributions. This remains true while the foam density is varied.
However, experiments at low temperatures (PU foams more brittle) have not
yielded power-laws for the waiting times. The cumulative acoustic energy has no
power law divergence at the proximity of the failure point which is
qualitatively in agreement with other experiments done at imposed strain. We
notice a plateau in cumulative acoustic energy that seems to occur when a
single crack starts to propagate
Long-term efficacy and safety of nusinersen in adults with 5q spinal muscular atrophy: a prospective European multinational observational study
Background
Evidence for the efficacy of nusinersen in adults with 5q-associated spinal muscular atrophy (SMA) has been demonstrated up to a period of 16 months in relatively large cohorts but whereas patients reach a plateau over time is still to be demonstrated. We investigated the efficacy and safety of nusinersen in adults with SMA over 38 months, the longest time period to date in a large cohort of patients from multiple clinical sites.
Methods
Our prospective, observational study included adult patients with SMA from Germany, Switzerland, and Austria (July 2017 to May 2022). All participants had genetically-confirmed, 5q-associated SMA and were treated with nusinersen according to the label. The total Hammersmith Functional Motor Scale Expanded (HFMSE) and Revised Upper Limb Module (RULM) scores, and 6-min walk test (6 MWT; metres), were recorded at baseline and 14, 26, and 38 months after treatment initiation, and pre and post values were compared. Adverse events were also recorded.
Findings
Overall, 389 patients were screened for eligibility and 237 were included. There were significant increases in all outcome measures compared with baseline, including mean HFMSE scores at 14 months (mean difference 1.72 [95% CI 1.19â2.25]), 26 months (1.20 [95% CI 0.48â1.91]), and 38 months (1.52 [95% CI 0.74â2.30]); mean RULM scores at 14 months (mean difference 0.75 [95% CI 0.43â1.07]), 26 months (mean difference 0.65 [95% CI 0.27â1.03]), and 38 months (mean difference 0.72 [95% CI 0.25â1.18]), and 6 MWT at 14 months (mean difference 30.86 m [95% CI 18.34â43.38]), 26 months (mean difference 29.26 m [95% CI 14.87â43.65]), and 38 months (mean difference 32.20 m [95% CI 10.32â54.09]). No new safety signals were identified.
Interpretation
Our prospective, observational, long-term (38 months) data provides further real-world evidence for the continuous efficacy and safety of nusinersen in a large proportion of adult patients with SMA.
Funding
Financial support for the registry from Biogen, Novartis and Roche
- âŠ