Response to Rituximab after Failure of Cyclophosphamide in the Induction Treatment in a Patient with cANCA-associated Vasculitis and Pachymeningitis: a Case Report

A 36-year-old male patient who originally presented with recurrent inflammations in the mastoid, otitis media and peripheral facial paralysis was diagnosed with sterile pachymeningitis, associated with high titres of antineutrophil cytoplasmic antibodies (cANCA) directed against proteinase 3 (PR3). Induction therapy with oral prednisolone 1 mg/kg body weight and cyclophosphamide (CYC) 750 mg/m 2 i.v. every 4 weeks was initiated. Due to side effects, increasing arthralgias and progressive meningitis after 5 doses of CYC, treatment was changed to rituximab (RTX), one cycle comprising two administrations of 1000 mg RTX i.v. two weeks apart, repeated every 6 months. After the very first cycle of RTX, we confirmed subjective improvement of the patient’s fitness as well as radiologic response. Methotrexate (MTX) was added to ease arthralgias. Painful bleeding ulcerations on finger tips were successfully treated with 22 iloprost infusions. Up to date, we have administered 7 cycles of RTX and achieved complete remission of the cANCA-associated vasculitis. After the induction therapy, maintenance treatment with MTX or rituximab will be performed for at least 18–24 months.We can demonstrate a complete remission with the use of RTX in a patient with cANCA-associated vasculitis and sterile pachymeningitis who failed to respond to the induction treatment with CYC. RTX has been well tolerated.

Sociological Cocoons: Organizations for the Transformation of Identity

A paper presented by David R. Rudy and Arthur L. Greil at the annual meeting of the Society for the Scientific Study of Religion in the winter of 1980 on the rise of new religions

Conversion to the World View of Alcoholics Anonymous: A Refinement of Conversion Theory

Most empirical studies of the conversion process have focused on individuals who have come to espouse the world view of a deviant religious denomination or sect. Using observational data our research analyzes the conversion process by which individuals come to identify with the ideology propounded by Alcoholics Anonymous (A.A.). A.A. provides prospective alcoholics with both a solution to drinking problems and an overarching world view with which to reinterpret their past experience. The A.A. conversion process can be divided into six phases: hitting bottom, first stepping, making a commitment, accepting your problem, telling your story, and doing Twelfth Step work. Each of these phases is described in detail. Similarities and differences are noted between the observed A.A. conversion process and the model generally described in the sociological literature on religious conversion. Our analysis indicates certain weaknesses in the process-model explanation of conversion and points to the necessity of taking into account organizational context and situational variables

Solid Freeform Fabrication of Ceramic Parts from Filler Loaded Preceramic Polymers

Manufacturing of ceramic parts was achieved by selective laser treatment of a preceramic polymer (polysiloxane) loaded with ceramic filler powder (alumina). Thin layers of polymer/filler powder mixture were sequentially cured with a CO2-laser (λ=10.6 µm) thereby generating the geometrical shape of the part. Subsequently, the cured thermoset part was annealed in nitrogen atmosphere at 600 to 1000 °C to convert the compact into a Si-OC/Al2O3 micro-composite material. Dimensional changes upon pyrolysis (∆l/l0 ≈ 3 %) can be controlled by adjusting the polymer-to-filler ratio and the heat treatment conditions. The new process is called Selective Laser Curing (SLC).Financial support of Fonds der Chemischen Industrie and Deutsche Forschungsgemeinschaft is gratefully acknowledged.Mechanical Engineerin

Surgical Sterilization, Regret, and Race: Contemporary Patterns

Surgical sterilization is a relatively permanent form of contraception that has been disproportionately used by Black, Hispanic, and Native American women in the United States in the past. We use a nationally representative sample of 4,609 women ages 25 to 45 to determine whether sterilization continues to be more common and consequential by race for reproductive-age women. Results indicate that Native American and Black women are more likely to be sterilized than non-Hispanic White women, and Hispanic and Native American women are more likely than non-Hispanic White women to report that their sterilization surgeries prevent them from conceiving children they want. Reasons for sterilization differ significantly by race. These findings suggest that stratified reproduction has not ended in the United States and that the patterns and consequences of sterilization continue to vary by race

Surgical Sterilization, Regret, and Race: Contemporary Patterns

Surgical sterilization is a relatively permanent form of contraception that has been disproportionately used by Black, Hispanic, and Native American women in the United States in the past. We use a nationally representative sample of 4,609 women ages 25 to 45 to determine whether sterilization continues to be more common and consequential by race for reproductive-age women. Results indicate that Native American and Black women are more likely to be sterilized than non-Hispanic White women, and Hispanic and Native American women are more likely than non-Hispanic White women to report that their sterilization surgeries prevent them from conceiving children they want. Reasons for sterilization differ significantly by race. These findings suggest that stratified reproduction has not ended in the United States and that the patterns and consequences of sterilization continue to vary by race