All-cause mortality following a cancer diagnosis amongst multiple sclerosis patients: A Swedish population-based cohort study

Background and purpose: A reduced cancer risk amongst patients with multiple sclerosis (MS) has been reported. Theoretically, this could represent a genuine reduction in risk or, alternatively, 'diagnostic neglect', where cancer is undiagnosed when symptoms are misattributed to MS. Objective: Assess all-cause mortality risk following a cancer diagnosis in patients with MS compared with a cohort without MS. Patients: A cohort of MS patients (n = 19 364) and a cohort of the general population (n = 192 519) were extracted from national Swedish registers from 1969 to 2005. All-cause mortality after cancer in MS was compared with the general population. Poisson regression analysis was conducted in the MS and non-MS cohorts separately. The models were adjusted for follow-up duration, year at entry, sex, region and socioeconomic index. The two cohorts were combined and differences in mortality risk were assessed using interaction testing. Results: The adjusted relative risk (and 95 confidence interval) for all-cause mortality following a cancer diagnosis in MS patients (compared with MS patients without cancer) is 3.06 (2.86-3.27; n = 1768) and amongst those without MS 5.73 (5.62-5.85; n = 24 965). This lower magnitude mortality risk in the MS patients was confirmed by multiplicative interaction testing (P < 0.001). Conclusions: A consistent pattern of lower magnitude of all-cause mortality risk following cancer in MS patients for a range of organ-specific cancer types was found. It suggests that cancer diagnoses tend not to be delayed in MS and diagnostic neglect is unlikely to account for the reduced cancer risk associated with MS. The lower magnitude cancer risk in MS may be due to disease-associated characteristics or exposures. © 2015 EAN

Appendicectomy and multiple sclerosis risk

Background: Appendicectomy for acute appendicitis, but not for other causes, is inversely associated with immune-mediated diseases such as ulcerative colitis, suggesting appendicitis is a marker of immune characteristics influencing immune-mediated disease risk. This study investigated the association of appendectomy and its underlying diagnosis with multiple sclerosis (MS). Methods: Swedish general population registers and the Swedish MS register provided information on 20542 cases with MS diagnosed between 1964-2006 and 204157 controls matched for age, sex, period and region. Appendicectomy prior to MS diagnosis was identified in 673 cases and 6518 controls. Conditional logistic regression, with adjustment for socio-economic index, assessed the association of diagnosis underlying appendicitis with MS risk. Results: A perforated appendix, the best indicator of acute appendicitis in this material, was inversely associated with MS, although not statistically significantly, with an odds ratio (and 95% confidence interval of 0.86 (0.70-1.04). The odds ratios are 1.04 (0.94-1.16) for appendicitis without perforation and 1.14 (0.98-1.33) for appendectomy without appendicitis. Conclusion: Although inconclusive in terms of assessing the hypothesis, these results may help to explain why earlier studies of appendicitis and MS risk have been inconsistent, as there may be variation in association by diagnosis underlying appendicectomy. © 2010 The Author(s). European Journal of Neurology © 2010 EFNS

Ocrelizumab versus Interferon Beta-1a in Relapsing Multiple Sclerosis

Supported by F. Hoffmann–La Roche

Data Flow Obfuscation: A New Paradigm for Obfuscating Circuits

In this article, unlike almost all state-of-The-Art obfuscation solutions that focus on functional/logic obfuscation, we introduce a new paradigm, called data flow obfuscation, which exploits the essence of asynchronicity. In data flow obfuscation, by benefiting from the handshaking mechanism of asynchronous circuits, the system's FFs/latches will operate out of sync. Hence, the adversary has no sufficient knowledge to apply unrolling/BMC. Also, due to the inherited asynchronicity, the exact time of writing/capturing data into/from the scan chain becomes hidden. Hence, the SAT attack cannot be applied even while scan chain access is open. Moreover, our new proposed paradigm creates stateful/oscillating combinational cycles into the design which extensively boosts the difficulty of modeling this technique. We also demonstrate how data flow obfuscation could easily be integrated with any circuit at low overhead while there is no limitation such as compromising test flow. © 1993-2012 IEEE