Steroids as treatment for glomerulonephritis: time for a rethink

Glucocorticoids have been a cornerstone of treatment for inflammatory and autoimmune kidney diseases for almost 70 years, yet it is fair to say, we still do not know how 'best' to use them. Significant adverse events are associated with their continued use, which contribute to premature patient mortality. Steroid avoidance or minimization is possible and has been tested in various glomerular diseases, as a result of novel agents or innovative regimens using established therapeutics. It is now time to seriously address our use of steroids and educate physicians on better ways of managing inflammatory kidney diseases

Advanced gearbox technology

An advanced 13,000 HP, counterrotating (CR) gearbox was designed and successfully tested to provide a technology base for future designs of geared propfan propulsion systems for both commercial and military aircraft. The advanced technology CR gearbox was designed for high efficiency, low weight, long life, and improved maintainability. The differential planetary CR gearbox features double helical gears, double row cylindrical roller bearings integral with planet gears, tapered roller prop support bearings, and a flexible ring gear and diaphragm to provide load sharing. A new Allison propfan back-to-back gearbox test facility was constructed. Extensive rotating and stationary instrumentation was used to measure temperature, strain, vibration, deflection and efficiency under representative flight operating conditions. The tests verified smooth, efficient gearbox operation. The highly-instrumented advanced CR gearbox was successfully tested to design speed and power (13,000 HP), and to a 115 percent overspeed condition. Measured CR gearbox efficiency was 99.3 percent at the design point based on heat loss to the oil. Tests demonstrated low vibration characteristics of double helical gearing, proper gear tooth load sharing, low stress levels, and the high load capacity of the prop tapered roller bearings. Applied external prop loads did not significantly affect gearbox temperature, vibration, or stress levels. Gearbox hardware was in excellent condition after the tests with no indication of distress

The 2.5-5.0 micron spectra of Io: Evidence for H2S and H2O frozen in SO2

The techniques of low temperature spectroscopy are applied to identify the constituents of the ices covering the surface of Io, a satellite of Jupiter. Infrared spectra of Io in the 4000-2000 cm exp -1 region, including new observational data, are analyzed using laboratory studies of plausible surface ices

Management of ANCA-associated vasculitis: Current trends and future prospects

The antineutrophil cytoplasm antibody (ANCA)-associated vasculitides are a spectrum of heterogeneous autoimmune diseases characterized by necrotizing small vessel vasculitis and the presence of ANCA. These chronic multisystem disorders may be life-threatening if there is major organ involvement, such as acute renal failure or pulmonary hemorrhage, and require significant initial immunosuppression and long-term maintenance treatment. Long-established protocols using cyclophosphamide and prednisolone have resulted in dramatically improved outcomes for patients since the 1970s. Subsequently, international collaboration has contributed to a growing evidence base and consensus in the management of these rare disorders. Modifications to traditional treatment protocols by the use of azathioprine or methotrexate rather than cyclophosphamide, and the introduction of newer agents, such as rituximab, has maintained outcomes whilst decreasing toxicity. However, the treatment limitations of incomplete efficacy, infection, and cumulative toxicity persist. These issues have continued to drive the search for safer and more effective modulation of the immune system using targeted immunotherapy. This review will explore the current evidence base for management of ANCA-associated vasculitis and future treatment prospects

An architecture for peace: deciphering the UN's multidimensional approach to the Israel - Arab Conflict (1967 - 1982)

This dissertation explores the United Nations' comprehensive approach to managing the Israel-Arab Conflict from 1967 to 1982, presenting a shift from examining peace operations as isolated efforts to viewing them as interconnected elements of a broader peace architecture. It introduces a critical analysis of the roles played by the Office of Special Political Affairs and the Office of Chief Coordinator of Peacekeeping in the Middle East, arguing that these entities were pivotal in forming a cohesive strategy despite the static mandates of individual peace missions. The research spans six chapters, starting with a historical overview of the UN’s peacekeeping framework since 1948, setting the groundwork for understanding the conflict and the evolution of peacekeeping entities. It then delves into Inter-Operation Collaboration (IOC) and the Secretariat’s political maneuvering, highlighting the impact of significant events like the Camp David Accords and the 1982 Israeli invasion of Lebanon. These events marked a shift in focus from state-centric to Israeli-Palestinian issues, challenging the UN’s influence. The conclusion assesses the UN’s role in shaping the diplomatic and security landscape of the region, underlining the organization's contributions and limitations in fostering peace and stability amidst a complex geopolitical scenario. This research offers valuable insights into the dynamics of UN peacekeeping operations in regional conflicts.History and International Studies 1900-presen

Spitzer-IRAC survey of molecular jets in Vela-D

We present a survey of H2 jets from young protostars in the Vela-D molecular cloud (VMR-D), based on Spitzer -IRAC data between 3.6 and 8.0 micron. Our search has led to the identification of 15 jets and about 70 well aligned knots within 1.2 squared degree. We compare the IRAC maps with observations of the H2 1-0 S(1) line at 2.12 micron, with a Spitzer-MIPS map at 24 and 70 micron, and with a map of the dust continuum emission at 1.2 mm. We find a association between molecular jets and dust peaks. The jet candidate exciting sources have been searched for in the published catalog of the Young Stellar Objects of VMR-D. We selected all the sources of Class II or earlier which are located close to the jet center and aligned with it.The association between jet and exciting source was validated by estimating the differential extinction between the jet opposite lobes. We are able to find a best-candidate exciting source in all but two jets. Four exciting sources are not (or very barely) observed at wavelengths shorter than 24 micron, suggesting they are very young protostars. Three of them are also associated with the most compact jets. The exciting source Spectral Energy Distributions have been modeled by means of the photometric data between 1.2 micron and 1.2 mm. From SEDs fits we derive the main source parameters, which indicate that most of them are low-mass protostars. A significant correlation is found between the projected jet length and the [24] - [70] color, which is consistent with an evolutionary scenario according to which shorter jets are associated with younger sources. A rough correlation is found between IRAC line cooling and exciting source bolometric luminosity, in agreement with the previous literature. The emerging trend suggests that mass loss and mass accretion are tightly related phenomena and that both decrease with time.Comment: Accepted by The Astrophysical Journa

Visible photodissociation spectroscopy of PAH cations and derivatives in the PIRENEA experiment

The electronic spectra of gas-phase cationic polycyclic aromatic hydrocarbons (PAHs), trapped in the Fourier Transform Ion Cyclotron Resonance cell of the PIRENEA experiment, have been measured by multiphoton dissociation spectroscopy in the 430-480 nm spectral range using the radiation of a mid-band optical parametric oscillator laser. We present here the spectra recorded for different species of increasing size, namely the pyrene cation (C16H10+), the 1-methylpyrene cation (CH3-C16H9+), the coronene cation (C24H12+), and its dehydrogenated derivative C24H10+. The experimental results are interpreted with the help of time-dependent density functional theory calculations and analysed using spectral information on the same species obtained from matrix isolation spectroscopy data. A kinetic Monte Carlo code has also been used, in the case of pyrene and coronene cations, to estimate the absorption cross-sections of the measured electronic transitions. Gas-phase spectra of highly reactive species such as dehydrogenated PAH cations are reported for the first time

Effects of heatwaves on lake composition derived from satellite observations

As a consequence of the ever-increasing global temperature, not only the air, and surface, but also lakes are warming up. This is expressed by steadily increasing base temperatures, but also in increases in the frequency and intensity of lake heatwaves. Land-based organisms may adapt to a changing climate by migrating to more suitable habitats, but this is usually not an option for lake-dwellers. Because many livelihoods depend on the ecosystem services of lakes, understanding the effects of heatwaves on lake composition form an important input for the assessment of climate change impacts and design of adaptation strategies.Using satellite data of lake temperature and water quality observations, we here investigate the effects of heatwaves on lake composition by studying the relationship between heatwaves and water quality variables of temperature, chlorophyll-a , colored dissolved organic matter, and suspended particulate matter . The latter can be used to infer effects of heat stress on health and populations of phyto- and zooplankton communities and higher aquatic organisms. Satellite-based data sets provided by the Climate Change Initiative of the European Space Agency, CCI-Lakes (https://climate.esa.int/en/projects/lakes/) are used in conjunction with the 2SeaColor model to determine depth-dependent attenuation coefficients and water quality variables.These data are complemented with and compared to data from Copernicus Global Land Services (https://land.copernicus.eu/global/products/). The co-occurrence of heatwaves and changes in lake composition is investigated using statistical tools, and the causality is examined by comparison with biophysical models. The results from this study are discussed in light of previously published projected changes in heatwave frequency and intensity