Neurofascin (NF) 155-and NF186-Specific T Cell Response in a Patient Developing a Central Pontocerebellar Demyelination after 10 Years of CIDP

Background: Information and pathobiological understanding about central demyelinating manifestation in patients, who primarily suffer from chronic inflammatory demyelinating polyneuropathy (CIDP), are scarce. Methods: IFN-gamma-response as well as antibodies against the (para) nodal antigens neurofascin (NF) 155 and NF 186 had been tested by Elispot assay and ELISA before clinical manifestation and at follow-up. Case description and results: The patient described here developed a subacute brainstem syndrome more than 10 years after diagnosis of CIDP under low-dose maintenance treatment of intravenous immunoglobulins (IVIG). MRI revealed enhancing right-sided pontocerebellar lesion. CSF examination showed mild pleocytosis and elevated protein, and negative oligoclonal bands. Further diagnostics exclude differential diagnoses such as tuberculoma, sarcoidosis, or metastasis. Specific IFN-gamma response against NF155 and NF186 as measured by Elispot assay was elevated before clinical manifestation. NF155 and NF186 antibodies were negative. Escalation of IVIG treatment at 2 g/kg BW followed by 1.4 g/kg BW led to clinical remission albeit to a new asymptomatic central lesion. Follow-up NF155 and NF186-Elispot turned negative. Conclusion: The case reported here with a delayed central manifestation after an initially typical CIDP and NF155 and NF186 T cell responses does not resemble described cases of combined central and peripheral demyelination but may reflect a novel subtype within the great clinical heterogeneity of CIDP

Observation of Photoion Backward Emission in Photoionization of He and N2

We experimentally investigate the effects of the linear photon momentum on the momentum distributions of photoions and photoelectrons generated in one-photon ionization in an energy range of 300 eV $\leq~E_\gamma~\leq$ 40 keV. Our results show that for each ionization event the photon momentum is imparted onto the photoion, which is essentially the system's center of mass. Nevertheless, the mean value of the ion momentum distribution along the light propagation direction is backward-directed by $-3/5$ times the photon momentum. These results experimentally confirm a 90 year old prediction.Comment: 5 pages, 3 figure

Observation of enhanced chiral asymmetries in the inner-shell photoionization of uniaxially oriented methyloxirane enantiomers

Most large molecules are chiral in their structure: they exist as two enantiomers, which are mirror images of each other. Whereas the rovibronic sublevels of two enantiomers are almost identical, it turns out that the photoelectric effect is sensitive to the absolute configuration of the ionized enantiomer - an effect termed Photoelectron Circular Dichroism (PECD). Our comprehensive study demonstrates that the origin of PECD can be found in the molecular frame electron emission pattern connecting PECD to other fundamental photophysical effects as the circular dichroism in angular distributions (CDAD). Accordingly, orienting a chiral molecule in space enhances the PECD by a factor of about 10

Observation of Photoion Backward Emission in Photoionization of He and N2_{2}

We experimentally investigate the effects of the linear photon momentum on the momentum distributions of photoions and photoelectrons generated in one-photon ionization in an energy range of 300  eV≤E$_\gamma$≤40  keV. Our results show that for each ionization event the photon momentum is imparted onto the photoion, which is essentially the system’s center of mass. Nevertheless, the mean value of the ion momentum distribution along the light propagation direction is backward-directed by −3/5 times the photon momentum. These results experimentally confirm a 90-year-old prediction

DeepBreath—automated detection of respiratory pathology from lung auscultation in 572 pediatric outpatients across 5 countries

Abstract The interpretation of lung auscultation is highly subjective and relies on non-specific nomenclature. Computer-aided analysis has the potential to better standardize and automate evaluation. We used 35.9 hours of auscultation audio from 572 pediatric outpatients to develop DeepBreath : a deep learning model identifying the audible signatures of acute respiratory illness in children. It comprises a convolutional neural network followed by a logistic regression classifier, aggregating estimates on recordings from eight thoracic sites into a single prediction at the patient-level. Patients were either healthy controls (29%) or had one of three acute respiratory illnesses (71%) including pneumonia, wheezing disorders (bronchitis/asthma), and bronchiolitis). To ensure objective estimates on model generalisability, DeepBreath is trained on patients from two countries (Switzerland, Brazil), and results are reported on an internal 5-fold cross-validation as well as externally validated (extval) on three other countries (Senegal, Cameroon, Morocco). DeepBreath differentiated healthy and pathological breathing with an Area Under the Receiver-Operator Characteristic (AUROC) of 0.93 (standard deviation [SD] ± 0.01 on internal validation). Similarly promising results were obtained for pneumonia (AUROC 0.75 ± 0.10), wheezing disorders (AUROC 0.91 ± 0.03), and bronchiolitis (AUROC 0.94 ± 0.02). Extval AUROCs were 0.89, 0.74, 0.74 and 0.87 respectively. All either matched or were significant improvements on a clinical baseline model using age and respiratory rate. Temporal attention showed clear alignment between model prediction and independently annotated respiratory cycles, providing evidence that DeepBreath extracts physiologically meaningful representations. DeepBreath provides a framework for interpretable deep learning to identify the objective audio signatures of respiratory pathology

Spektrum Patholinguistik Band 14. Schwerpunktthema: Klick für Klick: Schritte in der digitalen Sprachtherapie

The Fourteenth Autumn Meeting Patholinguistics with its main topic »Click by click: Steps towards a digital speech/language therapy« took place online on the 14th of November 2020. This annual meeting has been organised since 2007 by the Association for Patholinguistics (vpl) in cooperation with the German Federal Association for Academic Speech/Language Therapy and Logopaedics (dbs) and the University of Potsdam. The present proceedings feature the keynote presentations on the main topic as well as articles from the poster session covering a broad range of areas in research and practice of speech/language therapy.Das 14. Herbsttreffen Patholinguistik mit dem Schwerpunktthema »Klick für Klick: Schritte in der digitalen Sprachtherapie« fand am 14.11.2020 als Online-Veranstaltung statt. Das Herbsttreffen wird seit 2007 jährlich vom Verband für Patholinguistik e.V. (vpl) in Kooperation mit dem Deutschen Bundesverband für akademische Sprachtherapie und Logopädie (dbs) und der Universität Potsdam durchgeführt. Der vorliegende Tagungsband beinhaltet die Hauptvorträge zum Schwerpunktthema sowie die Posterpräsentationen zu weiteren Themen aus der sprachtherapeutischen Forschung und Praxis

Molecular-frame differential photoelectron circular dichroism of O 1s-photoelectrons of trifluoromethyloxirane

The differential photoelectron circular dichroism (PECD) of O 1s photoelectrons of R-trifluoromethyloxirane enantiomers as a function of the photoelectron emission direction in the molecular frame of reference and the direction from which circularly polarized light hits the molecule, is studied experimentally and theoretically for different photoelectron kinetic energies. A coincident detection of the photoelectrons and two ionic molecular fragments, performed with cold target recoil ion momentum spectroscopy, allows us to determine the orientation of the molecule in the laboratory frame and to obtain in addition the molecular-frame photoelectron diffraction patterns. From these we deduce the differential PECD. For given molecular orientations and photoelectron emission directions, we observe a normalized PECD strength clearly beyond 50%. These observations are in agreement with respective relaxed-core Hartree-Fock calculations, performed by employing the single center method. The present results support our recent observation of a huge differential PECD in O 1s photoemission of the methyloxirane molecule

Photoelectron circular dichroism of O 1s-photoelectrons of uniaxially oriented trifluoromethyloxirane: energy dependence and sensitivity to molecular configuration

The photoelectron circular dichroism (PECD) of the O 1s-photoelectrons of trifluoromethyloxirane (TFMOx) is studied experimentally and theoretically for different photoelectron kinetic energies. The experiments were performed employing circularly polarized synchrotron radiation and coincident electron and fragment ion detection using cold target recoil ion momentum spectroscopy. The corresponding calculations were performed by means of the single center method within the relaxed-core Hartree–Fock approximation. We concentrate on the energy dependence of the differential PECD of uniaxially oriented TFMOx molecules, which is accessible through the employed coincident detection. We also compare the results for the differential PECD of TFMOx to those obtained for the equivalent fragmentation channel and similar photoelectron kinetic energy of methyloxirane (MOx), studied in our previous work. Thereby, we investigate the influence of the substitution of the methyl group by the trifluoromethyl group at the chiral center on the molecular chiral response. Finally, the presently obtained angular distribution parameters are compared to those available in the literature