The use of biomarkers in Alzheimer's disease: a case report

Uncertainties remain around the use of biomarkers in clinical practice to diagnose Alzheimer's disease. There are several implications for both patients and clinicians, including the ethical and practical dilemmas of identifying a disease process early in its course when there are no disease‐modifying treatments available

Differentiation of dementia with Lewy bodies from Alzheimer's disease using a dopaminergic presynaptic ligand

Background: Dementia with Lewy bodies (DLB) is one of the main differential diagnoses of Alzheimer's disease (AD). Key pathological features of patients with DLB are not only the presence of cerebral cortical neuronal loss, with Lewy bodies in surviving neurones, but also loss of nigrostriatal dopaminergic neurones, similar to that of Parkinson's disease (PD). In DLB there is 40-70% loss of striatal dopamine.Objective: To determine if detection of this dopaminergic degeneration can help to distinguish DLB from AD during life.Methods: The integrity of the nigrostriatal metabolism in 27 patients with DLB, 17 with AD, 19 drug naive patients with PD, and 16 controls was assessed using a dopaminergic presynaptic ligand, I-123-labelled 2beta-carbomethoxy-3beta-(4-iodophenyl)-N-(3-fluoropropyl)nortropane (FP-CIT), and single photon emission tomography (SPET). A SPET scan was carried out with a single slice, brain dedicated tomograph (SME 810) 3.5 hours after intravenous injection of 185 MBq FP-CIT. With occipital cortex used as a radioactivity uptake reference, ratios for the caudate nucleus and the anterior and posterior putamen of both hemispheres were calculated. All scans were also rated by a simple visual method.Results: Both DLB and PD patients had significantly lower uptake of radioactivity than patients with (p<0.01) and controls (p<0.001) in the caudate nucleus and the anterior and posterior Putamen.Conclusion: FP-CIT SPET provides a means of distinguishing DLB from AD during life

Orbital-quenching-induced magnetism in Ba_2NaOsO_6

The double perovskite \bnoo with heptavalent Os ($d^1$) is observed to remain in the ideal cubic structure ({\it i.e.} without orbital ordering) despite single occupation of the $t_{2g}$ orbitals, even in the ferromagnetically ordered phase below 6.8 K. Analysis based on the {\it ab initio} dispersion expressed in terms of an Os $t_{2g}$-based Wannier function picture, spin-orbit coupling, Hund's coupling, and strong Coulomb repulsion shows that the magnetic OsO$_6$ cluster is near a moment-less condition due to spin and orbital compensation. Quenching (hybridization) then drives the emergence of the small moment. This compensation, unprecedented in transition metals, arises in a unified picture that accounts for the observed Mott insulating behavior.Comment: in press at Europhysics Letter

SEMDSA/ACE-SA Guideline for the Management of Hypothyroidism in Adults

Background: Hypothyroidism is a common clinical condition confronting all healthcare practitioners yet there remains uncertainty about the optimal medication and optimum treatment targets. In addition, many patients remain symptomatic despite using recommended medications and attaining recommended treatment targets.Methods: All endocrinologists in South Africa who consented to be part of the guideline process were assigned various aspects of the management of patients with thyroid disease. In each section the current literature was reviewed and the level of evidence was graded. This information was then presented at a guideline meeting. Where evidence was lacking a consensus among participants was adopted.Results: This guideline provides 11 recommendations for the management of primary hypothyroidism, secondary hypothyroidism and subclinical hypothyroidism in adults.Conclusions: This is the first South African guideline for the management of hypothyroidism in adults and represents a comprehensive review of the current literature in an attempt to provide evidence-based guidance for all healthcare practitioners regarding the many clinical aspects encountered when managing patients with hypothyroidism

Experimental study of vortex breakdown in a cylindrical, swirling flow

The stability of a steady, vortical flow in a cylindrical container with one rotating endwall has been experimentally examined to gain insight into the process of vortex breakdowwn. The dynamics of the flow are governed by the Reynolds number (Re) and the aspect ratio of the cylinder. Re is given by Omega R(sup 2)/nu, where Omega is the speed of rotation of the endwall, R is the cylinder radius, and nu is the kinematic viscosity of the fluid filling the cylinder. The aspect ratio is H/R, where H is the height of the cylinder. Numerical simulation studies disagree whether or not the steady breakdown is stable beyond a critical Reynolds number, Re(sub c). Previous experimental researches have considered the steady and unsteady flows near Re(sub c), but have not explored the stability of the steady breakdown structures beyond this value. In this investigation, laser induced fluorescence was utilized to observe both steady and unsteady vortex breakdown at a fixed H/R of 2.5 with Re varying around Re(sub c). When the Re of a steady flow was slowly increased beyond Re(sub c), the breakdown structure remained steady even though unsteadiness was possible. In addition, a number of hysteresis events involving the oscillation periods of the unsteady flow were noted. The results show that both steady and unsteady vortex breakdown occur for a limited range of Re above Re(sub c). Also, with increasing Re, complex flow transformations take place that alter the period at which the unsteady flow oscillates

Simulations of magnetic and magnetoelastic properties of Tb2Ti2O7 in paramagnetic phase

Magnetic and magnetoelastic properties of terbium titanate pyrochlore in paramagnetic phase are simulated. The magnetic field and temperature dependences of magnetization and forced magnetostriction in Tb2Ti2O7 single crystals and polycrystalline samples are calculated in the framework of exchange charge model of crystal field theory and a mean field approximation. The set of electron-deformation coupling constants has been determined. Variations of elastic constants with temperature and applied magnetic field are discussed. Additional strong softening of the crystal lattice at liquid helium temperatures in the magnetic field directed along the rhombic symmetry axis is predicted.Comment: 13 pages, 4 figures, 2 table

Modelling spectral line profiles of wind-wind shock emissions from massive binary systems

One of the most intriguing spectral features of WR binary stars is the presence of time-dependent line profiles. Long term observations of several systems revealed the periodicity of this variability, synchronized with the orbital movement. Several partially successful models have been proposed to reproduce the observed data. The most promising assume that the origin of the emission is the wind-wind interaction zone. In this scenario, two high velocity and dense winds produce a strong shock layer, responsible for most of the X-rays observed from these systems. As the secondary star moves along its orbital path, the shock region of conical shape, changes its position with relation to the line of sight. As a consequence, the stream measured Doppler shift presents time variations resulting in position changes of the spectral line. In our work, we present an alternative model, introducing turbulence in the shock layer to account for the line broadening and opacity effects for the asymmetry in the line profiles. We showed that the gas turbulence avoids the need of an unnaturally large contact layer thickness to reproduce line broadening. Also, we demonstrated that if the emission from the opposing cone surface is absorbed, the result is a single peaked profile. This result fully satisfies the recent data obtained from massive binary systems, and can help on the determination of both winds and orbital parameters. We successfully applied this model to the Br22 system and determined its orbital parameters.Comment: To appear in the MNRA

Implications of the PSR 1257+12 Planetary System for Isolated Millisecond Pulsars

The first extrasolar planets were discovered in 1992 around the millisecond pulsar PSR 1257+12. We show that recent developments in the study of accretion onto magnetized stars, plus the existence of the innermost, moon-sized planet in the PSR 1257+12 system, suggest that the pulsar was born with approximately its current rotation frequency and magnetic moment. If so, this has important implications for the formation and evolution of neutron star magnetic fields as well as for the formation of planets around pulsars. In particular, it suggests that some and perhaps all isolated millisecond pulsars may have been born with high spin rates and low magnetic fields instead of having been recycled by accretion.Comment: 17 pages including one figure, uses aaspp4, accepted by Ap