ETHNICITY AND MULTIPLE SCLEROSIS PREVALENCE IN EAST LONDON

BackgroundThere is a perceived consensus that the incidence and prevalence rates of MS in countries with a White majority are lower in the minority ethnic population than in the White population. Often-cited UK-based studies relevant to this were conducted over twenty years ago. In our study we update the UK-based literature.MethodsElectronic records from GPs in the four innermost east London boroughs were queried for the number of patients with an MS diagnosis, grouped by ethnicity, into 5-year age bands. Compared against total registered GP patients in the area (c.900K), we calculated the age-standardised MS prevalence separately, for White, Black and South Asian populations.ResultsOverall prevalence was 111 per 100K (152 for women, 70 for men). This was 180, 74, and 29 for the White, Black and South Asian populations respectively. The sex ratios (female:male) were 2.2:1, 2.1:1 and 2.8:1 respectively.ConclusionInner east London is an ideal area to study ethnicity-specific prevalence, with a population that is 36% White, 16% Black, 30% South Asian and 18% Other. MS prevalence was considerably lower amongst Black and South Asian populations, compared to the White population, by 59% and 84% respectively. Our findings are consistent with previous studies.</jats:sec

Converting a SSURGO Soils Database into a Simple Soils Database for Use in Portable Computer and Web-Based GIS Applications

The SSURGO soils survey is a very useful tool for people in need of soils information. However, the SSURGO soils database is too large and complex for practical use in a geographic information system (GIS). A simplified version of the database was developed and combined with an array of other landscape data to make county based GIS products that are utilized by both portable computer and web-based applications. This allows for wider distribution of the soils information and the ability to take the data to the field

Towards a standard MRI protocol for multiple sclerosis across the UK.

Multiple sclerosis (MS) is a chronic inflammatory demyelinating and degenerative disease of the central nervous system. It is the most common non-traumatic cause of chronic disability in young adults. An early and accurate diagnosis, and effective disease modifying treatment (DMT) are key elements of optimum care for people with MS (pwMS). Magnetic resonance imaging (MRI) has become a critical tool to confirm the presence of dissemination in space and time of lesions characteristic of inflammatory demyelination, a cornerstone of MS diagnosis, over and above exclusion of numerous differential diagnoses. In the modern era of early and highly effective DMT, follow-up of pwMS also relies heavily on MRI, to both confirm efficacy and for pharmacovigilance. Since criteria for MS rely heavily on MRI, an agreed standardized acquisition and reporting protocol enabling efficient and equitable application across the UK is desirable. Following a recent meeting of MS experts in London (UK), we make recommendations for a standardized UK MRI protocol that captures the diagnostic phase as well as monitoring for safety and treatment efficacy once the diagnosis is established. Our views take into account issues arising from the (repeated) use of contrast agents as well as the advent of (semi-) automated tools to further optimise disease monitoring in pwMS.Edmond J Safra FoundationLily SafraMRCUK Dementia Research InstituteImperial College Healthcare Trust Biomedical Research Centr

CRISPR-Cas9 genome editing induces a p53-mediated DNA damage response

Here, we report that genome editing by CRISPR-Cas9 induces a p53-mediated DNA damage response and cell cycle arrest in immortalized human retinal pigment epithelial cells, leading to a selection against cells with a functional p53 pathway. Inhibition of p53 prevents the damage response and increases the rate of homologous recombination from a donor template. These results suggest that p53 inhibition may improve the efficiency of genome editing of untransformed cells and that p53 function should be monitored when developing cell-based therapies utilizing CRISPR-Cas9.Peer reviewe

Kasha or state selective behavior in the photochemistry of ortho-nitrobenzaldehyde?

The photochemistry of ortho-nitrobenzaldehyde dissolved in tetrahydrofuran was studied by means of femtosecond UV/Vis and IR spectroscopy. Comparison was made of the spectral and temporal signatures for similar to 400 nm and similar to 260 nm excitation. The 400 nm excitation promotes NBA to its lowest excited singlet state of n pi* character whereas for 260 nm an upper excited state of pi pi* character is addressed. On the picosecond time scale, the molecule undergoes hydrogen transfer, yielding a ketene intermediate, internal conversion recovering the starting material, and intersystem crossing. Time constants and yields of these processes are virtually not affected by the excitation wavelength. For 400 nm excitation a similar to 100 fs decay component seen in the 260 nm experiment is absent, indicating that this component is due to a pi pi* -> n pi* internal conversion. In contrast to its formation, the decay of the ketene intermediate is influenced by the excitation wavelength. This can be attributed to different amounts of vibrational excitation

A rare presentation of atypical demyelination: tumefactive multiple sclerosis causing Gerstmann's syndrome

r. KS has been supported by a Higher Education Funding Council for England (HEFCE) Clinical Senior Lectureshi

ADvanced IMage Algebra (ADIMA): a novel method for depicting multiple sclerosis lesion heterogeneity, as demonstrated by quantitative MRI.

BACKGROUND: There are modest correlations between multiple sclerosis (MS) disability and white matter lesion (WML) volumes, as measured by T2-weighted (T2w) magnetic resonance imaging (MRI) scans (T2-WML). This may partly reflect pathological heterogeneity in WMLs, which is not apparent on T2w scans. OBJECTIVE: To determine if ADvanced IMage Algebra (ADIMA), a novel MRI post-processing method, can reveal WML heterogeneity from proton-density weighted (PDw) and T2w images. METHODS: We obtained conventional PDw and T2w images from 10 patients with relapsing-remitting MS (RRMS) and ADIMA images were calculated from these. We classified all WML into bright (ADIMA-b) and dark (ADIMA-d) sub-regions, which were segmented. We obtained conventional T2-WML and T1-WML volumes for comparison, as well as the following quantitative magnetic resonance parameters: magnetisation transfer ratio (MTR), T1 and T2. Also, we assessed the reproducibility of the segmentation for ADIMA-b, ADIMA-d and T2-WML. RESULTS: Our study's ADIMA-derived volumes correlated with conventional lesion volumes (p < 0.05). ADIMA-b exhibited higher T1 and T2, and lower MTR than the T2-WML (p < 0.001). Despite the similarity in T1 values between ADIMA-b and T1-WML, these regions were only partly overlapping with each other. ADIMA-d exhibited quantitative characteristics similar to T2-WML; however, they were only partly overlapping. Mean intra- and inter-observer coefficients of variation for ADIMA-b, ADIMA-d and T2-WML volumes were all < 6 % and < 10 %, respectively. CONCLUSION: ADIMA enabled the simple classification of WML into two groups having different quantitative magnetic resonance properties, which can be reproducibly distinguished

Status of Superconducting RF Linac Development for APT

This paper describes the development progress of high current superconducting RF linacs in Los Alamos, performed to support a design of the linac for the APT (Accelerator Production of Tritium) Project. The APT linac design includes a CW superconducting RF high energy section, spanning an energy range of 211 to 1030 MeV, and operating at a frequency of 700 MHz with two constant beta sections (beta of 0.64 and 0.82). In the last two years, we have progressed towards build a cryomodule with beta of 0.64. We completed the designs of the 5 cell superconducting cavities and the 210 kW power couplers. We are scheduled to begin assembly of the cryomodule in September 2000. In this paper, we present an overview of the status of our development efforts and a report on the results of the cavity and coupler test program.Comment: LINAC2000 THD1