A longitudinal study of abnormalities on MRI and disability from multiple sclerosis

Background: In patients with isolated syndromes that are clinically suggestive of multiple sclerosis, such as optic neuritis or brain-stem or spinal cord syndromes, the presence of lesions as determined by T2-weighted magnetic resonance imaging (MRI) of the brain increases the likelihood that multiple sclerosis will develop. We sought to determine the relation between early lesion volume, changes in volume, and long-term disability. Methods: Seventy-one patients in a serial MRI study of patients with isolated syndromes were reassessed after a mean of 14.1 years. Disability was measured with the use of Kurtzke's Expanded Disability Status Scale (EDSS; possible range, 0 to 10, with a higher score indicating a greater degree of disability). Results: Clinically definite multiple sclerosis developed in 44 of the 50 patients (88 percent) with abnormal results on MRI at presentation and in 4 of 21 patients (19 percent) with normal results on MRI. The median EDSS score at follow-up for those with multiple sclerosis was 3.25 (range, 0 to 10); 31 percent had an EDSS score of 6 or more (including three patients whose deaths were due to multiple sclerosis). The EDSS score at 14 years correlated moderately with lesion volume on MRI at 5 years (r=0.60) and with the increase in lesion volume over the first 5 years (r=0.61). Conclusions: In patients who first present with isolated syndromes suggestive of multiple sclerosis, the increases in the volume of the lesions seen on magnetic resonance imaging of the brain in the first five years correlate with the degree of long-term disability from multiple sclerosis. This relation is only moderate, so the volume of the lesions alone may not be an adequate basis for decisions about the use of disease-modifying treatment

Ventilation of small livestock trailers

A large number of livestock is transported to market in small box trailers. The welfare of animals transported in this way is now assuming greater importance with the onset of tougher EU legislation. This paper presents the first study into the ventilation of small livestock trailers using experimental and computational methods. Wind tunnel studies, using a 1/7th scale model, highlight the important influence of the towing vehicle and trailer design on the airflow within the trailer. Detailed CFD analysis agrees well with the wind tunnel data and offers the ability to assess the impact of design changes

Interferon beta in multiple sclerosis: experience in a British specialist multiple sclerosis centre

Background: The efficacy of interferon beta (IFN beta) is well established in relapsing-remitting multiple sclerosis (MS). However, the use of this drug in clinical practice is complex, especially because it is only partially effective, its long term efficacy and side effects are unknown, its efficacy may be abrogated by the development of neutralising antibodies, compliance is variable, and its cost effectiveness is controversial. Objectives and Methods: Analysis of a prospectively followed up series of 101 MS patients treated with IFN beta was undertaken to: (1) monitor the outcome of IFN beta treatment in clinical practice; (2) compare the immunogenicity of the three commercial IFN beta preparations available; (3) assess the proportion of patients fulfilling the current guidelines of the Association of British Neurologists for stopping IFN beta therapy. Results: During a median treatment period of 26 months (range 2–85), the relapse rate decreased by 41%. Although the reduction in the relapse rate was similar for all three commercial products, none of the Avonex treated patients were relapse free, compared with 19% of the Betaferon treated and 27% of the Rebif treated patients (p=0.02). Neutralising antibodies were not detected in Avonex treated patients (0 of 18), compared with 12 of 32 (38%) Betaferon treated and 10 of 23 (44%) Rebif treated patients (p=0.02). Forty of 101 (40%) patients satisfied the current (2001) Association of British Neurologists criteria for stopping IFN beta treatment at some stage during their treatment. Conclusion: IFN beta is effective in reducing the relapse rate in patients with relapsing-remitting MS in routine clinical practice. However, after a median treatment duration of 26 months, 40% of initially relapsing-remitting MS patients seem to have ongoing disease activity, presenting as disabling relapses or insidious progression

An Epidemic of Leeches on Fishes in Rock River

In the course of field work in aquatic biology on Rock River it was noticed in the winter of 1925-1926 that almost every red-mouth buffalo (Ictiobus cyprinella Cuv. & Val.) was heavily infest with the leech, Pisciola punctata Verrill. This leech had not been taken during the tow preceding years of almost continuous work on this river, which included the collecting of hundreds of samples of the bottom fauna and the handling of many thousands of red mouth buffalo at all seasons of the year. Moreover, fishermen at many points on the river reported that no such infestation had occurred in the last half-century and that the only time they had ever seen any such leeches on the buffalo was about ten years ago when a few were noticed during some early spring fishing. The first appearance of Pisciola punctata in epidemic proportions was on February 25, 1926, about four miles above Rockford. The river's winter covering of ice having "gone out" of most of the channel the previous day, the remaining ice was moved of an eddy, and a seine haul was made which included, among a number of other fishes, 45 red-mouth buffalo weighing one to two pounds each, 38 of which were infested with this leech. The number of leeches on each of the infested fishes ranged from 1 or 2 up to 50 or more with an average of about 20.published or submitted for publicationis peer reviewe

A decoy receptor 3 analogue reduces localised defects in phagocyte function in pneumococcal pneumonia

Background. Therapeutic strategies to modulate the host response to bacterial pneumonia are needed to improve outcomes during community-acquired pneumonia. This study used mice with impaired Fas signalling to examine susceptibility to pneumococcal pneumonia and decoy receptor 3 analogue (DcR3-a) to correct factors associated with increased susceptibility. Methods. Wild-type mice and those with varying degrees of impairment of Fas (lpr) or Fas ligand signalling (gld) were challenged with Streptococcus pneumoniae and microbiological and immunological outcomes measured in the presence or absence of DcR3-a. Results. During established pneumonia, neutrophils became the predominant cell in the airway and gld mice were less able to clear bacteria from the lungs, demonstrating localised impairment of pulmonary neutrophil function in comparison to lpr or wild-type mice. T-cells from gld mice had enhanced activation and reduced apoptosis in comparison to wild-type and lpr mice during established pneumonia. Treatment with DcR3-a reduced T-cell activation and corrected the defect in pulmonary bacterial clearance in gld mice. Conclusions. The results suggest that imbalance in tumour necrosis factor superfamily signalling and excessive T-cell activation can impair bacterial clearance in the lung but that DcR3-a treatment can reduce T-cell activation, restore optimal pulmonary neutrophil function and enhance bacterial clearance during S pneumoniae infection

Optically opaque color-flavor locked phase inside compact stars

The contribution of thermally excited electron-positron pairs to the bulk properties of the color-flavor locked quark phase inside compact stars is examined. The presence of these pairs causes the photon mean free path to be much smaller than a typical core radius ($R_0 \simeq 1$ km) for all temperatures above 25 keV so that the photon contribution to the thermal conductivity is much smaller than that of the Nambu-Goldstone bosons. We also find that the electrons and positrons dominate the electrical conductivity, while their contributions to the total thermal energy is negligible.Comment: 3 pages, 2 figures. Published versio

Resonant Absorption as Mode Conversion?

Resonant absorption and mode conversion are both extensively studied mechanisms for wave "absorption" in solar magnetohydrodynamics (MHD). But are they really distinct? We re-examine a well-known simple resonant absorption model in a cold MHD plasma that places the resonance inside an evanescent region. The normal mode solutions display the standard singular resonant features. However, these same normal modes may be used to construct a ray bundle which very clearly undergoes mode conversion to an Alfv\'en wave with no singularities. We therefore conclude that resonant absorption and mode conversion are in fact the same thing, at least for this model problem. The prime distinguishing characteristic that determines which of the two descriptions is most natural in a given circumstance is whether the converted wave can provide a net escape of energy from the conversion/absorption region of physical space. If it cannot, it is forced to run away in wavenumber space instead, thereby generating the arbitrarily small scales in situ that we recognize as fundamental to resonant absorption and phase mixing. On the other hand, if the converted wave takes net energy way, singularities do not develop, though phase mixing may still develop with distance as the wave recedes.Comment: 23 pages, 8 figures, 2 tables; accepted by Solar Phys (July 9 2010

Millennial-scale vegetation changes in the tropical Andes using ecological grouping and ordination methods

We compare eight pollen records reflecting climatic and environmental change from northern and southern sites in the tropical Andes. Our analysis focuses on the last 30ĝ€ 000 years, with particular emphasis on the Pleistocene to Holocene transition. We explore ecological grouping and downcore ordination results as two approaches for extracting environmental variability from pollen records. We also use the records of aquatic and shoreline vegetation as markers for lake level fluctuations and moisture availability. Our analysis focuses on the signature of millennial-scale climate variability in the tropical Andes, in particular Heinrich stadials (HS) and Greenland interstadials (GI). The pollen records show an overall warming trend during the Pleistocene-Holocene transition, but the onset of post-glacial warming differs in timing among records. We identify rapid responses of the tropical vegetation to millennial-scale climate variability. The signatures of HS and the Younger Dryas are generally recorded as downslope upper forest line (UFL) migrations in our transect, and are likely linked to air temperature cooling. The GI1 signal is overall comparable between northern and southern records and indicates upslope UFL migrations and warming in the tropical Andes. Our marker for lake level changes indicated a north-To-south difference that could be related to moisture availability. The air temperature signature recorded by the Andean vegetation was consistent with millennial-scale cryosphere and sea surface temperature changes but suggests a potential difference between the magnitude of temperature change in the ocean and the atmosphere. We also show that arboreal pollen percentage (AP %) and detrended correspondence analysis (DCA) scores are two complementary approaches to extract environmental variability from pollen records

Physics in the Real Universe: Time and Spacetime

The Block Universe idea, representing spacetime as a fixed whole, suggests the flow of time is an illusion: the entire universe just is, with no special meaning attached to the present time. This view is however based on time-reversible microphysical laws and does not represent macro-physical behaviour and the development of emergent complex systems, including life, which do indeed exist in the real universe. When these are taken into account, the unchanging block universe view of spacetime is best replaced by an evolving block universe which extends as time evolves, with the potential of the future continually becoming the certainty of the past. However this time evolution is not related to any preferred surfaces in spacetime; rather it is associated with the evolution of proper time along families of world linesComment: 28 pages, including 9 Figures. Major revision in response to referee comment