A treatment case of Sotos syndrome

Sotos syndrome is a genetic disorder characterized by overgrowth in childhood, specific facial manifestations, advanced bone age, and mental retardation. Although only one case report of Sotos syndrome treated with surgical orthodontics has thus far been published, there have also been a few detailed reports of long-term observation of Sotos syndrome through total orthodontic treatment. This article aimed to present the case of a growing patient with skeletal mandibular protrusion and unilateral posterior crossbite as present in Sotos syndrome treated with a non-surgical orthodontic technique. A 10-year-old boy was diagnosed with skeletal mandibular protrusion and posterior crossbite associated with Sotos syndrome. After maxillary lateral expansion, the skeletal Class III relationship with an anterior crossbite improved owing to mandibular clockwise rotation, while the facemask had a marginal effect. At the completion of growth at 16 years, he had a skeletal Class I relationship, and thus, conventional orthodontic treatment with preadjusted edgewise appliances was initiated. After 41 months of multibracket treatment, acceptable occlusion with a functional Class I relationship was obtained. At 12 months postretention, no or few changes in occlusion and facial features were observed. Our results demonstrate that considering the maxillofacial vertical growth during peripubertal period associated with Sotos syndrome, much attention should be paid to the early orthopedic treatment with the facemask and/or chin cap

Four-Dimensional Homogeneous Systolic Pyramid Automata

Cellular automaton is famous as a kind of the parallel automaton. Cellular automata were investigated not only in the viewpoint of formal language theory, but also in the viewpoint of pattern recognition. Cellular automata can be classified into some types. A systolic pyramid automata is also one parallel model of various cellular automata. A homogeneous systolic pyramid automaton with four-dimensional layers (4-HSPA) is a pyramid stack of four-dimensional arrays of cells in which the bottom four-dimensional layer (level 0) has size an (a≥1), the next lowest 4(a-1), and so forth, the (a-1)st fourdimensional layer (level (a-1)) consisting of a single cell, called the root. Each cell means an identical finite-state machine. The input is accepted if and only if the root cell ever enters an accepting state. A 4-HSPA is said to be a real-time 4-HSPA if for every four-dimensional tape of size 4a (a≥1), it accepts the fourdimensional tape in time a-1. Moreover, a 1- way fourdimensional cellular automaton (1-4CA) can be considered as a natural extension of the 1-way two-dimensional cellular automaton to four-dimension. The initial configuration is accepted if the last special cell reaches a final state. A 1-4CA is said to be a real- time 1-4CA if when started with fourdimensional array of cells in nonquiescent state, the special cell reaches a final state. In this paper, we proposed a homogeneous systolic automaton with four-dimensional layers (4-HSPA), and investigated some properties of real-time 4-HSPA. Specifically, we first investigated the relationship between the accepting powers of real-time 4-HSPA’s and real-time 1-4CA’s. We next showed the recognizability of four-dimensional connected tapes by real-time 4-HSPA’s

Paclitaxel-Based Chemotherapy for Advanced Pancreatic Cancer after Gemcitabine-Based Therapy Failure: A Case Series of 5 Patients

Background/Objectives: Gemcitabine (GEM) is a gold-standard chemotherapy agent for advanced pancreatic cancer. Because of the malignant character of the disease, nearly all patients show disease progression despite treatment with GEM-based chemotherapy; therefore, second-line chemotherapy may be beneficial for these patients. We report a retrospective analysis of 5 patients with advanced pancreatic cancer, treated with a paclitaxel-containing regimen as second-, third- or fourth-line chemotherapy after various therapies, such as a GEM-based regimen, S-1 regimen, and chemoradiation. We retrospectively analyzed the efficacy and adverse events, and evaluated the paclitaxel-containing regimens. A review of the literature is also discussed. Results: The median overall survival from the start of salvage therapy was 10.7 months. The disease control rate of the paclitaxel-containing regimen according to RECIST criteria was 60%, including complete response in 0 patients, partial response in 3, and stable disease in 2. Two patients had malignant ascites at the start of this salvage therapy, and in both of them the ascites and clinical complaints improved. Grade 3 and 4 hematological adverse events were observed in 2 patients and 1 patient, respectively. Conclusion: Salvage paclitaxel-based therapy could be beneficial to advanced pancreatic cancer patients who maintain good performance status after several chemotherapy failures

From planetesimals to terrestrial planets: N-body simulations including the effects of nebular gas and giant planets

We present results from a suite of N-body simulations that follow the accretion history of the terrestrial planets using a new parallel treecode that we have developed. We initially place 2000 equal size planetesimals between 0.5--4.0 AU and the collisional growth is followed until the completion of planetary accretion (> 100 Myr). All the important effect of gas in laminar disks are taken into account: the aerodynamic gas drag, the disk-planet interaction including Type I migration, and the global disk potential which causes inward migration of secular resonances as the gas dissipates. We vary the initial total mass and spatial distribution of the planetesimals, the time scale of dissipation of nebular gas, and orbits of Jupiter and Saturn. We end up with one to five planets in the terrestrial region. In order to maintain sufficient mass in this region in the presence of Type I migration, the time scale of gas dissipation needs to be 1-2 Myr. The final configurations and collisional histories strongly depend on the orbital eccentricity of Jupiter. If today's eccentricity of Jupiter is used, then most of bodies in the asteroidal region are swept up within the terrestrial region owing to the inward migration of the secular resonance, and giant impacts between protoplanets occur most commonly around 10 Myr. If the orbital eccentricity of Jupiter is close to zero, as suggested in the Nice model, the effect of the secular resonance is negligible and a large amount of mass stays for a long period of time in the asteroidal region. With a circular orbit for Jupiter, giant impacts usually occur around 100 Myr, consistent with the accretion time scale indicated from isotope records. However, we inevitably have an Earth size planet at around 2 AU in this case. It is very difficult to obtain spatially concentrated terrestrial planets together with very late giant impacts.Comment: 51 pages, 19 figures, 2 tables, published in Icaru

Structural evolution in the neutron-rich nuclei 106Zr and 108Zr

The low-lying states in 106Zr and 108Zr have been investigated by means of {\beta}-{\gamma} and isomer spectroscopy at the RI beam factory, respectively. A new isomer with a half-life of 620\pm150 ns has been identified in 108Zr. For the sequence of even-even Zr isotopes, the excitation energies of the first 2+ states reach a minimum at N = 64 and gradually increase as the neutron number increases up to N = 68, suggesting a deformed sub-shell closure at N = 64. The deformed ground state of 108Zr indicates that a spherical sub-shell gap predicted at N = 70 is not large enough to change the ground state of 108Zr to the spherical shape. The possibility of a tetrahedral shape isomer in 108Zr is also discussed.Comment: 10 pages, 3 figures, Accepted for publication in Phys. Rev. Let

Autoimmune Th17 Cells Induced Synovial Stromal and Innate Lymphoid Cell Secretion of the Cytokine GM-CSF to Initiate and Augment Autoimmune Arthritis

Despite the importance of Th17 cells in autoimmune diseases, it remains unclear how they control other inflammatory cells in autoimmune tissue damage. Using a model of spontaneous autoimmune arthritis, we showed that arthritogenic Th17 cells stimulated fibroblast-like synoviocytes via interleukin-17 (IL-17) to secrete the cytokine GM-CSF and also expanded synovial-resident innate lymphoid cells (ILCs) in inflamed joints. Activated synovial ILCs, which expressed CD25, IL-33Ra, and TLR9, produced abundant GM-CSF upon stimulation by IL-2, IL-33, or CpG DNA. Loss of GM-CSF production by either ILCs or radio-resistant stromal cells prevented Th17 cell-mediated arthritis. GM-CSF production by Th17 cells augmented chronic inflammation but was dispensable for the initiation of arthritis. We showed that GM-CSF-producing ILCs were present in inflamed joints of rheumatoid arthritis patients. Thus, a cellular cascade of autoimmune Th17 cells, ILCs, and stromal cells, via IL-17 and GM-CSF, mediates chronic joint inflammation and can be a target for therapeutic intervention