Building an Optical Free-Electron Laser in the Traveling-Wave Thomson-Scattering Geometry

We show how optical free-electron lasers and enhanced incoherent Thomson scattering radiation sources can be realized with Traveling-Wave Thomson-Scattering (TWTS) today. Emphasis is put on the realization of optical free-electron lasers (OFELs) with existing state-of-the-art technology for laser systems and electron accelerators. The conceptual design of optical setups for the preparation of laser pulses suitable for TWTS OFELs and enhanced Thomson sources is presented. We further provide expressions to estimate the acceptable alignment tolerances of optical components for TWTS OFEL operation. Examples of TWTS OFELs radiating at 100 nm, 13.5 nm and 1.5 Å as well as an incoherent source producing 30 keV photons highlight the feasibility of the concept and detail the procedure to determine the optical components parameters of a TWTS setup

Adipokines and inflammation: is it a question of weight?

Obesity has reached epidemic proportions in the Western society and is increasing in the developing world. It is considered as one of the major contributors to the global burden of disability and chronic diseases, including autoimmune, inflammatory and degenerative diseases. Research conducted on obesity and its complications over the last two decades has transformed the outdated concept of white adipose tissue (WAT) merely serving as an energy depot. WAT is now recognized as an active and inflammatory organ capable of producing a wide variety of factors known as adipokines. These molecules participate through endocrine, paracrine, autocrine, or juxtacrine cross-talk mechanisms in a great variety of physiological or pathophysiological processes, regulating food intake, insulin sensitivity, immunity, and inflammation. Although initially restricted to metabolic activities (regulation of glucose and lipid metabolism), adipokines currently represent a new family of proteins that can be considered key players in the complex network of soluble mediators involved in the pathophysiology of immune/inflammatory diseases. However, the complexity of the adipokine network in the pathogenesis and progression of inflammatory diseases has posed, since the beginning, the important question of whether it may be possible to target the mechanism(s) by which adipokines contribute to disease selectively without suppressing their physiological functions. Here we explore in depth the most recent findings concerning the involvement of adipokines in inflammation and immune responses, in particular in rheumatic, inflammatory and degenerative diseases. We also highlight several possible strategies for therapeutic development and propose that adipokines and their signalling pathways may represent innovative therapeutic strategies for inflammatory disorders.ACKNOWLEDGMENTS: OG and FL are Staff Personnel of Xunta de Galicia (Servizo Galego de Saude, SERGAS) through a research-staff stabilization contract (ISCIII/SERGAS). VF is a “Sara Borrell” Researcher funded by ISCIII and FEDER. RG is a “Miguel Servet” Researcher funded by Instituto de Salud Carlos III (ISCIII) and FEDER. OG, MAGG and RG are members of RETICS Programme, RD16/0012/0014 (RIER: Red de Investigación en Inflamación y Enfermedades Reumáticas) via Instituto de Salud Carlos III (ISCIII) and FEDER. FL is a member of CIBERCV (Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares). The work of OG (PIE13/00024 and PI14/00016, PI17/00409), FL (PI15/00681 and CB16/11/00226) and RG (PI16/01870 and CP15/00007) was funded by Instituto de Salud Carlos III and FEDER. OG is a beneficiary of a project funded by Research Executive Agency of the European Union in the framework of MSCA-RISE Action of the H2020 Programme (Project number 734899). AM has received funding from the European Commission Framework 7 programme (EU FP7; HEALTH.2012.2.4.5-2, project number 305815; Novel Diagnostics and Biomarkers for Early Identification of Chronic Inflammatory Joint Diseases) plus generous support from the Innovative Medicines Initiative Joint Undertaking under grant agreement No. 115770, resources of which are composed of financial contribution from the European Union’s Seventh Framework programme (FP7/2007-2013) and EFPIA companies’ in kind contribution. The funders had no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript

Association between expression of the Bone morphogenetic proteins 2 and 7 in the repair of circumscribed cartilage lesions with clinical outcome

<p>Abstract</p> <p>Background</p> <p>Although there is much known about the role of BMPs in cartilage metabolism reliable data about the <it>in vivo </it>regulation in natural and surgically induced cartilage repair are still missing.</p> <p>Methods</p> <p>Lavage fluids of knee joints of 47 patients were collected during surgical therapy. 5 patients had no cartilage lesion and served as a control group, the other 42 patients with circumscribed cartilage defects were treated by microfracturing (19) or by an Autologous Chondrocyte Implantation (23). The concentrations of BMP-2 and BMP-7 were determined by ELISA. The clinical status was evaluated using the IKDC Score prior to and 1 year following the operation.</p> <p>Results</p> <p>High level expression in the control group was found for BMP-2, concentrations of BMP-7 remained below detection levels. No statistical differences could be detected in concentrations of BMP-2 or BMP-7 in the lavage fluids of knees with cartilage lesions compared to the control group. Levels of BMP-7 did not change after surgical cartilage repair, whereas concentrations of BMP-2 statistically significant increased after the intervention (p < 0.001). The clinical outcome following cartilage regenerating surgery increased after 1 year by 29% (p < 0.001). The difference of the IKDC score after 1 year and prior to the operation was used to quantify the degree of improvement following surgery. This difference statistically significant correlated with initial BMP-2 (R = 0.554, p < 0.001) but not BMP-7 (R = 0.031, n.s.) levels in the knee joints.</p> <p>Conclusions</p> <p>BMP-2 seems to play an important role in surgically induced cartilage repair; synovial expression correlates with the clinical outcome.</p

Beneficial effects of hirudotherapy in a chronic case of complex regional pain syndrome

We report about hirudotherapy in a patient with chronic complex regional pain syndrome (CRPS) in the right hand. CRPS is a multifactorial disease associated with disabling pain as well as sensory and motor deficits. The optimal therapeutic management is based on personalized multimodal treatment approaches; however, hirudotherapy has not been described in the available literature. To date, we have completed five medicinal leech treatments. Altogether, hirudotherapy led to rapid and substantial relief of symptoms, especially with respect to pain intensity ratings and skin temperature asymmetries. In addition, the patient's active and passive agility of the affected limb improved obviously. (C) 2019 Shanghai Changhai Hospital. Published by Elsevier B.V. All rights reserved

Sibling Influences

Research on children’s and early adolescents’ time use indicates that siblings are fixtures in each other’s lives. Given their ubiquity, it is surprising that the ways in which brothers and sisters influence each other’s development has been relatively neglected. In comparison, over the past 25 years there has been over 45 times more work on parenting processes and nearly seven times more on peer influences (McHale et al. 2012) than on siblings. An emerging body of work, however, documents that siblings are indeed important and can influence one another in a variety of ways. The goals of this essay are to review the main pathways through which siblings influence each other’s development. Specifically, we highlight two broad avenues through which siblings influence each other: (a) directly – through observation and daily interactions with one another, as well as modeling and differentiation processes; and (b) indirectly – by virtue of their impact on the larger family system, in ..