Inflammatory bowel disease-specific autoantibodies in HLA-B27-associated spondyloarthropathies: Increased prevalence of ASCA and pANCA

Aims: An association between inflammatory bowel disease (IBD) and spondyloarthropathies (SpA) has repeatedly been reported. The aim of the present study was to investigate whether serologic markers of IBD, e. g. antibodies against Saccharomyces cerevisiae (ASCA), antibodies against exocrine pancreas (PAB) and perinuclear antineutrophil cytoplasmic antibodies (pANCA) are present in HLA-B27-associated SpA. Methods: 87 patients with HLA-B27-positive SpA and 145 controls were tested for ASCA, PAB and pANCA employing ELISA or indirect immunofluorescence, respectively. Antibody-positive patients were interviewed regarding IBD-related symptoms using a standardized questionnaire. Results/Conclusion: When compared to the controls, ASCA IgA but not ASCA IgG levels were significantly increased in patients with SpA, in particular in ankylosing spondylitis (AS) and undifferentiated SpA (uSpA). pANCA were found in increased frequency in patients with SpA whereas PAB were not detected. The existence of autoantibodies was not associated with gastrointestinal symptoms but sustains the presence of a pathophysiological link between bowel inflammation and SpA. Copyright (C) 2004 S. Karger AG, Basel

Tameness of holomorphic closure dimension in a semialgebraic set

Given a semianalytic set S in a complex space and a point p in S, there is a unique smallest complex-analytic germ at p which contains the germ of S, called the holomorphic closure of S at p. We show that if S is semialgebraic then its holomorphic closure is a Nash germ, for every p, and S admits a semialgebraic filtration by the holomorphic closure dimension. As a consequence, every semialgebraic subset of a complex vector space admits a semialgebraic stratification into CR manifolds satisfying a strong version of the condition of the frontier.Comment: Published versio

Effects of melting conditions on platinum-inclusion content in phosphate laser glasses

Results from small-scale glass melting experiments aimed at reducing the density of platinum particles in phosphate laser glasses are discussed. The platinum particles originate from the crucibles used to melt the laser glass and can cause optical damage in glasses used in high-peak-power lasers. The melting experiments examine the effects of a) temperature and temperature gradients; b) processing time; and c) O₂ atmosphere on the formation and dissolution of platinum inclusions in LG-750 phosphate laser glass. Results show that most platinum inclusions originate early in the melt cycle, with thermal gradients within the melter being one of the major causes. By using oxidizing conditions (O₂), the platinum inclusions can be dissolved into the glass during the course of the melt cycle. Results from the laboratory-scale melting experiments have been incorporated into a proprietary laser-glass melting process. The laser glass prepared under these conditions has an average of less than 0.1 platinum inclusions/1, which represents a 1000-fold reduction over the previously available phosphate laser glasses

Mid-term results and factors affecting outcome of a metal-backed unicompartmental knee design: a case series

<p>Abstract</p> <p>Background</p> <p>Controversies exist regarding the indications for unicompartmental knee arthroplasty. The objective of this study is to report the mid-term results and examine predictors of failure in a metal-backed unicompartmental knee arthroplasty design.</p> <p>Methods</p> <p>At a mean follow-up of 60 months, 80 medial unicompartmental knee arthroplasties (68 patients) were evaluated. Implant survivorship was analyzed using Kaplan-Meier method. The Knee Society objective and functional scores and radiographic characteristics were compared before surgery and at final follow-up. A Cox proportional hazard model was used to examine the association of patient's age, gender, obesity (body mass index > 30 kg/m²), diagnosis, Knee Society scores and patella arthrosis with failure.</p> <p>Results</p> <p>There were 9 failures during the follow up. The mean Knee Society objective and functional scores were respectively 49 and 48 points preoperatively and 95 and 92 points postoperatively. The survival rate was 92% at 5 years and 84% at 10 years. The mean age was younger in the failure group than the non-failure group (p < 0.01). However, none of the factors assessed was independently associated with failure based on the results from the Cox proportional hazard model.</p> <p>Conclusion</p> <p>Gender, pre-operative diagnosis, preoperative objective and functional scores and patellar osteophytes were not independent predictors of failure of unicompartmental knee implants, although high body mass index trended toward significance. The findings suggest that the standard criteria for UKA may be expanded without compromising the outcomes, although caution may be warranted in patients with very high body mass index pending additional data to confirm our results.</p> <p><b>Level of Evidence</b>: IV</p

Revision rates after primary hip and knee replacement in England between 2003 and 2006

&lt;b&gt;Background&lt;/b&gt;: Hip and knee replacement are some of the most frequently performed surgical procedures in the world. Resurfacing of the hip and unicondylar knee replacement are increasingly being used. There is relatively little evidence on their performance. To study performance of joint replacement in England, we investigated revision rates in the first 3 y after hip or knee replacement according to prosthesis type. &lt;b&gt;Methods and Findings&lt;/b&gt;: We linked records of the National Joint Registry for England and Wales and the Hospital Episode Statistics for patients with a primary hip or knee replacement in the National Health Service in England between April 2003 and September 2006. Hospital Episode Statistics records of succeeding admissions were used to identify revisions for any reason. 76,576 patients with a primary hip replacement and 80,697 with a primary knee replacement were included (51% of all primary hip and knee replacements done in the English National Health Service). In hip patients, 3-y revision rates were 0.9% (95% confidence interval [CI] 0.8%–1.1%) with cemented, 2.0% (1.7%–2.3%) with cementless, 1.5% (1.1%–2.0% CI) with “hybrid” prostheses, and 2.6% (2.1%–3.1%) with hip resurfacing (p &lt; 0.0001). Revision rates after hip resurfacing were increased especially in women. In knee patients, 3-y revision rates were 1.4% (1.2%–1.5% CI) with cemented, 1.5% (1.1%–2.1% CI) with cementless, and 2.8% (1.8%–4.5% CI) with unicondylar prostheses (p &lt; 0.0001). Revision rates after knee replacement strongly decreased with age. &lt;b&gt;Interpretation&lt;/b&gt;: Overall, about one in 75 patients needed a revision of their prosthesis within 3 y. On the basis of our data, consideration should be given to using hip resurfacing only in male patients and unicondylar knee replacement only in elderly patients

An axiomatic approach to the non-linear theory of generalized functions and consistency of Laplace transforms

We offer an axiomatic definition of a differential algebra of generalized functions over an algebraically closed non-Archimedean field. This algebra is of Colombeau type in the sense that it contains a copy of the space of Schwartz distributions. We study the uniqueness of the objects we define and the consistency of our axioms. Next, we identify an inconsistency in the conventional Laplace transform theory. As an application we offer a free of contradictions alternative in the framework of our algebra of generalized functions. The article is aimed at mathematicians, physicists and engineers who are interested in the non-linear theory of generalized functions, but who are not necessarily familiar with the original Colombeau theory. We assume, however, some basic familiarity with the Schwartz theory of distributions.Comment: 23 page

Completeness of dagger-categories and the complex numbers

The complex numbers are an important part of quantum theory, but are difficult to motivate from a theoretical perspective. We describe a simple formal framework for theories of physics, and show that if a theory of physics presented in this manner satisfies certain completeness properties, then it necessarily includes the complex numbers as a mathematical ingredient. Central to our approach are the techniques of category theory, and we introduce a new category-theoretical tool, called the dagger-limit, which governs the way in which systems can be combined to form larger systems. These dagger-limits can be used to characterize the dagger-functor on the category of finite-dimensional Hilbert spaces, and so can be used as an equivalent definition of the inner product. One of our main results is that in a nontrivial monoidal dagger-category with all finite dagger-limits and a simple tensor unit, the semiring of scalars embeds into an involutive field of characteristic 0 and orderable fixed field.Comment: 39 pages. Accepted for publication in the Journal of Mathematical Physic

Constructible motivic functions and motivic integration

We introduce a direct image formalism for constructible motivic functions. One deduces a very general version of motivic integration for which a change of variables theorem is proved. These constructions are generalized to the relative framework, in which we develop a relative version of motivic integration. These results have been announced in math.AG/0403349 and math.AG/0403350. Main results and statements unchanged. Many minor slips corrected and some details added.Comment: Final versio

Cumene hydroperoxide-supported denitrification of 2-nitropropane in uninduced mouse liver microsomes

1. 1. Cumene hydroperoxide supported oxidative denitrification of 2-nitropropane was investigated in uninduced mouse liver microsomes.2. 2. The cytochrome P-450 peroxygenase catalyzed reaction resulted in the production of nitrite and acetone.3. 3. Several lines of evidence suggested the involvement of multiple forms of cytochrome P-450.4. 4. Acetone production was at least two times greater than nitrite release possibly due to sequestration of nitrite in the reaction mixtures.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26428/1/0000516.pd