Atorvastatin combined to interferon to verify the efficacy (ACTIVE) in relapsing-remitting active multiple sclerosis patients: a longitudinal controlled trial of combination therapy.

A large body of evidence suggests that, besides their cholesterol-lowering effect, statins exert anti-inflammatory action. Consequently, statins may have therapeutic potential in immune-mediated disorders such as multiple sclerosis. Our objectives were to determine safety, tolerability and efficacy of low-dose atorvastatin plus high-dose interferon beta-1a in multiple sclerosis patients responding poorly to interferon beta-1a alone. Relapsing–remitting multiple sclerosis patients, aged 18–50 years, with contrast-enhanced lesions or relapses while on therapy with interferon beta-1a 44 mg (three times weekly) for 12 months, were randomized to combination therapy (interferon+atorvastatin 20mg per day; group A) or interferon alone (group B) for 24 months. Patients underwent blood analysis and clinical assessment with the Expanded Disability Status Scale every 3 months, and brain gadolinium-enhanced magnetic resonance imaging at screening, and 12 and 24 months thereafter. Primary outcome measure was contrast-enhanced lesion number. Secondary outcome measures were number of relapses, EDSS variation and safety laboratory data. Forty-five patients were randomized to group A (n 1⁄4 21) or B (n 1⁄4 24). At 24 months, group A had significantly fewer contrast-enhanced lesions versus baseline (p 1⁄4 0.007) and significantly fewer relapses versus the two pre-randomization years (p < 0.001). At survival analysis, the risk for a 1-point EDSS increase was slightly higher in group B than in group A (p 1⁄4 0.053). Low-dose atorvastatin may be beneficial, as add-on therapy, in poor responders to high-dose interferon beta-1a alone

UAV BLOCK GEOREFERENCING and CONTROL by ON-BOARD GNSS DATA

Unmanned Aerial Vehicles (UAV) are established platforms for photogrammetric surveys in remote areas. They are lightweight, easy to operate and can allow access to remote sites otherwise difficult (or impossible) to be surveyed with other techniques. Very good accuracy can be obtained also with low-cost UAV platforms as far as a reliable ground control is provided. However, placing ground control points (GCP) in these contexts is time consuming and requires accessibility that, in some cases, can be troublesome. RTK-capable UAV platforms are now available at reasonable costs and can overcome most of these problems, requiring just few (or none at all) GCP and still obtaining accurate results. The paper will present a set of experiments performed in cooperation with ARPA VdA (the Environmental Protection Agency of Valle d'Aosta region, Italy) on a test site in the Italian Alps using a Dji Phantom 4 RTK platform. Its goals are: a) compare accuracies obtainable with different calibration procedures (pre- or on-the-job/self-calibration); b) evaluate the accuracy improvements using different number of GCP when the site allows for it; and c) compare alternative positioning modes for camera projection centres determination, (Network RTK, RTK, Post Processing Kinematic and Single Point Positioning)

Autotrophic vs. Heterotrophic cultivation of the marine diatom cyclotella cryptica for epa production

Recently, the marketable value of ω-3 fatty acid, particularly eicosapentaenoic acid (EPA), increased considering their health effects for human consumption. Microalgae are considered a valuable and “green” source of EPA alternative to fish oils, but considerable efforts are necessary for their exploitation at an industrial level. Due to the high operation costs of photoautotrophic microalgae cultivation, heterotrophic growth represents a promising economic solution. Marine diatoms are the major ecological producers of ω-3 fatty acids. Few species of diatoms are capable to grow in the dark using organic carbon sources. The marine diatom Cyclotella cryptica was cultivated for 14 days under photoautotrophic and heterotrophic conditions to define the effects on growth parameters, lipid production, total fatty acids and EPA content. Photoautotrophic conditions led to a total EPA production of 1.6% of dry weight, 12.2 mg L−1 culture and productivity of 0.9 mg L−1 day−1 . The heterotrophy cultures reported a total EPA production of 2.7% of dry cell weight, 18 mg L−1 culture, a productivity of 1.3 mg L−1 day−1, which are promising values in the prospective of improving culture parameters for the biotechnological exploitation of dark cultivation. C. cryptica could be a potential candidate for the heterotrophic production of EPA, also considering its robustness, capacity to resist to bacterial contaminations and plasticity of lipid metabolism

Hepatosplenic Gamma/Delta T-Cell Lymphoma Masquerading as Alcoholic Hepatitis and Methadone Withdrawal

Hepatosplenic gamma/delta T-cell lymphoma is a rare neoplasm of mature gamma/delta T-cells with sinusoidal infiltration of spleen, liver, and bone marrow. Patients are predominantly adolescent and young adult males and usually present with marked hepatosplenomegaly. Pancytopenia is another common finding. Despite an initial response to treatment, patients have a median survival of one to two years. In this report, we document a case of alcoholic hepatitis and methadone withdrawal masquerading unsuspected, hepatosplenic gamma/delta T-cell lymphoma with unusual CD20 positivity

Pacific Plate slab pull and intraplate deformation in the early Cenozoic

Large tectonic plates are known to be susceptible to internal deformation, leading to a range of phenomena including intraplate volcanism. However, the space and time dependence of intraplate deformation and its relationship with changing plate boundary configurations, subducting slab geometries, and absolute plate motion is poorly understood. We utilise a buoyancy driven Stokes flow solver, BEM-Earth, to investigate the contribution of subducting slabs through time on Pacific Plate motion and plate-scale deformation, and how this is linked to intraplate volcanism. We produce a series of geodynamic models from 62 to 42 Ma in which the plates are driven by the attached subducting slabs and mantle drag/suction forces. We compare our modelled intraplate deformation history with those types of intraplate volcanism that lack a clear age progression. Our models suggest that changes in Cenozoic subduction zone topology caused intraplate deformation to trigger volcanism along several linear seafloor structures, mostly by reactivation of existing seamount chains, but occasionally creating new volcanic chains on crust weakened by fracture zones and extinct ridges. Around 55 Ma subduction of the Pacific-Izanagi ridge reconfigured the major tectonic forces acting on the plate by replacing ridge push with slab pull along its north-western perimeter, causing lithospheric extension along pre-existing weaknesses. Large scale deformation observed in the models coincides with the seamount chains of Hawaii, Louisville, Tokelau, and Gilbert during our modelled time period of 62 to 42 Ma. We suggest that extensional stresses between 72 and 52 Ma are the likely cause of large parts of the formation of the Gilbert chain and that localised extension between 62 and 42 Ma could cause late-stage volcanism along the Musicians Volcanic Ridges. Our models demonstrate that early Cenozoic changes in Pacific plate driving forces only cause relatively minor changes in Pacific absolute plate motions, and cannot be responsible for the Hawaii-Emperor Bend (HEB), confirming previous interpretations that the 47 Ma HEB does not reflect an absolute plate motion event