Adverse Effects of Systemic Immunosuppression in Keratolimbal Allograft

Purpose. Keratolimbal allograft (KLAL) is a treatment for limbal stem cell deficiency. One disadvantage is systemic immunosuppression to avoid rejection. Our purpose was to examine the adverse effects of systemic immunosuppression in KLAL. Methods. A retrospective case review of 16 patients with KLAL who received systemic immunosuppression consisting of a corticosteroid, an antimetabolite, and/or a calcineurin inhibitor was performed. Patients were monitored for signs, symptoms, or laboratory evidence of toxicity. Results. Eleven of 16 patients (68%) experienced an adverse effect. The average age of those with adverse effects was 43.5 years and without was 31.4 years. Ten of 11 patients (91%) had resolution during mean followup of 16.4 months. No serious adverse effects occurred. The most common included anemia, hyperglycemia, elevated creatinine, and elevated liver function tests. Prednisone and tacrolimus were responsible for the most adverse effects. Patients with comorbidities were more likely to experience an adverse effect (82% versus 20%, P = 0.036). Conclusions. KLAL requires prolonged systemic immunosuppression. Our data demonstrated that systemic immunosuppression did not result in serious adverse effects in our population and is relatively safe with monitoring for toxicity. In addition, we demonstrated that adverse effects are more likely in older patients with comorbidities

Non-equilibrium phase transitions in biomolecular signal transduction

We study a mechanism for reliable switching in biomolecular signal-transduction cascades. Steady bistable states are created by system-size cooperative effects in populations of proteins, in spite of the fact that the phosphorylation-state transitions of any molecule, by means of which the switch is implemented, are highly stochastic. The emergence of switching is a nonequilibrium phase transition in an energetically driven, dissipative system described by a master equation. We use operator and functional integral methods from reaction-diffusion theory to solve for the phase structure, noise spectrum, and escape trajectories and first-passage times of a class of minimal models of switches, showing how all critical properties for switch behavior can be computed within a unified framework

d_{x^2-y^2} Symmetry and the Pairing Mechanism

An important question is if the gap in the high temperature cuprates has d_{x^2-y^2} symmetry, what does that tell us about the underlying interaction responsible for pairing. Here we explore this by determining how three different types of electron-phonon interactions affect the d_{x^2-y^2} pairing found within an RPA treatment of the 2D Hubbard model. These results imply that interactions which become more positive as the momentum transfer increases favor d_{x^2-y^2} pairing in a nearly half-filled band.Comment: 9 pages and 2 eps figs, uses revtex with epsf, in press, PR

Effects of e−e+νee^- e^+ \nu_e Decays of Tau Neutrinos Near A Supernova

We revisit the constraints implied by SN 1987 A observations on the decay rate of a multi-MeV $\nu_\tau$ decaying into the visible channel $\nu_\tau \rightarrow e^+ e^- \nu_e$, if its lifetime is more than 10 {\it sec.}. We discuss its implication for the minimal left-right symmetric model with see-saw mechanism for neutrino masses. We also speculate on the possible formation of a ``giant Capacitor" in intergalactic space due to the decay of "neutronization" $\nu_\tau$'s and spin allignment possibility in the supernova.Comment: 29 Pages, Tex file, UMDHEP 94-4

A new method for tracking of motor skill learning through practical application of Fitts’ law

This article is made available through the Brunel Open Access Publishing Fund.A novel upper limb motor skill measure, task productivity rate (TPR) was developed integrating speed and spatial error, delivered by a practical motor skill rehabilitation task (MSRT). This prototype task involved placement of 5 short pegs horizontally on a spatially configured rail array. The stability of TPR was tested on 18 healthy right-handed adults (10 women, 8 men, median age 29 years) in a prospective single-session quantitative within-subjects study design. Manipulations of movement rate 10% faster and slower relative to normative states did not significantly affect TPR, F(1.387, 25.009) = 2.465, p = .121. A significant linear association between completion time and error was highest during the normative state condition (Pearson's r = .455, p < .05). Findings provided evidence that improvements in TPR over time reflected motor learning with possible changes in coregulation behavior underlying practice under different conditions. These findings extend Fitts’ law theory to tracking of practical motor skill using a dexterity task, which could have potential clinical applications in rehabilitation

Doping dependence of the many-body effects along the nodal direction in the high-Tc cuprate (Bi,Pb)_2Sr_2CaCu_2O_8

Angle-resolved photoemission spectroscopy (ARPES) is used to study the doping dependence of the lifetime and the mass renormalization of the low energy excitations in the high-Tc cuprate (Bi,Pb)_2Sr_2CaCu_2O_8 along the zone diagonal. We find a linear energy de-pendence of the scattering rate for the underdoped samples and a quadratic energy depend-ence in the overdoped case. The mass enhancement of the quasiparticles due to the many body effects at the Fermi energy is found to be in the order of 2 and the renormalization extends over a large energy range for both the normal and the superconducting state. The much discussed kink in the dispersion around 70 meV is interpreted as a small additional effect at low temperatures.Comment: 12 pages, 3 figure

Movement variability in stroke patients and controls performing two upper limb functional tasks: a new assessment methodology

Background: In the evaluation of upper limb impairment post stroke there remains a gap between detailed kinematic analyses with expensive motion capturing systems and common clinical assessment tests. In particular, although many clinical tests evaluate the performance of functional tasks, metrics to characterise upper limb kinematics are generally not applicable to such tasks and very limited in scope. This paper reports on a novel, user-friendly methodology that allows for the assessment of both signal magnitude and timing variability in upper limb movement trajectories during functional task performance. In order to demonstrate the technique, we report on a study in which the variability in timing and signal magnitude of data collected during the performance of two functional tasks is compared between a group of subjects with stroke and a group of individually matched control subjects. Methods: We employ dynamic time warping for curve registration to quantify two aspects of movement variability: 1) variability of the timing of the accelerometer signals' characteristics and 2) variability of the signals' magnitude. Six stroke patients and six matched controls performed several trials of a unilateral ('drinking') and a bilateral ('moving a plate') functional task on two different days, approximately 1 month apart. Group differences for the two variability metrics were investigated on both days. Results: For 'drinking from a glass' significant group differences were obtained on both days for the timing variability of the acceleration signals' characteristics (p = 0.002 and p = 0.008 for test and retest, respectively); all stroke patients showed increased signal timing variability as compared to their corresponding control subject. 'Moving a plate' provided less distinct group differences. Conclusion: This initial application establishes that movement variability metrics, as determined by our methodology, appear different in stroke patients as compared to matched controls during unilateral task performance ('drinking'). Use of a user-friendly, inexpensive accelerometer makes this methodology feasible for routine clinical evaluations. We are encouraged to perform larger studies to further investigate the metrics' usefulness when quantifying levels of impairment

Surprises in the doping dependence of the Fermi surface in Bi(Pb)-2212

A detailed and systematic ARPES investigation of the doping-dependence of the normal state Fermi surface (FS) of modulation-free (Pb,Bi)-2212 is presented. The FS does not change in topology away from hole-like at any stage. The data reveal, in addition, a number of surprises. Firstly the FS area does not follow the usual curve describing Tc vs x for the hole doped cuprates, but is down-shifted in doping by ca. 0.05 holes per Cu site, indicating either the break-down of Luttinger's theorem or the consequences of a significant bi-layer splitting of the FS. Secondly, the strong k-dependence of the FS width is shown to be doping independent. Finally, the relative strength of the shadow FS has a doping dependence mirroring that of Tc.Comment: 5 pages, 4 figures (revtex

Measurements of Charged Current Reactions of νe\nu_e on 12C^{12}C

Charged Current reactions of $\nu_e$ on $^{12}C$ have been studied using a $\mu^+$ decay-at-rest $\nu_e$ beam at the Los Alamos Neutron Science Center. The cross section for the exclusive reaction $^{12}C(\nu_e,e^-)^{12}N_{g.s.}$ was measured to be $(8.9\pm0.3\pm0.9)\times10^{-42}$ cm$^2$. The observed energy dependence of the cross section and angular distribution of the outgoing electron agree well with theoretical expectations. Measurements are also presented for inclusive transitions to $^{12}N$ excited states, $^{12}C(\nu_e,e^-)^{12}N^*$ and compared with theoretical expectations. The measured cross section, $(4.3\pm0.4\pm0.6)\times10^{-42}$ cm$^2$, is somewhat lower than previous measurements and than a continuum random phase approximation calculation. It is in better agreement with a recent shell model calculation.Comment: 34 pages, 18 figures, accepted to PRC, replaced with the accepted on

Multiband model of high Tc superconductors

We propose an extension to other high T_{c } compounds of a model introduced earlier for YBCO. In the ''self-doped'' compounds we assume that the doping part (namely the BiO, HgO, TlO planes in BSCCO, HBCCO, TBCCO respectively) is metallic, which leads to a multiband model. This assumption is supported by band structure calculations. Taking a repulsive pairing interaction between these doping bands and the CuO_{2} bands leads to opposite signs for the order parameter on these bands and to nodes whenever the Fermi surfaces of these bands cross. We show that in BSCCO the low temperature dependence of the penetration depth is reasonably accounted for. In this case the nodes are not located near the 45^{o} direction, which makes the experimental determination of the node locations an important test for our model. The situation in HBCCO and TBCCO is rather analogous to BSCCO. We consider the indications given by NMR and find that they rather favor a metallic character for the doping bands. Finally we discuss the cases of NCCO and LSCO which are not ''self-doped'' and where our model does not give nodes.Comment: 11 pages, revtex, 1 figure