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1.
Sci Rep ; 12(1): 9733, 2022 Jun 13.
Article in English | MEDLINE | ID: mdl-35697857

ABSTRACT

Magnetic nanoparticles exhibit two different local symmetry environments, one ascribed to the core and one corresponding to the nanoparticle surface. This implies the existence of a dual spin dynamics, leading to the presence of two different magnetic arrangements governed by different correlation lengths. In this work, two ensembles of [Formula: see text] nanoparticles with mean sizes of 18 nm and 13 nm have been produced to unravel the magnetic couplings established among the magnetic moments located within the core and at the nanoparticle surface. To this end, we have combined neutron diffraction measurements, appropriate to investigate magnetically-ordered spin arrangements, with time-dependent macroscopic AC susceptibility measurements to reveal memory and aging effects. The observation of the latter phenomena are indicative of magnetically-frustrated states. The obtained results indicate that, while the [Formula: see text] magnetic moments located within the nanoparticle core keep the bulk antiferromagnetic commensurate structure in the whole magnetic state, the correlations among the surface spins give rise to a collective frustrated spin-glass phase. The interpretation of the magnetic structure of the nanoparticles is complemented by specific-heat measurements, which further support the lack of incommensurability in the nanoparticle state.

2.
J Appl Crystallogr ; 55(Pt 3): 592-600, 2022 Jun 01.
Article in English | MEDLINE | ID: mdl-35719302

ABSTRACT

Micromagnetic small-angle neutron scattering theory is well established for analyzing spin-misalignment scattering data of bulk ferromagnets. Here, this theory is extended to allow for a global uniaxial magnetic anisotropy (texture) of the material, in addition to the already included random zero-average local anisotropy. Macroscopic cross sections and spin-misalignment response functions are computed analytically for several practically relevant mutual anisotropy and external magnetic field orientations in both parallel and perpendicular scattering geometries for field magnitudes both above and below the rotational saturation. Some of these expressions are tested on published experimental data of magnetic-field-annealed Vitroperm and plastically deformed Ni, allowing determination of the corresponding global uniaxial anisotropy quality factors.

3.
Diabet Med ; 36(9): 1075-1081, 2019 09.
Article in English | MEDLINE | ID: mdl-31199005

ABSTRACT

AIM: To conduct a systematic review and meta-analysis to understand the timing and factors associated with anti-programmed cell death protein-1 (PD-1)/anti-programmed cell death protein-1 ligand (PD-L1) inhibitor-induced Type 1 diabetes. METHODS: We searched MEDLINE, EMBASE, SCOPUS and Cochrane databases (August 2000-2018) for studies of any design on immune checkpoint inhibitors. A total of 71 cases were reviewed from 56 publications. Comparisons were made using Fisher's exact and Student's t-tests. RESULTS: The mean ± sd age at Type 1 diabetes presentation was 61.7±12.2 years, 55% of cases were in men, and melanoma (53.5%) was the most frequent cancer. The median time to Type 1 diabetes onset was 49 (5-448) days with ketoacidosis in 76% of cases. The average ± sd HbA1c concentration was 62 ± 0.3 mmol/mol (7.84±1.0%) at presentation. All cases had insulin deficiency and required permanent exogenous insulin treatment. Half of the cases had Type 1 diabetes-associated antibodies at presentation, and those with antibodies had a more rapid onset (P=0.005) and higher incidence of diabetic ketoacidosis (P=0.02) compared to people without antibodies. CONCLUSIONS: Many people developed Type 1 diabetes within 3 months of initial PD-1/PD-L1 inhibitor exposure. People presenting with Type 1 diabetes-associated antibodies had a more rapid onset and higher incidence of ketoacidosis than those without antibodies. Healthcare providers caring for people receiving these state-of-the-art therapies need to be aware of this potential severe adverse event.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Cell Cycle Checkpoints/immunology , Diabetes Mellitus, Type 1/drug therapy , Antibodies, Monoclonal/adverse effects , B7-H1 Antigen/immunology , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/epidemiology , Diabetic Ketoacidosis/chemically induced , Diabetic Ketoacidosis/epidemiology , Humans , Incidence , Programmed Cell Death 1 Receptor/immunology , Treatment Outcome
4.
Oper Dent ; 42(5): 548-558, 2017.
Article in English | MEDLINE | ID: mdl-28829938

ABSTRACT

OBJECTIVE: This study evaluated in situ the potential of a glass ionomer and self-adhesive resin cements to inhibit enamel and dentin demineralization around indirect restorations exposed to cariogenic challenge. The cumulative fluoride release (CFR) of materials was measured in water and acid. METHODS: Seventy blocks cut from human molars received two indirect composite restorations (one in enamel and another in dentin) luted with Ketac Cem EasyMix (GIC, positive control), SeT (SeT), Maxcem Elite (Max), Smart Cem2 (Smart), and RelyX Unicem 2 (Unicem2). Fourteen volunteers wore palatal appliances containing five blocks exposed to a cariogenic challenge (20% sucrose solution, eight times per day, seven days). Knoop microhardness (KH) at two distances from the margins and three depths from the outer surface determined enamel and dentin demineralization. Disc-shape specimens of materials were immersed in daily-replaced deionized water or lactic acid solutions. KH and CFR data were analyzed by analysis of variance, Games-Howell test, and Tukey test (α=0.05). RESULTS: The overall KH ranking was GIC > SeT > Max > Smart = Unicem2 in both enamel and dentin (">" means p<0.05). SeT was the only resin cement that resulted in enamel and dentin KH comparable to that of GIC at most distances and depths. In water, CFR rank of materials was GIC > SeT = Max > Smart = Unicem2. In acid, the rank was similar, except that Set was significantly superior to Max. CONCLUSION: SeT inhibited demineralization in enamel and dentin quite comparably to GIC. All resin cements released lower cumulative amounts of fluoride than the glass ionomer cement.


Subject(s)
Dental Enamel/drug effects , Dentin/drug effects , Fluorides/pharmacokinetics , Resin Cements/pharmacology , Tooth Demineralization/prevention & control , Adolescent , Adult , Dental Caries/prevention & control , Double-Blind Method , Female , Fluorides/pharmacology , Humans , Male , Young Adult
5.
J Thromb Haemost ; 14(11): 2274-2286, 2016 11.
Article in English | MEDLINE | ID: mdl-27589692

ABSTRACT

Essentials Dysregulated DNA and histone release can promote pathological immunothrombosis. Weibel-Palade bodies (WPBs) are sentinel-like organelles that respond to proinflammatory stimuli. Histones induce WPB exocytosis in a caspase, calcium and charge-dependent mechanism. A targetable axis may exist between DNA/histones and WPBs in inflammation and immunothrombosis. SUMMARY: Background Damage-associated molecular patterns (DAMPs), including molecules such as DNA and histones, are released into the blood following cell death. DAMPs promote a procoagulant phenotype through enhancement of thrombin generation and platelet activation, thereby contributing to immunothrombosis. Weibel-Palade bodies (WPBs) are dynamic endothelial cell organelles that contain procoagulant and proinflammatory mediators, such as von Willebrand factor (VWF), and are released in response to cell stresses. VWF mediates platelet adhesion and aggregation, and has been implicated as a procoagulant component of the innate immune response. Objective To determine the influence of histones and DNA on WPB release, and characterize their association in models of inflammation. Methods We treated C57BL/6J mice and cultured endothelial cells with histones (unfractionated, lysine-rich or arginine-rich) and DNA, and measured WPB exocytosis. We used inhibitors to determine a mechanism of histone-induced WPB release in vitro. We characterized the release of DAMPs and WPBs in response to acute and chronic inflammation in human and murine models. Results and conclusions Histones, but not DNA, induced the release of VWF (1.46-fold) from WBPs and caused thrombocytopenia (0.74-fold), which impaired arterial thrombus formation in mice. Histones induced WPB release from endothelial cells in a caspase-dependent, calcium-dependent and charge-dependent manner, and promoted platelet capture in a flow chamber model of VWF-platelet string formation. The levels of DAMPs and WPB-released proteins were elevated during inflammation, and were positively correlated in chronic inflammation. These studies showed that DAMPs can regulate the function and level of VWF by inducing its release from endothelial WPBs. This DAMP-WPB axis may propagate immunothrombosis associated with inflammation.


Subject(s)
Exocytosis , Histones/metabolism , Thrombosis/metabolism , Weibel-Palade Bodies/metabolism , Animals , Arginine/chemistry , Caspases/metabolism , DNA/chemistry , Endothelial Cells/metabolism , Human Umbilical Vein Endothelial Cells , Humans , Inflammation , Lysine/chemistry , Mice , Mice, Inbred C57BL , Platelet Adhesiveness , Thrombosis/pathology
6.
Analyst ; 141(20): 5842-5848, 2016 Oct 21.
Article in English | MEDLINE | ID: mdl-27529088

ABSTRACT

While the influence of trace impurities in noble gas discharges is well established in theoretical work, experimental approaches are difficult. Particularly the effects of trace concentrations of N2 on He discharges are complicated to investigate due to the fact that for He 5.0 the purity of He is only 99.999%. This corresponds to a residual concentration of 10 ppm, thereof 3 ppm of N2, in He. Matters are made difficult by the fact that He DBD plasmajets are normally operated under an ambient atmosphere, which has a high abundance of N2. This work tackles these problems from two sides. The first approach is to operate a DBD plasmajet under a quasi-controlled He atmosphere, therefore diminishing the effect of atmospheric N2 and making a defined contamination with N2 possible. The second approach is using Ar as the operating gas and introducing propane (C3H8) as a suitable substitute impurity like N2 in He. As will be shown both discharges in either He or Ar, with their respective impurity show the same qualitative behaviour.

7.
Allergy ; 71(12): 1782-1786, 2016 12.
Article in English | MEDLINE | ID: mdl-27484017

ABSTRACT

In Europe, allergen extracts are standardized based on skin prick wheal size in 20-30 allergic subjects. To understand the biological activity of clinically effective Sublingual immunotherapy, we used this method to determine the biological activity of solution and tablet Timothy grass pollen (TIM) extracts, compared to an FDA-approved extract (Reference) of 10 000 BAU/ml. Blinded, quadruplicate skin prick tests with concentrate and three serial half-log dilutions allowed the construction of a semilogarithmic regression line per extract. Bioequivalent allergy units (BAU) values were obtained from the comparison with reference. Extracts and dilutions showed a neat linear dose response (all: R2 > 0.98) in 33 rhinitis patients. Relative potencies: Staloral® 12 000 BAU/ml, Soluprick® 10 300 BAU/ml, Oralair® 8200 BAU, and Grazax® 6200 BAU. Even though all extract concentrates differed in wheal size (P = 0.01-0.001), Grazax® producing a 25% smaller wheal size than Oralair® , and the biological activity of these clinically effective TIM tablets led in the same range (6200-8200 BAU; 0.92-1.23 cm2 ). SLIT dose-finding studies for other pollens might start with allergen extracts producing 1.1 cm2 wheal surface.


Subject(s)
Allergens/administration & dosage , Antigens, Plant/administration & dosage , Plant Extracts/administration & dosage , Rhinitis, Allergic, Seasonal/diagnosis , Rhinitis, Allergic, Seasonal/therapy , Skin Tests , Sublingual Immunotherapy , Administration, Sublingual , Humans , Rhinitis, Allergic, Seasonal/immunology , Treatment Outcome
8.
Clin Exp Immunol ; 185(1): 33-41, 2016 Jul.
Article in English | MEDLINE | ID: mdl-27029857

ABSTRACT

The Network for Pancreatic Organ donors with Diabetes (nPOD) programme was developed in response to an unmet research need for human pancreatic tissue obtained from individuals with type 1 diabetes mellitus and people at increased risk [i.e. autoantibody (AAb)-positive] for the disease. This necessitated the establishment of a type 1 diabetes-specific AAb screening platform for organ procurement organizations (OPOs). Assay protocols for commercially available enzyme-linked immunosorbent assays (elisas) determining AAb against glutamic acid decarboxylase (GADA), insulinoma-associated protein-2 (IA-2A) and zinc transporter-8 (ZnT8A) were modified to identify AAb-positive donors within strict time requirements associated with organ donation programmes. These rapid elisas were evaluated by the international islet AAb standardization programme (IASP) and used by OPO laboratories as an adjunct to routine serological tests evaluating donors for organ transplantation. The rapid elisas performed well in three IASPs (2011, 2013, 2015) with 98-100% specificity for all three assays, including sensitivities of 64-82% (GADA), 60-64% (IA-2A) and 62-68% (ZnT8A). Since 2009, nPOD has screened 4442 organ donors by rapid elisa; 250 (5·6%) were identified as positive for one AAb and 14 (0.3%) for multiple AAb with 20 of these cases received by nPOD for follow-up studies (14 GADA+, two IA-2A(+) , four multiple AAb-positive). Rapid screening for type 1 diabetes-associated AAb in organ donors is feasible, allowing for identification of non-diabetic, high-risk individuals and procurement of valuable tissues for natural history studies of this disease.


Subject(s)
Autoantibodies/blood , Donor Selection/standards , Enzyme-Linked Immunosorbent Assay/standards , Tissue Donors/supply & distribution , Adolescent , Adult , Area Under Curve , Cation Transport Proteins/antagonists & inhibitors , Cation Transport Proteins/genetics , Cation Transport Proteins/immunology , Child , Diabetes Mellitus, Type 1/pathology , Diabetes Mellitus, Type 1/surgery , Female , Glutamate Decarboxylase/antagonists & inhibitors , Glutamate Decarboxylase/genetics , Glutamate Decarboxylase/immunology , Humans , Male , Middle Aged , Receptor-Like Protein Tyrosine Phosphatases, Class 8/antagonists & inhibitors , Receptor-Like Protein Tyrosine Phosphatases, Class 8/genetics , Receptor-Like Protein Tyrosine Phosphatases, Class 8/immunology , Risk , Sensitivity and Specificity , Zinc Transporter 8
9.
J Thromb Haemost ; 14(5): 953-63, 2016 05.
Article in English | MEDLINE | ID: mdl-26875505

ABSTRACT

UNLABELLED: Essentials von Willebrand factor (VWF) and factor VIII (FVIII) levels are modulated by age and ABO status. The effect of aging and ABO blood type on VWF and FVIII was assessed in 207 normal individuals. Aging and ABO blood type showed combined and bidirectional influences on VWF and FVIII levels. Aging and ABO blood type influence VWF levels through both secretion and clearance mechanisms. SUMMARY: Background The effect of aging and ABO blood type on plasma levels of von Willebrand factor (VWF) and factor VIII (FVIII) have been widely reported; however, a comprehensive analysis of their combined effect has not been performed and the mechanisms responsible for the age-related changes have not been determined. Objectives To assess the influence of aging and ABO blood type on VWF and FVIII levels, and to evaluate the contribution of VWF secretion and clearance to the age-related changes. Methods A cross-sectional observational study was performed in a cohort of 207 normal individuals, whose levels of VWF, FVIII, VWF propeptide (VWFpp), VWFpp/VWF:Ag ratio and blood type A antigen content on VWF (A-VWF) were quantified. Results Aging and ABO blood type exerted interrelated effects on VWF and FVIII plasma levels, because the age-related increase in both proteins was significantly higher in type non-O individuals (ß = 0.011 vs. 0.005). This increase with age in non-O subjects drove the differences between blood types in VWF levels, as the mean difference increased from 0.13 U/mL in the young to 0.57 U/mL in the old. Moreover, A-VWF was associated with both VWF antigen (ß = 0.29; 95% confidence interval [CI], 0.09, 0.50) and VWF clearance (ß = -0.15; 95% CI, -0.25, -0.06). We also documented an effect of ABO blood type on VWF secretion with aging, as old individuals with blood type non-O showed higher levels of VWFpp (mean difference 0.29 U/mL). Conclusions Aging and ABO blood type have an interrelated effect on VWF and FVIII levels, where the effect of one is significantly influenced by the presence of the other.


Subject(s)
ABO Blood-Group System , Aging , Factor VIII/analysis , von Willebrand Factor/analysis , Adult , Aged , Aged, 80 and over , Blood Grouping and Crossmatching , Cohort Studies , Cross-Sectional Studies , Female , Genotype , Humans , Male , Middle Aged
10.
Ann. afr. méd. (En ligne) ; 8(3): 2052-2058, 2016.
Article in French | AIM (Africa) | ID: biblio-1259194

ABSTRACT

Objectif : Reajuster les charges des appareils de traction cervicale par la mesure des ecarts entre les charges affichees et celles accrochees; en vue d'une correction eventuelle par rapport au poids du patient.Methodes : C'est une etude de cas portant sur 6 materiels de traction cervicale appartenant aux 4 centres de reeducation et aux Cliniques Universitaires de Kinshasa; de janvier 2005 a decembre 2010 dans la ville de Kinshasa. Le reajustement des charges de ces appareils de traction a permis de verifier a l'aide d'un dynamometre intercale entre la sangle de traction et l'autre bout de la corde; la concordance ou non des charges accrochees au bout libre de l'appareil et celles affichees au dynamometre lors de la traction. Nous avons calcule la variation de la charge de la tete sur la colonne cervicale en fonction du degre de la lordose et du niveau de la vertebre. Etant donne que la tete pese en moyenne 8;1% du poids corporel; la charge a accrocher devait etre superieure au poids de la tete pour exercer une reelle traction sur la colonne cervicale.Resultats : Le reajustement des charges des appareils de traction cervicale dans ces cinq services a montre des ecarts importants entre les charges accrochees et celles affichees au dynamometre; compris entre 1;5 et 10 kg. Il a ete aussi mis en evidence l'importance de la lordose cervicale et celle du niveau de la vertebre dans l'augmentation de la charge sur la colonne; les variations de charges obeissant a une progression arithmetique.Conclusion : Nos resultats peuvent donc permettre; dans un contexte des pays a faibles revenus; d'aider les praticiens a proceder au reajustement des appareils de traction avant la prise en charge


Subject(s)
Extraoral Traction Appliances , Rehabilitation Centers , Spondylosis
11.
J Appl Crystallogr ; 47(Pt 3): 992-998, 2014 Jun 01.
Article in English | MEDLINE | ID: mdl-24904245

ABSTRACT

The structural and magnetic properties of a cobalt nanorod array have been studied by means of magnetic field dependent small-angle neutron scattering (SANS). Measurement of the unpolarized SANS cross section dΣ/dΩ of the saturated sample in the two scattering geometries where the applied magnetic field H is either perpendicular or parallel to the wavevector ki of the incoming neutron beam allows one to separate nuclear from magnetic SANS, without employing the usual sector-averaging procedure. The analysis of the SANS data in the saturated state provides structural parameters (rod radius and centre-to-centre distance) that are in good agreement with results from electron microscopy. Between saturation and the coercive field, a strong field dependence of dΣ/dΩ is observed (in both geometries), which cannot be explained using the conventional expression of the magnetic SANS cross section of magnetic nanoparticles in a homogeneous nonmagnetic matrix. The origin of the strong field dependence of dΣ/dΩ is believed to be related to intradomain spin misalignment, due to magnetocrystalline and magnetoelastic anisotropies and magnetostatic stray fields.

12.
Appl Opt ; 53(9): 1820-5, 2014 Mar 20.
Article in English | MEDLINE | ID: mdl-24663458

ABSTRACT

A distinct development of an exact analytical solution for power-law fluids during the spin-coating process is presented for temporal and spatial thickness evolution, after steady state conditions are attained. This solution leads to the definition of a characteristic time, related to the memory of the initial thickness profile. Previously obtained experimental data, for several rotation speeds and carboxymetilcellulose concentrations in water, are quantitatively analyzed through the evaluation of their characteristic times and compared with theoretical predictions, thus allowing better understanding of thickness profile evolution and of process reproducibility.

13.
J Phys Condens Matter ; 26(5): 056003, 2014 Feb 05.
Article in English | MEDLINE | ID: mdl-24444664

ABSTRACT

We report on how nanocrystal size affects the critical behaviour of the rare-earth metal Gd near the ferromagnetic-to-paramagnetic phase transition. The asymptotic critical behaviour of the coarse-grained polycrystalline sample (with an average crystallite size of L≅100 µm) is that of a (pure) uniaxial dipolar ferromagnet, as is the case with single crystal Gd, albeit the width of the asymptotic critical region (ACR) is reduced. As the grain size approaches ∼30 nm, the ACR is so narrow that it could not be accessed in the present experiments. Inaccessibly narrow ACR for L ∼ 30 nm and continuous increase in the width of the ACR as L decreases from 16 to 9.5 nm basically reflect a crossover to the random uniaxial dipolar fixed point caused by the quenched random exchange disorder prevalent at the internal interfaces (grain boundaries).

14.
Int Arch Allergy Immunol ; 163(1): 59-68, 2014.
Article in English | MEDLINE | ID: mdl-24248100

ABSTRACT

BACKGROUND: Patients with allergic rhinoconjunctivitis are susceptible to both nasal and ocular symptoms. The conjunctival provocation test (CPT) is an established diagnostic procedure used in allergic rhinoconjunctivitis, particularly to document a patient's current reactivity to allergens. To date, there are no international guidelines defining the CPT. No approved evaluation method exists for interpreting CPT results. This paper aims to establish the digital analysis of macroimages as an objective, validated and standardized method for interpreting CPT results. METHODS: In a clinical immunotherapy trial with 155 patients, treatment progress was documented based on the CPT. Local investigators used a symptom score to grade tearing, reddening and the patients' subjective perception of symptoms (mucosal irritation). A central observer rated conjunctival hyperemia via digital photography. Digital image analysis software was utilized to determine conjunctival hyperemia. RESULTS: Spearman's correlation between the local investigators' and the central observer's ratings was r = 0.729 (p < 0.001); the percentage of total agreement was 48% (based on 739 photos). Digital image analysis (based on 48 photos) had a high percentage of total agreement with the central observer's ratings (69%) but a low percentage of total agreement with the investigators' ratings (38%). The corresponding correlations were r = 0.264 and 0.064, respectively. CONCLUSION: Photography-based rating by a central observer may represent a valuable supplement to the local investigator's assessment for making an objective evaluation of CPT results. Digital image analysis possesses the potential of being an objective evaluation method compared to the wide-spread subjective evaluation by the investigators.


Subject(s)
Conjunctivitis, Allergic/diagnosis , Monitoring, Immunologic/instrumentation , Rhinitis, Allergic, Seasonal/diagnosis , Adult , Allergens/administration & dosage , Allergens/immunology , Clinical Trials as Topic , Complex Mixtures/administration & dosage , Complex Mixtures/immunology , Conjunctivitis, Allergic/complications , Conjunctivitis, Allergic/immunology , Conjunctivitis, Allergic/therapy , Female , Humans , Image Interpretation, Computer-Assisted , Immunotherapy/methods , Male , Middle Aged , Monitoring, Immunologic/standards , Photography/instrumentation , Pollen/chemistry , Regression Analysis , Rhinitis, Allergic, Seasonal/complications , Rhinitis, Allergic, Seasonal/immunology , Rhinitis, Allergic, Seasonal/therapy , Severity of Illness Index
15.
Prog Biophys Mol Biol ; 111(1): 46-54, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23274736

ABSTRACT

Transformation and surviving of E. coli C600 have been evaluated in dependence on the electric field strength and current density by changing the conductivity of the bacteria suspension. In this context the impact of making bacteria electrocompetent and the addition of NaCl solution was examined. Transformation efficiency declines with increasing conductivity of the suspension. When washing bacteria differently, the transformation efficiency correlates with the number of survivors. In contrary, adding different concentrations of NaCl has no effect on the surviving of E. coli C600. In dependence on the electric field strength, the transformation efficiency shows no effect on changing the conductivity. Regarding the transformation efficiency in dependence of the current density, a clear shift of the transformation maximum was observed. For higher conductivities, higher current densities are needed to reach the transformation maximum.


Subject(s)
DNA/genetics , Electroporation/methods , Escherichia coli/genetics , Escherichia coli/radiation effects , Transfection/methods , DNA/administration & dosage , Dose-Response Relationship, Radiation , Electric Conductivity , Radiation Dosage
16.
Diabetologia ; 56(2): 391-400, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23086558

ABSTRACT

AIMS/HYPOTHESIS: Type 1 diabetes results from a chronic autoimmune process continuing for years after presentation. We tested whether treatment with teplizumab (a Fc receptor non-binding anti-CD3 monoclonal antibody), after the new-onset period, affects the decline in C-peptide production in individuals with type 1 diabetes. METHODS: In a randomised placebo-controlled trial we treated 58 participants with type 1 diabetes for 4-12 months with teplizumab or placebo at four academic centres in the USA. A central randomisation centre used computer generated tables to allocate treatments. Investigators, patients, and caregivers were blinded to group assignment. The primary outcome was a comparison of C-peptide responses to a mixed meal after 1 year. We explored modification of treatment effects in subgroups of patients. RESULTS: Thirty-four and 29 subjects were randomized to the drug and placebo treated groups, respectively. Thirty-one and 27, respectively, were analysed. Although the primary outcome analysis showed a 21.7% higher C-peptide response in the teplizumab-treated group (0.45 vs 0.371; difference, 0.059 [95% CI 0.006, 0.115] nmol/l) (p = 0.03), when corrected for baseline imbalances in HbA(1c) levels, the C-peptide levels in the teplizumab-treated group were 17.7% higher (0.44 vs 0.378; difference, 0.049 [95% CI 0, 0.108] nmol/l, p = 0.09). A greater proportion of placebo-treated participants lost detectable C-peptide responses at 12 months (p = 0.03). The teplizumab group required less exogenous insulin (p < 0.001) but treatment differences in HbA(1c) levels were not observed. Teplizumab was well tolerated. A subgroup analysis showed that treatment benefits were larger in younger individuals and those with HbA(1c) <6.5% at entry. Clinical responders to teplizumab had an increase in circulating CD8 central memory cells 2 months after enrolment compared with non-responders. CONCLUSIONS/INTERPRETATIONS: This study suggests that deterioration in insulin secretion may be affected by immune therapy with teplizumab after the new-onset period but the magnitude of the effect is less than during the new-onset period. Our studies identify characteristics of patients most likely to respond to this immune therapy. TRIAL REGISTRATION: ClinicalTrials.gov NCT00378508 FUNDING: This work was supported by grants 2007-502, 2007-1059 and 2006-351 from the JDRF and grants R01 DK057846, P30 DK20495, UL1 RR024139, UL1RR025780, UL1 RR024131 and UL1 RR024134 from the NIH.


Subject(s)
Antibodies, Monoclonal, Humanized/therapeutic use , C-Peptide/metabolism , Diabetes Mellitus, Type 1/drug therapy , Adolescent , Diabetes Mellitus, Type 1/metabolism , Female , Glycated Hemoglobin/metabolism , Humans , Insulin/metabolism , Male
17.
Microb Ecol ; 64(3): 837-50, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22622764

ABSTRACT

On May 9-10, 2011, the Walter Reed Army Institute of Research, as the Army Center of Excellence for Infectious Disease, assembled over a dozen leaders in areas related to research into the communities of microorganisms which colonize and infect traumatic wounds. The objectives of the workshop were to obtain guidance for government researchers, to spur research community involvement in the field of traumatic wound research informed by a microbiome perspective, and to spark collaborative efforts serving the Wounded Warriors and similarly wounded civilians. During the discussions, it was made clear that the complexity of these infections will only be met by developing a new art of clinical practice that engages the numerous microbes and their ecology. It requires the support of dedicated laboratories and technologists who advance research methods such as community sequencing, as well as the kinds of data analysis expertise and facilities. These strategies already appear to be bearing fruit in the clinical management of chronic wounds. There are now funding announcements and programs supporting this area of research open to extramural collaborators.


Subject(s)
Metagenome , Wound Infection/diagnosis , Wound Infection/microbiology , Wounds and Injuries , Bacteria/classification , Bacteria/genetics , Biomedical Research , Humans
18.
Opt Express ; 20(3): 3166-75, 2012 Jan 30.
Article in English | MEDLINE | ID: mdl-22330554

ABSTRACT

Optical monitoring is applied, in situ and in real time, to non-newtonian, power law fluids in the spin coating process. An analytical exact solution is presented for thickness evolution that well fits to most measurement data. As result, typical rheological parameters are obtained for several CMC (carboximetilcelullose) concentrations and rotation speeds. Optical monitoring thus precisely indicates applicability of the model to power law fluids under spin coating.


Subject(s)
Algorithms , Cellulose, Oxidized/analysis , Cellulose, Oxidized/chemistry , Refractometry/methods , Rheology/methods
19.
J Phys Condens Matter ; 23(1): 016003, 2011 Jan 12.
Article in English | MEDLINE | ID: mdl-21406833

ABSTRACT

We report results of longitudinal (one-dimensional) neutron polarization analysis on polycrystalline bulk Co with an average crystallite size of D = 10 nm. The spin-flip small-angle neutron scattering (SANS) data are analyzed in the approach-to-saturation regime within the framework of micromagnetic theory. In particular, we provide a closed-form expression for the spin-flip SANS cross section [Formula: see text]. From the data analysis, we find a room-temperature value of A = (2.6 ± 0.1) × 10( - 11) J m( - 1) for the exchange-stiffness constant, which agrees well with earlier data.

20.
Anal Bioanal Chem ; 395(3): 611-8, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19333583

ABSTRACT

Scaling down the size of plasma discharges would reduce the amount of gases, liquids, and consumables required, which in turn would decrease the operating costs. Nevertheless, the application of a specialized plasma generator for microhollow cathode discharges (MHCD) and dielectric barrier discharges are driven with commercially available power sources. Those generators are bulky and expensive and their overall efficiency is poor. This work develops and explains several circuit topologies and design hints to excite MHCD and dielectric barrier discharge (DBD) plasmas with respect to its system with as low as possible input power in a very efficient way. Benefits in sensitivity and life expectancy are shown. The generator for the MHCD needs voltages up to 7 V and consumes up to 5 W. The DBD generator has an input power of 3 W and produces a fast rising output pulse up to 9 kV, which has a time duration of 2 micros. These low-power circuits offer the operation with batteries.

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