Association between neuropathic pain and A-Waves in Leprosy patients with type 1 and 2 reactions

Summary: Neuropathic pain (NP) is a well-recognized feature of leprosy neuropathy. However, the diagnosis of NP is difficult using only clinical criteria. In the study reported here, by means of conventional nerve conduction studies, the authors sought for an association between long-latency responses and NP complaints in leprosy patients with type 1 and 2 reactions. Of the 27 ulnar nerves of leprosy patients, 18 with type 1 reaction (T1R) and 9 with type 2 reaction (T2R) were followed-up for 6 months before and after steroid treatment. Clinical characteristics of pain complaints and clinical function were assessed, as well as the presence of F- and A-waves of the ulnar nerve using nerve conduction studies. The clinical and the neurophysiologic findings were compared to note positive concordances (presence of NP and A-waves together) and negative concordances (absence of NP and A-waves together) before and after treatment. Both reactions presented a high frequency of A-waves (61.1% in T1R and 66.7% in T2R, P < 0.05) and prolonged F-waves (69.4% in T1R and 65.8% in T2R, P = 0.4). No concordances were seen between pain complaints and F-waves. However, significant concordances between NP and A-waves were observed, although restricted to the T2R group ([chi]2 = 5.65, P = 0.04). After treatment, there was a significant reduction in pain complaints, as well as the presence of F- and A-waves in both groups (P < 0.05 for all comparisons). In conclusion, the presence of A-waves correlates well with pain complaints of neuropathic characteristics in leprosy patients, especially in those with type 2 reaction. Probably, such response shares similar mechanisms with the small-fiber dysfunction seen in these patients with NP, such as demyelination, intraneural edema, and axonal sprouting. Further studies using specific tools for small-fiber assessment are warranted to confirm our findings.

Unesp Informa, 2014, número 58

Boletim elaborado pela Assessoria de Comunicação e Imprensa da Reitoria da UNESP

Unesp Ciência, 2014, ano 6, número 58

Revista elaborada pela Assessoria de Comunicação e Imprensa da Reitoria da UNESP

South Carolina International Women's Year Conference Records - Accession 101 - M43 (57-58)

The South Carolina International Women's Year Conference Records consist of news releases, membership lists, directives, bibliographies, memorabilia, newspaper clippings, and other records, concerning the SC International Women’s Year Conference held June 10-11, 1977 in Columbia, SC which met to discuss women’s issues.

Messung des elektrischen Neutron-Formfaktors in der Reaktion 3 He(e,e'n)pp bei Q 2 = 1.58 (GeV/c) 2

Die elektromagnetischen Nukleon-Formfaktoren sind fundamentale Größen, welche eng mit der elektromagnetischen Struktur der Nukleonen zusammenhängen. Der Verlauf der elektrischen und magnetischen Sachs-Formfaktoren G_E und G_M gegen Q^2, das negative Quadrat des Viererimpulsübertrags im elektromagnetischen Streuprozess, steht über die Fouriertransformation in direkter Beziehung zu der räumlichen Ladungs- und Strom-Verteilung in den Nukleonen. Präzise Messungen der Formfaktoren über einen weiten Q^2-Bereich werden daher für ein quantitatives Verständnis der Nukleonstruktur benötigt.rnrnDa es keine freien Neutrontargets gibt, gestaltet sich die Messung der Neutron-Formfaktoren schwierig im Vergleich zu der Messung am Proton. Konsequenz daraus ist, dass die Genauigkeit der vorhandenen Daten von Neutron-Formfaktoren deutlich geringer ist als die von Formfaktoren des Protons; auch der vermessene Q^2-Bereich ist kleiner. Insbesondere der elektrische Sachs-Formfaktor des Neutrons G_E^n ist schwierig zu messen, da er aufgrund der verschwindenden Nettoladung des Neutrons im Verhältnis zu den übrigen Nukleon-Formfaktoren sehr klein ist. G_E^n charakterisiert die Ladungsverteilung des elektrisch neutralen Neutrons und ist damit besonders sensitiv auf die innere Struktur des Neutrons.rnrnIn der hier vorgestellten Arbeit wurde G_E^n aus Strahlhelizitätsasymmetrien in der quasielastischen Streuung vec{3He}(vec{e}, e'n)pp bei einem Impulsübertrag von Q^2 = 1.58 (GeV/c)^2 bestimmt. Die Messung fand in Mainz an der Elektronbeschleunigeranlage Mainzer Mikrotron innerhalb der A1-Kollaboration im Sommer 2008 statt. rnrnLongitudinal polarisierte Elektronen mit einer Energie von 1.508 GeV wurden an einem polarisierten ^3He-Gastarget, das als effektives, polarisiertes Neutrontarget diente, gestreut. Die gestreuten Elektronen wurden in Koinzidenz mit den herausgeschlagenen Neutronen detektiert; die Elektronen wurden in einem magnetischen Spektrometer nachgewiesen, durch den Nachweis der Neutronen in einer Matrix aus Plastikszintillatoren wurde der Beitrag der quasielastischen Streuung am Proton unterdrückt.rnrnAsymmetrien des Wirkungsquerschnitts bezüglich der Elektronhelizität sind bei Orientierung der Targetpolarisation in der Streuebene und senkrecht zum Impulsübertrag sensitiv auf G_E^n / G_M^n; mittels deren Messung kann G_E^n bestimmt werden, da der magnetische Formfaktor G_M^n mit vergleichsweise hoher Präzision bekannt ist. Zusätzliche Messungen der Asymmetrie bei einer Polarisationsorientierung parallel zum Impulsübertrag wurden genutzt, um systematische Fehler zu reduzieren.rnrnFür die Messung inklusive statistischem (stat) und systematischem (sys) Fehler ergab sich G_E^n = 0.0244 +/- 0.0057_stat +/- 0.0016_sys.

La traduzione brevettuale con riferimento al brevetto europeo EP 2 442 329

L’idea del presente elaborato è nata a seguito di una esperienza di tirocinio presso l’agenzia di traduzioni New Service Communication, specializzata nella traduzione di brevetti. Durante questo stage ho potuto apprendere questo nuovo tipo di traduzione, che non avevo mai affrontato nel mio percorso di studi, e tradurre il brevetto europeo EP 2 442 329. Di conseguenza, lo scopo del presente elaborato è quello di delineare i tratti principali della traduzione brevettuale, mettendo in luce le caratteristiche per la quale quest’ultima si discosta dagli altri tipi di traduzione. In particolare, nel capitolo 1, dopo una breve presentazione finalizzata a definire il brevetto per invenzione, sarà descritto il sistema brevettuale di tipo europeo, saranno enunciati i requisiti di brevettabilità di un’invenzione e illustrate le varie parti di un documento brevettuale, facendo riferimento a quello europeo da me tradotto. Successivamente, nel capitolo 2 saranno delineati i tratti principali del linguaggio dei brevetti dal punto di vista lessicale e morfosintattico e le caratteristiche di questo tipo di traduzione. Per concludere il capitolo, saranno esposte le diverse fasi dell’iter di traduzione dei brevetti e gli strumenti traduttivi. Infine, nel capitolo 3, saranno presi in esame gli errori commessi durante la traduzione del brevetto europeo EP 2 442 329 con l’aiuto delle correzioni effettuate dal revisore. A questo proposito, saranno forniti esempi per garantire una migliore comprensione del capitolo.

Relationship between the logistic EuroSCORE and the Society of Thoracic Surgeons Predicted Risk of Mortality score in patients implanted with the CoreValve ReValving system--a Bern-Rotterdam Study

Background Surgical risk scores, such as the logistic EuroSCORE (LES) and Society of Thoracic Surgeons Predicted Risk of Mortality (STS) score, are commonly used to identify high-risk or “inoperable” patients for transcatheter aortic valve implantation (TAVI). In Europe, the LES plays an important role in selecting patients for implantation with the Medtronic CoreValve System. What is less clear, however, is the role of the STS score of these patients and the relationship between the LES and STS. Objective The purpose of this study is to examine the correlation between LES and STS scores and their performance characteristics in high-risk surgical patients implanted with the Medtronic CoreValve System. Methods All consecutive patients (n = 168) in whom a CoreValve bioprosthesis was implanted between November 2005 and June 2009 at 2 centers (Bern University Hospital, Bern, Switzerland, and Erasmus Medical Center, Rotterdam, The Netherlands) were included for analysis. Patient demographics were recorded in a prospective database. Logistic EuroSCORE and STS scores were calculated on a prospective and retrospective basis, respectively. Results Observed mortality was 11.1%. The mean LES was 3 times higher than the mean STS score (LES 20.2% ± 13.9% vs STS 6.7% ± 5.8%). Based on the various LES and STS cutoff values used in previous and ongoing TAVI trials, 53% of patients had an LES ≥15%, 16% had an STS ≥10%, and 40% had an LES ≥20% or STS ≥10%. Pearson correlation coefficient revealed a reasonable (moderate) linear relationship between the LES and STS scores, r = 0.58, P < .001. Although the STS score outperformed the LES, both models had suboptimal discriminatory power (c-statistic, 0.49 for LES and 0.69 for STS) and calibration. Conclusions Clinical judgment and the Heart Team concept should play a key role in selecting patients for TAVI, whereas currently available surgical risk score algorithms should be used to guide clinical decision making.