Hydroxychloroquine Myocardial Toxicity in a Patient with Systemic Lupus Erythematosus

Hydroxychloroquine is an antimalarial drug used in many rheumatologic and systemic diseases. Although considered by clinicians to be relatively safe, serious side effects have been documented (retinotoxicity, neuromyotoxicity and cardiotoxicity). We present the case of a 41-year-old woman with systemic lupus erythematosus (SLE) who presented at our institution with acute heart failure after taking hydroxychloroquine for a period of 3 months. An endomyocardial biopsy ruled out myocarditis related to systemic lupus erythematosus but demonstrated pathological changes related to hydroxychloroquine toxicity. It is exceptional to observe such cardiac toxicity after such a low cumulative dose (16 grams). The potential severity and reversibility of this complication underscores the importance of a high level of suspicion and timely diagnosis.

Aspects of the biology of Lutraria lutraria (L.) (bivalvia : Mactracea)

The life history of a population of Lutraria lutraria in a depth of 7m at Hunterston, Ayrshire is discussed. Much of the present population Is thought to have settled in 1967. The functional morphology of Lutraria is described and related to its life as a large, deep-burrowing bivalve. Lutraria spawned in late spring and continued to do so through the summer in 1979 and 1980. Animals became spent in August and September. Unsuccessful attempts were made to induce spawning in the laboratory. Artificial fertilization was successful but development did not proceed beyond the ciliated gastrula stage. Larvae of Lutraria were not identified in plankton samples and young stages were not encountered in sieved sediment samples. The biochemical cycle of the total animal and five component parts (gonad and visceral mass, digestive gland, adductor muscle, siphon and 'other' tissue) is investigated. A marked increase in weight, reflected in an increase in weight of the component parts, was recorded in Autumn 1979. This is thought to be related to an exceptional increase in the phytoplankton at this time. Although a relationship between the biochemical cycle and reproductive cycle remains uncertain, definite seasonal changes were recorded in the respiration rate of Lutraria. At 10°C, the maximum rate of a standard 20g animal was 0.1283m1s 02/g. dry wt./hr. in May 1980 and the minimum rate was 0.O59mls 02/g. dry wt./hr. in October 1980. The effect of temperature on respiration rate was also investigated. Significant differences were recorded for five experimental temperatures (10°C, 15°C, 20°C, 25°C and 30 °C) in August and October but only between two temperatures (10 C and 30 C) in April. There was a decrease in respiration rate at 30 C in August and October, but an increase in April. Respiration rate is affected by a reduction in oxygen tension. A variety of responses were recorded with a small degree of regulation shown. Individuals of Lutraria were able to survive 48 hours under anaerobic conditions. In fully oxygenated conditions heart rate ranged from 4-15 beats per minute with an average of 8 beats per minute. Heart beat was markedly affected by changes in temperature and oxygen tension, increasing to a maximum 22 beats per minute at 25 C, and decreasing to a minimum 2 beats per minute in anaerobic conditions. Heart rate is reduced (12 beats per minute to 5 beats per minute) on exposure to air. Lutraria exhibits an intermittent pattern of pumping activity. Under normal conditions 35% of the time is spent pumping and this Increases as oxygen is reduced (3.00mls 02/litre) to 65% of the time spent pumping. 15. Under normal conditions the respiratory flow varies between 0.382 litres per hour and 1.023 litres per hxir. Adult Lutraria maintain their ability to burrow, albeit slowly.

Braid groups, mapping class groups, and Torelli groups

This thesis discusses subgroups of mapping class groups of particular surfaces. First, we study the Torelli group, that is, the subgroup of the mapping class group that acts trivially on the first homology. We investigate generators of the Torelli group, and we give an algorithm that factorizes elements of the Torelli group into products of particular generators. Furthermore, we investigate normal closures of powers of standard generators of the mapping class group of a punctured sphere. By using the Jones representation, we prove that in most cases these normal closures have infinite index in the mapping class group. We prove a similar result for the hyperelliptic mapping class group, that is, the group that consists of mapping classes that commute with a fixed hyperelliptic involution. As a corollary, we recover an older theorem of Coxeter (with 2 exceptional cases), which states that the normal closure of the m-th power of standard generators of the braid group has infinite index in the braid group. Finally, we study finite index subgroups of braid groups, namely, congruence subgroups of braid groups. We discuss presentations of these groups and we provide a topological interpretation of their generating sets.

Compulsory licensing of standard-essential patents and injunctive relief as abuse of dominant position in violation of Article 102 TFEU

When a dominant undertaking holding a standard-essential patent uses its exclusive right to the IP to seek injunctions against those wishing to produce either de jure or de facto standard compliant products, it creates a conflict between the exclusive right to the use of the IP on the one hand and the possible abuse of dominance due to the exclusionary conduct on the other. The aim of the thesis is to focus on the issues concerning abuse of dominance in violation of Article 102 TFEU when the holder of the standard-essential patent seeks an injunction against a would-be licensee. The thesis is mainly based on the most recent ECJ case law in Huawei and the Commission’s recent decisions in Samsung and Motorola. The case law in Europe prior to those decisions was mainly focused on the German case law from Orange Book Standard which provided IP holders great leverage due to the almost automatic granting of injunctions against infringers. The ECJ in Huawei set out the requirements for when a de jure standard-essential patent holder would not be violating Article 102 TFEU when seeking an injunction, requiring that negotiations in good faith must take place prior to the seeking of the injunction and that all offers must comply with FRAND terms, thus limiting the scope of case law derived from Orange Book Standard in Germany. The ECJ chose not to follow all of the reasoning the Commission had laid out in Samsung and Motorola which provided a more licensee-friendly approach on the matter, but rather chose a compromise between the IP holder friendly German case law and the Commission’s decisions. However, the ECJ did not disclose how FRAND terms themselves should be interpreted, but rather left it for the national courts to decide. Furthermore, the thesis strongly argues that Huawei did not change the fact that only vertically integrated IP holders who have made a FRAND declaration are subject to the terms laid out in Huawei, thus leaving non-practicing entities such as patent trolls and entities that have not made a FRAND declaration outside its scope. The resulting conclusion from the thesis is that while the ECJ in Huawei presented new exceptional circumstances for when an IP holder could be abusing its dominant position when it seeks an injunction, it still left many more questions answered, such as the meaning of FRAND and whether deception in giving a FRAND declaration is prohibited under Article 102 TFEU or not.

RACHMANINOFF AND MEDTNER: SELECTED WORKS FROM THE SOLO AND COLLABORATIVE PIANO REPERTOIRE

Sergei Rachmaninoff and Nikolai Medtner occupy a special place in the history of Russian music. Both composers were exceptional pianists and left us some of the greatest works in the piano repertoire. Although these composers shared many similarities, and were often compared, their musical languages and views on composition were very different. Unfortunately, Medtner’s music, which Rachmaninoff admired greatly, has remained neglected for several generations of performers and listeners. In my dissertation I will explore the similarities and contrasts in Rachmaninoff’s and Medtner’s music. Through these performances, I hope to encourage other musicians to discover the imaginative power of Medtner’s music. Of course, no such encouragement is needed for Rachmaninoff’s extremely popular music; however, the technical and musical challenges of performing that repertoire are an invaluable part of every pianist’s education. This dissertation project was presented in three recitals which were performed in Gildenhorn Recital Hall at the Clarice Smith Performing Arts Center of the University of Maryland on May 8, 2014, December 5, 2014 and March 21, 2016. The following pieces comprised the survey of Rachmaninoff music: Vocalise Op. 34, Variations on a Theme of Corelli Op. 42, Piano Concerto No 2 Op. 18, Selected Songs Opp. 4 and 8, and two Moments Musicaux Op. 16 - Nos 3 and 4. The following pieces were included to represent Medtner: Sonata for Violin and Piano Op. 57 in E minor “Epica”, Fairy Tales for solo piano Op. 20 No 1, Op. 26 No 3 and Op. 51 No 1, and Selected Songs Op. 6 and 15. My partners in this project were Lilly Ahn, soprano, Jennifer Lee, violin and Nadezhda Christova, piano. All three recitals can be found in the Digital Repository at the University of Maryland (DRUM).

Efeitos tóxicos induzidos pelos nanomateriais Fulereno (C60) e Nanoprata no Poliqueto Laeonereis Acuta (Nereididae) e nas comunidades bacterianas que habitam sua superfície corporal

O fulereno (C60) pertence a uma família de nanomateriais (NM) constituída exclusivamente de átomos de carbono, sendo encontrado na forma de suspensão na água (nC60). A nanoprata (nAg) possui um excepcional e amplo espectro bactericida e um custo de fabricação relativamente baixo. No entanto, pouco se sabe a respeito dos eventuais efeitos tóxicos induzidos por estes NM em organismos estuarinos. O poliqueto Laeonereis acuta tem o muco colonizado por comunidades bacterianas. Há registros de que L. acuta apresenta um gradiente corporal para concentração de EAO e capacidade antioxidante total. Neste estudo, os poliquetos foram expostos in vivo durante 24 horas ao nC60 e à nAg, separadamente. Após isso, as unidades formadoras de colônias (UFC) bacterianas foram contadas e pesadas, além de serem realizadas diversas medições bioquímicas nos poliquetos e nas bactérias. Os números de UFC bacterianas expostas ao nC60 foi menor na concentração de 0.01mg/L e os números de UFC bacterianas expostas à nAg foram similares aos dados de biomassa, diminuindo na maior concentração (1.0 mg/L) (p<0.05). A capacidade antioxidante contra radicais peroxil em homogeneizados bacterianos expostos ao nC60 foi menor na concentração de 0.1mg/L quando comparado ao controle (p<0.05). A região anterior apresentou menor capacidade antioxidante (p<0.05) nos poliquetos expostos a 1.0 mg/L, quando comparado ao controle. Os poliquetos expostos à nAg apresentaram menor capacidade antioxidante na região posterior na concentração de 1.0 mg/L quando comparado ao controle (p<0.05). O conteúdo de peróxidos lipídicos (TBARS) foi reduzido na região anterior dos poliquetos expostos nas duas menores concentrações ( 0.01 e 0.1 mg/L) de nC60 (p<0.05). Na região corporal posterior, somente os organismos expostos a maior concentração de nC60 (1.0 mg/L) mostraram aumento na concentração de TBARS quando comparado ao grupo controle (p<0.05). A atividade da enzima glutationa-Stransferase (GST) foi aumentada (p<0.05) na região média e posterior dos poliquetos expostos a 0.1 mg/L de nC60. Como conclusões pode se dizer que os dois NM induziram efeitos tóxicos ainda numa situação (escuridão) onde o fulereno não é fotoexcitado. O aumento na produção e comercialização de produtos com NM levanta a questão dos riscos ambientais associados ao desenvolvimento da nanotecnologia.

Edukacja obywatelska w Anglii – założenia, perspektywy, wyzwania

Britain is exceptional among modern Western democracies in having had citizenship education in public schools. British people have regarded themselves as “subjects” rather citizens. It has been changing recently. Due to social transformations, especially growing multiculturalism and associated social tensions, citizenship education became the core of social and political debate. After 1997, when the Labor Party came to power, the discourse of citizenship as well as citizenship education developed. The main aim of citizenship education in state schools is to build social cohesion and reduce social tension through dialogue. School curricula pay more attention to identity and cultural diversity. The aim of the paper is to present and analyse the main premises of educational policy in the context of citizenship education in public schools in England. I will also attempt to reconstruct the social and political debate on the consequences of introducing citizenship education to state schools.

Exploitation du potentiel sismique des étoiles naines blanches

Le but de cette thèse est d’explorer le potentiel sismique des étoiles naines blanches pulsantes, et en particulier celles à atmosphères riches en hydrogène, les étoiles ZZ Ceti. La technique d’astérosismologie exploite l’information contenue dans les modes normaux de vibration qui peuvent être excités lors de phases particulières de l’évolution d’une étoile. Ces modes modulent le flux émergent de l’étoile pulsante et se manifestent principalement en termes de variations lumineuses multi-périodiques. L’astérosismologie consiste donc à examiner la luminosité d’étoiles pulsantes en fonction du temps, afin d’en extraire les périodes, les amplitudes apparentes, ainsi que les phases relatives des modes de pulsation détectés, en utilisant des méthodes standards de traitement de signal, telles que des techniques de Fourier. L’étape suivante consiste à comparer les périodes de pulsation observées avec des périodes générées par un modèle stellaire en cherchant l’accord optimal avec un modèle physique reconstituant le plus fidèlement possible l’étoile pulsante. Afin d’assurer une recherche optimale dans l’espace des paramètres, il est nécessaire d’avoir de bons modèles physiques, un algorithme d’optimisation de comparaison de périodes efficace, et une puissance de calcul considérable. Les périodes des modes de pulsation de modèles stellaires de naines blanches peuvent être généralement calculées de manière précise et fiable sur la base de la théorie linéaire des pulsations stellaires dans sa version adiabatique. Afin de définir dans son ensemble un modèle statique de naine blanche propre à l’analyse astérosismologique, il est nécessaire de spécifier la gravité de surface, la température effective, ainsi que différents paramètres décrivant la disposition en couche de l’enveloppe. En utilisant parallèlement les informations obtenues de manière indépendante (température effective et gravité de surface) par la méthode spectroscopique, il devient possible de vérifier la validité de la solution obtenue et de restreindre de manière remarquable l’espace des paramètres. L’exercice astérosismologique, s’il est réussi, mène donc à la détermination précise des paramètres de la structure globale de l’étoile pulsante et fournit de l’information unique sur sa structure interne et l’état de sa phase évolutive. On présente dans cette thèse l’analyse complète réussie, de l’extraction des fréquences à la solution sismique, de quatre étoiles naines blanches pulsantes. Il a été possible de déterminer les paramètres structuraux de ces étoiles et de les comparer remarquablement à toutes les contraintes indépendantes disponibles dans la littérature, mais aussi d’inférer sur la dynamique interne et de reconstruire le profil de rotation interne. Dans un premier temps, on analyse le duo d’étoiles ZZ Ceti, GD 165 et Ross 548, afin de comprendre les différences entre leurs propriétés de pulsation, malgré le fait qu’elles soient des étoiles similaires en tout point, spectroscopiquement parlant. L’analyse sismique révèle des structures internes différentes, et dévoile la sensibilité de certains modes de pulsation à la composition interne du noyau de l’étoile. Afin de palier à cette sensibilité, nouvellement découverte, et de rivaliser avec les données de qualité exceptionnelle que nous fournissent les missions spatiales Kepler et Kepler2, on développe une nouvelle paramétrisation des profils chimiques dans le coeur, et on valide la robustesse de notre technique et de nos modèles par de nombreux tests. Avec en main la nouvelle paramétrisation du noyau, on décroche enfin le ”Saint Graal” de l’astérosismologie, en étant capable de reproduire pour la première fois les périodes observées à la précision des observations, dans le cas de l’étude sismique des étoiles KIC 08626021 et de GD 1212.

Health as a Public Good

The purpose of the article is to present different conceptualizations of health as a public good. Author considers whether analytical tools and conceptual framework developed in the studies on the issue of public goods might be useful in order to analyze health. It was noted that health belongs to the special group of exceptional goods, since it carries the characteristics of both private and public good. It was emphasized that the distribution of public goods is a complex issue that requires an appropriate system of incentives as well as instruments in charge of its proper functioning. In the article it is argued that the widespread social anxiety and growing fear of further integration and globalization to a large extend results from the wrong management and unequal provision of global public goods.

Genome-scale analysis of the non-cultivable Treponema pallidum reveals extensive within-patient genetic variation

Insights into the genomic adaptive traits of Treponema pallidum, the causative bacterium of syphilis, have long been hampered due to the absence of in vitro culture models and the constraints associated with its propagation in rabbits. Here, we have bypassed the culture bottleneck by means of a targeted strategy never applied to uncultivable bacterial human pathogens to directly capture whole-genome T. pallidum data in the context of human infection. This strategy has unveiled a scenario of discreet T. pallidum interstrain single-nucleotide-polymorphism-based microevolution, contrasting with a rampant within-patient genetic heterogeneity mainly targeting multiple phase-variable loci and a major antigen-coding gene (tprK). TprK demonstrated remarkable variability and redundancy, intra- and interpatient, suggesting ongoing parallel adaptive diversification during human infection. Some bacterial functions (for example, flagella- and chemotaxis-associated) were systematically targeted by both inter- and intrastrain single nucleotide polymorphisms, as well as by ongoing within-patient phase variation events. Finally, patient-derived genomes possess mutations targeting a penicillin-binding protein coding gene (mrcA) that had never been reported, unveiling it as a candidate target to investigate the impact on the susceptibility to penicillin. Our findings decode the major genetic mechanisms by which T. pallidum promotes immune evasion and survival, and demonstrate the exceptional power of characterizing evolving pathogen subpopulations during human infection.

Quem estabelece prioridades? Um estudo sobre a natureza do trabalho de investigação na polícia federal

Dissertação (mestrado)—Universidade de Brasília, Instituto de Ciências Sociais, Departamento de Sociologia, 2015.

Quantum Dots

The purpose of this communication is to make a bibliographic review of Quantum Dots methods and their applications in the field of Biotechnology. Quantum dots (QDs) are a novel class of inorganic fluorophores, which are gaining widespread recognition as a result of their exceptional photophysical properties.

Nascentes, veredas e áreas úmidas : revisão conceitual e metodologia de caracterização e determinação : estudo de caso na estação ecológica de águas emendadas - Distrito Federal

Dissertação (mestrado)—Universidade de Brasília, Instituto de Geociências, 2015.

The ethical ambivalence of resistant violence: notes from postcolonial south Asia

In the face of mounting militarism in south Asia, this essay turns to anti-state, ‘liberatory’ movements in the region that employ violence to achieve their political aims. It explores some of the ethical quandaries that arise from the embrace of such violence, particularly for feminists for whom political violence and militarism is today a moot point. Feminist responses towards resistant political violence have, however, been less straightforward than towards the violence of the state, suggesting a more ambivalent ethical position towards the former than the latter. The nature of this ambivalence can be located in a postcolonial feminist ethics that is conceptually committed to the use of political violence in certain, albeit exceptional circumstances on the basis of the ethical ends that this violence (as opposed to other oppressive violence) serves. In opening up this ethical ambivalence – or the ethics of ambiguity, as Simone de Beauvoir says – to interrogation and reflection, I underscore the difficulties involved in ethically discriminating between forms of violence, especially when we consider the manner in which such distinctions rely on and reproduce gendered modes of power. This raises particular problems for current feminist appraisals of resistant political violence as an expression of women's empowerment and ‘agency’.

Preparação, caracterização e aplicação de derivados do ácido 12- tungstofosfórico suportado em SBA-15

Dissertação (mestrado)—Universidade de Brasília, Instituto de Química, Programa de Pós-Graduação em Química, 2016.