Lymphoma in patients with rheumatoid arthritis: association with the disease state or methotrexate treatment

Although long-term clinical studies have shown no excessive risk of lymphoma in rheumatoid arthritis (RA) patients treated with methotrexate (MTX), an increasing number of reports of this association continue to appear. We describe two cases, review the cases in the world's literature, and summarize their important characteristics. Possible oncogenic mechanisms are discussed. Most lymphoproliferation cases presented here have features of immunosuppression-associated lymphoma. The immunosuppressed state is attributable to a combination of factors, such as RA itself and the actions of MTX. The risk factors for RA patients to develop lymphoma while on MTX include severe disease, intense immunosuppression, genetic predisposition, and an increased frequency of latent infection with prooncogenic viruses such as Epstein-Barr virus (EBV). The spontaneous remission of lymphomas in eight RA patients after MTX was stopped highlights the likely causative role of the drug in the development of these malignancies. If the clinical situation permits, a period of observation for spontaneous remission after MTX is stopped is advisable. The physicians caring for RA patients on MTX should maintain a high surveillance for signs and symptoms suggestive of lymphoma.     

A new approach to predict ulcerative colitis activity through standard clinical–biological parameters using a robust neural network model

Neural Computing and Applications - Colonoscopy is the “gold” standard for evaluating disease activity in ulcerative colitis (UC). An important area of research is finding a...     

Experimental and theoretical analysis of the operation of a natural gas cogeneration system using a polymer exchange membrane fuel cell

This paper reports experimental and numerical results of an investigation of five identical cogeneration systems using PEM (Polymer Exchange Membrane) fuel cells and running on natural gas. The natural gas is reformed locally to produce hydrogen. The accuracy of numerical results is validated by comparison with experimental data and the system performances are analysed in terms of electrical, thermal and total efficiencies. It appears that the energetic performances are low, particularly at low current. Simple solutions for enhancing the system electrical performances by modifying control laws are proposed.     

Miscibility and properties of linear poly(l-lactide)/branched poly(l-lactide) copolyester blends

Polymer blends consisting of linear poly(l-lactide) (PLLA) and different proportions of dendritic PLLA-based copolyesters (hb-PLLA) characterized by different degrees of branching (DB) were obtained in melt. The solid-state properties of poly(l-lactide)s and their blends were investigated by differential scanning calorimetry (DSC), dynamic mechanical analysis (DMA), atomic force microscopy (AFM) and stress-strain measurements. DSC and DMA methods proved miscibility of PLLA/hb-PLLA blends for the studied composition range. AFM indicated that no phase separation occurs in PLLA/hb-PLLA blends and that PLLA and hb-PLLA cocrystallize in one single lamellae type. The mechanical characteristics of PLLA/hb-PLLA blends deteriorated with an increase of the DB and with changing blend composition. Susceptibility of the blends to biodegradation was studied by measuring the weight loss in two different biodegradation media. PLLA/hb-PLLA blends showed more pronounced hydrophilic character and higher susceptibility to biodegradation with an increase in the degree of branching.     

Scheduling for electricity cost in a smart grid

We study an offline scheduling problem arising in demand response management in a smart grid. Consumers send in power requests with a flexible set of timeslots during which their requests can be served. For example, a consumer may request the dishwasher to operate for 1 h during the periods 8am to 11am or 2pm to 4pm. The grid controller, upon receiving power requests, schedules each request within the specified duration. The electricity cost is measured by a convex function of the load in each timeslot. The objective of the problem is to schedule all requests with the minimum total electricity cost. As a first attempt, we consider a special case in which the power requirement and the duration a for which a request needs service are both unit-size. For this problem, we present a polynomial time offline algorithm that gives an optimal solution and shows that the time complexity can be further improved if the given set of timeslots forms a contiguous interval.     

Subquadratic Algorithms for 3SUM

We obtain subquadratic algorithms for 3SUM on integers and rationals in several models. On a standard word RAM with w-bit words, we obtain a running time of . In the circuit RAM with one nonstandard AC ⁰ operation, we obtain . In external memory, we achieve O(n ²/(MB)), even under the standard assumption of data indivisibility. Cache-obliviously, we obtain a running time of . In all cases, our speedup is almost quadratic in the “parallelism” the model can afford, which may be the best possible. Our algorithms are Las Vegas randomized; time bounds hold in expectation, and in most cases, with high probability.     

Proline isomerization-independent accumulation of an early intermediate and heterogeneity of the folding pathways of a mixed alpha/beta protein, Escherichia coli thioredoxin

Oxidized Escherichia coli thioredoxin (Trx) is a small protein of 108 residues with one disulfide bond (C32-C35 essentially involved in the activity) and no prosthetic moieties, which folds into a structural motif containing a central twisted beta-sheet flanked by helices that is found in many larger proteins. The kinetics of refolding of Trx in vitro have been investigated using a newly developed active site titration assay and continuous or stopped-flow (SF) methods in conjunction with circular dichroism (CD) and fluorescence (Fl) spectroscopy. These studies revealed the presence of early folding intermediates with "molten globule or pre-molten globule" characteristics. Measurements of the ellipticity at 222 nm indicated that about 68% of the total change associated with refolding occurred during the dead time (4 ms) of the stopped-flow instrument, suggesting the formation of substantial secondary structure. The reconstruction of the far-UV CD spectrum of the burst intermediate using combined continuous and stopped-flow methods showed the formation of a defined secondary structure that contains more beta-structure than the native state. Kinetic measurements using SF far-UV CD and Fl over a wide range (0.087-6 M) of GuHCl concentrations at two temperatures (6 and 20 degreesC) demonstrated that the population formed during the 4 ms dead time contained multiple species that are stabilized mainly by hydrophobic interactions and undergo further folding along alternative pathways. One of these species leads directly and rapidly to the native state as demonstrated by active site titration, while the two others fold into a fourth intermediate that is slowly converted to the native protein. Double-jump experiments suggest that the heterogeneity in folding behavior results from proline isomerizations occurring in the unfolded state. Conversely, the accumulation of the burst intermediate does not depend on proline isomerizations.     

Multiplicity results for some elliptic problems with nonlinear boundary conditions involving variable exponents

In this paper we analyze an elliptic partial differential equation involving variable exponent growth conditions coupled with a nonlinear boundary condition. We show the existence of infinitely many bounded weak solutions provided there is a suitable oscillatory behavior of the nonlinearity either at infinity or at zero. Our proofs rely on a method due to Saint Raymond.     

Web-service based architecture to support SCM context-awareness and interoperability

Integration of Web-Services and “smart objects” in supply chain manufacturing systems (SCM) enables enterprise innovation and competitiveness in a globalized economy. The paper proposes a web-service based architecture for SCM that enables enterprises to develop context-awareness and to achieve interoperability at data, services, processes and business levels using event based web service notifications. The architecture is analyzed and implemented following the case study of an enterprise in the automotive industry.     

Sensitivity of SAR data to post-fire forest regrowth in Mediterranean and boreal forests

Disturbed forests may need decades to reach a mature stage and optically-based vegetation indices are usually poorly suited for monitoring purposes due to the rapid saturation of the signal with increasing canopy cover. Spaceborne synthetic aperture radar (SAR) data provide an alternate monitoring approach since the backscattered microwave energy is sensitive to the vegetation structure. Images from two regions in Spain and Alaska were used to analyze SAR metrics (cross-polarized backscatter and co-polarized interferometric coherence) from regrowing forests previously affected by fire. TerraSAR-X X-band backscatter showed the lowest sensitivity to forest regrowth, with the average backscatter increasing by 1-2 dB between the most recent fire scar and the unburned forest. Increased sensitivity (around 3-4 dB) was observed for C-band Envisat Advanced Synthetic Aperture (ASAR) backscatter. The Advanced Land Observing Satellite (ALOS) Phased Array-type L-band Synthetic Aperture Radar (PALSAR) L-band backscatter presented the highest dynamic range from unburned to recently burned forests (approximately 8 dB). The interferometric coherence showed low sensitivity to forest regrowth at all SAR frequencies. For Mediterranean forests, five phases of forest regrowth were discerned whereas for boreal forest, up to four different regrowth phases could be discerned with L-band SAR data. In comparison, the Normalized Difference Vegetation Index (NDVI) provided reliable differentiation only for the most recent development stages. The results obtained were consistent in both environments.