POS1322 A DATA SCIENCE EVALUATION OF THE JUVENILE ARTHRITIS MULTIDIMENSIONAL ASSESSMENT REPORT (JAMAR) QUESTIONNAIRE FOR IMPROVING MANAGEMENT OF JIA PATIENTS

Background:

The Juvenile Arthritis Multidimensional Assessment Report (JAMAR) is a questionnaire developed to comprehensively assess Juvenile Idiopathic Arthritis (JIA) patients. Despite being translated into 54 languages, there is still limited literature about it. The length of the questionnaire could have been influencing its clinical practicality.

Objectives:

The purpose of this study is to answer the following questions:

a)“Which are the most informative questions?”;

b)“How well do the collected data correlate with other clinical variables?”;

c)“Are there discrepancies between the perceptions of patients and parents?”;

Methods:

We included 71 children with JIA according to ILAR criteria, all of them receiving treatment and we followed them up for a year. JAMAR questionnaires were answered by both children and parents at baseline, 6 and 12 months. Also, a thorough clinical examination was performed in every visit: all the joints were clinically assessed for swelling, tenderness, and limited range of motion, and Juvenile Arthritis Disease Activity Score (JADAS), disease activity state, parents and patients assessment through Visual Analogue Scale (VAS), physician’s VAS, Erythrocyte Sedimentation Rate (ESR) and C-reactive protein (CRP) were recorded. We applied state of the art machine learning methods in order to find the most relevant questions in JAMAR. Additionally, we utilized tensor decomposition to identify relevant patient clusters. Furthermore, we correlated these critical questions with clinical and biological parameters recorded. We have compared the discordance rate between patients vs parents responses in 5 of JAMAR parameters as previously reported [1]. We explored the relation between discordance and demographic and clinical variables.

Results:

A total of 374 JAMAR questionnaires are analyzed with our Machine Learning algorithms. First, we identify a small group of questions as the most relevant for patients and parents. The identified questions exhibit better correlations with the JADAS scores than the non-relevant ones. Second, 96% of the pairs (child-parent) are discordant for at least one item, but the differences are small and VAS well being is the only score with a statistically significant difference (P < 0.0001). We observe a higher rate of activity in the patients exhibiting discordant evaluations with their parents. In addition, the observation patient-parent agreement in Juvenile Arthritis Functionality Scale (JAFS) is better than Pediatric Rheumatology Quality of Life Scale (PRQL).

Conclusion:

In this study, we revisited the JAMAR questionnaire by applying modern data mining techniques in a longitudinal dataset. Our results suggest that a small number of questions in the JAMAR questionnaire provide significant information and correlate well with the JADAS scores. We argue that this reduced set of questions could make the data collection easier by trading off the number of questions for frequency and ease of self-reported data collection.

References:

[1]Vanoni F, et al. The difference of disease perception by juvenile idiopathic arthritis patients and their parents: analysis of the JAMAR questionnaire. Pediatr Rheumatol Online J. 2016;14(1):2.

Disclosure of Interests:

None declared

Secure multiparty quantum key agreement against collusive attacks

Quantum key agreement enables remote participants to fairly establish a secure shared key based on their private inputs. In the circular-type multiparty quantum key agreement mode, two or more malicious participants can collude together to steal private inputs of honest participants or to generate the final key alone. In this work, we focus on a powerful collusive attack strategy in which two or more malicious participants in particular positions, can learn sensitive information or generate the final key alone without revealing their malicious behaviour. Many of the current circular-type multiparty quantum key agreement protocols are not secure against this collusive attack strategy. As an example, we analyze the security of a recently proposed multiparty key agreement protocol to show the vulnerability of existing circular-type multiparty quantum key agreement protocols against this collusive attack. Moreover, we design a general secure multiparty key agreement model that would remove this vulnerability from such circular-type key agreement protocols and describe the necessary steps to implement this model. The proposed model is general and does not depend on the specific physical implementation of the quantum key agreement.

0378 Social Well-Being as a Longitudinal Mediator of the Association Between Discrimination and Sleep Quality

Introduction

Discrimination is a risk factor for poor sleep outcomes. Physiological activation is one mechanism tying the experience of discrimination to disturbed sleep. Discrimination, however, can also impact psychosocial well-being, which is a necessary precursor for healthy sleep. Feelings of safety derived from social connections can be threatened when individuals face discrimination. The objective of the current study was to examine the role of social well-being as a factor underlying the longitudinal association between discrimination and sleep quality.

Methods

An archival analysis was conducted with 937 adults participating in the longitudinal Midlife in the United States (MIDUS) study. Data was collected at three time points across 10 years. Perceived daily discrimination and overall social well-being were assessed via self-report. Sleep quality was assessed via the Pittsburgh Sleep Quality Index, Global Sleep Quality score.

Results

The overall model accounted for 15.6% of variance in global sleep quality. Controlling for multiple covariates, more frequent experiences of discrimination predicted worse global sleep quality 10 years later (β=.06, p=.03). Worse overall social well-being was a significant mediator of the discrimination-global sleep quality association (95% CI [.0001, .0118]), such that more frequent discrimination predicted lower overall social well-being, which, in turn, was associated with worse global sleep quality.

Conclusion

Given the persistence of sleep disparities among stigmatized and marginalized groups and the importance of sleep as a means of health disparity reduction, there is a need to identify mechanisms linking discrimination to poor sleep outcomes. Daily experiences of discrimination, such as being given less respect or treated as though less intelligent, have long-lasting associations with social well-being. Furthermore, social well-being is a predictor of future sleep quality. In addition to addressing discriminatory practices, targeting the effects of social well-being on sleep is a direction for future research.

Support

N/A

Secure dynamic multiparty quantum private comparison

We propose a feasible and efficient dynamic multiparty quantum private comparison protocol that is fully secure against participant attacks. In the proposed scheme, two almost-dishonest third parties generate two random keys and send them to all participants. Every participant independently encrypts their private information with the encryption keys and sends it to the third parties. The third parties can analyze the equality of all or some participants’ secrets without gaining access to the secret information. New participants can dynamically join the protocol without the need for any additional conditions in the protocol. We provide detailed correctness and security analysis of the proposed protocol. Our security analysis of the proposed protocol against both inside and outside attacks proves that attackers cannot extract any secret information.

Knowledge, Attitude and Practices on Cancer Education and Prevention: A Cross-Sectional Survey

Background: Lifestyle associated cancers are 1 of the top 5 leading causes of death in the world and India sees a million new cases yearly. Early detection is an effective way to reduce incidences and mortality for preventable cancers. There is significant delay in detection for a large proportion of cancer patients in India. Lack of awareness about cancer has been shown to be a major contributor to treatment delay in many countries. The current study looked at the cancer awareness in an urban Indian population to address the gap of information about cancer prevention. Aim: To quantify knowledge about cancer in an urban population and find sociodemographic associations of lack of knowledge. We also wanted to compare knowledge of people from general population with those having some knowledge due to a family member being under treatment. Methods: Data were collected from 2 stratums: family members of cancer patients, Internet using community from general population, non-Internet using community dwellers. Subject selection was randomized. A prevalidated questionnaire was used. Data were analyzed using STATA 13. Results: Respondents (n = 846) were family of cancer patients (n = 146, 17.3%), community dwellers (n = 175, 20.7%) and community Internet users (n = 525, 62.1%). No association of knowledge with age, gender, and income was found ( P values 0.84, 0.25, 0.93 respectively). Statistically significant association of cancer knowledge with education was found ( P < 0.001). There is significant difference in knowledge between Internet using and non-Internet using community ( P < 0.001). Conclusion: Education impacts cancer knowledge of the population. The population having access to Internet has a higher knowledge than nonusers; but exposure to cancer treatment does not result in higher knowledge on cancer. These results will inform prevention and health education policies and aid in designing awareness and screening programs for preventing cancer.

What is India's Position in Implementing the WHO Framework Convention on Tobacco Control? A Policy Analysis of the Tobacco Control Law and National Tobacco Control Program

Background and context: The Framework Convention on Tobacco Control (FCTC) is the world's first public health treaty enacted under the World Health Organization (WHO). It is the biggest global initiative in tobacco control. India is a signatory to this treaty since 2004. India is home to 275 million tobacco users and is the second largest producer and user of tobacco products after China. The country is also known for widespread production and consumption of many smokeless forms of tobacco. India's progress in complying with the Framework Convention treaty had been inconsistent. While few states (provinces) are making significant progress, larger parts of the country struggles with gaps in the law, weak regulatory surveillance and overall noncompliance. The protobacco lobbies in India argue against the legislation by forecasting that banning tobacco production would lead to huge loss of employment and significant negative impact on the economy. These issues act as big deterrents to the country's tobacco control initiatives. Aim: There are very few published policy analyses on compliance with the FCTC treaty and identifying gaps in Indian tobacco control laws. This paper looks at India's tobacco use behavior, the national tobacco control laws, and its gaps and barriers. Strategy/Tactics: Using a policy triangle framework developed by Walt and Gilson (1994), it analyzes the national tobacco control policies and laws against the current scenario to identify areas of improvement and policy reform. Program/Policy process: The Indian tobacco control regulations and the National Tobacco Control Plan is evaluated in light of the WHO FCTC treaty to identify gaps and barriers to its implementation using published evidence. Outcomes: The analysis revels significant gaps and legal complexities that are currently being exploited by the tobacco industry as they continue to promote tobacco products and increase production capacity. There are also important ethical issues related to the use of child labor in tobacco trade in India. What was learned: This paper recommends to amend the Indian tobacco control law to address the gaps and implement a more stringent legislation commensurate to the tobacco use patterns and existing barriers. This also recognizes the political-economic aspects and reflects on the contextual variables and stakeholders that play a significant role in deciding the fate of tobacco production, use and control in India.

Perception of Tobacco in Young Adults of Urban India: A Qualitative Exploration and Health Policy Analysis

Background: Tobacco is the single largest cause of preventable death globally. An emerging body of evidence shows that tobacco is 1 of the identified causes of cancer contributing to 50% of cancers in men and 20% in women and the same is estimated to kill 10 million people by 2030. The epicenter of this epidemic is the low and middle income countries with 80% of the 1 billion smokers in the world coming from there. India is home to 275 million tobacco users and is the second largest producer and user of tobacco products after China. Many of the users demonstrate a very early smoking debut and a significant proportion of India's population falls in this group. Prevention of early tobacco debut and use of tobacco in youth is 1 of the critical ways of reducing the burden of noncommunicable diseases in the world. There is very limited information on how today's youth perceive using tobacco products, and what they think of the anti-tobacco campaigns and legislative measures. Aim: The qualitative arm aims to bridge some of the knowledge gaps related to tobacco use in today's urban youth; to understand the perceptions of the youth about tobacco. The policy piece evaluates relevant tobacco control legislations in India using a prevalidated policy analysis framework. It critically analyses the gaps of the national tobacco control mechanisms responsible for impacting the tobacco use in the youth. Methods: A qualitative grounded theory approach was followed. In a university in India, 30 young undergraduate students were recruited. Data were collected through in-depth interviews, focus groups and participant observations. The policy section critically analyzed relevant parts of the India's tobacco control law taking its lead from the qualitative data, compared it with the WHO Framework Convention of Tobacco Control (FCTC), and identifies barriers and gaps to understand how its impacting the use of tobacco in youth. Results: Peer influence and social desirability emerged as major influencers for tobacco debut. Stress, exams, depression, family problems and symptoms of stress for example headache, sleeplessness etc. were other influencers for debut. The other major theme was the perceptions and concepts on tobacco addiction and quitting. Knowledge among youth on available quitting or cessation support was very little. Most of the study participants believed that the current tobacco control measures are not effective. The policy analysis of national tobacco control measures revealed significant gaps that are currently being exploited by the tobacco industry as they continue to promote tobacco products and increase production capacity. Conclusion: This study recommends amending the Indian tobacco control law to address the gaps and implement a more stringent legislation commensurate to the tobacco use patterns and existing barriers.

An apparatus and method for directly measuring the depth-dependent gain and spatial resolution of turbid scintillators

PURPOSE

Turbid (powder or columnar-structured) scintillators are widely used in indirect flat panel detectors (I-FPDs) for scientific, industrial, and medical radiography. Light diffusion and absorption within these scintillators is expected to cause depth-dependent variations in their x ray conversion gain and spatial blur. These variations degrade the detective quantum efficiency of I-FPDs at all spatial frequencies. Despite their importance, there are currently no established methods for directly measuring scintillator depth effects. This work develops the instrumentation and methods to achieve this capability.

METHODS

An ultra-high-sensitivity camera was assembled for imaging single x ray interactions in two commercial Gd₂ O₂ S:Tb (GOS) screens (Lanex Regular and Fast Back, Eastman Kodak Company). X ray interactions were localized to known depths in the screens using a slit beam of parallel synchrotron radiation (32 keV), with beam width (~20 μm) much narrower than the screen thickness. Depth-localized x ray interaction images were acquired in 30 μm depth-intervals, and analyzed to measure each scintillator's depth-dependent average gain g ¯ ( z ) and modulation transfer function MTF(z,f). These measurements were used to calculate each screen's expected MTF(f) in an energy-integrating detector (e.g., I-FPD). Calculations were compared to presampling MTF measurements made by coupling each screen to a high-resolution CMOS image sensor (48 μm pixel) and using the slanted-edge method.

RESULTS

Both g ¯ ( z ) and MTF(z,f) continuously increased as interactions occurred closer to each screen's sensor-coupled surface. The Regular yielded 1351 ± 66 and 2117 ± 54 photons per absorbed x ray (42-66 keV^-1 ) in interactions occurring furthest from and nearest to the image sensor, while the Fast Back yielded 833 ± 22 and 1910 ± 39 photons (26-60 keV^-1 ). At f = 1 mm^-1 , MTF(z,f) varied between 0.63 and 0.78 in the Regular and 0.30-0.76 in the Fast Back. Calculations of presampling MTF(f) using g ¯ ( z ) and MTF(z,f) showed excellent agreement with slanted-edge measurements.

CONCLUSIONS

The developed instrument and method enable direct measurements of the depth-dependent gain and spatial resolution of turbid scintillators. This knowledge can be used to predict, understand, and potentially improve I-FPD imaging performance.

Squeezing dynamics of a nanowire system with spin-orbit interaction

We analyze the dynamics of squeezing in a ballistic quantum wire with Rashba spin-orbit interaction in the presence of both strong and weak magnetic fields and for different initial states of the system. Compared to the more standard measure of squeezing based on variances, we show that entropy squeezing is a more sensitive measure. Our results show that there is a strong relationship between the spin-orbit interaction and the strength of entropy squeezing. Furthermore, there is a relationship between the initial state and the number of squeezed components. This allows new knobs to control the strength and the component of entropy squeezing in a nanowire system.

Quantum-classical correspondence in the vicinity of periodic orbits

Quantum-classical correspondence in chaotic systems is a long-standing problem. We describe a method to quantify Bohr's correspondence principle and calculate the size of quantum numbers for which we can expect to observe quantum-classical correspondence near periodic orbits of Floquet systems. Our method shows how the stability of classical periodic orbits affects quantum dynamics. We demonstrate our method by analyzing quantum-classical correspondence in the quantum kicked top (QKT), which exhibits both regular and chaotic behavior. We use our correspondence conditions to identify signatures of classical bifurcations even in a deep quantum regime. Our method can be used to explain the breakdown of quantum-classical correspondence in chaotic systems.

Radiotherapy dose-distribution to the perirectal fat space (PRS) is related to gastrointestinal control-related complications

Traditionally rectal symptoms following pelvic/prostate radiotherapy are correlated to the dosimetry of the anorectum or a substructure of this. It has been suggested that the perirectal fat space (PRS) surrounding the rectum may also be relevant. This study considers the delineation and dosimetry of the PRS related to both rectal bleeding and control-related toxicity. Initially, a case-control cohort of 100 patients from the RADAR study were chosen based on presence/absence of rectal control-related toxicity. Automated contouring was developed to delineate the PRS. 79 of the 100 auto-segmentations were considered successful. Balanced case-control cohorts were defined from these cases. Atlas of Complication Incidence (ACI) were generated to relate the DVH of the PRS with specific rectal symptoms; rectal bleeding and control-related symptoms (LENT/SOM). ACI demonstrated that control-related symptoms were related to the dose distribution to the PRS which was confirmed with Wilcoxon rank sum test (p < 0.05). To the authors knowledge this is the first study implicating the dose distribution to the PRS to the incidence of control-related symptoms of rectal toxicity.

Complete hyperentangled Bell state analysis for polarization and time-bin hyperentanglement

We present a complete hyperentangled Bell state analysis protocol for two-photon four-qubit states that are simultaneously entangled in the polarization and time-bin degrees of freedom. The 16 hyperentangled states can be unambiguously distinguished via two steps. In the first step, the polarization entangled state is distinguished deterministically and nondestructively with the help of the cross-Kerr nonlinearity. Then, in the second step, the time-bin state is analyzed with the aid of the polarization entanglement. We also discuss the applications of our protocol for quantum information processing. Compared with hyperentanglement in polarization and spatial-mode degrees of freedom, the polarization and time-bin hyperentangled states provide savings in quantum resources since there is no requirement for two spatial modes for each photon. This is the first complete hyperentangled Bell state analysis scheme for polarization and time-bin hyperentangled states, and it can provide new avenues for high-capacity, long-distance quantum communication.

Thermal Conductivity of UltemTM/Carbon Nanofiller Blends

In an effort to improve polymer thermal conductivity (TC), UltemTM 1000 was compounded with nano-fillers of carbon allotropes. As-received and modified multiwalled carbon nanotubes (MWCNTs), vapor-grown carbon nanofibers (CNF) and expanded graphite (EG) were investigated. Functionalization of MWCNTs was performed to improve the TC compatibility between the resin and MWCNTs. It was postulated that this may provide an improved interface between the MWCNT and the polymer which would result in enhanced TC. The nano-fillers were mixed with UltemTM 1000 inthemeltandinsolution at concentrations ranging from 5 to 40 wt.%. Ribbons were extruded from the blends to form samples where the nano-fillers were aligned to some degree in the extrusion direction. Samples were also fabricated by compression molding resulting in random orientation of the nano-fillers. Thermal properties of the samples were evaluated by differential scanning calorimetry (DSC) and thermal gravimetric analyzer (TGA). Tensile properties of aligned samples were determined at room temperature. As expected, increased filler loading led to increased modulus and decreased elongation with respect to the neat polymer. The degree of dispersion and alignment of the nano-fillers was determined by high-resolution scanning electron microscopy (HRSEM). The HRSEM of the ribbons revealed that the MWCNTs and CNFs were predominantly aligned in the flow direction. The TC of the samples was measured using a NanoflashTM instrument. Since the MWCNTs and CNF are anisotropic, the TC was expected to be different in the longitudinal (parallel to the nanotube and fiber axis) and transverse (perpendicular to the nanotube and fiber axis) directions. The largest TC improvement was achieved for aligned samples when the measurement was performed in the direction of MWCNT and CNF alignment (i.e. longitudinal axis). Unaligned samples also showed a significant improvement in TC and may be potentially useful in applications when it is not possible to align the nano-filler. The results of this study will be presented.

An ex vivo model using human osteoarthritic cartilage demonstrates the release of bioactive insulin-like growth factor-1 from a collagen-glycosaminoglycan scaffold

Biomimetic scaffolds hold great promise for therapeutic repair of cartilage, but although most scaffolds are tested with cells in vitro, there are very few ex vivo models (EVMs) where adult cartilage and scaffolds are co-cultured to optimize their interaction prior to in vivo studies. This study describes a simple, non-compressive method that is applicable to mammalian or human cartilage and provides a reasonable throughput of samples. Rings of full-depth articular cartilage slices were derived from human donors undergoing knee replacement for osteoarthritis and a 3 mm core of a collagen/glycosaminoglycan biomimetic scaffold (Tigenix, UK) inserted to create the EVM. Adult osteoarthritis chondrocytes were seeded into the scaffold and cultures maintained for up to 30 days. Ex vivo models were stable throughout experiments, and cells remained viable. Chondrocytes seeded into the EVM attached throughout the scaffold and in contact with the cartilage explants. Cell migration and deposition of extracellular matrix proteins in the scaffold was enhanced by growth factors particularly if the scaffold was preloaded with growth factors. This study demonstrates that the EVM represents a suitable model that has potential for testing a range of therapeutic parameters such as numbers/types of cell, growth factors or therapeutic drugs before progressing to costly pre-clinical trials. © 2015 The Authors. Cell Biochemistry and Function Published by John Wiley & Sons Ltd.

Signatures of chaos in the dynamics of quantum discord

We identify signatures of chaos in the dynamics of discord in a multiqubit system collectively modelled as a quantum kicked top. The evolution of discord between any two qubits is quasiperiodic in regular regions, while in chaotic regions the quasiperiodicity is lost. As the initial wave function is varied from the regular regions to the chaotic sea, a contour plot of the time-averaged discord remarkably reproduces the structures of the classical stroboscopic map. We also find surprisingly opposite behavior of two-qubit discord versus entanglement of the two qubits as measured by the concurrence. Our results provide evidence of signatures of chaos in dynamically generated discord.

Efficient hyperconcentration of nonlocal multipartite entanglement via the cross-Kerr nonlinearity

We propose two schemes for concentration of hyperentanglement of nonlocal multipartite states which are simultaneously entangled in the polarization and spatial modes. One scheme uses an auxiliary single-photon state prepared according to the parameters of the less-entangled states. The other scheme uses two less-entangled states with unknown parameters to distill the maximal hyperentanglement. The procrustean concentration is realized by two parity check measurements in both the two degrees of freedom. Nondestructive quantum nondemolition detectors based on cross-Kerr nonlinearity are used to implement the parity check, which makes the unsuccessful instances reusable in the next concentration round. The success probabilities in both schemes can be made to approach unity by iteration. Moreover, in both schemes only one of the N parties has to perform the parity check measurements. Our schemes are efficient and useful for quantum information processing involving hyperentanglement.

The process of EDC-NHS Cross-linking of reconstituted collagen fibres increases collagen fibrillar order and alignment

We describe the production of collagen fibre bundles through a multi-strand, semi-continuous extrusion process. Cross-linking using an EDC (1-ethyl-3-(3-dimethylaminopropyl)carbodiimide), NHS (N-hydroxysuccinimide) combination was considered. Atomic Force Microscopy (AFM) and Raman spectroscopy focused on how cross-linking affected the collagen fibrillar structure. In the cross-linked fibres, a clear fibrillar structure comparable to native collagen was observed which was not observed in the non-cross-linked fibre. The amide III doublet in the Raman spectra provided additional evidence of alignment in the cross-linked fibres. Raman spectroscopy also indicated no residual polyethylene glycol (from the fibre forming buffer) or water in any of the fibres.

JNK1/2 regulate Bid by direct phosphorylation at Thr59 in response to ALDH1L1

BH3 interacting-domain death agonist (Bid) is a BH3-only pro-apoptotic member of the Bcl-2 family of proteins. Its function in apoptosis is associated with the proteolytic cleavage to the truncated form tBid, mainly by caspase-8. tBid translocates to mitochondria and assists Bax and Bak in induction of apoptosis. c-Jun N-terminal kinase (JNK)-dependent alternative processing of Bid to jBid was also reported. We have previously shown that the folate stress enzyme 10-formyltetrahydrofolate dehydrogenase (ALDH1L1) activates JNK1 and JNK2 in cancer cells as a pro-apoptotic response. Here we report that in PC-3 prostate cancer cells, JNK1/2 phosphorylate Bid at Thr59 within the caspase cleavage site in response to ALDH1L1. In vitro, all three JNK isoforms, JNK 1–3, phosphorylated Thr59 of Bid with JNK1 being the least active. Thr59 phosphorylation protected Bid from cleavage by caspase-8, resulting in strong accumulation of the full-length protein and its translocation to mitochondria. Interestingly, although we did not observe jBid in response to ALDH1L1 in PC-3 cells, transient expression of Bid mutants lacking the caspase-8 cleavage site resulted in strong accumulation of jBid. Of note, a T59D mutant mimicking constitutive phosphorylation revealed more profound cleavage of Bid to jBid. JNK-driven Bid accumulation had a pro-apoptotic effect in our study: small interfering RNA silencing of either JNK1/2 or Bid prevented Bid phosphorylation and accumulation, and rescued ALDH1L1-expressing cells. As full-length Bid is a weaker apoptogen than tBid, we propose that the phosphorylation of Bid by JNKs, followed by the accumulation of the full-length protein, delays attainment of apoptosis, and allows the cell to evaluate the stress and make a decision regarding the response strategy. This mechanism perhaps can be modified by the alternative cleavage of phospho-T59 Bid to jBid at some conditions.

Kv3.1-containing K(+) channels are reduced in untreated schizophrenia and normalized with antipsychotic drugs

Neuronal firing is a fundamental element of cerebral function; and, voltage-gated potassium (K(+)) channels regulate that firing through the repolarization of action potentials. Kv3-type channels (Kv3.1-Kv3.4) represent a family of voltage-gated K(+) channels that have fast-spiking properties. Kv3.1 channel subunits are predominantly localized to cortical parvalbumin (PV)-positive, inhibitory interneurons. The firing properties of these interneurons participate in establishing the normal gamma oscillations and synchrony of cortical neuronal populations, thought to be the signature of higher information processing in human brain. Schizophrenia (SZ) is associated with abnormalities in cortical gamma synchrony and in information processing, particularly with dysfunction in working memory and executive function. Here, we report the distribution of Kv3.1b and Kv3.2 protein in normal human brain, showing that Kv3.1b is limited to neocortical areas, whereas Kv3.2 is abundantly represented in neo- and subcortical regions. In SZ cases, levels of Kv3.1b protein are decreased in the neocortex, but only in cases without antipsychotic drug (APD) treatment; Kv3.1 levels are normal in antipsychotic-treated cases. Kv3.2 is not different in distribution or in level between normal and SZ cases, nor influenced by APD, in any region tested. The apparent increase in Kv3.1b protein levels by APDs in SZ neocortex was confirmed in laboratory rodents treated with chronic APDs. These findings show a decrease in Kv3.1b channel protein in SZ neocortex, a deficit that is restored by APDs. This alteration could be fundamentally involved in the cortical manifestations of SZ and in the therapeutic response to APDs.

Information gain in tomography--a quantum signature of chaos

We find quantum signatures of chaos in various metrics of information gain in quantum tomography. We employ a quantum state estimator based on weak collective measurements of an ensemble of identically prepared systems. The tomographic measurement record consists of a sequence of expectation values of a Hermitian operator that evolves under repeated application of the Floquet map of the quantum kicked top. We find an increase in information gain and, hence, higher fidelities in the reconstruction algorithm when the chaoticity parameter map increases. The results are well predicted by random matrix theory.

Bladder Rupture Following Surgical Mid-Trimester Abortion

Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 1 / Issue 13 / Jan- June, 2012 / 64-65 DOI: http://dx.doi.org/10.3126/njog.v7i1.8841

Joint probability of shape and image similarities to retrieve 2D TRUS-MR slice correspondence for prostate biopsy

This paper presents a novel method to identify the 2D axial Magnetic Resonance (MR) slice from a pre-acquired MR prostate volume that closely corresponds to the 2D axial Transrectal Ultrasound (TRUS) slice obtained during prostate biopsy. The method combines both shape and image intensity information. The segmented prostate contours in both the imaging modalities are described by shape-context representations and matched using the Chi-square distance. Normalized mutual information and correlation coefficient between the TRUS and MR slices are computed to find image similarities. Finally, the joint probability values comprising shape and image similarities are used in a rule-based framework to provide the MR slice that closely resembles the TRUS slice acquired during the biopsy procedure. The method is evaluated for 20 patient datasets, of which 18 results match at least one of the two clinical expert choices.

Characterization of local soils and study the migration behavior of radionuclide from disposal site of LILW

Migration behavior of radionuclide is one of the most important factors to be considered for the long-term safety assessment of a radioactive waste disposal facility in a wet geological formation. In the present study, laboratory based column experiments have been carried out to assess the radionuclide migration behavior of ¹³⁷Cs and ⁶⁰Co and to evaluate the retardation factor through a clay soil layers using gamma spectrometry. Investigation was performed for a range of particle sizes and fixed column lengths to determine an appropriate value of migration rate of ¹³⁷Cs and ⁶⁰Co. The distribution pattern of particle size in soil samples were measured by sieved method. Two different particle sizes (≤ 90 μm and mixed size) were used in the column experiments. The migration rate in the clay type soil layer of particle size ≤ 90 μm was found by the order of ⁶⁰Co > ¹³⁷Cs. The maximum migration length of ⁶⁰Co in the soil layer was found to be 0-25 cm, however in the case of ¹³⁷Cs it was found at a maximum length of 0-10 cm. The distribution coefficient of ⁶⁰Co was found nearly same as that of ¹³⁷Cs. The retardation factor was found to be 1.79 and 1.94 for ⁶⁰Co and ¹³⁷Cs, respectively. The experimental breakthrough from this study indicates that the amount of radioactive cesium and cobalt released depends upon the composition of the soils.

Retinoblastoma

Retinoblastoma is the most common intraocular malignancy in children and one of the very few life-threatening ophthalmic conditions. Genetically, the disease may be heritable or non-heritable. It can have unilateral or bilateral involvement and can present either sporadically or with a positive family history. Leukocoria and strabismus are the most common presentations. Diagnosis is made by indirect ophthalmoscopy aided by imaging techniques. Multidisciplinary management is aimed at saving lives, salvaging the globe and maintaining good vision. The use of neoadjuvant chemotherapy and focal treatments, such as cryotherapy, laser photocoagulation, transpupillary thermotherapy, brachytherapy and periocular chemotherapy, form the mainstay of globe preserving treatment in retinoblastoma. In developing countries, retinoblastoma is unfortunately accompanied by a high mortality rate due to delayed diagnosis made at advanced stages of the disease. Early diagnosis and timely management are vital for a good prognosis.

Spectral clustering of shape and probability prior models for automatic prostate segmentation

Imaging artifacts in Transrectal Ultrasound (TRUS) images and inter-patient variations in prostate shape and size challenge computer-aided automatic or semi-automatic segmentation of the prostate. In this paper, we propose to use multiple mean parametric models derived from principal component analysis (PCA) of shape and posterior probability information to segment the prostate. In contrast to traditional statistical models of shape and intensity priors, we use posterior probability of the prostate region determined from random forest classification to build, initialize and propagate our model. Multiple mean models derived from spectral clustering of combined shape and appearance parameters ensure improvement in segmentation accuracies. The proposed method achieves mean Dice similarity coefficient (DSC) value of 0.96±0.01, with a mean segmentation time of 0.67±0.02 seconds when validated with 46 images from 23 datasets in a leave-one-patient-out validation framework.

Visual function alterations in orbital tumors and factors predicting visual outcome after surgery

PURPOSE

To study the effect of orbital tumors on visual functions and highlight the factors predictive of visual outcome after surgery.

METHODS

A prospective interventional study compared visual function parameters and fundus changes, before and after surgery, in eyes having well-defined orbital tumors with the normal fellow eye. These included visual acuity (VA), refractive error, keratometry changes, color vision, Goldmann visual field (GVF), and visual evoked response (VER).

RESULTS

In total 28 cases (age range 7-56 years), of which the majority of tumors were vascular (46%) and lacrimal (18%) in origin, had a mean VA of 0.54±0.33 in the affected eye, which improved postoperatively to 0.66±0.31 (P=0.002). The affected eye had a median refractive error of +0.00 DS (-2.00 to 5.13), which was significantly more hyperopic than the normal eye (median +0.00 DS; range -1.25 to +1.63 DS) and normalized postoperatively. Keratometry showed higher astigmatism in the involved eye (P=0.004). The fundus showed disc pallor, edema, and/or choroidal folds, of which disc edema resolved in all cases after surgery. In all, 40% of the affected eyes had a deficient color vision and this partially improved postoperatively (P=0.25). GVF had abnormalities in 10 cases, half of which normalized postoperatively (P=0.04). The VER of affected eyes had a mean amplitude of 8.91±4.59 μv and latency of 116.3±14.7 ms, with improvement after surgery (P=0.005 and 0.001, respectively).

CONCLUSION

Orbital tumors adversely affected visual functions. The presenting acuity depended on disc changes, color vision abnormalities, and prolonged VER latency. The postoperative VA depended on VA at presentation, amount of proptosis, degree of hyperopia, and clinically significant VER abnormalities.

Evaluation of calcium dobesilate for its anti-cataract potential in experimental animal models

The present study evaluated the protective action of calcium dobesilate (CDO) in various experimental models of cataract. CDO was studied in hydrocortisone-induced cataract in developing chick embryos and selenite-induced cataract in pups. CDO anti-cataract activity was also evaluated after oral and topical application as eye drops in galactose (30%) fed rats. This study was further extended to evaluate the intraocular penetration of a single dose of 1% CDO (50 microL) in rabbits. CDO exhibited significant protection against cataract in experimental models and considerable penetration after single topical application. Anti-cataract activity may be due to its antioxidant as well as aldose reductase inhibitor properties. Further studies are in progress to evaluate its clinical efficacy in diabetic cataract.

Tripartite entanglement versus tripartite nonlocality in three-qubit Greenberger-Horne-Zeilinger-class states

We analyze the relationship between tripartite entanglement and genuine tripartite nonlocality for three-qubit pure states in the Greenberger-Horne-Zeilinger class. We consider a family of states known as the generalized Greenberger-Horne-Zeilinger states and derive an analytical expression relating the three-tangle, which quantifies tripartite entanglement, to the Svetlichny inequality, which is a Bell-type inequality that is violated only when all three qubits are nonlocally correlated. We show that states with three-tangle less than 1/2 do not violate the Svetlichny inequality. On the other hand, a set of states known as the maximal slice states does violate the Svetlichny inequality, and exactly analogous to the two-qubit case, the amount of violation is directly related to the degree of tripartite entanglement. We discuss further interesting properties of the generalized Greenberger-Horne-Zeilinger and maximal slice states.

Ocular hazards of the colors used during the festival-of-colors (Holi) in India--malachite green toxicity

The objective of this study was to evaluate the nature of the colors used and their toxicity to the eye upon exposure to them during celebration of Holi (our festival-of-colors). Color powders and formulations were procured at random in and around Delhi during the festival. The green/bluish-green colors reported with the higher incidence of ocular toxicity were subjected for further evaluation. Eyewash fluid collected from the patients exposed to the colors was also subjected for analysis. This study was further extended to evaluate the corneal penetration of malachite green using goat cornea in perfusion chamber. In 16/18 color samples collected, malachite green or 4-[(4-dimethylaminophenyl)-phenyl-methyl]-N,N-dimethyl-aniline was detected at different concentrations. In the eyewash fluid of four patients, HPLC estimation confirmed the presence of malachite green at concentrations of 1.3, 0.18, 3.5 and 5.4 microg in 250 ml which was responsible for its reported toxicity. The in vitrotrans-corneal penetration studies did not show any detectable amount of malachite green in effluent fluid-in vitro tissue retention studies revealed that increasing the contact time increases tissue concentration. After 2 min of exposure, the tissue concentration was significantly higher. To conclude, malachite green was extensively used in our festival of Holi and has caused severe ocular irritation with epithelial defect upon exposure, though it did not penetrate through the cornea-further in vitro and in vivo studies are required on colors used in Holi.

Vitreous and aqueous penetration of orally administered moxifloxacin in humans

OBJECTIVE

To investigate the intraocular penetration of moxifloxacin into the aqueous and vitreous after oral administration in humans.

METHODS

A prospective, nonrandomized study of 27 consecutive patients scheduled for elective parsplana vitrectomy surgery between 1 October and 31 December 2004 was carried out. Aqueous, vitreous, and serum samples were obtained and analysed after oral administration of a single 400 mg tablet of moxifloxacin a few hours before surgery. Assays were performed using high-performance liquid chromatography.

RESULTS

Mean+/-SD moxifloxacin concentrations in the serum (n=27), aqueous (n=25), and vitreous (n=27) were 1.34+/-0.98, 0.21+/-0.21, and 0.09+/-0.09 microg/ml, respectively. The mean+/-SD sampling times after oral administration of the moxifloxacin tablet for serum, aqueous, and vitreous were 2.02+/-0.51, 1.53+/-0.45, and 1.55+/-0.46 h, respectively. The minimum inhibitory concentration for 90% of isolates (MIC90) was far exceeded in the aqueous for a wide spectrum of key pathogens, whereas it was not exceeded in the vitreous for several organisms. Of note, the MIC90 for Staphylococcus epidermidis was not exceeded in any of the samples.

CONCLUSIONS

Orally administered moxifloxacin achieves measurable levels in the noninflammed human eye, with the aqueous levels effective against a variety of pathogens. However, the spectrum of coverage does not appropriately encompass the most common causative organisms in endophthalmitis, especially Staphylococcus epidermidis. Further studies are needed to precisely define the role of oral moxifloxacin in the treatment of or prophylaxis against intraocular infections.

Protection from ultraviolet radiation by spectacle lenses available in India: a comparative study

BACKGROUND

Exposure to ultraviolet radiation (UVR) can result in several ocular ailments. We studied the UV absorption (UV-A and -B bands) in 20 lenses (11 hard resin and 9 glass) commonly available in India as uncut lenses for the purpose of prescription as well as non-prescription wear.

METHODS

Using a UV-visible spectrophotometer (Thermo-Spectronic, UV-1 model, Thermo Electron Corporation, USA), the percentage transmittance was scanned between 190 and 400 nm, from which the results at 280, 320, 340, 360, 380 and 400 nm were analysed.

RESULTS

At 360 nm (UV-A), 75% of the lenses studied failed to offer 95% protection as recommended by the United States Food and Drug Administration (US FDA). At 280 nm (UV-B), 35% of the lenses failed to offer 99% protection against UV-B. Hard resin lenses showed a higher degree of variation in protection from UV-A.

CONCLUSIONS

Most of the lenses studied failed to meet the US FDA recommendations in terms of protection from UV-A. Glass lenses afforded better protection up to 320 nm compared with hard resin lenses. As the claims of lens manufacturers regarding UVR protection fall short of international standards, certification of UVR protection for different lenses should be introduced in India.

Anatomic variations of foramen ovale

OBJECTIVES

Foramen ovale is of great surgical and diagnostic importance in procedures like percutaneous trigeminal rhizotomy for trigeminal neuralgia, transfacial fine needle aspiration technique in perineural spread of tumour and electroencephalographic analysis for seizure. This study presents the anatomic variations in dimensions, appearance and number of foramen ovale.

METHODS

We studied 35 dried human skulls available in the Department of Anatomy, Manipal college of Medical Sciences, Pokhara, Nepal. Variations in appearance and number of foramen ovale were noted. Length and width of foramen ovale was measured. Comparison with other races and differences between right and left sides were also discussed.

RESULTS

Out of 70 sides in 35 adult skulls, mean length and width of foramen ovale was 7.46+/-1.41 mm and 3.21+/-1.02 mm on right side and 7.01+/-1.41 mm and 3.29+/-0.85 mm on left side. Shape of foramen ovale was typically oval in 43, (22 on right, 21 on left) almond shape in 24 (Fig.1, arrowhead; 11 right, 13 left), round in 2(1 right, 1 left) and slit-like in 1(Fig.1, arrow). Bilateral oval foramen was observed in 15 and bilateral almond was in 7. Out of 70 sides in 35 adult skulls 3 (2 left, 1 right) sides had spine on the margin of the foramen (Fig.2, arrow), 3 (2 left, 1 right) had tubercle protruding from the margin (Fig. 3, arrow), 2 (1 left, 1 right) sides had bridge like bony spur dividing the foramen into two compartments(Fig. 2, arrowhead), 9 (5 left, 4 right) had bony plate on the margin of foramen ovale (Fig. 4, arrow). Variant foramen ovale was observed in 24.2%.

CONCLUSION

Anatomical variations in size and shape of foramen ovale could be explained by developmental reasons. Considering the immense surgical and diagnostic importance of foramen ovale, this study was worthwhile.

Geometric phase distributions for open quantum systems

In an open system, the geometric phase should be described by a distribution. We show that a geometric phase distribution for open system dynamics is in general ambiguous, but the imposition of reasonable physical constraints on the environment and its coupling with the system yields a unique geometric phase distribution that applies even for mixed states, nonunitary dynamics, and noncyclic evolutions.

Entanglement as a signature of quantum chaos

We explore the dynamics of entanglement in classically chaotic systems by considering a multiqubit system that behaves collectively as a spin system obeying the dynamics of the quantum kicked top. In the classical limit, the kicked top exhibits both regular and chaotic dynamics depending on the strength of the chaoticity parameter kappa in the Hamiltonian. We show that the entanglement of the multiqubit system, considered for both the bipartite and the pairwise entanglement, yields a signature of quantum chaos. Whereas bipartite entanglement is enhanced in the chaotic region, pairwise entanglement is suppressed. Furthermore, we define a time-averaged entangling power and show that this entangling power changes markedly as kappa moves the system from being predominantly regular to being predominantly chaotic, thus sharply identifying the edge of chaos. When this entangling power is averaged over all states, it yields a signature of global chaos. The qualitative behavior of this global entangling power is similar to that of the classical Lyapunov exponent.