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Withdrawal of infliximab or concomitant immunosuppressant therapy in patients with Crohn's disease on combination therapy (SPARE) : a multicentre, open-label, randomised controlled trial

Background: The combination of infliximab and immunosuppressant therapy is a standard management strategy for patients with Crohn's disease. Concerns regarding the implications of long-term combination therapy provided the rationale for a formal clinical trial of treatment de-escalation. Our aim was to compare the relapse rate and the time spent in remission over 2 years between patients continuin

Alkaline sphingomyelinase (NPP7) impacts the homeostasis of intestinal T lymphocyte populations

Background and aim: Alkaline sphingomyelinase (NPP7) is expressed by intestinal epithelial cells and is crucial for the digestion of dietary sphingomyelin. NPP7 also inactivates proinflammatory mediators including platelet-activating factor and lysophosphatidylcholine. The aim of this study was to examine a potential role for NPP7 in the homeostasis of the intestinal immune system. Methods: We qua

An exploration of opportunities for a theory of information inadequacy

Our everyday experiences show that the lack of needed information in various human affairs may give rise to consequences that we would like to avoid – e.g. the 2004 Tsunami in Southeast Asia. However, we still do not have a coherent theoretical body that addresses such experiences of information inadequacy as this changes everything in respect to the current conception of the information society,

Targets of complement-fixing antibodies in protective immunity against malaria in children

Antibodies against P. falciparum merozoites fix complement to inhibit blood-stage replication in naturally-acquired and vaccine-induced immunity; however, specific targets of these functional antibodies and their importance in protective immunity are unknown. Among malaria-exposed individuals, we show that complement-fixing antibodies to merozoites are more strongly correlated with protective immu

Towards a holistic prioritization of climate-change risks for bridges

Although the projected changes in the climate include considerable uncertainties, especially with downscaling, there is irrefutable evidence that the climate is changing at an unprecedented and alarming rate. In recent studies, some of the potential climate-change risks on bridges have been identified. The sheer number of these potential risks provokes two questions. Firstly, for a certain risk of

Modulating Charge-Carrier Dynamics in Mn-Doped All-Inorganic Halide Perovskite Quantum Dots through the Doping-Induced Deep Trap States

Transition-metal ion doping has been demonstrated to be effective for tuning the photoluminescence properties of perovskite quantum dots (QDs). However, it would inevitably introduce defects in the lattice. As the Mn concentration increases, the Mn dopant photoluminescence quantum yield (PLQY) first increases and then decreases. Herein the influence of the dopant and the defect states on the photo

INTEGRATING EXPERTISES and AMBITIONS for DATA-DRIVEN DIGITAL BUILDING PERMITS - The EUNET4DBP

The digitalization of the process for building permit (involving the use of 3D information systems) is seen as a priority in a wide part of the world. Since it is a very multidisciplinary use case, involving a variety of stakeholders tackling complex issues and topics, some of them joined their efforts and skills in the European Network for Digital Building Permit. The initial activity of the netw

A conceptual framework for an integrated lignin biorefinery-petroleum refinery

Co-feeding of renewable feedstocks in general, and lignin streams in particular, in petroleum refineries is an attractive means of increasing the proportion of renewable fuel. Four separate units in an integrated refinery can be envisioned using lignin as a feedstock: the hydrotreater, the fluidised catalytic cracker, the hydrocracker and the slurry hydrotreater. A conceptual process design study,

Generation of trisomies in cancer cells by multipolar mitosis and incomplete cytokinesis.

One extra chromosome copy (i.e., trisomy) is the most common type of chromosome aberration in cancer cells. The mechanisms behind the generation of trisomies in tumor cells are largely unknown, although it has been suggested that dysfunction of the spindle assembly checkpoint (SAC) leads to an accumulation of trisomies through failure to correctly segregate sister chromatids in successive cell div

A Grin without a Cat 1 : 'Adversus Iudaeos' Texts in the Literature of Medieval Russia (988–1504)

This study, which is the first and main part of a two-volume work, is concerned with the history and philology of original and translated works Adversus Iudaeos circulating among the Eastern Slavs from the baptism of Rus' c.988 till the early 16th century. Excluded is the literature of Lithuanian Ruthenia from the 14th century onwards. On the material of 11–15th-century MSS the dissemination of th

Inhibitory effect of UDP-glucose on cAMP generation and insulin secretion

Type-2 diabetes (T2D) is a global disease caused by the inability of pancreatic β-cells to secrete adequate insulin. However, the molecular mechanisms underlying the failure of β-cells to respond to glucose in T2D remains unknown. Here, we investigated the relative contribution of UDP-glucose (UDP-G), a P2Y14-specific agonist, in the regulation of insulin release using human isolated pancreatic is

Normal Reference Ranges for Transthoracic Echocardiography Following Heart Transplantation

Background: Heart function following heart transplantation (HTx) is influenced by numerous factors. It is typically evaluated using transthoracic echocardiography, but reference values are currently unavailable for this context. The primary aim of the present study was to derive echocardiographic reference values for chamber size and function, including cardiac mechanics, in clinically stable HTx

Residual Models and Stochastic Realization in State-Space System Identification

This paper presents theory and algorithms for validation in system identification of state-space models from finite input-output sequences in a subspace model identification framework. Similar to the case of prediction-error identification, it is shown that the resulting model can be decomposed into an input-output model and a stochastic innovations model. Using the Riccati equation, we have desig

Utilizing the generic design analysis (GDA) process model within an extended set of design analysis contexts

In most industrial product development projects, computer-based design analysis, or simply design analysis, is frequently utilized. Several design analysis process models exist in the literature for the planning, execution and follow-up of such design analysis tasks. Most of these process models deal explicitly with design analysis tasks within two specific contexts: the context of design evaluati

Motion capture-based animated characters for the study of speech-gesture integration

Digitally animated characters are promising tools in research studying how we integrate information from speech and visual sources such as gestures because they allow specific gesture features to be manipulated in isolation. We present an approach combining motion capture and 3D-animated characters that allows us to manipulate natural individual gesture strokes for experimental purposes, for examp

Combining Congenital Heart Surgical and Interventional Cardiology Outcome Data in a Single Database : The Development of a Patient-Centered Collaboration of the European Congenital Heart Surgeons Association (ECHSA) and the Association for European Paediatric and Congenital Cardiology (AEPC)

The European Congenital Heart Surgeons Association (ECHSA) Congenital Database (CD) is the second largest clinical pediatric and congenital cardiac surgical database in the world and the largest in Europe, where various smaller national or regional databases exist. Despite the dramatic increase in interventional cardiology procedures over recent years, only scattered national or regional databases

Multiphoton-multiplasmon excitation of C60

Time-of-flight mass spectrometry is used to study the interaction of free C60 molecules with ultrashort high power Ti:sapphire laser pulses. Ionization and fragmentation of C60 by ultrashort high-intensity laser pulses occur predominantly via plasmon excitation. Single and double excitation of collective charge oscillation is observed by remarkably large number of photons. The difference between a

GeoBIM Benchmark 2019 : Intermediate results

An investigation into the implementation state of open standards in software is currently ongoing through the ISPRS/EuroSDR 'GeoBIM benchmark 2019' initiative, which kicked off earlier this year. The benchmark activity provides a way of assessing and comparing the functionality of different software packages in GIS and BIM in terms of their ability to handle standardised data (IFC and CityGML) and

Mapping of quick clay using sounding methods and resistivity in the Gota River valley

For a long time, the predominant method for detection of quick clay in Sweden has been to take undisturbed samples and to perform fall-cone tests on the clay in its undisturbed and remoulded state. In connection with a large stability investigation covering both sides of the Gota River, from the lake Vanern to the city of Gothenburg, the usefulness of CPTu and static pressure sounding for mapping

Serum Neurofilament Light Chain for Prognosis of Outcome after Cardiac Arrest

Importance: Prognostication of neurologic outcome after cardiac arrest is an important but challenging aspect of patient therapy management in critical care units. Objective: To determine whether serum neurofilament light chain (NFL) levels can be used for prognostication of neurologic outcome after cardiac arrest. Design, Setting and Participants: Prospective clinical biobank study of data from t