A trial involving adults 50 years of age or older (ZOE-50) showed that the herpes zoster subunit vaccine (HZ/su) containing recombinant varicella-zoster virus glycoprotein E and the AS01B adjuvant ...system was associated with a risk of herpes zoster that was 97.2% lower than that associated with placebo. A second trial was performed concurrently at the same sites and examined the safety and efficacy of HZ/su in adults 70 years of age or older (ZOE-70).
This randomized, placebo-controlled, phase 3 trial was conducted in 18 countries and involved adults 70 years of age or older. Participants received two doses of HZ/su or placebo (assigned in a 1:1 ratio) administered intramuscularly 2 months apart. Vaccine efficacy against herpes zoster and postherpetic neuralgia was assessed in participants from ZOE-70 and in participants pooled from ZOE-70 and ZOE-50.
In ZOE-70, 13,900 participants who could be evaluated (mean age, 75.6 years) received either HZ/su (6950 participants) or placebo (6950 participants). During a mean follow-up period of 3.7 years, herpes zoster occurred in 23 HZ/su recipients and in 223 placebo recipients (0.9 vs. 9.2 per 1000 person-years). Vaccine efficacy against herpes zoster was 89.8% (95% confidence interval CI, 84.2 to 93.7; P<0.001) and was similar in participants 70 to 79 years of age (90.0%) and participants 80 years of age or older (89.1%). In pooled analyses of data from participants 70 years of age or older in ZOE-50 and ZOE-70 (16,596 participants), vaccine efficacy against herpes zoster was 91.3% (95% CI, 86.8 to 94.5; P<0.001), and vaccine efficacy against postherpetic neuralgia was 88.8% (95% CI, 68.7 to 97.1; P<0.001). Solicited reports of injection-site and systemic reactions within 7 days after injection were more frequent among HZ/su recipients than among placebo recipients (79.0% vs. 29.5%). Serious adverse events, potential immune-mediated diseases, and deaths occurred with similar frequencies in the two study groups.
In our trial, HZ/su was found to reduce the risks of herpes zoster and postherpetic neuralgia among adults 70 years of age or older. (Funded by GlaxoSmithKline Biologicals; ZOE-50 and ZOE-70 ClinicalTrials.gov numbers, NCT01165177 and NCT01165229 .).
BICEP1 is a millimeter-wavelength telescope designed specifically to measure the inflationary B-mode polarization of the cosmic microwave background at degree angular scales. We present results from ...an analysis of the data acquired during three seasons of observations at the South Pole (2006-2008). This work extends the two-year result published in Chiang et al., with additional data from the third season and relaxed detector-selection criteria. This analysis also introduces a more comprehensive estimation of band power window functions, improved likelihood estimation methods, and a new technique for deprojecting monopole temperature-to-polarization leakage that reduces this class of systematic uncertainty to a negligible level. We present maps of temperature, E- and B-mode polarization, and their associated angular power spectra. The improvement in the map noise level and polarization spectra error bars are consistent with the 52% increase in integration time relative to Chiang et al. We confirm both self-consistency of the polarization data and consistency with the two-year results. We measure the angular power spectra at 21 > or =, slanted scriptl > or =, slanted 335 and find that the EE spectrum is consistent with Lambda cold dark matter cosmology, with the first acoustic peak of the EE spectrum now detected at 15sigma. The BB spectrum remains consistent with zero. From B-modes only, we constrain the tensor-to-scalar ratio to r = 0.03 super(+0.27) sub(-0.23), or r < 0.70 at 95% confidence level.
The Background Imaging of Cosmic Extragalactic Polarization (BICEP) experiment was designed specifically to search for the signature of inflationary gravitational waves in the polarization of the ...cosmic microwave background (CMB). Using a novel small-aperture refractor and 49 pairs of polarization-sensitive bolometers, BICEP has completed three years of successful observations at the South Pole beginning in 2006 February. To constrain the amplitude of the inflationary B-mode polarization, which is expected to be at least 7 orders of magnitude fainter than the 3 K CMB intensity, precise control of systematic effects is essential. This paper describes the characterization of potential systematic errors for the BICEP experiment, supplementing a companion paper on the initial cosmological results. Using the analysis pipelines for the experiment, we have simulated the impact of systematic errors on the B-mode polarization measurement. Guided by these simulations, we have established benchmarks for the characterization of critical instrumental properties including bolometer relative gains, beam mismatch, polarization orientation, telescope pointing, sidelobes, thermal stability, and timestream noise model. A comparison of the benchmarks with the measured values shows that we have characterized the instrument adequately to ensure that systematic errors do not limit BICEP's two-year results, and identifies which future refinements are likely necessary to probe inflationary B-mode polarization down to levels below a tensor-to-scalar ratio r = 0.1.
Background Diagnosis of periprosthetic joint infection (PJI) in revision shoulder arthroplasty can be challenging because of the indolent nature of the common offending organisms. The purpose of this ...study was to evaluate the diagnostic utility of synovial fluid α-defensin levels in identifying PJI of the shoulder. Methods Thirty patients evaluated for painful shoulder arthroplasty were prospectively enrolled and underwent revision surgery (n = 33 cases). Cases were categorized into infection (n = 11) and no-infection (n = 22) groups on the basis of preoperative and intraoperative findings. Synovial fluid was obtained from preoperative aspirations or intraoperative aspiration before arthrotomy. α-Defensin was tested by the Synovasure (CD Diagnostics, Wynnewood, PA, USA) test for joint infection. Synovial fluid was also obtained intraoperatively from a control group undergoing arthroscopic rotator cuff repair (n = 16) for baseline data on normal α-defensin levels in the shoulder. A receiver operating characteristic curve was used to determine the diagnostic utility of synovial fluid α-defensin. Results Synovial α-defensin had an area under the curve, sensitivity, specificity, and positive and negative likelihood ratios of 0.78, 63%, 95%, 12.1, and 0.38, respectively. There was a significant difference in α-defensin levels between the infection (median, 3.2 S/CO signal to cutoff ratio) and no-infection groups (median, 0.21 S/CO; P = .006). Synovial α-defensin was elevated in the presence of a culture positive for Propionibacterium acnes (median, 1.33 S/CO; P = .03) and showed moderate correlation with the number of positive cultures. Conclusion Synovial fluid α-defensin was more effective than current diagnostic testing in predicting positive cultures and may be an effective adjunct in the workup of shoulder PJI.
Background Periprosthetic joint infection (PJI) after shoulder arthroplasty can present a diagnostic and therapeutic challenge. This study evaluated the diagnostic utility of broader synovial fluid ...cytokine analysis for identifying PJI in patients undergoing revision shoulder arthroplasty. Methods Synovial fluid levels of 9 cytokines (interleukin IL 6, granulocyte-macrophage colony-stimulating factor, IL-1β, IL-12, IL-2, IL-8, interferon-γ, IL-10, and tumor necrosis factor-α) were measured in 75 cases of revision shoulder arthroplasty with a multiplex immunoassay. Cases were classified into infection categories and groups based on objective perioperative findings. Differences in cytokine levels among infection groups were evaluated. Receiver operating characteristic curves were used to assess the diagnostic utility of the individual synovial fluid cytokines and combinations of cytokines in determining infection status. Results Synovial IL-6, granulocyte-macrophage colony-stimulating factor, interferon-γ, IL-1β, IL-2, IL-8, and IL-10 were significantly elevated in cases of revision shoulder arthroplasty classified as infected. Individually, IL-6, IL-1β, IL-8, and IL-10 showed the best combination of sensitivity and specificity for predicting infection, and a combined cytokine model consisting of IL-6, tumor necrosis factor-α, and IL-2 showed better diagnostic test characteristics than any cytokine alone, with sensitivity of 0.80, specificity of 0.93,, positive and negative predictive values of 0.87 and 0.89, and positive and negative likelihood ratios of 12.0 and 0.21. Conclusions Individual and combined synovial fluid cytokine analysis were both more effective than routine perioperative testing, such as serum erythrocyte sedimentation rate and C-reactive protein, in the diagnosis of PJI of the shoulder. Once validated, combined synovial fluid cytokine analysis could be used as a predictive tool to determine the probability of PJI in patients undergoing revision shoulder arthroplasty and better guide treatment.
We present results from an analysis of all data taken by the bicep2/Keck CMB polarization experiments up to and including the 2015 observing season. This includes the first Keck Array observations at ...220 GHz and additional observations at 95 and 150 GHz. The Q and U maps reach depths of 5.2, 2.9, and 26 μK_{CMB} arcmin at 95, 150, and 220 GHz, respectively, over an effective area of ≈400 square degrees. The 220 GHz maps achieve a signal to noise on polarized dust emission approximately equal to that of Planck at 353 GHz. We take auto and cross spectra between these maps and publicly available WMAP and Planck maps at frequencies from 23 to 353 GHz. We evaluate the joint likelihood of the spectra versus a multicomponent model of lensed-ΛCDM+r+dust+synchrotron+noise. The foreground model has seven parameters, and we impose priors on some of these using external information from Planck and WMAP derived from larger regions of sky. The model is shown to be an adequate description of the data at the current noise levels. The likelihood analysis yields the constraint r_{0.05}<0.07 at 95% confidence, which tightens to r_{0.05}<0.06 in conjunction with Planck temperature measurements and other data. The lensing signal is detected at 8.8σ significance. Running a maximum likelihood search on simulations we obtain unbiased results and find that σ(r)=0.020. These are the strongest constraints to date on primordial gravitational waves.
•Nanocrystalline magnetite particles prepared by mechanical activation enhance arsenic sorption efficiency.•Zeta potential increases with the specific surface area.•Surface site concentration ...enhances as a consequence of milling.
In this paper, the sorption of arsenic onto nanocrystalline magnetite mineral Fe3O4 was studied in a model system. Nanocrystalline magnetite was produced by mechanical activation in a planetary ball mill from natural microcrystalline magnetite. As a consequence of milling, the specific surface area increased from 0.1m2/g to 11.9m2/g and the surface site concentration enhanced from 2.2 sites/nm2 to 8.4 sites/nm2. These changes in surface properties of magnetite lead to the enhancement of arsenic removal from model system. The best sorption ability was achieved with magnetite sample activated for 90min. In this case the sample was able to absorb around 4mg/g. The structural changes of magnetite were also observed and the new hematite phase was detected after 120min of milling. A good correlation between the decreasing particle size, increasing specific surface area and reduction of saturation magnetization was found. In desorption study, KOH and NaOH were found as the best eluents where more than 70% of arsenic was released back into the solution. The principal novelty of the paper is that mineral magnetite, truly one nature's gift can be used after “smart” milling (mechanical activation) as an effective arsenic sorbent.
Context. The study of large and representative samples of low-metallicity star-forming galaxies at different cosmic epochs is of great interest to the detailed understanding of the assembly history ...and evolution of low-mass galaxies. Aims. We present a thorough characterization of a large sample of 183 extreme emission-line galaxies (EELGs) at redshift 0.11 \textless= z \textless= 0.93 selected from the 20k zCOSMOS bright survey because of their unusually large emission line equivalent widths. Methods. We use multiwavelength COSMOS photometry, HST-ACS I-band imaging, and optical zCOSMOS spectroscopy to derive the main global properties of star-forming EELGs, such as sizes, stellar masses, star formation rates (SFR), and reliable oxygen abundances using both “direct” and “strong-line” methods. Results. The EELGs are extremely compact (r(50) similar to 1.3 kpc), low-mass (M-* similar to 10(7)-10(10) M-circle dot) galaxies forming stars at unusually high specific star formation rates (sSFR equivalent to SFR/M-star up to 10(-7) yr(-1)) compared to main sequence star-forming galaxies of the same stellar mass and redshift. At rest-frame UV wavelengths, the EELGs are luminous and show high surface brightness and include strong Ly alpha emitters, as revealed by GALEX spectroscopy. We show that zCOSMOS EELGs are high-ionization, low-metallicity systems, with median 12+log(O/H) = 8.16 +/- 0.21 (0.2 Z(circle dot)) including a handful of extremely metal-deficient (\textless0.1 Z(circle dot)) EELGs. While similar to 80% of the EELGs show non-axisymmetric morphologies, including clumpy and cometary or tadpole galaxies, we find that similar to 29% of them show additional low-surface-brightness features, which strongly suggests recent or ongoing interactions. As star-forming dwarfs in the local Universe, EELGs are most often found in relative isolation. While only very few EELGs belong to compact groups, almost one third of them are found in spectroscopically confirmed loose pairs or triplets. Conclusions. The zCOSMOS EELGs are galaxies caught in a transient and probably early period of their evolution, where they are efficiently building up a significant fraction of their present-day stellar mass in an ongoing, galaxy-wide starburst. Therefore, the EELGs constitute an ideal benchmark for comparison studies between low- and high-redshift low-mass star-forming galaxies.
We present results from an analysis of all data taken by the BICEP2 and Keck Array cosmic microwave background (CMB) polarization experiments up to and including the 2014 observing season. This ...includes the first Keck Array observations at 95 GHz. The maps reach a depth of 50 nK deg in Stokes Q and U in the 150 GHz band and 127 nK deg in the 95 GHz band. We take auto- and cross-spectra between these maps and publicly available maps from WMAP and Planck at frequencies from 23 to 353 GHz. An excess over lensed ΛCDM is detected at modest significance in the 95×150 BB spectrum, and is consistent with the dust contribution expected from our previous work. No significant evidence for synchrotron emission is found in spectra such as 23×95, or for correlation between the dust and synchrotron sky patterns in spectra such as 23×353. We take the likelihood of all the spectra for a multicomponent model including lensed ΛCDM, dust, synchrotron, and a possible contribution from inflationary gravitational waves (as parametrized by the tensor-to-scalar ratio r) using priors on the frequency spectral behaviors of dust and synchrotron emission from previous analyses of WMAP and Planck data in other regions of the sky. This analysis yields an upper limit r_{0.05}<0.09 at 95% confidence, which is robust to variations explored in analysis and priors. Combining these B-mode results with the (more model-dependent) constraints from Planck analysis of CMB temperature plus baryon acoustic oscillations and other data yields a combined limit r_{0.05}<0.07 at 95% confidence. These are the strongest constraints to date on inflationary gravitational waves.
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