3D printed, personalized sustained release cortisol for patients with adrenal insufficiency.

The standard of care for patients with Adrenal Insufficiency (AI) is suboptimal. Administration of hydrocortisone three times a day produces plasma cortisol fluctuations associated with negative health outcomes. Furthermore, there is a high inter-individual variability in cortisol need, necessitating a personalized approach. It is hypothesized that a personalized, sustained release formulation would enhance the pharmacotherapy by mimicking the physiological cortisol plasma concentration at a higher level. Therefore, a novel 24 h sustained release 3D printed (3DP) hydrocortisone formulation has been developed (M3DICORT) by coupling hot-melt extrusion with fused deposition modeling. A uniform drug distribution in the 3DP tablets is demonstrated by a content of 101.66 ± 1.60 % with an acceptance value of 4.01. Furthermore, tablets had a stable 24 h dissolution profile where the intra-batch standard deviation was ± 2.8 % and the inter-batch standard deviation was ± 6.8 %. Tablet height and hydrocortisone content were correlated (R2 = 0.996), providing a tool for easy dose personalization. Tablets maintained critical quality attributes, such as dissolution profile (f2 > 60) and content uniformity after process transfer from a single-screw extruder to a twin-screw extruder. Impurities were observed in the final product which should be mitigated before clinical assessment. To our knowledge, M3DICORT is the first 3DP hydrocortisone formulation specifically developed for AI.

Measurement of the neutron radius of 208Pb through parity violation in electron scattering.

We report the first measurement of the parity-violating asymmetry A(PV) in the elastic scattering of polarized electrons from 208Pb. A(PV) is sensitive to the radius of the neutron distribution (R(n)). The result A(PV)=0.656±0.060(stat)±0.014(syst) ppm corresponds to a difference between the radii of the neutron and proton distributions R(n)-R(p)=0.33(-0.18)(+0.16) fm and provides the first electroweak observation of the neutron skin which is expected in a heavy, neutron-rich nucleus.

A RICH detector for hadron identification at JLab.

The "standard" Hall A apparatus at Jefferson Lab (TOF and aerogel threshold Cherenkov detectors) does not provide complete identification for proton, kaon and pion. To this aim, a proximity focusing C(6)F(14)/CsI RICH (Ring Image CHerenkov) detector has been designed, built, tested and operated to separate kaons from pions with a pion contamination of a few percent up to 2.4GeV/c. Two quite different experimental investigations have benefitted of the RICH identification: on one side, the high-resolution hypernuclear spectroscopy series of experiments on carbon, beryllium and oxygen, devoted to the study of the lambda-nucleon potential. On the other side, the measurements of the single spin asymmetries of pion and kaon on a transversely polarized (3)He target are of utmost interest in understanding QCD dynamics in the nucleon. We present the technical features of such a RICH detector and comment on the presently achieved performance in hadron identification.

Nucleon form factor studies at JLab.

The ratio of the electromagnetic proton elastic form factors, G(p)(E)/G(p)(M), has been measured at Jefferson Lab up to Q(2) approximately 9(GeV/c)(2), by using the CEBAF 6GeV electron beam, and revealing an unexpected and challenging physical behaviour. The 2014 scheduled 12GeV upgrade will allow the measurement of G(p)(E)/G(p)(M) up to Q(2) approximately 15(GeV/c)(2), by taking advantage of the new large-acceptance forward spectrometer Super BigBite (SBS) in Hall A. Measurements of neutron form factors in the region around 10(GeV/c)(2), where quark confinement plays an important role, are expected to show the behaviour already observed in the proton case.

Experimental measurements of sidebranching in thermal dendrites under terrestrial-gravity and microgravity conditions.

We perform sidebranch measurements on pure succinonitrile dendrites grown in both microgravity and terrestrial-gravity conditions for a set of supercoolings within the range 0.1-1.0 K. Two distinct types of sidebranch regions, uniform and coarsening, exist, and are characterized by the distance from the tip at which the region began, D(i), and the average spacing of sidebranches within that region, lambda(i). There does not appear to be any significant dependence on either gravity level or supercooling when D(i) or lambda(i) are normalized with respect to the radius of curvature of the tip, R. The apparently constant normalized proportionality factor between D(i), lambda(i), and R, regardless of the relative importance of diffusion and convective heat transport, demonstrates self-similarity between dendrites of different length scales propagating under various heat transfer conditions. However, when the form of the sidebranch envelope is defined by a power law relating the amplitude and relative positions of the sidebranches normalized to the radius of the tip, the form is seen to have significant variations with supercooling between the terrestrial gravity and microgravity growth dendrites. Furthermore, both the amplitude coefficient and exponent from the power-law regressions of the microgravity data are statistically different (95% confidence level) than their terrestrial counterparts.