The microbiome in patients with atopic dermatitis.

As an interface with the environment, the skin is a complex ecosystem colonized by many microorganisms that coexist in an established balance. The cutaneous microbiome inhibits colonization with pathogens, such as Staphylococcus aureus, and is a crucial component for function of the epidermal barrier. Moreover, crosstalk between commensals and the immune system is now recognized because microorganisms can modulate both innate and adaptive immune responses. Host-commensal interactions also have an effect on the developing immune system in infants and, subsequently, the occurrence of diseases, such as asthma and atopic dermatitis (AD). Later in life, the cutaneous microbiome contributes to the development and course of skin disease. Accordingly, in patients with AD, a decrease in microbiome diversity correlates with disease severity and increased colonization with pathogenic bacteria, such as S aureus. Early clinical studies suggest that topical application of commensal organisms (eg, Staphylococcus hominis or Roseomonas mucosa) reduces AD severity, which supports an important role for commensals in decreasing S aureus colonization in patients with AD. Advancing knowledge of the cutaneous microbiome and its function in modulating the course of skin disorders, such as AD, might result in novel therapeutic strategies

Solving Mechanics Problems Using Meta-Level Inference

In this paper we shall describe a program (MECHO), written in Prolog[14], which solves a wide range of mechanics problems from statements in both predicate calculus and English. Mecho uses the technique of meta-level inference to control search in natural language understanding, common sense inference, model formation and algebraic manipulation. We argue that this is a powerful technique for controlling search while retaining the modularity of declarative knowledge representations

1,3-Bis(4-bromo­phen­yl)imidazolium chloride dihydrate

In the title hydrated salt, C15H11Br2N2 +·Cl−·2H2O, the complete imidazolium cation is generated by a crystallographic twofold axis, with one C atom lying on the axis. The chloride ion and both water mol­ecules of crystallization also lie on a crystallographic twofold axis of symmetry. The cation is non-planar, the dihedral angle formed between the central imidazolium and benzene rings being 12.9 (3)°; the dihedral angle between the symmetry-related benzene rings is 25.60 (13)°. In the crystal, O—H⋯Cl hydrogen bonds result in supra­molecular chains along c mediated by eight-membered {⋯HOH⋯Cl}2 synthons. These are consolidated by C—H⋯O and π–π [centroid–centroid distance = 3.687 (3) Å] inter­actions

Acute changes in peritoneal morphology and transport properties with infectious peritonitis and mechanical injury

Acute changes in peritoneal morphology and transport properties with infectious peritonitis and mechanical injury. Peritoneal clearance studies were performed in rats undergoing acute peritoneal dialysis. Some of these animals were then exposed to laparotomy and mechanical drying of the peritoneum. Peritoneal clearance studies were repeated at intervals up to 11 days. Another group of rats was placed on daily peritoneal dialysis and allowed to spontaneously develop peritonitis which was not treated. These rats underwent peritoneal transport studies at differing durations of infection. In all groups, animals were sacrificed at the time of the last transport studies for morphological assessment of the peritoneum by light microscopy, scanning electron microscopy, and transmission electron microscopy. The results showed similar decreases in drainage volume and increases in glucose absorption and protein losses with both infection and drying. Both types of injury resulted in extensive mesothelial structural changes. While drying caused mainly denudation of the mesothelial surface, infectious peritonitis was associated with separation of mesothelial cells, and the appearance of numerous white blood cells between and on mesothelial cells. Exposure to peritoneal dialysis alone had no obvious effects on anatomy. Although changes in the peritoneal microcirculation and deeper structures cannot be excluded as contributing to peritoneal transport alterations, the findings suggest that alterations of mesothelium might explain some of the changes in peritoneal transport properties under the conditions of these studies.Modifications aiguës de la morphologie et des propriétés de transport du péritoine par péritonite infectieuse et lésion mécanique. Des études de clearance péritonéale ont été entreprises chez des rats en dialyse péritonéale aiguë. Certains de ces animaux étaient soumis à une laparotomie et à un séchage mécanique du péritoine. Les études de clearance péritonéale étaient répétées à des intervalles allant jusqu'à 11 jours. Un autre groupe de rat était placé en dialyse péritonéale journalière, et il pouvait développer spontanément une péritonite qui n'était pas traitée. Chez ces rats ont été effectuées des études de transport péritonéal à différents stades d'infection. Dans tous les groupes, les animaux étaient sacrifiés lors de la dernière étude de transport afin d'étudier morphologiquement le péritoine par microscopie optique, microscopie électronique à balayage, et microscopie électronique par transmission. Les résultats ont montré des diminutions du volume de drainage et des augmentations de l'absorption du glucose et des pertes protéiques identiques avec l'infection ou le séchage. Les deux types de lésions ont entrainé des modifications structurelles mésothéliales importantes. Tandis que le séchage entrainait principalement une dénudation de la surface mésothéliale, la péritonite infectieuse était associée à une séparation des cellules mésothéliales, et à l'apparition de nombreux globules blancs entre et sur les cellules mésothéliales. L'exposition à la dialyse péritonéale seule n'avait pas d'effets anatomiques évidents. Bien que la contribution aux altérations du transport péritonéal de modifications de la micro-circulation péritonéale et des structures plus profondes ne puisse être exclue, ces résultats suggèrent que les altérations du mésothélium pourraient expliquer certaines des modifications des propriétés de transport péritonéal dans les conditions de ces études