African Bush Viper Envenomation: A Case Report

Atheris squamigera envenomation is an infrequently documented occurrence in the United States (US). Cases of envenomation may induce severe coagulopathies, renal failure, and potentially life-threatening hemorrhage. Currently, there are no antivenoms specific to the Atheris genus, but there have been documented cases of the use of antivenoms for other species. A 26-year-old man presented to the emergency department (ED) complaining of swelling and discomfort in his left foot after being bitten by an Atheris squamigera that he kept as a pet.After performing a physical exam, it was noted that the patient’s envenomation was likely mild. Throughout his hospital stay, he developed lab abnormalities, most notably an elevated D-dimer and low fibrinogen. His clinical symptoms improved after a short stay, and he did not require antivenom treatment. This case highlights a rare, but potentially life-threatening envenomation that may be encountered in the US due to the continued practice of exotic pet ownership and sales. Moreover, procurement of antivenom for non-native species poses a unique challenge to US physicians responsible for treating these patients

Highly predictive genetic markers distinguish drug-type from fiber-type cannabis sativa L

Genetic markers can be used in seeds and in plants to distinguish drug-type from fiber-type Cannabis Sativa L. varieties even at early stages, including pre-germination when cannabinoids are not accumulated yet. With this aim, this paper reports sequencing results for tetrahydrocannabinolic acid synthase (THCAS) and cannabidiolic acid synthase (CBDAS) genes from 21 C. sativa L. varieties. Taking into account that THCAS- and CBDAS-derived enzymes compete for the same substrate, the novelty of this work relies in the identification of markers based on bothTHCASandCBDASrather than THCAS alone. Notably, in our panel, we achieved an adequate degree of discrimination (AUC 100%) between drug-type and fiber-type cannabis samples. Our sequencing approach allowed identifying multiple genetic markers (single-nucleotide polymorphisms\u2014SNPs\u2014and a deletion/insertion) that effectively discriminate between the two subgroups of cannabis, namely fiber type vs. drug type. We identified four functional SNPs that are likely to induce decreased THCAS activity in the fiber-type cannabis plants. We also report the finding on a deletion in the CBDAS gene sequence that produces a truncated protein, possibly resulting in loss of function of the enzyme in the drug-type varieties. Chemical analyses for the actual concentration of cannabinoids confirmed the identification of drug-type rather than fiber-type genotypes. Genetic markers permit an early identification process for forensic applications while simplifying the procedures related to detection of therapeutic or industrial hemp

Thermal neutron conversion by high purity 10B-enriched layers: PLD-growth, thickness-dependence and neutron-detection performances

Neutron applications and detection are of paramount importance in industry, medicine, scientific research, homeland security, production of extreme UV optics and so on. Neutron detection requires a converter element that, as a result of its interaction with neutrons, produces reaction products (mainly charged particles) whose detection can be correlated with the neutron flux. Reduced availability and increased cost of the most used converter element, 3He, have triggered research efforts for alternative materials, proper deposition methods and new detector architectures. 10B converter is a valid alternative to 3He thanks to its high thermal neutron cross section and relatively high Q value. In this paper we report on the room temperature Pulsed Laser Deposition (PLD) of high quality and uniform 10B films with the expected density, different thickness values (0.5, 1.0, 1.2, 1.5 and 2.0 μm) and uniform thickness over a circular area of about 30 mm in diameter. Additionally, they are adherent to the substrate with a negligible presence of contaminants. The conversion properties of such 10B coatings coupled to a Si solid state detector are studied upon exposure to a neutron flux from an Am-Be neutron source (2.2·106 n/s). The experimental results, compared with spectra simulated by using a GEANT4 code, present a good agreement and efficiencies of the order of a few percent

A detector system for 'absolute' measurements of fission cross sections at n_TOF in the energy range below 200 MeV

A new measurement of the $^{235}$U(n,f) cross section was performed at the neutron time-of-flight facility n_TOF at CERN. The experiment focused on neutron energies from 20 MeV to several hundred MeV, and was normalized to neutron scattering on hydrogen. This is a measurement first of its kind at this facility, in an energy range that was until now not often explored, so the detector development phase was crucial for its success. Two detectors are presented, a parallel plate fission chamber (PPFC) and a recoil proton telescope (RPT), both dedicated to perform measurements in the incident neutron energy range from 30 MeV to 200 MeV. The experiment was designed to minimize statistical uncertainties in the allocated run time. Several efforts were made to ensure that the systematic effects were understood and under control. The results show that the detectors are suited for measurements at n_TOF above 30 MeV, and indicate the path for possible future lines of development.Comment: Added acknowledgement to Euratom fundin

Inhalation therapy in the next decade : Determinants of adherence to treatment in asthma and COPD

Peer reviewedPublisher PD