Fundus changes in AIDS

A IDS is a devastating disease that affects 28,000 people in the United States and has claimed over 16,000 lives. More than 270,000 persons are expected to contract the syndrome by 1991. Most AIDS patients are male homosexuals, intravenous drug users, of Haitian descent, or hemophiliacs. The causative agent in AIDS is the retrovirus HTLV-III/LAV. Infection with the AIDS virus causes a major collapse of the T-cell arm of the immune system, rendering the host vulnerable to a multitude of opportunistic infections and neoplasms. The most common fundus change observed in AIDS is cotton-wool spots. Cytomegalovirus (CMV) retinitis is the most damaging ocular finding since it may lead to total retinal atrophy. Retinal hemorrhages, Roth spots, and periphlebitis are manifestations of microvascular alterations that occur in AIDS. Opportunistic infections by Toxoplasma sp. and Mycobacterium sp. may also be manifest

Removal of Microcystis aeruginosa using cationic starch modified soils

A cheap and biodegradable modifier, cationic starch (CS), was used to turn local soils into effective flocculants for Microcystis aeruginosa (M. aeruginosa) removal. The isoelectric point of soil particles was remarkably increased from pH 0.5 to 11.8 after modification with CS, which made CS modified soil particles positively charged and obtain algal flocculation ability. At the soil concentration of 100 mg/L, when the CS modifier was 10 mg/L, 86% of M. aeruginosa cells were removed within 30 min. Lower or higher CS dosage led to limited algal removal. About 71% and 45% of M. aeruginosa cells were removed within 30 min when CS was 5 mg/L and 80 mg/L, respectively. This is because only part of algal cells combined with CS modified soil particles through charge neutralization at low dosage, while flocs formed at high CS dosage were positively charged which prevents further aggregation among the flocs. The floc stability was quantified by a floc breakage index under applied shear force. Algal flocs formed at acid and alkaline conditions were more prone to be broken than those at the neutral condition. The cost and biodegradability concerns may be largely reduced through the use of CS modified local soils. For field applications, other practical issues (e.g., re-suspension) should be further studied by jointly using other method

A compendium of ecological knowledge for restoration of freshwater fishes in Australia’s Murray–Darling Basin

Many freshwater fishes are imperilled globally, and there is a need for easily accessible, contemporary ecological knowledge to guide management. This compendium contains knowledge collated from over 600 publications and 27 expert workshops to support the restoration of 9 priority native freshwater fish species, representative of the range of life-history strategies and values in south-eastern Australia’s Murray–Darling Basin. To help prioritise future research investment and restoration actions, ecological knowledge and threats were assessed for each species and life stage. There is considerable new knowledge (80% of publications used were from the past 20 years), but this varied among species and life stages, with most known about adults, then egg, juvenile and larval stages (in that order). The biggest knowledge gaps concerned early life stage requirements, survival, recruitment, growth rates, condition and movements. Key threats include reduced longitudinal and lateral connectivity, altered flows, loss of refugia, reductions in both flowing (lotic) and slackwater riverine habitats, degradation of wetland habitats, alien species interactions and loss of aquatic vegetation. Examples and case studies illustrating the application of this knowledge to underpin effective restoration management are provided. This extensive ecological evidence base for multiple species is presented in a tabular format to assist a range of readers

Constraints on the Emplacement of Martian Nakhlite Igneous Rocks and Their Source Volcano From Advanced Micro‐Petrofabric Analysis

The Martian nakhlite meteorites, which represent multiple events that belong to a single magma source region represent a key opportunity to study the evolution of Martian petrogenesis. Here 16 of the 26 identified nakhlite specimens are studied using coupled electron backscatter diffraction (EBSD) and emplacement end-member calculations. EBSD was used to determine shape preferred orientation of contained augite (high Ca-clinopyroxene) phenocrysts by considering their crystallographic preferred orientation (CPO). Parameters derived from EBSD, and energy dispersive X-ray spectroscopy spectra were used in basic emplacement models to assess their dominant mechanism against three end-member scenarios: thermal diffusion, crystal settling, and crystal convection. Results from CPO analyses indicate low intensity weak-moderate CPO. In all samples, a consistent foliation within the axes of augite are observed typically coupled with a weaker lineation CPO in one of the other crystallographic axes. These CPO results agree best with crystal settling being the dominant emplacement mechanism for the nakhlites. Modeled crystal settling results identify two distinguishable groups outside of the model's resolution indicating the presence of secondary emplacement mechanisms. Comparison of the two identified groups against CPO, geochemical, and age parameters indicate random variability between individual meteorites. Therefore, coupled CPO and emplacement modeling results identify an overarching characteristic of a dominant crystal settling emplacement mechanism for the nakhlite source volcano despite exhibiting random variation with each discharge through time.ISSN:0148-0227ISSN:2169-909

Molecular modeling indicates distinct classes of missense variants with mild and severe XLRS phenotypes

X-linked retinoschisis (XLRS) is a vitreo-retinal degeneration caused by mutations in the RS1 gene which encodes the protein retinoschisin (RS1), required for the structural and functional integrity of the retina. Data are presented from a group of 38 XLRS patients from Moorfields Eye Hospital (London, UK) who had one of 18 missense mutations in RS1. Patients were grouped based on mutation severity predicted by molecular modeling: mild (class I), moderate (intermediate) and severe (class II). Most patients had an electronegative scotopic bright flash electroretinogram  (ERG) (reduced b/a-wave ratio) in keeping with predominant inner retinal dysfunction. An association between the type of structural RS1 alterations and the severity of b/a-wave reduction was found in all but the oldest group of patients, significant in patients aged 15–30 years. Severe RS1 missense changes were associated with a lower ERG b/a ratio than were mild changes, suggesting that the extent of inner retinal dysfunction is influenced by the effect of the mutations on protein structure. The majority of class I mutations showed no changes involving cysteine residues. Class II mutations caused severe perturbations due to the removal or insertion of cysteine residues or due to changes in the hydrophobic core. The ERG b/a ratio in intermediate cases was abnormal but showed significant variability, possibly related to the role of proline or arginine residues. We also conducted a second study, using a completely independent cohort, to indicate a genotype–ERG phenotype correlation

Global and regional burden of hospital admissions for severe acute lower respiratory infections in young children in 2010: a systematic analysis.

BACKGROUND: The annual number of hospital admissions and in-hospital deaths due to severe acute lower respiratory infections (ALRI) in young children worldwide is unknown. We aimed to estimate the incidence of admissions and deaths for such infections in children younger than 5 years in 2010. METHODS: We estimated the incidence of admissions for severe and very severe ALRI in children younger than 5 years, stratified by age and region, with data from a systematic review of studies published between Jan 1, 1990, and March 31, 2012, and from 28 unpublished population-based studies. We applied these incidence estimates to population estimates for 2010, to calculate the global and regional burden in children admitted with severe ALRI in that year. We estimated in-hospital mortality due to severe and very severe ALRI by combining incidence estimates with case fatality ratios from hospital-based studies. FINDINGS: We identified 89 eligible studies and estimated that in 2010, 11·9 million (95% CI 10·3-13·9 million) episodes of severe and 3·0 million (2·1-4·2 million) episodes of very severe ALRI resulted in hospital admissions in young children worldwide. Incidence was higher in boys than in girls, the sex disparity being greatest in South Asian studies. On the basis of data from 37 hospital studies reporting case fatality ratios for severe ALRI, we estimated that roughly 265,000 (95% CI 160,000-450,000) in-hospital deaths took place in young children, with 99% of these deaths in developing countries. Therefore, the data suggest that although 62% of children with severe ALRI are treated in hospitals, 81% of deaths happen outside hospitals. INTERPRETATION: Severe ALRI is a substantial burden on health services worldwide and a major cause of hospital referral and admission in young children. Improved hospital access and reduced inequities, such as those related to sex and rural status, could substantially decrease mortality related to such infection. Community-based management of severe disease could be an important complementary strategy to reduce pneumonia mortality and health inequities. FUNDING: WHO