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Mango Dermatitis After Urushiol Sensitization
Prior exposure to poison ivy and poison oak, which are plants in the Anacardiacea family and contain high levels of urushiol, appear to be a risk factor for delayed hypersensitivity reactions to mango fruits. Cross-sensitization between these plants and mangos is believed to be secondary to an overlap in the urushiol antigen and 5-resorcinol, found predominately in mango peels. This unique combination of sensitization and reaction constitutes a type IV hypersensitivity response, mediated and driven by T cells reacting to similar antigens. We present a case of an otherwise healthy man, with a remote history of poison ivy exposure, who presented with a delayed but significant reaction to mango fruit. Obtaining the patientâs history of prior plant exposures and reactions was key to isolating the likely underlying causation of his presentation
Liquid hydridosilane precursor prepared from cyclopentasilane via sonication at low temperatures without the action of light
AbstractWe report on a liquid hydridosilane precursor ink prepared via the ultrasonically induced ring-opening polymerisation of cyclopentasilane (Si5H10) without irradiation by ultraviolet light. The sonication is carried out in N2 atmosphere at temperatures between 20 and 75°C. We use size exclusion chromatography (SEC) to show polymer growth and estimate molecular mass with increasing sonication time. In combination with UVâvis transmission measurements, further SEC analysis is used to compare solutions subjected to either purely thermal or ultrasonic treatment at the same process temperature and for the same duration. Our findings provide strong evidence showing that the initiation of the polymerisation is sonocatalytic in nature and not thermic due to the macroscopic temperature of the solution. The liquid precursor is used to produce homogeneous hydrogenated amorphous silicon (a-Si:H) thin films via spin coating and pyrolytic conversion. The optoelectronic properties of the films are subsequently improved by hydrogen radical treatment. Fourier transform infrared spectroscopy (FTIR) is used to determine a compact film morphology and electrical conductivity measurements show that the layers attain a light-to-dark photosensitivity ratio of 2Ă103 making them suitable for application in optoelectronic devices
Tuberculosis in Liver Transplant Recipients: Prophylaxis in an Endemic Area
AbstractBackgroundTuberculosis (TB) has a high prevalence in Brazil. The scenario of liver transplantation (LT) creates challenges: atypical presentation, treatment hepatotoxicity, and increased mortality. The majority of TB cases after transplantation represent reactivation of latent infections; therefore, prophylaxis (PX) plays a major role. The aim of this study was to evaluate the benefits of PX after LT based on a pretransplantation tuberculin test (TT) in an endemic area.MethodsRetrospective analysis of medical data from 376 adult cirrhotic patients undergoing OLT from 2001 to 2009.ResultsAmong 191 selected patients, 137 (71%) showed a pretransplant TT including 41 (30%) with a TT â„5 mm. The 17 (40%) of these patients who were prescribed PX did not experience TB. Prophylaxis was discontinued in 5 patients (20%) owing to suspicion of hepatotoxicity (medium serum alanine transaminase 175 U/L). In the group without PX, we diagnosed 1 case of pulmonary TB. The overall prevalence of anergic patients in the cirrhotic phase was 65% and prevalence of TB 1%.ConclusionsThe prevalence of TB was similar to that reported in the literature, but positivity to TT was higher (34% vs 25%), possibly because of the endemicity of the area. There was a lower prevalence of extrapulmonary disease and no mortality. No patient undergoing PX with isoniazid, although incomplete due to suspicion of hepatotoxicity displayed TB. One patient without PX was affected by TB. The drug was effective but not always safe
Optical Properties of Deep Ice at the South Pole - Absorption
We discuss recent measurements of the wavelength-dependent absorption
coefficients in deep South Pole ice. The method uses transit time distributions
of pulses from a variable-frequency laser sent between emitters and receivers
embedded in the ice. At depths of 800 to 1000 m scattering is dominated by
residual air bubbles, whereas absorption occurs both in ice itself and in
insoluble impurities. The absorption coefficient increases approximately
exponentially with wavelength in the measured interval 410 to 610 nm. At the
shortest wavelength our value is about a factor 20 below previous values
obtained for laboratory ice and lake ice; with increasing wavelength the
discrepancy with previous measurements decreases. At around 415 to 500 nm the
experimental uncertainties are small enough for us to resolve an extrinsic
contribution to absorption in ice: submicron dust particles contribute by an
amount that increases with depth and corresponds well with the expected
increase seen near the Last Glacial Maximum in Vostok and Dome C ice cores. The
laser pulse method allows remote mapping of gross structure in dust
concentration as a function of depth in glacial ice.Comment: 26 pages, LaTex, Accepted for publication in Applied Optics. 9
figures, not included, available on request from [email protected]
Pre-hospital CPR and early REBOA in trauma patients-results from the ABOTrauma Registry
Publisher Copyright: © 2020 The Author(s).Background: Severely injured trauma patients suffering from traumatic cardiac arrest (TCA) and requiring cardiopulmonary resuscitation (CPR) rarely survive. The role of resuscitative endovascular balloon occlusion of the aorta (REBOA) performed early after hospital admission in patients with TCA is not well-defined. As the use of REBOA increases, there is great interest in knowing if there is a survival benefit related to the early use of REBOA after TCA. Using data from the ABOTrauma Registry, we aimed to study the role of REBOA used early after hospital admission in trauma patients who required pre-hospital CPR. Methods: Retrospective and prospective data on the use of REBOA were collected from the ABOTrauma Registry from 11 centers in seven countries globally between 2014 and 2019. In all patients with pre-hospital TCA, the predicted probability of survival, calculated with the Revised Injury Severity Classification II (RISC II), was compared with the observed survival rate. Results: Of 213 patients in the ABOTrauma Registry, 26 patients (12.2%) who had received pre-hospital CPR were identified. The median (range) Injury Severity Score (ISS) was 45.5 (25-75). Fourteen patients (54%) had been admitted to the hospital with ongoing CPR. Nine patients (35%) died within the first 24 h, while seventeen patients (65%) survived post 24 h. The survival rate to hospital discharge was 27% (n = 7). The predicted mortality using the RISC II was 0.977 (25 out of 26). The observed mortality (19 out of 26) was significantly lower than the predicted mortality (p = 0.049). Patients not responding to REBOA were more likely to die. Only one (10%) out of 10 non-responders survived. The survival rate in the 16 patients responding to REBOA was 37.5% (n = 6). REBOA with a median (range) duration of 45 (8-70) minutes significantly increases blood pressure from the median (range) 56.5 (0-147) to 90 (0-200) mmHg. Conclusions: Mortality in patients suffering from TCA and receiving REBOA early after hospital admission is significantly lower than predicted by the RISC II. REBOA may improve survival after TCA. The use of REBOA in these patients should be further investigated.Peer reviewe
The AMANDA Neutrino Telescope
With an effective telescope area of order m for TeV neutrinos, a
threshold near 50 GeV and a pointing accuracy of 2.5 degrees per muon
track, the AMANDA detector represents the first of a new generation of high
energy neutrino telescopes, reaching a scale envisaged over 25 years ago. We
describe early results on the calibration of natural deep ice as a particle
detector as well as on AMANDA's performance as a neutrino telescope.Comment: 12 pages, Latex2.09, uses espcrc2.sty and epsf.sty, 13 postscript
files included. Talk presented at the 18th International Conference on
Neutrino Physics and Astrophysics (Neutrino 98), Takayama, Japan, June 199
The AMANDA Neutrino Telescope and the Indirect Search for Dark Matter
With an effective telescope area of order 10^4 m^2, a threshold of ~50 GeV
and a pointing accuracy of 2.5 degrees, the AMANDA detector represents the
first of a new generation of high energy neutrino telescopes, reaching a scale
envisaged over 25 years ago. We describe its performance, focussing on the
capability to detect halo dark matter particles via their annihilation into
neutrinos.Comment: Latex2.09, 16 pages, uses epsf.sty to place 15 postscript figures.
Talk presented at the 3rd International Symposium on Sources and Detection of
Dark Matter in the Universe (DM98), Santa Monica, California, Feb. 199
Search for the lepton-family-number nonconserving decay \mu -> e + \gamma
The MEGA experiment, which searched for the muon- and electron-number
violating decay \mu -> e + \gamma, is described. The spectrometer system, the
calibrations, the data taking procedures, the data analysis, and the
sensitivity of the experiment are discussed. The most stringent upper limit on
the branching ratio of \mu -> e + \gamma) < 1.2 x 10^{-11} was obtained
Search for Point Sources of High Energy Neutrinos with AMANDA
This paper describes the search for astronomical sources of high-energy
neutrinos using the AMANDA-B10 detector, an array of 302 photomultiplier tubes,
used for the detection of Cherenkov light from upward traveling
neutrino-induced muons, buried deep in ice at the South Pole. The absolute
pointing accuracy and angular resolution were studied by using coincident
events between the AMANDA detector and two independent telescopes on the
surface, the GASP air Cherenkov telescope and the SPASE extensive air shower
array. Using data collected from April to October of 1997 (130.1 days of
livetime), a general survey of the northern hemisphere revealed no
statistically significant excess of events from any direction. The sensitivity
for a flux of muon neutrinos is based on the effective detection area for
through-going muons. Averaged over the Northern sky, the effective detection
area exceeds 10,000 m^2 for E_{mu} ~ 10 TeV. Neutrinos generated in the
atmosphere by cosmic ray interactions were used to verify the predicted
performance of the detector. For a source with a differential energy spectrum
proportional to E_{nu}^{-2} and declination larger than +40 degrees, we obtain
E^2(dN_{nu}/dE) <= 10^{-6}GeVcm^{-2}s^{-1} for an energy threshold of 10 GeV.Comment: 46 pages, 22 figures, 4 tables, submitted to Ap.
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