32 research outputs found

    Rational solutions of the discrete time Toda lattice and the alternate discrete Painleve II equation

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    The Yablonskii-Vorob'ev polynomials yn(t)y_{n}(t), which are defined by a second order bilinear differential-difference equation, provide rational solutions of the Toda lattice. They are also polynomial tau-functions for the rational solutions of the second Painlev\'{e} equation (PIIP_{II}). Here we define two-variable polynomials Yn(t,h)Y_{n}(t,h) on a lattice with spacing hh, by considering rational solutions of the discrete time Toda lattice as introduced by Suris. These polynomials are shown to have many properties that are analogous to those of the Yablonskii-Vorob'ev polynomials, to which they reduce when h=0h=0. They also provide rational solutions for a particular discretisation of PIIP_{II}, namely the so called {\it alternate discrete} PIIP_{II}, and this connection leads to an expression in terms of the Umemura polynomials for the third Painlev\'{e} equation (PIIIP_{III}). It is shown that B\"{a}cklund transformation for the alternate discrete Painlev\'{e} equation is a symplectic map, and the shift in time is also symplectic. Finally we present a Lax pair for the alternate discrete PIIP_{II}, which recovers Jimbo and Miwa's Lax pair for PIIP_{II} in the continuum limit h0h\to 0.Comment: 23 pages, IOP style. Title changed, and connection with Umemura polynomials adde

    HIV-Specific T-Cells Accumulate in the Liver in HCV/HIV Co-Infection

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    BACKGROUND AND AIMS: Hepatitis C Virus (HCV)-related liver disease progresses more rapidly in individuals co-infected with Human Immunodeficiency Virus-1 (HIV), although the underlying immunologic mechanisms are unknown. We examined whether HIV-specific T-cells are identified in the liver of HCV/HIV co-infected individuals and promote liver inflammation through bystander immune responses. METHODS: Ex-vivo intra-hepatic lymphocytes from HCV mono-infected and HCV/HIV co-infected individuals were assessed for immune responses to HIV and HCV antigens by polychromatic flow cytometry. RESULTS: HCV/HIV liver biopsies had similar frequencies of lymphocytes but lower percentages of CD4+ T-cells compared to HCV biopsies. In co-infection, intra-hepatic HIV-specific CD8+ and CD4+ T-cells producing IFN-gamma and TNF-alpha were detected and were comparable in frequency to those that were HCV-specific. In co-infected individuals, viral-specific CD8+ T-cells produced more of the fibrogenic cytokine, TNF-alpha. In both mono- and co-infected individuals, intra-hepatic HCV-specific T-cells were poorly functional compared to HIV-specific T-cells. In co-infection, HAART was not associated with a reconstitution of intra-hepatic CD4+ T-cells and was associated with reduction in both HIV and HCV-specific intra-hepatic cytokine responses. CONCLUSION: The accumulation of functional HIV-specific T-cells in the liver during HCV/HIV co-infection may represent a bystander role for HIV in inducing faster progression of liver disease

    Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

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    Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

    Functional traits and foraging behaviour: Avian vampire fly larvae change the beak and fitness of their Darwin's finch hosts

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    The avian beak is a key morphological trait used for foraging. If parasites alter beak shape, we may expect changes in host foraging behaviour. Larvae of the avian vampire fly Philornis downsi cause naris enlargement in Darwin's finch nestlings when first and second instar larvae consume keratin, blood and tissue from inside the beak of the developing host. This naris malformation persists into adulthood, where nares that are >15% of total beak length are considered enlarged. We measured effects of parasite-induced naris enlargement on foraging behaviour, foraging niche overlap and body condition in Darwin's finches on Floreana Island. Foraging behaviour was ranked by the stress per foraging technique exerted on the beak and ranged from least stress for ‘gleaning’ to most stress for ‘chip off bark’. Naris enlargement occurred in 34% of adult birds. The most common foraging technique differed among species: medium tree finches (Camarhynchus pauper) often chipped off bark to extract subsurface prey, small tree finches (C. parvulus) often gleaned surface prey from foliage, hybrids gleaned prey from bark and foliage, and small ground finches (Geospiza fuliginosa) mostly foraged on the ground. In C. pauper, birds with naris enlargement did more gleaning and less subsurface prey excavation. Foraging niche across species was most similar in birds with naris enlargement. Finally, body condition was lower in insectivorous tree finches with malformed beaks. A novel aspect of this study is the idea that parasite-induced alterations to phenotype affect ecological processes and interspecific interactions at large temporal and spatial scales. The parasitism occurs early in life but the ecological effects of this parasitism, if causative, are happening later
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