A Case of Cutaneous Nocardiosis with Involvement of the Trachea, Anterior Mediastinum and Sternum

Nocardiosis is a rare infectious disease due to Nocardia infections. In this report, we present a rare case of cutaneous nocardiosis with involvement of the trachea, anterior mediastinum and sternum. The strain of Nocardia has been isolated from bacterial culture of infected tissue. 16s rRNA sequencing confirmed that it contained the Nocardia genus. The patient was successfully treated with Co-SMZ

Multi-Omics Study on the Molecular Mechanisms of Tetraodon Nigroviridis Resistance to Exogenous Vibrio Parahaemolyticus Infection

Vibrio parahaemolyticus is an important marine pathogen that causes inflammation and even death in teleost fishes. It has brought significant economic losses to the aquaculture industry as well as high risks to the sustainable development of marine fisheries. In the present study, the fish Tetraodon nigroviridis and the bacterial pathogen Vibrio parahaemolyticus were used to explore the molecular mechanisms underlying the immune response of T. nigroviridis to V. parahaemolyticus exogenous infection. The microRNA (miRNA)–mRNA–protein omics and corresponding experimental validation, followed by comparative analysis, revealed several differentially expressed genes involved in various components of the immune system, including the following: complement system, chemokines, lysosomes, phagocytes, B-cell receptor signaling pathway, T-cell receptor signaling pathway, Janus kinase-signal transducer and activator of transcription (JAK-STAT) signaling pathway, and phospholipid metabolism, among others. Especially, the complements component 3 (C3) gene and protein expression levels were significantly higher after V. parahaemolyticus infection, and miRNAs targeting C3, including mir-6089-y, mir-460-y, and mir-1584-x, were significantly down-regulated. The gene and protein expression levels of complement 1 subunit qA (C1qA) were significantly down-regulated, while mir-203 targeting C1qA was significantly up-regulated. Overall, four complement genes (C1qA, IG, C3, and C5), which are key genes in the classical pathway of complement system activation for inflammatory response, were identified. Evolutionary analysis suggested that T. nigroviridis, acquired an increased ability to recognize pathogens by evolving a more complex complement system than terrestrial vertebrates. In addition, quantitative real-time polymerase chain reaction showed high consistency with the obtained multi-omics results, indicating the reliability of the sequencing data generated in the present study. In summary, our findings can serve as a fundamental basis for further in-depth multi-omics studies on the inflammatory processes of aquatic pathogens hindering fish sustainable production

Generating Natural Language Proofs with Verifier-Guided Search

Deductive reasoning (drawing conclusions from assumptions) is a challenging problem in NLP. In this work, we focus on proof generation: given a hypothesis and a set of supporting facts in natural language, the model generates a proof tree indicating how to deduce the hypothesis from supporting facts. Instead of generating the entire proof in one shot, prior work has demonstrated the promise of stepwise generation but achieved limited success on real-world data. Existing stepwise methods struggle to generate proof steps that are both valid and relevant. In this paper, we present a novel stepwise method NLProofS (Natural Language Proof Search), which learns to generate relevant steps conditioning on the hypothesis. At the core of our approach, we train an independent verifier to check the validity of proof steps. Instead of generating steps greedily, we search for proofs maximizing a global proof score judged by the verifier. NLProofS achieves state-of-the-art performance on EntailmentBank and RuleTaker. For example, it improves the percentage of correctly predicted proofs from 20.9% to 33.3% in the distractor setting of EntailmentBank. This is the first time stepwise methods have led to better generation of challenging human-authored proofs

A Polarimetric Fiber Ring Laser Incorporating a Coupled Optoelectronic Oscillator and Its Application to Magnetic Field Sensing

A novel configuration for a polarimetric fiber ring laser incorporating a coupled optoelectronic oscillator (COEO) is proposed and experimentally demonstrated, and its application to magnetic field sensing is studied. The COEO-based polarimetric fiber ring laser has two mutually coupled loops: the fiber ring laser loop and the OEO loop. In the fiber ring laser loop, longitudinal modes break up into orthogonal polarization modes because of birefringence. The frequency of the polarization mode beat (PMB) signals is determined by the cavity birefringence. In the OEO loop, a microwave signal with its frequency equal to the PMB signal is generated. By feeding the oscillation mode to modulate the optical loop, mode-locking can be achieved, rendering the mode spacing of the laser equal to the frequency of the oscillating OEO mode. We can estimate the birefringence variation by measuring the oscillating frequency of the COEO. To validate the proposed sensing system, a circular birefringence change is introduced in a magneto-optic crystal via the Faraday rotation effect. Then, the magnetic field sensing is implemented. Such configuration can achieve single longitudinal oscillation and realize high-speed and high-precision measurements

Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016

Cases of tuberculosis/cryptococcosis co-infection are rapidly increasing in China. However, most studies addressing this co-infection have been published in Chinese journals, and this publication strategy has obscured this disease trend for scientists in other parts of the world. Our investigation found that 62.9% of all co-infection cases worldwide were reported in the Chinese population (n=197) between 1965 and 2016, and 56.3% of these Chinese cases were reported after 2010. Nearly all cases originated from the warm and wet monsoon regions of China. HIV-positive subjects tended to correlate with more severe manifestations of a tuberculosis/cryptococcosis co-infection than those without HIV. Notablely, dual tubercular/cryptococcal meningitis was the most frequent (54.0 and most easily misdiagnosed (95.2 n=40/42) co-infection. We also found that the combined use of cerebrospinal fluid pressure and concentrations of glucose, protein and chlorine might be an inexpensive and effective indicator to differentiate tubercular/cryptococcal co-infection meningitis from tubercular meningitis and cryptococcal meningitis

Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus

Cutaneous lupus erythematosus (CLE) is an inflammatory, autoimmune disease encompassing a broad spectrum of subtypes including acute, subacute, chronic and intermittent CLE. Among these, chronic CLE can be further classified into several subclasses of lupus erythematosus (LE) such as discoid LE, verrucous LE, LE profundus, chilblain LE and Blaschko linear LE. To provide all dermatologists and rheumatologists with a practical guideline for the diagnosis, treatment and long-term management of CLE, this evidence- and consensus-based guideline was developed following the checklist established by the international Reporting Items for Practice Guidelines in Healthcare (RIGHT) Working Group and was registered at the International Practice Guideline Registry Platform. With the joint efforts of the Asian Dermatological Association (ADA), the Asian Academy of Dermatology and Venereology (AADV) and the Lupus Erythematosus Research Center of Chinese Society of Dermatology (CSD), a total of 25 dermatologists, 7 rheumatologists, one research scientist on lupus and 2 methodologists, from 16 countries/regions in Asia, America and Europe, participated in the development of this guideline. All recommendations were agreed on by at least 80% of the 32 voting physicians. As a consensus, diagnosis of CLE is mainly based on the evaluation of clinical and histopathological manifestations, with an exclusion of SLE by assessment of systemic involvement. For localized CLE lesions, topical corticosteroids and topical calcineurin inhibitors are first-line treatment. For widespread or severe CLE lesions and (or) cases resistant to topical treatment, systemic treatment including antimalarials and (or) short-term corticosteroids can be added. Notably, antimalarials are the first-line systemic treatment for all types of CLE, and can also be used in pregnant patients and pediatric patients. Second-line choices include thalidomide, retinoids, dapsone and MTX, whereas MMF is third-line treatment. Finally, pulsed-dye laser or surgery can be added as fourth-line treatment for localized, refractory lesions of CCLE in cosmetically unacceptable areas, whereas belimumab may be used as fourth-line treatment for widespread CLE lesions in patients with active SLE, or recurrence of ACLE during tapering of corticosteroids. As for management of the disease, patient education and a long-term follow-up are necessary. Disease activity, damage of skin and other organs, quality of life, comorbidities and possible adverse events are suggested to be assessed in every follow-up visit, when appropriate