Fatal anaphylactic sting reaction in a patient with mastocytosis

We report on a 33-year-old female patient with indolent systemic mastocytosis and urticaria pigmentosa who died of an anaphylactic reaction after a yellow jacket sting. As she had no history of previous anaphylactic sting reaction, there was no testing performed in order to detect hymenoptera venom sensitization. But even if a sensitization had been diagnosed, no venom immunotherapy (VIT) would have been recommended. It is almost certain that VIT would have saved her life and it is most likely that VIT is indicated in some patients with mastocytosis with no history of anaphylactic sting reaction. However, no criteria have been established in order to allow a selection of mastocytosis patients eligible for such a `prophylactic' VIT. Copyright (C) 2008 S. Karger AG, Basel

Integration of streaming services and TCP data transmission in the Internet

We study in this paper the integration of elastic and streaming traffic on a same link in an IP network. We are specifically interested in the computation of the mean bit rate obtained by a data transfer. For this purpose, we consider that the bit rate offered by streaming traffic is low, of the order of magnitude of a small parameter \eps \ll 1 and related to an auxiliary stationary Markovian process (X(t)). Under the assumption that data transfers are exponentially distributed, arrive according to a Poisson process, and share the available bandwidth according to the ideal processor sharing discipline, we derive the mean bit rate of a data transfer as a power series expansion in \eps. Since the system can be described by means of an M/M/1 queue with a time-varying server rate, which depends upon the parameter \eps and process (X(t)), the key issue is to compute an expansion of the area swept under the occupation process of this queue in a busy period. We obtain closed formulas for the power series expansion in \eps of the mean bit rate, which allow us to verify the validity of the so-called reduced service rate at the first order. The second order term yields more insight into the negative impact of the variability of streaming flows

Structural and environmental controls on Antarctic ice shelf rift propagation inferred from satellite monitoring

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/102662/1/jgrf20163.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/102662/2/SupplementaryFigures_052513.pd

Seismicity within a propagating ice shelf rift: The relationship between icequake locations and ice shelf structure

Iceberg calving is a dominant mass loss mechanism for Antarctic ice shelves, second only to basal melting. An important process involved in calving is the initiation and propagation of through‐penetrating fractures called rifts; however, the mechanisms controlling rift propagation remain poorly understood. To investigate the mechanics of ice shelf rifting, we analyzed seismicity associated with a propagating rift tip on the Amery Ice Shelf, using data collected during the austral summers of 2004–2007. We apply a suite of passive seismological techniques including icequake locations, back projection, and moment tensor inversion. We confirm previous results that show ice shelf rifting is characterized by periods of relative quiescence punctuated by swarms of intense seismicity of 1 to 3 h. Even during periods of quiescence, we find significant deformation around the rift tip. Moment tensors, calculated for a subset of the largest icequakes ( M w  > −2.0) located near the rift tip, show steeply dipping fault planes, horizontal or shallowly plunging stress orientations, and often have a significant volumetric component. They also reveal that much of the observed seismicity is limited to the upper 50 m of the ice shelf. This suggests a complex system of deformation that involves the propagating rift, the region behind the rift tip, and a system of rift‐transverse crevasses. Small‐scale variations in the mechanical structure of the ice shelf, especially rift‐transverse crevasses and accreted marine ice, play an important role in modulating the rate and location of seismicity associated with the propagating ice shelf rifts. Key Points Rift‐related seismicity controlled by mechanical heterogeneity Back projection reveals that seismic deformation is continuous in region Spacing of rift‐transverse crevasses controls the timing of seismic swarmsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106935/1/jgrf20203.pd

Confocal Fluorescence Ratio Imaging of Ion Activities in Plant Cells

Fluorescent probes allow measurement of dynamic changes of calcium and pH in living cells. Imaging using confocal scanning laser microscopy provides a route to spatially map these dynamics over time in single optical sections or in 3-D images. We have developed a dual-excitation confocal system to allow ratio measurements of pH and calcium, that compensate for changes in dye distribution, leakage and photobleaching. Application of these techniques to plant tissues is complicated by the difficulty in loading the tissues with dye. We describe a new technique to assist dye loading in intact leaves of Lemna using a pre-treatment with cutinase. Once within plant tissues, many dyes compartmentalise into the vacuole. We report the use of chloromethylfluorescein diacetate as an alternative to BCECF [2\u27 ,7\u27-bis-(2-carboxyethyl)-5-(and 6)carboxyfluorescein] as a pH probe with greater cytoplasmic retention times. In addition, the confocal system allowed discrimination of signals from different compartments and permitted simultaneous measurement of vacuolar and cytoplasmic pH ratios in epidermal strips from Hordeum. We have developed a series of software tools to extract quantitative data from multi-dimensional images and illustrate these approaches with reference to pollen tube growth in Lilium and peptide-evoked changes in pH and calcium in stomata! guard cells from Commelina and Vicia

The effect of exercise on innate mucosal immunity

METHODS The authors conducted a prospective observational study comparing salivary lactoferrin and lysozyme concentration over 5 months (chronic changes) in elite rowers (n=17, mean age 24.3+/-4.0 years) with sedentary individuals (controls) (n=18, mean age=27.2+/-7.1 years) and a graded exercise test to exhaustion (acute changes) with a cohort of elite rowers (n=11, mean age 24.7+/-4.1). RESULTS Magnitudes of differences and changes were interpreted as a standardised (Cohen's) effect size (ES). Lactoferrin concentration in the observational study was approximately 60% lower in rowers than control subjects at baseline (7.9+/-1.2 microg/ml mean+/-SEM, 19.4+/-5.6 microg/ml, p=0.05, ES=0.68, 'moderate') and at the midpoint of the season (6.4+/-1.4 microg/ml mean +/- SEM, 21.5+/-4.2 microg/ml, p=0.001, ES=0.89, 'moderate'). The concentration of lactoferrin at the end of the study was not statistically significant (p=0.1) between the groups. There was no significant difference between rowers and control subjects in lysozyme concentration during the study. There was a 50% increase in the concentration of lactoferrin (p=0.05, ES=1.04, 'moderate') and a 55% increase in lysozyme (p=0.01, ES=3.0, 'very large') from pre-exercise to exhaustion in the graded exercise session. CONCLUSION Lower concentrations of these proteins may be indicative of an impairment of innate protection of the upper respiratory tract. Increased salivary lactoferrin and lysozyme concentration following exhaustive exercise may be due to a transient activation response that increases protection in the immediate postexercise period

Immune and acute phase markers in exercising adults

Many reports have documented the anti-inflammatory effects of regular exercise in adults. However clinicians and researchers remain uncertain on selecting specific biomarkers that are useful for predicting or monitoring chronic inflammatory states and/or disease. Clearer identification of markers (or clusters of markers) in physically active individuals that vary from established references ranges will indicate the extent of the purported anti-inflammatory effect of regular exercise. Physically active adults were recruited from the community to participate in a prospective study comparing self-reported health outcomes and exercise activity across 150 days of dietary intervention. Of the 450 participants recruited, 64 males (mean age 37.4 y, mean BMI = 25.3) and 59 females (mean age 40.4y, mean BMI= 23.4) agreed to supply a baseline blood sample taken at rest. A total of 187 analytes were measured by standard techniques on these pre-intervention samples including 11 immune markers (cell-types and immunoglobulins) and 11 acute phase reactants (WCC, albumin, haptoglobin, CRP, C3, C4, IGF-1, transferrin, iron, ferritin & ceruloplasmin). We compared baseline values with relevent hospital reference range (RR) values where these are assumed to be more reflective of a much less physically-active community population. A total of 5 out of 11 of the acute phase reactants (Hapt, C3, Fer, Trf (for females), and ceruloplasmin (for males)) had \u3e10% of values below the low ‘cut-off end’ of the relevant RR. Three immune cell-types (CD19, CD8 & CD16/56) had \u3e10% of values below the ‘low-cut-off end’ of the relevant RR. In contrast 25% of subjects had an IgE value that exceeded the RR. Collectively our results support the notion that regular exercise or physical activity exerts an anti-inflammatory affect. The results suggest putative roles for a host of exercise associated adaptive mechanisms beyond the generally accepted role for IL-6 derived from skeletal muscle and\or visceral fat. We conclude that across a host of measures, exercising adults have values for immune and acute phase reactants largely within, but at the non-inflammatory ‘end’ of clinical reference ranges

Dynamics within the CD95 death-inducing signaling complex decide life and death of cells

CD95-mediated apoptotic and NF-κB signaling were described by a simple kinetic model. We used a model reduction technique to reduce the number of reactions from 92 to 23 while maintaining a good model fit.p43-FLIP, which is generated at the CD95 DISC by procaspase-8 cleavage, was found to be the link between the CD95 DISC and the NF-κB pathway. P43-FLIP interacts with the IKK complex and leads to its activation.The CD95 DISC complex acts as a signal processor that diverges signals into the apoptotic and NF-κB pathways depending on the amounts of specific DISC proteins.Life/death decisions in CD95 signaling are determined by c-FLIPL and procaspase-8 in a non-linear way