Imaging of the urinary tract: the role of CT and MRI

Computed tomography (CT) and magnetic resonance imaging (MRI) are increasingly valuable tools for assessing the urinary tract in adults and children. However, their imaging capabilities, while overlapping in some respects, should be considered as complementary, as each technique offers specific advantages and disadvantages both in actual inherent qualities of the technique and in specific patients and with a specific diagnostic question. The use of CT and MRI should therefore be tailored to the patient and the clinical question. For the scope of this article, the advantages and disadvantages of these techniques in children will be considered; different considerations will apply in adult practice

Intravenous immunoglobulin in acute Sydenham's chorea: A systematic review.

Abstract Sydenham's chorea (SC) is a major manifestation seen in 25% of patients with acute rheumatic fever. SC is the prototypic autoimmune neurological disorder, which has a less appreciated associated risk of psychiatric morbidity. We undertook a systematic review to examine whether the use of intravenous immunoglobulin affects clinical recovery and morbidity

“The first man on the street” - tracing a famous Hilbert quote (1900) back to Gergonne (1825)

A short, catchy, and in its content somewhat exaggerated, quote allows us to draw a connection through three-quarters of a century between two leaders of mathematics who apparently held somewhat similar philosophical, pedagogical, and political views. In addition to providing some new facets to the biographies of Gergonne and Hilbert, our article relates to increasing demands for the dissemination of mathematical knowledge and to corresponding structural changes within mathematics during the 19th century

Distal volcanic impacts on peatlands: palaeoecological evidence from Alaska

Despite the fact that volcanic ash (tephra) layers are found preserved in peat deposits around the world, comparatively little research has investigated the impacts of distal volcanic emissions on peatlands. This study investigates the impacts of several late-Holocene volcanic eruptions on five peatlands in southern Alaska using a palaeoecological approach. Testate amoebae analysis, peat humification analysis and a basic analysis of plant macrofossil components were applied across 11 tephra layers. Changes in macrofossil and testate amoebae assemblages occur across several of the tephra layers. The humification results were considered unreliable because of a methodological problem, a finding which may have implications for other studies using this technique. Redundancy analyses on testate amoebae data show statistically significant changes associated with two tephras. The most likely causes of the impacts are volcanic gases, acidic precipitation or tephra-derived leachates. The finding that some tephras are associated with impacts whereas others are not may relate to the season of the eruption or meteorological conditions at the time of ash fall. These results suggest the sensitivity of peatlands and peatland microbial communities to distal volcanic products and imply that changes in key palaeoclimatic proxies may be caused by a mechanism independent of climate change. Implications of the results for peat-based palaeoclimatic studies are discussed, as are possible directions for future research

Archaeology and Desertification in the Wadi Faynan: the Fourth (1999) Season of the Wadi Faynan Landscape Survey

Reproduced with permission of the publisher. © 2000 Council for British Research in the Levant. Details of the publication are available at: http://www.cbrl.org.uk/Publications/publications_default.shtmThis report describes the fourth season of fieldwork by an interdisciplinary team of archaeologists and geographers working together to reconstruct the landscape history of the Wadi Faynan in southern Jordan. The particular focus of the project is the long-term history of inter-relationships between landscape and people, as a contribution to the study of processes of desertification and environmental degradation. The 1999 fieldwork contributed significantly towards the five Objectives defined for the final two field seasons of the project in 1999 and 2000: to map the archaeology outside the ancient field systems flooring the wadi that have formed the principal focus of the archaeological survey in the previous seasons; to use ethnoarchaeological studies both to reconstruct modern and recent land use and also to yield archaeological signatures of land use to inform the analysis of the survey data; to complete the survey of ancient field systems and refine understanding of when and how they functioned; to complete the programme of geomorphological and palaeoecological fieldwork, and in particular to refine the chronology of climatic change and human impacts; and to complete the recording and classification of finds

Application of high resolution Mobile Metal Ion (MMI) soil geochemistry to archaeological investigations: an example from a Roman metal working site, Somerset, United Kingdom

An innovative application of Mobile Metal Ion (MMI) partial extraction soil geochemistry is used to identify below-surface archaeological features, using a previously incompletely surveyed Roman metal-working site at St. Algar’s Farm, Somerset, as a case study. Soil samples were taken and analysed for 53 elements by the MMI geochemical method. Lead, Tl, Ba and Zn were found in very high concentrations and the sensitivity of the technique also enabled Ag, Au and Sn to be measured in anomalous concentrations. Elemental maps accurately outlined known metal working areas. Principal component analysis and bivariate correlations identified two suites of associated elements: Pb, Ba, Tl, Ag, Au, Cu, Sb, the base and noble metal group (BNM), and Fe, Ti, Nb, Mn, Co, Cu, P, Li, Rb, Sc, Cs, K, Ga, P, Zr, Th and Sn, the pegmatite (PEG) group. These were used to form indices which delineate the metal working area and areas possibly related to the processing of pegmatite containing Sn. The high sensitivity MMI data were compared with strong-acid digest results from a limited number of the MMI samples; the MMI data showed better geochemical contrast than the strong-acid results. Multi-element statistical similarity comparisons with off-site samples suggest likely sources for the Pb and Sn used at the St Algar’s site. The increased sensitivity of MMI soil analysis combined with the multi-element capacity allows a more detailed archaeological interpretation

Getting shot of elves: healing, witchcraft and fairies in the Scottish witchcraft trials

This paper re-examines the evidence of the Scottish witchcraft trials for beliefs associated by scholars with "elf-shot." Some supposed evidence for elf-shot is dismissed, but other material illuminates the interplay between illness, healing and fairy-lore in early modern Scotland, and the relationship of these beliefs to witchcraft itself

Phenotypic insights into ADCY5-associated disease

BACKGROUND: Adenylyl cyclase 5 (ADCY5) mutations is associated with heterogenous syndromes: familial dyskinesia and facial myokymia; paroxysmal chorea and dystonia; autosomal-dominant chorea and dystonia; and benign hereditary chorea. We provide detailed clinical data on 7 patients from six new kindreds with mutations in the ADCY5 gene, in order to expand and define the phenotypic spectrum of ADCY5 mutations. METHODS: In 5 of the 7 patients, followed over a period of 9 to 32 years, ADCY5 was sequenced by Sanger sequencing. The other 2 unrelated patients participated in studies for undiagnosed pediatric hyperkinetic movement disorders and underwent whole-exome sequencing. RESULTS: Five patients had the previously reported p.R418W ADCY5 mutation; we also identified two novel mutations at p.R418G and p.R418Q. All patients presented with motor milestone delay, infantile-onset action-induced generalized choreoathetosis, dystonia, or myoclonus, with episodic exacerbations during drowsiness being a characteristic feature. Axial hypotonia, impaired upward saccades, and intellectual disability were variable features. The p.R418G and p.R418Q mutation patients had a milder phenotype. Six of seven patients had mild functional gain with clonazepam or clobazam. One patient had bilateral globus pallidal DBS at the age of 33 with marked reduction in dyskinesia, which resulted in mild functional improvement. CONCLUSION: We further delineate the clinical features of ADCY5 gene mutations and illustrate its wide phenotypic expression. We describe mild improvement after treatment with clonazepam, clobazam, and bilateral pallidal DBS. ADCY5-associated dyskinesia may be under-recognized, and its diagnosis has important prognostic, genetic, and therapeutic implications. © 2016 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society

Precision overhead irrigation is suitable for several Central Valley crops

Overhead systems are the dominant irrigation technology in many parts of the world, but they are not widely used in California even though they have higher water application efficiency than furrow irrigation systems and lower labor requirements than drip systems. With water and labor perennial concerns in California, the suitability of overhead systems merits consideration. From 2008 through 2013, in studies near Five Points, California, we evaluated overhead irrigation for wheat, corn, cotton, tomato, onion and broccoli as an alternative to furrow and drip irrigation. With the exception of tomato, equal or increased yields were achieved with overhead irrigation. Many variables are involved in the choice of an irrigation system, but our results suggest that, with more research to support best management practices, overhead irrigation may be useful to a wider set of California farmers than currently use it