Use of External Cephalic Version and Amnioreduction in the Delivery of a Fetal Demise with Macrocephaly Secondary to Massive Intracranial Teratoma

Introduction Congenital intracranial tumors are rare and often incidentally diagnosed on routine ultrasound. We report a case of a fetal demise with a massive intracranial teratoma at 25 weeks of gestation and the management of her delivery in the setting of macrocephaly, breech presentation, and polyhydramnios. Case A 31-year-old G3P1011 woman at 25 weeks\u27 gestation presented with a recent fetal demise and a fetal intracranial tumor first identified at 16 weeks\u27 gestational age. The patient had declined termination of pregnancy. Biometry was consistent with 24 weeks\u27 gestation, except for a head circumference of 394.4 mm consistent with 39 weeks\u27 gestation. The fetus was in a breech presentation. An external cephalic version (ECV) was successfully performed under epidural anesthesia and an amnioreduction was then performed to stabilize the fetal position. Immediate induction of labor and vaginal delivery followed. Discussion ECV and amnioreduction may help facilitate delivery in cases of fetal demise complicated by macrocephaly, malpresentation, and polyhydramnios

Saltation transport on Mars

We present the first calculation of saltation transport and dune formation on Mars and compare it to real dunes. We find that the rate at which grains are entrained into saltation on Mars is one order of magnitude higher than on Earth. With this fundamental novel ingredient, we reproduce the size and different shapes of Mars dunes, and give an estimate for the wind velocity on Mars.Comment: 4 pages, 3 figure

A two-species continuum model for aeolian sand ripples

We formulate a continuum model for aeolian sand ripples consisting of two species of grains: a lower layer of relatively immobile clusters, with an upper layer of highly mobile grains moving on top. We predict analytically the ripple wavelength, initial ripple growth rate and threshold saltation flux for ripple formation. Numerical simulations show the evolution of realistic ripple profiles from initial surface roughness via ripple growth and merger.Comment: 9 pages, 3 figure

First-principles extrapolation method for accurate CO adsorption energies on metal surfaces

We show that a simple first-principles correction based on the difference between the singlet-triplet CO excitation energy values obtained by DFT and high-level quantum chemistry methods yields accurate CO adsorption properties on a variety of metal surfaces. We demonstrate a linear relationship between the CO adsorption energy and the CO singlet-triplet splitting, similar to the linear dependence of CO adsorption energy on the energy of the CO 2$\pi$* orbital found recently {[Kresse {\em et al.}, Physical Review B {\bf 68}, 073401 (2003)]}. Converged DFT calculations underestimate the CO singlet-triplet excitation energy $\Delta E_{\rm S-T}$, whereas coupled-cluster and CI calculations reproduce the experimental $\Delta E_{\rm S-T}$. The dependence of $E_{\rm chem}$ on $\Delta E_{\rm S-T}$ is used to extrapolate $E_{\rm chem}$ for the top, bridge and hollow sites for the (100) and (111) surfaces of Pt, Rh, Pd and Cu to the values that correspond to the coupled-cluster and CI $\Delta E_{\rm S-T}$ value. The correction reproduces experimental adsorption site preference for all cases and obtains $E_{\rm chem}$ in excellent agreement with experimental results.Comment: Table sent as table1.eps. 3 figure

Seeing the Soils of Meridiani Planum Through the Eyes of Pancam and Microscopic Imager

We are using data from the Pancam and Microscopic Imager (MI) on the Opportunity rover to characterize the soil grains at Meridiani Planum. We have traced individual grains in all MI images of the soils using the software application ImageJ distributed by NIH, and subsequently derived size and shape properties about the grains. The resolution of the MI is 31 microns per pixel [1] so we limit our measurements to those grains larger than about 0.3 mm in size. In cases where the grain is partially or substantially buried by other grains or finer soil particles, we do not make a measurement. False-color composites from Pancam images that cover the same location imaged by MI are made from the Left 2,5,6 (753, 535, 482 nm) filters or Right 2,7,1 (753, 1009, 430 nm) filters [2] in the Red, Green, and Blue channels, respectively. These color images are then merged with the MI images to illustrate color properties of particular grains. Pancam spectra are also extracted from grains when there is sufficient spatial coverage. in diameter. Figure 2 illustrates the dominance of these small grains at this particular location, which happens to be on the southern wall of Eagle crater. The Pancam color merge with this MI image suggests that the small spherules are more consistent with the basalt grains than the blueberries (spherulitic concretions derived from outcrop rocks [7]). The resolution of Pancam images of this location is on the order of 0.5 mm so the grains are only barely resolved. A Mossbauer measurement taken on an adjacent soil (Sol 53 Vanilla) that is composed solely of these smaller spherules (Fig 1) is consistent with a basaltic composition for the grains. Their concentration at this particular location in a brighter, elongate patch along the southeastern wall compared to elsewhere inside Eagle crater suggests wind activity favored their transport and subsequent deposition here. Their spherical shape is also possibly the result of wind action rounding them during transport, though water action cannot be ruled out

Reprogramming human T cell function and specificity with non-viral genome targeting.

Decades of work have aimed to genetically reprogram T cells for therapeutic purposes1,2 using recombinant viral vectors, which do not target transgenes to specific genomic sites3,4. The need for viral vectors has slowed down research and clinical use as their manufacturing and testing is lengthy and expensive. Genome editing brought the promise of specific and efficient insertion of large transgenes into target cells using homology-directed repair5,6. Here we developed a CRISPR-Cas9 genome-targeting system that does not require viral vectors, allowing rapid and efficient insertion of large DNA sequences (greater than one kilobase) at specific sites in the genomes of primary human T cells, while preserving cell viability and function. This permits individual or multiplexed modification of endogenous genes. First, we applied this strategy to correct a pathogenic IL2RA mutation in cells from patients with monogenic autoimmune disease, and demonstrate improved signalling function. Second, we replaced the endogenous T cell receptor (TCR) locus with a new TCR that redirected T cells to a cancer antigen. The resulting TCR-engineered T cells specifically recognized tumour antigens and mounted productive anti-tumour cell responses in vitro and in vivo. Together, these studies provide preclinical evidence that non-viral genome targeting can enable rapid and flexible experimental manipulation and therapeutic engineering of primary human immune cells

Epitaxial growth of ultrathin palladium films on Re{0001}

Ultrathin bimetallic layers create unusual magnetic and surface chemical effects through the modification of electronic structure brought on by low dimensionality, polymorphism, reduced screening, and epitaxial strain. Previous studies have related valence and core-level shifts to surface reactivity through the d-band model of Hammer and Nørskov, and in heteroepitaxial films this band position is determined by competing effects of coordination, strain, and hybridization of substrate and overlayer states. In this study we employ the epitaxially matched Pd on Re{0001} system to grow films with no lateral strain. We use a recent advancement in low-energy electron diffraction to expand the data range sufficiently for a reliable determination of the growth sequence and out-of-plane surface relaxation as a function of film thickness. The results are supported by scanning tunneling microscopy and X-ray photoemission spectroscopy, which show that the growth is layer-by-layer with significant core-level shifts due to changes in film structure, morphology, and bonding