Diagnosis and management of eosinophilic asthma: a US perspective.

Eosinophilic asthma is now recognized as an important subphenotype of asthma based on the pattern of inflammatory cellular infiltrate in the airway. Eosinophilic asthma can be associated with increased asthma severity, atopy, late-onset disease, and steroid refractoriness. Induced sputum cell count is the gold standard for identifying eosinophilic inflammation in asthma although several noninvasive biomarkers, including fractional exhaled nitric oxide and periostin, are emerging as potential surrogates. As novel therapies and biologic agents become increasingly available, there is an increased need for specific phenotype-directed treatment strategies. Greater recognition and understanding of the unique immunopathology of this asthma phenotype has important implications for management of the disease and the potential to improve patient outcomes. The present review provides a summary of the clinical features, pathogenesis, diagnosis, and management of eosinophilic asthma

Type 2 Innate Lymphoid Cells in Allergic Disease.

Type II innate lymphoid cells (ILC2) are a novel population of lineage-negative cells that produce high levels of Th2 cytokines IL-5 and IL-13. ILC2 are found in human respiratory and gastrointestinal tissue as well as in skin. Studies from mouse models of asthma and atopic dermatitis suggest a role for ILC2 in promoting allergic inflammation. The epithelial cytokines IL-25, IL-33, and TSLP, as well as the lipid mediator leukotriene D4, have been shown to potently activate ILC2 under specific conditions and supporting the notion that many separate pathways in allergic disease may result in stimulation of ILC2. Ongoing investigations are required to better characterize the relative contribution of ILC2 in allergic inflammation as well as mechanisms by which other cell types including conventional T cells regulate ILC2 survival, proliferation, and cytokine production. Importantly, therapeutic strategies to target ILC2 may reduce allergic inflammation in afflicted individuals. This review summarizes the development, surface marker profile, cytokine production, and upstream regulation of ILC2, and focuses on the role of ILC2 in common allergic diseases

A direct optical method for the study of grain boundary melting

The structure and evolution of grain boundaries underlies the nature of polycrystalline materials. Here we describe an experimental apparatus and light reflection technique for measuring disorder at grain boundaries in optically clear material, in thermodynamic equilibrium. The approach is demonstrated on ice bicrystals. Crystallographic orientation is measured for each ice sample. The type and concentration of impurity in the liquid can be controlled and the temperature can be continuously recorded and controlled over a range near the melting point. The general methodology is appropriate for a wide variety of materials.Comment: 8 pages, 8 figures, updated with minor changes made to published versio

A Belief System's Organization Based on a Computational Model of the Dynamic Context: First Approximation

In this article we present a model of organization of a belief system based on a set of binary recursive functions that characterize the dynamic context that modifies the beliefs. The initial beliefs are modeled by a set of two-bit words that grow, update, and generate other beliefs as the different experiences of the dynamic context appear. Reason is presented as an emergent effect of the experience on the beliefs. The system presents a layered structure that allows a functional organization of the belief system. Our approach seems suitable to model different ways of thinking and to apply to different realistic scenarios such as ideologies

Defining and assessing spiritual health : a comparative study among 13- to 15-year-old pupils attending secular schools, Anglican schools, and private Christian schools in England and Wales

This article argues that the nation's commitment to young people involves proper concern for their physical health, their psychological health, and their spiritual health. In this context the notion of spiritual health is clarified by a critique of John Fisher's model of spiritual health. Fisher developed a relational model of spiritual health, which defines good spiritual health in terms of an individual's relationship to four domains: the personal, the communal, the environmental, and the transcendental. In the present analysis, we make comparisons between pupils educated in three types of schools: publicly funded schools without religious foundation, publicly funded schools with an Anglican foundation, and new independent Christian schools (not publicly funded). Our findings draw attention to significant differences in the levels of spiritual health experienced by pupils within these three types of schools

Research Diary: A Tool for Scaffolding

Diaries have long been seen as tools for reflection in learning languages, and learning about teaching. Despite this recognition of the importance of narratives in diary writing, little attention has been paid to the role of research diaries in the process of learning about research, and learning how to be a researcher. During the author\u27s own research into the construction of teaching knowledge by pre-service trainees, she became aware that her research diary was scaffolding her own construction of research knowledge. In this article the author discusses the role of a research diary based on a socio-cultural theory of learning. The diary acts as the expert other in the scaffolding of research knowledge by the novice researcher. The discussion of the nature of the scaffolding and the role of diary writing draws on examples from the author\u27s research diary written during her doctoral studies

Photoproduction of eta mesons from the neutron: cross sections and double polarization observable E

Photoproduction of $\eta$ mesons from neutrons} \abstract{Results from measurements of the photoproduction of $\eta$ mesons from quasifree protons and neutrons are summarized. The experiments were performed with the CBELSA/TAPS detector at the electron accelerator ELSA in Bonn using the $\eta\to3\pi^{0}\to6\gamma$ decay. A liquid deuterium target was used for the measurement of total cross sections and angular distributions. The results confirm earlier measurements from Bonn and the MAMI facility in Mainz about the existence of a narrow structure in the excitation function of $\gamma n\rightarrow n\eta$. The current angular distributions show a forward-backward asymmetry, which was previously not seen, but was predicted by model calculations including an additional narrow $P_{11}$ state. Furthermore, data obtained with a longitudinally polarized, deuterated butanol target and a circularly polarized photon beam were analyzed to determine the double polarization observable $E$. Both data sets together were also used to extract the helicity dependent cross sections $\sigma_{1/2}$ and $\sigma_{3/2}$. The narrow structure in the excitation function of $\gamma n\rightarrow n\eta$ appears associated with the helicity-1/2 component of the reaction

A study of surface currents in the spawning area of Brazilian sardine

To obtain the movement of surface currents in the spawning area of Brazilian sardine, drift card release experiments were conducted in south Brazilian waters during the spawning seasons of 1969-1971. The results of these experiments and some considerations about the drift of sardine eggs and larvae are described. On the cruises of late spring, summer and early autumn all cards from stations west of Long. 44º45' W drifted southwest and were recovered near São Sebastião and those from stations east of Long. 44º45' W drifted northeast and were recovered on the coast line between Ilha Grande and Cabo Frio. The drift pattern of the cruise of September 1969 was somewhat different from the others. Most cards recovered were released from stations near shore (up to 30 nm).O recrutamento do estoque de peixes marinhos é dependente da mortalidade, durante o estágio de ovos e larvas. A corrente de superfície, na área de desova, é um dos fatores importantes que afetam a mortalidade de larvas. O presente trabalho é o resultado de estudos feitos na corrente de superfície por meio de cartões-de-deriva, na região sul do Brasil (entre 22º S e 30º S). Oito viagens oceanográficas foram realizadas com os N/Oc. "Prof. W. Besnard" e "Emília" nos anos de 1969 a 1971. Na região de Ilha Grande, considerada uma das principais áreas de desova, o resultado na época do fim da primavera ao inicio do outono, mostra que os cartões lançados na área este de Long. 44º45' W, derivaram a nordeste e foram encontrados na costa, entre Ilha Grande e Cabo Frio e os cartões lançados na área oeste de Long. 44º45' W, derivaram a sudoeste e chegaram à costa de São Sebastião e Santos. O resultado do cruzeiro de setembro de 1969 (início da primavera) é diferente dos outros. Da região sul de Santos e da região do Cabo de São Tomé, temos poucos dados, portanto, não chegamos a uma conclusão definitiva. Será necessário o estudo contínuo desta área. A maioria dos cartões encontrados foram lançados de estações situadas perto da costa (no máximo, 30 mn). A maioria dos cartões, lançados a uma distância superior, nao foi recuperada