Antiphosphatidylserine antibody as a cause of multiple dural venous sinus thromboses and ST-elevation myocardial infarction

Objective: Rare disease Background: Antiphospholipid syndrome (APS) is an autoimmune disease characterized by antibodies directed against phos-pholipids on plasma membranes. Through unclear mechanisms, APS confers hypercoagulability. APS may cause recurrent thromboses in the arterial and venous vasculature. We report a case of primary APS resulting in cerebral venous thrombosis and ST-elevation myocardial infarction (STEMI) for which only antiphosphatidylserine (aPS) IgM antibody was positive after extensive investigation. Case Report: A 48-year-old male was admitted after a witnessed generalized seizure with subsequent confusion. Imaging demonstrated thrombosis of multiple central nervous system (CNS) sinuses, including the superior sagittal sinus and bilateral transverse sinuses. The patient was heparinized with aggressive hydration, which proved inadequate, prompting endovascular thrombectomy. Three months later, despite anticoagulation therapy, the patient developed a STEMI when International Normalized Ratio (INR) was 1.8. Echocardiogram (ECHO) and PAN CT scan were normal. Initial coagulation studies demonstrated normal anticardiolipin antibody, prothrombin time, partial thromboplastin time, and platelet count. Outpatient coagulation studies revealed normal an-tithrombin III, protein C/S, hemoglobin electrophoresis, homocysteine, anti-b2 glycoprotein 1 antibodies, and D-Dimer. Factor V Leiden, JAK 2 mutation, prothrombin gene mutation, and tests for paroxysmal nocturnal he-moglobinuria (PNH) were negative. A positive phosphatidylserine IgM was detected. The patient was continued on warfarin (10 mg daily) with a target INR of 3.0–3.5 and clopidogrel (75 mg daily). Conclusions: Despite extensive investigation, this patient only showed evidence of elevated aPS IgM antibodies, likely contributing to his CNS venous sinus thromboses and STEMI. It is important to screen for antiphosphatidylserine antibodies in cases of unprovoked thrombosis when standard thrombophilia analysis is unrevealing. This will assist in identifying pathogenicity and help prevent recurrence of subsequent thromboses. © Am J Case Rep, 2018

Effect of a prior stretch on the aging response of an Al-Cu-Li-Ag-Mg-Zr alloy

Recently, a family of Al-Cu-Li alloys containing minor amounts of Ag, Mg, and Zr and having desirable combinations of strength and toughness were developed. The Weldalite (trademark) alloys exhibit a unique characteristic in that with or without a prior stretch, they obtain significant strength-ductility combinations upon natural and artificial aging. The ultra-high strength (approximately 690 MPa yield strength) in the peak-aged tempers (T6 and T8) were primarily attributed to the extremely fine T(sub 1) (Al2CuLi) or T(sub 1)-type precipitates that occur in these alloys during artificial aging, whereas the significant natural aging response observed is attributed to strengthening from delta prime (Al3Li) and GP zones. In recent work, the aging behavior of an Al-Cu-Li-Ag-Mg alloy without a prior stretch was followed microstructurally from the T4 to the T6 condition. Commercial extrusions, rolled plates, and sheets of Al-Cu-Li alloys are typically subjected to a stretching operation before artificial aging to straighten the extrusions and, more importantly, introduce dislocations to simulate precipitation of strengthening phases such as T(sub 1) by providing relatively low-energy nucleation sites. The goals of this study are to examine the microstructure that evolves during aging of an alloy that was stretch after solution treatment and to compare the observations with those for the unstretched alloy

Evaluation of the microstructure of Al-Cu-Li-Ag-Mg Weldalite (tm) alloys, part 4

Weldalite (trademark) 049 is an Al-Cu-Li-Ag-Mg alloy designed to have ultrahigh strength and to serve in aerospace applications. The alloy displays significantly higher strength than competitive alloys in both naturally aged and artificially aged tempers. The strengthening phases in such tempers have been identified to, in part, explain the mechanical properties attained. In general, the alloy is strengthened by delta prime Al3Li and Guinier-Preston (GP) zones in the naturally aged tempers. In artificially aged tempers in slightly underaged conditions, strengthening is provided by several phases including GP zones, theta prime Al2Cu, S prime Al2CuMg, T(sub 1) Al2CuLi, and possibly a new phase. In the peak strength artificially aged tempers, T(sub 1) is the predominant strengthening phase

Chronicles of Oklahoma

Article explores Henry C. Brokmeyer's sojourn among the Muscogee (Creek) tribe. Donald K. Pickens examines the life of the lawyer, politician, and Hegelian philosopher and his fascination with the Muscogees

Chronicles of Oklahoma

Article reviews research and studies over Populism and its origin, focusing specifically on Oklahoma Populism that developed out of agrarian difficulties on the frontier. Donald A. Pickens also touches on the party's fusion with the Democratic party, and the development of the Socialist party

Container Color and Compost Substrate Affect Root Zone Temperature and Growth of “Green Giant” Arborvitae

Container-grown nursery crops are commonly exposed to root zone stress due to inadequate moisture and supraoptimal root zone temperature (RZT). Compost substrates can improve water and nutrient retention but plant responses can vary due to physical and chemical properties. Dark color containers absorb solar radiation through the container side wall leading to excessive heat buildup in the substrate, yet white containers can reduce RZT. Compost substrates and container color were examined for effects on RZT and growth of “Green Giant” arborvitae (Thuja standishii × plicata “Green Giant”). “Green Giant” arborvitae were transplanted into white or black containers (11.3 L) filled with a pine bark substrate (PB) or PB mixed with compost (C) at two different proportions [PB:C (9:1) and PB:C (7:3)]. White containers reduced maximum RZT by up to 7 °C and RZT remained above 38 °C for only 3% of the time compared to 21% of the time in black containers. Shoot growth increased over 50% in white containers compared to black containers. Compost increased substrate volumetric water content (VWC), increased shoot growth by up to 24%, and reduced total irrigation volume by up to 40%. Utilizing white containers for minimizing RZT and compost-amended substrates to maintain adequate VWC can improve root and shoot growth and overall crop quality while reducing nursery production inputs

Container Type and Substrate Affect Root Zone Temperature and Growth of ‘Green Giant’ Arborvitae

Root zone temperature (RZT) in nursery containers commonly exceeds ambient temperature during the growing season, negatively impacting crop growth and quality. Black nursery containers absorb radiant heat resulting in excessive RZT, yet other types of containers and different substrates can moderate RZT. We conducted studies in Tennessee and Alabama to evaluate the effects of container type and substrate on RZT and growth of ‘Green Giant’ arborvitae (Thuja standishii × plicata ‘Green Giant’). Trade gallon arborvitae were transplanted into black, white, or air pruning containers filled with pine bark (PB) or 4 PB: 1 peatmoss (v:v) (PB:PM). Plants grown in PB:PM were larger and had greater shoot and root biomass than plants grown in PB, likely due to increased volumetric water content. Plant growth response to container type varied by location, but white containers with PB:PM produced larger plants and greater biomass compared with the other container types. Root zone temperature was greatest in black containers and remained above 38 °C and 46 °C for 15% and 17% longer than white and air pruning containers, respectively. Utilizing light color containers in combination with substrates containing peatmoss can reduce RZT and increase substrate moisture content thus improving crop growth and quality

The effect of cognitive fatigue on prefrontal cortex correlates of neuromuscular fatigue in older women

BACKGROUND: As the population of adults aged 65 and above is rapidly growing, it is crucial to identify physical and cognitive limitations pertaining to daily living. Cognitive fatigue has shown to adversely impact neuromuscular function in younger adults, however its impact on neuromuscular fatigue, and associated brain function changes, in older adults is not well understood. The aim of the study was to examine the impact of cognitive fatigue on neuromuscular fatigue and associated prefrontal cortex (PFC) activation patterns in older women. METHODS: Eleven older (75.82 (7.4) years) females attended two sessions and performed intermittent handgrip exercises at 30 % maximum voluntary contraction (MVC) until voluntary exhaustion after a 60-min control (watching documentary) and 60-min cognitive fatigue (performing Stroop Color Word and 1-Back tests) condition. Dependent measures included endurance time, strength loss, PFC activity (measured using fNIRS), force fluctuations, muscle activity, cardiovascular responses, and perceived discomfort. RESULTS: Participants perceived greater cognitive fatigue after the 60-min cognitive fatigue condition when compared to the control condition. While neuromuscular fatigue outcomes (i.e., endurance time, strength loss, perceived discomfort), force fluctuations, and muscle activity were similar across both the control and cognitive fatigue conditions, greater decrements in PFC activity during neuromuscular fatigue development after the cognitive fatigue condition were observed when compared to the control condition. CONCLUSION: Despite similar neuromuscular outcomes, cognitive fatigue was associated with blunted PFC activation during the handgrip fatiguing exercise that may be indicative of neural adaptation with aging in an effort to maintain motor performance. Examining the relationship between cognitive fatigue and neuromuscular output by imaging other motor-related brain regions are needed to provide a better understanding of age-related compensatory adaptations to perform daily tasks that involve some levels of cognitive demand and physical exercise, especially when older adults experience them sequentially

Whose expertise is it? Evidence for autistic adults as critical autism experts

This is the final version. Available on open access from Frontiers Media via the DOI in this recordAutistic and non-autistic adults' agreement with scientific knowledge about autism, how they define autism, and their endorsement of stigmatizing conceptions of autism has not previously been examined. Using an online survey, we assessed autism knowledge and stigma among 636 adults with varied relationships to autism, including autistic people and nuclear family members. Autistic participants exhibited more scientifically based knowledge than others. They were more likely to describe autism experientially or as a neutral difference, and more often opposed the medical model. Autistic participants and family members reported lower stigma. Greater endorsement of the importance of normalizing autistic people was associated with heightened stigma. Findings suggest that autistic adults should be considered autism experts and involved as partners in autism research.Professional Staff CongressCity University of New Yor