Exercise-induced laryngeal obstruction: natural history and effect of surgical treatment

The current follow-up study concerning the supraglottic type of exercise-induced laryngeal obstruction (EILO) was performed to reveal the natural history of supraglottic EILO and compare the symptoms, as well as the laryngeal function in conservatively versus surgically treated patients. A questionnaire-based survey was conducted 2–5 years after EILO was diagnosed by a continuous laryngoscopy exercise (CLE) test in 94 patients with a predominantly supraglottic obstruction. Seventy-one patients had been treated conservatively and 23 with laser supraglottoplasty. The questionnaire response rate was 70 and 100% in conservatively treated (CT) and surgically treated (ST) patients, respectively. A second CLE test was performed in 14 CT and 19 ST patients. A visual analogue scale on symptom severity indicated improvements in both the groups, i.e. mean values (± standard deviations) declined from 73 (20) to 53 (26) (P < 0.001) in the CT group and from 87 (26) to 25 (27) (P < 0.001) in the ST group. At follow-up, ST patients reported lower scores regarding current level of complaints, and higher ability to perform exercise, as well as to push themselves physically, all compared to CT patients (P < 0.001). CLE scores were normalized in 3 of 14 (21%) CT and 16 of 19 (84%) ST patients (Z = −3.6; P < 0.001). In conclusion, symptoms of EILO diagnosed in adolescents generally decreased during 2–5 years follow-up period but even more after the surgical treatment. Patients with supraglottic EILO may benefit from supraglottoplasty both as to laryngeal function and symptom relief

On the physical structure of IRC+10216 Ground-based and Herschel observations of CO and C2H

Context. The carbon-rich asymptotic giant branch star IRC +10 216 undergoes strong mass loss, and quasi-periodic enhancements of the density of the circumstellar matter have previously been reported. The star’s circumstellar environment is a well-studied and complex astrochemical laboratory, in which many molecular species have been proved to be present. CO is ubiquitous in the circumstellar envelope, while emission from the ethynyl (C2H) radical is detected in a spatially confined shell around IRC +10 216. We recently detected unexpectedly strong emission from the N = 4−3,   6−5,   7−6,   8−7, and 9−8 transitions of C2H with the IRAM 30 m telescope and with Herschel/HIFI, which challenges the available chemical and physical models. Aims. We aim to constrain the physical properties of the circumstellar envelope of IRC +10 216, including the effect of episodic mass loss on the observed emission lines. In particular, we aim to determine the excitation region and conditions of C2H to explain the recent detections and to reconcile them with interferometric maps of the N = 1−0 transition of C2H. Methods. Using radiative-transfer modelling, we provide a physical description of the circumstellar envelope of IRC +10 216, constrained by the spectral-energy distribution and a sample of 20 high-resolution and 29 low-resolution CO lines – to date, the largest modelled range of CO lines towards an evolved star. We furthermore present the most detailed radiative-transfer analysis of C2H that has been done so far. Results. Assuming a distance of 150 pc to IRC +10 216, the spectral-energy distribution was modelled with a stellar luminosity of 11300 L⊙ and a dust-mass-loss rate of 4.0 × 10-8   M⊙ yr-1. Based on the analysis of the 20 high-frequency-resolution CO observations, an average gas-mass-loss rate for the last 1000 years of 1.5 × 10-5 M⊙ yr-1 was derived. This results in a gas-to-dust-mass ratio of 375, typical for this type of star. The kinetic temperature throughout the circumstellar envelope is characterised by three power laws: Tkin(r) ∝ r-0.58 for radii r ≤ 9 stellar radii, Tkin(r) ∝ r-0.40 for radii 9 ≤ r ≤ 65 stellar radii, and Tkin(r) ∝ r-1.20 for radii r ≥ 65 stellar radii. This model successfully describes all 49 observed CO lines. We also show the effect of density enhancements in the wind of IRC +10 216 on the C2H-abundance profile, and the close agreement we find of the model predictions with interferometric maps of the C2H N = 1−0 transition and with the rotational lines observed with the IRAM 30 m telescope and Herschel/HIFI. We report on the importance of radiative pumping to the vibrationally excited levels of C2H and the significant effect this pumping mechanism has on the excitation of all levels of the C2H-molecule

Lack of Effective Anti-Apoptotic Activities Restricts Growth of Parachlamydiaceae in Insect Cells

The fundamental role of programmed cell death in host defense is highlighted by the multitude of anti-apoptotic strategies evolved by various microbes, including the well-known obligate intracellular bacterial pathogens Chlamydia trachomatis and Chlamydia (Chlamydophila) pneumoniae. As inhibition of apoptosis is assumed to be essential for a successful infection of humans by these chlamydiae, we analyzed the anti-apoptotic capacity of close relatives that occur as symbionts of amoebae and might represent emerging pathogens. While Simkania negevensis was able to efficiently replicate within insect cells, which served as model for metazoan-derived host cells, the Parachlamydiaceae (Parachlamydia acanthamoebae and Protochlamydia amoebophila) displayed limited intracellular growth, yet these bacteria induced typical features of apoptotic cell death, including formation of apoptotic bodies, nuclear condensation, internucleosomal DNA fragmentation, and effector caspase activity. Induction of apoptosis was dependent on bacterial activity, but not bacterial de novo protein synthesis, and was detectable already at very early stages of infection. Experimental inhibition of host cell death greatly enhanced parachlamydial replication, suggesting that lack of potent anti-apoptotic activities in Parachlamydiaceae may represent an important factor compromising their ability to successfully infect non-protozoan hosts. These findings highlight the importance of the evolution of anti-apoptotic traits for the success of chlamydiae as pathogens of humans and animals

Volitional exaggeration of body size through fundamental and formant frequency modulation in humans

Several mammalian species scale their voice fundamental frequency (F0) and formant frequencies in competitive and mating contexts, reducing vocal tract and laryngeal allometry thereby exaggerating apparent body size. Although humans’ rare capacity to volitionally modulate these same frequencies is thought to subserve articulated speech, the potential function of voice frequency modulation in human nonverbal communication remains largely unexplored. Here, the voices of 167 men and women from Canada, Cuba, and Poland were recorded in a baseline condition and while volitionally imitating a physically small and large body size. Modulation of F0, formant spacing (∆F), and apparent vocal tract length (VTL) were measured using Praat. Our results indicate that men and women spontaneously and systemically increased VTL and decreased F0 to imitate a large body size, and reduced VTL and increased F0 to imitate small size. These voice modulations did not differ substantially across cultures, indicating potentially universal sound-size correspondences or anatomical and biomechanical constraints on voice modulation. In each culture, men generally modulated their voices (particularly formants) more than did women. This latter finding could help to explain sexual dimorphism in F0 and formants that is currently unaccounted for by sexual dimorphism in human vocal anatomy and body size

Moral judgments, gender, and antisocial preferences : an experimental study

Peer reviewedPostprin

Histopathological Findings in Brain Tissue Obtained during Epilepsy Surgery

BACKGROUND: Detailed neuropathological information on the structural brain lesions underlying seizures is valuable for understanding drug-resistant focal epilepsy. / METHODS: We report the diagnoses made on the basis of resected brain specimens from 9523 patients who underwent epilepsy surgery for drug-resistant seizures in 36 centers from 12 European countries over 25 years. Histopathological diagnoses were determined through examination of the specimens in local hospitals (41%) or at the German Neuropathology Reference Center for Epilepsy Surgery (59%). / RESULTS: The onset of seizures occurred before 18 years of age in 75.9% of patients overall, and 72.5% of the patients underwent surgery as adults. The mean duration of epilepsy before surgical resection was 20.1 years among adults and 5.3 years among children. The temporal lobe was involved in 71.9% of operations. There were 36 histopathological diagnoses in seven major disease categories. The most common categories were hippocampal sclerosis, found in 36.4% of the patients (88.7% of cases were in adults), tumors (mainly ganglioglioma) in 23.6%, and malformations of cortical development in 19.8% (focal cortical dysplasia was the most common type, 52.7% of cases of which were in children). No histopathological diagnosis could be established for 7.7% of the patients. / CONCLUSIONS: In patients with drug-resistant focal epilepsy requiring surgery, hippocampal sclerosis was the most common histopathological diagnosis among adults, and focal cortical dysplasia was the most common diagnosis among children. Tumors were the second most common lesion in both groups. (Funded by the European Union and others.