Pyodermas: Diagnosis and Treatment

The diagnosis and treatment of cutaneous infections appear to be rather straightforward at first glance. Major texts of pediatrics and dermatology indicate that the vast majority of pyodermas are due to either Staphylococcus aureus (S. aureus) or Streptococcus pyogenes and that antibiotics are curative. On closer scrutiny, however, one quickly becomes aware that there is a great deal of nomenclatural confusion with a corresponding lack of clarity regarding therapy – particularly on the point of whether or not topical antibiotics have any place in therapy

Acne Vulgaris

Acne vulgaris displays all the characteristics of a polygenic disorder in that hereditary factors are apparent with strong family tendencies for the disorder while the phenotypic expression of the disease varies over a wide spectrum. All that is known for certain concerning the genetics of acne is that concordance is extremely high in identical twins. In the past decade, various investigations have resulted in much clearer concepts of pathogenesis and have brought us to the point of effective therapy for the majority of cases. In this report, I will summarize recent concepts in the pathogenesis of acne vulgaris

Nearly Antiferromagnetic Fermi Liquids: A Progress Report

I describe recent theoretical and experimental progress in understanding the physical properties of the two dimensional nearly antiferromagnetic Fermi liquids (NAFL's) found in the normal state of the cuprate superconductors. In such NAFL's, the magnetic interaction between planar quasiparticles is strong and peaked at or near the commensurate wave vector, $Q \equiv (\pi,\pi)$. For the optimally doped and underdoped systems, the resulting strong antiferromagnetic correlations produce three distinct magnetic phases in the normal state: mean field above $T_{cr}$, pseudoscaling between $T_{cr}$ and $T_*$, and pseudogap below $T_*$. I present arguments which suggest that the physical origin of the pseudogap found in the quasiparticle spectrum below $T_{cr}$ is the formation of a precursor to a spin-density-wave-state, describe the calculations based on this scenario of the dynamical spin susceptibility, Fermi surface evolution, transport, and Hall effect, and summarize the experimental evidence in its support.Comment: LATEX + PS figures. To appear in the proceedings of the Euroconference on "Correlations in Unconventional Quantum Liquids," Evora, Portugal, October 199

The Phosphorus Puzzle: Why Metal Phosphites Could Be the Missing Piece

It is well understood that phosphorylation of organic molecules is a keystone mechanism toward developing early cell function. However, the source of phosphorous in prebiotic chemistry is under debate. Phosphate minerals were abundant on the early Earth, but they are highly insoluble. In comparison, metal phosphites are significantly more soluble. While they may not have been preserved in the geological record, there are several plausible pathways for their formation under prebiotic conditions. We hypothesize that metal phosphites were a major source of phosphorus. To test our hypothesis, we synthesized and characterized metal phosphites, containing the most abundant cations on the early Earth (Mg2+, Ca2+, Fe2+, Fe3+). Then we reacted the metal phosphites with glycerol or propanol and looked for phosphonylated organic molecules. (n.b., Phosphonylated molecules contain a phosphite (PO33-), and phosphorylated molecules contain a phosphate (PO43-).) In nuclear magnetic resonance (NMR) experiments, we observe the formation of glycerol-a-phosphite and glycerol-b-phosphite when CaHPO3 and glycerol react at 60oC. Experiments investigating the reactivity of iron (II or III) phosphite and magnesium phosphite are ongoing

Experimental Infections with Group A Streptococci in Humans

Experimental inoculation of 7 strains of Group A streptococci failed to result in either colonization or infection of normal intact skin of human volunteers. All strains rapidly died on normal skin; suppression of the resident microflora did not affect survival and no difference in survival was seen between inoculation on lipid-rich and lipid-poor body areas. Inoculation on skin damaged by superficial scarification resulted in localized infections when 1 × 104 or more organisms were inoculated into the wound by rubbing and covered with an impermeable plastic film. Intradermal inoculation resulted in localized cellulitis, regional lymphadenopathy, and fever. All strains were equally effective in producing localized infections in scarified skin

Engaging children and young people on the potential role of artificial intelligence in medicine

INTRODUCTION: There is increasing interest in Artificial Intelligence (AI) and its application to medicine. Perceptions of AI are less well-known, notably amongst children and young people (CYP). This workshop investigates attitudes towards AI and its future applications in medicine and healthcare at a specialised paediatric hospital using practical design scenarios. METHOD: Twenty-one members of a Young Persons Advisory Group for research contributed to an engagement workshop to ascertain potential opportunities, apprehensions, and priorities. RESULTS: When presented as a selection of practical design scenarios, we found that CYP were more open to some applications of AI in healthcare than others. Human-centeredness, governance and trust emerged as early themes, with empathy and safety considered as important when introducing AI to healthcare. Educational workshops with practical examples using AI to help, but not replace humans were suggested to address issues, build trust, and effectively communicate about AI. CONCLUSION: Whilst policy guidelines acknowledge the need to include children and young people to develop AI, this requires an enabling environment for human-centred AI involving children and young people with lived experiences of healthcare. Future research should focus on building consensus on enablers for an intelligent healthcare system designed for the next generation, which fundamentally, allows co-creation. IMPACT: Children and young people (CYP) want to be included to share their insights about the development of research on the potential role of Artificial Intelligence (AI) in medicine and healthcare and are more open to some applications of AI than others. Whilst it is acknowledged that a research gap on involving and engaging CYP in developing AI policies exists, there is little in the way of pragmatic and practical guidance for healthcare staff on this topic. This requires research on enabling environments for ongoing digital cooperation to identify and prioritise unmet needs in the application and development of AI

Quantitative Microbiology of the Scalp in Non-Dandruff, Dandruff, and Seborrheic Dermatitis

The composition of the scalp microflora was assessed quantitatively in normal individuals and in patients with dandruff and seborrheic dermatitis, disorders characterized by increasing scalin. Three organisms were constantly found: (1) Pityrosporum, (2) aerobic cocci, and (3) Corynebacterium acnes. Pitrosporum (mainly Pityrosporum ovale) made up 46% of the total microflora in normals, 74% in dandruff, and 83% in seborrheic dermatitis. The geometric mean number of organisms per cm2 in non-dandruff subjects was 5.04 × 105; 9.22 × 105 in dandruff subjects; and 6.45 × 105 in those with seborrheic dermatitis. The cocci were dominantly Baird-Parkertype SII and no quantitative or qualitative change occurred in the scaling disorders. C. acnes comprised 26% of the flora on the normal scalp, 6% in dandruff, and only 1% in seborrheic dermatitis. These results differ significantly from previous reports which describe a much more complex microflora and suggest an etiologic role for microorganisms in dandruff

Walkable Neighborhoods: Linkages Between Place, Health, and Happiness in Younger and Older Adults

Problem, research strategy, and findings: We examined whether living in a walkable neighborhood influenced the happiness of younger and older city residents. The data for this study came from a comprehensive household population survey of 1,064 adults living in 16 neighborhoods in Dublin City (Ireland) and its suburbs. We used multigroup structural equation modeling to analyze the direct and indirect effects of walkability on happiness, mediated by health, trust, and satisfaction with neighborhood appearance. We found living in a walkable neighborhood was directly linked to the happiness of people aged 36 to 45 (p¼.001) and, to a lesser extent, those aged 18 to 35 (p¼.07). For older adults, we found that walkable places mattered for happiness indirectly. Such built environments enhanced the likelihood that residents felt more healthy and more trusting of others, and this in turn affected the happiness of older people living in walkable neighborhoods. Takeaway for practice: We found that the way neighborhoods are planned and maintained mattered for happiness, health, and trust. Our findings suggest that mixed-use neighborhood designs that enable residents to shop and socialize within walking distance to their homes have direct and indirect effects on happiness. We call for an ongoing dialogue and evaluation of the way our urban and suburban neighborhoods are planned, designed, and developed, so that people can live in walkable places that better enable health and wellbeing

Making information flow explicit in HiStar

HiStar is a new operating system designed to minimize the amount of code that must be trusted. HiStar provides strict information flow control, which allows users to specify precise data security policies without unduly limiting the structure of applications. HiStar's security features make it possible to implement a Unix-like environment with acceptable performance almost entirely in an untrusted user-level library. The system has no notion of superuser and no fully trusted code other than the kernel. HiStar's features permit several novel applications, including privacy-preserving, untrusted virus scanners and a dynamic Web server with only a few thousand lines of trusted code.National Science Foundation (U.S.) (Cybertrust Award CNS-0716806)National Science Foundation (U.S.) (Cybertrust/DARPA Grant CNS-0430425