1,059 research outputs found
Introduction to Nakamura Yūjirō and his Work
In Social Imaginaries, vol. 1, nr. 1 (Spring 2015) due out in May 2015
Portal vein thrombosis after laparoscopic splenectomy: an ongoing clinical challenge.
ObjectivesPortal vein thrombosis (PVT) following open splenectomy is a potentially lethal complication with an incidence of up to 6%. The objective of this report is to describe our management of a recent laparoscopic case, discuss current therapies, and consider antiplatelet therapy for prophylaxis.MethodsMedical records, laboratory studies, and imaging studies pertaining to a recent case of a laparoscopic splenectomy were examined. Current literature related to this topic was reviewed.ResultsA 16-year-old girl underwent laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Her preoperative platelet count was 96K. She was discharged on postoperative day 1 after an uneventful operation including division of the splenic hilum with an endoscopic linear stapler. On postoperative day 20, she presented with a 5-day history of epigastric pain, nausea, and low-grade fevers without peritoneal signs. Her white blood cell count was 17.3; her platelets were 476K. Computed tomography demonstrated thrombosis of the splenic, superior mesenteric, and portal veins propagating into the liver. Heparinization was begun followed by an unsuccessful attempt at pharmacologic and mechanical thrombolysis by interventional radiology. Over the next 5 days, her pain resolved, she tolerated a full diet, was converted to oral anticoagulation and sent home. Follow-up radiographic studies demonstrated the development of venous collaterals and cavernous transformation of the portal vein.DiscussionNo standard therapy for PVT exists; several approaches have been described. These include systemic anticoagulation, systemic or regional medical thrombolysis, mechanical thrombolysis, and surgical thrombectomy. Unanswered questions exist about the most effective acute therapy, duration of anticoagulation, and the potential efficacy of routine prophylaxis with perioperative antiplatelet agents. PVT following splenectomy occurs with both the open and laparoscopic approach
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The septin cytoskeleton facilitates membrane retraction during motility and blebbing.
Increasing evidence supports a critical role for the septin cytoskeleton at the plasma membrane during physiological processes including motility, formation of dendritic spines or cilia, and phagocytosis. We sought to determine how septins regulate the plasma membrane, focusing on this cytoskeletal element's role during effective amoeboid motility. Surprisingly, septins play a reactive rather than proactive role, as demonstrated during the response to increasing hydrostatic pressure and subsequent regulatory volume decrease. In these settings, septins were required for rapid cortical contraction, and SEPT6-GFP was recruited into filaments and circular patches during global cortical contraction and also specifically during actin filament depletion. Recruitment of septins was also evident during excessive blebbing initiated by blocking membrane trafficking with a dynamin inhibitor, providing further evidence that septins are recruited to facilitate retraction of membranes during dynamic shape change. This function of septins in assembling on an unstable cortex and retracting aberrantly protruding membranes explains the excessive blebbing and protrusion observed in septin-deficient T cells
Real-time analysis of T cell receptors in naive cells in vitro and in vivo reveals flexibility in synapse and signaling dynamics
Real-time imaging defines the dynamics of TCR and T cell motility during early T cell activation in lymph nodes
Application of High-field NMR Spectroscopy for Differentiating Cathinones for Forensic Identification
Synthetic cathinone family compounds or designer drugs are the major naturally-occurring psychostimulant and hallucinogenic designer drugs that are used illegally in the United States and several other countries for their cocaine, methylenedioxymethamphetamine (MDMA), and amphetamine-like effects. Since 2009, forensic labs have identified synthetic cathinones in an increasing percentage of cases. One of the problems crime labs face when analyzing submitted drug evidence is that the samples are often mixtures and can contain one or more of several cutting agents. In this work, we demonstrate the utility of high-field 1H-NMR as a screening tool to detect cathinones in the presence adulterants or “cutting agents”. We collected 1H- and 13C-NMR spectra of three structurally distinct cathinones: alpha-piperidinobutiophenone, alpha-pyrrolidinopentiothiophenone, and pentylone. The spectra were collected with the pure cathinones and in the presence of a cutting agent, commercial powdered sugar (sucrose), and in two solvents. Without knowing the mixture components, it is impossible to select a solvent that will (ideally) only dissolve the drug of interest for interpretation. High-field NMR can be used to provide a spectral assignment and structure determination of a sample of an unknown cathinone and spectral signatures for screening, even when the cutting agent is also very soluble as observed when the solvent was D2O. The NMR spectra provide evidence that rapidly acquired 1H spectra can be used to strongly indicate the identity of cathinones in a sample if they are present in a library
Recent and future trends in synthetic greenhouse gas radiative forcing
Atmospheric measurements show that emissions of hydrofluorocarbons (HFCs) and hydrochlorofluorocarbons are now the primary drivers of the positive growth in synthetic greenhouse gas (SGHG) radiative forcing. We infer recent SGHG emissions and examine the impact of future emissions scenarios, with a particular focus on proposals to reduce HFC use under the Montreal Protocol. If these proposals are implemented, overall SGHG radiative forcing could peak at around 355 mW m[superscript −2] in 2020, before declining by approximately 26% by 2050, despite continued growth of fully fluorinated greenhouse gas emissions. Compared to “no HFC policy” projections, this amounts to a reduction in radiative forcing of between 50 and 240 mW m[superscript −2] by 2050 or a cumulative emissions saving equivalent to 0.5 to 2.8 years of CO2 emissions at current levels. However, more complete reporting of global HFC emissions is required, as less than half of global emissions are currently accounted for.Natural Environment Research Council (Great Britain) (Advanced Research Fellowship NE/I021365/1)United States. National Aeronautics and Space Administration (Upper Atmospheric Research Program Grant NNX11AF17G)United States. National Oceanic and Atmospheric Administratio
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