Bacteremia in Cardiac Surgery Patients with Heparin-Induced Thrombocytopenia

We have read with great interest the paper "Characterization of hospitalized cardiovascular patients with suspected heparin-induced thrombocytopenia" by Stoll and co-workers [1] and we found it very important with a view to clinical prevention

Circuit quantum acoustodynamics with surface acoustic waves

The experimental investigation of quantum devices incorporating mechanical resonators has opened up new frontiers in the study of quantum mechanics at a macroscopic level$^{1,2}$. Superconducting microwave circuits have proven to be a powerful platform for the realisation of such quantum devices, both in cavity optomechanics$^{3,4}$, and circuit quantum electro-dynamics (QED)$^{5,6}$. While most experiments to date have involved localised nanomechanical resonators, it has recently been shown that propagating surface acoustic waves (SAWs) can be piezoelectrically coupled to superconducting qubits$^{7,8}$, and confined in high-quality Fabry-Perot cavities up to microwave frequencies in the quantum regime$^{9}$, indicating the possibility of realising coherent exchange of quantum information between the two systems. Here we present measurements of a device in which a superconducting qubit is embedded in, and interacts with, the acoustic field of a Fabry-Perot SAW cavity on quartz, realising a surface acoustic version of cavity quantum electrodynamics. This quantum acoustodynamics (QAD) architecture may be used to develop new quantum acoustic devices in which quantum information is stored in trapped on-chip surface acoustic wavepackets, and manipulated in ways that are impossible with purely electromagnetic signals, due to the $10^{5}$ times slower speed of travel of the mechanical waves.Comment: 12 pages, 9 figures, 1 tabl

Rapid adaptation to invasive predators overwhelms natural gradients of intraspecific variation

Invasive predators can exert strong selection on native populations. If selection is strong enough, populations could lose the phenotypic variation caused by adaptation to heterogeneous environments. We compare frog tadpoles prior to and 14 years following invasion by crayfish. Prior to the invasion, populations differed in their intrinsic developmental rate, with tadpoles from cold areas reaching metamorphosis sooner than those from warm areas. Following the invasion, tadpoles from invaded populations develop faster than those from non-invaded populations. This ontogenetic shift overwhelmed the intraspecific variation between populations in a few generations, to the point where invaded populations develop at a similar rate regardless of climate. Rapid development can have costs, as fast-developing froglets have a smaller body size and poorer jumping performance, but compensatory growth counteracts some costs of development acceleration. Strong selection by invasive species can disrupt local adaptations by dampening intraspecific phenotypic variation, with complex consequences on lifetime fitness

Sievert or Gray: Dose Quantities and Protection Levels in Emergency Exposure

Mitigation or even elimination of adverse effects caused by ionizing radiation is the main scope of the radiation protection discipline. The interaction of radiation with living matter is quantified and correlated with biological effects by dose. The Sievert is the most well-known quantity, and it is used with the equivalent and effective dose to minimize stochastic effects. However, Gray is the reference quantity for sizing tissue reactions that could occur under high-exposure conditions such as in a radiation emergency. The topics addressed in this review are the choice to move from Sievert to Gray, how the operational quantities for environmental and individual monitoring of the detectors should consider such a change of units, and why reference levels substitute dose levels in emergency exposure

Deep inside of gastric signet-ring cell carcinoma

The histology of signet-ring cell carcinoma (SRC) of the stomach has been revisited with the support of current immunohistochemical techniques in order to explain particular features of this tumor; its great capacity of local diffusion and lymph node metastasis, also through a neo-lymphoangiogenesis. An observational retrospective study on 50 cases of SRC in stage II and III has been performed with the addition of histochemical (Alcian Blue, DDD-Fast Blue B, Mercury Orange) and immunohistochemical (cytocheratin, CD3, CD4, CD8, CD10, CD56, CD68, perforin, granzyme B, podoplanin, collagen type IV) investigations for each case. The signet ring cells, typical for this tumor, show abundant content of electro-negative sialomucins and demonstrate a great capacity of diffusion through the gastric wall. They evoke production and deposition of collagen type IV in the sub-mucosa layer through the local action of fibroblasts. The immunological response to this tumor in the gastric wall and in the metastatic lymph nodes is represented by an increase of B and T-helper lymphocytes, but not of T-killers or natural killers. The neoplastic cells are curiously able to avoid these newly formed ‘lymph nodules’. An extended neo-lymphangiogenesis has been observed around the primary tumor and in metastatic lymph nodes. A careful immunohistochemical characterization has allowed a better knowledge of SRC, regarding especially the peculiar behavior of local diffusion of its cells, the associated neo-lymph angiogenesis, and poor immunological reaction