The effects of injection of bovine vaccine into a human digit: a case report

BACKGROUND: The incidence of needlestick injuries in farmers and veterinary surgeons is significant and the consequences of such an injection can be serious. CASE PRESENTATION: We report accidental injection of bovine vaccine into the base of the little finger. This resulted in increased pressure in the flexor sheath causing signs and symptoms of ischemia. Amputation of the digit was required despite repeated surgical debridement and decompression. CONCLUSION: There have been previous reports of injection of oil-based vaccines into the human hand resulting in granulomatous inflammation or sterile abscess and causing morbidity and tissue loss. Self-injection with veterinary vaccines is an occupational hazard for farmers and veterinary surgeons. Injection of vaccine into a closed compartment such as the human finger can have serious sequelae including loss of the injected digit. These injuries are not to be underestimated. Early debridement and irrigation of the injected area with decompression is likely to give the best outcome. Frequent review is necessary after the first procedure because repeat operations may be required

Thin ice clouds in the Arctic: cloud optical depth and particle size retrieved from ground-based thermal infrared radiometry

Multiband downwelling thermal measurements of zenith sky radiance, along with cloud boundary heights, were used in a retrieval algorithm to estimate cloud optical depth and effective particle diameter of thin ice clouds in the Canadian High Arctic. Ground-based thermal infrared (IR) radiances for 150 semitransparent ice clouds cases were acquired at the Polar Environment Atmospheric Research Laboratory (PEARL) in Eureka, Nunavut, Canada (80° N, 86° W). We analyzed and quantified the sensitivity of downwelling thermal radiance to several cloud parameters including optical depth, effective particle diameter and shape, water vapor content, cloud geometric thickness and cloud base altitude. A lookup table retrieval method was used to successfully extract, through an optimal estimation method, cloud optical depth up to a maximum value of 2.6 and to separate thin ice clouds into two classes: (1) TIC1 clouds characterized by small crystals (effective particle diameter  ≤  30 µm), and (2) TIC2 clouds characterized by large ice crystals (effective particle diameter  >  30 µm). The retrieval technique was validated using data from the Arctic High Spectral Resolution Lidar (AHSRL) and Millimeter Wave Cloud Radar (MMCR). Inversions were performed over three polar winters and results showed a significant correlation (R2 =  0.95) for cloud optical depth retrievals and an overall accuracy of 83 % for the classification of TIC1 and TIC2 clouds. A partial validation relative to an algorithm based on high spectral resolution downwelling IR radiance measurements between 8 and 21 µm was also performed. It confirms the robustness of the optical depth retrieval and the fact that the broadband thermal radiometer retrieval was sensitive to small particle (TIC1) sizes

Multiple indices of diffusion identifies white matter damage in mild cognitive impairment and Alzheimer's disease

The study of multiple indices of diffusion, including axial (DA), radial (DR) and mean diffusion (MD), as well as fractional anisotropy (FA), enables WM damage in Alzheimer's disease (AD) to be assessed in detail. Here, tract-based spatial statistics (TBSS) were performed on scans of 40 healthy elders, 19 non-amnestic MCI (MCIna) subjects, 14 amnestic MCI (MCIa) subjects and 9 AD patients. Significantly higher DA was found in MCIna subjects compared to healthy elders in the right posterior cingulum/precuneus. Significantly higher DA was also found in MCIa subjects compared to healthy elders in the left prefrontal cortex, particularly in the forceps minor and uncinate fasciculus. In the MCIa versus MCIna comparison, significantly higher DA was found in large areas of the left prefrontal cortex. For AD patients, the overlap of FA and DR changes and the overlap of FA and MD changes were seen in temporal, parietal and frontal lobes, as well as the corpus callosum and fornix. Analysis of differences between the AD versus MCIna, and AD versus MCIa contrasts, highlighted regions that are increasingly compromised in more severe disease stages. Microstructural damage independent of gross tissue loss was widespread in later disease stages. Our findings suggest a scheme where WM damage begins in the core memory network of the temporal lobe, cingulum and prefrontal regions, and spreads beyond these regions in later stages. DA and MD indices were most sensitive at detecting early changes in MCIa

Certifiably Correct Range-Aided SLAM

We present the first algorithm to efficiently compute certifiably optimal solutions to range-aided simultaneous localization and mapping (RA-SLAM) problems. Robotic navigation systems increasingly incorporate point-to-point ranging sensors, leading to state estimation problems in the form of RA-SLAM. However, the RA-SLAM problem is significantly more difficult to solve than traditional pose-graph SLAM: ranging sensor models introduce non-convexity and single range measurements do not uniquely determine the transform between the involved sensors. As a result, RA-SLAM inference is sensitive to initial estimates yet lacks reliable initialization techniques. Our approach, certifiably correct RA-SLAM (CORA), leverages a novel quadratically constrained quadratic programming (QCQP) formulation of RA-SLAM to relax the RA-SLAM problem to a semidefinite program (SDP). CORA solves the SDP efficiently using the Riemannian Staircase methodology; the SDP solution provides both (i) a lower bound on the RA-SLAM problem's optimal value, and (ii) an approximate solution of the RA-SLAM problem, which can be subsequently refined using local optimization. CORA applies to problems with arbitrary pose-pose, pose-landmark, and ranging measurements and, due to using convex relaxation, is insensitive to initialization. We evaluate CORA on several real-world problems. In contrast to state-of-the-art approaches, CORA is able to obtain high-quality solutions on all problems despite being initialized with random values. Additionally, we study the tightness of the SDP relaxation with respect to important problem parameters: the number of (i) robots, (ii) landmarks, and (iii) range measurements. These experiments demonstrate that the SDP relaxation is often tight and reveal relationships between graph rigidity and the tightness of the SDP relaxation.Comment: 17 pages, 9 figures, submitted to T-R

Molecular analysis of endothelial progenitor cell (EPC) subtypes reveals two distinct cell populations with different identities

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.Abstract Background The term endothelial progenitor cells (EPCs) is currently used to refer to cell populations which are quite dissimilar in terms of biological properties. This study provides a detailed molecular fingerprint for two EPC subtypes: early EPCs (eEPCs) and outgrowth endothelial cells (OECs). Methods Human blood-derived eEPCs and OECs were characterised by using genome-wide transcriptional profiling, 2D protein electrophoresis, and electron microscopy. Comparative analysis at the transcript and protein level included monocytes and mature endothelial cells as reference cell types. Results Our data show that eEPCs and OECs have strikingly different gene expression signatures. Many highly expressed transcripts in eEPCs are haematopoietic specific (RUNX1, WAS, LYN) with links to immunity and inflammation (TLRs, CD14, HLAs), whereas many transcripts involved in vascular development and angiogenesis-related signalling pathways (Tie2, eNOS, Ephrins) are highly expressed in OECs. Comparative analysis with monocytes and mature endothelial cells clusters eEPCs with monocytes, while OECs segment with endothelial cells. Similarly, proteomic analysis revealed that 90% of spots identified by 2-D gel analysis are common between OECs and endothelial cells while eEPCs share 77% with monocytes. In line with the expression pattern of caveolins and cadherins identified by microarray analysis, ultrastructural evaluation highlighted the presence of caveolae and adherens junctions only in OECs. Conclusions This study provides evidence that eEPCs are haematopoietic cells with a molecular phenotype linked to monocytes; whereas OECs exhibit commitment to the endothelial lineage. These findings indicate that OECs might be an attractive cell candidate for inducing therapeutic angiogenesis, while eEPC should be used with caution because of their monocytic nature.Published versio

General Transformation Formulas for Fermi-Walker Coordinates

We calculate the transformation and inverse transformation, in the form of Taylor expansions, from arbitrary coordinates to Fermi-Walker coordinates in tubular neighborhoods of arbitrary timelike paths for general spacetimes. Explicit formulas for coefficients and the Jacobian matrix are given.Comment: 23 pages. Corrected typos in the last two equations. Accepted for publication in Classical and Quantum Gravit

Theoretical Study of Fluid Membranes of Spherical Topology with Internal Degrees of Freedom

A theoretical study of vesicles of topological genus zero is presented. The bilayer membranes forming the vesicles have various degrees of intrinsic (tangent-plane) orientational order, ranging from smectic to hexatic, frustrated by curvature and topology. The field-theoretical model for these `$n$-atic' surfaces has been studied before in the low temperature (mean-field) limit. Work presented here includes the effects of thermal fluctuations. Using the lowest Landau level approximation, the coupling between order and shape is cast in a simple form, facilitating insights into the behaviour of vesicles. The order parameter contains vortices, whose effective interaction potential is found, and renormalized by membrane fluctuations. The shape of the phase space has a counter-intuitive influence on this potential. A criterion is established whereby a vesicle of finite rigidity may be burst by its own in-plane order, and an analogy is drawn with flux exclusion from a type-I superconductor.Comment: 34 pages + 4 Postscript figures. Uses RevTe