Diagnostic and therapeutic considerations in idiopathic hypereosinophilia with warm autoimmune hemolytic anemia.

Hypereosinophilic syndrome (HES) encompasses numerous diverse conditions resulting in peripheral hypereosinophilia that cannot be explained by hypersensitivity, infection, or atopy and that is not associated with known systemic diseases with specific organ involvement. HES is often attributed to neoplastic or reactive causes, such as chronic eosinophilic leukemia, although a majority of cases remains unexplained and are considered idiopathic. Here, we review the current diagnosis and management of HES and present a unique case of profound hypereosinophilia associated with warm autoimmune hemolytic anemia requiring intensive management. This case clearly illustrates the limitations of current knowledge with respect to hypereosinophilia syndrome as well as the challenges associated with its classification and management

Equilibrium distributions in thermodynamical traffic gas

We derive the exact formula for thermal-equilibrium spacing distribution of one-dimensional particle gas with repulsive potential V(r)=r^(-a) (a>0) depending on the distance r between the neighboring particles. The calculated distribution (for a=1) is successfully compared with the highway-traffic clearance distributions, which provides a detailed view of changes in microscopical structure of traffic sample depending on traffic density. In addition to that, the observed correspondence is a strong support of studies applying the equilibrium statistical physics to traffic modelling.Comment: 5 pages, 6 figures, changed content, added reference

Joining up health and bioinformatics: e-science meets e-health

CLEF (Co-operative Clinical e-Science Framework) is an MRC sponsored project in the e-Science programme that aims to establish methodologies and a technical infrastructure forthe next generation of integrated clinical and bioscience research. It is developing methodsfor managing and using pseudonymised repositories of the long-term patient histories whichcan be linked to genetic, genomic information or used to support patient care. CLEF concentrateson removing key barriers to managing such repositories ? ethical issues, informationcapture, integration of disparate sources into coherent ?chronicles? of events, userorientedmechanisms for querying and displaying the information, and compiling the requiredknowledge resources. This paper describes the overall information flow and technicalapproach designed to meet these aims within a Grid framework

PIONIER: a status report

The visitor instrument PIONIER provides VLTI with improved imaging capabilities and sensitivity. The instrument started routinely delivering scientic data in November 2010, that is less than 12 months after being approved by the ESO Science and Technical Committee. We recall the challenges that had to be tackled to design, built and commission PIONIER. We summarize the typical performances and some astrophysical results obtained so far. We conclude this paper by summarizing lessons learned

Rates of erosion and landscape change along the Blue Ridge escarpment, southern Appalachian Mountains, estimated from in situ cosmogenic 10Be

The Blue Ridge escarpment, located within the southern Appalachian Mountains of Virginia and North Carolina, forms a distinct, steep boundary between the lower-elevation Piedmont and higher-elevation Blue Ridge physiographic provinces. To understand better the rate at which this landform and the adjacent landscape are changing, we measured cosmogenic 10Be in quartz separated from sediment samples (n = 50) collected in thirty-two streams and from three exposed bedrock outcrops along four transects normal to the escarpment, allowing us to calculate erosion rates integrated over 104–105 years. These basin-averaged erosion rates (5.4–49 m My-1) are consistent with those measured elsewhere in the southern Appalachians and show a positive relationship between erosion rate and average basin slope. Erosion rates show no relationship with basin size or relative position of the Brevard fault zone, a fundamental structural element of the region. The cosmogenic isotopic data, when considered along with the distribution of average basin slopes in each physiographic province, suggest that the escarpment is eroding on average more rapidly than the Blue Ridge uplands, which are eroding more rapidly than the Piedmont lowlands. This difference in erosion rates by geomorphic setting suggests that the elevation difference between the uplands and lowlands adjacent to the escarpment is being reduced but at extremely slow rates

The interaction between transpolar arcs and cusp spots

Transpolar arcs and cusp spots are both auroral phenomena which occur when the interplanetary magnetic field is northward. Transpolar arcs are associated with magnetic reconnection in the magnetotail, which closes magnetic flux and results in a "wedge" of closed flux which remains trapped, embedded in the magnetotail lobe. The cusp spot is an indicator of lobe reconnection at the high-latitude magnetopause; in its simplest case, lobe reconnection redistributes open flux without resulting in any net change in the open flux content of the magnetosphere. We present observations of the two phenomena interacting--i.e., a transpolar arc intersecting a cusp spot during part of its lifetime. The significance of this observation is that lobe reconnection can have the effect of opening closed magnetotail flux. We argue that such events should not be rare

Immune defects in Alzheimer's disease: new medications development

Alzheimer's disease (AD) is a neurodegenerative disease characterized by the accumulation of intracellular and extracellular aggregates. According to the amyloid beta (Aβ) hypothesis, amyloidosis occurring in the brain is a leading cause of neurodegeneration in AD. Defects in the innate immune system may decrease the clearance of Aβ in the brain. Macrophages of most AD patients do not transport Aβ into endosomes and lysosomes, and monocytes from AD patients do not efficiently clear Aβ from AD brain. After stimulation with Aβ, mononuclear cells of normal subjects display up-regulated transcription of MGAT3, which encodes β-1,4-mannosyl-glycoprotein 4-β-N-acetylglucosaminyltransferase, and Toll-like receptor (TLR) genes. Monocytes of AD patients generally down-regulate these genes. A commonly used, naturally occurring material from a spice that enhances certain key functions defective in cells of innate immunity of many AD patients has shown epidemiologic rationale for use in AD treatment. Bisdemethoxycurcumin, a natural curcumin, is a minor constituent of turmeric (curry), and it enhances phagocytosis and clearance of Aβ in cells from most AD patients. We confirmed the effectiveness of a synthetic version of the same compound. In mononuclear cells of most AD patients, bisdemethoxycurcumin enhanced defective phagocytosis of Aβ and increased the transcription of MGAT3 and TLR genes. The potency of bisdemethoxycurcumin as a highly purified compound in facilitating the clearance of Aβ in mononuclear cells suggests the promise of enhanced effectiveness compared to curcuminoid mixtures. Bisdemethoxycurcumin appears to enhance immune function in mononuclear cells of AD patients and may provide a novel approach to AD immunotherapy