Hemosuccus Pancreaticus as a Rare Complication of Bariatric Surgery.

Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding from the duct of Wirsung into the duodenum via the ampulla of Vater. Hemosuccus pancreaticus is difficult to diagnose because the bleeding is usually intermittent, and the clinical findings are often discordant. Patients present with pain, either left upper quadrant or epigastric, and bleeding, which may present as melena, bright red blood per rectum, or even shock, if the hemorrhage is severe. Hemosuccus pancreaticus is usually caused by rupture of a pseudoaneurysm of a peri-pancreatic artery, often the splenic artery, in the setting of pancreatitis; other causes are very rare. In this report, for the first time to our knowledge, we present a case of hemosuccus pancreaticus that occurred as a complication of bariatric surgery

The Use of a Large, Extensive Green Roof for Multiple Research Objectives

The Green Roof on the Onondaga County Convention Center in Syracuse, NY is planted with several varieties of sedum over an area of 0.56 hectares. The roof was constructed in 2011, and has been instrumented with sensors to enable research and education over an extended period. The purpose of the current work on this roof is to quantify its performance with respect to water storage and energy transfer, and to identify chemical constituents in the runoff that might be contributed by the growth medium. The scope of the project also includes a number of measurements on traditional roofs in the vicinity of the Convention Center as controls. Experimental methods include measurements with temperature probes installed in different layers of the green roof, a meteorological station, soil moisture sensors positioned around the roof, and an electromagnetic flowmeter connected to the roof drains. Chemical analysis of incoming precipitation and stormwater runoff is conducted by ion chromatography. Besides the research underway, an educational website is under construction that shows realtime data from many of the instruments. The website includes explanations of the energy flow through the roof layers, water flow and water storage in the growth medium, and runoff through the roof drains. The website is designed for use by teachers of K-12 and undergraduate courses to enable students to learn about green roofs as a tool for managing urban stormwater. Results of the research show that heat flow through the roof is largely controlled by extruded polystyrene insulation below the growth medium, and that the growth medium is not a major barrier to heat flow. Substantial amounts of stormwater can be stored by the roof, as long as the growth medium is able to dry somewhat between storms. Precipitation events in close succession may cause the growth medium to stay saturated, preventing the roof from storing additional stormwater. The results of this work are important for assisting designers and engineers to improve the performance of green roofs

CGDSNPdb: a database resource for error-checked and imputed mouse SNPs

The Center for Genome Dynamics Single Nucleotide Polymorphism Database (CGDSNPdb) is an open-source value-added database with more than nine million mouse single nucleotide polymorphisms (SNPs), drawn from multiple sources, with genotypes assigned to multiple inbred strains of laboratory mice. All SNPs are checked for accuracy and annotated for properties specific to the SNP as well as those implied by changes to overlapping protein-coding genes. CGDSNPdb serves as the primary interface to two unique data sets, the ‘imputed genotype resource’ in which a Hidden Markov Model was used to assess local haplotypes and the most probable base assignment at several million genomic loci in tens of strains of mice, and the Affymetrix Mouse Diversity Genotyping Array, a high density microarray with over 600 000 SNPs and over 900 000 invariant genomic probes. CGDSNPdb is accessible online through either a web-based query tool or a MySQL public login

Transcriptomic Identification of Iron-Regulated and Iron-Independent Gene Copies within the Heavily Duplicated Trichomonas vaginalis Genome

Gene duplication is an important evolutionary mechanism and no eukaryote has more duplicated gene families than the parasitic protist Trichomonas vaginalis. Iron is an essential nutrient for Trichomonas and plays a pivotal role in the establishment of infection, proliferation, and virulence. To gain insight into the role of iron in T. vaginalis gene expression and genome evolution, we screened iron-regulated genes using an oligonucleotide microarray for T. vaginalis and by comparative EST (expressed sequence tag) sequencing of cDNA libraries derived from trichomonads cultivated under iron-rich (+Fe) and iron-restricted (−Fe) conditions. Among 19,000 ESTs from both libraries, we identified 336 iron-regulated genes, of which 165 were upregulated under +Fe conditions and 171 under −Fe conditions. The microarray analysis revealed that 195 of 4,950 unique genes were differentially expressed. Of these, 117 genes were upregulated under +Fe conditions and 78 were upregulated under −Fe conditions. The results of both methods were congruent concerning the regulatory trends and the representation of gene categories. Under +Fe conditions, the expression of proteins involved in carbohydrate metabolism, particularly in the energy metabolism of hydrogenosomes, and in methionine catabolism was increased. The iron–sulfur cluster assembly machinery and certain cysteine proteases are of particular importance among the proteins upregulated under −Fe conditions. A unique feature of the T. vaginalis genome is the retention during evolution of multiple paralogous copies for a majority of all genes. Although the origins and reasons for this gene expansion remain unclear, the retention of multiple gene copies could provide an opportunity to evolve differential expression during growth in variable environmental conditions. For genes whose expression was affected by iron, we found that iron influenced the expression of only some of the paralogous copies, whereas the expression of the other paralogs was iron independent. This finding indicates a very stringent regulation of the differentially expressed paralogous genes in response to changes in the availability of exogenous nutrients and provides insight into the evolutionary rationale underlying massive paralog retention in the Trichomonas genome

Primary Aldosteronism: KCNJ5 Mutations and Adrenocortical Cell Growth

Aldosterone-producing adenomas with somatic mutations in the KCNJ5 G-protein-coupled inwardly rectifying potassium channel are a cause of primary aldosteronism. These mutations drive aldosterone excess, but their role in cell growth is undefined. Our objective was to determine the role of KCNJ5 mutations in adrenal cell proliferation and apoptosis. The Ki67 proliferative index was positively correlated with adenoma diameter in aldosterone-producing adenomas with a KCNJ5 mutation (r=0.435, P=0.007), a negative correlation was noted in adenomas with no mutation detected (r=-0.548, P=0.023). Human adrenocortical cell lines were established with stable expression of cumate-inducible wild-type or mutated KCNJ5. Increased cell proliferation was induced by low-level induction of KCNJ5-T158A expression compared with control cells (P=0.009), but increased induction ablated this difference. KCNJ5-G151R displayed no apparent proliferative effect, but KCNJ5-G151E and L168R mutations each resulted in decreased cell proliferation (difference P<0.0001 from control cells, both comparisons). Under conditions tested, T158A had no effect on apoptosis, but apoptosis increased with expression of G151R (P<0.0001), G151E (P=0.008), and L168R (P<0.0001). We generated a specific KCNJ5 monoclonal antibody which was used in immunohistochemistry to demonstrate strong KCNJ5 expression in adenomas without a KCNJ5 mutation and in the zona glomerulosa adjacent to adenomas irrespective of genotype as well as in aldosterone-producing cell clusters. Double immunofluorescence staining for KCNJ5 and CYP11B2 (aldosterone synthase) showed markedly decreased KCNJ5 immunostaining in CYP11B2-positive cells compared with CYP11B2-negative cells in aldosterone-producing adenomas with a KCNJ5 mutation. Together, these findings support the concept that cell growth effects of KCNJ5 mutations are determined by the expression level of the mutated channel

Spectral variability in fine-scale drone-based imaging spectroscopy does not impede detection of target invasive plant species

Land managers are making concerted efforts to control the spread of invasive plants, a task that demands extensive ecosystem monitoring, for which unoccupied aerial vehicles (UAVs or drones) are becoming increasingly popular. The high spatial resolution of unoccupied aerial vehicles imagery may positively or negatively affect plant species differentiation, as reflectance spectra of pixels may be highly variable when finely resolved. We assessed this impact on detection of invasive plant species Ailanthus altissima (tree of heaven) and Elaeagnus umbellata (autumn olive) using fine-resolution images collected in northwestern Virginia in June 2020 by a unoccupied aerial vehicles with a Headwall Hyperspec visible and near-infrared hyperspectral imager. Though E. umbellata had greater intraspecific variability relative to interspecific variability over more wavelengths than A. altissima, the classification accuracy was greater for E. umbellata (95%) than for A. altissima (66%). This suggests that spectral differences between species of interest and others are not necessarily obscured by intraspecific variability. Therefore, the use of unoccupied aerial vehicles-based spectroscopy for species identification may overcome reflectance variability in fine resolution imagery