968 research outputs found

    Novel Inactivation of the Causative Fungus of White Nose Syndrome with Methoxsalen and Ultraviolet A Light

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    White Nose Syndrome (WNS) is a newly recognized disease responsible for the rapid mass destruction of the North American bat populations. This study addressed the novel inactivation of fungal spores from Pseudogymnoascus destructans, the causative agent of WNS, using ultraviolet A (UVA) light at 365nm and methoxsalen, a photosensitizer from a family of compounds known as furanocoumarins. Penicillium crustosum, an environmental fungus, was studied as a comparator. Spore suspensions were soaked in specific concentrations of methoxsalen and subsequently exposed to UVA light. The plates were examined for both spore inactivation and resultant inhibition of colony growth. The results demonstrated that methoxsalen + UVA was an effective method for inactivating fungal spores of P. destructans and P. crustosum. The importance of this study is the potential control of WNS and other destructive environmental fungi

    Emergency Medicine In-Training Examination Scores are Not Associated with Burnout and Not Affected by the Introduction of a Wellness Curriculum

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    Introduction: There is little research examining the relationship between burnout and medical knowledge. Study Objectives: The authors sought to determine if emergency medicine (EM) resident performance on the In-Training Examination (EM-ITE) is associated with burnout and if EM-ITE scores are affected by the implementation of a wellness curriculum. Methods: As part of a multi-institution prospective education intervention trial, the Maslach Burnout Inventory, a valuable tool in the assessment of physician burnout, was administered at 10 EM residencies in February 2017. Then, five intervention sites introduced a year-long wellness curriculum. The MBI was re-administered at all sites in August 2017 and February 2018. The EM-ITE, an instrument for medical knowledge assessment, was administered in February 2017 and February 2018 at all sites. Results: 285/382 (75%) residents participated in the February 2017 data collection; 247/386 (64%) participated in August 2017; and 228/386 (59%) participated in February 2018. EM-ITE scores were reported for 296/383 (77.5%) residents for 2017 and 304/386 (78.8%) residents for 2018. There was no association between change in mean EM-ITE scores at the intervention sites compared to the control sites. In the subset of 172 residents who completed the 2017 and 2018 MBI, there was no correlation between burnout and changes in EM-ITE scores. Conclusion: In this study of EM residents, burnout was not associated with resident medical knowledge acquisition and change in EM resident medical knowledge was not affected by the introduction of a wellness curriculum

    Lip plumper contact urticaria.

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    Lip plumpers are relatively new topical agents on the market that are designed to increase lip volume minutes to days after application. In this report, we describe a case of lip plumper contact urticaria in a young boy. We also discuss the mechanisms of action of lip plumpers and the sociocultural reasons for their use

    Basal paravian functional anatomy illuminated by high-detail body outline

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    Body shape is a fundamental expression of organismal biology, but its quantitative reconstruction in fossil vertebrates is rare. Due to the absence of fossilized soft tissue evidence, the functional consequences of basal paravian body shape and its implications for the origins of avians and flight are not yet fully understood. Here we reconstruct the quantitative body outline of a fossil paravian Anchiornis based on high-definition images of soft tissues revealed by laser-stimulated fluorescence. This body outline confirms patagia-bearing arms, drumstick-shaped legs and a slender tail, features that were probably widespread among paravians. Finely preserved details also reveal similarities in propatagial and footpad form between basal paravians and modern birds, extending their record to the Late Jurassic. The body outline and soft tissue details suggest significant functional decoupling between the legs and tail in at least some basal paravians. The number of seemingly modern propatagial traits hint that feathering was a significant factor in how basal paravians utilized arm, leg and tail function for aerodynamic benefit.published_or_final_versio

    Double-chambered right ventricle in an adult patient diagnosed by transthoracic echocardiography

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    BACKGROUND: Double-chambered right ventricle is a rare congenital disease frequently misdiagnosed in the adult patient. An anomalous muscle band divides the right ventricle in two cavities causing variable degree of obstruction. Although echocardiography is considered a useful method for the diagnosis of this pathology in children, it has been recognized the transthoracic scanning limitation in adults. CASE PRESENTATION: A 29 year-old patient with double-chambered right ventricle presenting mild exercise intolerance referred for follow up of a known ventricular septal defect in whom a complete diagnosis was obtained based only on transthoracic two dimensional echocardiography without the needing of cardiac catheterization. CONCLUSION: Based on non invasive echocardiographic diagnosis, patient was referred to surgical correction, which was completely successful

    A spectral study of gamma-ray emitting AGN

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    In this paper we present a statistical analysis of the gamma-ray spectra of flat-spectrum radio quasars (FSRQ) compared to those of BL Lacs. The average spectra and possible systematic deviations from power-law behaviour are investigated by summing up the intensity and the power-law fit statistic for both classes of objects. We also compare the time-averaged spectrum to that at the time of gamma-ray outbursts. The spectrum of the average AGN is softer than that of the extragalactic gamma-ray background. It may be that BL Lacs, which on average have a harder spectrum than FSRQs, make up the bulk of the extragalactic background. We also find apparent cut-offs at both low and high energies in the spectra of FSRQs at the time of gamma-ray outbursts. While the cut-off at high energies may have something to do with opacity, the cut-off at low energies may be taken as indication that the gamma-ray emission of FSRQs is not a one component spectrum.Comment: 8 pages, accepted for publication in A&
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