Search

To describe the clinical and laboratory outcomes of infants with subcutaneous fat necrosis of the newborn (SCFN) and propose a care algorithm.This single-center, retrospective study of infants diagnosed with SCFN at AnnRobert H. Lurie Children's Hospital of Chicago from 2009 to 2019.Of 32 infants who met inclusion criteria, most were born full-term (84%), born via cesarean section (58%), had normal weight for gestational age (69%), and experienced delivery complications (53%). Twenty-nine infants (91%) had calcium drawn, and all had hypercalcemia. Three infants developed clinical symptoms of hypercalcemia, two required hospital admission, two developed nephrocalcinosis, and one developed acute kidney injury. The majority of infants (62%) had a peak ionized calcium between 1.5 and 1.6 mmol/L. No infants with peak ionized calcium less than 1.5 mmol/L developed complications of hypercalcemia. Most patients were diagnosed with hypercalcemia (86%) and demonstrated peak ionized calcium levels (59%) within the first 28 days of life. No patients developed hypercalcemia after 3 months of age.Hypercalcemia occurred in 100% of infants who had laboratory monitoring. We recommend obtaining an initial ionized calcium level when SCFN is suspected, and monitoring for the first 3 months of life if hypercalcemia has not been detected. In patients with asymptomatic hypercalcemia less than 1.5 mmol/L, there appears to be low likelihood of related complications. For symptomatic, markedly elevated (1.6 mmol/L), or persistently elevated levels (6 months) we suggest coordinated care with endocrinology or nephrology, consider hospitalization, and urinary system ultrasound.

Tropical cyclones (TCs) pose a significant threat to human health, and research is needed to identify high-risk subpopulations. We investigated whether hospitalization risks from TCs in Florida (FL), United States, varied across individuals and communities. We modeled the associations between all storms in FL from 1999 to 2016 and over 3.5 million Medicare hospitalizations for respiratory (RD) and cardiovascular disease (CVD). We estimated the relative risk (RR), comparing hospitalizations during TC-periods (2 days before to 7 days after) to matched non-TC-periods. We then separately modeled the associations in relation to individual and community characteristics. TCs were associated with elevated risk of RD hospitalizations (RR: 4.37, 95% CI: 3.08, 6.19), but not CVD (RR: 1.04, 95% CI: 0.87, 1.24). There was limited evidence of modification by individual characteristics (age, sex, or Medicaid eligibility); however, risks were elevated in communities with higher poverty or lower homeownership (for CVD hospitalizations) and in denser or more urban communities (for RD hospitalizations). More research is needed to understand the potential mechanisms and causal pathways that might account for the observed differences in the association between tropical cyclones and hospitalizations across communities.

Leucites are tetrahedrally coordinated silicate framework structures with some of the silicon framework cations partially replaced by divalent or trivalent cations. These structures have general formulae A2BSi5O12 and ACSi2O6; where A is a monovalent alkali metal cation, B is a divalent cation, and C is a trivalent cation. In this paper, we report the Rietveld refinements of three more synthetic leucite analogues with stoichiometries of Cs2NiSi5O12, RbGaSi2O6, and CsGaSi2O6. Cs2NiSi5O12 is Ia$\bar{3}$d cubic and is isostructural with Cs2CuSi5O12. RbGaSi2O6 is I41/a tetragonal and is isostructural with KGaSi2O6. CsGaSi2O6 is $I\bar{4}3d$ cubic and is isostructural with RbBSi2O6.

Hydrothermally synthesised K2ZnSi5O12 has a polymerised framework structure with the same topology as leucite (KAlSi2O6, tetragonal I41/a), which has two tetrahedrally coordinated Al3+ cations replaced by Zn2+ and Si4+. At 293 K it has a cation-ordered framework P21/c monoclinic structure with lattice parameters a = 13.1773(2) Å, b = 13.6106(2) Å, c = 13.0248(2) Å and β = 91.6981(9)°. This structure is isostructural with K2MgSi5O12, the first cation-ordered leucite analogue characterised. With increasing temperature, the P21/c structure transforms reversibly to cation-ordered framework orthorhombic Pbca. This transition takes place over the temperature range 848−863 K where both phases coexist; there is an ~1.2% increase in unit cell volume between 843 K (P21/c) and 868 K (Pbca), characteristic of a first-order, displacive, ferroelastic phase transition. Spontaneous strain analysis defines the symmetry- and non-symmetry related changes and shows that the mechanism is weakly first order; the two-phase region is consistent with the mechanism being a strain-related martensitic transition.

Background Deficiencies in the skills necessary to diagnose and manage patients with skin of color may contribute to health disparities. The Pediatric Dermatology Research Alliance Special Interest Group in Pediatric Skin of Color (PSOCG) convened to generate a curriculum of topics required for basic pediatric skin of color (PSOC) education for medical students and residents in dermatology to improve the quality of education in PSOC. Methods A survey was distributed to the PSOCG members to assess expert opinion regarding critical topics for inclusion in a basic PSOC syllabus. Video conference and two rounds of survey were used to rank topics for inclusion and to highlight the underlying need for inclusion. Results Group members composed of academic pediatric dermatologists with teaching responsibilities including skin of color topics for dermatology residents and medical students. Learning objectives were developed for an educational lecture on basic science, and clinical conditions affecting PSOC were grouped by age-infantile, pediatric, and adolescent skin conditions affecting the PSOC population were identified for inclusion with rank score based on specific parameters including greater frequency in skin of color, nuances in skin of color, and need for medical workup. Conclusions Increased focus on PSOC education is needed to improve quality of care for children of color through enhanced knowledge. Inflammatory, genetic, and particularly primary pigmentary disorders should be the focus of a broad curriculum in pediatric skin of color education for medical trainees. Objectives should include improved diagnosis, treatment, and ability to educate patients and their families regarding the nature of their conditions.

BackgroundInflammation is undoubtedly a hallmark of cancer development. Its maintenance within tumors and subsequent consequences on disease aggressiveness is less understood.MethodsMulti-omic analyses of 27 (~ 5000 samples) entities from the TCGA, GEO and in-house data was performed to investigate the molecular determinant of tumor aggressiveness. Using molecular loss of function data, the mechanistic underpinnings of inflammation-induced tumor aggressiveness was addressed.ResultsThe data revealed a significant association between somatic copy number alterations (sCNA) and tumor aggressiveness, with amplification of the transcription factorSOX2being the most important feature among novel and known aggressiveness-associated genes such asZIC5andMYEOV.Mechanistically,SOX2regulates a group of aggressiveness-related genes including theAP1transcription factorFOSL2to sustain pro-inflammatory pathway such asIL6-JAK-STAT3, TNFAandIL17signaling pathways. Prolonged inflammation induces immunosuppression and further leads to activation of cytidine deamination and consequential DNA damage evidenced by enrichment in cytidine deamination mutational signatures in aggressive tumors.The resulting DNA damage affects tumor suppressor genes such asTP53,which was the most mutated gene in aggressive tumors compared with less aggressive tumors (38% vs 14%), thereby releasing cell cycle control. This was exemplified in Glioblastoma multiform, whereTP53andIDH1mutations are predominant.IDH1mutations were almost only seen in younger patients (>45 years, > 90%) and may explain the previously reported favorable prognosis.ConclusionTaken together, our data demonstrate the implication ofSOX2in promoting DNA damage and genome instability by sustaining inflammation viaFOSL2/IL6,resulting in tumor aggressiveness.

The modification of neural circuits depends on the strengthening and weakening of synaptic connections. Synaptic strength is often correlated to the density of the ionotropic, glutamateric receptors, AMPAR, (α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor) at the postsynaptic density (PSD). While AMPAR density is known to change based on complex biological signaling cascades, the effect of geometric factors such as dendritic spine shape, size, and curvature remain poorly understood. In this work, we developed a deterministic, spatiotemporal model to study the dynamics of AMPAR during long term potentiation (LTP). This model includes a minimal set of biochemical events that represent the upstream signaling events, trafficking of AMPAR to and from the PSD, lateral diffusion in the plane of the spine membrane, and the presence of an extrasynaptic AMPAR pool. Using idealized and realistic spine geometries, we show that the dynamics and increase of bound AMPAR at the PSD depends on a combination of endo- and exocytosis, membrane diffusion, availability of free AMPAR, and intracellular signaling interactions. We also found non-monotonic relationships between spine volume and change in AMPAR at the PSD, suggesting that spines restrict changes in AMPAR to optimize resources and prevent runaway potentiation.Significance StatementSynaptic plasticity involves dynamic biochemical and physical remodeling of small protrusions called dendritic spines along the dendrites of neurons. Proper synaptic functionality within these spines requires changes in receptor number at the synapse, which has implications for down-stream neural functions, such as learning and memory formation. In addition to being signaling subcompartments, spines also have unique morphological features that can play a role in regulating receptor dynamics on the synaptic surface. We have developed a spatiotemporal model that couples biochemical signaling and receptor trafficking modalities in idealized and realistic spine geometries to investigate the role of biochemical and biophysical factors in synaptic plasticity. Using this model, we highlight the importance of spine size and shape in regulating bound AMPAR dynamics that govern synaptic plasticity, and predict how spine shape might act to reset synaptic plasticity as a built-in resource optimization and regulation tool.

Crystallization, mechanical properties, and workability are all important for the commercialization and optimization of silicate glass compositions. However, the inter‐relations of these properties as a function of glass composition have received little investigation. Soda‐lime‐silica glasses with Na2O‐MgO‐CaO‐Al2O3‐SiO2 compositions relevant to commercial glass manufacture were experimentally studied and multiple liquidus temperature and viscosity models were used to complement the experimental results. Liquidus temperatures of the fabricated glasses were measured by the temperature gradient technique, and Rietveld refinements were applied to X‐Ray powder diffraction (XRD) data for devitrified glasses, enabling quantitative determination of the crystalline and amorphous fractions and the nature of the crystals. Structural properties were investigated by Raman spectroscopy. Acoustic echography, micro‐Vicker's indentation, and single‐edge‐notched bend testing methods were used to measure Young's moduli, hardness, and fracture toughness, respectively. It is shown that it is possible to design lower‐melting soda‐lime‐silica glass compositions without compromising their mechanical and crystallization properties. Unlike Young's modulus, brittleness is highly responsive to the composition in soda‐lime‐silica glasses, and notably low brittleness values can be obtained in glasses with compositions in the wollastonite primary phase field: an effect that is more pronounced in the silica primary phase field. The measured bulk crystal fractions of the glasses subjected to devitrification at the lowest possible industrial conditioning temperatures indicate that soda‐lime‐silica glass melts can be conditioned close to their liquidus temperatures within the compositional ranges of the primary phase fields of cristobalite, wollastonite, or their combinations.

There have been multiple calls to incorporate the teaching of scientific practices within science laboratory courses over the past decade. To accomplish this goal, changes must be made to the curriculum standards, instructional programs, and assessment-evaluation systems used in laboratory courses. One instructional program that can used in a laboratory course to help students learn scientific practices such as investigation design, collecting and analyzing data, argument generation and critique, and science writing is the argument-driven inquiry (ADI) instructional model. This article describes the development of an end-of-course assessment, the Investigation Design, Explanation, and Argument Assessment for General Chemistry I Laboratory (IDEAA-GC1), that educators can use to measure students’ ability to use scientific practices after incorporating the ADI instructional model into the General Chemistry I Laboratory. This new instrument has strong face and content validity as well as consistent instructor grading. The face validity of the instrument was established through iterative revisions of the IDEAA-GC1 based on faculty and student feedback. Content validity was established through the alignment of the IDEAA-GC1 with scientific practices and anchoring concepts as described by the Three-Dimensional Learning Assessment Protocol and the General Chemistry Anchoring Concepts Content Map.

We present a low-frequency (170\textendash200\,MHz) search for prompt radio emission associated with the long GRB 210419A using the rapid-response mode of the Murchison Widefield Array (MWA), triggering observations with the Voltage Capture System (VCS) for the first time. The MWA began observing GRB 210419A within 89\,s of its detection by \textit{Swift}, enabling us to capture any dispersion delayed signal emitted by this GRB for a typical range of redshifts. We conducted a standard single pulse search with a temporal and spectral resolution of $100\,\upmu$s and 10\,kHz over a broad range of dispersion measures from 1 to $5000\,\text{pc}\,\text{cm}^{-3}$, but none were detected. However, fluence upper limits of $77\text{--}224$\,Jy\,ms derived over a pulse width of $0.5\text{--}10$\,ms and a redshift of $0.6, Comment: Accepted for publication in MNRAS

Macrophages are a key component of the renal mononuclear phagocyte system, playing a major role in defense against infection, renal injury and repair. Yolk sac macrophage precursors seed the early embryonic kidney and are important for renal development. Later, renal macrophages are derived from hematopoietic stem cells and in adult life, there is a significant contribution from circulating monocytes, which is enhanced in response to infection or injury. Macrophages are highly plastic and can alter their phenotype in response to cues from parenchymal renal cells. Danger-associated molecules released from injured kidney cells may activate macrophages toward a pro-inflammatory phenotype, mediating further recruitment of inflammatory cells, exacerbating renal injury and activating renal fibroblasts to promote scarring. In acute kidney injury, once the injury stimulus has abated, macrophages may adopt a more reparative phenotype, dampening the immune response and promoting repair of renal tissue. However, in chronic kidney disease ongoing activation of pro-inflammatory monocytes and persistence of reparative macrophages leads to glomerulosclerosis and tubulointerstitial fibrosis, the hallmarks of end-stage kidney disease. Several strategies to inhibit the recruitment, activation and secretory products of pro-inflammatory macrophages have proven beneficial in pre-clinical models and are now undergoing clinical trials in patients with kidney disease. In addition, macrophages may be utilized in cell therapy as a "Trojan Horse" to deliver targeted therapies to the kidney. Single-cell RNA sequencing has identified a previously unappreciated spectrum of macrophage phenotypes, which may be selectively present in injury or repair, and ongoing functional analyses of these subsets may identify more specific targets for therapeutic intervention.

Pure (BNT) and iron-doped bismuth sodium titanate (Fe-BNT) ceramics were produced according to the formula Bi0.5Na0.5Ti1−xFexO3−0.5x, where x = 0 to 0.1. The addition of Fe2O3 enables decreasing the sintering temperature to 900 °C in comparison with 1075 °C for pure BNT, whilst also achieving lower porosities and greater densities. This is attributed to oxygen vacancy generation arising from substitution of Fe3+ onto the Ti4+ site of the BNT perovskite structure, and the resulting increase in mass transport that this enables during sintering. X-ray diffraction (XRD) analysis of Fe-BNT samples shows single-phase BNT with no secondary phases for all studied Fe contents, confirming complete solid solution of Fe. Rietveld refinement of XRD data revealed a pseudocubic perovskite symmetry (Pm-3m), and unit cell lengths increased with increasing Fe content. Scanning electron microscopy (SEM) showed that average grain size increases with increasing Fe content from an average grain size of ~ 0.5 μm in (x = 0) pure BNT to ~ 5 μm in (x = 0.1) Fe-doped BNT. Increasing Fe content also led to decreasing porosity, with relative density increasing to a maximum > 97% of its theoretical value at x = 0.07 to 0.1. The addition of Fe to BNT ceramics significantly affects electrical properties, reducing the remnant polarization, coercive field, strain and desirable ferroelectric properties compared with those of pure densified BNT. At room temperature, a high relative permittivity (ɛ′) of 1050 (x = 0.07) at an applied frequency of 1 kHz and a lower loss factor (tanδ) of 0.006 (x = 0.1) at an applied frequency of 300 kHz were observed by comparison with pure BNT ceramics.

On November 5–8, 2019, the “Mars Extant Life: What's Next?” conference was convened in Carlsbad, New Mexico. The conference gathered a community of actively publishing experts in disciplines related to habitability and astrobiology. Primary conclusions are as follows: A significant subset of conference attendees concluded that there is a realistic possibility that Mars hosts indigenous microbial life. A powerful theme that permeated the conference is that the key to the search for martian extant life lies in identifying and exploring refugia (“oases”), where conditions are either permanently or episodically significantly more hospitable than average. Based on our existing knowledge of Mars, conference participants highlighted four potential martian refugium (not listed in priority order): Caves, Deep Subsurface, Ices, and Salts. The conference group did not attempt to reach a consensus prioritization of these candidate environments, but instead felt that a defensible prioritization would require a future competitive process. Within the context of these candidate environments, we identified a variety of geological search strategies that could narrow the search space. Additionally, we summarized a number of measurement techniques that could be used to detect evidence of extant life (if present). Again, it was not within the scope of the conference to prioritize these measurement techniques—that is best left for the competitive process. We specifically note that the number and sensitivity of detection methods that could be implemented if samples were returned to Earth greatly exceed the methodologies that could be used at Mars. Finally, important lessons to guide extant life search processes can be derived both from experiments carried out in terrestrial laboratories and analog field sites and from theoretical modeling.

Background Data regarding the course and treatment of pigmented purpuric dermatoses (PPD) in the paediatric population are limited. Although treatments for pigmented purpura are not well established, vitamin C and rutoside have been reported to be an effective treatment option and are widely utilized. Objective To assess the clinical course and utility of vitamin C and rutoside in paediatric patients with PPD treated at Ann & Robert H. Lurie Children's Hospital of Chicago between 2008 and 2018. Methods A retrospective review of all children with PPD managed at our hospital between 2008 and 2018 was performed. Additional follow-up was obtained via telephone interviews. Results A total of 101 patients met inclusion criteria. The female: male ratio was 1.3 : 1, and the median age at diagnosis was 8.8 years (IQR, 5.7-12.9). Median follow-up was 7.13 months (IQR, 3-17.4). The most common PPD subtypes were lichen aureus (43%) and Schamberg (34%). Fifty-three (52%) patients had evaluable follow-up documentation via their medical record or phone questionnaire. Twenty-eight patients were treated with vitamin C or rutoside or combination therapy. Twenty-five patients received no treatment. Clearance of the rash was noted in 24 (45.3%) patients overall, including 10 (42%) patients in the treated group and 14 (58%) patients in the untreated group. Recurrence was noted in seven (13.2%) patients. Treatment with vitamin C and/or rutoside was well tolerated without side effects. None of the patients were subsequently diagnosed with vasculitis, coagulopathy or cutaneous T-cell lymphoma. Conclusion Pigmented purpuric dermatosis in children is a benign disorder with high rates of complete resolution. Treatment with vitamin C and rutoside is well tolerated, but in this cohort, there did not appear to be an advantage over watchful waiting without therapy.

The properties of pairs of doubly charged solute ions are studied as a function of their separation in the ionic liquid, dimethylimidazolium chloride ([dmim][Cl]). Free energy (potential of mean force) profiles show that, as for singly charged ions, there is a barrier to oppositely charged ion pairs forming a contact ion pair. However for doubly charged ions this barrier is about twice as large (45 ± 10 kJ mol-1 rather than 20 ± 5 kJ mol-1). Contact ion pairs form when the short range repulsive force balances the direct interaction plus the screening force, and hence depend on the sizes of the solute ions. In order to understand the existence of the barrier and the extent of screening, local charge density distributions and various contributions to the energetics were examined. The barrier arises when the decrease in stabilisation of individual ions by their own solvation shells is balanced by the increase in other screening effects and the direct solute-solute interaction.

Here we present a low frequency (170-200MHz) search for coherent radio emission associated with nine short GRBs detected by the Swift and/or Fermi satellites using the Murchison Widefield Array (MWA) rapid-response observing mode. The MWA began observing these events within 30 to 60s of their high-energy detection, enabling us to capture any dispersion delayed signals emitted by short GRBs for a typical range of redshifts. We conducted transient searches at the GRB positions on timescales of 5s, 30s and 2min, resulting in the most constraining flux density limits on any associated transient of 0.42, 0.29, and 0.084Jy, respectively. We also searched for dispersed signals at a temporal and spectral resolution of 0.5s and 1.28MHz but none were detected. However, the fluence limit of 80-100Jy ms derived for GRB 190627A is the most stringent to date for a short GRB. We compared the fluence and persistent emission limits to short GRB coherent emission models, placing constraints on key parameters including the radio emission efficiency of the nearly merged neutron stars ($\lesssim10^{-4}$), the fraction of magnetic energy in the GRB jet ($\lesssim2\times10^{-4}$), and the radio emission efficiency of the magnetar remnant ($\lesssim10^{-3}$). Comparing the limits derived for our full GRB sample to the same emission models, we demonstrate that our 30-min flux density limits were sensitive enough to theoretically detect the persistent radio emission from magnetar remnants up to a redshift of $z\sim0.6$. Our non-detection of this emission could imply that some GRBs in the sample were not genuinely short or did not result from a binary neutron star merger, the GRBs were at high redshifts, these mergers formed atypical magnetars, the radiation beams of the magnetar remnants were pointing away from Earth, or the majority did not form magnetars but rather collapse directly into black holes., Accepted for publication in PASA

Glenoid baseplate positioning for reverse total shoulder replacements (rTSR) is key for stability and longevity. 3D planning and image-derived instrumentation (IDI) are techniques for improving implant placement accuracy. This is a single-blinded randomised controlled trial comparing 3D planning with IDI jigs versus 3D planning with conventional instrumentation.Eligible patients were enrolled and had 3D pre-operative planning. They were randomised to either IDI or conventional instrumentation; then underwent their rTSR. 6 weeks post operatively, a CT scan was performed and blinded assessors measured the accuracy of glenoid baseplate position relative to the pre-operative plan.47 patients were included: 24 with IDI and 23 with conventional instrumentation. The IDI group were more likely to have a guidewire placement within 2mm of the preoperative plan in the superior/inferior plane when compared to the conventional group (p=0.01). The IDI group had a smaller degree of error when the native glenoid retroversion was >10° (p=0.047) when compared to the conventional group. All other parameters (inclination, anterior/posterior plane, glenoids with retroversion Both IDI and conventional methods for rTSA placement are very accurate. However, IDI is more accurate for complex glenoid morphology and placement in the superior-inferior plane. Clinically, these two parameters are important and may prevent long term complications of scapular notching or glenoid baseplate loosening.Image-derived instrumentation (IDI) is significantly more accurate in glenoid component placement in the superior/inferior plane compared to conventional instrumentation when using 3D pre-operative planning. Additionally, in complex glenoid morphologies where the native retroversion is >10°, IDI has improved accuracy in glenoid placement compared to conventional instrumentation. IDI is an accurate method for glenoid guidewire and component placement in rTSA.

Synaptic plasticity involves the modification of both biochemical and structural components of neurons. Many studies have revealed that the change in the number density of the glutamatergic receptor AMPAR at the synapse is proportional to synaptic weight update; increase in AMPAR corresponds to strengthening of synapses while decrease in AMPAR density weakens synaptic connections. The dynamics of AMPAR are thought to be regulated by upstream signaling, primarily the calcium-CaMKII pathway, trafficking to and from the synapse, and influx from extrasynaptic sources. Here, we have developed a set of models using compartmental ordinary differential equations to systematically investigate contributions of signaling and trafficking variations on AMPAR dynamics at the synaptic site. We find that the model properties including network architecture and parameters significantly affect the integration of fast upstream species by slower downstream species. Furthermore, we predict that the model outcome, as determined by bound AMPAR at the synaptic site, depends on (a) the choice of signaling model (bistable CaMKII or monostable CaMKII dynamics), (b) trafficking versus influx contributions, and (c) frequency of stimulus. Therefore, AMPAR dynamics can have unexpected dependencies when upstream signaling dynamics (such as CaMKII and PP1) are coupled with trafficking modalities.

This study summarizes a large diverse dataset of methane (CH4) fluxes measured from agricultural sites across the British Isles. A total of 53,976 manual static chamber measurements from 27 different sites were investigated to determine the magnitude of CH4 fluxes from a variety of agricultural fields across the UK and Ireland. Our study shows that contrary to some studies, agricultural soils (both arable and grassland) are small net emitters of CH4 rather than sinks. Mean fluxes measured from arable and grassland sites (excluding fertiliser and tillage events) were 0.11 ± 0.06 and 0.19 ± 0.09 nmol m−2 s−1, respectively, and were not found to be significantly different (Welch t‐test, p = 0.17). Using the values reported in this study, we estimate that an annual emission of 0.16 and 0.09 Mt of CO2‐eq is expected from arable and grassland agricultural soils in the UK and Ireland (comparable to 0.3 and 0.7% of the current annual CH4 emission inventories, respectively). Where CH4 uptake occurs in soils, it is negligible compared to expected emissions of the application of animal manures and tillage events, which were both found to significantly increase CH4 emissions in the immediate few days to months after events. Our study highlights that there are significant differences in CH4 uptake and emissions between sites, and that these differences are partially the result of the moisture content of the soil (i.e., the aerobic status of the soil). We expect uptake of CH4 to be more prevalent in drier soils where volumetric water content does not exceed 35% and emissions to be exponentially greater where agricultural fields become waterlogged.

PURPOSE OF THE REVIEW This review will update pediatric providers on the recent data regarding the epidemiology, diagnosis, and treatment of common skin infestations affecting children and adolescents. RECENT FINDINGS Standard superficial skin biopsy for scabies and the vacuum method for head lice can increase diagnostic accuracy and efficiency. There is growing resistance to some of the traditional treatments for scabies and head lice, and progress has been made in finding newer and potentially more effective treatments, such as oral moxidectin for scabies and abametapir for head lice. Recent studies have established the safety of traditional treatments, such as permethrin and oral ivermectin in infants and small children. SUMMARY Permethrin and ivermectin are both considered safe and effective for children and adolescents with scabies. Permethrin is generally considered safe in infants less than two months of age. Proper application of permethrin is critical, and providers should emphasize proper application technique. Treatment of head lice should only be initiated with active infestations. Resistance to permethrin continues to increase and other options are now available, including an over-the-counter topical ivermectin formulation. Identification and eradication of bed bug infestations are crucial in preventing bedbug bites.

Leucites are silicate framework structures with some of the silicon framework cations partially replaced by divalent or trivalent cations. A monovalent extraframework alkali metal cation is also incorporated to balance the charges. We have previously reported Pbca leucite structures with the stoichiometries Cs2X2+Si5O12 (X = Mg, Mn, Co, Ni, Cu, Zn, Cd) and Rb2X2+Si5O12 (X = Mg, Mn, Ni, Cd). These orthorhombic leucite structures have all the silicon and non-silicon framework cations completely ordered onto separate crystallographic sites. This structure has five distinct Si sites and 1 X site; there are also two distinct sites for the extra-framework Cs or Rb. We have recently synthesised leucite analogues with two different extra-framework cations, these have the stoichiometry RbCsX2+Si5O12 (X = Mg, Ni, Cd). The initial Rietveld refinements assumed 50% Cs and 50% Rb on each of the two extra-framework cation sites. The refined structures for X = Ni and Cd have (within error limits) complete extra-framework cation site disorder. However, for X = Mg there is partial ordering of the extra-framework cation sites, the site occupancies are:- Cs1 0.37(3), Rb1 0.63(3), Cs2 0.63(3), Rb2 0.37(3).

The surface of Mars has been well mapped and characterized, yet the subsurface — the most likely place to find signs of extant or extinct life and a repository of useful resources for human exploration — remains unexplored. In the near future this is set to change.

BACKGROUND:The arenavirus Junin virus (JUNV), causative agent of the argentine hemorrhagic fever, is able to modulate several signaling pathways involved in cell survival and multiplication.OBJECTIVES:We aimed to characterize the infection of rat osteoblasts (OBCs) with JUNV and its consequence on the modulation of osteogenic genes expression, thus studying the ability of this virus to induce cell differentiation. In addition, we evaluated the effect of purinergic agonists on viral replication.METHOD:Quantification of infectivity by plaque forming unit (PFU) assay, synthesis of viral proteins by western blot and immunofluorescence, and expression of osteogenic differentiation markers (ODM) by quantitative real-time polymerase chain reaction were employed.RESULTS:Infection of OBCs with JUNV (MOI 0.01 PFU/cell) showed a peak of infectivity, reaching 1.5 × 105 PFU/mL at the second day post-infection (p.i.). A marked restriction in multiplication was detected at day 7 p.i. that did not impair the establishment of a persistent stage of infection in OBCs. Analysis of mRNAs corresponding to ODM such as alkaline phosphatase, bone sialo-protein, and bone morphogenetic proteins (BMPs) 4 and 6 revealed that only the levels of BMP-6 were significantly higher in infected cells. Treatment with the purinergic agonists ATPγS, UTP, ADP, or UDP diminished viral titer and reduced the expression of the viral nucleoprotein. Also, treatment with 10 μM ATPγS reduced the stimulation of BMP-6 expression induced by the infection.CONCLUSIONS:These data demonstrate that JUNV is capable of infecting OBCs and point out BMP-6 as a key factor during this process. Fil: Ayala Peña, Victoria Belen. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica. Laboratorio de Virología; Argentina. Universidad Nacional del Sur. Departamento de Biología, Bioquímica y Farmacia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Armiento, María Nieves. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica. Laboratorio de Virología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Fernandez Bell Fano, Pablo Maria. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica. Laboratorio de Virología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Santillan, Graciela Edith. Universidad Nacional del Sur. Departamento de Biología, Bioquímica y Farmacia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Ciencias Biológicas y Biomédicas del Sur. Universidad Nacional del Sur. Departamento de Biología, Bioquímica y Farmacia. Instituto de Ciencias Biológicas y Biomédicas del Sur; Argentina Fil: Scolaro, Luis Alberto. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Departamento de Química Biológica. Laboratorio de Virología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina

Introduction/Objective Streptobacillus moniliformis is the primary causative agent of rat-bite fever (RBF) and Haverhill fever (HF). Rat-bite fever and Haverhill fever are difficult to diagnose in a clinical setting and are likely severely under-represented and under-reported worldwide. Clinical presentation often includes fever, chills, myalgia, headache, and vomiting. Patients may also develop a maculopapular rash covering their extremities approximately 2-4 days after onset of fever followed by polyarthritis in roughly 50% of patients with a mortality rate of 10-13% if left untreated. This is further complicated by the fact that submission and processing guidelines of clinical samples for the recovery of the organism are based on ‘outdated’ techniques and clinical laboratory methods that are over 50 years removed from current procedures, instrumentation and guidance. Methods/Case Report DNA from collected frozen time-point samples, were collected (n=84) and extracted using an in-house custom protocol utilizing 180 µl of bacterial lysis buffer with 20 µl of PCR grade proteinase K, for a total of 200 µl. The blood culture time-point samples were then thawed on ice, and 200 µl of blood culture sample was then added to the lysis mix, vortexed and incubated at 65°C for 10 minutes (an additional 95°C inactivation step was omitted to avoid whole blood clotting). After incubation, each sample was vortexed briefly again and extracted using the Roche automated MagNA Pure Compact instrument with an initial input volume of 400 µl and stored in a final elution buffer volume of 100 µl. All quantatitive time kill data was colleced via a CDC in-house designed PCR assay developed for S. moniliformis. Results (if a Case Study enter NA) Experimenting with varying amounts of blood inoculum, 10 ml of blood was determined to provide the best results for detection and growth/viability as well as propose a theoretical growth curve for the organism. Conclusion We found that in 100% of the isolates tested (and all the variations of testing within), SPS (up to a concentration of 0.05 % w/v) in commercially available blood culture bottles appeared to be inactivated, allowing for the growth detection and culturing of S. moniliformis using an automated continuous blood culture system when 10 ml of blood was inoculated.

Alkali feldspar is routinely used in retrospective dosimetry using luminescence methods. However there is a signal loss over time, termed ‘anomalous fading’, which results in age underestimation if uncorrected. Although significant improvements have been made in recent years, luminescence dating of feldspars remains challenging. This paper investigates the relationships between chemistry, structural state and the scale of exsolution with thermoluminescence (TL) emission spectra and infrared stimulated luminescence (IRSL) fading rates. We measure TL emission spectra, where possible linking the recombination site to physical features of the feldspar crystals. We show that fading rates are lowest in ordered end-member Na- and K-feldspars but significantly greater in disordered end-members, showing that Al–Si order influences fading. As well as having very low fading rates, ordered end-member samples have distinctive TL emission spectra, with the yellow-green emission dominant, while all other samples have a dominant blue emission. Perthite, i.e. exsolved members of the (Na,K)-feldspar solid solution, show greater fading than disordered end-members and fading is greatest in semi-coherent macroperthite. We propose that the state of Al–Si-order, and the occurrence of defects and dislocations at the perthite lamellar interfaces influence anomalous fading rates in feldspar.

I describe some of the science that I have been involved in during the last 60 years and the changes in equipment that made it possible. Starting with an interest in spectroscopy and measurement of NMR parameters, I moved to work on theoretical aspects of spin systems and infrared and Raman line shapes. This morphed into using the new technique of computer simulation to study such problems. The last half of my working life has concentrated on the application of computer simulation to a number of problems culminating in pioneering investigations of the behavior of ionic liquids.

Bulletin of the AAS, 53 (4)

European journal of chemistry 12(1), 60 - 63 (2021). doi:10.5155/eurjchem.12.1.60-63.2089, The synthetic leucite silicate framework mineral analogues Cs$_{2}$XSi$_{5}$O$_{12}$ (X = Cu, Cd, Zn) were prepared by high-temperature solid-state synthesis. The results of Rietveld refinement, using 18 keV synchrotron X-ray powder diffraction data collected at low temperatures (8K X = Cu, Zn; 10K X = Cd) show that the title compounds crystallize in the space group Pbca and are isostructural with the ambient temperature structures of these analogues. The structures consist of tetrahedrally coordinated SiO$_{4}$ and XO$_{4}$ sharing corners to form a partially substituted silicate framework. Extraframework Cs cations sit in channels in the framework. All atoms occupy the 8c general position for this space group. In these refined structures, silicon and X atoms are ordered onto separate tetrahedrally coordinated sites (T-sites)., Published by Univ., Tucker, Ga.

Charles D. Edwards (Jet Propulsion Laboratory, California Institute of Technology). Co-Authors: 1. Vlada Stamenkovic Jet Propulsion Laboratory, California Institute of Technology; 2. Penelope Boston NASA Ames; 3. Kennda Lynch LPI/USRA … et al.

Feldspars are ubiquitous natural dosimeters widely used in luminescence dating. Despite decades of research, the lattice defects as well as the mechanisms involved in luminescence production in feldspars remain poorly understood. The recently developed method of infrared photoluminescence (IRPL) excitation-emission spectroscopy has revealed the presence of two electron trapping centres emitting IRPL at 1.3 eV and 1.41 eV (IRPL1.3 and IRPL1.41 centres), and it enables detailed investigations into the ground and excited state energies of these centres. Here we make measurements of a range of single crystal alkali feldspars to understand the effects of feldspar chemical composition, crystal structure and framework disorder on the physical characteristics of IRPL1.3 and IRPL1.41 electron trapping centres. Measurements of our sample suite reveals IRPL and IR-radioluminescence (RL) emissions at 1.41 eV, 1.3 eV and, for the first time, at 1.2 eV. Our results show that whilst the IRPL1.3 trapping centre is unaffected by the M site cation occupancy, the presence of IRPL1.41 trapping centres seems to be linked to the presence of K+ ions on M sites. However, no clear trends in IRPL and IR-RL emission energies and signal intensities with chemical composition of the samples were found. Exploring the effect of framework disorder on IRPL1.3 and IRPL1.41 emissions revealed no significant changes to IRPL and IR-RL emission energies or ground state energies of the trapping centres, suggesting that the corresponding defects are not located on bridging O ions. Variations in ground state energies across the whole sample suite range from 2.04 eV to 2.20 eV for the IRPL1.3 centre and from 2.16 eV to 2.46 eV for the IRPL1.41 centre. Variations in trap depth seem to be driven by other factors than sample chemistry, degree of Al3+disorder and number of phases present in a single crystal feldspar. Interestingly, the IR resonance peak is invariant between samples. Regarding the use of IRPL in luminescence dating, we show that optical resetting differs for the three different emissions, with the emission at ∼1.41 eV not being reset in some samples even after 18 h of solar bleaching 2021 IOP Publishing Ltd.

Background: Immigrants to the United States (US) experience different health risks compared to those born in the US. It is unknown if different levels of environmental exposures such as ambient fin...

Reproducible preparation of lithium tetraborate fused beads for XRF analysis of glass and mineral samples is of paramount importance for analytical repeatability. However, as with all glass melting processes, losses due to volatilisation must be taken into account and their effects are not negligible. Here the effects of fused bead melting time have been studied for four Certified Reference Materials (CRM&rsquo, s: three feldspars, one silicate glass), in terms of their effects on analytical variability and volatilisation losses arising from fused bead preparation. At melting temperatures of 1065 &deg, C, and for feldspar samples, fused bead melting times shorter than approximately 25 min generally gave rise to a greater deviation of the XRF-analysed composition from the certified composition. This variation might be due to incomplete fusion and/or fused bead inhomogeneity but further research is needed. In contrast, the shortest fused bead melting time for the silicate glass CRM gave an XRF-analysed composition closer to the certified values than longer melting times. This may suggest a faster rate of glass-in-glass dissolution and homogenization during fused bead preparation. For all samples, longer melting times gave rise to greater volatilisation losses (including sulphates and halides) during fusion. This was demonstrated by a linear relationship between SO3 mass loss and time1/2, as predicted by a simple diffusion-based model. Iodine volatilisation displays a more complex relationship, suggestive of diffusion plus additional mechanisms. This conclusion may have implications for vitrification of iodine-bearing radioactive wastes. Our research demonstrates that the nature of the sample material impacts on the most appropriate fusion times. For feldspars no less than ~25 min and no more than ~60 min of fusion at 1065 &deg, C, using Li2B4O7 as the fusion medium and in the context of feldspar samples and the automatic fusion equipment used here, strikes an acceptable (albeit non-ideal) balance between the competing factors of fused bead quality, analytical consistency and mitigating volatilisation losses. Conversely, for the silicate glass sample, shorter fusion times of less than ~30 min under the same conditions provided more accurate analyses whilst limiting volatile losses.

The restoration of endodontically treated teeth (ETT), even though practiced for many years, remains a major concern in dentistry. There is a variety of materials and clinical techniques advocated for restoring ETT and hundreds of studies devoted to this subject have been published in the dental literature. This narrative review article was undertaken to answer a question regarding restoration of ETT with available evidence: What fiber reinforcement options do we have other than prefabricated fiber post? Using a Medline search (up to 2019) and resulting cross-references, authors selected original research on the topic of fiber-reinforced composite (FRC) and restoration of ETT. Of the assessed articles selected (n=79), most were laboratory-based research with various test specimen designs and only 15 articles were clinical reports. From the reviewed studies, using individually formed FRC posts and short-FRC resin showed promising characteristics, and therefore, might be recommended as an alternative treatment option in restoring ETT. However, long-term clinical trials are needed in order to evaluate the usefulness of these alternatives.

Nitrous oxide (N2O) emission factors (EFs) were calculated from measurements of emissions from livestock manures applied to UK arable crops and grassland as part of a wider research programme to reduce uncertainty in the UK national agricultural N2O inventory and to enhance regional inventory reporting through increased understanding of processes and factors controlling emissions. Field studies were undertaken between 2011 and 2013 at 3 arable and 3 grassland sites in the UK. Nitrous oxide emissions were measured following the autumn and spring application of different manures (pig slurry, cattle slurry, cattle farmyard manure (FYM), pig FYM, poultry layer manure, and broiler litter) at typical rates, using representative manure application and soil incorporation methods. In addition, ammonia emissions and nitrate leaching losses (1 site on a light sandy soil) were measured to calculate indirect N2O losses. IPCC comparable, direct N2O EFs ranged from −0.05 to 2.30% of total nitrogen applied, with the variability driven by a range of factors including differences in manure composition, application method, incorporation and climatic conditions. When data from the autumn applications were pooled, the mean N2O EF from poultry manure (1.52%) was found to be greater (P < 0.001) than from FYM (0.37%) and slurry (0.72%), with no difference found (P = 0.784) in the EF for bandspread compared with surface broadcast slurry application, and no effect (P = 0.328) of the nitrification inhibitor, Dicyandiamide (DCD). For the spring applications, the mean N2O EF for bandspread slurry (0.56%) was greater (P = 0.028) than from surface broadcast slurry (0.31%), but there were no differences (P = 0.212) in the mean N2O EFs from poultry manure (0.52%), slurry (0.44%), and FYM (0.22%). The study did confirm, however, that DCD reduced N2O emissions from slurries applied in the spring by 45%. EF data from this project have been used in the derivation of robust Tier 2 country specific EFs for inclusion in the UK national agriculture greenhouse gas inventory.