WorldWideScience

Sample records for blisters

  1. Blisters

    Science.gov (United States)

    What are blisters? Blisters are fluid-filled sacs on the outer layer of your skin. They form because of rubbing, heat, or diseases ... on your hands and feet. Other names for blisters are vesicles (usually for smaller blisters) and bulla ( ...

  2. Fracture Blisters

    Directory of Open Access Journals (Sweden)

    Uebbing, Claire M

    2011-02-01

    Full Text Available Fracture blisters are a relatively uncommon complication of fractures in locations of the body, such as the ankle, wrist elbow and foot, where skin adheres tightly to bone with little subcutaneous fat cushioning. The blister that results resembles that of a second degree burn.These blisters significantly alter treatment, making it difficult to splint or cast and often overlying ideal surgical incision sites. Review of the literature reveals no consensus on management; however, most authors agree on early treatment prior to blister formation or delay until blister resolution before attempting surgical correction or stabilization. [West J Emerg Med. 2011;12(1;131-133.

  3. Blisters, Calluses, and Corns

    Science.gov (United States)

    ... Emergency Room? What Happens in the Operating Room? Blisters, Calluses, and Corns KidsHealth > For Kids > Blisters, Calluses, ... the surfaces is your tender skin! What's a Blister? A blister is an area of raised skin ...

  4. Prevention of foot blisters.

    Science.gov (United States)

    Knapik, Joseph J

    2014-01-01

    Foot blisters are the most common medical problem faced by Soldiers during foot march operations and, if untreated, they can lead to infection. Foot blisters are caused by boots rubbing on the foot (frictional forces), which separates skin layers and allows fluid to seep in. Blisters can be prevented by wearing properly sized boots, conditioning feet through regular road marching, wearing socks that reduce reduce friction and moisture, and possibly applying antiperspirants to the feet.

  5. Decontamination Data - Blister Agents

    Data.gov (United States)

    U.S. Environmental Protection Agency — Decontamination efficacy data for blister agents on various building materials using various decontamination solutions. This dataset is associated with the following...

  6. Blisters: First Aid

    Science.gov (United States)

    ... Brennan FH. Treatment and prevention of foot friction blisters. ACSM's Health & Fitness Journal. 2013;17:45. Khodaee M, et al. Common ultramarathon injuries and illnesses: Race day management. Current Sports Medicine Reports. 2012;11:290. Gibson ...

  7. Coma blisters sans coma.

    Science.gov (United States)

    Heinisch, Silke; Loosemore, Michael; Cusack, Carrie A; Allen, Herbert B

    2012-09-01

    Coma blisters (CBs) are self-limited lesions that occur in regions of pressure during unconscious states classically induced by barbiturates. We report a case of CBs sans coma that were histologically confirmed in a 41-year-old woman who developed multiple tense abdominal bullae with surrounding erythema following a transatlantic flight. Interestingly, the patient was fully conscious and denied medication use or history of medical conditions. A clinical diagnosis of CBs was confirmed by histopathologic findings of eccrine gland necrosis, a hallmark of these bulIous lesions.

  8. Blistering of viscoelastic filaments

    CERN Document Server

    Sattler, R; Wagner, C

    2007-01-01

    When a dilute polymer solution experiences capillary thinning, it forms an almost uniformly cylindrical thread, which we study experimentally. In the last stages of thinning, when polymers have become fully stretched, the filament becomes prone to instabilities, of which we describe two: A novel "breathing" instability, originating from the edge of the filament, and a sinusoidal instability in the interior, which ultimately gives rise to a "blistering" pattern of beads on the filament. We describe the linear instability with a spatial resolution of 80 nm in the disturbance amplitude. For sufficiently high polymer concentrations, the filament eventually separates out into a "solid" phase of entangled polymers, connected by fluid beads. A solid polymer fiber of about 100 nanometer thickness remains, which is essentially permanent.

  9. AUTOIMMUNE EPIDERMAL BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-11-01

    Full Text Available Autoimmune bullous skin diseases (ABDs are uncommon, potentially fatal diseases of skin and mucous membranes which are associated with deposits of autoantibodies and complement against distinct molecules of the epidermis and dermal/epidermal basement membrane zone (BMZ. These autoantibodies lead to a loss in skin molecular integrity, which manifests clinically as formation of blisters or erosions. In pemphigus vulgaris, loss of adhesion occurs within the epidermis. The pioneering work of Ernst H. Beutner, Ph.D. and Robert E. Jordon, M.D. confirmed the autoimmune nature of these diseases. Walter F. Lever, M.D. contributed significantly to our understanding of the histopathologic features of these diseases. Walter Lever, M.D. and Ken Hashimoto, M.D. contributed electron microscopic studies of these diseases, especially in pemphigus vulgaris and bullous pemphigoid. In bullous pemphigoid (BP, linear IgA bullous dermatosis, epidermolysis bullosa acquisita (EBA and dermatitis herpetiformis (DH, loss of adhesion takes place within or underneath the BMZ. Classic EBA demonstrates extensive skin fragility; DH is commonly associated with gluten-sensitive enteropathy, and manifests clinically with pruritic papulovesicles on the extensor surfaces of the extremities and the lumbosacral area. The clinical spectrum of bullous pemphigoid includes tense blisters, urticarial plaques, and prurigo-like eczematous lesions. Pemphigoid gestationis mostly occurs during the last trimester of pregnancy, and mucous membrane pemphigoid primarily involves the oral mucosa and conjunctivae and leads to scarring. Linear IgA bullous dermatosis manifests with tense blisters in a „cluster of jewels”-like pattern in childhood (chronic bullous disease of childhood and is more clinically heterogeneous in adulthood. Many of the autoantigens in these disorders are known and have been well characterized. ABDs may be influenced by both genetic and exogenous factors. The diagnoses of

  10. Blistering phenomena I: metals and alloys

    Energy Technology Data Exchange (ETDEWEB)

    Kaminsky, M.; Das, S. K.

    1976-01-01

    A summary of the major parameters affecting the blistering process is given. Brief discussions of the blistering mechanisms are included. The following topics are described: (1) projectile-target system, (2) projectile energy, (3) critical dose for blister formation, (4) effect of total dose, (5) dose rate, (6) target temperature, (7) crystallographic orientation of the irradiated surface, (8) models for blister formation, and (9) surface erosion of fusion reactor components by blistering. (MOW)

  11. Initiating, growing and cracking of hydrogen blisters

    Institute of Scientific and Technical Information of China (English)

    REN Xuechong; SHAN Guangbin; CHU Wuyang; SU Yanjing; GAO Kewei; QIAO Lijie; JIANG Bo; CHEN Gang; CUI Yinhui

    2005-01-01

    The growing process of a hydrogen blister in a wheel steel was observed in situ with an optical microscope, and the fracture surfaces formed from broken blisters on a wheel steel and bulk metallic glass were investigated. The initiating, growing, cracking and breaking of hydrogen blisters are as follows. Supersaturated vacancies can increase greatly during charging and gather together into a vacancy cluster (small cavity). Hydrogen atoms become hydrogen molecules in the vacancy cluster and hydrogen molecules can stabilize the vacancy cluster. The small cavity becomes the nucleus of hydrogen blister. The blister will grow with entering of vacancies and hydrogen atoms. With increasing hydrogen pressure, plastic deformation occurs first, the hydrogen blister near the surface extrudes, and then cracks initiate along the wall of the blister with further increasing hydrogen pressure. A cracked blister can grow further through propagating of cracks until it breaks.

  12. [Blister beetle dermatitis: Dermatitis linearis].

    Science.gov (United States)

    Dieterle, R; Faulde, M; Erkens, K

    2015-05-01

    Several families of beetles cause toxic reactions on exposed human skin. Cantharidin provokes nearly asymptomatic vesicles and blisters, while pederin leads to itching and burning erythema with vesicles and small pustules, later crusts. Paederi are attracted by fluorescent light especially after rain showers and cause outbreaks in regions with moderate climate. Clinical findings and patient history lead to the diagnosis: dermatitis linearis.

  13. Fracture Blisters After Primary Total Knee Arthroplasty.

    Science.gov (United States)

    Halawi, Mohamad J

    2015-08-01

    Fracture blisters are tense vesicles that arise on markedly swollen skin overlying traumatized soft tissue. While this relatively uncommon complication has been well described in the trauma literature, this article reports for the first time a case of fracture blisters after primary total knee arthroplasty. The fracture blisters developed within 36 hours of surgery and were associated with profound swelling and erythema. There was no evidence of vascular injury, compartment syndrome, iatrogenic fracture, or deep venous thrombosis. The patient was treated with leg elevation, loosely applied nonadhesive dressings, and a short course of oral antibiotics after skin desquamation. Blood-filled blisters required longer time to reepithelialization than fluid-filled blisters. Knee stiffness developed because of pain and fear of participation with physical therapy, but the patient was able to resume intensive rehabilitation after resolution of the blisters. Patient factors, surgical factors, and review of the literature are discussed.

  14. Coma blisters with hypoxemic respiratory failure.

    Science.gov (United States)

    Agarwal, Abhishek; Bansal, Meghana; Conner, Kelly

    2012-03-15

    A 24-year-old woman with quadriplegia was admitted with respiratory failure because of pneumonia. She was on multiple medications including diazepam, oxycodone, and amitriptyline, known to be associated with coma blisters, though she did not overdose on any of them. On hospital day 2, she developed multiple blisters on both sides of her right forearm and hand. Skin biopsy showed eccrine gland degeneration consistent with coma blisters. It was felt that hypoxemia from her pneumonia contributed to the development of these blisters, which occurred on both pressure and non-pressure bearing areas of the arm. Coma blisters are self-limited skin lesions that occur at sites of maximal pressure, mostly in the setting of drug overdose. However, coma blisters may occur with metabolic and neurological conditions resulting in coma.

  15. Blisters associated with elective wrist surgery.

    Science.gov (United States)

    Steinberg, Tsipora; Chernofsky, Michael A; Luria, Shai

    2015-01-01

    Blistering of the skin has been reported after high energy trauma or arthroplasties of large joints. It is rare in wrist trauma and seldom reported following elective wrist surgery. We present three cases of skin blistering after elective wrist surgery. Two female patients aged 18 and 35 years and one male patient aged 53 years were treated with total wrist fusion, carpometacarpal fusion, and open wrist ligament repair. They reported burning pain at the blister site. The blisters were clear and treated with dressing changes. There were no infections or wound complications and all blisters resolved without sequelae. These complications were probably due to a combination of factors, including swelling, compression from dressing and splint, multiple surgical incisions, and the use of adhesive dressing. Reassurance and proper wound care are recommended for the complication of clear blistering following elective wrist surgery.

  16. Managing Friction Blisters of the Feet.

    Science.gov (United States)

    Ramsey, M L

    1992-01-01

    In brief Active people often develop friction blisters on their feet. Although such blisters rarely create significant medical problems, they can be quite painful and can hinder athletic performance. People can decrease the chance of blister formation by wearing properly fitting shoes, doubling up on socks, and applying dressings or lubricants. If lesions do develop, conservative treatment will speed healing and lessen pain and disability.

  17. Oedemerid blister beetle dermatosis: a review.

    Science.gov (United States)

    Nicholls, D S; Christmas, T I; Greig, D E

    1990-05-01

    Blister beetle dermatosis is a distinctive vesiculobullous eruption that occurs after contact with three major groups of beetles (Order: Coleoptera). It is caused by a vesicant chemical contained in the body fluids of the beetles. The smallest and least known family is the Oedemeridae. Although there are few references in the medical literature, blister beetle dermatosis caused by oedemerids may be more common and widespread than currently recognized. The best known family is the Meloidae with numerous species worldwide causing blistering. The vesicant chemical in both Oedemeridae and Meloidae is cantharidin. The third group of blister beetles includes species of the genus Paederus (Family: Staphylinidae). The clinicopathologic picture differs because this genus contains a different vesicant agent, pederin. The clinicopathologic features of oedemerid blister beetle dermatosis are described. The world medical and relevant entomologic literature is reviewed.

  18. Radiation blistering in metals and alloys

    Energy Technology Data Exchange (ETDEWEB)

    Das, S.K.; Kaminsky, M.

    1975-08-25

    Radiation blistering in solids has been identified as a process leading to damage and erosion of irradiated surfaces. Some of the major parameters governing the blistering process in metals and some metallic alloys are the type of projectile and its energy, total dose, dose rate, target temperature, channeling condition of the projectile, orientation of the irradiated surface plane, and target material and its microstructure. Experimental results and models proposed for blister formation and rupture are reviewed. The blistering phenomenon is important as an erosion process in applications such as fusion reactor technology (plasma-wall interactions) and accelerator technology (erosion of components and targets). A description of methods for the reduction of surface erosion caused by blistering is included.

  19. WHITE BLISTER SPECIES (Albuginaceae ON WEEDS

    Directory of Open Access Journals (Sweden)

    Karolina Vrandečić

    2011-06-01

    Full Text Available The obligate fungi inside the family Albuginaceae are widespread world wide and cause white rust or white blister disease. Mycopopulation of weeds has been researched within the project „The role of weeds in epidemiology of row-crop diseases“. The aim of this research was to identify white blister species occurring on weeds in Eastern Croatia. Weed plants with disease symptoms characteristic for white blister species have been collected since 2001 on location Slavonia and Baranja country. Determination of white blister species was based on morphological characters of pathogen and the host. Wilsoniana bliti was determined on Amaranthus retroflexus and Amaranthus hybridus leaves. Capsella bursa pastoris is a host for Albugo candida. Ambrosia artemisiifolia is a host for Pustula sp. and Cirsium arvense was found to be host for Pustula spinulosa. Wilsoniana portulaceae was determined on Portulaca oleracea.

  20. The shape of telephone cord blisters

    Science.gov (United States)

    Ni, Yong; Yu, Senjiang; Jiang, Hongyuan; He, Linghui

    2017-01-01

    Formation of telephone cord blisters as a result of buckling delamination is widely observed in many compressed film-substrate systems. Here we report a universal morphological feature of such blisters characterized by their sequential sectional profiles exhibiting a butterfly shape using atomic force microscopy. Two kinds of buckle morphologies, light and heavy telephone cord blisters, are observed and differentiated by measurable geometrical parameters. Based on the Föppl-von Kármán plate theory, the observed three-dimensional features of the telephone cord blister are predicted by the proposed approximate analytical model and simulation. The latter further replicates growth and coalescence of the telephone cord into complex buckling delamination patterns observed in the experiment.

  1. Coma blisters in two postoperative patients.

    Science.gov (United States)

    Chacon, Anna H; Farooq, Uzma; Choudhary, Sonal; Yin, Natalie; Nolan, Bridgit; Shiman, Michael; Milikowski, Clara; Izakovic, Jan; Elgart, George W

    2013-05-01

    Coma blisters are self-limited cutaneous bullae that occur in the setting of loss of consciousness because of a drug, illness, or accident, with the most common settings being barbiturate overdose and neurological disorders. The etiology behind coma blisters is poorly understood and is not related to underlying infections or autoimmune conditions. The clinical presentation consists of bullae, erosions, and violaceous plaques usually involving sites of pressure. The skin lesions usually occur within 48-72 hours of the start of a coma and resolve within 2-4 weeks. We present one case of a 5-month-old infant with severe valvular disease who required surgical repair. He was placed on extra corporeal membrane oxygenation and developed multiple tense coma blisters during the course of therapy. Skin biopsy revealed a noninflammatory subepidermal blister with necrosis of the overlying epidermis and necrosis of the eccrine ducts. We also present a second case of an 18-year-old female patient who underwent surgical resection of a benign mandibular tumor. She subsequently developed bullae on both arms 4 days after surgery. The skin biopsy showed a necrotic epidermis, a subepidermal blister, and diffuse necrosis of the eccrine coils.

  2. Failure analysis of blistered organic coatings on gray iron castings

    Science.gov (United States)

    Tianen, Matthew N.

    This study investigates the blistering failure of a two part coating consisting of talc-filled polyester resin and polyurethane primer on large gray iron castings. Surface metallography was performed and failed coating was characterized by scanning electron microscopy. Corrosion products were found inside of coating blisters. The proposed blistering mechanism is osmosis as a result of soluble species produced by the corrosion. It was believed that excessively thin primer layers resulted in a poor barrier to permeation of water, leading to blisters, and that a basecoat containing a corrosion inhibitor like zinc phosphate would reduce blistering. These hypotheses were tested with designed experiments using environmental testing in humidity and submersion environments. Thicker primer layers resulted in significant reductions in blistering and prolonged the time required before blister formation. A basecoat containing zinc phosphate was not found to be effective at reducing blistering in this coating system.

  3. Hydrogen-induced blistering mechanisms in thin film coatings

    NARCIS (Netherlands)

    Kuznetsov, A. S.; Gleeson, M. A.; F. Bijkerk,

    2012-01-01

    We report on the mechanisms of hydrogen-induced blistering of multilayer coatings. Blister formation is a result of highly localized delamination occurring at the two outermost metal-on-silicon interfaces. The number, size, and type of blisters formed varied depending on the composition and ion ener

  4. Water-Induced Blister Formation in a Thin Film Polymer

    NARCIS (Netherlands)

    Berkelaar, R.P.; Bampoulis, P.; Dietrich, E.; Jansen, H.P.; Zhang, X.; Kooij, E.S.; Lohse, D.; Zandvliet, Harold J.W.

    2015-01-01

    A failure mechanism of thin film polymers immersed in water is presented: the formation of blisters. The growth of blisters is counterintuitive as the substrates were noncorroding and the polymer does not swell in water. We identify osmosis as the driving force behind the blister formation. The dyna

  5. Water induced blister formation in a thin film polymer

    NARCIS (Netherlands)

    Berkelaar, R.P.; Bampoulis, P.; Dietrich, E.; Jansen, H.P.; Zhang, Xuehua; Kooij, E.S.; Lohse, D.; Zandvliet, H.J.W.

    2015-01-01

    A failure mechanism of thin film polymers immersed in water is presented: the formation of blisters. The growth of blisters is counterintuitive as the substrates were noncorroding and the polymer does not swell in water. We identify osmosis as the driving force behind the blister formation. The dyna

  6. Blistering on tungsten surface exposed to high flux deuterium plasma

    Science.gov (United States)

    Xu, H. Y.; Liu, W.; Luo, G. N.; Yuan, Y.; Jia, Y. Z.; Fu, B. Q.; De Temmerman, G.

    2016-04-01

    The blistering behaviour of tungsten surfaces exposed to very high fluxes (1-2 × 1024/m2/s) of low energy (38 eV) deuterium plasmas was investigated as a function of ion fluence (0.2-7 × 1026 D/m2) and surface temperature (423-873 K). Blisters were observed under all conditions, especially up to temperatures of 873 K. The blister parameters are evaluated with blister size, blister density and surface coverage. The blister size always peaked at less than 0.5 μm and no blister larger than 10 μm is observed even at high fluence. The blister densities are found in high magnitude of 106 blisters/m2, with the surface coverages lower than 2%. The formation of cracks in the sub-surface region was observed by cross-section imaging. Changes in blister size and shape with fluence and temperature suggest processes of predominantly nucleation and subsequent growth of blisters. The smaller blister size is considered to be caused by a combination of flux-related effects such as enhanced defect formation in the near surface region, reduced deuterium diffusivity and relatively short exposure times.

  7. A model for pressurized hydrogen induced thin film blisters

    NARCIS (Netherlands)

    Bos, van den R.A.J.M.; Reshetniak, V.; Lee, C.J.; Benschop, J.P.H.; Bijkerk, F.

    2016-01-01

    We introduce a model for hydrogen induced blister formation in nanometer thick thin films. The model assumes that molecular hydrogen gets trapped under a circular blister cap causing it to deflect elastically outward until a stable blister is formed. In the first part, the energy balance required fo

  8. Naevus depiomentosus treated with suction blister grafting

    Directory of Open Access Journals (Sweden)

    Ravikumar B

    2000-01-01

    Full Text Available Naevus depigmentosus is a congenital hypomelanotic condition in which the off white lesions are permanent and cosmetically embarassing. There has been no effective treatment reported so for for this condition. Here we are reporting a patient of naevus depigmentosus on whom we performed suction blister grafting and the resultant pigmentation was satisfactory

  9. [An infant with blisters post partum].

    Science.gov (United States)

    Nijkamp, Anke; van Bommel-Slee, Daniëlle S J

    2012-01-01

    A newborn boy was sent to the hospital immediately after birth because of pre-auricular vesicles on both cheeks. There were no other congenital anomalies. First we thought the lesions were caused by friction or by impetigo bullosa. Treatment with local antibiotic cream did not resolve the blisters. After 1 month the diagnosis 'focal pre-auricular dermal dysplasia' was postulated.

  10. Subarachnoid hemorrhage with blister aneurysms: Endovascular management

    Directory of Open Access Journals (Sweden)

    Swati Dayanand Chinchure

    2014-01-01

    Full Text Available Blister aneurysms of are rare lesions representing a real challenge for diagnosis and management. They typically show small size, hemispherical shape, fragile wall, broad neck, and are arising from non-branching sites of intracranial arteries. Materials and Methods: We retrospectively reviewed all aneurysms treated at our institution. Seventeen patients (6 male, 11 female with 17 blister aneurysms were identified (mean age 53.3, range 41-63 years. Clinical, procedural, angiographic data as well as follow up data were evaluated. Results: All patients presented with aneurysmal subarachnoid hemorrhage. Majority of the blister aneurysms were located in ICA while 1 was located at posterior cerebral artery, 1 at vertebral and 1 involving basilar artery. All patients were treated using single or overlapping stents and if possible additional coiling. There was no intra-operative rupture. Good outcome (mrs 0-2 was seen in 14 patients. Poor clinical outcome (mrs 3-5 was seen in 2 patients due to vasospasm induced ischemic deficits at discharge, both of them improved on follow up (mrs 1 on follow up. There were 3 mortalities, One patient died of rebleeding while other 2 died due to SAH induced complications. Follow-up angiography was available in 16 patients (one patient died before follow up angiogram and revealed complete or near complete aneurysm occlusion in 11, incomplete obliteration in 1 and no change in 2 cases. Two cases showed post-treatment angiographic aneurysm recurrence. Both cases were managed with repeat coiling and overlapping stent placement. Conclusion: Endovascular management using single/overlapping stent and if possible coil placement is technically safe and feasible in blister aneurysms. Overlapping stents lead to better aneurysm occlusion than a single stent. Blister aneurysm in dorso-medial ICA showed higher tendency of continued growth/recurrence, higher incidence of clinical vasospasm and in these cases early angiographic follow

  11. The mechanism of nucleation of hydrogen blister in metals

    Institute of Scientific and Technical Information of China (English)

    REN XueChong; ZHOU QingJun; CHU WuYang; LI JinXu; SU YanJing; QIAO LiJie

    2007-01-01

    The nucleating, growing and cracking of hydrogen blister have been investigated experimentally and theoretically. The results show that atomic hydrogen induces superabundant vacancies in metals. The superabundant vacancies and hydrogen aggregate into a hydrogen-vacancy cluster (microcavity). The hydrogen atoms in the microcavity become hydrogen molecules which can stabilize the cluster. And the hydrogen blister nucleates. With the entry of vacancies and hydrogen atoms, the blister nucleus grows and the pressure in the cavity increases. When the stress induced by hydrogen pressure on the blister is up to the cohesive strength, cracks will initiate from the wall of the blister.

  12. A model for pressurized hydrogen induced thin film blisters

    Science.gov (United States)

    van den Bos, R. A. J. M.; Reshetniak, V.; Lee, C. J.; Benschop, J.; Bijkerk, F.

    2016-12-01

    We introduce a model for hydrogen induced blister formation in nanometer thick thin films. The model assumes that molecular hydrogen gets trapped under a circular blister cap causing it to deflect elastically outward until a stable blister is formed. In the first part, the energy balance required for a stable blister is calculated. From this model, the adhesion energy of the blister cap, the internal pressure, and the critical H-dose for blister formation can be calculated. In the second part, the flux balance required for a blister to grow to a stable size is calculated. The model is applied to blisters formed in a Mo/Si multilayer after being exposed to hydrogen ions. From the model, the adhesion energy of the Mo/Si blister cap was calculated to be around 1.05 J/m2 with internal pressures in the range of 175-280 MPa. Based on the model, a minimum ion dose for the onset of blister formation was calculated to be d = 4.2 × 1018 ions/cm2. From the flux balance equations, the diffusion constant for the Mo/Si blister cap was estimated to be DH2=(10 ±1 )×10-18 cm2/s .

  13. Coma blisters in 2 children on anticonvulsant medication.

    Science.gov (United States)

    Basu, Anna; Brown, Sara; Kirkham, Nigel; Ramesh, Venkateswaran; Leech, Suzy; Devlin, Anita

    2009-08-01

    Blister formation and eccrine sweat gland necrosis have been recognized to occur in states of impaired consciousness and were first reported following barbiturate intoxication. Their etiology is complex and cannot simply be explained by pressure effects. Now that barbiturates are less frequently used, clinicians are likely to be less aware of the phenomenon of coma blister formation; however, newer drugs have also been associated with the occurrence of coma blisters. We describe 2 new associations of coma blisters and anticonvulsants in children. In the first child, blisters recurred on multiple occasions along with obtundation and edema. Our aims are to alert clinicians to the occurrence of coma blisters in children sedated on anticonvulsant medications and to report the new finding of recurrent coma blisters.

  14. Blistering and flaking of amorphous alloys bombarded with He ions

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The blistering and flaking behavior of many kinds of amorphous al loys under helium ion bombardment at room temperature was investigated. Helium ions with energies of 40keV and 60keV were implanted within the fluence range (1.0~4.0)×1018ions/cm2. The surface topography of samples after irradiation was observed by using a scanning electron microscope. The diameter of blister and the thickness of exfoliated blister lids were measured. The results showed that many kinds of surface topography characteristics appeared for different fluences, energies and amorphous alloys, such as flaking, blistering, exfoliation, blister rupture, secondgeneration blistering and porous structure. The dependdence of surface damage modesand the critical fluence for the onset of blistering and flaking on the sort of materials and ion energy was discussed.

  15. Deuterium blistering in tungsten and tungsten vanadium alloys

    Energy Technology Data Exchange (ETDEWEB)

    Arshad, Kameel; Yuan, Yue; Cheng, Long; Wang, Jun [School of Physics and Nuclear Energy Engineering, Beihang University, Beijing 100191 (China); Zhou, Zhang-Jian [School of Materials Science and Engineering, University of Science and Technology Beijing (USTB), Beijing 100083 (China); De Temmerman, Gregory [FOM Institute for Plasma Physics, Edisonbaan 14, 3439 MN, Nieuwegein (Netherlands); ITER Organization, Route de Vinon-sur-Verdon, CS90 046, 13067 St Paul Lez Durance Cedex (France); Lu, Guang-Hong, E-mail: lgh@buaa.edu.cn [School of Physics and Nuclear Energy Engineering, Beihang University, Beijing 100191 (China)

    2016-06-15

    In order to evaluate D blistering behavior in W based plasma facing materials, rolled W and different grades of W-V targets were exposed to high flux of 1.2 × 10{sup 24} m{sup −2} s{sup −1}, low energy (38 eV) D plasma at two different surface temperatures. The blistering behavior was investigated by means of scanning electron microscopy, accompanied by electron back-scattering diffraction. Highest numbers of blisters were observed on the surface of rolled tungsten. The addition of V precursor to W suppressed D blister formation. In the case of W-V alloys, comparatively submicron V-containing materials have shown high tendency but small size blisters formation than micron V-containing samples. A high density of blisters was observed near the (111) plane on the surface of both V-containing alloys. Nano-sized blisters were also observed on V enriched surface.

  16. Blistering during the atomic layer deposition of iridium

    Energy Technology Data Exchange (ETDEWEB)

    Genevée, Pascal, E-mail: pascal-genevee@chimie-paristech.fr, E-mail: a.szeghalmi@uni-jena.de; Ahiavi, Ernest; Janunts, Norik; Pertsch, Thomas; Kley, Ernst-Bernhard; Szeghalmi, Adriana, E-mail: pascal-genevee@chimie-paristech.fr, E-mail: a.szeghalmi@uni-jena.de [Institut für Angewandte Physik, Friedrich-Schiller-Universität Jena, Max-Wien-Platz 1, 07743 Jena (Germany); Oliva, Maria [Fraunhofer IOF, Albert-Einstein-Strasse 7, 07743 Jena (Germany)

    2016-01-15

    The authors report on the formation of blisters during the atomic layer deposition of iridium using iridium acetylacetonate and oxygen precursors. Films deposited on fused silica substrates led to sparsely distributed large blisters while in the case of silicon with native oxide additional small blisters with a high density was observed. It is found that the formation of blisters is favored by a higher deposition temperature and a larger layer thickness. Postdeposition annealing did not have a significant effect on the formation of blisters. Finally, changing purge duration during the film growth allowed us to avoid blistering and evidenced that impurities released from the film in gas phase were responsible for the formation of blisters.

  17. AUTOIMMUNE BASEMENT MEMBRANE AND SUBEPIDERMAL BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-11-01

    Full Text Available Autoimmune mucocutaneous blistering diseases (ABDs represent a group of conditions that manifest with blisters on the skin and/or mucous membranes. Bullous pemphigoid (BP is the most common autoimmune mucocutaneous blistering disease. In BP, the location of the blisters is subepidermal and the oral involvement is rare. Variants of BP have been described, including pemphigoid vegetans; however, this disease is not completely characterized. The majority of ABDs have blisters and/or vesicles, that are often pruritic, and manifest autoantibodies to diverse proteins. These proteins include 1 hemidesmosomal plaque proteins(ie, BP230, plectins, 2 transmembrane proteins such as BP180 and α6β4-integrin, which are connected via laminin 332 to type VII collagen and 3 currently uncharacterized 105 kDa and 200 kDa molecules. Other ABDs include drug-induced linear IgA disease, bullous systemic lupus erythematosus (BSLE, dermatitis herpetiformis (DH, cicatricial pemphigoid (CP; also termed mucous membrane pemphigoid, lichen planus pemphigoides (LPP, pemphigoid gestationis (PG, herpes gestationis(HG, chronic bullous dermatosis of childhood (CBDC and the localized forms of CP, such as Brunsting-Perry pemphigoid. The diagnosis of ABDs requires clinical data; skin biopsies (in 10% buffered formalin for hematoxylin and eosin (H&E examination and skin biopsies(in Michel’s transport medium for direct immunofluorescence (DIF. In many ABDs, the histopathologic findings demonstrate a subepidermal vesicle or bulla with a luminal inflammatory infiltrate of neutrophils, eosinophils and/or lymphocytes. In many ABDs, an extensive perivascular and interstitial inflammatory infiltrate is also noted subjacent to the blister in the upper dermis. Normal skin adjacent to an ABD plaque is often excellent for DIF results. Many ABD biopsies reveal autoantibody deposition at the lesional basement membrane zone (BMZ; IgG, IgM, IgA, other immunoglobulins, complement components and

  18. Serological Diagnosis of Autoimmune Blistering Diseases

    Directory of Open Access Journals (Sweden)

    Birgül Özkesici

    2016-03-01

    Full Text Available Autoimmune blistering diseases are a rare diseases, characterized by development of autoantibodies against the structural proteins of the epidermis or dermoepidermal junction, and blisters and erosions on skin and/or mucous membranes clinically. Clinical features are important guiding findings for suspicious of this group of diseases. The diagnosis is achieved by the evaluation together of clinical features, histological and immunological findings. The gold standard in the diagnosis of this group diseases are demonstration of tissue bound and/or circulating autoantibodies. Methods for this purpose are; direct and indirect immunofluorescence, Enzyme Linked Immunosorbent Assay (ELISA, immunoprecipitation and immunoblotting. The aim of this paper is to review serological diagnostic methods in the diagnosis of autoimmune bullous diseases and to present developments in recent years.

  19. Blisters - an unusual effect during radiotherapy.

    Science.gov (United States)

    Höller, U; Schubert, T; Budach, V; Trefzer, U; Beyer, M

    2013-11-01

    The skin reaction to radiation is regularly monitored in order to detect enhanced radiosensitivity of the patient, unexpected interactions (e.g. with drugs) or any inadvertent overdosage. It is important to distinguish secondary disease from radiation reaction to provide adequate treatment and to avoid unnecessary discontinuation of radiotherapy. A case of bullous eruption or blisters during radiotherapy of the breast is presented. Differential diagnoses bullous pemphigoid, pemphigus vulgaris, and bullous impetigo are discussed and treatment described.

  20. Anomalous deflection of irradiated cantilevers undergoing blistering

    Science.gov (United States)

    Primak, William; Monahan, Emmet

    1983-01-01

    Plates which are implanted with ions that segregate to form gaseous occlusions may show a succession of net surface compressional stress and net tensional stress as radiation blistering occurs and the surface exfoliates. Data are given for 140-keV helium ion bombardments of Synroc B, a ceramic compact intended for the incorporation and storage of radioactive wastes, and two of its constituents: perovskite and zirconolite.

  1. How do keratinizing disorders and blistering disorders overlap?

    Science.gov (United States)

    Hamada, Takahiro; Tsuruta, Daisuke; Fukuda, Shunpei; Ishii, Norito; Teye, Kwesi; Numata, Sanae; Dainichi, Teruki; Karashima, Tadashi; Ohata, Chika; Furumura, Minao; Hashimoto, Takashi

    2013-02-01

    Inherited keratinizing disorders are caused by mutations in the genes encoding cornified cell envelope proteins, enzymes and their inhibitors, adhesion molecules, cytoskeletal proteins and others in the epidermis. These molecules are known to regulate differentiation, proliferation and cell adhesions. Intriguingly, some keratinizing disorders show blistering skin lesions, while some inherited blistering disorders show abnormal keratinization. Therefore, hereditary keratinizing and blistering diseases are closely related and show overlapping genetic backgrounds. In this review, we overviewed keratinizing and blistering disorders in terms of overlapping of the two disease groups. Gene mutations in desmosomal components cause striate keratoderma, Naxos disease, epidermolytic palmoplantar keratoderma and plakophilin deficiency, which first show skin fragility and blisters and later hyperkeratosis. Gene mutations in hemidesmosomal components cause various forms of epidermolysis bullosa, some of which show hyperkeratosis on the nails, palms and soles, in addition to blister formation. Diseases with gene mutations in calcium pump proteins are Darier disease and Hailey-Hailey disease, which show clinicopathological overlaps and develop both keratinizing and blistering skin lesions. Finally, gene mutations in epidermal keratins cause epidermolysis bullosa simplex, epidermolytic ichthyosis, superficial epidermolytic ichthyosis, epidermolytic palmoplantar keratoderma and pachyonychia congenita/focal palmoplantar keratoderma, which show thickening of the palms and soles with underlying blister formation. In general, responsible proteins for diseases developing both keratinizing and blistering conditions are adhesion molecules, calcium pump proteins and keratins, but not connexins, cornified cell envelop proteins, enzymes or inhibitors. It is still unknown how particular keratinizing diseases develop blisters and vice versa.

  2. High-yield biopsy technique for subepidermal blisters.

    Science.gov (United States)

    Braswell, Mark A; McCowan, Nancye K; Schulmeier, Jennifer S; Brodell, Robert T

    2015-04-01

    Dermatologists often perform 2 biopsies in patients with widespread tense blisters: one for light microscopy and another for direct immunofluorescence (DIF). Biopsy techniques recommended for blistering diseases with tense blisters are discussed, and illustrations demonstrate an alternative approach utilizing a single punch biopsy. A single punch biopsy is more cost effective and provides the same diagnostic information as the standard 2-biopsy approach for subepidermal blisters plus additional salt-split skin-like diagnostic information. A limitation for bisecting the single punch biopsy specimen is a potential complete separation of the epidermis from the dermis. The single punch biopsy technique is a simple cost-effective method for obtaining necessary diagnostic information when sampling tense blisters in patients with blistering diseases.

  3. Acute edema blisters in a hereditary angioedema cutaneous attack.

    Science.gov (United States)

    Fernández Romero, D; Di Marco, P; Malbrán, A

    2008-01-01

    Hereditary angioedema is a rare autosomal dominant disease characterized by recurrent episodes of acute edema affecting the skin and the respiratory and digestive tracts. Acute edema blisters or hydro-static bullae develop after rapid accumulation of interstitial fluid usually associated to cardiac insufficiency. Lesions contain sterile fluid and break up easily resolving without scars. Blisters disappear when fluid accumulation resolves. We describe a patient developing recurrent acute edema blisters as a consequence of cutaneous hereditary angioedema attacks.

  4. A rare location of sucking blister in newborn: the lips.

    Science.gov (United States)

    Aydin, Mustafa; Hakan, Nilay; Zenciroglu, Aysegul; Demirol, Hatice Altug

    2013-10-01

    A male baby was presented with sucking blisters on the upper and lower lips developed immediately after the birth. Although sucking blister which develops on the lips during the postnatal period is known, its prenatal form has not been described previously. We reported a case of sucking blister on the lips which developed during the intrauterine life. In the present case, these lesions resolved spontaneously after 1 day.

  5. Ion implantation induced blistering of rutile single crystals

    Energy Technology Data Exchange (ETDEWEB)

    Xiang, Bing-Xi [School of Physics, Shandong University, Jinan, Shandong 250100 (China); Jiao, Yang [College of Physics and Electronics, Shandong Normal University, Jinan, Shandong 250100 (China); Guan, Jing [School of Physics, Shandong University, Jinan, Shandong 250100 (China); Wang, Lei [School of Physics, Shandong University, Jinan, Shandong 250100 (China); Key Laboratory of Nanodevices and Applications, Suzhou Institute of Nano-Tech and Nano-Bionics, Chinese Academy of Sciences (China)

    2015-07-01

    The rutile single crystals were implanted by 200 keV He{sup +} ions with a series fluence and annealed at different temperatures to investigate the blistering behavior. The Rutherford backscattering spectrometry, optical microscope and X-ray diffraction were employed to characterize the implantation induced lattice damage and blistering. It was found that the blistering on rutile surface region can be realized by He{sup +} ion implantation with appropriate fluence and the following thermal annealing.

  6. Blisters and homeopathy: case reports and differential diagnosis.

    Science.gov (United States)

    Jurj, Gheorghe; Waisse, Silvia

    2011-07-01

    Blisters are skin lesions characterized by accumulation of fluid between the layers of the skin. Their severity varies from the common blisters caused by friction to severe autoimmune and congenital bullous disorders, some of them currently without treatment in conventional medicine or requiring drugs with potentially severe side-effects. This article reports cases of blistering diseases successfully treated with homeopathic medicines, which represent an alternative for the treatment of such disorders.

  7. Reliable site for suction blister induction and harvesting

    Directory of Open Access Journals (Sweden)

    Laxmisha Chandrashekar

    2005-01-01

    Full Text Available Background: Suction blister grafting is a useful modality of treatment of patients with resistant and stable vitiligo. However, there have been no detailed studies to find out the best donor site for blister formation. Methods: The study was conducted between the period of October 2004 and February 2005 in the dermatology department at a tertiary care center. Nine patients with vitiligo (focal vitiligo, 3; mucosal vitiligo, 2; acrofacial vitiligo, 2; vitiligo vulgaris, 1; and segmental vitiligo, 1 were selected for blister harvesting and grafting. The blisters were raised using the method described by Gupta et al. Results: Suction blisters were attempted to be raised at 52 sites, but only 38 blisters could be raised, 24 complete and 14 incomplete. Blisters were raised in all the three cases on the flexor aspect of the arm (100%, 15 of 17 cases (88.2% on the flexor aspect of the forearm, 4 of 5 cases (80% on the abdomen, 11 of 16 cases (68.7% on the anterolateral thigh, and less frequently over leg or foot. Complete blisters were formed in 13/15 cases (86.6% on the flexor aspect of the forearm, 6/11 cases (54.5% on the anterolateral thigh, and in all cases over leg. Conclusion: The flexor aspect of the forearm is a good site for suction blister harvesting.

  8. Management of autoimmune blistering diseases in pregnancy.

    Science.gov (United States)

    McPherson, Tess; Venning, Vanessa V

    2011-10-01

    Autoimmune blistering disease (AIBD) in pregnancy raises several complex management issues associated with underlying pathogenesis and treatment options. This article considers the effects of the disease as well as its treatment for both mother and fetus. All AIBDs can occur in pregnancy but are relatively rare. Pemphigoid gestationis is a rare AIBD that is specific to pregnancy. The article considers each AIBD in turn and then looks at treatment options for the group as a whole, as there are many issues common to all.

  9. Deuterium blistering in tungsten and tungsten vanadium alloys

    NARCIS (Netherlands)

    Arshad, K.; Yuan, Y.; Cheng, L.; Wang, J.; Zhou, Z. J.; De Temmerman, G.; Lu, G. H.

    2016-01-01

    In order to evaluate D blistering behavior in W based plasma facing materials, rolled W and different grades of W-V targets were exposed to high flux of 1.2 × 1024 m−2 s−1, low energy (38 eV) D plasma at two different surface temperatures. The blistering behavior was investigated by means of scannin

  10. General mechanism for helium blistering involving displaced atom transport

    Energy Technology Data Exchange (ETDEWEB)

    McDonell, W.R.

    1979-01-01

    A mechanism developed to account for formation of vertically elongated blisters in high displacement environments produced by /sup 252/Cf alpha particles and fission fragments has been extended to formation of done-shaped blisters in the low displacement environments produced by simple helium ion beams. In this mechanism, transport of displaced atoms to relieve compressive stresses in the helium-implanted layer allows interconnections of small, subsurface bubbles to form the blister cavity. The same transport may cause thickening of the blister caps at low implantation energies. The transition from dome-shaped to vertically elongated blistering occurs between the 300 and 3000 displacements per helium atom produced by simple helium ions and /sup 252/Cf radiations respectively.

  11. Evidence of Ancient Blisters in Rocks

    Science.gov (United States)

    2004-01-01

    This image from the panoramic camera on the Mars Exploration Rover Spirit shows scoriaceous rocks (rocks containing holes or cavities) on the ground, as well as a transition from rocky terrain (foreground) to smoother terrain (background). Spirit is heading toward the smoother terrain on its way to the 'Columbia Hills.' The holes in some of the rocks may have resulted from 'blisters' formed by water vapor as it escaped lava. This indicates that the rocks were chilled atop an ancient lava flow. Porous rocks such as these, now appearing in abundance, have not been seen since early in the mission. Scientists believe they may have been covered by crater ejecta. This image was taken on sol 110 (April 24, 2004) at a region dubbed 'site 35.'

  12. Tape blisters after hip surgery: can they be eliminated completely?

    Science.gov (United States)

    Koval, Kenneth J; Egol, Kenneth A; Hiebert, Rudi; Spratt, Kevin F

    2007-05-01

    It was recently reported that use of a perforated, stretchable cloth tape instead of silk tape reduced the incidenc of postoperative blisters around the hip from 41% to 10%. The present prospective randomized study was conducted to determine whether use of spica bandage (vs the cloth tape) could further reduce or eliminate the incidence of these blisters. Patients were randomized to 2 treatmen groups: perforated, stretchable cloth tape (Hypafix; Smit & Nephew, Memphis, Tenn) and elastic spica bandage tha was started at the lower thigh and was extended aroun the hip and abdomen. After surgery, cloth tape or spic bandage was applied over the postoperative dressing, with care taken not to produce skin tension. At the first dressing change, presence or absence of blisters was recorded, along with their number, size, location, and type. All subsequent dressing changes were done much as they wer at surgery, using the assigned type of dressing. Presence or absence of blisters was recorded at each subsequent dressing change. Two hundred ninety-four patients (300 hips) were enrolled. Twenty-two (7.33%) of the 300 hips developed a blister. Risk for developing a blister was 10% with the cloth tape versus 4.67% with the elastic spica bandage (P blister formation than dressing type.

  13. Graphene blisters with switchable shapes controlled by pressure and adhesion.

    Science.gov (United States)

    Boddeti, Narasimha G; Liu, Xinghui; Long, Rong; Xiao, Jianliang; Bunch, J Scott; Dunn, Martin L

    2013-01-01

    We created graphene blisters that cover and seal an annular cylinder-shaped microcavity in a SiO2 substrate filled with a gas. By controlling the pressure difference between the gas inside and outside of the microcavity, we switch the graphene membrane between multiple stable equilibrium configurations. We carried out experiments starting from the situation where the pressure of the gas inside and outside of the microcavity is set equal to a prescribed charging pressure, p0 and the graphene membrane covers the cavity like an annular drum, adhered to the central post and the surrounding substrate due to van der Waals forces. We decrease the outside pressure to a value, pe which causes it to bulge into an annular blister. We systematically increase the charging pressure by repeating this procedure causing the annular blister to continue to bulge until a critical charging pressure pc(i) is reached. At this point the graphene membrane delaminates from the post in an unstable manner, resulting in a switch of graphene membrane shape from an annular to a spherical blister. Continued increase of the charging pressure results in the spherical blister growing with its height increasing, but maintaining a constant radius until a second critical charging pressure pc(o) is reached at which point the blister begins to delaminate from the periphery of the cavity in a stable manner. Here, we report a series of experiments as well as a mechanics and thermodynamic model that demonstrate how the interplay among system parameters (geometry, graphene stiffness (number of layers), pressure, and adhesion energy) results in the ability to controllably switch graphene blisters among different shapes. Arrays of these blisters can be envisioned to create pressure-switchable surface properties where the difference between patterns of annular versus spherical blisters will impact functionalities such as wettability, friction, adhesion, and surface wave characteristics.

  14. Blood blisters of the oral mucosa (angina bullosa haemorrhagica).

    Science.gov (United States)

    Deblauwe, B M; van der Waal, I

    1994-08-01

    Angina bullosa haemorrhagica is a benign phenomenon that is characterized by the sudden appearance of a blood blister on the oral mucosa in the absence of an identifiable cause or systemic disorder; local trauma has been suggested to be the most likely contributory factor. No treatment is required. Angina bullosa haemorrhagica affects mainly middle-aged and elderly people. There is no strong predilection for either men or women. In this article nine patients with such blisters are described. Blood blisters apparently are more common than has been suggested in the literature.

  15. Treatment for burn blisters: debride or leave intact?

    Science.gov (United States)

    Murphy, Faye; Amblum, Jeshi

    2014-05-01

    This article presents findings from a systematic literature review of whether blisters arising from minor burns should be de-roofed or left intact. It discusses the risks of infection, healing outcomes, discomfort, choice of dressings and costs associated with each method, and reveals that debriding blisters larger than the patient's little fingernail while leaving smaller ones intact is generally agreed to be the best option. The article also explains external factors that influence the choice of whether to debride or leave blisters intact, reviews policy at the trust where one of the authors works in the context of the research and makes recommendations for practice.

  16. Suction blister grafting - Modifications for easy harvesting and grafting

    Directory of Open Access Journals (Sweden)

    2012-01-01

    Full Text Available Suction blister grafting is a simple modality of treatment of patients with resistant and stable vitiligo. But raising the blisters may be time consuming and transferring to the recipient site may be difficult as the graft is ultrathin. By doing some modifications we can make the technique simpler and easier. We can decrease the blister induction time by intradermal injection of saline, exposure to Wood′s lamp, intrablister injection of saline. By these methods we can decrease the blister induction time from 2-3 hrs to 45-90 minutes. After harvesting the graft, it can be transferred to the recipient area by taking the graft on a sterile glass slide, on the gloved finger, rolling the graft over a sterile syringe and then spreading on the recipient area, or taking on the sterile wrapper of paraffin dressing and then placing over the recipient area.

  17. Application of the Blister Test in Study of Epoxy Adhesive

    Institute of Scientific and Technical Information of China (English)

    Fei Xiong; Ingegerd Annergren

    2000-01-01

    Shaft-loaded blister test technique is used as an effective quantitative tool to measure adhesion strength. Investigation on conductive adhesive was done by modified blister test. It is found that shaftloaded blister test can be a good solution for the debonding of thin film adhesion. The intrinsic stable interface debonding process has been proved an attractive alternative to the conventional adhesion measurement techniques. In our study, epoxy matrix adhesive was studied using blister test technique in comparison with the traditional test-lap shear test. Adhesion strength was studied as a function of surface treatment and the metallization of substrate. It was found that surface conditions of substrate have significant impact on adhesion behaviour. The oxidation of surface is responsible for the poor adhesion. Activating chemical treatment and Plasma cleaning on substrate surface has been found to be a way of dreamatically improving adhesion strength of electronic conductive adhesive.

  18. Suction blister fluid as potential body fluid for biomarker proteins.

    Science.gov (United States)

    Kool, Jeroen; Reubsaet, Léon; Wesseldijk, Feikje; Maravilha, Raquel T; Pinkse, Martijn W; D'Santos, Clive S; van Hilten, Jacobus J; Zijlstra, Freek J; Heck, Albert J R

    2007-10-01

    Early diagnosis is important for effective disease management. Measurement of biomarkers present at the local level of the skin could be advantageous in facilitating the diagnostic process. The analysis of the proteome of suction blister fluid, representative for the interstitial fluid of the skin, is therefore a desirable first step in the search for potential biomarkers involved in biological pathways of particular diseases. Here, we describe a global analysis of the suction blister fluid proteome as potential body fluid for biomarker proteins. The suction blister fluid proteome was compared with a serum proteome analyzed using identical protocols. By using stringent criteria allowing less than 1% false positive identifications, we were able to detect, using identical experimental conditions and amount of starting material, 401 proteins in suction blister fluid and 240 proteins in serum. As a major result of our analysis we construct a prejudiced list of 34 proteins, relatively highly and uniquely detected in suction blister fluid as compared to serum, with established and putative characteristics as biomarkers. We conclude that suction blister fluid might potentially serve as a good alternative biomarker body fluid for diseases that involve the skin.

  19. Human beta defensin is absent in burn blister fluid.

    Science.gov (United States)

    Ortega, M R; Ganz, T; Milner, S M

    2000-12-01

    Defensins are a family of cationic antimicrobial peptides that participate in innate host defence. Human beta defensin-2 (HBD-2) is produced by human keratinocytes, and has a potent bactericidal activity against a wide spectrum of microorganisms. We have recently shown that expression of HBD-2 is present in normal skin and lost in the full-thickness burn wound. Defensins have been found in the blister fluid of chronic wounds. Our study was designed to examine blister fluid from partial-thickness burns for defensin content. Fluid from five patients was collected from partial-thickness burn blisters, and then analysed by sandwich Enzyme-Linked Immunosorbent Assay (ELISA) with a monoclonal antibody and rabbit polyclonal antibody to HBD-2. The assay was validated against a Western blot assay for HBD-2 in samples of bronchoalveolar lavage fluid from patients with inflammatory lung disease. No HBD-2 was detectable in any of the burn blister fluids analysed. HBD-2 is lost in the full-thickness burn wound, and we have now demonstrated its absence in burn blister fluid. This finding represents evidence of a host defence defect within the burn wound and suggests a possible therapeutic role for antimicrobial peptides in the management of burn wounds.

  20. Exotic World Blisters Under the Sun

    Science.gov (United States)

    2006-01-01

    This artist's concept shows a Jupiter-like planet soaking up the scorching rays of its nearby 'sun.' NASA's Spitzer Space Telescope used its heat-seeking infrared eyes to figure out that a gas-giant planet like the one depicted here is two-faced, with one side perpetually in the cold dark, and the other forever blistering under the heat of its star. The illustration portrays how the planet would appear to infrared eyes, showing temperature variations across its surface. The planet, called Upsilon Andromedae b, was first discovered in 1996 around the star Upsilon Andromedae, located 40 light-years away in the constellation Andromeda. This star also has two other planets orbiting farther out. Upsilon Andromedae b is what's known as a 'hot-Jupiter' planet, because it is made of gas like our Jovian giant, and it is hot, due to its tight, 4.6-day-long jaunt around its star. The toasty planet orbits at one-sixth the distance of Mercury from our own sun. It travels in a plane that is seen neither edge- nor face-on from our solar system, but somewhere in between. Scientists do not know how fast Upsilon Andromedae b is spinning on its axis, but they believe that it is tidally locked to its star, just as our locked moon forever hides its 'dark side' from Earth's view. Spitzer observed Upsilon Andromedae b at five points during the planet's trip around its star. The planet's light levels went up or down, as detected by Spitzer, depending on whether the planet's sunlit or dark side was pointed toward Earth. These data indicate that the temperature difference between the two hemispheres of the planet is about 1,400 degrees Celsius (2,550 degrees Fahrenheit). According to astronomers, this means that the side of the planet that faces the star is always as hot as lava, while the other side could potentially be as cold as ice. Specifically, the hot side of the planet ranges from about 1,400 to 1,650 degrees Celsius (2,550 to 3,000 degrees Fahrenheit), and the cold side from about

  1. The ‘Sticky Elastica’: delamination blisters beyond small deformations

    KAUST Repository

    Wagner, Till J. W.

    2013-01-01

    We consider the form of an elastic loop adhered to a rigid substrate: the \\'Sticky Elastica\\'. In contrast to previous studies of the shape of delamination \\'blisters\\', the theory developed accounts for deflections with large slope (i.e. geometrically nonlinear). Starting from the classical Euler Elastica we provide numerical results for the dimensions of such blisters for a variety of end-end confinements and develop asymptotic expressions that reproduce these results well, even up to the point of self-contact. Interestingly, we find that the width of such blisters does not grow monotonically with increased confinement. Our theoretical predictions are confirmed by simple desktop experiments and suggest a new method for the measurement of the elastocapillary length for deformations that cannot be considered small. We discuss the implications of our results for applications such as flexible electronics. © 2013 The Royal Society of Chemistry.

  2. [Diagnostic of group A streptococcal blistering distal dactylitis].

    Science.gov (United States)

    Cohen, R; Levy, C; Cohen, J; Corrard, F; Deberdt, P; Béchet, S; Bonacorsi, S; Bidet, Ph

    2014-11-01

    Blistering distal dactylitis is a distinct clinical entity, generally due to S. pyogenes, unfrequently reported. Characteristically, blistering distal dactylitis is described as a localized infection involving the distal phalanx of the digits, and it usually presents as a fluid-filled blister. Between October 2009 and June 2014, 69 children (median age: 60 months, extremes: 0,6-176) were enrolled. The sensitivity of GAS rapid antigen detection test was 97 % (CI 95 %: 83-100 %), the specificity was 76 % (CI 95 %: 60-89 %), the negative predictive value was 97 % (CI 95 %: 83-100 %), and the positive predictive value 76 % (CI 95 %: 60-89 %). All patients with a positive GAS rapid antigen test were treated with antibiotics (amoxicillin essentially) and cured without surgery.

  3. Variation analysis of flow rate delivered using a blister pump

    Science.gov (United States)

    Selvakumar, Sivesh; Linares, Rodrigo; Oppenheimer, Aaron; Anthony, Brian

    2012-03-01

    Components for on-chip storage and delivery of liquid reagent are necessary for many commercial applications of lab-on- a-chip technology. One such system uses a 'blister-pack' that is pushed by an actuator. This paper explores the sensitivity of the flow rate produced by a blister-actuator pair to the expected manufacturing variations in its dimensions. A numerical model of the blister-actuator pair is developed and the tool of Variation Simulation Modeling (VSM) is used to determine the robustness of fluid delivery. For a flow-rate requirement of +/- 10%, the number of out-of-spec parts is found to be less than 0.01%. The critical dimensions that need to be controlled to improve robustness are also identified.

  4. Mechanism for orientation dependence of blisters on W surface exposed to D plasma at low temperature

    Science.gov (United States)

    Jia, Y. Z.; Liu, W.; Xu, B.; Luo, G.-N.; Qu, S. L.; Morgan, T. W.; De Temmerman, G.

    2016-08-01

    The orientation dependence of blister formation induced by D plasma exposure at low temperature (about 523 K) on rolled tungsten and chemical vapor deposition (CVD) W samples was studied by scanning electron microscopy and electron backscatter diffraction. Severe blistering was observed on grains with surface normal directions close to [111], while the [001] surfaces are the most resistant to blister formation. Cavities induced by D2 gas were observed beneath [111], [110] and [001] surfaces, independently on whether blisters were observed on the surface or not. The [111] surface is more prone to blister formation, because it is easily plastically deformed by the D2 gas pressure. Some blister edges and steps were perpendicular to [110] directions, which may be induced by the slipping of dislocations on {110} planes. The blister morphology induced by D plasma can be well explained by the blister model based on plastic deformation mechanism.

  5. Immunohistochemical investigation of the coma blister and its pathogenesis.

    Science.gov (United States)

    Kashiwagi, Masayuki; Ishigami, Akiko; Hara, Kenji; Matsusue, Aya; Waters, Brian; Takayama, Mio; Tokunaga, Itsuo; Nishimura, Akiyoshi; Kubo, Shin-ichi

    2013-01-01

    The erythematous patches and vesicles that are observed in coma patients, usually from an overdose of medication, are known as coma blisters. However, it is unknown whether the degenerated sweat gland is a necrosis or apoptosis. We immunohistochemically examined such skin lesions to investigate the characteristics and pathogenesis of the coma blister. Skin lesions were obtained from a forensic autopsy case, a woman in her thirties, of caffeine intoxication. Those lesions were observed in the left femoral, the lower left thigh, and the right knee. Histologically, the skin lesions showed that the keratinocytes had necrosed and the epidermis was thin in some areas. Eccrine sweat gland degeneration was observed. Obvious inflammatory cell infiltrations were not detected. Immunohistochemically, we stained each skin lesion against CD3, CD8, CD45RO, cytokeratin, 70 kD heat shock protein, ubiquitin, 150 kD oxygen regulated protein, and caspase-cleaved keratin 18 neo-epitope M30. They were also stained with an in situ apoptosis detection kit. Degenerated sweat glands featured CD45RO and M30 immunoreactivity. Immunohistochemical staining for CD45RO, CK-L, and M30 might be useful to observe sweat gland degeneration in the coma blister. Therefore, the apoptosis might be related to coma blisters and sweat gland degenerations.

  6. The Causes of Blistering in Boat Building Materials

    Science.gov (United States)

    1986-08-01

    the resinas high strength (well cured, highly cross-linked, reinforced with glass) it can survive the stress and not crack. If cracking does take place...an EG orthophthalic laminating 66 resina , blistered more severely than isophthalio gel coated panels made with the other laminating resins. These

  7. Non-destructive Quality control of tablets and blister packs by UV imaging

    DEFF Research Database (Denmark)

    Klukkert, Marten; Wu, Jian Xiong; Rantanen, Jukka

    2016-01-01

    with multivariate image analysis for verification of blister pack filling, differentiation of tablets of varying composition therein, as well as detection of imprint defects and surface cracks of bulk tablets. Moreover, the influence of polymer sealing foils on tablet characterization within blister cavities...... was investigated. Several tablets of different composition were imaged either as bulk, within unsealed blister packs, or within blister packs that were manually sealed with three different types of either PVC or PCTFE foils. It was demonstrated that UV imaging is a fast and reliable technique for counting...... and differentiation of tablets within the blister packs. The sealing foils did not prevent characterization of the blister packs with regard to the tablets within the cavities. However, the polymer foils were found to cause changes in the multispectral UV image data set that allow to distinguish the blister packs...

  8. Pharmacokinetic profile of meropenem, administered at 500 milligrams every 8 hours, in plasma and cantharidin-induced skin blister fluid.

    Science.gov (United States)

    Maglio, Dana; Teng, Renli; Thyrum, Per T; Nightingale, Charles H; Nicolau, David P

    2003-05-01

    The pharmacokinetic disposition of meropenem, administered at 500 mg every 8 h, in plasma and cantharidin-induced blister fluid is described. Peak meropenem concentrations in blister fluid lagged behind peak meropenem concentrations in plasma, while a lower elimination rate from blister fluid was also noted. The mean penetration of meropenem into blister fluid was 67%. The pharmacokinetic profile of meropenem in blister fluid supports the utility of this dose in the management of skin and soft tissue infections.

  9. Fluctuation assisted spreading of a fluid filled elastic blister

    Science.gov (United States)

    Faden, Moritz; Carlson, Andreas

    2016-11-01

    Transport of liquid trapped between an elastic interface and a solid surface is essential to many scientific and engineering applications, from coating of elastic materials to membrane adhesion at the micro-scale. At small scales the dynamics is not only dominated by the fluid viscosity and the elastic properties of the interface, but can also be influenced by thermal fluctuations. Here, we use a mathematical description that couple viscous flow, elastic interface deformation and fluctuations, where we show that fluctuations can assist the spreading of a fluid filled blister. Our numerical simulations are consistent with our scaling analysis, which allow us to rationalize the spatiotemporal dynamic of the blister as a function of the effective temperature.

  10. Blister-free ion beam patterning of supported graphene

    Science.gov (United States)

    Herbig, Charlotte; Åhlgren, E. Harriet; Michely, Thomas

    2017-02-01

    Ion irradiation of metal supported two-dimensional layers results over a broad parameter space in noble gas trapping at the interface of the two-dimensional layer and the metal substrate. Trapping may give rise to the formation of gas filled blisters which deteriorate the structural and electronic properties of graphene. Here, we investigate the dependence of noble gas trapping at a graphene/Ir(111) interface and of graphene sputtering on the angle of incidence using scanning tunneling microscopy. Our experimental results are compared to dedicated molecular dynamics simulations. We find that at large impact angles of ≈ 80^\\circ graphene can be eroded without noble gas trapping and thereby establish conditions for nanopatterning without concomitant blister formation.

  11. Updates on the management of autoimmune blistering diseases.

    Science.gov (United States)

    Hooten, Joanna N; Hall, Russell P; Cardones, Adela R

    2014-01-01

    Autoimmune blistering diseases are rare, but potentially debilitating cutaneous disorders characterized by varying degrees of mucosal and cutaneous bullae formation. Topical therapy is appropriate for mild and even some moderate disease activity, but systemic treatment can be considered for more extensive involvement. Corticosteroids remain the first-line systemic therapy for patients with moderate to severe bullous pemphigoid and pemphigus vulgaris. While the use of systemic steroids has dramatically reduced mortality from these two autoimmune blistering disorders, treatment is also associated with multiple side effects, especially when used long-term. Steroid sparing agents, therefore, are invaluable in inducing long-term remission while minimizing steroid associated side effects. Treatment must be tailored to the individual patient's condition, and several other factors must be carefully considered in choosing appropriate therapy: 1) diagnosis, 2) severity of the condition and body site affected, 3) presence of comorbidities, and 4) ability to tolerate systemic therapy.

  12. Laser transfer of diamond nanopowder induced by metal film blistering

    Science.gov (United States)

    Kononenko, T. V.; Alloncle, P.; Konov, V. I.; Sentis, M.

    2009-03-01

    Blister-based laser induced forward transfer (BB-LIFT) is a promising technique to produce surface microstructures of various advanced materials including inorganic and organic micro/nanopowders, suspensions and biological micro-objects embedded in life sustaining medium. The transferred material is spread over a thin metal film irradiated from the far side by single laser pulses through a transparent support. Interaction of the laser pulse with the metal-support interface under optimized conditions causes formation of a quickly expanding blister. Fast movement of the free metal surface provides efficient material transfer, which has been investigated for the case of diamond nanopowder and diamond-containing suspension. The unique features of the given technique are universality, simplicity and efficient isolation of the transferred material from the ablation products and laser heating.

  13. Influence of hydrogen fluence on surface blistering of H and He co-implanted Ge

    Energy Technology Data Exchange (ETDEWEB)

    Dai, Jiayun; Xue, Zhongying; Zhang, Miao; Wei, Xing; Wang, Gang; Di, Zengfeng, E-mail: zfdi@mail.sim.ac.cn

    2016-02-01

    Highlights: • The effect of hydrogen dose on blistering was investigated. • Changes in the blistering phenomena of all the samples were studied. • The evolutions of strain and implantation induced-defects were analyzed. • The platelet forming tendency is responsible for the difference in blistering. - Abstract: The effect of hydrogen fluence on surface blistering of H and He co-implanted Ge is investigated using atom force microscope, X-ray diffraction and transmission electron microscopy. With a fixed He, we find that for 1 × 10{sup 16} cm{sup −2} H implantation fluence, only a few small dome-shaped blisters appear, for 3 × 10{sup 16} cm{sup −2} H implantation fluence, large blisters as well as craters are formed, while for 5 × 10{sup 16} cm{sup −2} H implantation fluence, no blisters can be observed. The strain evolution and platelet forming tendency are found to be relevant for the different blistering phenomenon. The weak blistering phenomenon for 1 × 10{sup 16} cm{sup −2} H implantation fluence may be attributed to less “free” H for the building up of internal pressure of platelets and the sustained growth of platelets. While the absence of blistering phenomenon for 5 × 10{sup 16} cm{sup −2} H implantation fluence is likely due to the retarded relief of the decreased uniform compressive stress throughout the damage region.

  14. Mechanics of tungsten blistering II: Analytical treatment and fracture mechanical assessment

    Science.gov (United States)

    Li, Muyuan; You, Jeong-Ha

    2015-10-01

    Since a decade the blistering of pure tungsten under hydrogen implantation has been one of the major research topics in relation to the plasma-wall interaction of tungsten-armored first wall. Overall blistering may reduce the erosion lifetime of the wall. Mature blisters grown by high internal pressure are likely to burst leading to exfoliation of the surface. Therefore, the control and suppression of blistering is an important concern for sustainable operation of the tungsten-armored plasma-facing components. In this context, a quantitative assessment of the mechanical conditions for blister bulging and growth is an important concern. In this article a theoretical framework is presented to describe the bulging deformation of tungsten blisters and to estimate the mechanical driving force of blister growth. The validity of the analytical formulations based on the theory of elastic plates is evaluated with the help of finite element analysis. Plastic strains and J-integral values at the blister boundary edge are assessed by means of numerical simulation. Extensive parametric studies were performed for a range of blister geometry (cap aspect ratio), gas pressure, yield stress and hardening rate. The characteristic features of the blistering mechanics are discussed and the cracking energy is quantitatively estimated for the various combinations of parameters.

  15. Multi-scale characterization of surface blistering morphology of helium irradiated W thin films

    Energy Technology Data Exchange (ETDEWEB)

    Yang, J.J., E-mail: jjyang@scu.edu.cn [Key Laboratory of Radiation Physics and Technology of Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, Sichuan 610064 (China); Zhu, H.L. [Key Laboratory of Radiation Physics and Technology of Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, Sichuan 610064 (China); Wan, Q. [Institute of Structural Mechanics, China Academy of Engineering Physics, Mianyang, Sichuan 621900 (China); Peng, M.J. [Key Laboratory of Radiation Physics and Technology of Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, Sichuan 610064 (China); Ran, G., E-mail: gran@xmu.edu.cn [School of Energy Research, Xiamen University, Xiamen, Fujian 361005 (China); Tang, J.; Yang, Y.Y.; Liao, J.L.; Liu, N. [Key Laboratory of Radiation Physics and Technology of Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, Sichuan 610064 (China)

    2015-09-01

    Highlights: • Multi-scale blistering morphology of He irradiated W film was studied. • This complex morphology was first characterized by wavelet transform approach. - Abstract: Surface blistering morphologies of W thin films irradiated by 30 keV He ion beam were studied quantitatively. It was found that the blistering morphology strongly depends on He fluence. For lower He fluence, the accumulation and growth of He bubbles induce the intrinsic surface blisters with mono-modal size distribution feature. When the He fluence is higher, the film surface morphology exhibits a multi-scale property, including two kinds of surface blisters with different characteristic sizes. In addition to the intrinsic He blisters, film/substrate interface delamination also induces large-sized surface blisters. A strategy based on wavelet transform approach was proposed to distinguish and extract the multi-scale surface blistering morphologies. Then the density, the lateral size and the height of these different blisters were estimated quantitatively, and the effect of He fluence on these geometrical parameters was investigated. Our method could provide a potential tool to describe the irradiation induced surface damage morphology with a multi-scale property.

  16. Thermal shock behaviour of blisters on W surface during combined steady-state/pulsed plasma loading

    Science.gov (United States)

    Jia, Y. Z.; Liu, W.; Xu, B.; Luo, G.-N.; Li, C.; Qu, S. L.; Morgan, T. W.; De Temmerman, G.

    2015-09-01

    The thermal shock behaviour of blister-covered W surfaces during combined steady-state/pulsed plasma loading was studied by scanning electron microscopy and electron backscatter diffraction. The W samples were first exposed to steady-state D plasma to induce blisters on the surface, and then the blistered surfaces were exposed to steady-state/pulsed plasma. Growth and cracking of blisters were observed after the exposure to the steady-state/pulsed plasma, while no obvious damage occurred on the surface area not covered with blisters. The results confirm that blisters induced by D plasma might represent weak spots on the W surface when exposed to transient heat load of ELMs. The cracks on blisters were different from the cracks due to the transient heat loads reported before, and they were assumed to be caused by stress and strain due to the gas expansion inside the blisters during the plasma pulses. Moreover, most of cracks were found to appear on the blisters formed on grains with surface orientation near [1 1 1].

  17. Postangioedema attack skin blisters: an unusual presentation of hereditary angioedema.

    Science.gov (United States)

    Wiesen, Jonathan; Gonzalez-Estrada, Alexei; Auron, Moises

    2014-04-10

    Hereditary angioedema (HAE) is an autosomal dominant disorder characterised by attacks of self-limited swelling affecting extremities, face and intra-abdominal organs, most often caused by mutations in the C1-inhibitor gene with secondary Bradykinin-mediated increased vascular permeability. We describe a 36-year-old man with a history of HAE who presented with painful interdigital bullae secondary to an acute oedema exacerbation. Biopsy and cultures of the lesions were negative and they resolved spontaneously. It is important to highlight and recognise the development of oedema blisters after resolution of a flare of HAE (only 1 previous case report), and hence avoid unnecessary dermatological diagnostic workup and treatment.

  18. Study on heat treatment blister of squeeze casting parts

    Institute of Scientific and Technical Information of China (English)

    TONG Wen-jun; QI Lin; QI Pi-xiang

    2007-01-01

    Heat treatment blister is one of the common defects found in squeeze casting parts, which is related to squeeze mode, process and mold. For direct squeeze-casting parts, solution heat treatment can be performed smoothly as long as oil-based paint is not used and air exhaust is well arranged. For indirect squeeze casting parts,solution heat treatment can also be applied when additional factors are taken into consideration, including well designed internal feeding system and strictly controlled liquid metal filling velocity to prevent from inclusions.

  19. Modeling the Photoionized Interface in Blister HII Regions

    CERN Document Server

    Sankrit, R; Sankrit, Ravi

    2000-01-01

    We present a grid of photoionization models for the emission from photoevaporative interfaces between the ionized gas and molecular cloud in blister HII regions. For the density profiles of the emitting gas in the models, we use a general power law form calculated for photoionized, photoevaporative flows by Bertoldi (1989). We find that the spatial emission line profiles are dependent on the incident flux, the shape of the ionizing continuum and the elemental abundances. In particular, we find that the peak emissivity of the [SII] and [NII] lines are more sensitive to the elemental abundances than are the total line intensities. The diagnostics obtained from the grid of models can be used in conjunction with high spatial resolution data to infer the properties of ionized interfaces in blister HII regions. As an example, we consider a location at the tip of an ``elephant trunk'' structure in M16 (the Eagle Nebula) and show how narrow band HST-WFPC2 images constrain the HII region properties. We present a photo...

  20. Ion effects in hydrogen-induced blistering of Mo/Si multilayers

    NARCIS (Netherlands)

    Kuznetsov, A. S.; Gleeson, M. A.; F. Bijkerk,

    2013-01-01

    The role that energetic (>800 eV) hydrogen ions play in inducing and modifying the formation of blisters in nanoscale Mo/Si multilayer samples is investigated. Such samples are confirmed to be susceptible to blistering by two separate mechanisms. The first is attributed to the segregation of

  1. Mechanism for orientation dependence of blisters on W surface exposed to D plasma at low temperature

    NARCIS (Netherlands)

    Jia, Y. Z.; Liu, W.; Xu, B.; Luo, G. N.; Qu, S. L.; Morgan, T. W.; De Temmerman, G.

    2016-01-01

    The orientation dependence of blister formation induced by D plasma exposure at low temperature (about 523 K) on rolled tungsten and chemical vapor deposition (CVD) W samples was studied by scanning electron microscopy and electron backscatter diffraction. Severe blistering was observed on grains wi

  2. Ion effects in hydrogen-induced blistering of Mo/Si multilayers

    NARCIS (Netherlands)

    Kuznetsov, A.; Gleeson, M.A.; Bijkerk, F.

    2013-01-01

    The role that energetic (>800 eV) hydrogen ions play in inducing and modifying the formation of blisters in nanoscale Mo/Si multilayer samples is investigated. Such samples are confirmed to be susceptible to blistering by two separate mechanisms. The first is attributed to the segregation of H atom

  3. Bullous pemphigoid: role of complement and mechanisms for blister formation within the lamina lucida.

    Science.gov (United States)

    Iwata, Hiroaki; Kitajima, Yasuo

    2013-06-01

    Bullous pemphigoid (BP), an autoimmune subepidermal blistering skin disease, demonstrates tense blisters with or without widespread erythema, blistering along the lamina lucida, immunoglobulin G and/or complement deposits at the basement membrane zone, and the presence of circulating autoantibodies against hemidesmosomal molecules. These autoantibodies usually react against 180-kDa and/or 230-kDa proteins, designated as BP180 and BP230, respectively. The precise blistering mechanisms after autoantibodies bind to antigens are not fully understood. Immune complexes are thought to initially activate the complement cascade, which may induce activation of proteases and/or cytokines and cause dermal-epidermal separation. However, why does separation run specifically within the lamina lucida in a space as narrow as 500 nm wide? This review mainly focuses on the possible mechanisms of BP-specific blistering and how separation occurs along the lamina lucida, based on existing evidence.

  4. Sock systems to prevent foot blisters and the impact on overuse injuries of the knee joint.

    Science.gov (United States)

    Van Tiggelen, Damien; Wickes, Simon; Coorevits, Pascal; Dumalin, Mich; Witvrouw, Erik

    2009-02-01

    The incidence of foot blisters and other overuse injuries of the lower limb is very high during basic military training (BMT). One hundred and eighty-nine subjects were divided into two intervention groups wearing alternative sock systems and one control group. Overall, 57% of the 173 recruits who completed the training, developed foot blisters. Binary logistic regression revealed the type of sock, race, previous hiking or military experience, and known orthopedic foot conditions to be predictive variables for foot blisters. Fifty-three percent of the 173 recruits also developed another overuse injury of the lower limb (25.4% related to the knee joint). Previous military or hiking experience and the association of foot blisters revealed to be predictive for the overuse injuries of the knee joint. The results of the present study suggest associated foot blisters are also an important factor in the development of overuse injuries of the knee joint during BMT.

  5. Foreign body ingestion of blister pill pack causing small bowel obstruction.

    Science.gov (United States)

    Tai, Angela W; Sodickson, Aaron

    2007-06-01

    We report a case of foreign body ingestion of a blister pill pack, causing small bowel obstruction. A 76-year-old woman on multiple medications presented with 3 days of progressive abdominal distention, nausea, and vomiting. A computed tomography (CT) scan demonstrated small bowel obstruction with a distinctive metallic foreign body in the distal ileum with associated wall thickening and mesenteric inflammatory changes. At exploratory laparotomy, an impacted, intact blister pill pack was removed from the distal ileum. The ingestion of blister pill packs has been associated with a range of clinical and imaging findings. To our knowledge, this is the only reported case of CT diagnosis of small bowel obstruction caused by blister pack ingestion. Early recognition of the imaging findings of an ingested blister pill pack is important to expedite appropriate management.

  6. Influence of hydrogen fluence on surface blistering of H and He co-implanted Ge

    Science.gov (United States)

    Dai, Jiayun; Xue, Zhongying; Zhang, Miao; Wei, Xing; Wang, Gang; Di, Zengfeng

    2016-02-01

    The effect of hydrogen fluence on surface blistering of H and He co-implanted Ge is investigated using atom force microscope, X-ray diffraction and transmission electron microscopy. With a fixed He, we find that for 1 × 1016 cm-2 H implantation fluence, only a few small dome-shaped blisters appear, for 3 × 1016 cm-2 H implantation fluence, large blisters as well as craters are formed, while for 5 × 1016 cm-2 H implantation fluence, no blisters can be observed. The strain evolution and platelet forming tendency are found to be relevant for the different blistering phenomenon. The weak blistering phenomenon for 1 × 1016 cm-2 H implantation fluence may be attributed to less "free" H for the building up of internal pressure of platelets and the sustained growth of platelets. While the absence of blistering phenomenon for 5 × 1016 cm-2 H implantation fluence is likely due to the retarded relief of the decreased uniform compressive stress throughout the damage region.

  7. Formation and characterization of hydride blisters in Zircaloy-4 cladding tubes

    Energy Technology Data Exchange (ETDEWEB)

    Hellouin de Menibus, Arthur, E-mail: arthur.hellouin-de-menibus@cea.fr [French Atomic Energy Comission - CEA Saclay/DEN/DANS/DMN/SRMA, 91191 Gif-sur-Yvette (France); Mines ParisTech/Centre des matériaux, CNRS UMR 7633, 91003 Evry (France); Auzoux, Quentin; Dieye, Ousmane [French Atomic Energy Comission - CEA Saclay/DEN/DANS/DMN/SEMI, 91191 Gif-sur-Yvette (France); Berger, Pascal [French Atomic Energy Comission - CEA Saclay/DSM/IRAMIS/SIS2M, 91191 Gif-sur-Yvette (France); CNRS UMR 3299, CEA-Saclay, 91191 Gif-sur-Yvette (France); Bosonnet, Sophie [French Atomic Energy Comission - CEA Saclay/DEN/DANS/DMN/SRMA, 91191 Gif-sur-Yvette (France); Foy, Eddy [French Atomic Energy Comission - CEA Saclay/DSM/IRAMIS/SIS2M, 91191 Gif-sur-Yvette (France); CNRS UMR 3299, CEA-Saclay, 91191 Gif-sur-Yvette (France); Macdonald, Vincent [French Atomic Energy Comission - CEA Saclay/DEN/DANS/DMN/SEMI, 91191 Gif-sur-Yvette (France); Besson, Jacques; Crépin, Jerome [Mines ParisTech/Centre des matériaux, CNRS UMR 7633, 91003 Evry (France)

    2014-06-01

    This article is focused on the formation of hydride blisters in zirconium alloys an experimental and theoretical standpoint, and their characterization in terms of morphology, hydrides crystallographic phases, hardness and hydrogen concentration. An experimental setup was developed to grow hydride blisters on pre-hydrided Zircaloy-4 cladding tubes by thermo-diffusion. The thermal conditions were optimized based on thermo-diffusion calculations, that take into account the hysteresis in the hydrogen solubility limit, to obtain a high blister growth rate. Micro-X-ray Diffraction (XRD), nano-hardness and Elastic Recoil Detection Analysis (ERDA) showed that the blisters contain a hydrogen gradient, with pure δ-hydride phase close to the external surface over one third of the blister depth. Thermo-diffusion calculations showed these half thickness blisters should grow in only a few days in PWR conditions. Eventually, the Diffusion Equilibrium Threshold (DET) was defined as a criterion that limits the blister growth, and emphasizes that the hysteresis in the hydrogen solubility limit in zirconium must be taken into account to model hydrogen thermo-diffusion in zirconium alloys.

  8. A novel investigation of a blister-like syndrome in aquarium Echinopora lamellosa.

    Science.gov (United States)

    Smith, David; Leary, Peter; Bendall, Mark; Flach, Edmund; Jones, Rachel; Sweet, Michael

    2014-01-01

    This study investigates potential causes of a novel blister-like syndrome in the plating coral Echinopora lamellosa. Visual inspections of this novel coral syndrome showed no obvious signs of macroparasites and the blisters themselves manifested as fluid-filled sacs on the surface of the coral, which rose from the coenosarc between the coral polyps. Histological analysis of the blisters showed that there was no associated necrosis with the epidermal or gastrodermal tissues. The only difference between blistered areas and apparently healthy tissues was the presence of proliferated growth (possible mucosal cell hyperplasia) directly at the blister interface (area between where the edge of the blister joined apparently healthy tissue). No bacterial aggregates were identified in any histological samples, nor any sign of tissue necrosis identified. We conclude, that the blister formations are not apparently caused by a specific microbial infection, but instead may be the result of irritation following growth anomalies of the epidermis. However, future work should be conducted to search for other potential casual agents, including viruses.

  9. Ease of opening of blistered solid dosage forms in a senior citizens target group.

    Science.gov (United States)

    Braun-Münker, Myriam; Ecker, Felix

    2016-10-30

    Blisters differing in design and handling are established as packaging material for solid dosage forms. The ease of opening of blisters influences application and patient's compliance. In this study the influence of visibility and movability of solid dosage forms in blister packaging on both, easy opening and patient's satisfaction, were investigated by target group testing according to ONR CEN/TS 15945. For each testing 20 participants in the age of 65-80 years were recruited randomly. They opened the blisters on realistic terms without any auxiliary devices. Video documentation of the hands' movements was recorded to analyze the opening procedure. To show the influence of visibility of the dosage form in the blister, capsules size 1 were packed in transparent and opaque blisters. A moderate influence of the visibility on both, the ease of opening and patient satisfaction, was observed. A second study dealt with the movability of solid dosage forms in blisters. Therefore, three different sizes of tablets with similar shapes were packed in identical cavities. Limited movability was found as major criterion on effectiveness and effectivity of opening as well as on satisfaction with the opening procedure.

  10. Combined effects of crystallography, heat treatment and surface polishing on blistering in tungsten exposed to high-flux deuterium plasma

    Science.gov (United States)

    Zayachuk, Y.; Tanyeli, I.; Van Boxel, S.; Bystrov, K.; Morgan, T. W.; Roberts, S. G.

    2016-08-01

    For tungsten exposed to low-energy hydrogen-plasmas, it has been thought that grains with surface normal are most susceptible to blistering while those with surface normal are virtually impervious to it. Here, we report results showing that non-uniformity of blister distribution depends on the state of the surface due to polishing. In electrochemically polished material blisters appear on the grains with all orientations, while in mechanically polished material blister-free areas associated with particular orientations emerge. On the other hand, blistering is shown to have a strong dependence on the level of deformation within particular grains in partially recrystallized material.

  11. Cantharidin biosynthesis in a blister beetle: inhibition by 6-fluoromevalonate causes chemical disarmament.

    Science.gov (United States)

    Carrel, J E; Doom, J P; McCormick, J P

    1986-07-15

    Biosynthesis of cantharidin in a blister beetle, Lytta polita, is effectively inhibited by 6-fluoromevalonate. Inhibition is attributed specifically to the fluorine substituent. Biochemical inhibition has not been demonstrated previously for an arthropod's defensive substance.

  12. The nucleation and growth of H blisters in dislocation loops in W{110}

    Science.gov (United States)

    He, Zhihai; He, H. Y.; Pan, B. C.

    2016-09-01

    We propose a mechanism for nucleation and growth of H blisters in vacancy-type dislocation loops (DLs) in tungsten (W), based on the first principles calculations. We find that vacancy-type DLs are energetically preferred to form on {110} planes. The H atoms nearby are readily to migrate to and accumulate in the DLs with energy cost less than 0.24 eV. With the increasing number of the trapped H atoms, the DL expands rapidly, consequently, the nucleation and growth of H blisters is completed in the DL gradually. In addition, H2 molecules are observed in the H blisters when the H areal density in DL reaches to be of 6.3 × 1015 atoms/cm2 (the number of H atoms per the cross-sectional area of the DL). Our proposed formation mechanism for H blisters in W material may also be applicable to other metals and metal alloys.

  13. Local tissue flaps: definitive treatment for chronic blisters after chemical burns.

    Science.gov (United States)

    Maguina, Pirko; Busse, Brittany

    2011-01-01

    Chronic blistering in grafted burn wounds is an infrequently described but severely debilitating complication that can appear after alkali burns and seems to coincide with a delay in initial treatment. Histological studies have concluded that the pathogenesis of chronic subepidermal blister formation in previously grafted burn wounds is related to abnormalities in the basement membrane. Although several reports have described this problem, none have reported adequate treatment for the chronic blistering in previously grafted alkali burns. The authors describe the case of a 30-year-old man in whom caustic soda burns treated with excision and split-thickness skin grafting resulted in chronic subepidermal blistering that failed to improve over the next 2 years. The problem was resolved with full-thickness skin excision and reconstruction with bipedicled fasciocutaneous flaps.

  14. Evaluation of hydride blisters in zirconium pressure tube in CANDU reactor

    Energy Technology Data Exchange (ETDEWEB)

    Cheong, Y. M.; Kim, Y. S.; Gong, U. S.; Kwon, S. C.; Kim, S. S.; Choo, K.N

    2000-09-01

    When the garter springs for maintaining the gap between the pressure tube and the calandria tube are displaced in the CANDU reactor, the sagging of pressure tube results in a contact to the calandria tube. This causes a temperature difference between the inner and outer surface of the pressure tube. The hydride can be formed at the cold spot of outer surface and the volume expansion by hydride dormation causes the blistering in the zirconium alloys. An incident of pressure tube rupture due to the hydride blisters had happened in the Canadian CANDU reactor. This report describes the theoretical development and models on the formation and growth of hydride blister and some experimental results. The evaluation methodology and non-destructive testing for hydride blister in operating reactors are also described.

  15. Comparative morphological analysis of apple blister mite, Eriophyes mali Nal., a new pest in Serbia

    OpenAIRE

    2014-01-01

    The apple blister mite, Eriophyes mali Nalepa, 1926 (Acari: Prostigmata: Eriophyoidea), has been recently found in Serbia as a new pest of apple. The history of its research, the results of a morphological analysis and degree of infestation are presented. A comparison of the main morphological features of mites from different populations of remote geographical origin has shown that the apple blister mite from Serbia is most similar to another European popul...

  16. Study on blister of the coating on solid cantilevers of hydraulic supports for coal mining

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    In this work, blister of the Cu-Sn plus Cr coating on solid cantilevers of hydraulic supports for coal mining was investigated by hydrogen-charging, Devanathan-Stachurski method and electrochemical impedance spectroscopy (EIS) measurement. It was found that the permeation hydrogen during the pickling process and the electroplating process was responsible for the blisters. The residual tensile stress due to the machining process would increase the permeation hydrogen amount during pickling and electroplating processes.

  17. [Foreign bodies and hemoptysis: about danger of ingesting blister-wrapped tablets].

    Science.gov (United States)

    Bosson, Valentin; Schnyder, Jean-Marie; Tschopp, Jean-Marie

    2011-04-13

    A case of hemoptysis may be challenging for clinicians because of the many etiologies involved in this differential diagnosis. Sometimes the cause of this symptom may be very surprising. We present a case of hemoptysis due to ingestion of a blister. This case illustrates the difficulties of identifying rare causes of hemoptysis, especially blister ingestion frequently occurring in old and neurological or cognitive impaired patients.

  18. Obtention of the constitutive equation of hydride blisters in fuel cladding from nanoindentation tests

    Science.gov (United States)

    Martin Rengel, M. A.; Gomez, F. J.; Rico, A.; Ruiz-Hervias, J.; Rodriguez, J.

    2017-04-01

    It is well known that the presence of hydrides in nuclear fuel cladding may reduce its mechanical and fracture properties. This situation may be worsened as a consequence of the formation of hydride blisters. These blisters are zones with an extremely high hydrogen concentration and they are usually associated to the oxide spalling which may occur at the outer surface of the cladding. In this work, a method which allows us to reproduce, in a reliable way, hydride blisters in the laboratory has been devised. Depth-sensing indentation tests with a spherical indenter were conducted on a hydride blister produced in the laboratory with the aim of measuring its mechanical behaviour. The plastic stress-strain curve of the hydride blister was calculated for first time by combining depth-sensing indentation tests results with an iterative algorithm using finite element simulations. The algorithm employed reduces, in each iteration, the differences between the numerical and the experimental results by modifying the stress-strain curve. In this way, an almost perfect adjustment of the experimental data was achieved after several iterations. The calculation of the constitutive equation of the blister from nanoindentation tests, may involve a lack of uniqueness. To evaluate it, a method based on the optimization of parameters of analytical equations has been proposed in this paper. An estimation of the error which involves this method is also provided.

  19. Effect of immunomodulator pyrimethamine and cimetidine on immunosuppression induced by burn blister fluid.

    Science.gov (United States)

    Gharegozloo, Behnaz; Hassan, Zuhair M; K Ardestani, Sussan; Tavassoli, Nasser

    2004-09-01

    Despite recent advances in burn wound management, sepsis remains the main cause of death in patients resuscitated after major thermal injury. Increased susceptibility to infections has been related to severe suppression of the immune system.The aim of this study was to induce immune suppression with blister fluid injection, and to modulate immune response by use of cimetidine and pyrimethamine in animal model.Male Balb/c mice were injected with blister fluid intrapritoneally (ip). Fluids were collected from parital-thickness burn blisters and then the delayed type hypersensitivity (DTH) to sheep red blood cell (SRBC) and the effects of different doses of immunomodulators (Cimetidine and Pyrimethamine) on this response were quantitated.A marked suppression of DTH was observed in mice injected with blister fluid. Pyrimethamine and Cimetidine at all three doses caused a significant enhancement of DTH response to SRBC compared with blister fluid injected in control group.This finding represents evidence of a host defense defect within the burn wound and also indicates the blister fluid exhibit immunosuppressor factor that can modulate with immunomadulatory drugs like cimetidine and pyrimethamine.

  20. A retrospective descriptive study of nursing home residents with heel eschar or blisters.

    Science.gov (United States)

    Shannon, Mary M

    2013-01-01

    Pressure ulcers on heels are a serious problem in nursing home patients and can lead to complications. Current clinical guidelines recommend leaving dry heel eschar intact, but the evidence for this recommendation is largely based on expert opinion and not always followed. To examine outcomes of heel pressure ulcers in nursing home patients, a retrospective study was conducted by reviewing the charts of patients in 15 different nursing homes who had a heel eschar or a heel blister during a period of 50 months. In all facilities, standard protocol of care consisted of offloading the area and keeping eschar and blisters dry and debriding only if the eschar or blister became loose. A total of 263 heel wounds were identified. Of those, 179 (68%) had eschar and 84 (32%) were blisters. Almost half of all patients (41%) were lost to follow-up. All but one (amputation related to pain from ischemia) of the remaining wounds (n = 154) healed. Ninety-four of the 95 wounds with eschar and 57 of 57 wounds with blisters healed after an average of 11 (SD 9.44) weeks for wounds with eschar and 6 (SD 4.75) weeks for blister-covered wounds. These results suggest practitioners can follow current clinical guidelines for the management of these wounds until further research comparing different protocols of care has been conducted.

  1. Hand Blisters in Major League Baseball Pitchers: Current Concepts and Management.

    Science.gov (United States)

    McNamara, Andrew R; Ensell, Scott; Farley, Timothy D

    2016-01-01

    Friction blisters are a common sequela of many athletic activities. Their significance can range from minor annoyance to major performance disruptions. The latter is particularly true in baseball pitchers, who sustain repeated trauma between the baseball seams and the fingers of the pitching hand, predominately at the tips of the index and long fingers. Since 2010, 6 Major League Baseball (MLB) players accounted for 7 stints on the disabled list (DL) due to blisters. These injuries resulted in a total of 151 days spent on the DL. Since 2012, 8 minor league players spent time on the DL due to blisters. Moreover, there have been several documented and publicized instances of professional baseball pitchers suffering blisters that did not require placement on the DL but did result in injury time and missed starts. The purpose of this article is to review the etiology and pathophysiology of friction blisters with particular reference to baseball pitchers; provide an overview of past and current prevention methods; and discuss our experience in treating friction blisters in MLB pitchers.

  2. Synergistic helium and deuterium blistering in tungsten–tantalum composites

    Energy Technology Data Exchange (ETDEWEB)

    Dias, M., E-mail: marta.dias@itn.pt [Associação Euratom/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Mateus, R.; Catarino, N.; Franco, N. [Associação Euratom/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Nunes, D. [CENIMAT-I3N, Departamento de Ciência dos Materiais, Faculdade de Ciências e Tecnologia, FCT, Universidade Nova de Lisboa, 2829-516 Caparica (Portugal); Correia, J.B. [LNEG, Laboratório Nacional de Energia e Geologia, Estrada do Paço do Lumiar, 1649-038 Lisboa (Portugal); Carvalho, P.A. [Associação Euratom/IST, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); ICEMS, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa (Portugal); Hanada, K. [AIST, National Institute of Advanced Industrial Science and Technology, 1-2-1 Namiki, Tsukuba, 305-8564 Ibaraki (Japan); Sârbu, C. [National Institute of Materials and Physics, 105bis Atomistilor street, 077125 Magurele-Ilfov (Romania); and others

    2013-11-15

    Abstruct: Tungsten–tantalum composites with 10 and 20 at.% Ta were prepared by ball milling W powder with Ta fibers and by consolidating the milled materials with spark plasma sintering. The composites were implanted at room temperature with He{sup +} (30 keV with a fluence 5 × 10{sup 21} at/m{sup 2}) and/or D{sup +} (15 keV with a fluence 5 × 10{sup 21} at/m{sup 2}) ion beams. The materials were studied by scanning and high-resolution transmission electron microscopy, both coupled with energy dispersive X-ray spectroscopy, and by X-ray diffraction, Rutherford backscattering spectrometry and nuclear reaction analysis. The microstructure observations revealed that the milling operation resulted in severe fragmentation of the Ta fibers. Furthermore, during the consolidation process the Ta phase acted as oxygen getter and reduced the W oxide present in the original material. The surface of the tungsten–tantalum composites implanted with D{sup +} remained essentially unaltered, while the materials implanted with He{sup +} evidenced blisters on the Ta-rich regions. D retention in the composites increased with He{sup +} pre-implantation.

  3. The importance of preoperative diagnosis of blister aneurysms.

    Science.gov (United States)

    Russin, Jonathan J; Kramer, Daniel R; Thomas, Debi; Hasson, Denise; Liu, Charles Y; Amar, Arun P; Mack, William J; Giannotta, Steven L

    2015-09-01

    We describe a series of 14 surgical blister aneurysm (BA) patients and compare outcomes in those with known cerebral BA to those lacking preoperative BA diagnosis/recognition. BA are broad, fragile, pathologic dilatations of the intracranial arteries. They have a low prevalence but are associated with substantially higher surgical morbidity and mortality rates than saccular aneurysms. A confirmed, preoperative BA diagnosis can alter operative management and technique. We performed a retrospective review of prospectively collected data on aneurysm patients undergoing surgery at a major academic institution. All patients from 1990 to 2011 with a postoperative BA diagnosis were included. Chart reviews were performed to identify patients with preoperative BA diagnoses and collect descriptive data. We identified 14 patients, 12 of whom presented with subarachnoid hemorrhage. The age of the cohort (mean ± standard deviation: 41.8 ± 13.9 years) was lower than that generally reported for saccular aneurysm populations. Preoperatively diagnosed BA had an intraoperative rupture (IOR) rate of 28.6% (2/7) compared to a 57.1% (4/7) rate in the undiagnosed patients. The mortality rate in the preoperatively diagnosed cohort was 14.3% (1/7) while that of the undiagnosed group was 42.8% (3/7). BA remain a diagnostic and treatment challenge with morbidity and mortality rates exceeding those of saccular aneurysms. Preoperative BA diagnosis may decrease IOR and mortality rates and improve patient outcomes.

  4. Autoimmune blistering diseases of the pemphigus group = Enfermedades ampollosas autoinmunes del grupo de los pénfigos

    Directory of Open Access Journals (Sweden)

    Juliana Calle Isaza

    2014-07-01

    Full Text Available Autoimmune blistering diseases of the pemphigus group Blisters may appear in many dermatological diseases, but they are not necessarily of autoimmune etiology. For the study of blistering diseases, it is necessary to take into account the clinical aspects, the history of when and how blisters appeared, the epidemiological and histological information (for instance, the skin level at which blisters are located, and whether inflammatory infiltrates are present. In order to corroborate the autoimmune etiology of blisters, it is important to have the results of confirmatory tests such as direct and indirect immunofluorescence, immune blotting, enzyme-linked immune-assay (ELISA, immune precipitation, and electronic microscopy. Information on autoantibodies serum titers may help to conduct a more precise immunosuppressive therapy.

  5. An unusual case of duodenal perforation caused by a blister pack: A case report and literature review

    Directory of Open Access Journals (Sweden)

    Si-Yuan Yao

    2015-01-01

    Conclusion: Unnoticed ingestion of blister packs can cause duodenal perforation. Although prompt management is necessary, duodenal perforation, especially in the third portion, may be potentially fatal.

  6. A suction blister model reliably assesses skin barrier restoration and immune response.

    Science.gov (United States)

    Smith, Tracey J; Wilson, Marques A; Young, Andrew J; Montain, Scott J

    2015-02-01

    Skin wound healing models can be used to detect changes in immune function in response to interventions. This study used a test-retest format to assess the reliability of a skin suction blister procedure for quantitatively evaluating human immune function in repeated measures type studies. Up to eight suction blisters (~30 mm(2)) were induced via suction on each participant's left and right forearm (randomized order; blister session 1 and 2), separated by approximately one week. Fluid was sampled from each blister, and the top layer of each blister was removed to reveal up to eight skin wounds. Fluid from each wound was collected 4, 7 and 24h after blisters were induced, and proinflammatory cytokines were measured. Transepidermal water loss (TEWL), to assess skin barrier recovery, was measured daily at each wound site until values were within 90% of baseline values (i.e., unbroken skin). Sleep, stress and inflammation (i.e., factors that affect wound healing and immune function), preceding the blister induction, were assessed via activity monitors (Actical, Philips Respironics, Murrysville, Pennsylvania), the Perceived Stress Scale (PSS) and C-reactive protein (CRP), respectively. Area-under-the-curve and TEWL, between blister session 1 and 2, were compared using Pearson correlations and partial correlations (controlling for average nightly sleep, PSS scores and CRP). The suction blister method was considered reliable for assessing immune response and skin barrier recovery if correlation coefficients reached 0.7. Volunteers (n=16; 12 M; 4F) were 23 ± 5 years [mean ± SD]. Time to skin barrier restoration was 4.9 ± 0.8 and 4.8 ± 0.9 days for sessions 1 and 2, respectively. Correlation coefficients for skin barrier restoration, IL-6, IL-8 and MIP-1α were 0.9 (Pblister method is sufficiently reliable for assessing skin barrier restoration and immune responsiveness. This data can be used to determine sample sizes for cross-sectional or repeated-measures types of

  7. Evolution of Blister-Type HII Regions in a Magnetized Medium

    CERN Document Server

    Gendelev, Leo

    2011-01-01

    We use the three-dimensional Athena ionizing radiation-magnetohydrodynamics (IRMHD) code to simulate blister-type HII regions driven by stars on the edge of magnetized gas clouds. We compare these to simulations of spherical HII regions where the star is embedded deep within a cloud, and to non-magnetized simulations of both types, in order to compare their ability to drive turbulence and influence star formation. We find that magnetized blister HII regions can be very efficient at injecting energy into clouds. This is partly a magnetic effect: the magnetic energy added to a cloud by an HII region is comparable to or larger than the kinetic energy, and magnetic fields can also help collimate the ejected gas, increasing its energy yield. As a result of these effects, a blister HII region expanding into a cloud with a magnetic field perpendicular to its edge injects twice as much energy by 5 Myr as a non-magnetized blister HII region driven by a star of the same luminosity. Blister HII regions are also more eff...

  8. MAPKAP kinase 2 (MK2)-dependent and -independent models of blister formation in pemphigus vulgaris.

    Science.gov (United States)

    Mao, Xuming; Li, Hong; Sano, Yasuyo; Gaestel, Matthias; Mo Park, Jin; Payne, Aimee S

    2014-01-01

    Pemphigus vulgaris (PV) is an autoimmune blistering disease characterized by autoantibodies to the keratinocyte adhesion protein desmoglein 3 (Dsg3). Previous studies suggest that PV pathogenesis involves p38 mitogen-activated protein kinase-dependent and -independent pathways. However, p38 is a difficult protein to study and therapeutically target because it has four isoforms and multiple downstream effectors. In this study, we identify MAPKAP (mitogen-activated protein kinase-activated protein) kinase 2 (MK2) as a downstream effector of p38 signaling in PV and describe MK2-dependent and -independent mechanisms of blister formation using passive transfer of human anti-Dsg IgG4 mAbs to neonatal mice. In human keratinocytes, PV mAbs activate MK2 in a dose-dependent manner. MK2 is also activated in human pemphigus skin blisters, causing translocation of MK2 from the nucleus to the cytosol. Small-molecule inhibition of MK2 and silencing of MK2 expression block PV mAb-induced Dsg3 endocytosis in human keratinocytes. In addition, small-molecule inhibition and genetic deletion of p38α and MK2 inhibit spontaneous but not induced suprabasal blisters by PV mAbs in mouse passive transfer models. Collectively, these data suggest that MK2 is a key downstream effector of p38 that can modulate PV autoantibody pathogenicity. MK2 inhibition may be a valuable adjunctive therapy for control of pemphigus blistering.

  9. IMMUNOHISTOCHEMISTRY VERSUS IMMUNOFLUORESENCE IN THE DIAGNOSIS OF AUTOIMMUNE BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-11-01

    Full Text Available Introduction: In patients with autoimmune skin blistering diseases (ABDs, the diagnostic gold standard has classically been direct and indirect immunofluorescence (DIF and IIF, despite inherent technical problems of autofluorescence. Aim: We sought to overcome autofluorescence issues and compare the reliability of immunofluorescence versus immunohistochemistry (IHC staining in the diagnoses of these diseases. Methods: We tested via IHC for anti-human IgG, IgM, IgA, IgD, IgE, Kappa light chains, Lambda light chains, Complement/C3c, Complement/C1q, Complement/C3d, albumin and fibrinogen in 30 patients affected by a new variant of endemic pemphigus foliaceus in El Bagre, Colombia (El Bagre-EPF, and 30 control biopsies from the endemic area. We also tested archival biopsies from patients with ABDs whose diagnoses were made clinically, histopathologically and by DIF/IIF studies from 2 independent dermatopathology laboratories in the USA. Specifically, we tested 34 patients with bullous pemphigoid (BP, 18 with pemphigus vulgaris (PV, 8 with pemphigus foliaceus (PF, 14 with dermatitis herpetiformis (DH and 30 control skin samples from plastic esthetic surgery reduction surgeries. Results: The diagnostic correlation between IHC and DIF-IIF was almost 98% in most cases. IHC revealed evidence of autofluorescence around dermal blood vessels, dermal eccrine glands and neurovascular packages feeding skin appendices in ABDs; this autofluorescence may represent a non-specific immune response. Strong patterns of positivity were seen also in endothelial-mesenchymal cell junction-like structures, as well as between dermal fibrohistiocytic cells. In PV, we noted strong reactivity to neurovascular packages supplying sebaceous glands, as well as apocrine glands with edematous changes. Conclusions: We suggest that IHC is as reliable as DIF or IIF for the diagnosis of ABDs; our findings further suggest that what has previously been considered DIF/IIF autofluorescence

  10. Coma blisters in children: case report and review of the literature.

    Science.gov (United States)

    Bosco, Laura; Schena, Donatella; Colato, Chiara; Biban, Paolo; Girolomoni, Giampiero

    2013-12-01

    Coma-induced blisters is a rare condition associated with prolonged impairment of conscious level, which is relatively well-known in adults following overdose with barbiturates. However, it has been very rarely described in children. A case of coma-bullae occurring in an 11-year-old child with meningoencephalitis is herein reported. The bullous lesions occurred on the limbs and trunks, and evolved into necrotic ulcers in a few days. No correlation with any drug overdosage was found. A skin biopsy revealed epidermal and eccrine sweat gland necrosis with abundant neutrophils, and thrombosis of the vessels in the lower dermis. A comprehensive review of the literature showed that only 5 cases of coma-bullae in children have been published so far. Coma blistering resolves spontaneously within days or weeks. Diagnosis of coma-bullae may require careful clinical-pathologic correlation to exclude other blistering diseases in children.

  11. The biochemistry of blister fluid from pediatric burn injuries: proteomics and metabolomics aspects.

    Science.gov (United States)

    Zang, Tuo; Broszczak, Daniel A; Broadbent, James A; Cuttle, Leila; Lu, Haitao; Parker, Tony J

    2016-01-01

    Burn injury is a prevalent and traumatic event for pediatric patients. At present, the diagnosis of burn injury severity is subjective and lacks a clinically relevant quantitative measure. This is due in part to a lack of knowledge surrounding the biochemistry of burn injuries and that of blister fluid. A more complete understanding of the blister fluid biochemistry may open new avenues for diagnostic and prognostic development. Burn insult induces a highly complex network of signaling processes and numerous changes within various biochemical systems, which can ultimately be examined using proteome and metabolome measurements. This review reports on the current understanding of burn wound biochemistry and outlines a technical approach for 'omics' profiling of blister fluid from burn wounds of differing severity.

  12. Etiological Foundation for Practical Strategies to Prevent Exercise-Related Foot Blisters.

    Science.gov (United States)

    Hoffman, Martin D

    2016-01-01

    This work outlines the etiological factors for exercise-related foot blisters and the pertinent prevention strategies related to these causes. Blisters result from shear forces within the epidermis causing cell necrosis. The extent of skin shear is influenced by friction at the skin and other interfaces, various skin characteristics, bony movement, and the shear modulus of the foot ware. The number of shear cycles is another factor in the development of blisters. Key preventative strategies include limiting the number of shear cycles, avoiding moisture and particulate accumulation next to the skin, frequent use of skin lubricants, elimination of pressure points through proper fitting and broken in shoes and callous removal, use of low shear modulus insoles, and induction of skin adaptations through proper training. Other methods requiring further research, but with theoretical support, include the use of taping and low friction patches over high-friction areas, and double-layered or toe socks.

  13. Coma blisters after poisoning caused by central nervous system depressants: case report including histopathological findings.

    Science.gov (United States)

    Branco, Maira Migliari; Capitani, Eduardo Mello De; Cintra, Maria Letícia; Hyslop, Stephen; Carvalho, Adriana Camargo; Bucaretchi, Fabio

    2012-01-01

    Blister formation and eccrine sweat gland necrosis is a cutaneous manifestation associated with states of impaired consciousness, most frequently reported after overdoses of central nervous system depressants, particularly phenobarbital. The case of a 45-year-old woman who developed "coma blisters" at six distinct anatomic sites after confirmed (laboratory) phenobarbital poisoning, associated with other central nervous system depressants (clonazepam, promethazine, oxcarbazepine and quetiapine), is presented. A biopsy from the left thumb blister taken on day 4 revealed focal necrosis of the epidermis and necrosis of sweat gland epithelial cells; direct immunofluorescence was strongly positive for IgG in superficial blood vessel walls but negative for IgM, IgA, C3 and C1q. The patient was discharged on day 21 with no sequelae.

  14. Blistering and cracking of LiTaO{sub 3} single crystal under helium ion implantation

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Changdong; Lu, Fei; Ma, Yujie [Shandong University, School of Information Science and Engineering, Jinan, Shandong (China)

    2014-11-29

    Blistering and cracking in LiTaO{sub 3} surface are investigated after 200-keV helium ion implantation and subsequent post-implantation annealing. Rutherford backscattering/channeling is used to examine the lattice damage caused by ion implantation. Blistering is observed through optical microscopy in a dynamic heating process. Atomic force microscopy and scanning electron microscopy measurements are used to detect the LiTaO{sub 3} surface morphology. Experimental results show that blistering and flaking are dependent on implantation fluence, beam current, and also annealing temperature. We speculate that the surface cracking of He{sup +}-implanted LiTaO{sub 3} results from the implantation-induced stress and compression. (orig.)

  15. A blister-test apparatus for studies on the adhesion of materials used for neural electrodes.

    Science.gov (United States)

    Ordonez, Juan; Boehler, Christian; Schuettler, Martin; Stieglitz, Thomas

    2011-01-01

    A blister test apparatus has been developed, which allows a quantitative adhesion analysis of thin-film metallizations on polymers manufactured in cleanroom conditions suitable for micromachining of neural electrode arrays. The device is capable of pressurizing metallic membranes at wafer level, monitoring the pressure and the height of the developing blister while detecting the moment of delamination, allowing the calculation of the adhesion energy between metal film and polymer. The machine is designed for quantitative long-term studies of materials used in neural microelectrode arrays.

  16. Scanning electron microscopy of a blister roof in dystrophic epidermolysis bullosa.

    Science.gov (United States)

    Almeida, Hiram Larangeira de; Monteiro, Luciane; Marques e Silva, Ricardo; Rocha, Nara Moreira; Scheffer, Hans

    2013-01-01

    In dystrophic epidermolysis bullosa the genetic defect of anchoring fibrils leads to cleavage beneath the basement membrane, with its consequent loss. We performed scanning electron microscopy of an inverted blister roof of a case of dystrophic epidermolysis bullosa, confirmed by immunomapping and gene sequencing. With a magnification of 2000 times a net attached to the blister roof could be easily identified. This net was composed of intertwined flat fibers. With higher magnifications, different fiber sizes could be observed, some thin fibers measuring around 80 nm and thicker ones measuring between 200 and 300 nm.

  17. "Half-half" blisters in bullous pemphigoid successfully treated with adjuvant high-dose intravenous immunoglobulin.

    Science.gov (United States)

    Pacheco, David; Lopes, Leonor; Soares-Almeida, Luis; Marques, Manuel Sacramento; Filipe, Paulo

    2012-09-01

    Bullous pemphigoid is a rare, autoimmune blistering disease. Its clinical presentation is tense blisters that may arise on normal-appearing or erythematous skin. Bullous pemphigoid refractory to systemic corticosteroids in combination with immunosuppressants such as azathioprine and mycophenolate mofetil may benefit from adjuvant high-dose intravenous immunoglobulin (IVIg). We describe a particular case with an unusual clinical presentation unresponsive to systemic corticosteroids plus azathioprine, in which the addition of high-dose IVIg was successful. The combined therapy of systemic corticosteroids and azathioprine plus high-dose IVIg can be an option in refractory cases due to its efficiency and tolerability.

  18. Rheumatoid neutrophilic dermatosis with tense blister formation: a case report and review of the literature.

    Science.gov (United States)

    Fujio, Yumi; Funakoshi, Takeru; Nakayama, Kaori; Amagai, Masayuki; Ohyama, Manabu

    2014-02-01

    We report a 78-year-old woman with rheumatoid neutrophilic dermatosis (RND) presenting with tense blisters; an extremely rare manifestation of this condition. Systemic corticosteroid was of limited efficacy, while dapsone was effective. A literature review of four similar cases showed that tense blisters in this type of RND tended to appear on the lower extremities of aged, female rheumatoid arthritis patients. Of note, half of the cases were resistant to corticosteroids, as anti-neutrophil agents are reported to be effective. Accordingly, it is important to recognise this unusual manifestation for the timely initiation of appropriate therapy.

  19. Blister Packaging Medication to Increase Treatment Adherence and Clinical Response: Impact on Suicide-related Morbidity and Mortality

    Science.gov (United States)

    2014-12-01

    AD _ Award Number: W81XWH-09-1-0723 TITLE: Blister Packaging Medication to Increase Treatment Adherence and Clinical Response: Impact on Suicide...YYYY) , 2. REPORT TYPE December 2014 Final Report 3. DATES COVERED (From - To) 29Sept2009 - 28 Sept2014 4. TITLE AND SUBTITLE Blister Packaging

  20. Self-Sealing Shells: Blowouts and Blisters on the Surfaces of Leaky Wind-Blown-Bubbles and Supernova Remnants

    CERN Document Server

    Pittard, Julian

    2013-01-01

    Blowouts can occur when a dense shell confining hot, high pressure, gas ruptures. The venting gas inflates a blister on the surface of the shell. Here we examine the growth of such blisters on the surfaces of wind-blown-bubbles (WBBs) and supernova remnants (SNRs) due to shell rupture caused by the Vishniac instability. On WBBs the maximum relative size of the blister (R_bstall/R) is found to grow linearly with time, but in many cases the blister radius will not exceed 20 per cent of the bubble radius. Thus blowouts initiated by the Vishniac instability are unlikely to have a major effect on the global dynamics and properties of the bubble. The relative size of blisters on SNRs is even smaller than on WBBs, with blisters only growing to a radius comparable to the thickness of the cold shell of SNRs. The small size of the SNR blowouts is, however, in good agreement with observations of blisters in the Vela SNR. The difference in relative size between WBB and SNR blisters is due to the much higher speed at whic...

  1. Wound healing in a suction blister model:an experimental study with special reference to healing in patients with diabetes and patients with obstructive jaundice

    OpenAIRE

    Koivukangas, V

    2004-01-01

    Abstract The expression intensities of cytokeratins and tight junction proteins were determined on re-epithelization. Experimental blister wound healing was studied in patients with diabetes mellitus and in patients with obstructive jaundice. Suction blisters were induced on healthy volunteers, and the healing blisters were biopsied at different time points. Cytokeratin expression and the tight junction proteins ZO-1 and occludin were studied immunohistochemically. Blisters were ...

  2. Blister Threshold Based Thermal Limits for the U-Mo Monolithic Fuel System

    Energy Technology Data Exchange (ETDEWEB)

    D. M. Wachs; I. Glagolenko; F. J. Rice; A. B. Robinson; B. H. Rabin; M. K. Meyer

    2012-10-01

    Fuel failure is most commonly induced in research and test reactor fuel elements by exposure to an under-cooled or over-power condition that results in the fuel temperature exceeding a critical threshold above which blisters form on the plate. These conditions can be triggered by normal operational transients (i.e. temperature overshoots that may occur during reactor startup or power shifts) or mild upset events (e.g., pump coastdown, small blockages, mis-loading of fuel elements into higher-than-planned power positions, etc.). The rise in temperature has a number of general impacts on the state of a fuel plate that include, for example, stress relaxation in the cladding (due to differential thermal expansion), softening of the cladding, increased mobility of fission gases, and increased fission-gas pressure in pores, all of which can encourage the formation of blisters on the fuel-plate surface. These blisters consist of raised regions on the surface of fuel plates that occur when the cladding plastically deforms in response to fission-gas pressure in large pores in the fuel meat and/or mechanical buckling of the cladding over damaged regions in the fuel meat. The blister temperature threshold decreases with irradiation because the mechanical properties of the fuel plate degrade while under irradiation (due to irradiation damage and fission-product accumulation) and because the fission-gas inventory progressively increases (and, thus, so does the gas pressure in pores).

  3. Neural reactivity detected by immunofluorescence in a patient with a localized blistering disease

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-01-01

    Full Text Available Multiple clinical etiologies exist for rapidly appearing skin blisters are multiple. Case report: A 69-year-old male from a rural area of Georgia, USA, was evaluated for the presence of suddenly appearing, localized erythema and edema on his leg with a skin blister. At presentation, the patient was taking multiple medications for other medical issues. Methods: Skin biopsies for hematoxylin and eosin (H&E examination, as well as for direct immunofluorescence, indirect immunofluorescence and immunohistochemistry studies were performed. Results: H&E staining demonstrated a subepidermal blistering process. Within the dermis, a mild, superficial, perivascular and perineural infiltrate of lymphocytes, histiocytes and eosinophils was seen. Direct and indirect immunofluorescence revealed focal dermal perineural and free epidermal nerve fiber staining utilizing antibodies to human Complement/C1q, C3, C4, kappa and lambda light chains. Immunohistochemistry studies revealed IgG, IgE, C3, fibrinogen, albumin and kappa deposition inside and around the blister. Conclusions: Our case has some clinical and epidemiological features that resemble localized bullous pemphigoid, however, the most interesting findings were the neural reactivity without concomitant diabetes or peripheral neuropathy. Notably, a concomitant leak of ricin was simultaneously detected in same geographic area as the patient. We suggest that ricin environmental toxicity may have contributed to the observed neural reactivity.

  4. 46 CFR 59.15-10 - Bagged or blistered shell plates.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Bagged or blistered shell plates. 59.15-10 Section 59.15... shell plates. (a) When the shell plates of cylindrical boilers which are exposed to the radiant heat of... boiler. (b) Where the shell plate is bagged due to overheating, the Officer in Charge, Marine...

  5. Neutron reflectivity of supported membranes incorporating terminally anchored polymers: Protrusions vs. blisters

    DEFF Research Database (Denmark)

    Fragneto, Giovanna; Halperin, Avraham; Klösgen-Buchkremer, Beate Maria;

    2013-01-01

    was characterized by w 1/2 , the width at half-height of the scattering length density profile. The inner headgroup layer was essentially unperturbed while w 1/2 of the outer layer increased significantly. This suggests that the anchored PEG chains give rise to headgroup protrusions rather than to blister...

  6. Angiogenin expression in burn blister fluid: implications for its role in burn wound neovascularization.

    Science.gov (United States)

    Pan, Shin-Chen; Wu, Li-Wha; Chen, Chung-Lin; Shieh, Shyh-Jou; Chiu, Haw-Yen

    2012-01-01

    Deep partial thickness burn (DPTB) wound fluids have a greater propensity for establishing neovascularization than did superficial partial thickness burn (SPTB) wound fluids in our previous study. To investigate the factors responsible for this activity, cytokine array and enzyme-linked immunosorbent assay were used to perform an expression analysis of angiogenic factors in burn fluid. Although present in approximately equal amounts in both SPTB and DPTB blister fluids from burn patients, angiogenin does appear to be involved in the ability of DPTB blister fluid to promote neovascularization in vitro and in vivo. Angiogenin alone was sufficient to induce endothelial differentiation of circulating angiogenic cells (CAC) without vascular endothelial growth factor A involvement. In addition, angiogenin was positively associated with CAC differentiation in the burn blister fluid. Blocking the effect of angiogenin in burn blister fluids resulted in a significant reduction of endothelial cell proliferation, CAC differentiation, and new blood vessels formation in vivo. Moreover, immunohistochemistry revealed that high angiogenin expression colocalizes with high vascularity in human burn wounds at day 7, further supporting our hypothesis that angiogenin is involved in burn wound neovascularization.

  7. BLISTERING AND DEGRADATION OF POLYURETHANE COATINGS UNDER DIFFERENT ACCELERATED WEATHERING TESTS. (R828081E01)

    Science.gov (United States)

    An epoxy primer with a high gloss polyurethane topcoat coating system was exposed either only in a QUV chamber or exposed in a QUV chamber and a Prohesion chamber, alternatively, in this study. AFM studies found that micro blisters formed on the coating surface after both expo...

  8. [A boy with blood blisters on his lips after having a sore throat].

    Science.gov (United States)

    van Els, Anne L; Drewes, A J Noud

    2014-01-01

    An 8-year-old boy came to the Emergency Department with blood blisters on both lips, limiting him in his oral intake. He had no history of herpes simplex or use of any medication. The symptoms turned out to be caused by erythema exsudativum multiforme major, in most cases a self-limiting disease.

  9. Analysis of Heavy Metals in Blister Pack and Medical Gloves Samples

    Directory of Open Access Journals (Sweden)

    Monika Martišiūtė

    2013-10-01

    Full Text Available Incineration is a common method to treat medical wastes. Whereas pathogens and environmentally problematic organic compounds are destroyed, toxic heavy metals cannot be ruined. In this study heavy metal concentrations of two types of medical wastes were analyzed. Four different blister pack layers (polyvinyl chloride (PVC, polyvinyl chloride/polyvinylidiene chloride with pigment (PVC/PVdCp, polyvinyl chloride/polyvinylidiene chloride transparent (PVC/PVdCt and polyethylene (PE and blister pack as a unit, and three types of medical gloves (latex powdered and powder-free medical gloves, nitrile powder-free medical gloves and vinyl powdered and powder-free medical gloves were digested using high pressure digestion methods. Different acid mixtures were used to digest the samples. Heavy metal concentrations were analyzed by the inductively coupled plasma – optical emission spectrometry (ICP-OES. As, Fe, Na, P, Sn, Sr and Zn were detected in blister pack and different blister pack layers. Ca, Fe, K, Mg, Na, P, Sr and Zn were detected in three different types of medical gloves. No environmentally relevant elemental concentrations were detected except for Sn and Zn.DOI: http://dx.doi.org/10.5755/j01.erem.65.3.4157

  10. Determining the feasibility of objective adherence measurement with blister packaging smart technology

    NARCIS (Netherlands)

    Onzenoort, H.A. van; Neef, C.; Verberk, W.W.; Iperen, H.P. van; Leeuw, P.W. de; Kuy, P.H. van der

    2012-01-01

    PURPOSE: The results of a feasibility study of blister-pack smart technology for monitoring medication adherence are reported. METHODS: Research in the area of objective therapy compliance measurement has led to the development of microprocessor-driven systems that record the time a unit dose is rem

  11. The blistering of a viscoelastic filament of a droplet of saliva

    CERN Document Server

    Wagner, Christian; Eggers, Jens

    2009-01-01

    A fluid dynamics video of the break up of a droplet of saliva is shown. First a viscoelastic filament is formed and than the blistering of this filament is shown. Finally, a flow induced phase separation takes place nanometer sized solid fiber remains that consist out of the biopolymers.

  12. 水性吸塑油的研究%Study on the Waterbased Blister Varnish

    Institute of Scientific and Technical Information of China (English)

    梁文波; 郑军; 张士军; 刘毅

    2012-01-01

    Based on the research of waterbased varnish, the mechanism of blister agglutinate was studied. The effect of blister agent, penetrating agent,. Tf, on the performance of blister varnish was studied. Depending on the result, the general blister varnish can be used at the following conditions: (1) the material is PVC or PET; ( 2 ) the paper is white board paper, white carded paper, glossy paper; ( 3) the heat sealing way is electrical heating or high frequency heating. The waterbased blister varnish is availabe commercially and is verified on lines. It comply with the printing and packaging industry trend and has widely market application prospect.%在对水性光油研究的基础上,对吸塑包装的工艺、原理进行了深入的分析,考察了吸塑剂、渗透剂、Tg对水性吸塑油使用性能的影响,得到了满足下列使用条件的水性吸塑油:(1)泡壳基材为PVC或PET;(2)纸卡材料为白版纸、白卡纸或铜版纸;(3)热封方式可采用电加热或高周波吸塑热合工艺.该水性吸塑油已经通过工业化生产并上机验证,可满足吸塑粘合要求.

  13. Ribosomal protein s6-ps240 is expressed in lesional skin from patients with autoimmune skin blistering diseases

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-01-01

    Full Text Available Background: The in situ signaling transduction within skin biopsies from patients affected by autoimmune skin blistering diseases is not well-characterized. Aim : In autoimmune skin blistering diseases, autoantibodies seem to trigger several intracellular signaling pathways and we investigated the presence of the phosphorylated form of ribosomal protein S6-pS240 within autoimmune skin blistering diseases biopsies. Materials and Methods: We utilized immunohistochemistry to evaluate the presence of S6-pS240 in lesional skin biopsies of patients affected by autoimmune skin blistering diseases including patients with an endemic and nonendemic pemphigus foliaceus (non EPF, with bullous pemphigoid (BP, pemphigus vulgaris (PV, dermatitis herpetiformis (DH, and the respective controls. Results: Most autoimmune bullous skin diseases biopsies stained positive for S6-pS240 around lesional blisters, including adjacent areas of the epidermis; and within upper dermal inflammatory infiltrates, and/or mesenchymal-endothelial cell junctions within the dermis. Conclusions: We document that S6-pS240 is expressed in lesional areas of skin biopsies from patients with autoimmune skin blistering diseases, as well as on eccrine glands and piloerector muscles. Thus, the role of this molecule in autoimmune skin blistering diseases warrants further study.

  14. Dependence of implantation sequence on surface blistering characteristics due to H and He ions co-implanted in silicon

    Energy Technology Data Exchange (ETDEWEB)

    Liang, J.H. [Institute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu 300, Taiwan, ROC (China); Department of Engineering and System Science, National Tsing Hua University, Hsinchu 300, Taiwan, ROC (China); Hsieh, H.Y.; Wu, C.W. [Department of Engineering and System Science, National Tsing Hua University, Hsinchu 300, Taiwan, ROC (China); Lin, C.M. [Department of Applied Science, National Hsinchu University of Education, Hsinchu 300, Taiwan, ROC (China)

    2015-12-15

    This study investigated surface blistering characteristics due to H and He ions co-implanted in silicon at room temperature. The H and He ion energies were 40 and 50 keV, respectively, so that their depth profiles were similar. The total implantation fluence for the H and He ions was 5 × 10{sup 16} cm{sup −2} under various fluence fractions in the H ions. The implantation sequences under investigation were He + H and H + He. Dynamic optical microscopy (DOM) was employed in order to dynamically analyze surface blistering characteristics. This study used DOM data to construct so-called time–temperature–transformation (T–T–T) curves to easily predict blistering and crater transformation at specific annealing times and temperatures. The results revealed that the curves of blister initialization, crater initialization, and crater completion in the He + H implant occurred at a lower annealing temperature but with a longer annealing time compared to those in the H + He implant. Furthermore, the threshold annealing temperatures for blister and crater formation in the He + H implant were lower than they were in the H + He implant. The size distributions of the blisters and craters in the He + H implant extended wider than those in the H + He implant. In addition, the He + H implant exhibited larger blisters and craters compared to the ones in the H + He implant. Since the former has a higher percentage of exfoliation area than the latter, it is regarded as the more optimal implantation sequence.

  15. Study of the effect of H implantation and annealing on LiTaO{sub 3} surface blistering

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Changdong; Lu, Fei, E-mail: lufei@sdu.edu.cn; Ma, Yujie

    2015-01-01

    Highlights: • The effect of hydrogen ion implantation fluence on modification of the Z-cut LiTaO{sub 3} surface morphology and the evolution of blistering during annealing were experimentally analyzed. • RBS/Channeling and ERD were used to examine ion-induced structural and compositional changes in the samples. • The Föoppl-von Karman theory was introduced to calculate the critical internal pressure and stress to induce surface blistering. • Gibbs free energy and critical radius are introduced to explain the blister shrink and rupture observed in the experiment. - Abstract: LiTaO{sub 3} samples are implanted by 120 keV hydrogen ion with different fluences at room temperature. H{sup +} concentration and distribution is detected using Elastic recoil detection. Experimental results show that the threshold fluence for blistering in LiTaO{sub 3} surface is 6 × 10{sup 16} ion/cm{sup 2}. Surface blistering phenomenon is studied by using optical microscopy, Rutherford back scattering spectrometry, transmission electron microscopy and atomic force microscopy. Bubble growing and surface blister’s dependence on annealing process is observed and analyzed. The critical internal pressure and stress of surface blistering in H{sup +}-implanted LiTaO{sub 3} is derived based on theoretical model and experimental results. Gibbs free energy and cavity critical radius are introduced to explain the blister shrink and rupture observed in the experiment.

  16. Cracks and blisters formed close to a silicon wafer surface by He-H co-implantation at low energy

    Science.gov (United States)

    Cherkashin, N.; Daghbouj, N.; Darras, F.-X.; Fnaiech, M.; Claverie, A.

    2015-12-01

    We have studied the effect of reducing the implantation energy towards low keV values on the areal density of He and H atoms stored within populations of blister cavities formed by co-implantation of the same fluence of He then H ions into Si(001) wafers and annealing. Using a variety of experimental techniques, we have measured blister heights and depth from the surface, diameter, areal density of the cracks from which they originate as functions of implantation energy and fluence. We show that there is a direct correlation between the diameters of the cracks and the heights of the associated blisters. This correlation only depends on the implantation energy, i.e., only on the depth at which the cracks are located. Using finite element method modeling, we infer the pressure inside the blister cavities from the elastic deformations they generate, i.e., from the height of the blisters. From this, we demonstrate that the gas pressure within a blister only depends on the diameter of the associated crack and not on its depth position and derive an analytical expression relating these parameters. Relating the pressure inside a blister to the respective concentrations of gas molecules it contains, we deduce the areal densities of He and H atoms contained within the populations of blisters. After low-energy implantations (8 keV He+, 3 keV H+), all the implanted He and H atoms contribute to the formation of the blisters. There is no measurable exo-diffusion of any of the implanted gases, in contrast to what was assumed at the state of the art to explain the failure of the Smart-Cut technology when using very low energy ion implantation for the fabrication of ultra-thin layers. Alternative explanations must be investigated.

  17. Cracks and blisters formed close to a silicon wafer surface by He-H co-implantation at low energy

    Energy Technology Data Exchange (ETDEWEB)

    Cherkashin, N., E-mail: nikolay.cherkashin@cemes.fr; Darras, F.-X.; Claverie, A. [CEMES-CNRS and Université de Toulouse, 29 rue J. Marvig, 31055 Toulouse (France); Daghbouj, N. [CEMES-CNRS and Université de Toulouse, 29 rue J. Marvig, 31055 Toulouse (France); Faculté des Sciences de Monastir, Université de Monastir, Monastir (Tunisia); Fnaiech, M. [Faculté des Sciences de Monastir, Université de Monastir, Monastir (Tunisia)

    2015-12-28

    We have studied the effect of reducing the implantation energy towards low keV values on the areal density of He and H atoms stored within populations of blister cavities formed by co-implantation of the same fluence of He then H ions into Si(001) wafers and annealing. Using a variety of experimental techniques, we have measured blister heights and depth from the surface, diameter, areal density of the cracks from which they originate as functions of implantation energy and fluence. We show that there is a direct correlation between the diameters of the cracks and the heights of the associated blisters. This correlation only depends on the implantation energy, i.e., only on the depth at which the cracks are located. Using finite element method modeling, we infer the pressure inside the blister cavities from the elastic deformations they generate, i.e., from the height of the blisters. From this, we demonstrate that the gas pressure within a blister only depends on the diameter of the associated crack and not on its depth position and derive an analytical expression relating these parameters. Relating the pressure inside a blister to the respective concentrations of gas molecules it contains, we deduce the areal densities of He and H atoms contained within the populations of blisters. After low-energy implantations (8 keV He{sup +}, 3 keV H{sup +}), all the implanted He and H atoms contribute to the formation of the blisters. There is no measurable exo-diffusion of any of the implanted gases, in contrast to what was assumed at the state of the art to explain the failure of the Smart-Cut technology when using very low energy ion implantation for the fabrication of ultra-thin layers. Alternative explanations must be investigated.

  18. Measurement of the mechanical properties of nickel film based on the full-field deformation:An improved blister method

    Institute of Scientific and Technical Information of China (English)

    Zihan Wang; Zengsheng Ma; Yichun Zhou; Chunsheng Lu

    2013-01-01

    To characterize the mechanical properties of thin films, an improved blister method is proposed, which combines a digital speckle correlation method with the blister test. Based on this method, an experimental setup is developed to measure Young's modulus, residual stress, and interfacial adhesion energy of an electroplated nickel film. The results show that the improved blister method has the advantage of a high accuracy full-field measurement with the simple operation and low requirement on environments, which can be used to characterize the mechanical properties of films with various scales from laboratorial to industrial applications.

  19. Investigation of blister formation in sputtered Cu{sub 2}ZnSnS{sub 4} absorbers for thin film solar cells

    Energy Technology Data Exchange (ETDEWEB)

    Bras, Patrice, E-mail: patrice.bras@angstrom.uu.se [Midsummer AB, Elektronikhöjden 6, SE-17543 Järfälla, Sweden and Solid State Electronics, Angström Laboratory, Uppsala University, Box 534, SE-75121 Uppsala (Sweden); Sterner, Jan [Midsummer AB, Elektronikhöjden 6, SE-17543 Järfälla (Sweden); Platzer-Björkman, Charlotte [Solid State Electronics, Angström Laboratory, Uppsala University, Box 534, SE-75121 Uppsala (Sweden)

    2015-11-15

    Blister formation in Cu{sub 2}ZnSnS{sub 4} (CZTS) thin films sputtered from a quaternary compound target is investigated. While the thin film structure, composition, and substrate material are not correlated to the blister formation, a strong link between sputtering gas entrapment, in this case argon, and blistering effect is found. It is shown that argon is trapped in the film during sputtering and migrates to locally form blisters during the high temperature annealing. Blister formation in CZTS absorbers is detrimental for thin film solar cell fabrication causing partial peeling of the absorber layer and potential shunt paths in the complete device. Reduced sputtering gas entrapment, and blister formation, is seen for higher sputtering pressure, higher substrate temperature, and change of sputtering gas to larger atoms. This is all in accordance with previous publications on blister formation caused by sputtering gas entrapment in other materials.

  20. Reproduction in Laboratory and characterization of Blister of Hydride of zirconium in nuclear fuel pods; Reproduccion en laboratorio y caracterizacion de Blisters de hidroduro de circonio en muestras de vaina de combustible nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Martin Rengel, M. A.; Ruiz-Hervias, J.; Munoz, P.

    2014-07-01

    This paper have replicated in laboratory blisters of different size in samples of pod of ZIRLO pre-hydrided evenly with 500 ppm of hydrogen. For these samples was used a technique of cathodic charging in basic medium. To produce the blister was heated up to about 350 degree centigrade in its outer surface sample. With the aim of producing a point cold on the surface of the sheath contacted the surface with a piece of aluminum water-cooled (cold finger). Was held a morphological characterization of the blisters by means of optical microscopy and found that the size of the produced blister is function of the contact time between fuel pod and cold finger. (Author)

  1. 糖尿病水泡与压力性溃疡水泡的鉴别及护理对策%Identification of Diabetes Blisters and Blisters in the Pressure Ulcers and Nursing Countermeasures

    Institute of Scientific and Technical Information of China (English)

    李云仙

    2016-01-01

    目的:探讨发生在卧床患者受压部位的糖尿病水泡与压力性溃疡水泡的鉴别及护理。方法对2010年6月~2015年11月收治的10例脑卒中合并糖尿病水泡及12例卧床患者压力性溃疡水泡的资料进行分析,总结两种水泡的鉴别及治疗护理的区别。结果两种水泡在病因、发病机理、临床表现等方面均存在不同。结论在临床工作中通过对糖尿病水泡与压力性溃疡水泡的鉴别,从而制定不同的治疗及护理措施,才能有效控制病情的发展。%Objective Blisters in bed pressure parts of the patients with diabetes melitus and blisters in the identification of pressure ulcers and nursing.Methods In June 2010 to November 2015,10 cases of cerebral stroke blisters and 12 cases with diabetes melitus in bed patients with pressure ulcer blisters data analysis,summarized the two blisters difference between the identification and treatment of nursing.ResultsTwo blisters in the etiology, pathogenesis,clinical manifestation,etc were very different.ConclusionIn the clinical work of diabetes in the identification of blisters and pressure ulcer blisters,thus for different treatment and nursing measures,can effectively control the development of the disease.

  2. Autoantibodies to Multiple Epitopes on the Non-Collagenous-1 Domain of Type VII Collagen Induce Blisters

    NARCIS (Netherlands)

    Vorobyev, Artem; Ujiie, Hideyuki; Recke, Andreas; Buijsrogge, Jacqueline J. A.; Jonkman, Marcel F.; Pas, Hendrikus; Iwata, Hiroaki; Hashimoto, Takashi; Kim, Soo-Chan; Kim, Jong Hoon; Groves, Richard; Samavedam, Unni; Gupta, Yask; Schmidt, Enno; Zillikens, Detlef; Shimizu, Hiroshi; Ludwig, Ralf J.

    2015-01-01

    Epidermolysis bullosa acquisita (EBA) is an autoimmune blistering disease of the skin and mucous membranes, characterized by autoantibodies against type VII collagen (COL7), a major component of anchoring fibrils. Different clinical EBA phenotypes are described, including mechanobullous and inflamma

  3. Blister-like aneurysms of the supraclinoid internal carotid artery: challenging endovascular treatment with stent-assisted coiling.

    Science.gov (United States)

    Ahn, Jung Yong; Cho, Jun Hyung; Jung, Jin Young; Lee, Byung Hee; Yoon, Pyeong Ho

    2008-09-01

    ''Blister-like'' aneurysms of the supraclinoid segment of the internal carotid artery are usually small and have fragile walls, necessitating special care to prevent rebleeding. These lesions are considered high-risk aneurysms because of the technical difficulties associated with their surgical and endovascular treatment. In this report, we describe the use of stent-assisted, repeated coil embolization in the treatment of a ruptured blister-like aneurysm that experienced rapid growth. Stent-assisted coil embolization is an alternative, but sometimes hazardous, treatment for select blister-like aneurysms. Careful serial follow-up angiography will provide documentation as to the long-term stability of the endovascularly treated blister-like aneurysm described here, but early results are encouraging. Alternatively, placement of telescoped stents or graft-stent devices offers promise for future endovascular therapy.

  4. Hand, foot and scrotal blisters in a patient with cancer receiving oral chemotherapy.

    Science.gov (United States)

    Guerra, Jose Rodolfo; Suelves, Ana M; Bella, Archie; Lolo, Delatre

    2014-05-19

    Tyrosine kinase inhibitors are novel antineoplastic drugs that make use of the molecular abnormalities that have been discovered in certain types of tumours. These agents are associated with important dermatological side effects. This case report discusses an atypical presentation of the hand-foot syndrome in one patient treated with sorafenib. A 78-year-old man, recently started on sorafenib for the treatment of hepatocarcinoma with lung metastasis, presented to the emergency room with painful blistering lesions on the palms, soles and scrotum for 1 week. A punch biopsy was performed and sorafenib was withheld. Direct immunofluorescence study was negative for an autoimmune blistering disorder and histopathology stains did not show any microorganisms. A diagnosis of hand-foot syndrome was made. After 2 weeks, the patient showed marked improvement and the plan was to restart sorafenib at a lower dosage.

  5. Ion irradiation of graphene on Ir(111): From trapping to blistering

    Science.gov (United States)

    Herbig, Charlotte; Åhlgren, E. Harriet; Valerius, Philipp; Schröder, Ulrike A.; Martínez-Galera, Antonio J.; Arman, Mohammad A.; Kotakoski, Jani; Knudsen, Jan; Krasheninnikov, Arkady V.; Michely, Thomas

    Graphene grown epitaxially on Ir(111) is irradiated with low energy noble gas ions and the processes induced by atomic collision and subsequent annealing are analyzed using scanning tunneling microscopy, low energy electron diffraction, X-ray photoelectron diffraction and thermal desorption spectroscopy. Upon room temperature ion irradiation graphene amorphizes and recovers its crystalline structure during annealing. The energetic noble gas projectiles are trapped with surprisingly high efficiency under the graphene cover up to extremely high temperatures beyond 1300K. The energy, angle, and ion species dependence of trapping are quantified. At elevated temperatures the trapped gas forms well developed and highly pressurized blisters under the graphene cover. We use molecular dynamics simulations and ab initio calculations to elucidate the trapping mechanism and its thermal robustness. Similar trapping and blistering are observed after ion irradiation of a single layer of hexagonal boron nitride on Ir(111) and we speculate on the generality of the observed phenomena.

  6. Triglyceride Blisters in Lipid Bilayers: Implications for Lipid Droplet Biogenesis and the Mobile Lipid Signal in Cancer Cell Membranes

    DEFF Research Database (Denmark)

    Khandelia, Himanshu; Duelund, Lars; Pakkanen, Kirsi Inkeri;

    2010-01-01

    aggregates of unknown function present in malignant cells, and to the early biogenesis of lipid droplets accommodated between the two leaflets of the endoplasmic reticulum membrane. The TO aggregates give the bilayer a blister-like appearance, and will hinder the formation of multi-lamellar phases in model......, and possibly living membranes. The blisters will result in anomalous membrane probe partitioning, which should be accounted for in the interpretation of probe-related measurements....

  7. An unusual case of duodenal perforation caused by a blister pack: A case report and literature review

    OpenAIRE

    Si-Yuan Yao; Yugo Matsui; Souichi Shiotsu

    2015-01-01

    Introduction: Ingestion of foreign bodies is a relatively common clinical problem. Blister packs have been known to be a causative agent of gastrointestinal perforation. We report a rare case of duodenal perforation caused by a blister pack, which was complicated by retroperitoneal abscess and having a poor outcome. Presentation of case: A 72 year-old man with a history of dementia presented to the emergency department with a 2-day history of backache. Upon radiological findings, perforate...

  8. Blistered: a gene required for vein/intervein formation in wings of Drosophila.

    Science.gov (United States)

    Fristrom, D; Gotwals, P; Eaton, S; Kornberg, T B; Sturtevant, M; Bier, E; Fristrom, J W

    1994-09-01

    We have characterized the blistered (bs) locus phenotypically, genetically and developmentally using a set of new bs alleles. Mutant defects range from wings with ectopic veins and intervein blisters to completely ballooned wings where the distinction between vein and intervein is lost. Mosaic analyses show that severe bs alleles behave largely autonomously; homozygous patches having vein-like properties. Developmental analyses were undertaken using light and electron microscopy of wild-type and bs wings as well as confocal microscopy of phalloidin- and laminin-stained preparations. bs defects were first seen early in the prepupal period with the failure of apposition of dorsal and ventral wing epithelia. Correspondingly, during definitive vein/intervein differentiation in the pupal period (18-36 hours after puparium formation), the extent of dorsal/ventral reapposition is reduced in bs wings. Regions of the wing that fail to become apposed differentiate properties of vein cells; i.e. become constricted apically and acquire a laminin-containing matrix basally. To further understand bs function, we examined genetic interactions between various bs alleles and mutants of two genes whose products have known functions in wing development. (i) rhomboid, a component of the EGF-R signalling pathway, is expressed in vein cells and is required for specification of vein cell fate. rhove mutations (lacking rhomboid in wings) suppress the excess vein formation and associated with bs. Conversely, rho expression in prepupal and pupal bs wings is expanded in the regions of increased vein formation. (ii) The integrin genes, inflated and myospheroid, are expressed in intervein cells and are required for adhesion between the dorsal and ventral wing surfaces. Loss of integrin function results in intervein blisters. Integrin mutants interact with bs mutants to increase the frequency of intervein blisters but do not typically enhance vein defects. Both developmental and genetic analyses

  9. Characterisation of leukocytes in a human skin blister model of acute inflammation and resolution.

    Science.gov (United States)

    Jenner, William; Motwani, Madhur; Veighey, Kristin; Newson, Justine; Audzevich, Tatsiana; Nicolaou, Anna; Murphy, Sharon; Macallister, Raymond; Gilroy, Derek W

    2014-01-01

    There is an increasing need to understand the leukocytes and soluble mediators that drive acute inflammation and bring about its resolution in humans. We therefore carried out an extensive characterisation of the cantharidin skin blister model in healthy male volunteers. A novel fluorescence staining protocol was designed and implemented, which facilitated the identification of cell populations by flow cytometry. We observed that at the onset phase, 24 h after blister formation, the predominant cells were CD16hi/CD66b+ PMNs followed by HLA-DR+/CD14+ monocytes/macrophages, CD11c+ and CD141+ dendritic cells as well as Siglec-8+ eosinophils. CD3+ T cells, CD19+ B cells and CD56+ NK cells were also present, but in comparatively fewer numbers. During resolution, 72 h following blister induction, numbers of PMNs declined whilst the numbers of monocyte/macrophages remain unchanged, though they upregulated expression of CD16 and CD163. In contrast, the overall numbers of dendritic cells and Siglec-8+ eosinophils increased. Post hoc analysis of these data revealed that of the inflammatory cytokines measured, TNF-α but not IL-1β or IL-8 correlated with increased PMN numbers at the onset. Volunteers with the greatest PMN infiltration at onset displayed the fastest clearance rates for these cells at resolution. Collectively, these data provide insight into the cells that occupy acute resolving blister in humans, the soluble mediators that may control their influx as well as the phenotype of mononuclear phagocytes that predominate the resolution phase. Further use of this model will improve our understanding of the evolution and resolution of inflammation in humans, how defects in these over-lapping pathways may contribute to the variability in disease longevity/chronicity, and lends itself to the screen of putative anti-inflammatory or pro-resolution therapies.

  10. Analysis of Heavy Metals in Blister Pack and Medical Gloves Samples

    OpenAIRE

    Monika Martišiūtė; Inga Stasiulaitienė; Gintaras Denafas; Christian Ludwig

    2013-01-01

    Incineration is a common method to treat medical wastes. Whereas pathogens and environmentally problematic organic compounds are destroyed, toxic heavy metals cannot be ruined. In this study heavy metal concentrations of two types of medical wastes were analyzed. Four different blister pack layers (polyvinyl chloride (PVC), polyvinyl chloride/polyvinylidiene chloride with pigment (PVC/PVdCp), polyvinyl chloride/polyvinylidiene chloride transparent (PVC/PVdCt) and polyethylene (PE)) and bliste...

  11. Kinetics and leaching behaviors of aluminum from pharmaceutical blisters in sodium hydroxide solution

    Institute of Scientific and Technical Information of China (English)

    王重庆; 王晖; 顾帼华; 符剑刚; 刘又年

    2015-01-01

    A hydrometallurgical process was developed for recycling pharmaceutical blisters. Leaching aluminum from pharmaceutical blisters using sodium hydroxide (NaOH) solutions was investigated with respect to leaching behaviors and kinetics. A L9(34) orthogonal design of experiments suggests that the most significant factor is NaOH concentration followed by temperature and leaching time. Factorial experiments demonstrate that the leaching rate of aluminum increases with increasing of the factors. The optimum conditions are temperature of 70 °C, leaching time of 20 min, NaOH concentration of 1.25 mol/L, liquid-to-solid mass ratio of 15:1 and agitation speed of 400 r/min. Under optimum conditions, the leaching rate is up to 100%, implying that aluminum and polyvinyl chloride (PVC) plastic in pharmaceutical blisters are separated completely. Kinetics of leaching aluminum is best described by the product layer diffusion control model, and the activation energy is calculated to be 19.26 kJ/mol.

  12. Deuterium implantation into Y2O3-doped and pure tungsten: Deuterium retention and blistering behavior

    Science.gov (United States)

    Zhao, M.; Jacob, W.; Manhard, A.; Gao, L.; Balden, M.; von Toussaint, U.; Zhou, Z.

    2017-04-01

    The blistering and near-surface deuterium retention of a Y2O3-doped tungsten (W) and two different pure W grades were studied after exposure to deuterium (D) plasma at elevated temperatures (370, 450 and 570 K). Samples were exposed to a deuterium fluence of 6 × 1024 D m-2 applying a moderate ion flux of about 9 × 1019 D m-2 s-1 at an ion energy of 38 eV/D. Morphological modifications at the surface were analyzed by confocal laser scanning microscopy and scanning electron microscopy. The D depth profiles and the accumulated D inventories within the topmost 8 μm were determined by nuclear reaction analysis. Blistering and deuterium retention were strongly dependent on the implantation temperature. In addition, blistering was sensitively influenced by the used tungsten grade, although the total amount of retained D measured by nuclear reaction analysis was comparable. Among the three different investigated tungsten grades, Y2O3-doped W exhibited the lowest degree of surface modification despite a comparable total D retention.

  13. Rare case of dysphagia, skin blistering, missing nails in a young boy.

    Science.gov (United States)

    Makker, Jasbir; Bajantri, Bharat; Remy, Prospere

    2015-02-16

    Epidermolysis bullosa is a group of genetic disorders with an autosomal dominant or an autosomal recessive mode of inheritance and more than 300 mutations. The disorder is characterized by blistering mucocutaneous lesions and has several varying phenotypes due to anchoring defect between the epidermis and dermis. The variation in phenotypic expression depends on the involved structural protein that mediates cell adherence between different layers of the skin. Epidermolysis bullosa can also involve extra-cutaneous sites including eye, nose, ear, upper airway, genitourinary tract and gastrointestinal tract. The most prominent feature of the gastrointestinal tract involvement is development of esophageal stricture. The stricture results from recurrent esophageal mucosal blistering with consequent scarring and most commonly involves the upper esophagus. Here we present a case of a young boy with dominant subtype of dystrophic epidermolysis bullosa who presented with dysphagia, extensive skin blistering and missing nails. Management of an esophageal stricture eventually requires dilatation of the stricture or placement of a gastrostomy tube to keep up with the nutritional requirements. Gastrostomy tube also provides access for esophageal stricture dilatation in cases where antegrade approach through the mouth has failed.

  14. Mass spectrometry based data of the blister fluid proteome of paediatric burn patients

    Directory of Open Access Journals (Sweden)

    Tuo Zang

    2016-09-01

    Full Text Available The data presented here are associated with the article “The blister fluid proteome of paediatric burns” (Zang et al., 2016 [1]. Burn injury is a highly traumatic event for children. The degree of burn severity (superficial-, deep-, or full-thickness injury often dictates the extent of later scar formation which may require long term surgical operation or skin grafting. The data were obtained by fractionating paediatric burn blister fluid samples, which were pooled according to burn depth and then analysed using data dependent acquisition LC–MS/MS. The data includes a table of all proteins identified, in which burn depth category they were found, the percentage sequence coverage for each protein and the number of high confidence peptide identifications for each protein. Further Gene Ontology enrichment analysis shows the significantly over-represented biological processes, molecular functions, and cellular components of the burn blister fluid proteome. In addition, tables include the proteins associated with the biological processes of “wound healing” and “response to stress” as examples of highly relevant processes that occur in burn wounds.

  15. SUCCESSFUL TREATMENT OF MULTIDRUG-RESISTANT ACINETOBACTOR BAUMANII BLISTERS ON THE KNEE.

    Science.gov (United States)

    Afridi, Sikandar Aziz; Alvi, Hamid Fazeel; Lodhi, Fahad Saqib; Muhammad, Gul; Qureshi, Zaheer Uddin; Ullah, Raffat; Muhammad, Taj; Afridi, Bakhtiar Ullah

    2015-01-01

    Acinetobacter baumannii (A. baumannii), nosocomial infections, especially those due to multi-drug resistant (MDR) strains, are increasingly detected. This study reports the case of a 50-year-old man with blisters on the right knee for 8 months, first admitted through the outpatient department for incisional biopsy. Microbiological and histo-pathological examination confirmed the diagnosis of blisters extending deeply up to the knee joint caused by MDR- A. baumannii. A broad spectrum antibiotic therapy was administered and later readjusted according to the results of microbiological culture and biopsy report. Intensive hemodynamic support was required. An extensive surgical debridement was promptly performed and repeated until complete control of the infection with intravenous colistins. Blisters were excised; wounds were dressed daily with chlorhexidine dressings and polymyxine-impregnated dressing. Wounds were finally covered with split-thickness skin grafts. The infection was overcome 120 days after admission. The graft take was 40%. Postoperative rehabilitation was required because of the functional limitation of lower limb movements at the knee joint. Follow-up at 8 months showed no functional deficit and an acceptable aesthetic result. AB-MDR affecting soft tissues is a life-threatening disease, especially in patients with poor immunity and limited access to health facilities, whose clinical diagnosis may sometimes be challenging. Early recognition and treatment represent the most important factors influencing survival.

  16. Rare case of dysphagia, skin blistering, missing nails in ayoung boy

    Institute of Scientific and Technical Information of China (English)

    Jasbir Makker; Bharat Bajantri; Prospere Remy

    2015-01-01

    Epidermolysis bullosa is a group of genetic disorderswith an autosomal dominant or an autosomal recessivemode of inheritance and more than 300 mutations. Thedisorder is characterized by blistering mucocutaneouslesions and has several varying phenotypes due toanchoring defect between the epidermis and dermis.The variation in phenotypic expression depends on theinvolved structural protein that mediates cell adherencebetween different layers of the skin. Epidermolysisbullosa can also involve extra-cutaneous sites includingeye, nose, ear, upper airway, genitourinary tract andgastrointestinal tract. The most prominent feature ofthe gastrointestinal tract involvement is developmentof esophageal stricture. The stricture results fromrecurrent esophageal mucosal blistering with consequentscarring and most commonly involves theupper esophagus. Here we present a case of a youngboy with dominant subtype of dystrophic epidermolysisbullosa who presented with dysphagia, extensiveskin blistering and missing nails. Management of anesophageal stricture eventually requires dilatation ofthe stricture or placement of a gastrostomy tube tokeep up with the nutritional requirements. Gastrostomytube also provides access for esophageal stricturedilatation in cases where antegrade approach throughthe mouth has failed.

  17. Investigation of the Cause of Low Blister Threshold Temperatures in the RERTR-12 and AFIP-4 Experiments

    Energy Technology Data Exchange (ETDEWEB)

    Mitchell K Meyer

    2012-06-01

    Blister–threshold testing of fuel plates is a standard method through which the safety margin for operation of plate-type in research and test reactors is assessed. The blister-threshold temperature is indicative of the ability of fuel to operate at high temperatures for short periods of time (transient conditions) without failure. This method of testing was applied to the newly developed U-Mo monolithic fuel system. Blister annealing studies on the U-Mo monolithic fuel plates began in 2007, with the Reduced Enrichment for Research and Test Reactors (RERTR)-6 experiment, and they have continued as the U-Mo fuel system has evolved through the research and development process. Blister anneal threshold temperatures from early irradiation experiments (RERTR-6 through RERTR-10) ranged from 400 to 500°C. These temperatures were projected to be acceptable for NRC-licensed research reactors and the high-power Advanced Test Reactor (ATR) and the High Flux Isotope Reactor (HFIR) based on current safety-analysis reports (SARs). Initial blister testing results from the RERTR-12 experiment capsules X1 and X2 showed a decrease in the blister-threshold temperatures. Blister threshold temperatures from this experiment ranged from 300 to 400°C. Selected plates from the AFIP-4 experiment, which was fabricated using a process similar to that used to fabricate the RERTR-12 experiment, also underwent blister testing to determine whether results would be similar. The measured blister-threshold temperatures from the AFIP-4 plates fell within the same blister-threshold temperature range measured in the RERTR-12 plates. Investigation of the cause of this decrease in bister threshold temperature is being conducted under the guidance of Idaho National Laboratory PLN-4155, “Analysis of Low Blister Threshold Temperatures in the RERTR-12 and AFIP-4 Experiments,” and is driven by hypotheses. The main focus of the investigation is in the following areas: 1. Fabrication variables 2. Pre

  18. The optimization of Blister Disk geometry for mixing performance in co-rotating twin-screw extruder

    Science.gov (United States)

    Matsumoto, Koki; Kayamori, Natsuki; Tanaka, Tatsuya; Arao, Yoshihiko

    2015-05-01

    Extensional flow has been taken notice as the more efficient solution for improving the dispersion of nanocomposites than shear flow. One of the production processes of nanocomposites is melt extrusion with co-rotating twin-screw extruder (TSE) which is superior in terms of productivity and mixing performance. Then, we focused on "Blister Disk" which had many small holes for generating the extensional flow. However, the influences on the mixing performance by changing the geometry of Blister Disk have not been investigated as far as we know. Therefore, the objective of this study is the optimization of Blister Disk geometry (e.g. hole numbers, hole diameter and disk length) for improving the dispersion of nanocomposites. Primary, the extensional flow state was investigated at the Blister Disk with FEM analysis. Secondly, to validate the simulation results experimentally, the polypropylene reinforced multi-walled carbon nanotube (PP/CNT nanocomposite) was used as the model of nanocomposite, and the dispersion state of CNT was investigated by morphological observation. As the result of these experiments, the better dispersion state of CNT was obtained as total permeation area and shorter hole length of Blister Disk was smaller because extensional and shear stress were increased.

  19. Blister formation on 13Cr2MoNbVB ferritic-martensitic steel exposed to hydrogen plasma

    Science.gov (United States)

    Nikitin, A. V.; Tolstolutskaya, G. D.; Ruzhytskyi, V. V.; Voyevodin, V. N.; Kopanets, I. E.; Karpov, S. A.; Vasilenko, R. L.; Garner, F. A.

    2016-09-01

    The influence of pre-irradiation specimen deformation level on surface blister formation and sub-surface cracking of dual-phase 13Cr2MoNbVB ferritic-martensitic steel was studied using glow discharge hydrogen plasma with ion energy of 1 keV to fluences of 2 × 1025 H/m2. Protium was used for most studies, but deuterium was used for measuring the depth dependence of hydrogen diffusion. Formation of blisters was observed in the temperature range 230-340 K. It was found that pre-irradiation deformation caused changes in the threshold fluences of blister formation and also in blister size distribution. Subsurface cracks located on grain boundaries far beyond the implantation zone were formed concurrently with blisters, arising from hydrogen diffusion and trapping at defects. It was observed that cracks as long as 1 mm in length were formed in 95% deformed steel at depths up to 500 μm from surface.

  20. EGFR inhibitors erlotinib and lapatinib ameliorate epidermal blistering in pemphigus vulgaris in a non-linear, V-shaped relationship.

    Science.gov (United States)

    Sayar, Beyza S; Rüegg, Simon; Schmidt, Enno; Sibilia, Maria; Siffert, Myriam; Suter, Maja M; Galichet, Arnaud; Müller, Eliane J

    2014-01-01

    Novel insights into intra-cellular signalling involved in pemphigus vulgaris (PV), an autoimmune blistering disease of skin and mucous membranes, are now revealing new therapeutic approaches such as the chemical inhibition of PV-associated signals in conjunction with standard immunosuppressive therapy. However, extensive inhibition of signalling molecules that are required for normal tissue function and integrity may hamper this approach. Using a neonatal PV mouse model, we demonstrate that epidermal blistering can be prevented in a dose-dependent manner by clinically approved EGFR inhibitors erlotinib and lapatinib, but only up to approximately 50% of normal EGFR activity. At lower EGFR activity, blisters again aggravated and were highly exacerbated in mice with a conditional deletion of EGFR. Statistical analysis of the relation between EGFR activity and the extent of skin blistering revealed the best fit with a non-linear, V-shaped curve with a median break point at 52% EGFR activity (P = 0.0005). Moreover, lapatinib (a dual EGFR/ErbB2 inhibitor) but not erlotinib significantly reduced blistering in the oral cavity, suggesting that signalling mechanisms differ between PV predilection sites. Our results demonstrate that future clinical trials evaluating EGFR/ErbB2 inhibitors in PV patients must select treatment doses that retain a specific level of signal molecule activity. These findings may also be of relevance for cancer patients treated with EGFR inhibitors, for whom skin lesions due to extensive EGFR inhibition represent a major threat.

  1. Buckling patterns of gold thin films on silicon substrates: Formation of superimposed blisters

    Science.gov (United States)

    Colin, J.; Coupeau, C.; Durinck, J.; Grilhé, J.

    2009-06-01

    Buckling phenomena leading to the formation of superimposed blisters have been experimentally observed with the help of a confocal interferometric microscope onto the surface of gold thin films deposited on silicon substrates. Assuming that residual folding effects resulting from plastic deformation mechanisms take place in the film during its morphological evolution, different probable scenarios for the formation of the observed buckling patterns are elaborated in the framework of the Föppl-von Karman's theory of thin plates. Multi-step buckling with growing interface delamination is considered for the first scenario while a single or multi-step buckling at a given delamination width is assumed for the other ones.

  2. Intraoperative rupture of blood blister-like aneurysm: a case report and review of literature

    Institute of Scientific and Technical Information of China (English)

    Roodrajeetsing Gopaul; Wen Shao Xiao; Jun Yan; Dang Zong Wei

    2016-01-01

    Blood blister-like aneurysms (BBLAs) are aneurysms from the non-branching sites of the internal carotid artery (ICA).Though rare lesions,they pose a high risk of intraoperative aneurysmal rupture.Definite treatment of these types of aneurysms has been debatable,but surgical approach is the ultimate rescue treatment.Microsuture of the intraoperative ruptured BBLA has been reported scarcely in literature,but no review of these cases has ever been reported.We here present our experience of a case of BBLA intraoperative rupture requiring microsuture of the ICA and conduct meticulous review of all similar cases.

  3. Failure analysis of blistered gold plating on spot welded electrical relays

    Science.gov (United States)

    Sokolowski, Witold; O'Donnell, Tim

    1989-01-01

    Gold-plated stainless-steel sideplates, part of a JPL Galileo spacecraft electronic-relay assembly, exhibited blistering after resistance spot welding. Unacceptable relays had heavy nonuniform gold electrodeposited layers with thicknesses 4.5-11.5 microns. SEM and metallographic investigations indicated much higher heat input generated during the resistance spot welding in unacceptable relays. The attributes of acceptable welded relays are contrasted with unacceptable relays; the possible mechanism of laminar formation of polymeric material in the gold plating is discussed; and some recommendations are provided to prevent similar problems.

  4. The management of very small/blister internal carotid artery aneurysms.

    Science.gov (United States)

    Le Feuvre, David E J; Taylor, A G

    2011-12-01

    Blood blister aneuryms are uncommon lesions that have a poor natural history. Because there is no clear aneurysmal sac to treat they remain challenging lesions to manage whether the approach is endovascular or surgical. Although the management of intracranial cerebral aneurysms has changed subsequent to the results published by the ISAT trial, there still exist groups of aneurysms which do not lend themselves to endovascular management. There are recent reports of successful endovascular management using flow diverting approaches but experience is limited and relying on flow change may be insufficient to prevent re-rupture. Surgery when possible offers the advantage of immediate vessel wall reconstruction.

  5. Blister-like aneurysms of the internal carotid artery - management considerations.

    Science.gov (United States)

    McLaughlin, N; Laroche, M; Bojanowski, M W

    2012-01-01

    Blood blister-like aneurysms (BBA) originate at non-branching sites of the internal carotid artery (ICA). These aneurysms present a fragile wall and a poorly defined broad-based neck. Recognition of the BBA is essential for proper management of these vascular lesions. Various surgical and endovascular strategies have been attempted for these heterogeneous lesions. These have been associated with significant morbidity and mortality including rebleeding, regrowth, ischemic and thromboembolic complications. The authors review the key elements important for diagnosis and management of BBA and review current treatment options.

  6. Pill in the blister pack: a rare cause of dysphagia in an elderly adult.

    Science.gov (United States)

    Laeeq, Syed Mudassir; Rai, Ayesha Aslam; Tasneem, Abbas Ali; Luck, Nasir Hassan; Majid, Zain

    2015-01-01

    Foreign body impaction in the esophagus amongst adults is not a common cause of dysphagia. Fish bone, food bolus, dentures may cause symptoms of dysphagia, odynophagia, chest pain or respiratory distress. It needs prompt evaluation along with removal of the substance either surgically or endoscopically to avoid the development of life threatening complications. Here we are reporting a case of an elderly male, who presented to us with a history of absolute dysphagia for one week, as a consequence of ingestion of a pill in blister pack.

  7. Effect of inelastic and elastic energy losses of Xe ions on the evolution of hydrogen blisters in silicon

    Science.gov (United States)

    Reutov, V. F.; Dmitriev, S. N.; Sokhatskii, A. S.; Zaluzhnyi, A. G.

    2016-01-01

    We analyze the effect of irradiation by heavy ions on the formation of blisters on the silicon surface preliminarily ion-doped with hydrogen. An attempt is made at differentiating inelastic and elastic processes of interaction between ions and Si atoms using bombardment of the sample with high-energy charged particles through a bent absorbing filter by varying the radiation doses and the energy of bombarding Xe ions. It is found that irrespective of specific ionization energy losses of heavy ions, the blister formation is completely suppressed in the zone of the inelastic interaction during postradiation annealing. Conversely, stimulated development of hydrogen porosity takes place at the same time in the zone of elastic interaction, which is manifested in the form of blisters and flaking.

  8. Effect of Hydrogen induced Blisters on Surface and Structural Properties of Zirconium

    Energy Technology Data Exchange (ETDEWEB)

    Rafique, Mohsin; Chae, San; Sahi, Quratulain; Kim, Yongsoo [Hanyang Univ., Seoul (Korea, Republic of)

    2014-05-15

    Energetic particle produce ionization, dislocation loops and cavities in the surface of Zr, it may alter the structural characteristics of the material. Therefore, it is very important to investigate the hydrogen ion irradiation effects on the surface and structural properties of zirconium. The effect of hydrogen ions blisters on surface and structural properties of Zr has been investigated. Low dose of ions cause blisters on the surface of Zr. At the maximum dose, cavity/cracks formed on the surface. XRD analysis illustrates that induced stresses have been generated due to the hydrogen ions irradiation. However, new phases are not introduced in the Zr due to irradiation. The decreasing trend of crystalline size shows that the hydrogen ions diffusivity increases into the interstitial sites and causes peak broadening with the increase of radiation fluence. It is also evident that anomaly in crystalline size due to the recombination of vacancy process by increasing radiation fluence. Decrease in elastic modulus indicates the transformation of crystalline structure to partial amorphization, but there is no significant was observed in the structure of the material due to irradiation.

  9. White pine blister rust resistance in limber pine: evidence for a major gene.

    Science.gov (United States)

    Schoettle, A W; Sniezko, R A; Kegley, A; Burns, K S

    2014-02-01

    Limber pine (Pinus flexilis) is being threatened by the lethal disease white pine blister rust caused by the non-native pathogen Cronartium ribicola. The types and frequencies of genetic resistance to the rust will likely determine the potential success of restoration or proactive measures. These first extensive inoculation trials using individual tree seed collections from >100 limber pine trees confirm that genetic segregation of a stem symptom-free trait to blister rust is consistent with inheritance by a single dominant resistance (R) gene, and the resistance allele appears to be distinct from the R allele in western white pine. Following previous conventions, we are naming the R gene for limber pine "Cr4." The frequency of the Cr4 allele across healthy and recently invaded populations in the Southern Rocky Mountains was unexpectedly high (5.0%, ranging from 0 to 13.9%). Cr4 is in equilibrium, suggesting that it is not a product of a recent mutation and may have other adaptive significance within the species, possibly related to other abiotic or biotic stress factors. The identification of Cr4 in native populations of limber pine early in the invasion progress in this region provides useful information for predicting near-term impacts and structuring long-term management strategies.

  10. Obstruction and perforation of the small bowel caused by inadvertent ingestion of a blister pill pack in an elderly patient.

    Science.gov (United States)

    Al-Ramahi, Ghassan; Mohamed, Mohamed; Kennedy, Kristin; McCann, Michael

    2015-10-16

    Perforation of the small bowel due to foreign body ingestion is a rare instance that occurs in less than 1% of all ingestions. Although rare, ingestion of blister pill packaging is becoming more recognised as a causative agent for intestinal perforation, but is very rarely reported to cause intestinal obstruction. This is a report of a 66-year-old woman who presented with intestinal obstruction and underwent laparotomy, revealing small bowel perforation by a piece of blister pill pack foil. The patient was incognisant of the ingestion.

  11. Influence of Process Temperatures on Blister Creation in Micro Film Insert Molding of a Dual Layer Membrane

    DEFF Research Database (Denmark)

    Wöhner, Timo; R. Whiteside, Ben; Tosello, Guido

    2016-01-01

    In this work the suitability of a dual layer membrane, consisting of a non-woven Polypropylene (PP) support and a membrane layer made out of Polyethylene Terephthalate (PET) for Micro Film Insert Molding (μFIM) was investigated. The emergence of blisters at the surface of the PET-membrane layer...

  12. Using Landscape Genetics Simulations for Planting Blister Rust Resistant Whitebark Pine in the US Northern Rocky Mountains

    Science.gov (United States)

    Landguth, Erin L.; Holden, Zachary A.; Mahalovich, Mary F.; Cushman, Samuel A.

    2017-01-01

    Recent population declines to the high elevation western North America foundation species whitebark pine, have been driven by the synergistic effects of the invasive blister rust pathogen, mountain pine beetle (MPB), fire exclusion, and climate change. This has led to consideration for listing whitebark pine (WBP) as a threatened or endangered species under the Endangered Species Act, which has intensified interest in developing management strategies for maintaining and restoring the species. An important, but poorly studied, aspect of WBP restoration is the spatial variation in adaptive genetic variation and the potential of blister rust resistant strains to maintain viable populations in the future. Here, we present a simulation modeling framework to improve understanding of the long-term genetic consequences of the blister rust pathogen, the evolution of rust resistance, and scenarios of planting rust resistant genotypes of whitebark pine. We combine climate niche modeling and eco-evolutionary landscape genetics modeling to evaluate the effects of different scenarios of planting rust-resistant genotypes and impacts of wind field direction on patterns of gene flow. Planting scenarios showed different levels for local extirpation of WBP and increased population-wide blister rust resistance, suggesting that the spatial arrangement and choice of planting locations can greatly affect survival rates of whitebark pine. This study presents a preliminary, but potentially important, framework for facilitating the conservation of whitebark pine. PMID:28239390

  13. A new genus and species of Cecidomyiidae (Diptera) from leaf blister galls on Ribes (Grosulariaceae)in North America

    Science.gov (United States)

    Ribesia sarae Gagné, new genus, new species(Diptera: Cecidomyiidae), is described from simple leaf blister galls on Ribes aureum(Grossulariaceae) from Montana. The female abdomen is superficially similar to that of CystiphoraKieffer and SackenomyiaFelt. The three genera are compared. Because of stro...

  14. Using Landscape Genetics Simulations for Planting Blister Rust Resistant Whitebark Pine in the US Northern Rocky Mountains.

    Science.gov (United States)

    Landguth, Erin L; Holden, Zachary A; Mahalovich, Mary F; Cushman, Samuel A

    2017-01-01

    Recent population declines to the high elevation western North America foundation species whitebark pine, have been driven by the synergistic effects of the invasive blister rust pathogen, mountain pine beetle (MPB), fire exclusion, and climate change. This has led to consideration for listing whitebark pine (WBP) as a threatened or endangered species under the Endangered Species Act, which has intensified interest in developing management strategies for maintaining and restoring the species. An important, but poorly studied, aspect of WBP restoration is the spatial variation in adaptive genetic variation and the potential of blister rust resistant strains to maintain viable populations in the future. Here, we present a simulation modeling framework to improve understanding of the long-term genetic consequences of the blister rust pathogen, the evolution of rust resistance, and scenarios of planting rust resistant genotypes of whitebark pine. We combine climate niche modeling and eco-evolutionary landscape genetics modeling to evaluate the effects of different scenarios of planting rust-resistant genotypes and impacts of wind field direction on patterns of gene flow. Planting scenarios showed different levels for local extirpation of WBP and increased population-wide blister rust resistance, suggesting that the spatial arrangement and choice of planting locations can greatly affect survival rates of whitebark pine. This study presents a preliminary, but potentially important, framework for facilitating the conservation of whitebark pine.

  15. Impact of pill organizers and blister packs on adherence to pill taking in two vitamin supplementation trials.

    Science.gov (United States)

    Huang, H Y; Maguire, M G; Miller, E R; Appel, L J

    2000-10-15

    The impact of pill organizers on pill taking was determined in the Trial of Antioxidant Vitamins C and E (TRACE) Study, a factorial trial of vitamin C and vitamin E supplementation in 184 individuals. Participants were recruited in 1996-1997 and randomized to one of two groups (pill organizer or no organizer) and to one of four supplement groups for 2 months. The pill count (observed/expected X 100%) distribution was similar in the organizer and no organizer group for both vitamins. Mean differences in changes in serum vitamin levels between active and placebo groups did not differ by pill organizer use. The impact of pill organizers and blister packs was compared in another trial, the Vitamins, Teachers, and Longevity (VITAL) Study, in 297 individuals randomized in 1993-1994 to receive study pills either in blister packs or in pill organizers and to take one of two supplements. Among those with lower adherence, the pill count distribution in the blister-pack group exceeded that in the organizer group. Mean differences in serum vitamin E levels between active and placebo groups did not differ by types of pill packaging. In summary, use of blister packs, but not pill organizers, improved adherence as measured by pill counts among those with lower adherence. Neither pill delivery system improved adherence as measured by serum vitamin levels.

  16. 烧伤创面水疱引流保留水疱疱皮疗效观察%Curative effect observation of burn wound with blister drainage and keeping blister skin

    Institute of Scientific and Technical Information of China (English)

    罗成

    2014-01-01

    目的:探讨水疱引流保留水疱疱皮治疗烧伤创面的临床疗效。方法:2012年1月-2014年1月收治烧伤患者60例,随机分成保留水疱组和水疱引流保留水疱疱皮组各30例,水疱引流保留水疱疱皮组创面均以碘伏消毒,于水疱低位剪破,充分引流疱液,用0.9%氯化钠注射液棉球清洗后以我院烧伤油纱布贴敷外加消毒敷料包扎,隔2~3天换药1次。保留水疱组创面以碘伏消毒后用0.9%氯化钠注射液棉球清洗,以我院烧伤油纱布贴敷外加消毒敷料包扎。结果:水疱引流保留水疱泡皮组疼痛明显减轻,水疱基底未增大,局部创面感染1例,住院天数(10.8±3.1)天。保留水疱疱皮组疼痛较重,20例水疱均明显增大,10例水疱破溃,局部创面感染2例,住院天数(15.5±3.2)天,水疱引流保留水疱疱皮组疗效明显优于保留水疱组(P<0.05)。结论:水疱引流保留水疱疱皮治疗烧伤创面疗效显著,值得推广。%Objective:To explore the clinical curative effect of blister drainage and keeping blister skin in the treatment of burn wound.Methods:60 burn cases were selected from January 2012 to January 2014.They were randomly divided into the retained vesicular group and the blister drainage retained blister skin group with 30 cases in each group.In the blister drainage retained blister skin group,the wound was disinfection with iodophor.Blisters was cut at the low.Foam liquid was sufficient drainage.We used physiological saline to wash the wound.Then,we used the burn oil gauze dressing the wound and sterile dressing the wound. After 2 to 3 days,we changed the medicine.In the retained vesicular group,the wound was disinfection with iodophor.We used physiological saline to wash the wound.Then,we used the burn oil gauze dressing the wound and sterile dressing the wound. Results:In the blister drainage retained blister skin group,the pain was alleviated.Vesicular basement was

  17. Activated charcoal and baking soda to reduce odor associated with extensive blistering disorders

    Directory of Open Access Journals (Sweden)

    Chakravarthi Arun

    2008-01-01

    Full Text Available Background: Skin disease leading to extensive blistering and loss of skin is associated with a characteristic smell. Odor can cause physiologic disturbances such as increase in heart rate and respiratory rate. It can also cause nausea and vomiting and is disturbing to bystanders. Aims: To test odor reducing capability of activated charcoal. Methods: In this blinded experimental study we used putrefied amniotic membrane to produce odor and studied the effectiveness of activated charcoal and soda-bi-carbonate to reduce odor. Results: Statistical analysis with Kruskal Wall′s Chi Square Test and Man Whitney U test showed significant reduction of odor using activated charcoal by itself or along with soda-bi-carbonate. Conclusion: We recommend the usage of activated charcoal with/without soda bicarbonate as an inexpensive practical measure to reduce foul odor associated with extensive skin loss.

  18. Blistering of film from substrate after action of ultrashort laser pulse

    Science.gov (United States)

    Inogamov, N. A.; Zhakhovsky, V. V.; Khokhlov, V. A.; Kuchmizhak, A. A.; Kudryashov, S. I.

    2016-11-01

    The goal of the paper is to explain experimental results concerning film blistering. Tightly focused diffraction limited ultrashort optical laser pulse illuminates a small spot at a surface of a thin metal film mounted upon a dielectric or semiconductor support (substrate). Film mechanically separates from substrate and form a cupola like bump in a rather narrow range of absorbed fluences. Below this range deformations inside the spot are negligible. While above the range the hole remains in a film in the irradiated spot. The paper presents physical model starting from absorption and two-temperature state and including, first, description of conductive redistribution of absorbed heat, melting, hydrodynamics of strong three-dimensional deformations of a moving film, and, second, freezing of molten metal.

  19. The appearance of dusty H II blisters at radio and infrared wavelengths

    Science.gov (United States)

    Icke, V.; Gatley, I.; Israel, F. P.

    1980-01-01

    Detailed calculations for the observational appearance of nonspherical Stromgren regions at radio and infrared wavelengths are presented. The computations are made feasible by two assumptions, namely (1) no stellar photon leaves the solid angle within which it was emitted, and (2) the radiation spectrum can be represented by three delta functions corresponding to Lyman continuum, Lyman alpha, and softer radiation. These calculations are used to develop models for the H II blisters M17 A and 30 Doradus, and also first order parameters for a sample of other well-studied galactic H II regions. It is concluded that the observations are well explained by an ionizing object in a density gradient, without the need for peculiar dust properties or distribution.

  20. [Betadine in the care of friction blisters. Treatment protocol in primary health care].

    Science.gov (United States)

    Gonzalez de la Guerra, José Manuel; González Campo, Myrian

    2013-06-01

    First prize in the VII edition of the award winning work Betadine for nursing 2012. The dermatitis caused by repeated friction or trauma to the skin are very common in the population, mainly in athletes. The action of shear forces on the skin makes intradermal blisters very painful; being foot the areas more prone to its occurrence and local infection, one of the most common complications during its evolution. The proposed treatment protocol, presents a new technique of cost-effective cure for these injuries from the nursing consultation in Primary Health Care. Currently, there are many techniques in the treatment of these skin changes, but none has established itself as the "gold standard" in its approach. This technique of treatment accelerates regeneration of the injured area, reduces pain, prevents infection and epithelialization time is estimated between four and five days.

  1. Genetic transformation with the gfp gene of Colletotrichum gloeosporioides isolates from coffee with blister spot.

    Science.gov (United States)

    Armesto, Cecilia; Maia, Fernanda Gonçalves Martins; de Abreu, Mário Sobral; Figueira, Antonia Dos Reis; da Silva, Bruno Marques; Monteiro, Fernando Pereira

    2012-07-01

    Blister spot (Colletotrichum gloeosporioides) is now widespread in most coffee producing states of Brazil, becoming a limiting factor for production. The lack of data relating to the reproduction of typical symptoms (light green, oily patches) leaves a gap within the pathosystem, forcing the search for new methodologies for monitoring the disease. Monitoring of genetically modified organisms has proven to be an effective tool in understanding the host × pathogen interactions. Thus, the present study was carried out to evaluate the effectiveness of two systems of genetic transformation in obtaining mutants using the gfp reporter gene. Using the two transformation systems (PEG and electroporation) revealed the efficiency of both, confirmed by fluorescence microscopy and resistance to the antibiotic hygromycin-B, when incorporated into the culture medium. The fungus maintained its cultural and morphological characteristics when compared to wild strains. When inoculated on coffee seedlings, it was found that the pathogenicity of the processed isolates had not changed.

  2. Genetic transformation with the gfp gene of Colletotrichum gloeosporioides isolates from coffee with blister spot

    Directory of Open Access Journals (Sweden)

    Cecilia Armesto

    2012-09-01

    Full Text Available Blister spot (Colletotrichum gloeosporioides is now widespread in most coffee producing states of Brazil, becoming a limiting factor for production. The lack of data relating to the reproduction of typical symptoms (light green, oily patches leaves a gap within the pathosystem, forcing the search for new methodologies for monitoring the disease. Monitoring of genetically modified organisms has proven to be an effective tool in understanding the host x pathogen interactions. Thus, the present study was carried out to evaluate the effectiveness of two systems of genetic transformation in obtaining mutants using the gfp reporter gene. Using the two transformation systems (PEG and electroporation revealed the efficiency of both, confirmed by fluorescence microscopy and resistance to the antibiotic hygromycin-B, when incorporated into the culture medium. The fungus maintained its cultural and morphological characteristics when compared to wild strains. When inoculated on coffee seedlings, it was found that the pathogenicity of the processed isolates had not changed.

  3. Sustained clinical response to rituximab in a case of life-threatening overlap subepidermal autoimmune blistering disease.

    Science.gov (United States)

    Li, Yaohan; Foshee, J B; Sontheimer, Richard D

    2011-04-01

    The conventional treatment for the autoimmune bullous skin diseases is broad-spectrum immunosuppressive regimen typically combining systemic corticosteroids with adjuvant immunosuppressive therapeutic agents. Orphan diseases in the pemphigus, pemphigoid, and epidermolysis bullosa acquisita groups of clinical disorders are often clinically severe, requiring long-term treatment with such drugs or drug combinations. Rituximab, a chimeric recombinant monoclonal antibody targeting CD20(+) B cells, has recently been suggested to be effective in the treatment of pemphigus with relatively few adverse effects. The clinical value of rituximab in other immune-mediated blistering diseases has been less thoroughly examined. We report a case of a woman who presented initially with the Brunsting-Perry phenotype of cicatricial pemphigoid who subsequently developed severe generalized subepidermal blisters healing with scarring and milia formation thought to be clinically compatible with epidermolysis bullosa acquisita, although type VII collagen autoantibodies were never identified. Treatment with a number of conventional systemic agents was unsuccessful and complicated by methicillin-resistant Staphylococcus aureus-induced cutaneous ulcers and near-fatal gram-negative sepsis. This woman has enjoyed an 18-month complete clinical remission after a single inductive 4-week cycle of intravenous rituximab. This outcome supports the idea that systemic memory B-cell depletion with drugs such as rituximab should be considered for therapeutically refractory subepidermal autoimmune blistering diseases in addition to intraepidermal autoimmune blistering diseases. A potential role for the immunologic phenomenon of epitope spreading in the generation of overlapping features of autoimmune blistering diseases, and its contribution to therapeutic refractoriness ("hardening"), is discussed.

  4. Blisters and Loss of Epidermis in Patients With Lupus Erythematosus: A Clinicopathological Study of 22 Patients.

    Science.gov (United States)

    Merklen-Djafri, Carine; Bessis, Didier; Frances, Camille; Poulalhon, Nicolas; Debarbieux, Sébastien; Cordel, Nadège; Lipsker, Dan

    2015-11-01

    The nosology of bullous lesions or equivalents (vesicles, erosions, and crusts) in patients with lupus erythematosus (LE) is rarely addressed.The primary aim of this study was to draw up a precise phenotypic inventory of such skin lesions; the secondary objective was to assess a potential relationship between the different types of loss of epidermis and extracutaneous lupus manifestations.We conducted a retrospective multicenter study including 22 patients with definite LE and bullous lesions or equivalents. All biopsies were reviewed. Patients were recruited in the dermatology departments of 6 centers. Patients were included if they met the diagnosis of systemic LE according to American College of Rheumatology and/or Systemic Lupus International Collaborating Clinics criteria or diagnosis of cutaneous LE based on classic clinical criteria and/or histological ascertainment of LE. Patients were recruited through clinician's memory and photographic collections.Three clinico-pathological patterns could be individualized. First, toxic epidermal necrolysis (TEN)-like, sheet-like, skin detachment; sun-exposure, mild mucosal involvement, and dermal mucin deposition allow differential diagnosis with classical Lyell syndrome. Second, vesiculo-bullae and/or crusting occurring on typical lesions of subacute cutaneous lupus erythematosus or chronic cutaneous lupus erythematosus. Third, tense vesicles and/or blisters with an underlying neutrophilic dermatosis and a usual response to dapsone.A careful analysis of 22 LE patients with epidermal detachment reveals 2 main pathomechanisms: a classic LE interface dermatitis, which can be hyperacute and lead to TEN-like skin detachment; and a neutrophilic dermatosis, with tense vesicles and/or blisters, including classic bullous LE.

  5. Hybrid procedure combining clip on wrapping and stent placement for ruptured supraclinoid blood blister-like aneurysm of the internal carotid artery.

    Science.gov (United States)

    Nagasaki, Hirokazu; Narikiyo, Michihisa; Nagayama, Gota; Nagao, Seiya; Tsuboi, Yoshifumi; Kambayashi, Chisaku

    2017-03-01

    Blood blister-like aneurysms of the supraclinoid portion of the internal carotid artery are rare, fragile, and thin-walled lesions with a higher rate of rebleeding. Our case underwent a hybrid procedure combining direct surgical and endovascular approach.

  6. ON THE PRESENCE OF CERTAIN BODIES IN THE SKIN AND BLISTER FLUID FROM SCARLET-FEVER AND MEASLES.

    Science.gov (United States)

    Field, C W

    1905-07-15

    In sections of control and normal skin, the nuclei of the epithelial cells were often indented by the cell protoplasm, giving them an appearance similar to those indented by Mallory's bodies. It would seem that if these bodies of Mallory's were protozoa they would have been found in the sections from both the living and the dead skin of scarlet-fever and measles, as they were present in the blister fluid. Their absence is certainly more suggestive of a degeneration than of a protozoon. This view is also borne out by the fact that they were not found immediately after death, but were present in another specimen from the same case removed twenty-four hours later. It would seem probable also that the bodies found in the blister fluid were the products of degeneration and cytolytic activity, because they were found in the antitoxin rashes as well as in the cases of scarlet-fever and measles. The histological changes in the skin of these two diseases leads us to expect the presence of cytolytic products both in the blister fluid and in the sections. It certainly cannot be stated that none of these bodies is a protozoön, but it can be positively stated that a great majority of them arise from degenerating cells; and in many cases, I think, it is not possible to differentiate a degeneration from a protozoön by the study of its morphology and staining reactions. The bodies present in blister fluid resemble very closely those granular bodies found in blood under certain conditions, and seen in vaccine lymph and in emulsions of tissues and in exudates. I think, therefore, that they are for the most part, if not wholly, products of degenerating tissue cells and of leucocytes, and within certain limits specific to scarlet-fever and measles.

  7. 巨大型水疱型毛母质瘤%Giant blister pilomatricoma: a case report

    Institute of Scientific and Technical Information of China (English)

    黄东北; 钟宝兴; 万春雷

    2012-01-01

    报告1例巨大型水疱型毛母质瘤.患者男,24岁.因左上臂肿块7个月,表面出现水疱3个月余就诊.皮肤科检查:左上臂见一12.5cm×6c@m囊样肿块,囊壁松弛,表面呈暗红色,内含黄色血清样液体,触诊可及一质硬肿块,界清,无压痛.手术切除整个新生物后行组织病理检查:真皮中下部由嗜碱性细胞、过渡细胞和影细胞构成边界清楚的肿瘤团块,肿瘤团块上部真皮浅层可见淋巴水肿、增生扩张的淋巴管,其中充满淡嗜伊红淋巴液,胶原纤维稀疏.诊断:巨大型水疱型毛母质瘤.%A case of giant blister pilomatricoma is reported. A 24-year-old man presented with a tumor on left upper brachium for seven months and a blister for three months. Physical examination showed a rufous cystoid-tumor sized 12.5x6cm on left upper brachium. The blister was flaccid containing yellowish serum-like fluid. A firm, painless nodule with defined border was palpated. Histopathological examination revealed well-circumscribed intradermal nest composed of basophilic, transitional and shadow cells. The superficial dermis showed lymphedema, discrete collagen fibers, hyperplastic and dilated lymphan?gion filled with light red lymph. The diagnosis of giant blister pilomatricoma was made.

  8. Molecular Mechanism Underlying Pathogenesis of Lewisite-Induced Cutaneous Blistering and Inflammation: Chemical Chaperones as Potential Novel Antidotes.

    Science.gov (United States)

    Li, Changzhao; Srivastava, Ritesh K; Weng, Zhiping; Croutch, Claire R; Agarwal, Anupam; Elmets, Craig A; Afaq, Farrukh; Athar, Mohammad

    2016-10-01

    Lewisite is a potent arsenic-based chemical warfare agent known to induce painful cutaneous inflammation and blistering. Only a few modestly effective antidotes have so far been described in the literature. However, the discovery of effective antidotes for lewisite was hampered by the paucity of the exact molecular mechanism underlying its cutaneous pathogenesis. We investigated the molecular mechanism underlying lewisite-induced cutaneous blistering and inflammation and describe its novel antidotes. On the basis of our initial screening, we used a highly sensitive murine model that recapitulates the known human pathogenesis of arsenicals-induced cutaneous inflammation and blistering. Topically administered lewisite induced potent acute inflammation and microvesication in the skin of Ptch1(+/-)/SKH-1 mice. Even at a very low dose, lewisite up-regulates unfolded protein response signaling, inflammatory response, and apoptosis. These cutaneous lesions were associated with production of reactive oxygen species and extensive apoptosis of the epidermal keratinocytes. We confirmed that activation of reactive oxygen species-dependent unfolded protein response signaling is the underlying molecular mechanism of skin damage. Similar alterations were noticed in lewisite-treated cultured human skin keratinocytes. We discovered that chemical chaperone 4-phenyl butyric acid and antioxidant N-acetylcysteine, which significantly attenuate lewisite-mediated skin injury, can serve as potent antidotes. These data reveal a novel molecular mechanism underlying the cutaneous pathogenesis of lewisite-induced lesions. We also identified novel potential therapeutic targets for lewisite-mediated cutaneous injury.

  9. Effect of bombardment with iron ions on the evolution of helium, hydrogen, and deuterium blisters in silicon

    Science.gov (United States)

    Reutov, V. F.; Dmitriev, S. N.; Sokhatskii, A. S.; Zaluzhnyi, A. G.

    2017-02-01

    The effect of bombardment with iron ions on the evolution of gas porosity in silicon single crystals has been studied. Gas porosity has been produced by implantation hydrogen, deuterium, and helium ions with energies of 17, 12.5, and 20 keV, respectively, in identical doses of 1 × 1017 cm-2 at room temperature. For such energy of bombarding ions, the ion doping profiles have been formed at the same distance from the irradiated surface of the sample. Then, the samples have been bombarded with iron Fe10+ ions with energy of 150 keV in a dose of 5.9 × 1014 cm-2. Then 30-min isochoric annealing has been carried out with an interval of 50°C in the temperature range of 250-900°C. The samples have been analyzed using optical and electron microscopes. An extremely strong synergetic effect of sequential bombardment of silicon single crystals with gas ions and iron ions at room temperature on the nucleation and growth of gas porosity during postradiation annealing has been observed. For example, it has been shown that the amorphous layer formed in silicon by additional bombardment with iron ions stimulates the evolution of helium blisters, slightly retards the evolution of hydrogen blisters, and completely suppresses the evolution of deuterium blisters. The results of experiments do not provide an adequate explanation of the reason for this difference; additional targeted experiments are required.

  10. Autoantibodies to Multiple Epitopes on the Non-Collagenous-1 Domain of Type VII Collagen Induce Blisters.

    Science.gov (United States)

    Vorobyev, Artem; Ujiie, Hideyuki; Recke, Andreas; Buijsrogge, Jacqueline J A; Jonkman, Marcel F; Pas, Hendri H; Iwata, Hiroaki; Hashimoto, Takashi; Kim, Soo-Chan; Hoon Kim, Jong; Groves, Richard; Samavedam, Unni; Gupta, Yask; Schmidt, Enno; Zillikens, Detlef; Shimizu, Hiroshi; Ludwig, Ralf J

    2015-06-01

    Epidermolysis bullosa acquisita (EBA) is an autoimmune blistering disease of the skin and mucous membranes, characterized by autoantibodies against type VII collagen (COL7), a major component of anchoring fibrils. Different clinical EBA phenotypes are described, including mechanobullous and inflammatory variants. Most EBA patients' sera react with epitopes located within the non-collagenous 1 (NC1) domain of human COL7. However, it has remained unclear whether antibody binding to these different epitopes is pathogenically relevant. To address this issue, we generated recombinant proteins covering the entire NC1 domain. IgG reactivity with these proteins was analyzed in sera of 69 EBA patients. Most recognized clusters of epitopes throughout the NC1 domain. No correlation was detected between antibody specificity and clinical phenotype. To study the pathogenicity of antibodies specific to different NC1 subdomains, rabbit antibodies were generated. All these antibodies caused dermal-epidermal separation ex vivo. Antibodies against two of these subdomains were injected into mice carrying null mutations of mouse COL7 and the human COL7 transgene and induced subepidermal blisters. We here document that autoantibodies to COL7, independent of the targeted epitopes, induce blisters both ex vivo and in vivo. In addition, using COL7-humanized mice, we provide in vivo evidence of pathogenicity of autoantibodies binding to human COL7.

  11. Degradation of the blister agent sulfur mustard, bis(2-chloroethyl) sulfide, on concrete.

    Science.gov (United States)

    Brevett, Carol A S; Sumpter, Kenneth B; Wagner, George W; Rice, Jeffrey S

    2007-02-01

    The products formed from the degradation of the blister agent sulfur mustard [bis(2-chloroethyl) sulfide] on concrete were identified using gas chromatography with mass spectrometry detection (GC/MSD), (1)H NMR, 2D (1)H-(13)C NMR and (13)C solid state magic angle spinning (SSMAS) NMR. In situ and extraction experiments were performed. Sulfur mustard was detected in the in situ (13)C SSMAS samples for 12 weeks, whereas less than 5% of the sulfur mustard was detected in extracts from the concrete monoliths after 8 days. Sulfonium ions and (2-chloroethylthio)ethyl ether (T) were observed on the in situ samples after a period of 12 weeks, whereas vinyl species and bis(2-chloroethyl) sulfoxide were observed in the extracts of the concrete monoliths within 24h. The differences between the extraction and the SSMAS data indicated that the sulfur mustard existed in the concrete in a non-extractable form prior to its degradation. Extraction methods alone were not sufficient to identify the products; methods to identify the presence of non-extractable degradation products were also required.

  12. Transcriptome Analysis Reveals Candidate Genes involved in Blister Blight defense in Tea (Camellia sinensis (L) Kuntze)

    Science.gov (United States)

    Jayaswall, Kuldip; Mahajan, Pallavi; Singh, Gagandeep; Parmar, Rajni; Seth, Romit; Raina, Aparnashree; Swarnkar, Mohit Kumar; Singh, Anil Kumar; Shankar, Ravi; Sharma, Ram Kumar

    2016-07-01

    To unravel the molecular mechanism of defense against blister blight (BB) disease caused by an obligate biotrophic fungus, Exobasidium vexans, transcriptome of BB interaction with resistance and susceptible tea genotypes was analysed through RNA-seq using Illumina GAIIx at four different stages during ~20-day disease cycle. Approximately 69 million high quality reads were assembled de novo, yielding 37,790 unique transcripts with more than 55% being functionally annotated. Differentially expressed, 149 defense related transcripts/genes, namely defense related enzymes, resistance genes, multidrug resistant transporters, transcription factors, retrotransposons, metacaspases and chaperons were observed in RG, suggesting their role in defending against BB. Being present in the major hub, putative master regulators among these candidates were identified from predetermined protein-protein interaction network of Arabidopsis thaliana. Further, confirmation of abundant expression of well-known RPM1, RPS2 and RPP13 in quantitative Real Time PCR indicates salicylic acid and jasmonic acid, possibly induce synthesis of antimicrobial compounds, required to overcome the virulence of E. vexans. Compendiously, the current study provides a comprehensive gene expression and insights into the molecular mechanism of tea defense against BB to serve as a resource for unravelling the possible regulatory mechanism of immunity against various biotic stresses in tea and other crops.

  13. Immunofluorescence patterns in selected dermatoses, including blistering skin diseases utilizing multiple fluorochromes

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu-Velez

    2015-01-01

    Full Text Available Background: Autoimmune vesiculobullous disorders represent a heterogeneous group of dermatoses whose diagnosis is made based on clinical history, histologic features, and immunopathologic features. The most commonly used techniques for the diagnosis of these diseases are direct and indirect immunofluorescence (DIF and IIF, including salt-split processing. NaCl split skin is used to determine the level of blister formation, and the localization of autoantibodies relative to the split. Classically, immunofluorescence has been performed with one fluorochrome in the diagnosis of autoimmune bullous skin diseases. Aims: To compare DIF and IIF of the skin, using a single fluorochrome versus multiple fluorochromes. Materials and Methods: We studied 20 autoimmune skin disease cases using fluorescein isothiocyanate (FITC alone, in comparison to multiple fluorochromes (with or without DNA counterstaining. Results: The use of multiple fluorochromes helped to simultaneously visualize reactivity in multiple skin areas, in contrast to using FITC alone. Conclusions: Using multiple fluorochromes allows simultaneous labeling of two or more antigens within the same cell/or tissue section, assists in colocalization of unknown antigens with known molecules, and helps in ruling out "background" staining.

  14. Degradation of the blister agent sulfur mustard, bis(2-chloroethyl) sulfide, on concrete

    Energy Technology Data Exchange (ETDEWEB)

    Brevett, Carol A.S. [GEO-CENTERS Operations, SAIC, Gunpowder Branch, P.O. Box 68, APG, MD 21010-0068 (United States)]. E-mail: carol.brevett@us.army.mil; Sumpter, Kenneth B. [CDR USA RDECOM, ATTN: AMSRD-ECB-RT-PD, 5183 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5424 (United States)]. E-mail: kenneth.sumpter@us.army.mil; Wagner, George W. [CDR USA RDECOM, ATTN: AMSRD-ECB-RT-PD, 5183 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5424 (United States)]. E-mail: george.wagner@us.army.mil; Rice, Jeffrey S. [CDR USA RDECOM, ATTN: AMSRD-ECB-RT-PD, 5183 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5424 (United States)]. E-mail: jeffrey.rice@us.army.mil

    2007-02-09

    The products formed from the degradation of the blister agent sulfur mustard [bis(2-chloroethyl) sulfide] on concrete were identified using gas chromatography with mass spectrometry detection (GC/MSD), {sup 1}H NMR, 2D {sup 1}H-{sup 13}C NMR and {sup 13}C solid state magic angle spinning (SSMAS) NMR. In situ and extraction experiments were performed. Sulfur mustard was detected in the in situ {sup 13}C SSMAS samples for 12 weeks, whereas less than 5% of the sulfur mustard was detected in extracts from the concrete monoliths after 8 days. Sulfonium ions and (2-chloroethylthio)ethyl ether (T) were observed on the in situ samples after a period of 12 weeks, whereas vinyl species and bis(2-chloroethyl) sulfoxide were observed in the extracts of the concrete monoliths within 24 h. The differences between the extraction and the SSMAS data indicated that the sulfur mustard existed in the concrete in a non-extractable form prior to its degradation. Extraction methods alone were not sufficient to identify the products; methods to identify the presence of non-extractable degradation products were also required.

  15. Metamodeling and Optimization of a Blister Copper Two-Stage Production Process

    Science.gov (United States)

    Jarosz, Piotr; Kusiak, Jan; Małecki, Stanisław; Morkisz, Paweł; Oprocha, Piotr; Pietrucha, Wojciech; Sztangret, Łukasz

    2016-06-01

    It is often difficult to estimate parameters for a two-stage production process of blister copper (containing 99.4 wt.% of Cu metal) as well as those for most industrial processes with high accuracy, which leads to problems related to process modeling and control. The first objective of this study was to model flash smelting and converting of Cu matte stages using three different techniques: artificial neural networks, support vector machines, and random forests, which utilized noisy technological data. Subsequently, more advanced models were applied to optimize the entire process (which was the second goal of this research). The obtained optimal solution was a Pareto-optimal one because the process consisted of two stages, making the optimization problem a multi-criteria one. A sequential optimization strategy was employed, which aimed for optimal control parameters consecutively for both stages. The obtained optimal output parameters for the first smelting stage were used as input parameters for the second converting stage. Finally, a search for another optimal set of control parameters for the second stage of a Kennecott-Outokumpu process was performed. The optimization process was modeled using a Monte-Carlo method, and both modeling parameters and computed optimal solutions are discussed.

  16. 评介《Color Atlas and Synopsis of Blistering and Pustular Diseases》

    Institute of Scientific and Technical Information of China (English)

    朱学骏

    2008-01-01

    喜读人民卫生出版社出版发行的《Color Atlas and Synopsis of Blistering and Pustular Diseases》(水疱性与脓疱性皮肤病的彩色图谱与概要)。该书是由中国医学科学院皮肤病医院靳培英教授主编。靳教授治学严谨,博览群书,医术高明,患者至上,是中国医学科学院的十大名医之一:靳教授从医五十余载,特别对大疱性及脓疱性皮肤病有很深的造诣,本书是她丰富临床经验的概括与总结。全书内容翔实、文字简洁,图文并茂、印刷精良,

  17. A simple skin blister technique for the study of in vivo transmigration of human leukocytes.

    Science.gov (United States)

    Davidsson, Lisa; Björkman, Lena; Christenson, Karin; Alsterholm, Mikael; Movitz, Charlotta; Thorén, Fredrik B; Karlsson, Anna; Welin, Amanda; Bylund, Johan

    2013-07-31

    The study of human leukocytes is almost exclusively conducted using cells isolated from peripheral blood. This is especially true for neutrophils, despite the fact that these cells are of main (pathological) importance in extravascular tissues upon e.g., infection and/or tissue damage. The journey from circulation to tissue is typically associated with a number of cellular changes, making the cells primed, or hyper-responsive, and in many aspects distinct from the cells present in circulation. Models to obtain in vivo transmigrated leukocytes from human tissue are available, but not widely used. We describe here an easy-to-use model for the study of local inflammation, stemming from limited tissue damage, which can be used to isolate viable and functional leukocytes. The model is based on the generation of aseptic skin blisters, formed by the application of negative pressure, and allows for investigations of the cellular infiltrate as well as of soluble mediators present in the exudate. We believe that this method, combined with modern analysis equipment suitable for small volumes and cell numbers, could be of great use for increasing our understanding of the nature and function of leukocytes that have left circulation and transmigrated to inflamed tissues.

  18. Topically Applied Hsp90 Blocker 17AAG Inhibits Autoantibody-Mediated Blister-Inducing Cutaneous Inflammation.

    Science.gov (United States)

    Tukaj, Stefan; Bieber, Katja; Kleszczyński, Konrad; Witte, Mareike; Cames, Rebecca; Kalies, Kathrin; Zillikens, Detlef; Ludwig, Ralf J; Fischer, Tobias W; Kasperkiewicz, Michael

    2017-02-01

    Cell stress-inducible Hsp90 has been recognized as key player in mediating inflammatory responses. Although its systemic blockade was successfully used to treat autoimmune diseases in preclinical models, efficacy of a topical route of Hsp90 inhibitor administration has so far not been evaluated in chronic inflammatory and autoimmune-mediated dermatoses. Here, effects of the Hsp90 blocker 17-allylamino-demethoxygeldanamycin (17AAG) applied topically to the skin were determined in experimental inflammatory epidermolysis bullosa acquisita (EBA), an anti-type VII collagen autoantibody-induced blistering skin disease. Topical 17AAG ameliorated clinical disease severity when given before or during the occurrence of skin lesions without causing cutaneous or systemic toxicity in mice with antibody transfer- and immunization-induced EBA. In both EBA models and in the setting of locally induced inflammation, topical 17AAG treatment was associated with (i) reduced neutrophilic infiltrates, (ii) decreased NF-κB activation, (iii) lowered expression of matrix metalloproteinases and Flii, and (iv) induction of anti-inflammatory Hsp70 in the skin. Our results suggest that topical delivery of Hsp90 antagonists, offering the benefit of a reduced risk of systemic adverse effects of Hsp90 inhibition, may be useful for the control of EBA and possibly other related inflammatory skin disorders.

  19. 口腔黏膜下纤维性变水疱分析%The Oral Sub Mucous Fibrosis Blisters Clinical Analysis

    Institute of Scientific and Technical Information of China (English)

    陈连坤; 邱延昭

    2013-01-01

    Objective:Analysis of the blisters form of oral sub mucous fibrosi blisters patients and treatment of the vesting. Methods:fibrosis patients were treated in our hospital from September 2009 to September 2012 under the oral mucosa for the study, statistical analysis of the number of blisters, ulcers circumstances and multiple site. Results:In this study, blisters accounted for 25.76%of patients. The number of patients with blisters up to 18, at least one, with an average 5.9 blisters, blisters number five patients with the highest proportion of 61.77%; the blister diameter 5mm below the highest proportion, 50%; 9 cases patients with ulcers, the oral soft palate central blisters site. Conclusion:OSF patients with oral blisters is a relatively common signs multi soft palate center around radial decreasing, some patients can cause secondary infection and ulcers, attention should be paid.%  目的:对口腔黏膜下纤维性变水疱患者的水疱形态及治疗归转进行研究和分析。方法:以我院2009年9月至2012年9月收治的口腔黏膜下纤维性变患者为研究对象,对水疱数量、溃疡情况及多发部位等情况进行统计分析。结果:本研究中有水疱患者占25.76%。患者水疱数量最多为18个,最少为1个,平均水疱数量为5.9个,水疱数量5个以下患者占比最高,达到61.77%;水疱直径在5mm以下的占比最高,达到50%;9例患者并发溃疡,口腔软腭中央为水疱多发部位。结论:OSF患者口腔出现水疱是一种较常见体征,多以软腭为中心向四周放射状递减,部分患者可引起继发感染和溃疡,应引起足够重视。

  20. Blood blister-like aneurysms: Single center experience and systematic literature review

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, Ana Marcos; Narata, Ana Paula; Yilmaz, Hasan [Interventional Neuroradiology Unit, Service of Neuroradiology, University Hospital of Geneva (Switzerland); Bijlenga, Philippe; Radovanovic, Ivan; Schaller, Karl [Service of Neurosurgery, University Hospital of Geneva (Switzerland); Lovblad, Karl-Olof [Interventional Neuroradiology Unit, Service of Neuroradiology, University Hospital of Geneva (Switzerland); Pereira, Vitor Mendes, E-mail: vitormpbr@hotmail.com [Interventional Neuroradiology Unit, Service of Neuroradiology, University Hospital of Geneva (Switzerland)

    2014-01-15

    Blood blister-like aneurysms (BBAs) are a controversial entity. They arise from non-branching sites on the supraclinoid internal carotid artery (ICA) and are suspected to originate from a dissection. Our aim is to describe the BBA cases seen in our center and to present a systematic review of the literature on BBAs. We analyzed the eleven cases of BBA admitted to our center from 2003 to 2012. We assessed the medical history, treatment modality (endovascular and/or surgery), complications and clinical outcome. The cohort included 8 women and 4 men with a mean age of 53.16 years. Treatment of the BBA consisted of stenting and coiling in 5 patients, stenting only in 4 patients, coiling and clipping in 1 patient, clipping only in 1 patient, and conservative treatment in 1 patient. A good outcome was found in 10 patients, as defined by a modified Rankin Scale (mRS) less than or equal to two at three months. A systematic review of the literature was performed, and 314 reported patients were found: 221 patients were treated with a primarily surgical approach, and 87 patients were treated with a primarily endovascular approach. A rescue or second treatment was required in 46 patients (21%). The overall estimated treatment morbidity rate was 17%, and the mortality rate was 15%. BBAs exhibit more aggressive behavior compared to saccular aneurysms, and more intra-operative complications occur with BBAs, independent of the treatment type offered. They are also significantly more likely to relapse and rebleed after treatment. Endovascular treatment offers a lower morbidity–mortality compared with surgical approaches. Multilayer flow-diverting stents appear to be a promising strategy.

  1. False Blister Beetles and the Expansion of Gymnosperm-Insect Pollination Modes before Angiosperm Dominance.

    Science.gov (United States)

    Peris, David; Pérez-de la Fuente, Ricardo; Peñalver, Enrique; Delclòs, Xavier; Barrón, Eduardo; Labandeira, Conrad C

    2017-02-26

    During the mid-Cretaceous, angiosperms diversified from several nondiverse lineages to their current global domination [1], replacing earlier gymnosperm lineages [2]. Several hypotheses explain this extensive radiation [3], one of which involves proliferation of insect pollinator associations in the transition from gymnosperm to angiosperm dominance. However, most evidence supports gymnosperm-insect pollinator associations, buttressed by direct evidence of pollen on insect bodies, currently established for four groups: Thysanoptera (thrips), Neuroptera (lacewings), Diptera (flies), and now Coleoptera (beetles). Each group represents a distinctive pollination mode linked to a unique mouthpart type and feeding guild [4-9]. Extensive indirect evidence, based on specialized head and mouthpart morphology, is present for one of these pollinator types, the long-proboscid pollination mode [10], representing minimally ten family-level lineages of Neuroptera, Mecoptera (scorpionflies), and Diptera [8, 10, 11]. A recurring feature uniting these pollinator modes is host associations with ginkgoalean, cycad, conifer, and bennettitalean gymnosperms. Pollinator lineages bearing these pollination modes were categorized into four evolutionary cohorts during the 35-million-year-long angiosperm radiation, each defined by its host-plant associations (gymnosperm or angiosperm) and evolutionary pattern (extinction, continuation, or origination) during this interval [12]. Here, we provide the first direct evidence for one cohort, exemplified by the beetle Darwinylus marcosi, family Oedemeridae (false blister beetles), that had an earlier gymnosperm (most likely cycad) host association, later transitioning onto angiosperms [13]. This association constitutes one of four patterns explaining the plateau of family-level plant lineages generally and pollinating insects specifically during the mid-Cretaceous angiosperm radiation [12].

  2. Blood blister-like aneurysms: single center experience and systematic literature review.

    Science.gov (United States)

    Gonzalez, Ana Marcos; Narata, Ana Paula; Yilmaz, Hasan; Bijlenga, Philippe; Radovanovic, Ivan; Schaller, Karl; Lovblad, Karl-Olof; Pereira, Vitor Mendes

    2014-01-01

    Blood blister-like aneurysms (BBAs) are a controversial entity. They arise from non-branching sites on the supraclinoid internal carotid artery (ICA) and are suspected to originate from a dissection. Our aim is to describe the BBA cases seen in our center and to present a systematic review of the literature on BBAs. We analyzed the eleven cases of BBA admitted to our center from 2003 to 2012. We assessed the medical history, treatment modality (endovascular and/or surgery), complications and clinical outcome. The cohort included 8 women and 4 men with a mean age of 53.16 years. Treatment of the BBA consisted of stenting and coiling in 5 patients, stenting only in 4 patients, coiling and clipping in 1 patient, clipping only in 1 patient, and conservative treatment in 1 patient. A good outcome was found in 10 patients, as defined by a modified Rankin Scale (mRS) less than or equal to two at three months. A systematic review of the literature was performed, and 314 reported patients were found: 221 patients were treated with a primarily surgical approach, and 87 patients were treated with a primarily endovascular approach. A rescue or second treatment was required in 46 patients (21%). The overall estimated treatment morbidity rate was 17%, and the mortality rate was 15%. BBAs exhibit more aggressive behavior compared to saccular aneurysms, and more intra-operative complications occur with BBAs, independent of the treatment type offered. They are also significantly more likely to relapse and rebleed after treatment. Endovascular treatment offers a lower morbidity-mortality compared with surgical approaches. Multilayer flow-diverting stents appear to be a promising strategy.

  3. 普洱茶的泡罩包装技术分析%Analysis of Blister Packaging Technology for Puer Tea

    Institute of Scientific and Technical Information of China (English)

    刘晶; 袁玮

    2009-01-01

    Blister packaging for Puer tea was put forward accoding to the characteristics of Puer tea, which was a tightly pressed tea. Process principle of blister packaging for tea, blister packaging design method for Puer tea, and the material selection were analyzed. The automated blister packaging production line for tea was introduced. The purpose was to provide reference for application of blister packaging in tea packaging.%针对普洱茶这种紧压型茶叶,提出了采用泡罩包装时茶叶进行包装加工,分析了茶叶泡罩包装的工艺原理,以及普洱茶泡罩包装的设计方法和材料选择,给出了自动化茶叶泡罩包装生产线生产流程,为普洱茶泡罩包装在荼叶包装中的应用提供了依据.

  4. Blister pouches for effective reagent storage and release for low cost point-of-care diagnostic applications

    Science.gov (United States)

    Smith, Suzanne; Sewart, Rene; Land, Kevin; Roux, Pieter; Gärtner, Claudia; Becker, Holger

    2016-03-01

    Lab-on-a-chip devices are often applied to point-of-care diagnostic solutions as they are low-cost, compact, disposable, and require only small sample volumes. For such devices, various reagents are required for sample preparation and analysis and, for an integrated solution to be realized, on-chip reagent storage and automated introduction are required. This work describes the implementation and characterization of effective liquid reagent storage and release mechanisms utilizing blister pouches applied to various point-of-care diagnostic device applications. The manufacturing aspects as well as performance parameters are evaluated.

  5. Skin blister formation together with patterned intradermal hematoma: a special type of tire mark injury in victims run over by a wheel.

    Science.gov (United States)

    Pircher, R; Epting, T; Schmidt, U; Geisenberger, D; Pollak, S; Kramer, L

    2015-04-01

    A traffic accident victim run over by a vehicle may show a patterned skin hematoma reflecting the grooves of the tire's profile. Apart from this well-known type of imprint mark, the affected skin can also be blistered provided that the wheel exerts high pressure on the body for a prolonged period of time. The macro- and micromorphological findings as well as the protein composition of the blister fluid were investigated on the basis of a relevant autopsy case. Analogous to blisters associated with hanging marks, the transudation of serous fluid with consecutive detachment of the epidermis is interpreted as a pressure-related effect which cannot be regarded as a sign of vitality.

  6. Analysis of Mainly Working Devices in Blister Packaging%泡罩包装设备的主要工作机构分析

    Institute of Scientific and Technical Information of China (English)

    孙怀远; 杨丽英; 孙波; 顾青青

    2015-01-01

    Blister packaging is the mainstream form of solid preparation packaging. Although blister packaging equipment has a variety of types, the processes are basically same. According to the process sequence, mainly working devices in blister packaging were introduced including the heating device, molding device, heat-sealing device, typing and stamping device, cutting device.%泡罩包装是固体制剂的主流包装形式。尽管泡罩包装设备有多种类型,但工艺流程基本相同。按工艺操作顺序介绍了泡罩包装设备的主要工作机构,包括加热装置、成型装置、热封装置、打字压印装置、冲切装置。

  7. Analysis of Use and Maintenance on Blister Packaging Machine%泡罩包装机使用与维护分析

    Institute of Scientific and Technical Information of China (English)

    孙怀远; 孙波; 杨丽英

    2016-01-01

    The equipment for blister packaging was called blister packaging machine. In allusion to the using process of the roller, plate and roller-plate three types of blister packaging machine, the mould replacement, synchronous adjustment, failure analysis as well as key points for attention in operation and maintenance were introduced.%泡罩包装用设备称为泡罩包装机。现主要介绍了辊筒式、平板式和辊板式泡罩包装机在使用过程中的模具更换、同步调整、故障分析及使用维护注意要点。

  8. Death ligand TRAIL, secreted by CD1a+ and CD14+ cells in blister fluids, is involved in killing keratinocytes in toxic epidermal necrolysis.

    Science.gov (United States)

    de Araujo, Elisabeth; Dessirier, Valérie; Laprée, Geneviève; Valeyrie-Allanore, Laurence; Ortonne, Nicolas; Stathopoulos, Efstathios N; Bagot, Martine; Bensussan, Armand; Mockenhaupt, Maja; Roujeau, Jean-Claude; Tsapis, Andreas

    2011-02-01

    Toxic epidermal necrolysis (TEN) is characterized by an acute detachment and destruction of keratinocytes, affecting large areas of the skin. It is often related to adverse drug reactions. Previous studies have shown that effector CD8+ T cells, which accumulate in the blister fluid, are functionally cytotoxic and act through a classical perforin/granzyme B pathway. It has recently been shown that these cytotoxic T cells also secrete granulysin peptide, which is lethal to keratinocytes. These cytotoxic T cells exert their killer activity against autologous keratinocytes in the presence of the drug. However, they are unlikely to be the only effectors of TEN. We therefore searched for soluble death factors in the blister fluids that might kill keratinocytes. We found that the amounts of interferon-γ, TRAIL and TNF-α proteins were significantly greater in TEN blister fluids than in all controls (normal sera, TEN sera, burns and Eosinophilic pustular folliculitis blister fluids) and TNF-like weak inducer of apoptosis (TWEAK) amounts are also greater in all controls except burns. We showed that these proteins acted in synergy to induce the death of keratinocytes in vitro. We also found that TRAIL and TWEAK were secreted by CD1a+ and CD14+ cells present in the blister fluids. Thus, in addition to MHC class I-restricted cytotoxic T lymphocytes (CTLs), which lyse keratinocytes, ligands secreted by non-lymphoid cells capable of inducing keratinocyte death in an MHC class I-independent manner, also seem to be present in the blister fluids of patients with TEN.

  9. Influence of MeV H+ ion beam flux on cross-linking and blister formation in PMMA resist

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    Somrit Unai

    2012-02-01

    Full Text Available In soft lithography, a pattern is produced in poly(dimethylsiloxane (PDMS elastomer by casting from a master mould. The mould can be made of poly(methylmethacrylate (PMMA resist by utilising either its positive or negative tone induced by an ion beam. Here we have investigated the irradiation conditions for achieving complete cross-linking and absence of blister formation in PMMA so that its negative characteristic can be used in making master moulds. PMMA thin films approximately 9 µm thick on Si were deposited by spin coating. The 2-MeV H+ ion beam was generated using a 1.7-MV tandem Tandetron accelerator. The beam was collimated to a 500×500 µm2 cross section using programmable proximity aperture lithography system with a real-time ion beam monitoring system and a high precision current integrator. The irradiated areas were investigated by a standard scanning electron microscope and a profilometer. It was found that both the ion beam flux and the stopping power of the ions in the polymer have a critical influence on the blister formation.

  10. IgE basement membrane zone antibodies induce eosinophil infiltration and histological blisters in engrafted human skin on SCID mice.

    Science.gov (United States)

    Zone, John J; Taylor, Ted; Hull, Christopher; Schmidt, Linda; Meyer, Laurence

    2007-05-01

    Bullous pemphigoid (BP) is characterized by the deposition of IgG in the basement membrane zone, infiltration of eosinophils, and blister formation. The purpose of this study was to evaluate a potential role of IgE basement membrane antibodies in the histological findings of BP. LABD97 is a component of the shed ectodomain of bullous pemphigoid antigen 2. We have developed an IgE hybridoma to LABD97 antigen. This hybridoma was injected subcutaneously in SCID mice with engrafted human skin. A subcutaneous hybridoma secreting IgE antibodies developed. An IgE mouse hybridoma to trinitrophenyl was used as a control. Human grafts and mouse skin were examined grossly over 21 days, histologically, and immunopathologically at day 21 after injection of the hybridoma. A visible subcutaneous tumor developed in 10-14 days. Erythema and intense scratching developed 2-3 days before the tumor in test mice, but not in controls. At day 21, 16/16 test mice developed intense eosinophil infiltration and degranulation of the human mast cells within the grafts and 13/16 developed histological, but not clinically visible, basement membrane blisters. Human skin grafts of control mice and normal mouse skin on the test mice and control mice did not develop any histological abnormalities. IgE antibodies to LABD97 recapitulate the histological inflammatory process seen in BP.

  11. Triglyceride blisters in lipid bilayers: implications for lipid droplet biogenesis and the mobile lipid signal in cancer cell membranes.

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    Himanshu Khandelia

    Full Text Available Triglycerides have a limited solubility, around 3%, in phosphatidylcholine lipid bilayers. Using millisecond-scale course grained molecular dynamics simulations, we show that the model lipid bilayer can accommodate a higher concentration of triolein (TO than earlier anticipated, by sequestering triolein molecules to the bilayer center in the form of a disordered, isotropic, mobile neutral lipid aggregate, at least 17 nm in diameter, which forms spontaneously, and remains stable on at least the microsecond time scale. The results give credence to the hotly debated existence of mobile neutral lipid aggregates of unknown function present in malignant cells, and to the early biogenesis of lipid droplets accommodated between the two leaflets of the endoplasmic reticulum membrane. The TO aggregates give the bilayer a blister-like appearance, and will hinder the formation of multi-lamellar phases in model, and possibly living membranes. The blisters will result in anomalous membrane probe partitioning, which should be accounted for in the interpretation of probe-related measurements.

  12. Absorption of bacampicillin and ampicillin and penetration into body fluids (skin blister fluid, saliva, tears) in healthy volunteers.

    Science.gov (United States)

    Simon, C; Malerczyk, V; Klaus, M

    1978-01-01

    Equimolar doses of bacampicillin, which is rapidly converted to ampicillin in the body by hydrolysis, and ampicillin were administered orally, in the case of ampicillin also by intravenous injection, to 10 healthy subjects (cross-over study). Comparison of the areas under the serum concentrations curves after intravenous and oral administration showed that bacampillin was absorbed to 95% and orally given ampicillin to 35%. The mean peak serum levels (Cmax) after 0.8 g of oral bacampicillin were higher (15.9 microgram/ml) and appeared earlier (tmax 60 min) than after 0.556 g of oral ampicillin (3.2 microgram/ml, tmax 150 min). One and three hours after oral administration skin blister fluid contained four times more ampicillin after doses of bacampicillin than after oral ampicillin. One hour after intravenous injection of ampicillin the skin blister concentrations were 20 times higher than after oral administration of this antibiotic and three to four times higher than after oral administration of bacampicillin. The levels in saliva and tears were also determined and showed similar relationships. Since higher peaks serum levels resulted in higher and longer lasting concentrations in the extravascular space, bacampicillin is to be preferred for oral therapy.

  13. White pine blister rust resistance in North American, Asian and european species - results from artificial inoculartion trials in Oregon

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    R.A. Sniezko

    2013-12-01

    Full Text Available Dorena Genetic Resource Center (DGRC has used artificial inoculation trials to evaluate progenies of thousands of Pinus monticola and P. lambertiana selections from Oregon and Washington for resistance to white pine blister rust caused by Cronartium ribicola. In addition, early results are now available for P. albicaulis and P. strobiformis. DGRC has also recently evaluated seed orchard progenies of P. strobus, as well as bulked seedlots from P. armandii and P. peuce. The majority of P. monticola, P. lambertiana, P. albicaulis, and P. strobus progenies are very susceptible to blister rust. However, resistance exists in all these species. P. strobiformis showed relatively high levels of resistance for the eight progenies tested. Resistance in P. armandii was mainly reflected in the very low percentage of cankered seedlings; for P. peuce, the high percentage of cankered seedlings alive three years after inoculation was notable. R-genes are present in some of the North American five-needle pine species, but partial resistance traits (e.g. bark reaction will play a major role in breeding activities for P. monticola and P. lambertiana and will likely be the key to developing durable resistance.

  14. White pine blister rust resistance in North American, Asian and European species - results from artificial inoculation trials in Oregon

    Directory of Open Access Journals (Sweden)

    R.A. Sniezko

    2008-09-01

    Full Text Available Dorena Genetic Resource Center (DGRC has used artificial inoculationtrials to evaluate progenies of thousands of Pinus monticola and P. lambertiana selections from Oregon and Washington for resistance to white pine blister rust caused by Cronartium ribicola. In addition, early results are now available for P.albicaulis and P. strobiformis. DGRC has also recently evaluated seed orchard progenies of P.strobus, as well as bulked seedlots from P. armandii and P. peuce.The majority of P. monticola, P. lambertiana, P. albicaulis, and P. strobus progenies are very susceptible to blister rust. However, resistance exists in all these species. P.strobiformis showed relatively high levels of resistance for the eight progenies tested.Resistance in P. armandii was mainly reflected in the very low percentage of cankered seedlings; for P. peuce, the high percentage of cankered seedlings alive three years after inoculation was notable. R-genes are present in some of the North American five-needle pine species, but partial resistance traits (e.g. bark reactionwill play a major role in breeding activities for P. monticola and P. lambertiana and will likely be the key to developing durable resistance.

  15. CYCLO-OXYGENASE 2 IS PRESENT IN THE MAJORITY OF LESIONAL SKIN FROM PATIENTS WITH AUTOINMUNE BLISTERING DISEASES

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    Ana Maria Abreu Velez

    2013-10-01

    Full Text Available Introduction: The in situ immune response within skin biopsies from patients affected by autoimmune skin blistering diseases (ABDs is not well characterized. Aim: Based on the fact that the ABD immune response is considered an adaptive immune response, both an innate immune response and inflammation would be expected in these diseases. Our investigation investigates the presence of cyclo-oxygenase-2 (COX-2, since this enzyme is commonly involved in innate immune responses. Methods: We utilized immunohistochemistry (IHC to evaluate the presence of COX-2 in lesional skin biopsies of patients affected by ABDs. We tested 30 patients with endemic pemphigus foliaceus (EPF, 15 controls from the endemic area, and 15 biopsies from healthy controls from the USA. We also tested archival biopsies from patients with selected ABDs, including 20 patients with bullous pemphigoid, 20 with pemphigus vulgaris, 8 with pemphigus foliaceus and 12 with dermatitis herpetiformis. Results: Most ABD biopsies stained positive for COX-2 in the lesional blister and/or the dermal inflammatory infiltrate, accentuated in the upper neurovascular plexus. In BP and EPF, the COX-2 staining was also seen in the sweat glands. All controls were negative. Conclusions: We document that COX-2 is expressed in lesional skin of patients with ABDs.

  16. Systemic Monitoring of Huashan Pine Blister Rust and Its Comprehensive Control%华山松疱锈病系统监测及其综合防治

    Institute of Scientific and Technical Information of China (English)

    刘娅妮; 杨惠琼

    2015-01-01

    介绍了华山松疱锈病系统监测情况,总结其综合防治方法,并分析了防治效果,以期为华山松疱锈病防控提供参考。%The systemic monitoring of Huashan pine blister rust was introduced,the comprehensive control methods were summarized,and the control effect was analyzed,in order to provide the reference for prevention and control of Huashan pine blister rust.

  17. CD1a, HAM56, CD68 and S-100 are present in lesional skin biopsies from patients affected by autoimmune blistering diseases

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    Ana Maria Abreu Velez

    2014-04-01

    Full Text Available Introduction: Previous research on autoimmune skin blistering diseases (ABD has primarily focused on the humoral immune response; moreover, little attention has been given to the potential role of the antigen presenting cells (APCs in lesional skin. Aim: The purpose of our study was to immunophenotype selected APC in the lesional skin of ABDs, utilizing immunohistochemistry (IHC stains. Materials and Methods: We utilized IHC to stain for dendritic cells (DC, staining with CD1a, CD68, HAM56, and S-100 in lesional skin from 30 patients with endemic pemphigus foliaceus (EPF, 15 controls from the EPF endemic area, and 15 healthy controls from the USA. We also tested archival biopsies from patients with selected ABD, including 30 patients with bullous pemphigoid (BP, 20 with pemphigus vulgaris (PV, 8 with pemphigus foliaceus (PF and 14 with dermatitis herpetiformis (DH and 2 with epidermolysis bullosa acquisita (EBA. Results: Cells stained by CD68, HAM56 and S-100 were present in the majority of the ABD skin biopsies; these cells were located primarily in perivascular infiltrates surrounding dermal vessels subjacent to the blisters. However, these cells were also noted within the blisters, in vessels supplying dermal eccrine glands and ducts, and in areas of dermal endothelial-mesenchymal cell junction-like structures, especially in BP cases. In our CD1a staining, the number and location of positive staining cells varied with each disease, being abundant in most ABD in the epidermis suprajacent to the blisters, or in the epidermis surrounding the blister site if the blister site epidermis was missing. In the control biopsies, most did not display positive IHC staining, with the exception of a few CD1a positive cells in the epidermis Conclusion: Our findings confirm positive IHC staining for APCs in areas of the skin besides the disease blisters. Our findings suggest that the antigen presentation in ABD proceeds in areas distant from the blister site

  18. 自身免疫性大疱性皮肤病的实验诊断%Laboratory diagnosis of autoimmune blistering skin diseases

    Institute of Scientific and Technical Information of China (English)

    陈金波; 崔天盆; 陈柳青; 李永哲

    2015-01-01

    Autoimmune blistering skin diseases are a group of organ-specific autoimmune disorders that are characterized by autoantibodies against desmosome and hemidesmosome which are structural proteins of the epidermis or the dermal-epidermal junction and clinically by blisters and erosions on skin and/or mucous membranes.According to the skin level at which the blister occurs and the structural proteins that the autoantibodies target,autoimmune blistering diseases can be categorized into intraepithelial blister group and subepidermal blister group.The treatment options and prognosis are different among the various diseases.Since clinical criteria and histopathological characteristics are not sufficient for an accurate diagnosis of autoimmune blistering skin diseases,direct immunofluorescence microscopy,indirect immunofluorescence microscopy,ELISA,immunoblotting and immunoprecipitation are needed for exact diagnosis.The detection of serum autoantibodies have been shown to correlate with disease activity and thus may be helpful in deciding treatment options for the patients.%自身免疫性大疱性皮肤病是一组器官特异性自身免疫性疾病,患者血清中有针对皮肤连接结构桥粒、半桥粒的自身抗体,破坏皮肤连接而形成以皮肤及黏膜水疱、大疱为主要特征的疾病.不同的自身抗体导致水疱发生的位置不同,可分为表皮内及表皮下大疱性皮肤病两大类,这两类疾病所采取的治疗方案不同、预后差别较大.根据临床表现及组织病理尚不足以明确自身免疫性大疱性皮肤病的诊断,结合直接免疫荧光、间接免疫荧光、ELISA、免疫印迹及免疫沉淀等免疫学检测技术能够更准确地诊断.同时,对血清的检测还可用于评估病情的活动度并用于指导治疗.

  19. Adhesive strength of CVD diamond thin films quantitatively measured by means of the bulge and blister test

    Institute of Scientific and Technical Information of China (English)

    Daohui Xiang; Ming Chen; Yuping Ma; Fanghong Sun

    2008-01-01

    Large advancement has been made in understanding the nucleation and growth of chemical vapor deposition (CVD) diamond, but the adhesion of CVD diamond to substrates is poor and there is no good method for quantitative evaluation of the adhesive strength. The blister test is a potentially powerful tool for characterizing the mechanical properties of diamond films. In this test, pressure was applied on a thin membrane and the out-of-plane deflection of the membrane center was measured. The Young's modulus, residual stress, and adhesive strength were simultaneously determined using the load-deflection behavior of a membrane. The free-standing window sample of diamond thin films was fabricated by means of photolithography and anisotropic wet etching. The research indicates that the adhesive strength of diamond thin films is 4.28±0.37J/m2. This method uses a simple apparatus, and the fabrication of samples is very easy.

  20. Mitigated blistering and deuterium retention in tungsten exposed to high-flux deuterium–neon mixed plasmas

    Science.gov (United States)

    Cheng, L.; De Temmerman, G.; Morgan, T. W.; Schwarz-Selinger, T.; Yuan, Y.; Zhou, H. B.; Wang, B.; Zhang, Y.; Lu, G. H.

    2017-04-01

    Surface morphology and deuterium retention in tungsten exposed at surface temperature of ~550 K to mixed deuterium–neon plasmas of different neon concentrations are investigated. It is found that the addition of neon up to 20% mitigates blistering on the surface. Cross-section view of the surface shows the formation of pores near the surface in the depth less than 100 nm. Deuterium depth profile is featured by an enhanced deuterium concentration within a depth of 16 nm but a mitigated penetration in depth larger than 1 µm. Deuterium retention is reduced by up to a factor of four. It is suggested the open pores formed in the surface serves as an escaping channel, mitigates deuterium penetration towards bulk and retention in the bulk.

  1. Human IgG1 monoclonal antibody against human collagen 17 noncollagenous 16A domain induces blisters via complement activation in experimental bullous pemphigoid model.

    Science.gov (United States)

    Li, Qiang; Ujiie, Hideyuki; Shibaki, Akihiko; Wang, Gang; Moriuchi, Reine; Qiao, Hong-jiang; Morioka, Hiroshi; Shinkuma, Satoru; Natsuga, Ken; Long, Heather A; Nishie, Wataru; Shimizu, Hiroshi

    2010-12-15

    Bullous pemphigoid (BP) is an autoimmune blistering disease caused by IgG autoantibodies targeting the noncollagenous 16A (NC16A) domain of human collagen 17 (hCOL17), which triggers blister formation via complement activation. Previous in vitro analysis demonstrated that IgG1 autoantibodies showed much stronger pathogenic activity than IgG4 autoantibodies; however, the exact pathogenic role of IgG1 autoantibodies has not been fully demonstrated in vivo. We constructed a recombinant IgG1 mAb against hCOL17 NC16A from BP patients. In COL17-humanized mice, this mAb effectively reproduced a BP phenotype that included subepidermal blisters, deposition of IgG1, C1q and C3, neutrophil infiltration, and mast cell degranulation. Subsequently, alanine substitutions at various C1q binding sites were separately introduced to the Fc region of the IgG1 mAb. Among these mutated mAbs, the one that was mutated at the P331 residue completely failed to activate the complement in vitro and drastically lost pathogenic activity in COL17-humanized mice. These findings indicate that P331 is a key residue required for complement activation and that IgG1-dependent complement activation is essential for blister formation in BP. This study is, to our knowledge, the first direct evidence that IgG1 Abs to hCOL17 NC16A can induce blister formation in vivo, and it raises the possibility that IgG1 mAbs with Fc modification may be used to block pathogenic epitopes in autoimmune diseases.

  2. Effect of litter quality on foot pad dermatitis, hock burns and breast blisters in broiler breeders during the production period.

    Science.gov (United States)

    Kaukonen, Eija; Norring, Marianna; Valros, Anna

    2016-12-01

    Foot pad dermatitis and hock burn lesions are a form of contact dermatitis, a condition affecting skin areas in contact with unsuitable or irritating material. Contact dermatitis is a common problem, reducing the welfare of broilers, and is believed to also affect broiler breeders. However, there is very little research on contact dermatitis in breeders. This study followed the severity of foot pad lesions in broiler breeders throughout the production period. At slaughter the presence of hock burns and breast blisters was also determined. In addition, changes in litter condition over time and the impact of litter quality on foot pads were evaluated. The study was performed on 10 broiler breeder farms, including altogether 18 flocks. Foot pads of 100 hens per flock were assessed at the end of rearing period, three times during the production period, and at slaughter. Foot pad and hock lesions, as well as litter condition were scored on a 5-point scale. Litter quality was evaluated as pH, moisture and ammonia content. The condition of foot pads deteriorated towards slaughter age, with the occurrence of severe lesions reaching a maximum of 64% on average at slaughter. Hock lesions and breast blisters were rare. The litter layer became drier over time. Although poorer litter condition and wetness influenced foot pad health negatively, the effect on severe lesions was not significant. We also observed a negative effect on foot pad condition of larger slat areas. In conclusion, maintaining good litter quality alone is not enough to ensure healthy foot pads in broiler breeders.

  3. Instability of misoprostol tablets stored outside the blister: a potential serious concern for clinical outcome in medical abortion.

    Directory of Open Access Journals (Sweden)

    Veronique Berard

    Full Text Available Misoprostol (Cytotec is recognised to be effective for many gynaecological indications including termination of pregnancy, management of miscarriage and postpartum haemorrhage. Although not licensed for such indications, it has been used for these purposes by millions of women throughout the world. Misoprostol tablets are most often packaged as multiple tablets within an aluminium strip, each within an individual alveolus. When an alveolus is opened, tablets will be exposed to atmospheric conditions.To compare the pharmaco technical characteristics (weight, friability, water content, misoprostol content and decomposition product content (type A misoprostol, type B misoprostol and 8-epi misoprostol of misoprostol tablets Cytotec (Pfizer exposed to air for periods of 1 hour to 720 hours (30 days, to those of identical non exposed tablets.Four hundred and twenty (420 tablets of Cytotec (Pfizer were removed from their alveoli blister and stored at 25°C/60% relative humidity. Water content, and misoprostol degradation products were assayed in tablets exposed from 1 to 720 hours (30 days. Comparison was made with control tablets (N=60 from the same batch stored in non-damaged blisters. Statistical analyses were carried out using Fisher's exact test for small sample sizes.By 48 hours, exposed tablets demonstrated increased weight (+4.5%, friability (+1 300%, and water content (+80% compared to controls. Exposed tablets also exhibited a decrease in Cytotec active ingredient dosage (-5.1% after 48 hours and an increase in the inactive degradation products (+25% for type B, +50% for type A and +11% for 8-epi misoprostol after 48 hours compared to controls.Exposure of Cytotec tablets to 'typical' European levels of air and humidity results in significant time-dependent changes in physical and biological composition that could impact adversely upon clinical efficacy. Health professionals should be made aware of the degradation of misoprostol with

  4. Exploring beyond the oral mucosa in patients affected with autoimmune blistering diseases: the importance of endoscopic procedures.

    Science.gov (United States)

    España, A; Fernandez, S

    2016-09-14

    Autoimmune blistering diseases (AIBD) comprise several entities characterized by the presence of autoantibodies targeted against structural proteins either in desmosomes or in the dermoepidermal junction of polystratified squamous epithelium. Patients develop blisters, erosions in cutaneous surfaces or mucosas. Diagnosis is based on the characteristic mucocutaneous lesions, the typical findings on histological studies and direct immunofluorescence assays, and the presence of specific autoantibodies against the epidermal antigens. It may not be possible for dermatologists to appropriately explore the nose and throat (NT). Thus, a clinical exploration by endoscopic procedures of NT may be a useful tool during the conventional dermatological exam. The aims of this review are to draw attention to the most frequent NT manifestations in AIBD patients, and underline the utility of endoscopic procedures to achieve a more successful and rationale management of patients. Additionally, we will provide brief information related to the anatomical structures and type of epithelium in NT areas which may explain the extent and type of NT involvement in AIBD. Endoscopic exploration in AIBD patients is important for several reasons. Firstly, it will allow the real NT mucosal involvement in each patient to be determined, thus making a differential diagnosis during the endoscopic exam possible, based on the localization of mucosal lesions. Secondary mucosal morbidity can also be ruled out. Secondly, the clinical response to treatment may be established, especially in NT mucosa, as these are anatomical areas subjected to important local traumas, and physiological functions such as breathing, swallowing, speech production and phonation may be damaged. Therefore, a multidisciplinary management in AIBD is mandatory by both dermatologists and otorhinolaryngologists, adding the clinical exploration by endoscopic procedures of NT to the conventional dermatological exam in all AIBD patients

  5. Pathogenesis of foot blisters caused by weight-bearing march%负重徒步致足部水疱的发病机制研究

    Institute of Scientific and Technical Information of China (English)

    陈聪; 周维均; 刘明华; 曾凡杰; 田铸; 郭国宁

    2016-01-01

    Objective To analyze the related factors of foot blisters caused by long-distance weight-bearing march and to explore the pathogenesis of foot blisters to provide a useful way for the prevention and treatment.Methods After the 300 km march,counted the number who had accomplished the march,and then recorded the number of foot blisters,location of blisters,and abrasion of sole.Collected the data of gender,age,body mass index (BMI),hand dominance,and whether had bliters before the march through questionnaire.And the data were coded for analysis with SPSS 13.0 statistical package.Results The 7 cases who complete the whole march and 17 cases who already had foot blisters before the march were ruled out of the final statistics.Among the remaining 590 cases,there were 554 cases (93.9%)suffered from foot blisters.And there were 1 282 blisters in total,among which the plantar blisters occupied 98% (1 257 cases).The analysis showed that the incidence of foot blisters had no significant correlation with gender,left/right foot,hand dominance,BMI and age.The predilection sites of blisters were the second and third metatarsals (28.2%),the hallux (21.3%),the fifth metatarsal (18.1%),and the calcaneus (15.8%)of the left foot.The predilection sites of blisters were the second and third metatarsals (33.3%),the hallux (22.4%),the fifth metatarsal (18.6%),and the calcaneus (14.5%)of the right foot.In terms of the abrasion of sole,the lateral heel was worn out the most (34.6% on the left and 34.2% on the right).Conclusion The study confirmed that the incidence of foot blisters had no significant correla-tion with gender,left/right foot,hand dominance,BMI and age,which may be affected by the particularity of this march.Most of the foot blisters occurred in the planta,and the predilection sites of blisters were in accord with sites of of the abrasion of sole and the distribution of plantar shear force,which demonstrated the shear force is the most critical factor on the pathogenesis of

  6. Influence Of Temperature On The Rate Of Copper Recovery From The Slag Of The Flash Direct-To-Blister Process By A Solid Carbon Reducer

    Directory of Open Access Journals (Sweden)

    Madej P.

    2015-09-01

    Full Text Available The aim of the work was to investigate the influence of temperature on the rate of copper removal from the obtained slag from the flash direct-to-blister process by means of a carbon reducer. The slag used in this work was taken from the direct-to-blister Outokumpu flash furnace at the smelter in Głogów, and graphite penetrators were used as the slag reducers. The experiment was carried out at 1573 K, 1623 K and 1673 K. It was found that the rate of the de-coppering process of the “Głogów” slag increased with the increase of temperature.

  7. Study of the mechanical behavior of the hydride blister/rim structure in Zircaloy-4 using in-situ synchrotron X-ray diffraction

    Science.gov (United States)

    Lin, Jun-li; Han, Xiaochun; Heuser, Brent J.; Almer, Jonathan D.

    2016-04-01

    High-energy synchrotron X-ray diffraction was utilized to study the mechanical response of the f.c.c δ hydride phase, the intermetallic precipitation with hexagonal C14 lave phase and the α-Zr phase in the Zircaloy-4 materials with a hydride rim/blister structure near one surface of the material during in-situ uniaxial tension experiment at 200 °C. The f.c.c δ was the only hydride phase observed in the rim/blister structure. The conventional Rietveld refinement was applied to measure the macro-strain equivalent response of the three phases. Two regions were delineated in the applied load versus lattice strain measurement: a linear elastic strain region and region that exhibited load partitioning. Load partitioning was quantified by von Mises analysis. The three phases were observed to have similar elastic modulus at 200 °C.

  8. The Smelting Method of Blister Copperout of Copper Sulifde Concentrate%一种从硫化铜精矿中冶炼粗铜的方法

    Institute of Scientific and Technical Information of China (English)

    刘刚

    2016-01-01

    介绍了一种从硫化铜精矿中冶炼粗铜的方法,使用氧气顶吹转炉冶炼,对硫化铜精矿进行闪速熔炼产出铜锍,对铜锍采用空气吹炼产出粗铜。本方法设备投资小,工艺流程短,适应小规模铜精矿冶炼粗铜,富集有价金属的要求。%This paper introduces the smelting method of blister copper from copper sulfide concentrate by using oxygen top-blown converter. It uses oxygen top blown converter to smelt, and flash smelts the copper sulphide concentrate to produce copper matte, and then air blows copper matte to produce blister. This method is suitable for small scale blister-smelting out of copper concentrate and meets with the requirement of enriching valuable metal, in which the equipment investment is small, and the process is short.

  9. Effect of 800 keV argon ions pre-damage on the helium blister formation of tungsten exposed to 60 keV helium ions

    Science.gov (United States)

    Chen, Zhe; Han, Wenjia; Yu, Jiangang; Zhu, Kaigui

    2016-04-01

    This study aims to investigate the effect of Ar8+ ions pre-damage on the following He2+ irradiation behavior of polycrystalline tungsten. We compared the irradiation resistance performance against 60 keV He2+ ions of undamaged tungsten samples with that of pre-damaged samples which were preliminarily exposed to 800 keV Ar8+ ions at a fluence of 4 × 1019 ions m-2. The experimental results indicate that the helium blistering of tungsten could be effectively relieved by the Ar8+ ions pre-damage, while the retention of helium around low energy desorption sites in the pre-damaged tungsten was larger than that of the undamaged samples. A strong orientation dependence of blistering had been observed, with the blister occurred preferentially on the surface of grains with normal direction close to . The Ar8+ ions irradiation-induced damage altered the morphology of helium bubbles in tungsten exposed to the following He2+ irradiation significantly. The intensity of helium release peaks at relatively low temperatures (<600 K) was enhanced due to Ar8+ ions pre-damage.

  10. Blister-like supraclinoid internal carotid artery pseudoaneurysm in a 15-year-old male: case report and review of the literature.

    Science.gov (United States)

    Haji, Faizal Aminmohamed; Boulton, Melfort R; de Ribaupierre, Sandrine

    2011-01-01

    With an incidence of less than 1-3 per million, pediatric aneurysms are rare clinical entities. A traumatic etiology is implicated in a large proportion of these cases, leading to the formation of both 'false' and 'true' aneurysms. These occur most often in the distal circulation, but have also been described in the supraclinoid distal internal carotid artery (ICA). Blood blister aneurysms are also found in this location; however, they have not been described in the pediatric population. We report the case of a 15-year-old male who presented following cranial trauma with diffuse basal subarachnoid hemorrhage and limited additional intracranial pathology. Computed tomography angiography demonstrated a small, 2-mm blister-like aneurysm arising from the dorsal surface of the left supraclinoid ICA at a non-branching site. Despite early endovascular treatment with Guglielmi detachable coils, the lesion continued to grow over subsequent studies, necessitating open surgical clipping. At the time of surgery, gross pathology of the native ICA was observed, raising the possibility of a preexisting blood-blister aneurysm. We review the epidemiology, pathophysiology and diagnostic considerations of these lesions. The endovascular and surgical management of these complex non-branching supraclinoid ICA aneurysms is also discussed.

  11. Identifying and exploring physical and psychological morbidity and patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery: a systematic review.

    Science.gov (United States)

    Ousey, Karen; Edward, Karen-Leigh; Lui, Steve

    2015-02-01

    The aim of this article was to identify the literature that examined and explored physical and psychological morbidity and patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery. A systematic review of the literature using the databases MEDLINE, CINAHL and EMBASE was undertaken. The papers were examined using title and abstract for relevance to the primary and secondary outcomes. The primary outcome of interest was family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery. The search yielded 275 records after removing any duplicates; eight studies were considered eligible and were reviewed as full text. Following full review, none of the studies was included in this article. To conclude, there were no papers that investigated or examined the concept of resilience in relation to the management of acute post-surgical orthopaedic wounds. Four of the papers identified, following the review process, did discuss quality of life outcomes and how these may be improved following wound development; most papers focused on the management of chronic wounds. It is apparent from the review that there is no evidence currently available that explores patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery.

  12. TISSUE INHIBITOR OF METALLOPROTEINASE 1, MATRIX METALLOPROTEINASE 9, ALPHA-1 ANTITRYPSIN, METALLOTHIONEIN AND UROKINASE TYPE PLASMINOGEN ACTIVATOR RECEPTOR IN SKIN BIOPSIES FROM PATIENTS AFFECTED BY AUTOIMMUNE BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-07-01

    Full Text Available Introduction: Proteinases and proteinase inhibitors have been described to play a role in autoimmune skin blistering diseases. We studied skin lesional biopsies from patients affected by several autoimmune skin blistering diseases for proteinases and proteinase inhibitors. Methods: We utilized immunohistochemistry to evaluate biopsies for alpha-1-antitrypsin, human matrix metalloproteinase 9 (MMP9, human tissue inhibitor of metalloproteinases 1 (TIMP-1, metallothionein and urokinase type plasminogen activator receptor (uPAR. We tested 30 patients affected by endemic pemphigus, 30 controls from the endemic area, and 15 normal controls. We also tested 30 biopsies from patients with bullous pemphigoid (BP, 20 with pemphigus vulgaris (PV, 8 with pemphigus foliaceus, and 14 with dermatitis herpetiformis (DH. Results: Contrary to findings in the current literature, most autoimmune skin blistering disease biopsies were negative for uPAR and MMP9. Only some chronic patients with El Bagre-EPF were positive to MMP9 in the dermis, in proximity to telocytes. TIMP-1 and metallothionein were positive in half of the biopsies from BP patients at the basement membrane of the skin, within several skin appendices, in areas of dermal blood vessel inflammation and within dermal mesenchymal-epithelial cell junctions.

  13. Demographic projection of high-elevation white pines infected with white pine blister rust: a nonlinear disease model.

    Science.gov (United States)

    Field, S G; Schoettle, A W; Klutsch, J G; Tavener, S J; Antolin, M F

    2012-01-01

    Matrix population models have long been used to examine and predict the fate of threatened populations. However, the majority of these efforts concentrate on long-term equilibrium dynamics of linear systems and their underlying assumptions and, therefore, omit the analysis of transience. Since management decisions are typically concerned with the short-term (blister rust (WPBR). We evaluate the model using newly developed software to calculate sensitivity and elasticity for nonlinear population models at any projected time step. We concentrate on two points in time, during transience and at equilibrium, and under two scenarios: a regenerating pine stand following environmental disturbance and a stand perturbed by the introduction of WPBR. The model includes strong density-dependent effects on population dynamics, particularly on seedling recruitment, and results in a structure favoring large trees. However, the introduction of WPBR and its associated disease-induced mortality alters stand structure in favor of smaller stages. Populations with infection probability (beta) > or = 0.1 do not reach a stable coexisting equilibrium and deterministically approach extinction. The model enables field observations of low infection prevalence among pine seedlings to be reinterpreted as resulting from disease-induced mortality and short residence time in the seedling stage. Sensitivities and elasticities, combined with model output, suggest that future efforts should focus on improving estimates of within-stand competition, infection probability, and infection cost to survivorship. Mitigating these effects where intervention is possible is expected to produce the greatest effect on population dynamics over a typical management timeframe.

  14. Identification and Biochemical Characterization of Protein Phosphatase 5 from the Cantharidin-Producing Blister Beetle, Epicauta chinensis

    Directory of Open Access Journals (Sweden)

    Xi'en Chen

    2013-12-01

    Full Text Available Protein phosphatase 5 (PP5 is a unique member of serine/threonine phosphatases which has been recognized in regulation of diverse cellular processes. A cDNA fragment encoding PP5 (EcPP5 was cloned and characterized from the cantharidin-producing blister beetle, E. chinensis. EcPP5 contains an open reading frame of 1500 bp that encodes a protein of 56.89 kDa. The deduced amino acid sequence shares 88% and 68% identities to the PP5 of Tribolium castaneum and humans, respectively. Analysis of the primary sequence shows that EcPP5 has three TPR (tetratricopeptide repeat motifs at its N-terminal region and contains a highly conserved C-terminal catalytic domain. RT-PCR reveals that EcPP5 is expressed in all developmental stages and in different tissues. The recombinant EcPP5 (rEcPP5 was produced in Escherichia coli and purified to homogeneity. The purified protein exhibited phosphatase activity towards pNPP (p-nitrophenyl phosphate and phosphopeptides, and its activity can be enhanced by arachidonic acid. In vitro inhibition study revealed that protein phosphatase inhibitors, okadaic acid, cantharidin, norcantharidin and endothall, inhibited its activity. Further, protein phosphatase activity of total soluble protein extract from E. chinensis adults could be impeded by these inhibitors suggesting there might be some mechanism to protect this beetle from being damaged by its self-produced cantharidin.

  15. Endovascular internal carotid artery trapping for ruptured blood blister-like aneurysms: long-term results from a single centre

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Byong-Cheol [Dongguk University Ilsan Hospital, Department of Neurosurgery, Goyang (Korea, Republic of); Kwon, O-Ki; Oh, Chang Wan; Bang, Jae Seung; Hwang, Gyojun [Seoul National University Bundang Hospital, Department of Neurosurgery, Seongnam, Gyeonggi (Korea, Republic of); Jin, Sung-Chul [Inje University Haeundae Paik Hospital, Department of Neurosurgery, Busan (Korea, Republic of); Park, Hyun [Gyeongsang National University Hospital, Department of Neurosurgery, Gyeongsangnam-do (Korea, Republic of)

    2014-03-15

    Endovascular internal carotid artery (ICA) trapping was performed to treat ruptured blood blister-like aneurysms (BBAs). The aim of this study was to evaluate the procedural risks and long-term follow-up results. The records of 11 consecutive patients with BBAs who underwent endovascular ICA trapping between 2005 and 2010 were reviewed. Clinical outcomes were assessed with modified Rankin Scale (mRS) scores. Endovascular ICA trapping was performed in 11 patients as either the primary treatment (7 patients) or the secondary treatment (4 patients) after the patient underwent other treatments. Three patients underwent superficial temporal artery (STA)-middle cerebral artery (MCA) bypass when balloon test occlusion (BTO) revealed inadequate collateral circulation. In the primary ICA trapping group (seven patients), six patients had good outcomes (mRS 0 in five, mRS 1 in one), and one patient had a poor outcome (mRS 6: dead). In the secondary ICA trapping group (four patients), two patients had good outcomes (mRS 0), and two patients had poor outcomes (mRS 4, 5). All ten of the surviving patients were clinically stable during the follow-up period (mean 39 months). A radiological follow-up of nine patients (mean 22 months) demonstrated stable occlusion, with the exception of one reopening of the ICA because of coil migration. Perfusion studies of nine patients (mean: 23 months) demonstrated no perfusion decrease. Endovascular ICA trapping is an effective and durable treatment for BBAs. (orig.)

  16. Analysis of Blistering Mechanism for Dispersion-Type Fuel Plates During Irradiation%弥散型燃料板的辐照起泡机理分析

    Institute of Scientific and Technical Information of China (English)

    高利军; 陈炳德; 姜胜耀; 肖忠; 俞冀阳; 张林; 李垣明

    2012-01-01

    弥散型燃料在研究堆和动力堆中有着广泛的应用.起泡是弥散型燃料特有的失效模式,起泡的发生将导致堆芯传热性能恶化,威胁反应堆的运行安全.在分析总结国内外弥散型燃料板的辐照后起泡退火试验结果的基础上,从微观尺度到宏观尺度分析了起泡发生的机理,重点研究了弥散型燃料板的一种重要起泡模式——孔洞连通模式,剖析了孔洞连通发生的3个基本过程.同时应用孔洞连通机理,在估算裂变气体压力的前提下,通过力学计算给出了可引起起泡的孔洞连通的圆形区域尺度约为1.8 mm,这与实验观察结果相符.本文分析表明,燃料板的孔洞连通起泡机理涉及到高燃耗效应、燃料相的肿胀和开裂、裂变碎片损伤和应力腐蚀开裂等过程,建立起泡模型需做弹塑性力学和断裂力学的数值计算.%Dispersion fuels are widely used in research reactors and power reactors. Blistering is a special failure mode for dispersion fuels, which can reduce the efficiency of thermal removal in the core and threaten the nuclear reactor safety. Based on the results of blistering of dispersion-type fuel plates during post-irradiation annealing experiments worldwide, the mechanism of blistering was studied both at the microscopic scale and at the macroscopic scale and the important blistering mode known as void interconnection, which consisted of three separate processes, was emphasized and elaborated. Using the proposed mechanism and assuming the estimation of the pressure caused by fission gas, the dimension of the round region which could induce blistering was calculated using mechanics method and the value of 1. 8 mm was gained, showing good consistency with the experimental observation. This work shows that the proposed void interconnection mechanism of blistering is closely related to the high burnup structure, swelling and cracking of fuel phase, fission fragment damage and stress

  17. Blister Test for Measurements of Adhesion and Adhesion Degradation of Organic Polymers on AA2024-T3

    Science.gov (United States)

    Rincon Troconis, Brendy Carolina

    A key parameter for the performance of corrosion protective coatings applied to metals is adhesion. Surface preparation prior to coating application is known to be critical, but there is a lack of understanding of what controls adhesion. Numerous techniques have been developed in the last decades to measure the adhesion strength of coatings to metals. Nonetheless, they are generally non-quantitative, non-reproducible, performed in dry conditions, or overestimate adhesion. In this study, a quantitative and reproducible technique, the Blister Test (BT), is used. The BT offers the ability to study the effects of a range of parameters, including the presence or absence of a wetting liquid, and simulates the stress situation in the coating/substrate interface. The effects of roughness and surface topography were studied by the BT and Optical Profilometry, using AA2024-T3 substrates coated with polyvinyl butyral (PVB). Random abrasion generated a surface with lower average roughness than aligned abrasion due to the continual cross abrasion of the grooves. The BT could discern the effects of different mechanical treatments. An adhesion strength indicator was defined and found to be a useful parameter. The effectiveness of standard adhesion techniques such as ASTM D4541 (Pull-off Test) and ASTM D3359 (Tape Test) was compared to the BT. Also, different attempts to measure adhesion and adhesion degradation of organic polymers to AA2024-T3 were tested. The pull-off test does not produce adhesive failure across the entire interface, while the tape test is a very qualitative technique and does not discern between the effects of different coating systems on the adhesion performance. The BT produces adhesive failure of the primer studied, is very reproducible, and is able to rank different coating systems. Therefore, it was found to be superior to the others. The approaches tested for adhesion degradation were not aggressive enough to have a measurable effect. The effects of

  18. A Novel Approach to the Quantitation of Coeluting Cantharidin and Deuterium Labelled Cantharidin in Blister Beetles (Coleop-tera: Meloidae

    Directory of Open Access Journals (Sweden)

    W Boland

    2007-11-01

    Full Text Available Blister beetles (Coleoptera: Meloidae are the main natural source of cantharidin, but the compound titre is depended on several factors including, age, sex and mating status of the insects. In order to eliminate such uncertainty factors in physio¬logical and chemical studies deuterium labelled cantharidin (D2C with no natural abundance is normally introduced into the beetles' body to use it as a model for studying the cantharidin behaviour in vivo. Experiments were achieved on Mylabris quadripunctata (Col.: Meloidae from Southern France and the beetles were exposed to an artificial diet containing a de¬fined amount of D2C. On the other hand, because of the high similarity between the two compounds they cannot be well quantified by gas chromatography. In order to remove the burden, MRM technique was used for the first time which could successfully create well-defined cantharidin and D2C peaks and hence a precise measurement. MRM technique was exam¬ined using a GC-MS Varian Saturn which collected MS/MS data of more than one compound in the same time window of the chromatogram. It is especially useful when coeluting compounds have different parent ions, i.e. m/z 84 for D2C (coelut¬ing isotopically-labelled compound and m/z 82 for cantharidin (beetle-originated compound. Using the routine GC-MS runs, measurement accuracy may be significantly reduced because the D2C peak is covered by the cantharidin huge peak while MRM could reveal the two coincided peaks of cantharidin and D2C. Therefore MRM is hereby introduced as the method of choice to separate cantharidin from D2C with high sensitivity and thus provide a precise base of quantitation.

  19. A Novel Approach to the Quantitation of Coeluting Cantharidin and Deuterium Labelled Cantharidin in Blister Beetles (Coleop-tera: Meloidae

    Directory of Open Access Journals (Sweden)

    MR Nikbakhtzadeh

    2007-12-01

    Full Text Available Blister beetles (Coleoptera: Meloidae are the main natural source of cantharidin, but the compound titre is depended on several factors including, age, sex and mating status of the insects. In order to eliminate such uncertainty factors in physio¬logical and chemical studies deuterium labelled cantharidin (D2C with no natural abundance is normally introduced into the beetles' body to use it as a model for studying the cantharidin behaviour in vivo. Experiments were achieved on Mylabris quadripunctata (Col.: Meloidae from Southern France and the beetles were exposed to an artificial diet containing a de¬fined amount of D2C. On the other hand, because of the high similarity between the two compounds they cannot be well quantified by gas chromatography. In order to remove the burden, MRM technique was used for the first time which could successfully create well-defined cantharidin and D2C peaks and hence a precise measurement. MRM technique was exam¬ined using a GC-MS Varian Saturn which collected MS/MS data of more than one compound in the same time window of the chromatogram. It is especially useful when coeluting compounds have different parent ions, i.e. m/z 84 for D2C (coelut¬ing isotopically-labelled compound and m/z 82 for cantharidin (beetle-originated compound. Using the routine GC-MS runs, measurement accuracy may be significantly reduced because the D2C peak is covered by the cantharidin huge peak while MRM could reveal the two coincided peaks of cantharidin and D2C. Therefore MRM is hereby introduced as the method of choice to separate cantharidin from D2C with high sensitivity and thus provide a precise base of quantitation.

  20. IN SITU IMMUNE RESPONSE EVALUATION VIA IMMUNOHISTOCHEMISTRY IN SKIN BIOPSIES FROM PATIENTS AFFECTED BY AUTOIMMUNE BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-11-01

    Full Text Available Introduction: The in situ immune response in skin biopsies from patients affected by autoimmune skin blistering diseases (ABD is not well characterized. Aim: Our investigation attempts to immunophenotype cells in lesional skin in several ABD, utilizing immunohistochemistry (ICH. Methods: We tested by IHC for CD4, CD8, CD19, CD20, CD45, CD56/NCAM, PAX-5, granzyme B, myeloperoxidase, neutrophil elastase, LAT and ZAP-70 in patients affected by ABD. We tested 30 patients with endemic pemphigus foliaceus (EPF, 15 controls from the EPF endemic area, and 15 biopsies from healthy controls from the USA. We also tested archival biopsies from patients with selected ABD, including 30 patients with bullous pemphigoid, 20 with pemphigus vulgaris, 8 with pemphigus foliaceus and 14 with dermatitis herpetiformis. Results: We found a predominantly CD8 positive/CD45 positive T cell infiltrate in all ABD. Our skin biopsies demonstrated consistently positive staining for myeloperoxidase, but negative staining for neutrophil elastase. Most ABD biopsies displayed negative staining for CD4 and B cell markers; natural killer cell markers were also rarely seen. ZAP-70 and LAT were frequently detected. In El Bagre-EPF, a significant fragmentation of T cells in lesional skin was noted, as well as autoreactivity to lymph nodes. Conclusions: The documented T cell and myeloperoxidase staining are indicative of the role of T lymphocytes and neutrophils in lesional biopsies in patients with ABD, in addition to previously documented deposition of B cells, immunoglobulins and complement in situ. In El Bagre-EPF, T cells could also target lymph nodes; however, further studies are needed to confirm this possibility.

  1. Heterogeneity of Brunsting-Perry type pemphigoid: a case showing blister formation at the lamina lucida, immune deposition beneath the lamina densa and autoantibodies against the 290-kD polypeptide along the lamina densa.

    Science.gov (United States)

    Minato, Haruka; Ishii, Norito; Fukuda, Shunpei; Wakasa, Tomoko; Wakasa, Ken'ichi; Sogame, Ryosuke; Hashimoto, Takashi; Horiguchi, Yuji

    2011-09-01

    An otherwise healthy 31-year-old man presented with multiple, vesicular, subepidermal blistering on the head, face, chest and oral cavity, leaving shallow scar formation, typical of Brunsting-Perry type pemphigoid. Direct immunofluorescence showed linear deposition of immunoglobulin (Ig)G and C3 along the basement membrane zone (BMZ), and indirect showed anti-BMZ autoantibodies (IgG, >40×) reacting with the dermal side under the salt-split study. Immunofluorescence staining for type IV collagen and laminins, as well as routine electron microscopy, demonstrated that the cleavage level of the blister was intra-lamina lucida. The immunoperoxidase method applied to lesional skin demonstrated IgG deposits along the lamina densa. The post-embedding immunogold method demonstrated that the autoantibodies against BMZ reacted with the lamina densa and the dermis just beneath it. Immunoblot studies demonstrated that the autoantibodies reacted with the 290-kD polypeptide (suggesting type VII collagen) when dermal extract was used as the substrate. The patient was treated with combination therapy consisting of 30 mg prednisolone, 900 mg nicotinamide and 750 mg tetracycline, and the number of newly forming blisters decreased. We concluded that Brunsting-Perry type pemphigoid, a rare autoimmune blistering disease, includes cases showing characteristics of epidermolysis bullosa acquisita as well as bullous pemphigoid. This case showed discrepancy between the blistering level (intra-lamina lucida) and location of antigen (lamina densa and sub-lamina densa areas).

  2. 渗氢对铜-锡合金镀层鼓泡缺陷的影响%Effects of Hydrogen Permeation on Blister Behavior of Bronze Coating

    Institute of Scientific and Technical Information of China (English)

    程相榜; 李福永; 于德润

    2013-01-01

    Hydrogen charging test was used to stimulate the hydrogen permeation behavior of 27SiMn substrate during electroplating and pre-plating process.After the hydrogen charging,blister behavior of bronze coating was similar to that of leg cylinder on hydraulic roof support.This indicated that hydrogen permeation was one of the main factors which caused blisters in bronze coating.By measuring the hydrogen permeation current,it was found that the hydrogen atom could be diffused more easily in 27SiMn substrate than in bronze coating.Hydrogen accumulation on the interface between bronze coating and 27SiMn substrate led to the occurrence of blisters.%采用强制充氢试验模拟27SiMn钢基体在电镀铜-锡合金过程及前处理工序中的渗氢行为.充氢后,铜-锡合金镀层上出现的鼓泡行为与在液压支架立柱上的鼓泡行为类似,说明渗氢是引起铜-锡合金镀层鼓泡的重要因素.通过测量氢渗透电流密度发现,原子态的氢容易在27SiMn钢基体中扩散,很难在铜-锡合金镀层中扩散,氢在镀层与基体的界面处的富集导致鼓泡的发生.

  3. Drug induced linear IgA disease with unusual features: Koebner phenomenon, local insulin sensitivity and annular blister of the nipples.

    Science.gov (United States)

    Rashid Dar, Nasser; Raza, Naeem

    2008-01-01

    Linear IgA disease is an autoimmune subepidermal bullous disease in which linear IgA deposits are found at the basement membrane zone. It is classically idiopathic but may be drug induced. We report on a patient with drug induced linear IgA disease who exhibited certain unusual and interesting clinical features including isomorphic Koebner response, annular blister of the nipples and local insulin sensitivity. To the best of our knowledge, these clinical features have not yet been reported in linear IgA disease.

  4. 锌酸盐镀锌镀层起泡的原因综述%Summarization on reasons for blistering in zinc coatings prepared from zincate bath

    Institute of Scientific and Technical Information of China (English)

    陆显明; 唐斌; 马冲

    2013-01-01

    The causes of blistering problem in zinc coating obtained from zincate bath were analyzed and summarized to three types: poor surface cleaning, deposit stress, and hydrogen permeation. Some corresponding solutions were suggested.%分析了锌酸盐镀锌层的起泡问题,将其产生的原因归纳为表面不洁、镀层应力及工件渗氢3类,提出了相应的解决办法.

  5. Influence of the ionization-energy losses of high-energy bismuth ions on the development of helium blisters in silicon

    Energy Technology Data Exchange (ETDEWEB)

    Reutov, V. F., E-mail: reutov@jinr.ru; Dmitriev, S. N.; Sohatsky, A. S. [Flerov Laboratory of Nuclear Reactions, Joint Institute for Nuclear Research (Russian Federation); Zaluzhnyi, A. G. [National Research Nuclear University “MEPhi” (Moscow Engineering Physics Institute) (Russian Federation)

    2015-10-15

    Understanding the behavior of helium in solids under conditions of intense ionizing radiation is of particular interest in solving many problems of nuclear, fusion, and space materials science and also in microelectronics. The observed effect of suppressing the formation of helium blisters on the surface of helium ion-doped silicon as a result of irradiation with high-energy bismuth ions is reported in this publication. It is suggested that a possible decrease in the concentration of helium atoms in silicon is due to their radiationinduced desorption from the area of doping in terms of the high-impact ionization of bismuth ions.

  6. Staged treatment of a blood blister-like aneurysm with stent-assisted coiling followed by flow diverter in-stent insertion. A case report.

    Science.gov (United States)

    Princiotta, C; Dall'olio, M; Cirillo, L; Leonardi, M

    2011-09-01

    Blood blister-like aneurysms (BBLA) are rare lesions sometimes difficult to recognize and in most cases associated with diffuse subarachnoid haemorrhage and severe clinical conditions. BBLA are life-threatening because they tend to enlarge rapidly and to rebleed, and no consensus has so far been reached on the best management strategy. We describe a patient with a BBLA in the right ICA treated successful by a two-stage embolization procedure first with coils and an open cell stent (Neuroform 3) and later by further coil placement and insertion of a flow-diverting stent (Silk).

  7. Increased endothelin-1 and diminished nitric oxide levels in blister fluids of patients with intermediate cold type complex regional pain syndrome type 1

    Directory of Open Access Journals (Sweden)

    Niehof Sjoerd

    2006-11-01

    Full Text Available Abstract Background In complex regional pain syndrome type 1 (CRPS1 pro-inflammatory mediators and vascular changes play an important role in the sustained development and outcome of the disease. The aim of this study was to determine the involvement of vasoactive substances endothelin-1 (ET-1 and nitric oxide (NO during early chronic CRPS1. Methods Included were 29 patients with CRPS 1 who were diagnosed during the acute stage of their disease and observed during follow-up visits. Disease activity and impairment were determined and artificial suction blisters were made on the CRPS1 and the contralateral extremities for measurements of IL-6, TNF-α, ET-1 and nitrate/nitrite (NOx. Results The levels of IL-6, TNF-α and ET-1 in blister fluid in the CRPS1 extremity versus the contralateral extremity were significantly increased and correlated with each other, whereas NOx levels were decreased. Conclusion The NOx/ET-1 ratio appears to be disturbed in the intermediate stage of CRPS, resulting in vasoconstriction and consequently in a diminished tissue blood distribution.

  8. Initiation and Propagation Mechanism of Blisters on the Epoxy Asphalt Concrete Paving Course of Steel Deck Bridge Pavement%钢桥面环氧沥青铺装层鼓泡形成扩展机理

    Institute of Scientific and Technical Information of China (English)

    张华; 郝培文; 张海伟

    2016-01-01

    In order to take effective steps to minimize the blistering problems on the epoxy asphalt overlays, the cause and propagation mechanism for blisters were studied systematically by means of field investigation, theoretical analysis and mathematical modeling. Based on the theory of thin plate and fracture mechanics,the deflection of blisters was studied under the pressure. Additionally, the energy principle in fracture mechanics was used to derive the energy relationship and the initiation and propagation mechanism was studied. The results indicate that the development of blisters includes three stages, namely, initiation, stale and unstable propagation. The deflection of blisters produced by the external force was related to the radius of blisters, depth and modulus of elasticity of pavement. The energy release rate was proposed as a criterion of the initiation and propagation of blisters. It provides the theory basis for further model experiment and simulation analysis.%为有效减少钢桥面环氧沥青铺装层出现鼓泡现象,采用现场调查、理论分析和数学建模的研究方法,系统地研究了鼓泡产生的原因和形成扩展机理。基于薄板理论,研究了鼓泡在竖向均布荷载作用下鼓泡挠度的变化规律。根据断裂力学中的能量原理,得到了鼓泡形成扩展过程中的能量关系,进而阐明了鼓泡形成扩展机理。研究结果表明:钢桥面环氧沥青铺装层鼓泡的形成扩展过程分为起裂、稳定扩展和失稳扩展3个阶段;鼓泡在外力作用下产生的挠度与鼓泡半径、铺装层厚度和弹性模量等因素有关,提出了以能量释放率为判定参数的扩展准则。

  9. Effect of Hydrocolloid Use for Total Knee Arthroplasty Surgery Tension Blisters%水胶体贴敷用于全膝关节置换术后张力性水泡的疗效观察

    Institute of Scientific and Technical Information of China (English)

    钟文

    2015-01-01

    Objective To explore the efifcacy of hydrocolloid patching care for the tension blisters after total knee arthroplasty. Methods 42 patients with tension blisters (2 cm<blisters<8 cm) were randomly on the ifrst day after TKA. The patients were divided into experimental group 21 cases and 21 cases in the control group. The experimental group after puncture blisters take the care of hydrocolloid patching and pressurized elastic bandage. The control group uses the conventional care after puncture blisters, then comparing the tension blisters healing effect between the two groups. Results The therapeutic effect of the experimental group was signiifcantly better than the control group. The difference was statistically signiifcant (P<0.05). Conclusion The care of hydrocolloid patching and pressurized elastic bandage ideal for tension blisters after total knee replacement, worthy of clinical application.%目的:探讨水胶体贴敷的护理方法用于全膝关节置换术后张力性水泡的疗效观察。方法随机将42例全膝关节置换术后第1天术口周围出现张力性水泡(2 cm<水泡<8 cm)的患者分成实验组21例和对照组21例,实验组采用水泡穿刺后水胶体贴敷棉垫加压弹力绷带包扎护理,对照组采用水泡穿刺后常规护理,比较两组张力性水泡愈合的效果。结果实验组的治疗效果明显优于对照组,差别有统计学意义(P<0.05)。结论水胶体贴敷棉垫加压弹力绷带包扎对全膝关节置换术后张力性水泡疗效理想,值得临床推广应用。

  10. Composição, proteólise, capacidade de derretimento e formação de "blisters" do queijo mussarela obtido pelos métodos tradicional e de ultrafiltração: composition, proteolysis, melting capacity and blisters formation

    Directory of Open Access Journals (Sweden)

    Pizaia Patrícia D.

    2003-01-01

    Full Text Available O objetivo deste trabalho foi comparar a composição, a proteólise, a capacidade de derretimento e a formação de "blisters" (bolhas em queijos tipo Mussarela fabricados com retentado de leite (MR de fator de concentração volumétrica (FCV de 2,34:1, com um queijo Mussarela padrão (MP fabricado com leite não ultrafiltrado. Foi realizado um ensaio de produção com 3 lotes de MR e um lote de MP. Determinou-se a composição do leite, retentado, soro, água de filagem e queijos e a proteólise, a capacidade de derretimento e a formação de "blisters" nos queijos com 7, 15, 30 e 60 dias de armazenamento refrigerado. MRs apresentaram maiores valores de pH e de porcentagem de cinzas e de proteína total e menores porcentagens de acidez titulável, gordura, gordura no extrato seco e sal quando comparadas a MP. Durante o tempo de estocagem, as MRs apresentaram menor proteólise e capacidade de derretimento, em todas as datas analisadas. A porcentagem de área coberta por 'blisters" na pizza e o diâmetro médio dos mesmos foram maiores na MP durante o primeiro mês de estocagem e depois ambos os tipos de queijos apresentaram comportamentos similares para estes 2 parâmetros.

  11. A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery

    Science.gov (United States)

    Park, Ki-Su; Son, Won-Soo; Park, Jaechan; Kim, Young-Sun; Kim, Byung Moon

    2017-01-01

    Blood-blister like aneurysms (BBAs) are challenging lesions because of their wide fragile neck. Flow-diverting stents (FDSs), such as the Pipeline Embolization Device (PED), have been applied to treat BBAs less amenable to more established techniques of treatment. However, the use of FDSs, including the PED, in acute subarachnoid hemorrhage (SAH) still remains controversial. We report a case of aneurysm regrowth following PED application for a ruptured BBA that overlapped the origin of the dominant posterior communicating artery (PCoA), which was successfully treated after coil trapping of the origin of the fetal-type PCoA. And, we discuss the clinical significance of the fetal-type PCoA communicating with a BBA in terms of PED failure. PMID:28316868

  12. Microsurgical versus endovascular interventions for blood-blister aneurysms of the internal carotid artery: systematic review of literature and meta-analysis on safety and efficacy.

    Science.gov (United States)

    Shah, Sumedh S; Gersey, Zachary C; Nuh, Mohamed; Ghonim, Hesham T; Elhammady, Mohamed Samy; Peterson, Eric C

    2017-02-17

    OBJECTIVE Blood-blister aneurysms (BBAs) of the internal carotid artery (ICA) have a poor natural history associated with high morbidity and mortality. Currently, both surgical and endovascular techniques are employed to treat BBAs; thus, the authors sought to perform a meta-analysis to compare the efficacy and safety of these approaches. METHODS A literature search of PubMed, MEDLINE, and Google Scholar online databases was performed to include pertinent English-language studies from 2005 to 2015 that discussed the efficacy and safety of either surgical or endovascular therapies to treat BBAs. RESULTS Thirty-six papers describing 256 patients with BBAs treated endovascularly (122 procedures) or surgically (139 procedures) were examined for data related to therapeutic efficacy and safety. Pooled analysis of 9 papers demonstrated immediate and late (mean 20.9 months) aneurysm occlusion rates of 88.9% (95% CI 77.6%-94.8%) and 88.4% (95% CI 76.7%-94.6%), respectively, in surgically treated patients. Pooled analysis of 12 papers revealed immediate and late aneurysm obliteration rates of 63.9% (95% CI 52.3%-74.1%) and 75.9% (95% CI 65.9%-83.7%), respectively, in endovascularly treated aneurysms. Procedure-related complications and overall poor neurological outcomes were slightly greater in the surgically treated cases than in the endovascularly treated cases (27.8% [95% CI 19.6%-37.8%] vs 26.2% [95% CI 18.4%-35.8%]), indicating that endovascular therapy may provide better outcomes. CONCLUSIONS Blood-blister aneurysms are rare, challenging lesions with a poor prognosis. Although surgical management potentially offers superior aneurysm obliteration rates immediately after treatment and at the long-term follow-up, endovascular therapy may have a better safety profile and provide better functional outcomes than surgery. A registry of patients treated for BBAs may be warranted to better document the natural course of the disease as well as treatment outcomes.

  13. High-flow bypass and wrap-clipping for ruptured blood blister-like aneurysm of the internal carotid artery using intraoperative monitoring of cerebral hemodynamics

    Directory of Open Access Journals (Sweden)

    Kubo Y

    2015-06-01

    Full Text Available Yoshitaka Kubo, Takahiro Koji, Kenji Yoshida, Hideo Saito, Akira Ogawa, Kuniaki Ogasawara Department of Neurosurgery, Iwate Medical University, Morioka, Japan Abstract: Aneurysms at non-branching sites in the supraclinoid internal carotid artery (ICA can be classified as “blood blister-like aneurysms” (BBAs, which have blood blister-like configurations and fragile walls. While surgical treatment for the BBA in the acute stage is recommended, the optimal surgical procedure remains controversial. In the study reported here, we describe the case of a 37-year-old woman with a ruptured BBA in the ophthalmic segment of the right ICA who underwent wrap-clipping with external carotid artery–internal carotid artery bypass by intraoperative estimation of the measurement of cortical cerebral blood flow (CoBF using a thermal diffusion flow probe. Trapping of the ICA in the acute stage of subarachnoid hemorrhage may result in ischemic complications secondary to hemodynamic hypoperfusion or occlusion of the perforating artery, and/or delayed vasospasm, even with concomitant bypass surgery. We believe that it is important to perform scheduled external carotid artery–internal carotid artery bypass before trapping of the ICA in patients with a ruptured BBA in the acute stage of subarachnoid hemorrhage and to perform wrap-clipping rather than trapping. This would provide much more CoBF if a reduction of CoBF occurs after trapping occlusion of the ICA including a ruptured BBA according to intraoperative CoBF monitoring. As far as we are aware, the case reported here is the first report on high-flow bypass and wrap-clipping for a ruptured BBA of the ICA using intraoperative monitoring of cerebral hemodynamics. Keywords: surgery, cortical blood flow, external carotid artery–internal carotid artery bypass, subarachnoid hemorrhage

  14. 三伏贴引起皮肤严重水疱反应的多种因素分析%Various Factors of Serious Skin Blister Reaction Caused by Dog-days Paste

    Institute of Scientific and Technical Information of China (English)

    巴艳东; 魏瑞仙; 吕虎军; 徐永和

    2015-01-01

    目的:分析不同民族、年龄、性别、贴敷时间、压力等因素对穴位贴敷患者皮肤的影响,从而指导临床治疗. 方法:查阅我院近3年门诊进行三伏贴患者的治疗随访记录,整理数据,通过统计分析不同民族、年龄、性别、贴敷时间、压力等因素导致患者起疱的相关性. 结果:蒙古族患者起疱率11 .4%明显高于其他民族患者起疱率5.1%,统计差异有显著性(P0.05);41~65岁患者起疱率9.4%明显高于66~90岁起疱率3%、15~40岁起疱率3 .8%,经软件统计差异三者无显著性差异( P>0 .05 );不同贴敷次数出现起疱的比例,第2次贴敷起疱占78 .3%明显高于首次贴敷起疱的21 .7%;贴敷起疱还与贴敷的时间、局部的压力有关,贴敷时间延长、敷贴压力增大均可能导致皮肤起疱. 结论:除了白芥子比例过大可导致皮肤起疱外,起疱还与民族、年龄、贴敷时间、压力等因素有关,蒙古族贴敷患者起疱率明显高于其他民族患者起疱率,可能与其基因、饮食等因素有关;41~65岁患者是起疱高发人群;贴敷的时间越长、局部压力越大起疱的可能性就大,反之就小. 起疱率与性别差异无明显关系.%Objective:To analyze the influence of different factors on the skin of plaster therapy ,including dif-ferent nationalities,age,gender,sticking time and pressure,to guied the clinical treatment.Methods:Check Dog-days paste patients'records in our hospital in recent 3 years,and organize the data through statistical anal-ysis of different nationalities, age, gender, stick time, pressure and other factors on blisters .Results:Among Mongolia nationality the blistering rate was 11 .4% with a significantly higher rate than that in other ethnic groups with blistering rate 5.1%(P0 .05 );among 41~65 years old patients the blistering rate was 9.4%which was significantly higher than that of 66-90 years of blistering rate of 3%;among 15~40 years the blistering rate was 3

  15. Study on the Blistering of B4C/Al Neutron Absorber Plate in the Course of Corrosion%B4C/Al中子吸收板腐蚀过程中的起泡研究

    Institute of Scientific and Technical Information of China (English)

    李刚; 王美玲; 王贯春; 简敏

    2012-01-01

    The corrosion model of cladding blistering on B4C/A1 neutron absorber plate was established by Henry's law, and by means of the model to investigate the relationship between pore radius and temperature factors for blistering. Influence of pore size for the neutron absorber plate blistering was analyzed by using the pore capillary effects. The results show that the hydrogen pressure produced in small radius pores is higher due to Al corrosion, which contributed to B4C/A1 neutron absorber plate cladding blistering. Influence of temperature on the corrosion generated hydrogen pressure is very small, but the main factors affecting the hydrogen pressure is the pore radius sizes. Blistering power of the cladding is hydrogen continuous generation and accumulating in the pore capillary. The water diffuses easily through the pore capillary in B4C/A1 cores, which will cause the cladding blistering because of Al corrosion.%根据亨利定律,建立了B4C/Al中子吸收板包壳腐蚀起泡的模型,计算了孔隙半径、温度对起泡的影响,并利用孔隙毛细管效应分析了孔隙对中子吸收板起泡的影响.结果表明:孔隙半径越小,腐蚀产生的氢气压力越大,B4C/Al中子吸收板包壳更易起泡;温度对腐蚀产生的氢气压力影响非常小,而孔隙半径是影响氢气压力的主要因素;氢气持续产生并在孔隙毛细管中积聚,是包壳产生起泡的动力;水分容易通过孔隙毛细管在B4C/Al芯体中扩散,可导致Al腐蚀,引起包壳起泡.

  16. Exfoliation of oxide in bar: estimation of the geometry of HZ{sub r} blister; Exfoliacion de oxido en barra: estimacion de la geometria de la ampolla de HZ{sub r}

    Energy Technology Data Exchange (ETDEWEB)

    Ramos Calvo, A.; Munoz-Reja, C.; Nicolas Garcia, E.

    2013-07-01

    This paper presents a method to model the formation of a blister of HZ{sub r}. The method consists of two distinct parts. First is a study of the temperature distribution in the pod different configurations of loss of thickness of oxide fuel to define the likely distribution of hydrides geometry. Second is an engineering approach to solving the equation of precipitation of hydrides in the sheath.

  17. 增生性瘢痕水泡液β转化生长因子的变化及意义%TGF-β change in blister fluid of hypertrophic scar and its significance

    Institute of Scientific and Technical Information of China (English)

    谢有富; 陈辉; 黎庆梅; 梁达荣

    2010-01-01

    Objective To investigate of the tissue TGF-β changes at early stage of hypertrophic scar formation and the value of scar blisters in hypertrophic scar.Methods The TGF-β1 content in the blister fluid and the blood were quantified with ELISA,patients(n=15)with hypertrophy scar after depth burn were included,three time point(each n=5)on early stage(0.01),the TGF-β1 in the blister of normal skin was also not elevated(P>0.01),but TGF-β1 level in the scarblisters hypertrophic scar was elevated significantly[90 d,(534.4±125.9)pg/L,P0.01);增生性瘢痕水泡液TGF-β1含量显著高于其血液和正常皮肤水泡液(P均<0.01),而且瘢痕增生早期(1~3个月)组织TGF-β1逐渐升高(P<0.01).结论 瘢痕形成早期组织TGF-β含量增高可能是瘢痕增生的重要因素;瘢痕水泡液可作为研究增生性瘢痕的新途径.

  18. Targeted proteolysis of plectin isoform 1a accounts for hemidesmosome dysfunction in mice mimicking the dominant skin blistering disease EBS-Ogna.

    Directory of Open Access Journals (Sweden)

    Gernot Walko

    2011-12-01

    Full Text Available Autosomal recessive mutations in the cytolinker protein plectin account for the multisystem disorders epidermolysis bullosa simplex (EBS associated with muscular dystrophy (EBS-MD, pyloric atresia (EBS-PA, and congenital myasthenia (EBS-CMS. In contrast, a dominant missense mutation leads to the disease EBS-Ogna, manifesting exclusively as skin fragility. We have exploited this trait to study the molecular basis of hemidesmosome failure in EBS-Ogna and to reveal the contribution of plectin to hemidesmosome homeostasis. We generated EBS-Ogna knock-in mice mimicking the human phenotype and show that blistering reflects insufficient protein levels of the hemidesmosome-associated plectin isoform 1a. We found that plectin 1a, in contrast to plectin 1c, the major isoform expressed in epidermal keratinocytes, is proteolytically degraded, supporting the notion that degradation of hemidesmosome-anchored plectin is spatially controlled. Using recombinant proteins, we show that the mutation renders plectin's 190-nm-long coiled-coil rod domain more vulnerable to cleavage by calpains and other proteases activated in the epidermis but not in skeletal muscle. Accordingly, treatment of cultured EBS-Ogna keratinocytes as well as of EBS-Ogna mouse skin with calpain inhibitors resulted in increased plectin 1a protein expression levels. Moreover, we report that plectin's rod domain forms dimeric structures that can further associate laterally into remarkably stable (paracrystalline polymers. We propose focal self-association of plectin molecules as a novel mechanism contributing to hemidesmosome homeostasis and stabilization.

  19. A case of subepidermal blistering disease with autoantibodies to multiple laminin subunits who developed later autoantibodies to alpha-5 chain of type IV collagen associated with membranous glomerulonephropathy.

    Science.gov (United States)

    Sueki, Hirohiko; Sato, Yoshinori; Ohtoshi, Shinpei; Nakada, Tokio; Yoshimura, Ashio; Tateishi, Chiharu; Borza, Dorin-Bogdan; Fader, William; Ghohestani, Reza F; Hirako, Yoshiaki; Koga, Hiroshi; Ishii, Norito; Tsuchisaka, Atsunari; Qian, Hua; Li, Xiaoguang; Hashimoto, Takashi

    2015-09-01

    We report a 68-year-old Japanese female patient with subepidermal blistering disease with autoantibodies to multiple laminins, who subsequently developed membranous glomerulonephropathy. At skin disease stage, immunofluorescence demonstrated IgG anti-basement membrane zone antibodies reactive with dermal side of NaCl-split skin. Immunoblotting of human dermal extract, purified laminin-332, hemidesmosome-rich fraction and laminin-521 trimer recombinant protein (RP) detected laminin γ-1 and α-3 and γ-2 subunits of laminin-332. Three years after skin lesions disappeared, nephrotic symptoms developed. Antibodies to α-3 chain of type IV collagen (COL4A3) were negative, thus excluding the diagnosis of Goodpasture syndrome. All anti-laminin antibodies disappeared. Additional IB and ELISA studies of RPs of various COL4 chains revealed reactivity with COL4A5, but not with COL4A6 or COL4A3. Although diagnosis of anti-laminin γ-1 (p200) pemphigoid or anti-laminin-332-type mucous membrane pemphigoid could not be made, this case was similar to previous cases with autoantibodies to COL4A5 and/or COL4A6.

  20. Morphology of a new blister beetle (Coleoptera, Meloidae larval type challenges the evolutionary trends of phoresy-related characters in the genus Meloe

    Directory of Open Access Journals (Sweden)

    A. Di Giulio

    2014-10-01

    Full Text Available The discovery of some specimens of a new first instar larval type in blister beetles, collected in Iran on Anthophora bees, confirms the existence of repetitive and parallel trends in morphological specialization to phoresy in distinct lineages of Meloidae and in particular in the subfamily Meloinae. The new Iranian larva, herein described and illustrated, shows several characters and a peculiar phoretic strategy that closely parallel that of the Meloe subgenus Lampromeloe, with similar modifications of the fronto-clypeal setae into strong lanceolate spines used to pierce the intersegmental membranes of the bees. Both parallel and shared derived evolution of these characters seem possible. The coexistence in this larva of characters in both primitive and derived state is of particular interest in order to analyse the different rates and trends of evolution of phoretic adaptations. A morphological comparison (SEM of this new meloine larva (incertae sedis, tentatively assignable to Meloe, with the M. (Lampromeloe larvae is carried out in order to discuss the evolutionary implications of its placement in Lampromeloe, and the relative characters that would support it, vs other possible alternative scenarios.

  1. Effect of the order of He+ and H+ ion co-implantation on damage generation and thermal evolution of complexes, platelets, and blisters in silicon

    Science.gov (United States)

    Daghbouj, N.; Cherkashin, N.; Darras, F.-X.; Paillard, V.; Fnaiech, M.; Claverie, A.

    2016-04-01

    Hydrogen and helium co-implantation is nowadays used to efficiently transfer thin Si layers and fabricate silicon on insulator wafers for the microelectronic industry. The synergy between the two implants which is reflected through the dramatic reduction of the total fluence needed to fracture silicon has been reported to be strongly influenced by the implantation order. Contradictory conclusions on the mechanisms involved in the formation and thermal evolution of defects and complexes have been drawn. In this work, we have experimentally studied in detail the characteristics of Si samples co-implanted with He and H, comparing the defects which are formed following each implantation and after annealing. We show that the second implant always ballistically destroys the stable defects and complexes formed after the first implant and that the redistribution of these point defects among new complexes drives the final difference observed in the samples after annealing. When H is implanted first, He precipitates in the form of nano-bubbles and agglomerates within H-related platelets and nano-cracks. When He is implanted first, the whole He fluence is ultimately used to pressurize H-related platelets which quickly evolve into micro-cracks and surface blisters. We provide detailed scenarios describing the atomic mechanisms involved during and after co-implantation and annealing which well-explain our results and the reasons for the apparent contradictions reported at the state of the art.

  2. Novel feline autoimmune blistering disease resembling bullous pemphigoid in humans: IgG autoantibodies target the NC16A ectodomain of type XVII collagen (BP180/BPAG2).

    Science.gov (United States)

    Olivry, T; Chan, L S; Xu, L; Chace, P; Dunston, S M; Fahey, M; Marinkovich, M P

    1999-07-01

    In humans and dogs, bullous pemphigoid (BP) is an autoimmune blistering disease associated with the production of basement membrane autoantibodies that target the 180-kd type XVII collagen (BP180, BPAG2) and/or the 230-kd plakin epidermal isoform BPAG1e (BP230). In two adult cats, an acquired dermatosis and stomatitis was diagnosed as BP subsequent to the fulfillment of the following criteria: 1) presence of cutaneous vesicles, erosions, and ulcers; 2) histologic demonstration of subepidermal vesiculation with inflammatory cells, including eosinophils; 3) in vivo deposition of IgG autoantibodies at the epidermal basement membrane zone; and 4) serum IgG autoantibodies targeting a 180-kd epidermal protein identified as type XVII collagen. In both cats, the antigenic epitopes targeted by IgG autoantibodies were shown to be situated in the NC16A ectodomain of type XVII collagen, a situation similar to that of humans and dogs with BP. Feline BP therefore can be considered a clinical, histopathologic, and immunologic homologue of BP in humans and dogs.

  3. 颈内动脉血泡样动脉瘤的CTA诊断%CT angiography in the diagnosis of internal carotid artery blister-like aneuryms

    Institute of Scientific and Technical Information of China (English)

    陈状; 李林; 崔静; 公方和; 王伟民

    2012-01-01

    Objective To explore the utility ofCT angiography (CTA) in the identification and characterization of internal carotid artery (ICA) blood blister-like aneuryms (BBA). Methods All the 143 patients with spontaneous subarachnoid hemorrhage (SAH) who had been managed in our department from January 2008 to December 2009 were analyzed retrospectively.All of them underwent CTA prior to digital subtraction angiography (DSA) for evaluation of spontaneous SAH.The reports from the CTA and DSA were reviewed to determine whether the ICA BBA had been correctly and prospectively diagnosed. A retrospective review of the CTA and DSA images was also performed.Results All patients were diagnosed with spontaneous SAH by plain scan CT.We identified 6 cases of ICA BBA on initial DSA imaging.Of the 6 blister-like aneurysms,4 (67%) were identified prospectively and 5 (86%) retrospectively on CTA.In one case that had been confirmed by DSA as ICA BBA,the retrospective CTA failed to find the abnormity.All the 6 patients underwent endovascular treatment with stent placement.All patients were followed up for an average of 8.3 months (range,6-18 months) simply by DSA after treatment. Conclusion If CTA identifies a spontaneous SAH but fails to identify the cause,a careful DSA should be performed to detect a possible presence of ICA BBA.%目的 分析颈内动脉血泡样动脉瘤(BBA)CT三维血管重建(CTA)的诊断价值及形态特征. 方法 回顾性分析广州军区广州总医院神经外科自2008年1月至2009年12月收治的143例自发性蛛网膜下腔出血(SAH)患者资料.所有患者均先后行CTA及DSA检查,并对结果进行对比分析. 结果 所有患者经平扫CT诊断为自发性SAH,其中6例经DSA确诊为颈内动脉BBA.该6例患者中4例在DSA检查之前即经CTA确诊,未经CTA确诊的2例患者中1例后虽经DSA检查明确,但回顾分析CTA仍未发现明确病变.全部6例患者均经血管内支架治疗,术后均单

  4. Synoptic climatology of the long-distance dispersal of white pine blister rust II. Combination of surface and upper-level conditions

    Science.gov (United States)

    Frank, K. L.; Geils, B. W.; Kalkstein, L. S.; Thistle, H. W.

    2008-09-01

    An invasive forest pathogen, Cronartium ribicola, white pine blister rust (WPBR), is believed to have arrived in the Sacramento Mountains of south-central New Mexico about 1970. Epidemiological and genetic evidence supports the hypothesis that introduction was the result of long-distance dispersal (LDD) by atmospheric transport from California. This study applies a method to identify the atmospheric conditions favorable for rust transport and infection. An upper level synoptic classification (ULSC) identifies patterns of upper-level flow favorable for the transport of rust spores from a source to a target. Transport data are coupled with data for surface conditions favorable for infection at a designated target. A resulting calendar lists likelihood classes for establishment by four-times-daily observations during a dispersal season from April through July in the years 1965 to 1974. The single most-favorable period for transport and infection at the New Mexico site was identified as 1 15 June 1969. Five additional sites in the western United States with susceptible white pine populations and known infestation status were then evaluated to verify the model. Only the infested sites exhibit an establishment likelihood of “high” or “very high.” This suggests that the methodology correctly identifies locations with elevated establishment likelihood. Finally, likelihoods at nine additional points in the southwestern United States are determined and used to map regional patterns of transport, infection and establishment. The ULSC combined with appropriate surface meteorological data could be used to further investigate transport and infection, identify other areas at risk, assess the potential for gene flow of WPBR and evaluate long-distance dispersal of other pathogens.

  5. Saturated genic SNP mapping identified functional candidates and selection tools for the Pinus monticola Cr2 locus controlling resistance to white pine blister rust.

    Science.gov (United States)

    Liu, Jun-Jun; Sniezko, Richard A; Zamany, Arezoo; Williams, Holly; Wang, Ning; Kegley, Angelia; Savin, Douglas P; Chen, Hao; Sturrock, Rona N

    2017-02-07

    Molecular breeding incorporates efficient tools to increase rust resistance in five-needle pines. Susceptibility of native five-needle pines to white pine blister rust (WPBR), caused by the non-native invasive fungus Cronartium ribicola (J.C. Fisch.), has significantly reduced wild populations of these conifers in North America. Major resistance (R) genes against specific avirulent pathotypes have been found in several five-needle pine species. In this study, we screened genic SNP markers by comparative transcriptome and genetic association analyses and constructed saturated linkage maps for the western white pine (Pinus monticola) R locus (Cr2). Phenotypic segregation was measured by a hypersensitive reaction (HR)-like response on the needles and disease symptoms of cankered stems post inoculation by the C. ribicola avcr2 race. SNP genotypes were determined by HRM- and TaqMan-based SNP genotyping. Saturated maps of the Cr2-linkage group (LG) were constructed in three seed families using a total of 34 SNP markers within 21 unique genes. Cr2 was consistently flanked by contig_2142 (encoding a ruvb-like protein) and contig_3772 (encoding a delta-fatty acid desaturase) across the three seed families. Cr2 was anchored to the Pinus consensus LG-1, which differs from LGs where other R loci of Pinus species were mapped. GO annotation identified a set of NBS-LRR and other resistance-related genes as R candidates in the Cr2 region. Association of one nonsynonymous SNP locus of an NBS-LRR gene with Cr2-mediated phenotypes provides a valuable tool for marker-assisted selection (MAS), which will shorten the breeding cycle of resistance screening and aid in the restoration of WPBR-disturbed forest ecosystems.

  6. Colonization history, host distribution, anthropogenic influence and landscape features shape populations of white pine blister rust, an invasive alien tree pathogen.

    Directory of Open Access Journals (Sweden)

    Simren Brar

    Full Text Available White pine blister rust is caused by the fungal pathogen Cronartium ribicola J.C. Fisch (Basidiomycota, Pucciniales. This invasive alien pathogen was introduced into North America at the beginning of the 20th century on pine seedlings imported from Europe and has caused serious economic and ecological impacts. In this study, we applied a population and landscape genetics approach to understand the patterns of introduction and colonization as well as population structure and migration of C. ribicola. We characterized 1,292 samples of C. ribicola from 66 geographic locations in North America using single nucleotide polymorphisms (SNPs and evaluated the effect of landscape features, host distribution, and colonization history on the structure of these pathogen populations. We identified eastern and western genetic populations in North America that are strongly differentiated. Genetic diversity is two to five times higher in eastern populations than in western ones, which can be explained by the repeated accidental introductions of the pathogen into northeastern North America compared with a single documented introduction into western North America. These distinct genetic populations are maintained by a barrier to gene flow that corresponds to a region where host connectivity is interrupted. Furthermore, additional cryptic spatial differentiation was identified in western populations. This differentiation corresponds to landscape features, such as mountain ranges, and also to host connectivity. We also detected genetic differentiation between the pathogen populations in natural stands and plantations, an indication that anthropogenic movement of this pathogen still takes place. These results highlight the importance of monitoring this invasive alien tree pathogen to prevent admixture of eastern and western populations where different pathogen races occur.

  7. Colonization History, Host Distribution, Anthropogenic Influence and Landscape Features Shape Populations of White Pine Blister Rust, an Invasive Alien Tree Pathogen

    Science.gov (United States)

    Brar, Simren; Tsui, Clement K. M.; Dhillon, Braham; Bergeron, Marie-Josée; Joly, David L.; Zambino, P. J.; El-Kassaby, Yousry A.; Hamelin, Richard C.

    2015-01-01

    White pine blister rust is caused by the fungal pathogen Cronartium ribicola J.C. Fisch (Basidiomycota, Pucciniales). This invasive alien pathogen was introduced into North America at the beginning of the 20th century on pine seedlings imported from Europe and has caused serious economic and ecological impacts. In this study, we applied a population and landscape genetics approach to understand the patterns of introduction and colonization as well as population structure and migration of C. ribicola. We characterized 1,292 samples of C. ribicola from 66 geographic locations in North America using single nucleotide polymorphisms (SNPs) and evaluated the effect of landscape features, host distribution, and colonization history on the structure of these pathogen populations. We identified eastern and western genetic populations in North America that are strongly differentiated. Genetic diversity is two to five times higher in eastern populations than in western ones, which can be explained by the repeated accidental introductions of the pathogen into northeastern North America compared with a single documented introduction into western North America. These distinct genetic populations are maintained by a barrier to gene flow that corresponds to a region where host connectivity is interrupted. Furthermore, additional cryptic spatial differentiation was identified in western populations. This differentiation corresponds to landscape features, such as mountain ranges, and also to host connectivity. We also detected genetic differentiation between the pathogen populations in natural stands and plantations, an indication that anthropogenic movement of this pathogen still takes place. These results highlight the importance of monitoring this invasive alien tree pathogen to prevent admixture of eastern and western populations where different pathogen races occur. PMID:26010250

  8. Keratinocyte-targeted expression of human laminin γ2 rescues skin blistering and early lethality of laminin γ2 deficient mice.

    Directory of Open Access Journals (Sweden)

    Tracy L Adair-Kirk

    Full Text Available Laminin-332 is a heterotrimeric basement membrane component comprised of the α3, ß3, and γ2 laminin chains. Laminin-332 modulates epithelial cell processes, such as adhesion, migration, and differentiation and is prominent in many embryonic and adult tissues. In skin, laminin-332 is secreted by keratinocytes and is a key component of hemidesmosomes connecting the keratinocytes to the underlying dermis. In mice, lack of expression of any of the three Laminin-332 chains result in impaired anchorage and detachment of the epidermis, similar to that seen in human junctional epidermolysis bullosa, and death occurs within a few days after birth. To bypass the early lethality of laminin-332 deficiency caused by the knockout of the mouse laminin γ2 chain, we expressed a dox-controllable human laminin γ2 transgene under a keratinocyte-specific promoter on the laminin γ2 (Lamc2 knockout background. These mice appear similar to their wild-type littermates, do not develop skin blisters, are fertile, and survive >1.5 years. Immunofluorescence analyses of the skin showed that human laminin γ2 colocalized with mouse laminin α3 and ß3 in the basement membrane zone underlying the epidermis. Furthermore, the presence of "humanized" laminin-332 in the epidermal basement membrane zone rescued the alterations in the deposition of hemidesmosomal components, such as plectin, collagen type XVII/BP180, and integrin α6 and ß4 chains, seen in conventional Lamc2 knockout mice, leading to restored formation of hemidesmosomes. These mice will be a valuable tool for studies of organs deficient in laminin-332 and the role of laminin-332 in skin, including wound healing.

  9. Caspase-1-independent IL-1 release mediates blister formation in autoantibody-induced tissue injury through modulation of endothelial adhesion molecules.

    Science.gov (United States)

    Sadeghi, Hengameh; Lockmann, Anike; Hund, Anna-Carina; Samavedam, Unni K S R L; Pipi, Elena; Vafia, Katerina; Hauenschild, Eva; Kalies, Kathrin; Pas, Hendri H; Jonkman, Marcel F; Iwata, Hiroaki; Recke, Andreas; Schön, Michael P; Zillikens, Detlef; Schmidt, Enno; Ludwig, Ralf J

    2015-04-15

    Although reports documented aberrant cytokine expression in autoimmune bullous dermatoses (AIBDs), cytokine-targeting therapies have not been established in these disorders. We showed previously that IL-6 treatment protected against tissue destruction in experimental epidermolysis bullosa acquisita (EBA), an AIBD caused by autoantibodies to type VII collagen (COL7). The anti-inflammatory effects of IL-6 were mediated by induction of IL-1ra, and prophylactic IL-1ra administration prevented blistering. In this article, we demonstrate elevated serum concentrations of IL-1β in both mice with experimental EBA induced by injection of anti-COL7 IgG and in EBA patients. Increased IL-1α and IL-1β expression also was observed in the skin of anti-COL7 IgG-injected wild-type mice compared with the significantly less diseased IL-1R-deficient or wild-type mice treated with the IL-1R antagonist anakinra or anti-IL-1β. These findings suggested that IL-1 contributed to recruitment of inflammatory cells into the skin. Accordingly, the expression of ICAM-1 was decreased in IL-1R-deficient and anakinra-treated mice injected with anti-COL7. This effect appeared to be specifically attributable to IL-1 because anakinra blocked the upregulation of different endothelial adhesion molecules on IL-1-stimulated, but not on TNF-α-stimulated, cultured endothelial cells. Interestingly, injection of caspase-1/11-deficient mice with anti-COL7 IgG led to the same extent of skin lesions as in wild-type mice. Collectively, our data suggest that IL-1, independently of caspase-1, contributes to the pathogenesis of EBA. Because anti-IL-1β in a prophylactic setting and anakinra in a quasi-therapeutic setting (i.e., when skin lesions had already developed) improved experimental EBA, IL-1 appears to be a potential therapeutic target for EBA and related AIBDs.

  10. 改良化脓灸治疗青壮年支气管哮喘疗效观察%Therapeutic Observation of Modified Blistering Moxibustion for Bronchial Asthma in Young Adults

    Institute of Scientific and Technical Information of China (English)

    佘瑞平

    2016-01-01

    目的:观察改良化脓灸和传统化脓灸治疗青壮年支气管哮喘的疗效差异。方法将121例青壮年支气管哮喘患者随机分为治疗组62例和对照组59例。两组取穴相同,治疗组采用柱状艾炷、施灸处局部麻醉、灸后薄贴膏贴敷、饮食调整等多个环节改良的化脓灸治疗,对照组采用常规化脓灸治疗。每年暑期治疗1次,连续治疗3次为1个疗程。治疗1个疗程后,观察两组治疗前后发作频度评分及发作时严重程度(症状)评分情况,比较两组临床疗效。结果两组治疗后发作频度评分及发作时严重程度(症状)评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后发作频度评分及发作时严重程度(症状)评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率和痊愈率分别为100.0%和61.3%,对照组分别为98.3%和28.8%。两组痊愈率比较,差异具有统计学意义(P<0.01);两组总有效率比较,差异无统计学意义(P>0.05)。两组治疗后灸疮各项指标(开始化脓时间、灸疤脱落时间、排脓时间、灸疮愈合时间及灸疮最大直径)比较,差异均具有统计学意义(P<0.01,P<0.05)。结论改良化脓灸是一种治疗青壮年支气管哮喘的有效方法。%Objective To observe the therapeutic difference between modified blistering moxibustion and traditional blistering moxibustion in treating bronchial asthma in young adults.Method Totally 121 young adults with bronchial asthma were randomized into a treatment group of 62 cases and a control group of 59 cases. With the same points selected for the two groups, the treatment group was intervened by blistering moxibustion with modification in several aspects including columnar moxa cone, topical anesthesia in moxibustion region, application of sticking after moxibustion, and regulation of diet, while the control group was by traditional blistering moxibustion. The

  11. Adherence to a flexible extended regimen for oral hormonal contraception provided in blister packaging compared with an adherence-supporting digital tablet dispenser: historical comparison of data from two clinical studies

    Science.gov (United States)

    Elliesen, Jörg; Trummer, Dietmar

    2016-01-01

    Background The Clyk™ digital pill dispenser helps ensure correct and consistent administration of a flexible extended regimen of the combined oral contraceptive, ethinylestradiol (EE) 20 μg/drospirenone 3 mg (EE/drospirenone ; YAZ® Flex Flex), guiding users through the intake cycle and 4-day pill break and providing visible and acoustic daily reminders when pill intake is due. A study showed that the audible alarm function of the dispenser could help reduce the number of missed pills, but it lacked an appropriate “non-dispenser” group for a meaningful assessment of the impact of the dispenser on adherence. This study indirectly assessed the overall effect of the digital dispenser on adherence by comparing data from a treatment with standard blister packaging. Materials and methods One-year adherence data were compared from two similarly designed, Phase III, open-label, randomized trials of EE/drospirenoneFlex. In study 1, women used diary cards to record adherence with EE/drospirenoneFlex dispensed in blister packs (n=640), and in study 2 the dispenser was used with the alarm activated (n=250) or deactivated (n=248) in addition to using diary cards. Results A mean (±SD) of 4.3 (±4.24) missed pills over 1 year were recorded in diary cards among women who dispensed their pills from the blister packages (study 1) compared with 1.0 (±2.4) recorded by the alarm-activated dispenser (study 2). In study 2, a mean of 1.9 (±4.2) missed pills were reported in the diaries over 1 year compared with 4.4 (±9.1) from automatic recording by the dispenser (both arms of study 2), indicating underreporting of missed pills in diary cards vs the digital dispenser. Adjusting for this rate of underreporting, an estimated mean of ten pills were missed over 1 year by women using EE/drospirenoneFlex in blister packs, or ten times more than with the digital dispenser with activated acoustic alarm. Conclusion The digital dispenser helps reduce the number of missed pills and

  12. Buddies, Back Packs, and Blisters

    Science.gov (United States)

    Coffey, James V.; Ferree, John

    1974-01-01

    The authors describe a program involving nine middle school boys and three high school boys on a 30-mile hike on the Appalachian Trail which attempted to: (1) improve attitudes toward school; (2) improve school achievement; (3) develop a helping relationship with an older boy; and (4) improve the self-concept of the younger boy. (Author/RP)

  13. Curative effects observation of extracting blister fluid combined with wiping ointments nursing for bullous pemphigoid treatment%改良疱液抽取术联合擦药护理治疗大疱性类天疱疮的效果观察

    Institute of Scientific and Technical Information of China (English)

    朱蓓蓓; 王妍妍; 宗岩; 曹春艳

    2015-01-01

    目的:探讨改良疱液抽取术联合擦药护理治疗大疱性类天疱疮的疗效。方法将28例大疱性类天疱疮患者按照随机数字表法分为观察组和对照组各14例,两组均给予常规系统药物治疗。观察组采用改良疱液抽取术联合擦药护理的方法,对照组行常规疱液抽取术后由患者自行涂抹外用药,比较两组患者疗效。结果观察组患者新发水疱停止出现、糜烂面干涸时间、激素减量时间均短于对照组,两组比较差异有统计学意义(P<0.05)。结论改良疱液抽取术联合擦药护理可促进水疱愈合,减轻疼痛,降低感染发生率,缩短病程。%Objective To observe the clinical effects of patients with Bullous Pemphigoid by improved extracting blister fluid and wiping ointments nursing. Methods A total of 28 patients were randomly divided into observational group (n=14) and control group (n=14). All the patients were treated with common therapy. For patients in the observational group, they used improved extracting blister fluid combined with wiping ointments nursing, while patients of the control group underwent extracting blister fluid combined with wiping ointments by themselves. The curative effects were compared between two groups. Results The period of no new blisters, periods of blisters drying and reducing incretion to half amount in observation group were shorter than these in the control group (P<0. 05). Conclusions Therapy of extracting blister fluid combined with wiping ointments nursing can promote the blister to heal, relieve pain, reduce incidence of infection and length of disease progress.

  14. Mechanism Analysis of Hydrogen Blisters on the Surface of a Gas Tank and Research on Its Preventive Measures%低分气分液罐表面氢鼓泡机理分析及预防措施研究

    Institute of Scientific and Technical Information of China (English)

    陈虎; 冯亚娟; 谈平庆; 王和慧; 侯峰

    2015-01-01

    Serious blisters were found on the shell surface of the gas tank which operated in wet H2S environment during a regular inspection. It was confirmed with gas sampling device that the gas in the blister was hydrogen. The causes of blisters were analyzed and investigated by chemical analysis, metallographic examines, scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS). The results revealed that the elongated MnS inclusions were the important reason for the hydrogen blisters. The preventive measures of the hydrogen blisters were put forward based on the above study.%某石化公司脱硫装置低分气分液罐在湿硫化氢环境中运行,检修时发现罐体外表面出现严重的鼓泡现象。本文利用气体取样装置测定鼓泡内气体为氢气,并通过宏观检查、金相组织分析、扫描电镜分析和能谱分析等测试方法对低分气分液罐氢鼓泡原因进行分析和研究,结果表明,长条形MnS夹杂物是导致罐体表面产生氢鼓泡的重要原因。在此基础上,提出氢鼓泡预防措施。

  15. Influencing factors of autologous epidermal graft by suction blister in the treatment of vitiligo%白癜风负压吸疱自体表皮移植的影响因素

    Institute of Scientific and Technical Information of China (English)

    章莉; 尉晓冬; 许爱娥

    2008-01-01

    负压吸疱自体表皮移植是目前广泛使用的稳定期白癜风治疗方法之一,具有成功率高,并发症少的优点,其疗效受多种因素影响.主要包括:负压吸疱条件如吸疱部位、温度、压力、吸疱时间等;受皮区的磨削技术;术中、术后汴意事项;术前或术后选择联合的不同治疗方法.这些因素之间亦相互作用,影响皮片内黑素细胞的含量和成活率,进而影响皮肤移植区着色程度和色素扩展范围.%Autologous epidermal graft by suction blister is a common treatment for stable vitiligo with high success rate and less complications. Its efficacy is affected by various factors, including the selection of donor site, temperature, negative pressure, induction time of suction blister, strategies for the removal of epidermis in depigmented area before transplantation, distinguishing of epidermis from dermis during the process of transplantation, etc. Besides, combined therapy such as PUVA could improve the clinical outcome of transplantation. These factors, interacting with each other, affect the concentration and survival rate of melanocytes in skin graft, and in turn impact the repigmentation degree and extent.

  16. Effect of Blistering Therapy on Substanee P in Knee Osteoarthritis%发泡疗法对膝骨性关节炎血清P物质的影响

    Institute of Scientific and Technical Information of China (English)

    张桂燕; 余伟吉; 蒋顺琓; 麦庆春; 陈大宇; 陈立; 马笃军

    2012-01-01

    目的:比较发泡治疗与伤湿止痛膏治疗膝骨性关节炎对血清P物质的影响,探讨发泡疗法作用机理.方法:用前瞻性研究方法,将61例膝骨性关节炎患者随机分为治疗组31例和对照组30例,治疗组给予发泡疗法治疗,对照组给予伤湿止痛膏治疗.治疗前、治疗后第15天检测血清P物质水平,评价疼痛、压痛评分.结果:治疗组治疗前血清P物质含量(4.52±2.26) nmol/L,治疗后第15天为(1.05±0.93)nmol/L,对照组治疗前血清P物质含量(4.36±2.94) nmol/L,治疗后第15天为(2.79±1.57) nmol/L,治疗组与对照组血清P物质水平在治疗前、治疗后第15天自身对照、组间对照,差异有统计学意义(P<0.01);治疗组与对照组疼痛、压痛评分在治疗前、治疗后第15天自身对照、组间对照,差异均有统计学意义(P<0.01).结论:发泡疗法治疗膝骨性关节炎能显著降低血清P物质、改善关节疼痛、压痛;P物质是发泡疗法治疗膝骨性关节炎过程中的重要靶点分子之一.%Objective: To compare the affect of serum substance P by Blistering Therapy and Shangshi Zhitong plaster and explore the mechanism of Blistering Therapy. Methods: With the prospective study method, 61 Patients were randomly divided into treatment group(31 cases) and control group(30 cases); patient in the treatment group were treated by Blistering Therapy, and the patients in the control group were treated with Shangshi Zhitong plaster. The levels of Serum substance P, the weighted tolal scores of pain and tenderness were invested before treatment and after treatment of 15 days. Results: The levels of Serum substance P in the treatment group was(4.52±2.26) nmol/L before the therapy and(1.05±0.93)nmol/L after treatment of 15 days; The levels of Serum substance P in the control group were(4.36±2.94) nmol/L and(2.79±1.57) nmol/L respectively. Compared with pre-post treatment in the levels of Serum substance P, there was statistical

  17. Cytokine level mensuration of IL-22 in serum and skin blister fluid with vitiligo patients%白癜风患者血清及皮损疱液中白细胞介素-22水平测定

    Institute of Scientific and Technical Information of China (English)

    臧运书; 李洋; 纪晓丽

    2011-01-01

    目的 检测白癜风患者血清及皮损疱液中白细胞介素-22(interleukin-22,IL-22)水平,分析处于不同病期及经治疗后不同疗效的白癜风患者血清IL-22水平变化情况,探讨该因子在白癜风发病过程中的可能作用.方法 采用酶联免疫吸附测定法对56例患者、20例健康志愿者血清及15例接受表皮移植患者皮损疱液中IL-22因子水平进行测定,对接受治疗的18例患者血清中该因子水平进行监测,采用SPSS13.0软件进行数据分析.结果 进展期、稳定期、对照组血清中IL-22水平依次降低,且两两组间差异均有统计学意义(P <0.01),接受表皮移植患者皮损区疱液中IL-22含量显著高于供皮区水平,差异有统计学意义(P <0.05).18例疗效较好患者血清中IL-22水平与治疗前比较下降明显,差异有统计学意义(P <0.05).疗效较差患者血清中IL-22水平差异无统计学意义(P >0.05).结论 IL-22可能在白癜风发病及加重过程中起重要作用,IL-22水平变化可能成为预测白癜风患者病情进展及评价疗效的指标之一.%Objective To detect the serum and suction blister fluid IL-22 level in vitiligo patients, to analyze the change of serum IL-22 level in different stages and different therapeutic effects, and to explore the possible role of IL-22 in pathogenesy leading to vitiligo.Methods The serum IL-22 level in 56 patients and 20 healthy control, and those in blister fluid of 15 cases treated by epidermic grafting were examined by the ELISA nethods.The serum IL-22 level in 18 subjects who accepted the whole range combined therapy were monitored.All the data were analyzed by SPSS 13.0.Results The serum IL-22 level of active phase, stable phase and controls degrade gradually, and the interclass difference in both groups were statistically significant ( P< 0.01 ).The IL-22 level of skin lesions blister fluid were significantly higher than those of normal skin in cases treated by epidermic

  18. Stress analysis of local blisters coupling Raman spectroscopy and X-ray diffraction. Correlation between experimental results and continuous damage modelling for buckling in an iron oxide/phosphated iron system

    Energy Technology Data Exchange (ETDEWEB)

    Panicaud, B., E-mail: benoit.panicaud@utt.fr [Universite de Technologie de Troyes (UTT), CNRS UMR 6279, 12 rue Marie Curie, 10010 Troyes (France); Grosseau-Poussard, J.L. [LEMMA, Pole Sciences et Technologie, Universite de La Rochelle, Av. M. Crepeau, 17042 La Rochelle Cedex (France)

    2010-12-01

    In this present work, local stress development in the iron oxide layers growing on phosphated {alpha}-Fe at 400 deg. C in ambient air is investigated by Raman spectroscopy. Coupled with X-ray diffraction it enables to obtain directly local stresses' maps in the oxide layers. Use of Raman spectroscopy allows obtaining better accuracy on mechanical behaviour at local scale. This characterisation technique is very useful to study systems developing mechanical heterogeneities on surface, especially in case of buckling phenomenon. Investigations on particular local blisters have been done to measure some characteristic lengths at local scale. From local measurements, we are able to evaluate general effect of buckling from simplified scale transition. So, a macroscopic approach has been performed to calculate global stress evolution of the oxide layer, based on continuous damage mechanics. Consequently, it leads to good comparison between modelling and experimental values (global stresses versus oxidation time) in {alpha}-Fe{sub 2}O{sub 3} oxide.

  19. Observation of roof of suction blister from normal skin of patients with vitiligo by Masson-Fontana stain%正常皮肤负压吸疱疱顶Masson Fontana染色分析

    Institute of Scientific and Technical Information of China (English)

    康尔恂; 毛玲娥; 罗邦国; 郑捷

    2001-01-01

    为研究负压吸疱法表皮移植治疗白癜风的机理,对16例来自白癜风病人色素正常部位皮肤负压吸引产生水疱的 疱顶组织进行HE和MassonFontana染色,观察水疱的位置及有无黑素细胞的存在。结果负压吸引产生的水疱位于棘细胞 层,无黑素细胞存在。治疗白癜风表皮移植的机理黑素细胞被移植这一假说不能成立。%To study the mechanism of treating vitiligo by epidermaltransplantation, the roof of suction blister from normal skin of 16 cases of vitiligo with HE and Masson-Fontana stain was observed to study the position of the vesicles and the presence of melanocytes in the roof of suction blisters、 The results showed that the vesicles were located in the spinous layer and no melanocytes were found. lt is concluded that the hypothesis that in epidermal transplantation melanocytes are transplanted is untenable.

  20. Experimental Study of Changes of Skin Blister Fluid NPY, IL-12, sICAM-1 and GM-CSF Levels in Patients with Vitiligo in Progressive Stage%白癜风进展期患者皮肤疱液中NPY、sICAM-1、IL-12和GM-CSF水平变化的实验研究

    Institute of Scientific and Technical Information of China (English)

    毕鸣晔; 黄海峰

    2011-01-01

    目的:探讨白癜风病患者的发病、进展与免疫学机制的关系.方法:将确诊为进展期白癜风的80例患者分为寻常型(54例),节段型(26例)组.各以白斑处和非白斑处2组的疱液中的研究指标水平进行比较.疱液NPY和GM-CSF采用RIA;IL-12、sICAM-1水平均采用ELISA.结果:本文测定的患者疱液NPY水平显示,寻常型白癜风患者白斑处与非白斑处无显著差异(P>0.05),节段型白癜风患者白斑处与非白斑处比较则呈显著性差异(P0.05).结论:白癜风病患者的发病及病情进展与疱液NPY、IL-12、sICAM-1和GM-CSF四项指标的变化关系密切,其测定有助于了解其病因及病理学机制.%Objective To explore the significance of changes of skin blister fluid NPY, IL-12, sICAM-1 and GM-CSF levels in patients with vitiligo in progressive stage. Methods 80 patients with vitiligo in progressive stage were divided into two groups (vulgar-is vitiligo groups; n = 54, segmental vitiligo groups: n = 26) Their blister fluid levels of NPY and GM-CSF were determined by radioim-munoassay (RIA ) , and IL-12 and sICAM-1 were determined by enzyme immunoassay . Results The levels of skin blister fluid NPY were definitely higher in vitilignous skin than those in non- vitilignous patches in segmental vitiligo groups (P 0. 05) . The levels of skin blister fluid IL-12,sICAM-1 and GM-CSF were all obviously higher in vitilignous skin than that in non- vitilignous patches in vulgaris vitiligo groups (P 0. 05) . Conclusion The changes of skin blister fluid NPY, IL-12, sICAM-1 and GM-CSF levels in vitilignous skin may be closely related to development of difference type vitiligo patients with vitiligo, determination of 4 indexes might be helpful for studying the pathogenesis and clinical diagnosis of vitiligo.

  1. Cause and Preventive Methods of Blister Reaction and the Precaution after 308 nm Excimer Laser Treatment of Vitiligo%308 nm准分子激光治疗白癜风发生水疱的原因与防治措施

    Institute of Scientific and Technical Information of China (English)

    林挺; 李雪梅; 廖春; 杨慧兰

    2015-01-01

    目的:探讨308 nm准分子激光治疗白癜风发生水疱的原因与防治措施。方法回顾我科2005年1月—2014年2月308 nm准分子激光治疗白癜风3152例中发生水疱181例的临床资料,分析水疱发生原因及防治措施。结果本组水疱的总发生率为5.74%。头面部治疗水疱发生率为5.07%,口角及唇部治疗水疱发生率14.01%,颈部治疗水疱发生率5.80%,躯干部治疗水疱发生率2.92%,四肢部治疗水疱发生率5.56%。本组发生水疱后均立即停止308 nm准分子激光局部照射,给予局部对症处理,水疱恢复正常时间平均为7.36 d。结论308 nm准分子激光治疗白癜风时,治疗剂量应从最小红斑量开始,逐渐递增剂量,根据红斑反应调整治疗剂量,避免单次照射剂量过大或在光敏性患者身上照射,以减少或避免水疱的发生。%Objective To discuss the cause and preventive methods of blister reaction and its precaution after 308 nm excimer laser treatment of vitiligo. Methods Clinical data of 3152 patients were studied. This retrospective study involved the records of patients admitted to our department undergoing 308 nm excimer laser treatments during January 2005 and Febru-ary 2014. 181 adverse cases of local blister reaction and precaution methods were analyzed. Results During 308 nm excimer laser treatment, local skin blister reaction rate of the vitiligo patients in the research group was 5. 74%. In the group, blister reactions occurred on the head and face with a rate of 5. 07%, on and around the lips with a rate of 14. 01%, on the neck with a rate of 5. 80%, on the body with a rate of 2. 92%, and on the limbs with a rate of 5. 56%. After the occurrence of blister, all the patients suspended 308 nm excimer laser treatment for symptomatic treatment, and the average healing time of blisters was 7. 36 days. Conclusion With the minimal erythema, dose treatment dosage should be adjusted according to ery

  2. Coma blisters after poisoning caused by central nervous system depressants: case report including histopathological findings Bolhas do coma pós-intoxicação por depressores do sistema nervoso central: relato de caso incluindo achados histopatológicos

    Directory of Open Access Journals (Sweden)

    Maira Migliari Branco

    2012-08-01

    Full Text Available Blister formation and eccrine sweat gland necrosis is a cutaneous manifestation associated with states of impaired consciousness, most frequently reported after overdoses of central nervous system depressants, particularly phenobarbital. The case of a 45-year-old woman who developed "coma blisters" at six distinct anatomic sites after confirmed (laboratory phenobarbital poisoning, associated with other central nervous system depressants (clonazepam, promethazine, oxcarbazepine and quetiapine, is presented. A biopsy from the left thumb blister taken on day 4 revealed focal necrosis of the epidermis and necrosis of sweat gland epithelial cells; direct immunofluorescence was strongly positive for IgG in superficial blood vessel walls but negative for IgM, IgA, C3 and C1q. The patient was discharged on day 21 with no sequelae.Formação de bolhas e necrose de glândula sudoríparas écrinas é uma manifestação cutânea associada com estados de diminuição da consciência, mais frequentemente relatada após superdosagens de depressores do sistema nervoso central, particularmente fenobabital. Relatamos o caso de uma paciente de 45 anos que desenvolveu "bolhas do coma" após tentativa de suicídio por fenobarbital (confirmada laboratorialmente, associada a outros depressores do sistema nervoso central (clonazepam, prometazina, oxcarbazepina e quetiapina. Biópsia da bolha do 1o quirodáctilo esquerdo no 4o dia de internação revelou necrose focal da epiderme e necrose de células epiteliais de glândula sudorípara; a imunofluorescência direta foi fortemente positiva para IgG na parede superficial dos vasos sanguíneos, mas negativa para IgM, IgA, C3 e C1q. A paciente teve alta no 21o dia, sem seqüelas.

  3. Chemical Blistering: Cellular and Macromolecular Components.

    Science.gov (United States)

    1987-11-15

    American Accreditation Association for Laboratory Animal Care (AAALAC). In conducting the research described in this report, the investigators adhered...the production of NADi or NADPH was :-on-:tored. Lactae, ethanol and acetaldehvde were used as the 6 substrates. A TrrIllimolar extinction of 6.22 for...USA 77, 990-994. -4 Johnson, L.V., Summerhayes, I.C., Chen, L.b. (1982) Decreased uptake a and retention of rhodamine 123 by mitochondria in feline

  4. Chemical Blistering: Cellular and Macromolecular Components

    Science.gov (United States)

    1987-01-30

    report was neonatal rats derived from the CFN strain by random mating and reared in the School of Public Health’s animal facility. ’This facility is...34 was the one in use by the hospital for routine circumcision . Signature on this form allows experimental use of tissues. The use of this tissue for the

  5. How To Prevent and Treat Blisters

    Science.gov (United States)

    ... Contact Us Media contacts Advertising contacts AAD logo Advertising, marketing and sponsorships Legal notice Copyright © 2017 American Academy ... strictly prohibited without prior written permission. AAD logo Advertising, marketing and sponsorships Legal notice Copyright © 2017 American Academy ...

  6. Chemical Blistering: Cellular and Macromolecular Components

    Science.gov (United States)

    1984-11-15

    cells in i Different species of keratin peptide can be visualized immunologically using monoclonal antibodies (14). .’n antibody which recognizes a...outlined below. b. Background Limited data are available on the various biochemical pathways involved in xenobiotic metabolism in keratinocytes...Alkylating Agents: A review, Cancer Res., 22:651-688. 6. Fox, M. and Scott, D. (1980) The Genetic Toxicology of Nitrogen and Sulphur Mustard. Mutation Res

  7. 穴位贴敷与电针治疗支气管哮喘疗效对照观察%Controlled observation of non-blister acupoint sticking and electroacupuncture for bronchial asthma

    Institute of Scientific and Technical Information of China (English)

    田海燕; 胡佳; 王琳

    2013-01-01

    Objective To compare the differences of clinical efficacy for bronchial asthma between acupoint sticking combined with ginger-separated moxibustion and electroacupuncture combined with ginger-separated moxibustion.Methods With a randomized and controlled method,one hundred cases were divided into an acupoint sticking + ginger-separated moxibustion group (group A) and an electroacupuncture + ginger-separated moxibustion group (group E),50 cases in each one.The Dazhui (GV 14),Feishu (BL 13),Tiantu (CV 22) and so on were selected in both groups.The treatment was given on the 1st day of each dog day period and each nine-day period after the winter solstice separately.The ginger-separated moxibustion was applied in the group A,which was followed by plaster sticking that was made with Chinese herbs (including white mustard seed,rhizoma corydalis,euphorbia kansui,asarum),glycerin and warm ginger juice.The regular acupuncture,electroacupuncture and ginger-separated moxibustion were applied in the group E.The scores of recovery cough,control asthma,respiratory frequency,stuffiness chest,wheezing and markedly and cured effective rate were compared in two groups before and after the treatment.Results The markedly and cured effective rate was 72.0% (36/50) in the group A,which was superior to 46.0%(23/50) in the group E (P<0.05).All the symptom scores in two groups were obviously improved after the treatment,in which group A was superior to group E (all P<0.05).Conclusion The acupoint sticking and ginger separated moxibustion could obviously improve clinical symptoms in patients with bronchial asthma,and reduce skin irritation of medicine to avoid the blister and relive patients' suffer,which has superior effect to electroacupuncture combined with ginger-separated moxibustion.%目的:比较穴位贴敷加隔姜灸与电针加隔姜灸治疗支气管哮喘的临床疗效差异.方法:采用随机、对照的方法,将100例患者分为穴位贴敷加隔姜灸组(穴位

  8. Effect of Acupoint Application with Wu's Blistering Plaster Combined with Seretide Inhalation in Preventing and Treating Children with Asthma:40 Cases Report%吴氏发泡膏穴位贴敷联合舒利迭吸入防治儿童哮喘40例临床观察

    Institute of Scientific and Technical Information of China (English)

    施品英; 朱金凤; 尤菊松; 沈鸣

    2011-01-01

    Objective To observe the effect of acupoint application with Wu's Blistering Plaster combined with seretide inhalation in preventing and treating children with asthma in remission stage and to study its influence on immune function. Methods Eighty cases of children with asthma in remission stage were randomized into two groups, 40 in treatment group and 40 in control group. Both groups were treated with seretide inhalation 50μg/100μg, one or two times a day for 6 months, based on which, the treatment group was treated with Wu's Blistering Plaster for acupoint application in dog-days. The effect and changes in symptom scores of both groups were observed, and serum IgE, IL-4, and IFN-γ were determined before and after treatment.Results The total effective rate of the treatment group and control group was 95.0% and 80. 0% respectively, with significant difference (P<0. 05). The treatment group was superior to the control group in increase of IFN-γ and decrease of total IgE and IL-4 (P<0. 05 or P<0. 01). Conclusion Acupoint application with Wu's Blistering Plaster combined with seretide inhalation is effective in improving the immune function of asthma children and its good at preventing and treating asthma.%目的 观察吴氏发泡膏穴位贴敷联合舒利迭吸人防治缓解期儿童哮喘的临床疗效及其对免疫功能的影响.方法 将80例哮喘缓解期患儿随机分成治疗组和对照组各40例,两组均正规吸入舒利迭50μg/100μg,视病情每日1~2次,共6个月,治疗组在此基础上于三伏期给予吴氏发泡膏穴位贴敷,观察两组患儿临床疗效、治疗前后症状评分变化及血清总免疫球蛋白E(IgE)、白细胞介素4(IL-4)、干扰素γ(IFN-γ)等指标的变化.结果 治疗组总有效率95.0%,对照组为80.0%,临床疗效治疗组优于对照组(P<0.05).治疗组IFN-γ升高水平及总IgE、IL-4、症状评分下降水平优于对照组(P<0.05或P<0.01).结论 吴氏发泡膏穴位贴

  9. 金银花洗液治疗口服索拉菲尼并发手足水疱的效果及护理%Nursing and effect of honeysuckle lotion on the patients taking sorafenib with the complication of hand and foot blisters

    Institute of Scientific and Technical Information of China (English)

    陈美丽; 温桂芬; 冯湘萍; 刘艳

    2012-01-01

    目的 探讨金银花洗液治疗原发性肝癌患者服用索拉菲尼后并发手足水疱的效果,并给予相应的护理.方法 选取口服索拉菲尼后发生手足水疱患者45例为研究对象,按随机数字表法将其分为实验组23例和对照组22例,对照组患者采用尿素软膏外涂,实验组患者在此基础上,给予金银花洗液浸泡.比较两组患者疗效及愈合时间.结果 治疗后实验组治疗有效率为91.3%,优于对照组的59.1%,差异有统计学意义(x2=8.494,P<0.05);实验组创面愈合时间为(8.5±4.2)d,优于对照组的(11.8±6.3)d,差异有统计学意义(t=2.92,P<0.05).结论 金银花洗液对促进原发性肝癌患者服用索拉菲尼后并发手足水疱愈合有明显效果,且缩短愈合时间.%Objective To explore the effect of honeysuckle lotion on the primary hepatic cancer patients taking sorafenib with the complication of hand and foot blisters.Methods Totals of 45 patients who took sorafenib and complicated with the hand and foot blisters were randomly divided into experimental group ( n =23 ) and control group( n =22).The experimental group were soaked in honeysuckle lotion accompany with topical urea ointment,while control group received topical urea ointment.Then,the clinical effective and healing time of two groups were observed.Results There was no significant difference detected in age,lesion and general between two groups.The clinical treatment effective rate of experimental group was 91.3% significantly better than 59.1% that of control group ( x2 =8.494,P < 0.05 ).The healing time of experimental group was (8.5 ± 4.2)d and that of control group was (11.8 ± 6.3 )d,and the difference was statistically significant (t =2.92,P < 0.05 ).Conclusions The honeysuckle lotion application can promote wound healing for primary hepatic cancer patients taking sorafenib with the complication of hand and foot blisters.And it is worthy for clinical application.

  10. NUEVO PROCESO CONTINUO DE CONVERSION DE MATA A COBRE BLISTER

    OpenAIRE

    Riveros Urzua, Gabriel Angel

    2013-01-01

    El proyecto desarrollado corresponde a una nueva tecnología de conversión continua de mata de cobre la que se caracteriza por su extremadamente alta intensidad de producción, simplicidad de estructura, pequeño tamaño del reactor y completa continuidad. El principio del proceso está basado en un flujo continuo de alimentación de mata de cobre a través de un canal a un reactor relleno con granos cerámicos. Aire y/o aire enriquecido se inyecta por toberas desde la base del reactor fluyendo en co...

  11. Kinetics of the conversion of copper sulfide to blister copper

    Directory of Open Access Journals (Sweden)

    Carrillo, F.

    2002-10-01

    Full Text Available The desulfurization of copper sulfide by air and oxygen has been studied in two laboratory reactors where the gas is blown onto the melt surface. Rates of oxidation in a vertical resistance furnace may be explained by the mass transfer control in the gas phase. However, results for a horizontal tube suggest that the chemical resistance is controlling.

    La desulfuración del sulfuro cuproso con aire y oxígeno se ha estudiado en dos reactores de laboratorio, en los cuales el gas se sopla sobre la superficie del fundido. La velocidad de reacción en un horno de resistencias verticales se puede explicar considerando como controlante la resistencia a la transferencia de materia de la fase gas. Sin embargo, los resultados del horno horizontal indican que la resistencia química es la controlante.

  12. A trekker in Nepal with painful skin blisters.

    Science.gov (United States)

    Pant, Sushil; Keyes, Linda E; Sharma, Ramesh; Basnyat, Buddha

    2015-06-18

    The authors present a case of a 27-year-old woman trekker with painful, slightly itchy eruptions on the dorsum of both hands for 5 days. On examination, she had a papulovesicular rash with some haemorrhagic vesicles over the dorsum of her hands and thumbs.

  13. [A neonate with blisters on his upper legs].

    Science.gov (United States)

    Molenaar-Hoogendijk, Marina; Boute, Frans J; Loots, Myriam A M

    2016-01-01

    A 10-days-old male neonate presented with multiple bullae, mostly in the diaper region, without signs of illness. We diagnosed this condition as neonatal bullous impetigo and treated the patient orally with flucloxacillin. Bullous impetigo is caused by Staphylococcus aureus toxins that break down intercellular proteins.

  14. Treatment of acute burn blisters in unscheduled care settings.

    Science.gov (United States)

    Payne, Sarah; Cole, Elaine

    2012-09-01

    Many patients with minor burns present at emergency departments and urgent care centres, where their management is often undertaken by experienced nurses rather than experts in treating burns. This article describes a small study of the clinical decision making that underpins nurses' management of minor burns in these non-specialist settings. The results suggest that, due to a lack of relevant research, nurses base their decisions on previous experience or expert colleagues' opinions and advice rather than on the evidence.

  15. The autoimmune blistering diseases in Australia: status and services.

    Science.gov (United States)

    Daniel, Benjamin S; Dermawan, Andrew; Murrell, Dédée F

    2011-10-01

    The exact epidemiology of autoimmune bullous disorders in Australia is unknown. This article describes the establishment of a registry and support group to serve patients with these disorders. The registry aids research in Australia by providing epidemiologic data and maintaining an up-to-date database with patient contact details. The support group caters to the needs of patients and/or caregivers. Teledermatology, diagnosis, and management of autoimmune bullous disease are briefly reviewed.

  16. Annotated checklist of the false blister beetles (Coleoptera: Tenebrionoidea: Oedemeridae) from Iran.

    Science.gov (United States)

    Ghahari, Hassan; Vázquez, Xavier A; Kubisz, Daniel

    2017-02-27

    A checklist of Oedemeridae species recorded from Iran is given. A total of 48 species and subspecies are reported, of which two, Nacerdochroa caspia (Faldermann, 1836) and Oedemera (Oedemera) virescens virescens (Linnaeus, 1767), are recorded here for the first time from Iran. A total of 18 species (37,5%) are Iranian endemics. The most common chorotypes are Turanian (16 species; 33%), Turano-European (8 species; 17%), SW-Asiatic chorotype (7 species; 15%), Sindian (6 species; 13%) and Arabo-sindian (4 species, 8%).

  17. Blistering in alloy Ti–6Al–4V from H+ ion implantation

    Indian Academy of Sciences (India)

    B K Singh; V Singh

    2010-04-01

    The effect of H+ ion implantation on surface morphology of the titanium alloy, Ti–6Al–4V, was studied, following H+ ion implantation of 150 keV and 250 keV energy to fluence of 2.6 × 1018 cm-2 and 2.5 × 1019 cm-2, respectively at ambient temperature. No detectable change was observed in surface features of either of the above specimen immediately after the implantation. However, vein like features (VLF) were observed to appear on the surface of the sample, implanted at 150 keV to a fluence of 2.6 × 1018 cm-2, following natural ageing at room temperature for 150 days. Subsequent annealing of the above naturally aged sample, at 423 K for 150 min under vacuum (10-3 torr), led to development of a macroblister. In sharp contrast in the other sample, implanted by H+ ions of higher energy (250 keV) to higher fluence of 2.5 × 1019 cm-2, neither there was any effect of natural ageing following the implantation nor that of subsequent annealing at 423 K and ageing on its surface morphology.

  18. A swollen hand with blisters: a case of compartment syndrome in a child.

    Science.gov (United States)

    Rios-Alba, Tonatiuh; Ahn, James

    2015-06-01

    The accurate identification of compartment syndrome in the emergency department is essential to timely treatment and prevention of long-term sequela. Recognizing compartment syndrome is not straightforward, especially in the pediatric population. In addition to communication barriers that exist with children, the classic signs of pain, pallor, paresthesia, paralysis, and pulselessness are not always present, making its diagnosis a challenge. We report a case of a child with compartment syndrome to the left hand due to compression from an ACE wrap. The existing literature on compartment syndrome in children is reviewed.

  19. Photoevaporation Flows in Blister HII Regions: I. Smooth Ionization Fronts and Application to the Orion Nebula

    CERN Document Server

    Henney, W J; Garcia-Diaz, M T; Garcia-Diaz, Ma. T.

    2005-01-01

    We present hydrodynamical simulations of the photoevaporation of a cloud with large-scale density gradients, giving rise to an ionized, photoevaporation flow. The flow is found to be approximately steady during the large part of its evolution, during which it can resemble a "champagne flow" or a "globule flow" depending on the curvature of the ionization front. The distance from source to ionization front and the front curvature uniquely determine the structure of the flow, with the curvature depending on the steepness of the lateral density gradient in the neutral cloud. We compare these simulations with both new and existing observations of the Orion nebula and find that a model with a mildly convex ionization front can reproduce the profiles of emission measure, electron density, and mean line velocity for a variety of emitting ions on scales of 10^{17} to 10^{18} cm. The principal failure of our model is that we cannot explain the large observed widths of the [O I] 6300 Angstrom line that forms at the ion...

  20. Analysis of Urinary Metabolites of Nerve and Blister Chemical Warfare Agents

    Science.gov (United States)

    2014-08-01

    Warfare Agents GA Tabun , ethyl dimethylphosphoramidate GB Sarin, isopropyl methylphosphonofluoridate GD Soman, pinacolyl methylphosphonofluoridate...and their metabolites Agent Metabolite GA, Tabun O P O N CN Ethyl Dimethylphosphoroamidate, EDMAP, GA Acid HO P O N CN GB, Sarin P O

  1. Ventriculoperitoneal shunt in a patient with ruptured blister aneurysm treated with pipeline embolization device.

    Science.gov (United States)

    Tan, Lee A; Gerard, Carter S; Keigher, Kiffon M; Moftakhar, Roham; Lopes, Demetrius K

    2015-03-01

    Cerebral spinal fluid (CSF) diversion is frequently required in patients with aneurysmal subarachnoid hemorrhage who develop subsequent hydrocephalus. Procedures such as external ventricular drain (EVD) and ventriculoperitoneal shunt (VPS) usually carry a very low rate of complications. However, as flow diverting stents such as Pipeline Embolization Device (PED) become more widely available, flow diverters are being used in treatment of some ruptured complex aneurysms. EVD and VPS placement in the setting of dual antiplatelet therapy (DAT) in these patients are associated with a significant risk of intracranial hemorrhage. We describe a management strategy and surgical technique that can minimize hemorrhagic complications associated with VPS in patients on DAT after treatment with flow diverting stents.

  2. Blister packing of copper hydroxide and titania nanoparticles on graphene and its recycling.

    Science.gov (United States)

    Sridhar, Vadahanambi; Gangaraju, Deepa; Chun, Ho-Hwan; Park, Hyun

    2013-12-11

    Metal nanoparticles anchored on a graphene substrate find many applications such as sensors, catalysts, lithium ion batteries, etc. However, to date, graphene-metal nanohybrids have been synthesized by either covalent or ionic interactions between the graphene substrate and the metal nanoparticles. In this manuscript, we report a green and facile method to "bubble pack" metal nanoparticles on a graphene substrate by a simple process utilizing eco-friendly ionic liquids in conjunction with microwave heating. Copper nanoparticles bubble packed on graphene showed enhanced glucose sensing when compared to covalently bonded copper/graphene hybrids. Titania nanoparticles bubble packed on graphene when applied as anode materials in lithium ion batteries exhibited two times more lithium ion retention when compared to covalently bonded titania/graphene hybrids. "End of life" disposal of nanomaterials into the environment is a growing area of concern in recent days. One way of dealing with this problem is to extend the life cycle of nanomaterials by reusing the nanomaterials in multiple applications. In this report, we also show the recyclability of our novel bubble packaging material, by etching out the metal nanoparticles resulting in a unique 3D hierarchical graphene nanocup decorated graphene. The applicability of this recycled material in super capacitors is also reported.

  3. Pill in the blister pack: a rare cause of dysphagia in an elderly adult

    OpenAIRE

    Laeeq, Syed Mudassir; Rai, Ayesha Aslam; Tasneem, Abbas Ali; Luck, Nasir Hassan; Majid, Zain

    2015-01-01

    Foreign body impaction in the esophagus amongst adults is not a common cause of dysphagia. Fish bone, food bolus, dentures may cause symptoms of dysphagia, odynophagia, chest pain or respiratory distress. It needs prompt evaluation along with removal of the substance either surgically or endoscopically to avoid the development of life threatening complications. Here we are reporting a case of an elderly male, who presented to us with a history of absolute dysphagia for one week, as a conseque...

  4. A VARIANT OF WOLF’S ISOTOPIC RESPONSE - OVERRIDING OF TWO BLISTERING DISEASES

    Directory of Open Access Journals (Sweden)

    Murali

    2015-07-01

    Full Text Available The term Wolfs isotopic response refers to the occurrence of an unrelated dermatologic disease over the site of an already healed skin disease. The primary disease is usually a healed Herpes zoster scar and the second dermatoses are frequently granulomatous or lichenoid reactions. We report a variant of this phenomenon with co localization of active herpes zoster and Pemphigus vulgaris over the left upper limb as evidenced by the presence of both giant e pithelial cells and positive direct immuno fluorescence for pemphigus. To the best of our knowledge such an association has not been reported earlier.

  5. Blister Packaging Medication to Increase Treatment Adherence and Clinical Response: Impact on Suicide-Related Morbidity and Mortality

    Science.gov (United States)

    2013-09-01

    at the 2013 APA Annual Conversion. Data from APA Poster: N=205 The internal consistency reliability estimate (i.e., coefficient alpha) for the SHBQ...Bagge, C. L., Freedenthal, S., Gutierrez, P.M., & Lozano, G. (2012). The Depression Anxiety Stress Scales-- 21 ( DASS - 21 ): Further examination of...Entering follow-up assessment data {months 5-57) Task 6. Preparing year two quarterly reports (months 15, 18, 21 , 24) completed Task 7. Data analyses

  6. Large-Scale Electron Microscopy Maps of Patient Skin and Mucosa Provide Insight into Pathogenesis of Blistering Diseases

    NARCIS (Netherlands)

    Sokol, Ena; Kramer, Duco; Diercks, Gilles F. H.; Kuipers, Jeroen; Jonkman, Marcel F.; Pas, Hendri H.; Giepmans, Ben N. G.

    2015-01-01

    Large-scale electron microscopy ("nanotomy") allows straight forward ultrastructural examination of tissue, cells, organelles, and macromolecules in a single data set. Such data set equals thousands of conventional electron microscopy images and is freely accessible (www.nanotomy.org). The software

  7. Sclerotised spines in the female bursa associated with male's spermatophore production in cantharidin-producing false blister beetles.

    Science.gov (United States)

    Hashimoto, Kosei; Sugawara, Hirotaka; Hayashi, Fumio

    Cantharidin is a defence chemical synthesised in only two beetle families Meloidae and Oedemeridae. In Meloidae, cantharidin is used as a defence chemical in eggs. However, in Oedemeridae the function of cantharidin remains unclear. Based on morphological comparison of female internal reproductive organs in 39 species of Oedemeridae, we found that some species have sclerotised spines in the bursa copulatrix (bursal spines), while others have no such spines. Molecular phylogenetic trees inferred from mitochondrial 16S and nuclear 28S rRNA gene sequences suggested multiple evolutionary origins of bursal spines from an ancestor without spines. In the species which lacked spines, males transferred small amounts of ejaculates to females; however, in species with spines, males transferred large spermatophores. Deposited spermatophores gradually disappeared in the bursa, probably owing to absorption. To compare the amounts of cantharidin in eggs laid by species with and without bursal spines, we constructed a new bioassay system using the small beetle Mecynotarsus tenuipes from the family Anthicidae. M. tenuipes individuals were attracted to droplets of cantharidin/acetone solution, and the level of attraction increased with cantharidin concentration. This bioassay demonstrated that the eggs of Nacerdes caudata and N. katoi, both of which species have conspicuous bursal spines, contain more cantharidin than the eggs of N. waterhousei, which lacks spines. In the former species, males transfer large spermatophores to the female, and spermatophores are eventually broken down and digested within the female's spiny bursa. Thus, females with bursal spines may be able to provide more cantharidin to their eggs.

  8. Analysis Of Separation Mechanism Of The Metallic Phase Of Slag In The Direct-To-Blister Process

    Directory of Open Access Journals (Sweden)

    Bydałek A.W.

    2015-09-01

    Full Text Available The article discusses the structure of the slag in the liquid state, the properties and interactions within the slag. The analysis of structures occurring in slag suspension were presented with regard to differences in chemical composition in micro-areas. Two different mechanisms for formation of precipitates in Cu-Fe-Pb alloys during extraction were showed.

  9. Nitrogen segregation and blister formation of 316LN austenitic steel during electron beam welding tests for ITER gravity supports

    Science.gov (United States)

    Lee, P. Y.; Hou, B. L.; Wu, J. H.; Yang, D.; Zhang, G. R.; Zhang, C. P.

    2009-04-01

    316LN has been widely applied in the design of ITER components, such as shield blanket and gravity supports, due to its excellent corrosion resistance and high strength. The behavior of nitrogen in this steel during welding is important for the mechanical properties of the components. In this study, a focused 150 kv high voltage electron beam with 300 mA beam current has been used to weld 316LN steel under vacuum condition. The microstructure and composition of the welding area were observed and analyzed. The influence of welding on the shock resistance and tensile strength at both room temperature and low temperature were examined. It was found that the mechanical properties are strongly related to the defects formed in the welding process.

  10. Design of the LR6 blister packing machine%LR6泡罩包装机的设计

    Institute of Scientific and Technical Information of China (English)

    钟梅

    2005-01-01

    介绍了一种自行研制的LR6泡罩包装机的设计过程.此设备用机械动作取代了高强度的手工推转盘、投料、成品排出等动作,使纯手工的包装工序实现了自动化,降低了该工序的劳动强度.生产速率比手工操作提高10%,并节约劳动力30%左右.

  11. Localized and generalized forms of blistering in junctional epidermolysis bullosa due to COL17A1 mutations in the Netherlands

    NARCIS (Netherlands)

    Pasmooij, A. M. G.; Pas, H. H.; Jansen, G. H. L.; Lemmink, H. H.; Jonkman, M. F.

    2007-01-01

    Background Mutations in the gene COL17A1 coding for type XVII collagen cause non-Herlitz junctional epidermolysis bullosa (nH-JEB). Objectives Here we give an overview of the genotype-phenotype correlation in 12 patients from the Netherlands with type XVII collagen-deficient nH-JEB. Patient and meth

  12. Activating KIR and HLA Bw4 ligands are associated to decreased susceptibility to pemphigus foliaceus, an autoimmune blistering skin disease.

    Directory of Open Access Journals (Sweden)

    Danillo G Augusto

    Full Text Available The KIR genes and their HLA class I ligands have thus far not been investigated in pemphigus foliaceus (PF and related autoimmune diseases, such as pemphigus vulgaris. We genotyped 233 patients and 204 controls for KIR by PCR-SSP. HLA typing was performed by LABType SSO reagent kits. We estimated the odds ratio, 95% confidence interval and performed logistic regression analyses to test the hypothesis that KIR genes and their known ligands influence susceptibility to PF. We found significant negative association between activating genes and PF. The activating KIR genes may have an overlapping effect in the PF susceptibility and the presence of more than three activating genes was protective (OR=0.49, p=0.003. A strong protective association was found for higher ratios activating/inhibitory KIR (OR=0.44, p=0.001. KIR3DS1 and HLA-Bw4 were negatively associated to PF either isolated or combined, but higher significance was found for the presence of both together (OR=0.34, p<10(-3 suggesting that the activating function is the major factor to interfere in the PF pathogenesis. HLA-Bw4 (80I and 80T was decreased in patients. There is evidence that HLA-Bw4(80T may also be important as KIR3DS1 ligand, being the association of this pair (OR=0.07, p=0.001 stronger than KIR3DS1-Bw4(80I (OR=0.31, p=0.002. Higher levels of activating KIR signals appeared protective to PF. The activating KIR genes have been commonly reported to increase the risk for autoimmunity, but particularities of endemic PF, like the well documented influence the environmental exposure in the pathogenesis of this disease, may be the reason why activated NK cells probably protect against pemphigus foliaceus.

  13. Zanamivir Oral Inhalation

    Science.gov (United States)

    ... for inhaling powder) and five Rotadisks (circular foil blister packs each containing four blisters of medication). Zanamivir powder ... put a hole in or open any medication blister pack until inhaling a dose with the Diskhaler.Carefully ...

  14. Caspase-1-Independent IL-1 Release Mediates Blister Formation in Autoantibody-Induced Tissue Injury through Modulation of Endothelial Adhesion Molecules

    NARCIS (Netherlands)

    Sadeghi, Hengameh; Lockmann, Anike; Hund, Anna-Carina; Samavedam, Unni K. S. R. L.; Pipi, Elena; Vafia, Katerina; Hauenschild, Eva; Kalies, Kathrin; Pas, Hendrikus; Jonkman, Marcel F.; Iwata, Hiroaki; Recke, Andreas; Schon, Michael P.; Zillikens, Detlef; Schmidt, Enno; Ludwig, Ralf J.

    2015-01-01

    Although reports documented aberrant cytokine expression in autoimmune bullous dermatoses (AIBDs), cytokine-targeting therapies have not been established in these disorders. We showed previously that IL-6 treatment protected against tissue destruction in experimental epidermolysis bullosa acquisita

  15. On the Oxidation of α-Fe and ε-Fe2N1-z : II. Residual Strains and Blisters in the Oxide Layer

    NARCIS (Netherlands)

    Kooi, Bart J.; Somers, Marcel A.J.; Jutte, Robin H.; Mittemeijer, Eric J.

    1997-01-01

    The development of residual strains in the iron-oxide layers growing on α-Fe and ε-Fe2N1-z at 673 K in O2 at 1 atm was investigated by X-ray diffraction at room temperature. After correction for thermal-strain development due to cooling after oxidation, it was found that tensile growth strains occur

  16. Application Study of QFD in Pharmaceutical Blister Packaging Machine Development%QFD在药品泡罩包装机开发中的应用研究

    Institute of Scientific and Technical Information of China (English)

    梁晶晶; 李瑞琴; 罗维; 刘伟杰

    2011-01-01

    从保证质量的角度出发,对泡罩药品包装机进行分析研究,把QFD技术引入泡罩药品包装机的开发中,以用户需求为基础进行质量功能展开,建立了产品规划阶段的质量屋,为企业应用QFD技术开发产品提供概念设计方案.

  17. Determination of the thickness of plastic sheets used in blister packaging by near infrared spectroscopy: development and validation of the method.

    Science.gov (United States)

    Laasonen, Magali; Harmia-Pulkkinen, Tuulikki; Simard, Christine; Räsänen, Markku; Vuorela, Heikki

    2004-03-01

    A near infrared (NIR) quantitative analysis method was developed for determining the thickness of PVC-based plastic sheets used as pharmaceutical packs. Samples that can be analyzed are transparent films made of polyvinyl chloride (PVC), PVC coated with polyvinylidene dichloride (PVDC) or PVC coated with Thermoelast (TE) and PVDC. The method, based on a partial least squares (PLS) algorithm, is used together with a previously developed NIR identification method to acquire simultaneously qualitative and quantitative information about the samples. Validation of the quantitative method was conducted according to the very recent European Agency for the Evaluation of Medicinal Products (EMEA) guidance on the use of NIR spectroscopy. Suggestions were made for a better statistical evaluation of the calibration model prior to validation. Validation consisted of the study of specificity, accuracy (mean recovery from the reference values was 99.56%), precision (repeatability and intermediate precision were <0.6%), linearity, quantification limit (41 microm), and robustness of the method. This demonstration of the applicability of NIR spectroscopy as a validated quality control tool for pharmaceutical packaging films will hopefully facilitate the acceptance of NIR spectroscopy in pharmaceutical laboratories.

  18. The Design and Analysis of Cam Curve in Blister Packing Machinery%泡罩包装机中的凸轮曲线设计和分析

    Institute of Scientific and Technical Information of China (English)

    刘雄心

    2010-01-01

    在泡罩包装机的设计中,为了实现某种特殊的、不规则的运动,可以采用凸轮机构.本文主要论述了泡罩包装机凸轮曲线的设计原理,并用图形及方程式分析了凸轮曲线的动力特性.

  19. Apoptolysis: a novel mechanism of skin blistering in pemphigus vulgaris linking the apoptotic pathways to basal cell shrinkage and suprabasal acantholysis

    DEFF Research Database (Denmark)

    Grando, S.A.; Bystryn, J.C.; Chernyavsky, A.I.

    2009-01-01

    a 'tombstone' appearance to PV lesions. In contrast to apoptolysis, the classic keratinocyte apoptosis mediating toxic epidermal necrolysis causes death and subsequent sloughing of the entire epidermis. Apoptolysis includes five consecutive steps. (1) Binding of autoantibodies to PV antigens. (2) Activation...

  20. 78 FR 2416 - Notice of Issuance of Final Determination Concerning Rybix® (Tramadol Hydrochloride) Tablets

    Science.gov (United States)

    2013-01-11

    .... FACTS: Rybix ODT is a pharmaceutical product used for the management of moderate to moderately severe... manufacturing is packaging in child- resistant blister packs. The tablets are fed through a tablet feeder and packaged into cold form blisters sealed with child-resistant blister lidstock. The blister pack cards...

  1. Wide Area Recovery and Resiliency Program (WARRP) Knowledge Enhancement Events: Unmet Needs - Long-Term Recovery After Action Report

    Science.gov (United States)

    2012-08-30

    SCENARIO National Planning Scenario #5: Chemical Attack – Blister Agent Blister agent attack on a packed Coors Field (Downtown Denver). 95 fatalities...large blisters on exposed skin. Lewisite is a blister agent that contains arsenic, a poisonous element. Skin irritation from sulfur mustard...gradually turns into large blisters filled with yellow fluid wherever the agent contacted the skin. Temporary blindness can occur if a victim’s eyes are

  2. Wide Area Recovery and Resiliency Program (WARRP) Knowledge Enhancement Events: Behavioral Health Working Group After Action Report

    Science.gov (United States)

    2012-08-27

    CHEMICAL SCENARIO National Planning Scenario #5: Chemical Attack – Blister Agent • Blister agent attack on a packed Coors Field (Downtown Denver...ability to form large blisters on exposed skin. Lewisite is a blister agent that contains arsenic, a poisonous element. Skin irritation from...sulfur mustard gradually turns into large blisters filled with yellow fluid wherever the agent contacted the skin. Temporary blindness can occur if a

  3. Bionomics and integrated control of the pear leaf blister moth,Leucoptera malifoliella (Lepidoptera: Lyonetiidae)%旋纹潜蛾的生物学及综合防治

    Institute of Scientific and Technical Information of China (English)

    虞国跃; 王合; 张君明; 冯术快; 刘曦; 赵连祥

    2013-01-01

    Leucoptera malifoliella (Costa) is an occasional pest of apple and pear in China.This article reviews its damage and host plants,morphology,biology,natural enemies and control techniques,based upon literatures and our research.The moth occurs 4 generations a year in Beijing.Adult emergence starts in the spring,at the ‘ pink bud’ stage of apples,and lasts for about one month,with the peak period at the apple florescence.The caterpillars undergo three larval instars to complete their development,with the average head capsule width of 0.23,0.33,and 0.44 mm for each instar,respectively.Its outbreak occurred in the Wangjiayuan Orchard in Beijing in 2010.In spring of 2011 in this orchard,a huge number of adults were found in the sex pheromone traps,but very few eggs were found on the leaf.The population thereafter was maintained at a very low level.This is believed to be caused by low humidity for overwintering pupae and then low fecundity for the females.Protection of parasitoids is vital for its control,and measures including removing old and loose barks with the cocoons of pupae,and spraying with chlorbenzuron at egg peak during its outbreak,are also suggested.Color pictures for the damage,adult,egg,larva,cocoon and some parasitoids of this moth are provided.%旋纹潜蛾Leucoptera malifoliella (Costa)是苹果和梨上一种偶发性害虫.本文依据文献和我们的研究,综述了旋纹潜蛾的分布与危害、寄主植物、形态、习性、天敌和防治技术.旋纹潜蛾在北京1年4代,越冬代成虫在苹果花蕾露红期时开始羽化,可持续1个多月,盛期发生在苹果的花期.幼虫分为3个龄期,其各龄的平均头壳宽度分别为0.23,0.33和0.44 mm.2011年旋纹潜蛾在北京昌平王家园果园大发生.2011年春天在该果园用性诱剂引诱到大量的旋纹夜蛾成虫,第1代的卵量很低,且当年的种群数量一直很低,可能的原因是越冬期的干旱影响了蛹的活力,从而影响成虫的产卵量.在防治上,以保护寄生蜂为主,可人工清除越冬蛹,大发生时在卵盛期用灭幼脲喷雾防治.本文还提供了该虫为害状、成虫、卵、幼虫、茧和部分天敌的彩色图片.

  4. Sclerosing atrophic lichen with blood blister cured with liquid nitrogen cryotherapy: a case report%冷冻治愈硬化性萎缩性苔藓伴血疱1例

    Institute of Scientific and Technical Information of China (English)

    刘园园; 魏国; 张春敏

    2015-01-01

    冷冻治愈硬化性萎缩性苔藓伴血疱1例,冷冻治疗周期为每3周1次,共2次.第1次冷冻治疗后增厚斑片明显变薄,颜色变浅;第2次冷冻治疗后皮损全部脱落.2个月后复诊,皮损恢复正常,6个月后随访,未见复发.

  5. 纳污泡和排污渠对浅层地下水影响例说%The Example Of Sullage Blister And Trench's Impact On Shallow Groundwater

    Institute of Scientific and Technical Information of China (English)

    齐刚; 王斌

    2005-01-01

    通过对接纳石油化工废水的帖不贴泡和排放油田废水的西部排水干渠及其周围的浅层地下水的调查监测,分析出帖不贴泡的对周围浅层地下水产生了比较明显的污染作用,主要污染物石油类的影响宽度是1705m;西部排水干渠也对附近浅层水质造成了一定的影响,但影响范围较窄,其影响宽度没有超过10m.说明长期接纳石油化工污水的封闭泡沼与排水干渠对浅层地下水已经造成一定程度的影响.

  6. Strengthen management of non-blister-packed tablets in inpatient pharmacy, ensure the safety of drug use%加强病房药房裸片药品的管理确保患者用药安全

    Institute of Scientific and Technical Information of China (English)

    张青霞; 闻满华; 程红勤; 金颖; 王育琴; 闫素英

    2013-01-01

    目的 规范病房药房裸片药品的管理,确保药品质量.方法 将病房药房容易受储存环境影响的12种裸露片进行4种不同储存容器内的稳定性试验,药片从原装药盒剥开后,立即分别储存于具有干燥、密闭和避光功能的容器如德巴金(丙戊酸缓释片)药瓶内(试验A组)、具有密闭和避光功能的容器如整肠生药瓶内(试验B组)和开放容器如塑料临时摆药杯(试验C组);其他用量大的裸片放置于避光密封的LOCK盒中(试验D组).标准组为对应品种储存于原包装内的药片.每天记录药房的温度和湿度,观察裸片药品的外观形状变化.试验时间为1个月.结果 试验温度24 ~ 25℃,相对湿度60%±5%:外观形状开始改变时间:C组裸片<4d,其中替米沙坦片(美卡素)和半片的丙戊酸钠糖衣片2h内就吸湿变黏变硬,B组裸片<14d,A组和D组中裸片试验期间外观形状均没有变化.结论 裸片储存于具有遮光、密闭和干燥功能的容器中可以保证药品的稳定性,从而减少病房备药频率、节省备药时间,提高工作效率,节省人力,减少医院药品浪费.

  7. Add Different Size Iron in Analysis of Blister Copper Waste Preparation Sponge Copper Study%用粗铜分析废液加不同粒度铁屑制取海绵铜研究

    Institute of Scientific and Technical Information of China (English)

    解正军

    2014-01-01

    本次实验用粗铜中金银分析后产生的铜废液,加不同粒度的铁屑进行置换试验,观察反应情况,测定置换出的海绵铜及余留废液含铜情况,得出加不同粒度铁屑制取海绵铜的规律,为海绵铜的实际生产提供指导.

  8. Study of Two Jerk Diagram Continuous Cam Curves Applying in Blister Packing Machinery Design%泡罩包装机械中两种跃度连续型凸轮曲线的研究

    Institute of Scientific and Technical Information of China (English)

    刘雄心; 毛云雁

    2010-01-01

    本文主要论述了泡罩包装机械中的两种跃度连续的凸轮曲线(变形正弦加速度规律曲线和7次项运动规律曲线)的设计原理和方法,并用图形及方程式分析了这两种跃度连续的凸轮曲线的动力特性.

  9. Disease: H00584 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available by mechanically fragile skin that readily blister. The simplex forms of epidermol...ysis bullosa demonstrate blister formation within the basal keratinocytes due to the mutations in the basal

  10. Vardenafil

    Science.gov (United States)

    ... are taking the rapidly disintegrating tablet, check the blister pack before you take your first dose. Do not use any of the medication from the pack if any of the blisters are torn, broken, or do not contain tablets. ...

  11. Mirtazapine

    Science.gov (United States)

    ... To take a mirtazapine disintegrating tablet, open the blister pack with dry hands and place the tablet on ... tablets. Once the tablet is removed from the blister pack, it cannot be stored. Do not split mirtazapine ...

  12. Glatiramer Injection

    Science.gov (United States)

    ... To inject glatiramer, follow these steps: Remove one blister pack from the carton of glatiramer syringes and place ... paper label and remove the syringe from the blister pack. Check your prefilled syringe to be sure it ...

  13. 75 FR 4418 - Mr. Checkout North Texas; Admonition of Registrant

    Science.gov (United States)

    2010-01-27

    ... in higher strengths and packaged in bottles or blister packs in larger quantities. Id. Convenience... twelve 48-count blister packs of Mini Thin ephedrine for $36. GX 33, at 2; see also Tr. 74-76, 78-80....

  14. 19 CFR 134.26 - Imported articles repacked or manipulated.

    Science.gov (United States)

    2010-04-01

    ... requirements is intended to be repacked in retail containers (e.g., blister packs) after its release from...., blister packs), while still in my possession, the new container(s) will not conceal or obscure the...

  15. Deuterium retention in tungsten under combined high cycle ELM-like heat loads and steady-state plasma exposure

    Directory of Open Access Journals (Sweden)

    A. Huber

    2016-12-01

    Enhanced blister formation has been observed under combined loading conditions at power densities close to the threshold for damaging. It is shown that blisters are not mainly responsible for the pronounced increase of the D retention.

  16. 75 FR 4982 - Redelegation of Functions; Delegation of Authority to Drug Enforcement Administration Official

    Science.gov (United States)

    2010-02-01

    ... (i.e., blister packs, with each blister containing no more than two dosage units or, if blister packs... management and is a rule relating to DEA organization, procedure or practice that does not substantially... principles in Executive Order 12866 Sec. 1(b). This rule is limited to agency organization, management...

  17. 75 FR 28063 - M & N Distributors; Dismissal of Proceeding

    Science.gov (United States)

    2010-05-19

    ... Tennessee customers in a twelve-count blister box or a six-counter blister pack. Id. at 311-12, 351-53; RX 1... selling only soft-gel products in blister packs. Id. at 352-53. Moreover, he accepted returned tablets...

  18. 75 FR 81943 - Appliance Labeling Rule

    Science.gov (United States)

    2010-12-29

    ... unusual configurations, such as extended side panels and blister packs, and because their small size makes... blister packs, space devoted to warnings, and space occupied by graphics in calculating whether a package... labeling on their packages, manufacturers should not include blister pack surfaces covering the...

  19. Floating Carpets and the Delamination of Elastic Sheets

    KAUST Repository

    Wagner, Till J. W.

    2011-07-22

    We investigate the deformation of a thin elastic sheet floating on a liquid surface and subject to a uniaxial compression. We show that at a critical compression the sheet delaminates from the liquid over a finite region forming a delamination "blister." This blistering regime adds to the wrinkling and localized folding regimes that have been studied previously. The transition from wrinkled to blistered states occurs when delamination becomes energetically favorable compared with wrinkling. We determine the initial blister size and the evolution of blister size with continuing compression before verifying our theoretical results with experiments at a macroscopic scale. © 2011 American Physical Society.

  20. Surface morphology and deuterium retention in tungsten exposed to high flux D plasma at high temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Jia, Y.Z. [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); De Temmerman, G. [FOM Institute DIFFER-Dutch Institute for Fundamental Energy Research, Edisonbaan 14, 3439 MN Nieuwegein (Netherlands); ITER Organization, Route de Vinon-sur-Verdon-CS90046, 13067 St Paul Lez Durance Cedex (France); Luo, G.-N. [Institute of Plasma Physics, Chinese Academy of Sciences, Hefei, Anhui 230031 (China); Xu, H.Y. [Science and Technology on Surface Physics and Chemistry Laboratory, Mianyang, Sichuan 621907 (China); Li, C.; Fu, B.Q. [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Liu, W., E-mail: liuw@mail.tsinghua.edu.cn [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China)

    2015-02-15

    Surface modifications and deuterium retention induced in tungsten by high fluxes (10{sup 24} m{sup −2} s{sup −1}) low energy (38 eV) deuterium ions were studied as a function of surface temperature. Blister formation was studied by scanning electron microscopy and electron backscatter diffraction, while deuterium retention was measured by thermal desorption spectroscopy. Blisters are observed on the surface exposed at different temperatures, ranging from 493 K to 1273 K. The blister density and D retention decrease with the increasing exposure temperature. The formation of blisters at high temperatures is attributed to the high flux of D plasma. At 943 K, with the increasing fluence, there is trend to the saturation of D retention and blister density. The defects caused by plasma exposure have an important effect on the D trapping and blistering behavior. The formation of blisters has a strong relationship with slipping system of tungsten.

  1. Increased Levels of Type I and III Collagen and Hyaluronan in Scleroderma Skin

    DEFF Research Database (Denmark)

    Søndergaard, Klaus; Heickendorff, Lene; L, Risteli

    1997-01-01

    The aminoterminal propeptide of type III procollagen (PIIINP) and the carboxyterminal propeptide of type I procollagen (PICP) and hyaluronan (HA) were measured in plasma and suction blister fluid from 13 systemic sclerosis patients and 11 healthy volunteers. Suction blisters and skin biopsies were...... from the transition zone between normal skin and scleroderma, and uninvolved abdominal skin of patients. The median value of suction blister PIIINP from the transition zone was 38% higher than suction blister PIIINP from uninvolved skin. PIIINP was localized to the dermis by immunohistochemical...... techniques. PICP and HA levels in blisters from the transition zone were 87% and 53%, respectively, above the levels measured in uninvolved skin. Furthermore, PICP and HA blister levels from the transition zone were 67% and 63%, respectively, higher than the levels measured in healthy volunteers. In plasma...

  2. Freestanding single-crystalline magnetic structures fabricated by ion bombardment

    Energy Technology Data Exchange (ETDEWEB)

    Schoenherr, P.; Bischof, A.; Boehm, B.; Eib, P.; Grimm, S.; Gross, L.; Allenspach, R., E-mail: ral@zurich.ibm.com [IBM Research – Zurich, 8803 Rüschlikon (Switzerland); Alvarado, S. F. [Department of Materials, ETH Zürich, 8093 Zürich (Switzerland)

    2015-01-19

    Starting from an ultrathin Fe film grown epitaxially on top of a GaAs(001) substrate, we show that freestanding structures can be created by ion-beam treatment. These structures are single-crystalline blisters and only a few nanometers thick. Anisotropic stress in the rim of a blister induces magnetic domain states magnetized in the direction normal to the blister edge. Experimental evidence is provided that the lateral size can be confined by starting from a nanostructured template.

  3. Demonstration of Corrosion-Resistant Coatings for Air-Conditioning Coils and Fins

    Science.gov (United States)

    2015-06-01

    12 Table 3. Blister ratings according to ASTM D714-02, “Standard Test Method for Evaluating Degree of Blistering of Paints...the Assistant Chief of Staff for Installation Management (ACSIM), and the stakeholder was the U.S. Army Installation Management Command (IMCOM). The...Additional photographs of the on-site coupon racks are shown in Section 3.2 and the appendix of this report. Observations of blistering ERDC/CERL TR-15

  4. Denver UASI All-Hazards Regional Recovery Framework. Version 1.1

    Science.gov (United States)

    2012-10-31

    and discussions to help frame the context for this annex and includes the following characteristics: • Blister agent attack on a packed Coors...separated by severity of effect: lethal, blister , and incapacitating. (Source: FEMA, 2002, Managing the Emergency Consequences of Terrorist Incidents...based on the National Planning Scenario #5: Chemical Attack– Blister Agent, tailored for the region. This scenario was utilized during several workshops

  5. The ammonia phenol hydroxy tested the alkone piece union helium neon laser treatment belt-shaped blister measles to lose neuralgia the clinical research%氨酚羟考酮片联合氦氖激光治疗带状疱疹后遗神经痛的临床研究

    Institute of Scientific and Technical Information of China (English)

    杜爱杰; 马贵林; 曾海燕

    2010-01-01

    目的:探讨氨酚羟考酮片联合氦氖激光治疗带状疱疹后遗神经痛(PHN)的疗效.方法:62例PHN患者随机分为2组,治疗组35例,每次口服氨酚羟考酮片0.33g,bid联合氦氖激光治疗qd,疼痛部位照射15分钟,对照组32例,每次口服氨酚羟考酮片0.33g,bid治疗10 d后观察疗效及不良反应.结果:治疗组与对照组治疗有效率比较有统计学意义(P<0.05).结论:氨酚羟考酮片联合氦氖激光治疗PHN安全、有效.

  6. Effects of floor material, stocking density and sex management on breast blister incidence and breast muscle composition of broilers%笼底材料、密度和性别组群对肉鸡胸囊肿发生及胸肌成分的影响

    Institute of Scientific and Technical Information of China (English)

    赵芙蓉; 李保明; 耿爱莲; 何万领; 周东; 董泰丽

    2006-01-01

    该研究采用了三因素三水平的正交试验设计,就笼底材料、饲养密度、性别组群等三因素对3~6周龄笼养AA肉仔鸡发生胸囊肿及对其胸肌成分的影响进行了研究.结果表明:铁丝笼底、高饲养密度(17.25只/m2)、公鸡组的发病率最高,平均达34.09%,并显著高于其他组(P<0.05).铁丝笼底显著高于塑料和竹竿笼底(P<0.05),高密度(17.25只/m2)显著高于低密度(10.98只/m2)(P<0.05),笼底材料是导致胸囊肿发病的主要环境因素,而性别组群对其无显著影响(P>0.05).不同笼底下胸肌水分和蛋白质含量以竹竿笼底的含量最高,铁丝笼底下的胸肌蛋白含量最低(P<0.05).胸肌脂肪则不受笼底、密度和性别组群的影响.因此,该试验表明,竹竿笼底和塑料笼底材料可降低笼养肉仔鸡胸囊肿的发病率,有利于提高其胸肌品质.

  7. 板式组合药在治疗肺结核时的不良反应与患者体质量分析%Analysis on adverse drug reactions of blister pack drug in treating pulmonary tuberculosis and body mass index

    Institute of Scientific and Technical Information of China (English)

    陈瑜晖; 温良焕; 蒋莉; 尹建军; 温梅云

    2010-01-01

    [目的]探讨板式组合药在初治涂阳肺结核患者应用中的不良反应与患者体质量的关系.[方法]对273例确诊的初治涂阳肺结核患者,采用短程化疗方案,用抗结核板式组合药进行治疗并观察不良反应.[结果]患者在应用抗结核板式组合药的治疗过程中出现不良反应症状共114例,占全部病例的41.76%,发生不良反应的患者中以体质量低于标准体质量者居多,占76.32%.低于标准体质量组的患者与正常或高于标准体质量者在总反应、胃肠道反应、肝损害、尿酸增高及关节痛方面存在显著性差异(P<0.05);而在血液有形成分、神经系统反应及其它方面无差别(P>0.05).[结论]低于标准体质量的患者在服用抗结核板式组合药时更容易发生不良反应.在应用板式组合药时应考虑到患者的体质量因素.

  8. 抗结核固定剂量复合剂与板式组合药治疗肺结核效果对比分析%Comparison analysis on Fixed-dose Combination and blister pack drug in treating tuberculosis patients

    Institute of Scientific and Technical Information of China (English)

    谭卫国; 杨应周; 吴清芳; 张玉华; 管红云; 钟球; 王甦民; 傅瑜

    2007-01-01

    目的 研究国产抗结核FDC的有效性和安全性,探索适合深圳市结核病防治用药.方法 从深圳市罗湖区和南山区登记的全部初治涂阳病例中随机抽取200例,其中FDC组、对照组(板式组合药)各100例,均采用全程督导的方式.对两组病人的用药剂量、临床表现、治疗效果、不良反应进行分析比较.结果 (1)FDC组与对照组患者1、2、3、6个月末相关临床症状(如盗汗、发热、咳嗽、咯血、胸痛、呼吸困难、乏力)的出现率均逐渐下降,两组无显著性差异(P>0.05);(2)FDC组与对照组2个月末痰菌阴转率分别为88%、84%,6个月末痰菌阴转率提高到98%、97%,两组6个月末结核空洞闭合率分别为58.3%、48.6%,痰菌阴转率X线胸片吸收率和空洞闭合率均无显著性差异(P>0.05);(3)FDC组与对照组临床不良反应率分别为25%和18%,WBC异常率分别为18%和11%,AST异常率分别为16%和9%,TBIL异常率分别为19%和15%,临床和实验室检测的结果均无显著性差异(P>0.05);(4)FDC中利福平(R)的体质量与剂量相关系数为0.804,高于组合药中利福平(R)的体质量与剂量相关系数(0.781).FDC组异烟肼(H)、利福平(R)、吡嗪酰胺(Z)、乙胺丁醇(E)的用药剂量低于对照组,有显著性差异(P<0.05).结论 国产FDC与板式组合药的治疗效果相同,不良反应率相近,但FDC药物的用药剂量低,具有一定的推广应用前景.

  9. 四川省抗结核固定剂量复合制剂与板式组合药治疗效果分析%Effect of Anti-tuberculosis Therapy between the Fixed-dose Combination and Blister Pack in Sichuan Province

    Institute of Scientific and Technical Information of China (English)

    李运葵; 何金戈; 李婷; 张佩如

    2016-01-01

    目的 评价抗结核固定复合制剂(FDC)与板式组合药(板式药)在四川省结核病防治规划中治疗肺结核患者的效果,为完善全省抗结核药品管理及为FDC在全省推广使用提供科学依据.方法 以2014年在全省10个县区开展不良反应监测数据为基础,采用对照研究的方法,将使用FDC的5个县区与使用板式药的5个县区分组进行分析研究,对纳入的初治肺结核患者进行对比观察,按照《中国结核病防治规划实施工作指南》要求进行治疗管理,对两组患者的用药剂量、临床表现、治疗效果及不良反应进行分析比较,采用x2检验,以P<0.05为差异有统计学意义.结果 纳入患者1261例,其中FDC组707例,板式药组554例.2个月和3个月末痰涂片阴转率,FDC组分别为92.38%和93.81%,板式药组分别为97.24%和98.62%.2组患者3个月末痰涂片阴转率差异有统计学意义(P<0.05).治愈率,FDC组97.62%,板式药组97.24%,2组差异无统计学意义(P>0.05).在不良反应发生病例数中,FDC组362例(51.20%);板式药组341例(61.55%),经统计学分析,使用板式药和FDC不良反应率差异有统计学意义(x2=13.488,P<0.05),板式药不良反应率高于FDC.按照两种制剂用量方法计算患者口服药片数,1261例初治肺结核患者全疗程下来FDC组比板式组减少了24.28%.结论 FDC与板式药的治疗效果相当,但FDC不良反应发生低于板式药,且用药剂量少,规模化推广应用FDC是可行的.

  10. Dermal, Eye and Oral Toxicological Evaluations. Phase IV Report with Disperse Red 11, Disperse Blue 3, Solvent Red 1, and Red and Violet Mixtures

    Science.gov (United States)

    1986-04-01

    through 3), chemosis (grades I and 2), discharge (grades 1 and 2), and iritis (grade 1) were observed during the study. Blistering of the conjunctivae was...grades I through 3), chemosis (grades 1 through 3), discharge (grades 1 through 3), iritis (grade 1), blistering of the conjunctivae, opacities, and

  11. Modeling delamination due to thermal stress in optical storage media

    Science.gov (United States)

    Nkansah, M. A.; Evans, K. E.

    1990-04-01

    Finite element analysis is used to calculate the shape of blisters formed in bilayer optical storage media due to the buildup of thermal stresses during laser writing. It is shown that practically usable blisters may be expected to form in a time period of about 15 ns. Such a thermal stress delamination process may also precede melting in conventional pit formation processes.

  12. Parents: Avoid Kids Foot Problems with the Right Shoes

    Science.gov (United States)

    ... to the tip of the big toe. Tight shoes can cause blisters, corns and calluses on your child’s toes, blisters on the back of the heels or worse, ingrown nails, which can become infected. ... nail. Shoes wear out Shoes lose their shock absorption over ...

  13. "I've got a UFO stuck in my throat!"--an interesting case of foreign body impaction in the oesophagus.

    Science.gov (United States)

    Yip, L W; Goh, F S; Sim, R S

    1998-03-01

    This is a case report of an elderly lady with odynophagia because she accidentally swallowed a tablet which was still wrapped in its blister pack. A discussion of foreign body ingestion, particularly in the elderly, is included. To the authors' knowledge, this is the first paper that includes a lateral cervical radiograph of an ingested blister pack.

  14. Gclust Server: 191579 [Gclust Server

    Lifescience Database Archive (English)

    Full Text Available 191579 DME_CG15288_24584296 Cluster Sequences - 3375 wb: wing blister CG15288-PB, i...Link to cluster sequences Cluster Sequences Link to related sequences - Sequence length 3375 Representative annotation wb: wing blist...er CG15288-PB, isoform B Number of Sequences 1 Homologs

  15. 75 FR 17927 - Kevin Xu: Debarment Order

    Science.gov (United States)

    2010-04-08

    ...: Submit applications for special termination of debarment to the Division of Dockets Management (HFA-305... for shipment to the United States various blister strips containing counterfeit TAMIFLU, CASODEX..., namely a shipment containing blister strips of TAMIFLU capsules that were labeled in a manner to...

  16. 76 FR 42631 - Endangered and Threatened Wildlife and Plants; 12-Month Finding on a Petition To List Pinus...

    Science.gov (United States)

    2011-07-19

    ... declining due to impacts from mountain pine beetles, white pine blister rust, and fire suppression. After... (1,829,547 ac)). Small amounts of P. albicaulis also can be found on Bureau of Land Management lands... following the 1910 introduction of the exotic disease white pine blister rust. Although we do not have...

  17. Gclust Server: 203470 [Gclust Server

    Lifescience Database Archive (English)

    Full Text Available 203470 DME_CG15288_24584298 Cluster Sequences - 2731 wb: wing blister CG15288-PA, i...Link to cluster sequences Cluster Sequences Link to related sequences - Sequence length 2731 Representative annotation wb: wing blist...er CG15288-PA, isoform A Number of Sequences 1 Homologs

  18. Evaluation of an Oxygen-Diffusion Dressing for Accelerated Healing of Donor-Site Wounds

    Science.gov (United States)

    2014-06-01

    admitted to the U.S. Army Institute of Surgical Research Burn Center, who required surgical management of their wounds. Exclusion criteria...have blisters at their donor sites at their final 30- to 45-day visit; the blisters were present at both OxyBand and Xero- form sites. No other

  19. 78 FR 20511 - Safety Standard for Soft Infant and Toddler Carriers

    Science.gov (United States)

    2013-04-05

    ..., abrasions, blisters, and scratches. C. Hazard Pattern Identification The primary hazard associated with use... carrier when the caregiver bent forward abrasions and/or blisters on infants from prolonged rubbing... the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C....

  20. Key Planning Factors for Recovery from a Chemical Warfare Agent Incident

    Science.gov (United States)

    2012-07-01

    chemical scenario involving the release of a blister agent (mustard lewisite) would result in a waste that the State of Colorado would regulate as... Waste Management ................................................................. 24 4.3 Key Planning Factors: Recovery Planning...Planning Factors, this document presents a chemical warfare agent scenario featuring Agent Yellow, a blister agent. Agent Yellow is a mixture of

  1. 75 FR 49951 - Hilmes Distributing, Inc.; Dismissal of Proceeding

    Science.gov (United States)

    2010-08-16

    ... to one package of 6-count or 12-count blister packs, while under Missouri law, an individual could... longer stocked 6-count, 12-count, and 24-count gel cap packages but only 12-tablet and 24-tablet blister packs. Id. at 176. Lacking gel caps in its inventory, Respondent had only twelve active List I...

  2. Bullous lesions as a manifestation of systemic lupus erythematosus in two Mexican teenagers

    Directory of Open Access Journals (Sweden)

    López-Corella Eduardo

    2010-07-01

    Full Text Available Abstract Rarely, systemic lupus erythematosus (SLE presents with bullous lesions due to severe edema and hydropic degeneration of the basal layer, or as a subepidermal blistering disease. Here, we describe two Mexican teenagers, one with SLE with blisters and another with bullous SLE. We also discuss the mechanisms and clinical implications of lesion formation in patients with SLE and bullae.

  3. HUMAN SKIN MICROORGANISMS ARE DISTRIBUTED IN BIOFILM AGGREGATES AT WOUND EDGES

    DEFF Research Database (Denmark)

    Bay, L.; Agren, M. S.; Poulsen, Steen Seier

    2015-01-01

    -smoking healthy volunteers aged18 –49 yea rs were enrolled (NCT02116725). Suction blisters were raised on each but-tock by applying chambers with a 10 mm opening at 2380 mmHg and surface tem-perature of 408C. The blister roofs comprising the entire epidermis were excised. The60 wounds were scanned by OCT on day 0...

  4. Localized bullous pemphigoid: report of a case with an immunofluorescence and electron microscopical studies on the lesional distribution of 180-KD bullous pemphigoid antigen, beta 4 integrin, and type VII collagen.

    Science.gov (United States)

    Kitajima, Y; Suzuki, M; Johkura, Y; Yaoita, H

    1993-07-01

    A 67-year-old woman with a left-sided hemiplegia had localized bullous pemphigoid demonstrating typical clinical lesions on the left pretibial skin and the radial-side skin of the right forearm. The histology showed a subepidermal blister with extensive hyperkeratosis, hypergranulosis, and acanthosis. Direct immunofluorescence revealed distinct linear deposits of IgG and C3 at the dermo-epidermal junction in the perilesional skin and in the roof of the blisters, but few deposits in nonlesional skin. Electron microscopy revealed separation in the lamina lucida. Indirect immunofluorescence of type VII collagen showed its localization in the blister floor. The distribution of the 180-KD bullous pemphigoid antigen (BPA) and beta 4 integrin, hemidesmosomal transmembrane proteins, were studied in the lesional skin by indirect immunofluorescence. Both 180-KD BPA and beta 4 integrin were localized in the blister roof. By immunoelectron microscopy, beta 4 integrin was detected in small groups on the cell surface facing the blister cavity. Since the epitope of the monoclonal antibody to 180-KD BPA used here is known to be localized at a distance of 20 to 50 nm from the membrane surface and this epitope retained in the blister roof, it appears that the blister was produced in the deep lamina lucida. The lesions were cleared with topical 0.05% clobetasole propionate ointment.

  5. Measuring Patient Adherence to Malaria Treatment: A Comparison of Results from Self-Report and a Customised Electronic Monitoring Device.

    Directory of Open Access Journals (Sweden)

    Katia Bruxvoort

    Full Text Available Self-report is the most common and feasible method for assessing patient adherence to medication, but can be prone to recall bias and social desirability bias. Most studies assessing adherence to artemisinin-based combination therapies (ACTs have relied on self-report. In this study, we use a novel customised electronic monitoring device--termed smart blister packs--to examine the validity of self-reported adherence to artemether-lumefantrine (AL in southern Tanzania.Smart blister packs were designed to look identical to locally available AL blister packs and to record the date and time each tablet was removed from packaging. Patients obtaining AL at randomly selected health facilities and drug stores were followed up at home three days later and interviewed about each dose of AL taken. Blister packs were requested for pill count and extraction of smart blister pack data.Data on adherence from both self-report verified by pill count and smart blister packs were available for 696 of 1,204 patients. There was no difference between methods in the proportion of patients assessed to have completed treatment (64% and 67%, respectively. However, the percentage taking the correct number of pills for each dose at the correct times (timely completion was higher by self-report than smart blister packs (37% vs. 24%; p<0.0001. By smart blister packs, 64% of patients completing treatment did not take the correct number of pills per dose or did not take each dose at the correct time interval.Smart blister packs resulted in lower estimates of timely completion of AL and may be less prone to recall and social desirability bias. They may be useful when data on patterns of adherence are desirable to evaluate treatment outcomes. Improved methods of collecting self-reported data are needed to minimise bias and maximise comparability between studies.

  6. Injuries Associated with the 580 km University Student Grand Voluntary Road March: Focus on Foot Injuries

    OpenAIRE

    Choi, Sang-Cheon; Min, Young-Gi; Lee, In-Soo; Yoon, Gi-Ho; Kang, Bo-Ra; Jung, Yoon-Seok; Cho, Joon-Pil; Kim, Gi-Woon

    2013-01-01

    College student volunteers (n = 142) completed a 580 km road march for 21 consecutive days. Each volunteer carried a backpack that weighed 14.1 ± 1.4 kg on the average. We investigated the incidence and location of blisters associated with the road march using a foot map along with other injuries. Overall, 95.1% of the subjects (135 of 142) sustained one or more injuries. All injured subjects had foot blisters, and 18% had other foot injuries. The most common locations of blister development ...

  7. Predictive Models to Estimate Probabilities of Injuries and Adverse Performance Outcomes in U.S. Army Basic Combat Training

    Science.gov (United States)

    2014-03-01

    medical assets closer to recruits,7 use of specific sock systems8 and antiperspirants9 to reduce foot blisters , and use of mouthguards for reducing...foot blisters . Mil Med 1996 Oct;161 (1 0):594-8. 9. Knapik JJ, Reynolds K, Barson J. Influence of an antiperspirant on foot blister incidence during...100 cigarettes in your life? (100 cigarettes= 5 packs ) Yes ® No ® 8. How old were you when you smoked a whole cigarette for the first time? (If you

  8. Bullous Keratopathy

    Science.gov (United States)

    ... cloudy cornea with blisters on the surface. Treatment Salty eye drops Drugs to lower pressure in the ... and treatment—surgical and nonsurgical—of eye disorders). Salty eye drops (hypertonic saline) and salty ointments are ...

  9. Mouth ulcers

    Science.gov (United States)

    ... include: Canker sores Gingivostomatitis Herpes simplex ( fever blister ) Leukoplakia Oral cancer Oral lichen planus Oral thrush A ... chap 22. Read More Canker sore Cellulitis Gingivostomatitis Leukoplakia Lichen planus Mouth sores Oral cancer Tooth abscess ...

  10. Dyshidrotic eczema

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/000832.htm Dyshidrotic eczema To use the sharing features on this page, please enable JavaScript. Dyshidrotic eczema is a condition in which small blisters develop ...

  11. Shingles (Herpes Zoster)

    Science.gov (United States)

    ... a painful, blistering rash. Shingles: Overview Also called herpes zoster Anyone who has had chickenpox can get shingles. ... involve the eye are called ocular shingles or herpes zoster ophthalmicus. Signs and symptoms of shingles in the ...

  12. Micro-scale delaminating and buckling of thin film on soft substrate

    Science.gov (United States)

    Wu, Dan; Xie, Huimin; Yin, Yajun; Tang, Minjin

    2013-03-01

    In this paper, a simple process is suggested to estimate the interfacial toughness of the material system ‘aluminum film/soft PDMS substrate’. The specimen, i.e. the aluminum film deposited on the soft polydimethylsiloxane (PDMS) substrate, is subject to a tensile load, and delaminating and buckling of aluminum film are observed in the perpendicular direction to the tensile strain. With the aid of the buckling blisters, the interfacial toughness of the material system is estimated. Large deformation is considered during the buckling of the thin film, and the interfacial toughness is deduced from a fracture theory. Besides, the evolution from one single blister to three blisters and then four blisters is observed in situ under microscope. This simplified method has potential applications to flexible electronics in which interfacial toughness of the metal film/soft substrate must be well controlled.

  13. Thermal instability of DLC film surface morphology - an AFM study

    Science.gov (United States)

    Maheswaran, R.; Thiruvadigal, D. John; Gopalakrishnan, C.

    2012-06-01

    The surface morphology of the DLC film during thermal annealing at particular temperature above the graphitization temperature shows blistering and buckling and also delaminates from the substrate. The DLC film shows poor thermal stability at higher temperature.

  14. STD Testing: What's Right for You

    Science.gov (United States)

    ... have symptoms. Your doctor may take a tissue scraping or culture of blisters or early ulcers, if ... a not-for-profit organization and proceeds from Web advertising help support our mission. Mayo Clinic does ...

  15. 7 CFR 51.1280 - Serious damage.

    Science.gov (United States)

    2010-01-01

    .... (5) Insects: (i) Worm holes. More than three healed codling moth stings, of which not more than two... appearance to an equal extent. 2 (ii) Blister mite or canker worm injury which affects an aggregate area...

  16. Ciclopirox Topical

    Science.gov (United States)

    ... patches of scales and blisters on the skin, hair, or nails); peripheral vascular disease (narrowing of blood ... to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in ...

  17. Bart syndrome

    Directory of Open Access Journals (Sweden)

    Gaikwad Anil

    1993-01-01

    Full Text Available An infant presenting with extensive aplasia cutis on lower extremities later developed blisters on skin and mucous membrane. Clinical features and histopathological examination of skin favoured the diagnosis of Bart syndrome.

  18. The 300000 ton Secondly Copper Project in Wuzhou Will be Put Into Trial Soon

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    <正>According to the information collected by the reporter from the Guangxi Non-ferrous Metals Group Company Limited, the 300000 ton secondly copper smelting project in Wuzhou of Guangxi will start to produce copper blister

  19. Saccharomyces boulardii

    Science.gov (United States)

    ... bowel syndrome. Some people use Saccharomyces boulardii for lactose intolerance, urinary tract infections (UTIs), vaginal yeast infections, high ... cholesterol. Lyme disease. Hives. Fever blisters. Canker sores. Lactose intolerance. Other conditions. More evidence is needed to rate ...

  20. Pemphigus herpetiformis

    OpenAIRE

    Varghese Susan; George Soshamma; Jacob Mary; Chandi Sushil

    1995-01-01

    A 70-year old Indian lady with a two year history of a blistering eruption is described. This eruption clinically resembled dermatitis herepetiformis and responded to dapsone, however, histological and immunological investigations showed features of pemphigus herepetiformis

  1. Pemphigus herpetiformis

    Directory of Open Access Journals (Sweden)

    Varghese Susan

    1995-01-01

    Full Text Available A 70-year old Indian lady with a two year history of a blistering eruption is described. This eruption clinically resembled dermatitis herepetiformis and responded to dapsone, however, histological and immunological investigations showed features of pemphigus herepetiformis

  2. PDE4 Inhibition as Potential Treatment of Epidermolysis Bullosa Acquisita

    NARCIS (Netherlands)

    Koga, Hiroshi; Recke, Andreas; Vidarsson, Gestur; Pas, Hendri H.; Jonkman, Marcel F.; Hashimoto, Takashi; Kasprick, Anika; Ghorbanalipoor, Saeedeh; Tenor, Hermann; Zillikens, Detlef; Ludwig, Ralf J.

    2016-01-01

    Pemphigoid diseases such as epidermolysis bullosa acquisita (EBA) may be difficult to treat. In pemphigoid diseases, mucocutaneous blistering is caused by autoantibodies to hemidesmosomal antigens; in EBA the autoantigen is type VII collagen. Despite growing insights into pemphigoid disease pathogen

  3. Failure behavior of protective organic coatings under corrosive conditions

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xian-cheng; XU Bin-shi; WANG Hai-dou; WU Yi-xiong

    2004-01-01

    Recent research activities on the formation of micro-defects and porosity in organic coatings were reviewed. The mechanisms of aggressive ionic conduction through organic coatings were analyzed. The micro-mechanisms for the failure behavior of coatings under corrosive environments were discussed in detail. These mechanisms included blistering (i. e. osmotic blistering, anodic blistering and cathodic blistering) in the coating, wet-adhesion loss at the substrate/coating interface, cathodic delamination of coating from the substrate. Based on these researches, it was found that the failure behavior of organic coatings is closely related to the micro-defects in coatings, regardless of the failure mode. Additionally, the general failure mode of a coating system was proposed to interpret the failure behavior of organic in corrosion environments. The topics discussed can provide some insights into the development of a methodology for designing fail-safe coating systems.

  4. Angina bullosa hemorrhagica: report of 11 cases

    Directory of Open Access Journals (Sweden)

    Julieta Ruiz Beguerie

    2014-05-01

    Full Text Available Angina bullosa hemorrhagica is a rare and benign disorder, usually localized in the subepithelial layer of the oral, pharyngeal and esophageal mucosa. The lesions are characterized by their sudden onset. They appear as a painless, tense, dark red and blood-filled blister in the mouth that rapidly expand and rupture spontaneously in 24-48 hours. The underlying etiopathology remains ill defined, although it may be a multifactorial phenomenon including diabetes, and steroid inhalers. The condition is not attributable to blood dyscrasias, nor other vesicular-bullous disorders. In this study, eleven patients with such blisters are described. Physical examination of the patients revealed a single blister with hemorrhagic content localized in the oral mucosa. Biopsy of the lesions showed sub epithelial blisters with a mild infiltrate. In general practice, dermatologists could face a blood-filled bullous lesion of the oral mucosa. Recognition is, therefore, of great importance for dermatologists.

  5. Exports Aren't In Trouble, Prices Are

    Institute of Scientific and Technical Information of China (English)

    BRADLEY GARDNER

    2008-01-01

    @@ In the face of high and rising inflation, many are worried about whether China's export-dependent economy can continue its blistering pace of growth in the face of tightening monetary conditions at home and an economic slowdown abroad.

  6. Soluble intercellular adhesion molecule-1 (sICAM-1) and soluble interleukin-2 receptors (sIL-2R) in scleroderma skin

    DEFF Research Database (Denmark)

    Søndergaard, Klaus; Deleuran, Mette; Heickendorff, Lene;

    1998-01-01

    In order to investigate whether soluble intercellular adhesion molecule-1 (sICAM-1) and soluble interleukin-2 receptors (sIL-2R) were present in scleroderma skin, and to compare their levels to concentrations measured in plasma and clinical parameters, we examined suction blister fluid and plasma...... from 13 patients with systemic sclerosis and 11 healthy volunteers. Suction blisters and biopsies were from the transition zone between normal skin and scleroderma, and uninvolved abdominal skin. The levels of sICAM-1 and sIL-2R were significantly increased in both plasma and suction blister fluid from...... systemic sclerosis patients compared with healthy volunteers. ICAM-1 was localized to vessels and perivascular mononuclear infiltrates by immunohistochemical methods. IL-2R was expressed by CD3-positive cells. The elevated levels of sICAM-1 and sIL-2R in suction blister fluid point towards activation...

  7. Dielectric Coating Thermal Stabilization During GaAs-Based Laser Fabrication for Improved Device Yield

    Science.gov (United States)

    Connors, Michael K.; Millsapp, Jamal E.; Turner, George W.

    2016-06-01

    The quality and yield of GaAs-based ridge waveguide devices fabricated at MIT Lincoln Laboratory were negatively impacted by the random lot-to-lot appearance of blisters in the front-side contact metal. The blisters signaled compromised adhesion between the front-side contact metal, underlying SiO2 dielectric coating, and semiconductor surface. A thermal-anneal procedure developed for the fabrication of GaAs slab coupled optical waveguide (SCOW) ridge waveguide devices stabilizes the SiO2 dielectric coating by means of outgassing and stress reduction. This process eliminates a primary source of adhesion loss, as well as blister generation, and thereby significantly improves device yield. Stoney's equation was used to analyze stress-induced bow in device wafers fabricated using this stabilization procedure. This analysis suggests that changes in wafer bow contribute to the incidence of metal blisters in SCOW devices.

  8. Effect of crystal orientation on low flux helium and hydrogen ion irradiation in polycrystalline tungsten

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Fangshu [Department of Physics, Beihang University, Beijing 100191 (China); School of Material Engineering, Panzhihua University, Panzhihua 617000 (China); Ren, Haitao; Peng, Shixiang [State Key Laboratory of Nuclear Physics and Technology, Institute of Heavy Ion Physics, Peking University, Beijing 100871 (China); Zhu, Kaigui, E-mail: kgzhu@buaa.edu.cn [Department of Physics, Beihang University, Beijing 100191 (China)

    2014-08-15

    Blistering behavior in polycrystalline tungsten is investigated under low flux helium and hydrogen ion irradiation. Subsequent to irradiation, the grain orientations near (0 1 1), (1 0 1) and (1 1 1) planes on the surface are analyzed by SEM and EBSD. It is found that blister density is the greatest on the grain orientation near (1 1 1) plane, and the smallest on the grain orientation near (0 0 1) plane. Experiments suggest that blistering degree highly depends upon the grain orientation, blisters are easily formed on the grain orientation near (1 1 1) plane, and medium on the grain orientation near (1 0 1) plane, and the most rare on the grain orientation near (0 1 1) plane. The surface resistant orientation of tungsten is orientation near (0 0 1) plane. The atom binding energy in the crystal plane in combination with the channeling effect of adjacent crystal planes may play an important role for the difference of the surface morphology.

  9. Staphylococcus hyicus exfoliative toxins selectively digest porcine desmoglein 1

    DEFF Research Database (Denmark)

    Fudaba, Y.; Nishifuji, K.; Andresen, Lars Ole;

    2005-01-01

    . Recently, genes for ExhA, ExhB, ExhC and ExhD were cloned. Exfoliative toxins produced by S. aureus have been shown to selectively cleave human or mouse desmoglein 1, a desmosomal adhesion molecule, that when inactivated results in blisters. In this study, we attempted to identify the molecular target...... of Exhs in porcine skin. Each of recombinant Exhs injected in the skin of pigs caused superficial epidermal blisters or crust formation. Cell surface staining of desmoglein 1, but not that of desmoglein 3, was abolished when cryosections of normal porcine skin were incubated with one of Exhs suggesting......, injection of ExhA and ExhC at high concentration caused superficial blisters in neonatal mice. These findings strongly suggest that Exhs cause blister formation of porcine skin by digesting porcine desmoglein I in a similar fashion to exfoliative toxins from S. aureus....

  10. Health Issues and Treatments

    Science.gov (United States)

    ... People with spina bifida can develop sores, calluses, blisters, and burns on their feet, ankles, and hips. ... cause burns. Make sure to wear properly fitting shoes at all times. Use sunscreen and don’t ...

  11. Hey! A Bee Stung Me!

    Science.gov (United States)

    ... the fire ant, which turns into an itchy blister. Wasps and many bees can sting more than ... stung, so here's some advice for everyone: Wear shoes outdoors. Don't disturb hives or insect nests. ...

  12. Ankle Fractures Often Not Diagnosed

    Science.gov (United States)

    ... injuries. Telltale signs of a fracture include bruising, blisters, significant swelling or bone protruding through the skin. ... for stability. She also advises buying from small shoe stores that have certified orthotists who work with ...

  13. Corns and calluses

    Science.gov (United States)

    ... rowers get calluses on their hands that prevent blisters from forming. People with bunions often develop a callus over the bunion because it rubs against the shoe. Corns and calluses are not serious problems. Symptoms ...

  14. Maintaining Healthy Skin -- Part 2

    Science.gov (United States)

    ... from seams or elastic binding. Check also for blisters, bumps, insect bites, dry flaky skin or pimples. ... always check your skin carefully after wearing new shoes or clothing. Too loose — Loose clothing can form ...

  15. 4 Steps to Manage Your Diabetes for Life

    Science.gov (United States)

    ... effects. Check your feet every day for cuts, blisters, red spots, and swelling. Call your health care ... supplies diabetes medicine visits with a dietitian special shoes, if you need them Actions you can take ...

  16. Diabetic Wound Care

    Science.gov (United States)

    ... and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. ...

  17. Creeping eruption

    Science.gov (United States)

    ... are infected. Symptoms Symptoms of creeping eruption include: Blisters Itching , may be more severe at night Raised, ... enter the body through bare feet, so wearing shoes in areas where hookworm infestations are known to ...

  18. Acute generalized exanthematous pustulosis caused by morphine, confirmed by positive patch test and lymphocyte transformation test

    NARCIS (Netherlands)

    Kardaun, Sylvia H.; de Monchy, Jan G.

    2006-01-01

    Morphine, an opium alkaloid, frequently causes side effects such as hyperhidrosis and facial flushing, but serious cutaneous adverse drug reactions are seldom observed. Best known are Urticaria, erythema, and pruritus; sometimes pseudoallergic anaphylactoid reactions, and blisters are reported.

  19. Burn, thermal - close-up (image)

    Science.gov (United States)

    ... first degree burns cause only reddening of the epidermis (outer layer of the skin), as seen in this photograph. Second degree burns cause blistering and extend into the dermis (lower layer of skin). Third degree burns cause ...

  20. 29 CFR 1904.7 - General recording criteria.

    Science.gov (United States)

    2010-07-01

    ... of medical treatment? “Medical treatment” means the management and care of a patient to combat...) Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a blister; (I) Using...

  1. Disease: H00587 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available gile skin that readily blister. The dystrophic forms of epidermolysis bullosa, in... pretibial Inherited epidermolysis bullosa is a diverse group of disorders characterized by mechanically fra

  2. 75 FR 65431 - Change in Disease Status of Japan Because of Foot-and-Mouth Disease

    Science.gov (United States)

    2010-10-25

    ... characterized by fever and blister-like lesions on the tongue and lips, in the mouth, on the teats, and between... Executive Order 12866. However, for this action, the Office of Management and Budget has waived its...

  3. Genetics Home Reference: Klippel-Trenaunay syndrome

    Science.gov (United States)

    ... age. Occasionally, port-wine stains develop small red blisters that break open and bleed easily. Klippel-Trenaunay ... be inherited? More about Inheriting Genetic Conditions Diagnosis & Management Genetic Testing (1 link) Genetic Testing Registry: Klippel ...

  4. Medications for Arrhythmia

    Science.gov (United States)

    ... child about this before the doctor visit. Medicine Management Tools For Patients Keeping Track / Developing a System ... while you're out. Some pharmacists will prepare blister packs for daily or weekly medications. Ask your ...

  5. Tinea Infections

    Science.gov (United States)

    ... The skin may become itchy and red, with blisters and cracking of the skin. The infection may ... my sheets and towels every day? ResourcesDiagnosis and Management of Common Tinea Infections by SL Noble, Pharm. ...

  6. Managing High Blood Pressure Medications

    Science.gov (United States)

    ... can make to work with your medication. Medicine Management Tools For Patients Keeping Track / Developing a System ... while you're out. Some pharmacists will prepare blister packs for daily or weekly medications. Ask your ...

  7. Genetics Home Reference: Langerhans cell histiocytosis

    Science.gov (United States)

    ... also frequently occur in the skin, appearing as blisters, reddish bumps, or rashes which can be mild ... be inherited? More about Inheriting Genetic Conditions Diagnosis & Management Genetic Testing (1 link) Genetic Testing Registry: Langerhans ...

  8. Medications Used to Treat Heart Failure

    Science.gov (United States)

    ... affect cardiovascular diseases other than heart failure . Medicine Management Tools For Patients Keeping Track / Developing a System ... while you're out. Some pharmacists will prepare blister packs for daily or weekly medications. Ask your ...

  9. 21 CFR 1310.06 - Content of records and reports.

    Science.gov (United States)

    2010-04-01

    ... does not include waste material for destruction, material stored as an in-process intermediate or other... product) (bottle, blister pack, etc.). (11) Number of packages (if drug product) (10 bottles). (12)...

  10. 7 CFR 318.47 - Notice of quarantine.

    Science.gov (United States)

    2010-01-01

    ... (Pectinophora gossypiella Saunders) and the cotton blister mite (Eriophyes gossypii Banks), insect pests new to..., meal, and other cottonseed products, except oil; cotton waste; and all other unmanufactured parts...

  11. Spina Bifida

    Science.gov (United States)

    ... People with spina bifida can develop sores, calluses, blisters and burns on their feet, ankles and hips. ... bladder) that helps your body get rid of waste and extra fluids in the urine. Babies with ...

  12. Healthy Skin Matters

    Science.gov (United States)

    ... eh-sis bull-O-sa) can cause painful blisters. Psoriasis (suh-RYE-uh-sis) can cause itchy, ... to deliver oxygen and nutrients and carry away waste products. Your body exchanges nutrients and fluids through ...

  13. Fluticasone and Vilanterol Oral Inhalation

    Science.gov (United States)

    ... the inhaler without using your dose, you will waste the medication. The counter will count down by ... it from the foil overwrap or after every blister has been used (when the dose indicator reads ...

  14. Designing the Army’s Future Active Duty Weapons of Mass Destruction Response: Is the Defense Chemical, Biological, Radiological, Nuclear and High-Yield Explosives Response Force (DCRF) the Right Force at the Right Time?

    Science.gov (United States)

    2013-06-14

    alternative methods for implementing the force structure, reducing redundancy and waste , and building cooperative training strategies for the CBRNE forces...nuclear detonation, attacks with biological, blister , nerve, and radiological agents, an influenza pandemic, an toxic industrial chemical release, a

  15. Scabies

    Science.gov (United States)

    ... Thin, irregular burrow tracks made up of tiny blisters or bumps on your skin The burrows or ... reaction to the mites, their eggs and their waste. Close physical contact and, less often, sharing clothing ...

  16. Electrocoat Process for Non-Chromate Primers in DOD Manufacturing

    Science.gov (United States)

    2012-08-29

    Performance Benefits of Electrocoat Environmental, Health, and Safety Considerations • Aqueous based • Minimal waste discharge- closed loop...Electrocoat has larger area of blistering ; all surface corrosion • Spray primers have more localized, but deeper corrosion Scribe near fastener

  17. Frostbite

    Science.gov (United States)

    ... 30 minutes. Touching materials such as ice, cold packs or frozen metal. The following factors increase the ... with ibuprofen (Advil, Motrin IB, others) Not breaking blisters that may develop The diagnosis of frostbite is ...

  18. What You Need to Know When the Power Goes Out Unexpectedly

    Science.gov (United States)

    ... you can avoid it. For the Refrigerated section: Pack milk, other dairy products, meat, fish, eggs, gravy, ... the legs elevated. Don’t touch burns, break blisters, or remove burned clothing. Electrical shock may cause ...

  19. Causes and Triggers

    Science.gov (United States)

    ... eczema And you’ll also get the NEA pack of digital guides for newly diagnosed patients Email * ... common types. The molluscum virus, herpes virus (fever blisters and cold sores), and certain kinds of fungus ( ...

  20. Keeping Your Cool

    Science.gov (United States)

    ... is another way to keep your body cool! Pack peaches, oranges, watermelon, and grapes in your cooler ... tell ya! To keep your feet cool and blister-free, try wearing shoes that allow your feet ...

  1. Disease: H00586 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available sa, junctional, with pyloric atresia (JEB-PA) Inherited epidermolysis bullosa is a diverse group of disorders characterized by mechan...ically fragile skin that readily blister. The junctional

  2. Molluscum contagiosum

    Science.gov (United States)

    ... lesions may result in scarring. Medicines, such as salicylic acid preparations used to remove warts , may be helpful. But these medicines can cause blistering that leads to temporary skin discoloration. Cantharidin, commonly called beetle juice, is the ...

  3. Chlorine

    Science.gov (United States)

    ... but it is also used to make pesticides (insect killers), rubber, and solvents. Chlorine is used in ... the following signs and symptoms may develop: Blurred vision Burning pain, redness, and blisters on the skin ...

  4. The Nonlinear Structure of the Desmoplakin Plakin Domain and the Effects of Cardiomyopathy-Linked Mutations

    NARCIS (Netherlands)

    C. Al-Jassar; T. Knowles; M. Jeeves; K. Kami; E. Behr; H. Bikker; M. Overduin; M. Chidgey

    2011-01-01

    Desmoplakin is a cytoplasmic desmosomal protein that plays a vital role in normal intercellular adhesion. Mutations in desmoplakin can result in devastating skin blistering diseases and arrhythmogenic right ventricular cardiomyopathy, a heart muscle disorder associated with ventricular arrhythmias,

  5. What to Do After You've Gotten the Smallpox Vaccine

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  6. Side Effects of Smallpox Vaccination

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  7. Someone You Are Close to May Get the Smallpox Vaccine: What You Should Know and Do

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  8. Smallpox Vaccination Information for Women Who Are Pregnant or Breastfeeding

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  9. Smallpox Vaccine Overview

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  10. Live Virus Smallpox Vaccine

    Science.gov (United States)

    ... Agent and Organophosphate Pesticide Poisoning Sarin Soman Tabun VX Nicotine Case Definition: Nicotine Poisoning Nitrogen mustard (HN- ... Poisoning Unidentified chemical Vesicants/blister agents Vomiting agents VX Facts About VX Case Definition: Nerve Agents or ...

  11. Anthrax: Symptoms

    Science.gov (United States)

    ... EID Journal Articles Anthrax-Related MMWRs Medscape Commentaries Symptoms Language: English Español (Spanish) Recommend on Facebook Tweet ... cause severe illness and even death. Cutaneous anthrax symptoms can include: A group of small blisters or ...

  12. Warts

    Science.gov (United States)

    ... prescription) medicines A blistering solution Freezing the wart (cryotherapy) to remove it Burning the wart ( electrocautery ) to ... and you want it removed. The wart causes pain. You have anal or genital warts. You have ...

  13. Immunoassays

    NARCIS (Netherlands)

    Pas, Hendrikus; Jonkman, Marcel

    2016-01-01

    Immunoassays are helpful serological techniques for the laboratory diagnosis of autoimmune blistering diseases (AIBD) and for monitoring disease activity of individual patients. The three main immunoassaysare immunoblotting, immunoprecipitation, and ELISA. All three make use of the ability of the au

  14. Fort Campbell Childers House: Historic Maintenance and Repair Manual

    Science.gov (United States)

    2006-09-01

    visual ap- pearance of the surviving parts of the masonry feature or that is physically or chemically incompatible. • Applying waterproof , water...as Good when: - the roof is structurally and architecturally sound and performing its intended purpose, and - there are few or no cosmetic ...RECOMMENDED, AS THIS TYPE OF BLISTERING SHOULD NOT AFFECT THE EFFICIENCY OF THE WATERPROOFING . a. Miniature surface blistering of the bitumen coating

  15. Drug-induced linear IgA bullous dermatosis simulating toxic epidermal necrolysis.

    Science.gov (United States)

    Nasr, Joanna; Ammoury, Alfred; Chouairy, Camil; Mégarbané, Halal; El Habr, Constantin

    2014-01-01

    Linear IgA bullous dermatosis (LAD) is an autoimmune subepidermal blistering disorder. LAD may be either idiopathic or drug related; the most common drug being vancomycin. The clinical presentations of both idiopathic and drug-related LAD are variable and may mimic other blistering disorders. We report a case of a 76-year-old man known to have a renal cell carcinoma who presented a vancomycin-induced LAD that clinically mimicked toxic epidermal necrolysis (TEN).

  16. Disease: H00693 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available Basarab T, Smith FJ, Jolliffe VM, McLean WH, Neill S, Rustin MH, Eady RA Ichthyosis bullosa of Siemens: rep...somal dominant disorder characterized by mild hyperkeratosis and blister formation. The blistering is superficial, and area...s of peeling of the skin are known as the 'Mauserung phenomenon'. IBS shows similar features ... of erythema. Skin and connective tissue disease KRT2E [HSA:3849] [KO:K07605] Ichthyosis bullosa of Siemens

  17. The Effect of Substrate Contaminates on the Life of Epoxy Coatings Submerged in Sea Water

    Science.gov (United States)

    1991-03-01

    contaminants: coal tar, SovaPon, Mare Island and Aquapon . Aquapon is a clear (unpigmented) polyamide epoxy coating. While Aquapon is not normally used for...pigmented coatings. It was found that the Aquapon and coal tar coatings performed similarly, and blistered to the same extent, at the contamination levels...used in the test program. The Sovapon and Mare Island coatings were slightly more resistive to blistering when compared to Aquapon or coal tar but they

  18. The Management of Pemphigus Vulgaris in a Burn Intensive Care Unit: A Case Report and Treatment Review

    Science.gov (United States)

    2014-10-01

    e357 The diagnosis of pemphigus encompasses a group of potentially fatal, autoimmune blistering diseases of the skin and mucous membranes...047X/2014 DOI: 10.1097/BCR.0000000000000049 Pemphigus vulgaris is a rare, potentially fatal, autoimmune blistering disease of the skin and mucous...Drive, Suite 1, Lackland AFB, Texas 78236. The Management of Pemphigus Vulgaris in a Burn Intensive Care Unit: A Case Report and Treatment Review

  19. A new light on an old disease: adhesion signaling in pemphigus vulgaris.

    Science.gov (United States)

    Galichet, Arnaud; Borradori, Luca; Müller, Eliane J

    2014-01-01

    Disruption of desmosomal cadherin adhesion leads to the activation of intracellular signaling pathways that are responsible for blister formation in pemphigus vulgaris (PV). Recent studies corroborate the implication of the p38 mitogen-activated protein kinase in PV blistering via its downstream effector mitogen-activated protein kinase activated protein kinase 2. These insights highlight the key role of cadherins in tissue homeostasis and are expected to change pemphigus management.

  20. Effects of Surface Roughness and Aging on the Electrical Contact Resistance and Residual Stress in Gold-Nickel-Copper Connector Materials

    Science.gov (United States)

    2014-12-01

    I would also like to thank my manager , Jill Glass, and mentors, Rob Sorensen and David Enos, at Sandia National Laboratories for their continued... managed and operated by j \\ odDUld Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for I Nrltillflfil the U.S...formation under the gold coating forms a blister , pushing up on the gold layer, and then reduces in magnitude as the gold cracks and the blister

  1. A Model of Medical Countermeasures for Vesicant Exposure

    Science.gov (United States)

    2015-10-01

    the product of this contract is under the auspices of the Joint Project Manager for Information Systems (JPM IS) of the Joint Program Executive...depletion of NAD+ and ATP, which in turn signals protease and leads to vesication and severe blistering (Kehe, Balszuweit, Steinritz, & Thiermann...original HD paper, vesication and severe blistering are primarily achieved when vesicants enter the basal epidermis and dermis, alkalizing the healthy

  2. Guidelines for Mass Casualty Decontamination During a HAZMAT/Weapon of Mass Destruction Incident. Volumes 1 and 2 (Update)

    Science.gov (United States)

    2013-08-01

    Waste Operations and Emer- gency Response). Establishing Zones In addition to the safety assessment, the First Responder should gain control of the...consistent with wind patterns or ventilation. Blisters / rashes Numerous individuals experiencing unex- plained blisters , bee sting like weals, and/ or...2013 Although the variations for setting up mass casualty decontamination systems are virtu- ally limitless, many waste precious minutes to set up

  3. Joint Test Protocol: Environmentally Friendly Zirconium Oxide Pretreatment Demonstration

    Science.gov (United States)

    2013-12-01

    versus greater than 125 °F for metal phosphate systems. • Reduction in the amount (80% less) and toxicity of waste materials generated from...adhesion; no blisters ; ratings of ≥6 for ferrous and ≥8 for aluminum ASTM B 117 (4); ASTM D 1654 (5); ASTM D 714 (6) I Corrosion resistance...Cyclic corrosion; flat panels 3.2 40/60/120 cycles; minimal scribe corrosion; no loss of adhesion; maximum of five scattered blisters ; ratings

  4. A RARE CASE OF LICHEN PLANUS PEMPHIGOIDES

    OpenAIRE

    Ashok,, S.K; Anjali

    2014-01-01

    Lichen planus pemphigoides describe a rare subset of patients who usually have typical lichen planus and then develop blistering on their lichen planus lesions and in normal skin. Less commonly the blistering antedates the lichen planus. They clinically appear to be a combination of lichen planus and bullous phemphigoid. Oral disease may occur and may resemble either lichen planus or bullous phemphigoid. Histopathologically, lichen planus lesions show features of lichen pl...

  5. Extensive keloid formation after pemphigus vulgaris

    OpenAIRE

    Sako, Eric Y; Worswick, Scott

    2015-01-01

    Pemphigus vulgaris is an immunobullous disease characterized by intraepidermal blister formation. These blisters eventually rupture, leaving erosions that are slow to heal, often leaving hyperpigmented patches, but no scars. We describe a case of a 67- year-old man with pemphigus vulgaris who suffered severe keloidal scarring after the pemphigus lesions became infected. His keloids were treated with intralesional corticosteroids with some improvement. Pemphigus vulgaris, a process confined to...

  6. Extensive keloid formation after pemphigus vulgaris.

    Science.gov (United States)

    Sako, Eric Y; Workwick, Scott

    2015-11-18

    Pemphigus vulgaris is an immunobullous disease characterized by intraepidermal blister formation. These blisters eventually rupture, leaving erosions that are slow to heal, often leaving hyperpigmented patches, but no scars. We describe a case of a 67- year-old man with pemphigus vulgaris who suffered severe keloidal scarring after the pemphigus lesions became infected. His keloids were treated with intralesional corticosteroids with some improvement. Pemphigus vulgaris, a process confined to the epidermis, may lead to scarring in predisposed individuals, particularly if infection occurs.

  7. Gunther′s Disease

    Directory of Open Access Journals (Sweden)

    Gupta Somesh

    1998-01-01

    Full Text Available A three year old female child of Gunther’s disease with blistering over exposed parts of body, mutilation of nose and fingers, scanning alopecia and erythrodontia, is reported. Her urine was strongly positive for uropoprhyrinogen. The blistering could not be prevented by strict avoidance of sun, sunscreen with high SPF, chloroquine, high doses of activated charcoal and betacarotene, though there was significant symptomatic improvement by repeated packed erythrocyte transfusion.

  8. Syria’s Chemical Weapons: Issues for Congress

    Science.gov (United States)

    2013-09-12

    regime of President Bashar al Asad possesses stocks of nerve (sarin, VX ) and blister (mustard gas) agents , possibly weaponized into bombs, shells...largest in the world” during a June 2012 interview.16 Damascus possesses mustard blister agent , sarin nerve agent , and VX nerve agent , according to...chemical weapons stockpile. Syria also has several hundred metric tons of mustard agent in ready-to-use form and several tens of metric tons of VX . The

  9. Effects of temperature on surface modification of W exposed to He particles

    Energy Technology Data Exchange (ETDEWEB)

    Li, C. [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Greuner, H. [Max-Planck-Institut für Plasmaphysik, Boltzmannstr. 2, 85748 Garching (Germany); Yuan, Y. [School of Physics and Nuclear Energy Engineering, Beihang University, Beijing 100191 (China); Luo, G.N. [Institute of Plasma Physics, Chinese Academy of Sciences, Hefei, Anhui 230031 (China); Böswirth, B. [Max-Planck-Institut für Plasmaphysik, Boltzmannstr. 2, 85748 Garching (Germany); Fu, B.Q.; Xu, H.Y.; Jia, Y.Z. [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Liu, W., E-mail: liuw@mail.tsinghua.edu.cn [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China)

    2014-12-15

    Highlights: • Blisters were observed on W surface under He beam heating at ∼950 °C. • He-induced blistering shows a clear grain orientation dependence. • An evolution to a coral-like structure was observed under loading at ∼2700 °C. • A texture with 〈0 0 1〉 parallel to the surface normal direction will be beneficial. - Abstract: The effect of combined heating and helium particle flux on annealed tungsten samples has been studied in the neutral beam facility GLADIS. He beams with power densities of 2.4 MW/m{sup 2} and 9.5 MW/m{sup 2} were used to adiabatically load the samples to peak surface temperatures from ∼950 °C (1223 K) to ∼2700 °C (2973 K). Changes in the surface morphology resulting from combined heat and the flux exposure were studied for He fluences up to 3 × 10{sup 22}/m{sup 2}. Typical structures for the sample loaded at ∼950 °C (1223 K) were blisters with a clear grain orientation dependence and the largest blisters formed on grains with 〈0 0 1〉 surface normal. However at higher temperatures, blistering was more easily suppressed for grains near this orientation because the growth of larger blister takes place more slowly. An evolution from a “porous structure” to a “coral-like structure” with increasing fluence was observed on the samples loaded at the highest temperature. Based on these results mechanisms for surface modification at different temperatures are discussed and a texture with 〈0 0 1〉 parallel to the normal direction of the grains is suggested to optimize the plasma facing material due to their stronger resistance to early stage blistering.

  10. An ecosystem-scale model for the spread of a host-specific forest pathogen in the Greater Yellowstone Ecosystem

    Science.gov (United States)

    Hatala, J.A.; Dietze, M.C.; Crabtree, R.L.; Kendall, K.; Six, D.; Moorcroft, P.R.

    2011-01-01

    The introduction of nonnative pathogens is altering the scale, magnitude, and persistence of forest disturbance regimes in the western United States. In the high-altitude whitebark pine (Pinus albicaulis) forests of the Greater Yellowstone Ecosystem (GYE), white pine blister rust (Cronartium ribicola) is an introduced fungal pathogen that is now the principal cause of tree mortality in many locations. Although blister rust eradication has failed in the past, there is nonetheless substantial interest in monitoring the disease and its rate of progression in order to predict the future impact of forest disturbances within this critical ecosystem. This study integrates data from five different field-monitoring campaigns from 1968 to 2008 to create a blister rust infection model for sites located throughout the GYE. Our model parameterizes the past rates of blister rust spread in order to project its future impact on highaltitude whitebark pine forests. Because the process of blister rust infection and mortality of individuals occurs over the time frame of many years, the model in this paper operates on a yearly time step and defines a series of whitebark pine infection classes: susceptible, slightly infected, moderately infected, and dead. In our analysis, we evaluate four different infection models that compare local vs. global density dependence on the dynamics of blister rust infection. We compare models in which blister rust infection is: (1) independent of the density of infected trees, (2) locally density-dependent, (3) locally density-dependent with a static global infection rate among all sites, and (4) both locally and globally density-dependent. Model evaluation through the predictive loss criterion for Bayesian analysis supports the model that is both locally and globally density-dependent. Using this best-fit model, we predicted the average residence times for the four stages of blister rust infection in our model, and we found that, on average, whitebark

  11. Surface and internal microstructure damage of He-ion-irradiated CLAM steel studied by cross-sectional transmission electron microscopy

    Energy Technology Data Exchange (ETDEWEB)

    Liu, P.P. [School of Material Science and Engineering, University of Science and Technology Beijing, Beijing 100083 (China); School of Metallurgical and Ecological Engineering, University of Science and Technology Beijing, Beijing 100083 (China); Zhan, Q., E-mail: qzhan@mater.ustb.edu.cn [School of Material Science and Engineering, University of Science and Technology Beijing, Beijing 100083 (China); Fu, Z.Y.; Wei, Y.P. [School of Material Science and Engineering, University of Science and Technology Beijing, Beijing 100083 (China); Wang, Y.M. [Faculty of Engineering, Hokkaido University, Sapporo 060-8628 (Japan); Wang, F.M. [School of Metallurgical and Ecological Engineering, University of Science and Technology Beijing, Beijing 100083 (China); Ohnuki, S. [Faculty of Engineering, Hokkaido University, Sapporo 060-8628 (Japan); Wan, F.R. [School of Material Science and Engineering, University of Science and Technology Beijing, Beijing 100083 (China)

    2015-11-15

    Good understanding of blistering and embrittlement mechanism depends on good investigation of surface and internal microstructure damage of gas-ion-irradiated materials. Internal and surface microstructure of He{sup +} ion irradiated CLAM steel were examined by cross-sectional transmission electron microscopy combining focused ion beam. Variation of helium bubble density and size distribution versus depth in CLAM steel after high dose helium irradiation at room temperature was investigated. The average size of helium bubble increased within 100–400 nm but decreased near the non-irradiated matrix with the increase of depth, while the density followed a reverse trend. The formation and growth mechanism of helium bubble is different at different irradiation depth. The formation of a zone of large bubbles under the surface is the main reason of surface blistering and flaking. Helium induced irradiation swelling and surface blistering at low temperature were also discussed. - Highlights: • Microstructure of helium irradiated CLAM steel was investigated by FIB and TEM. • The nucleation of helium bubble was controlled by both different mechanisms. • The substructure of surface blisters has been analyzed in detail by XTEM. • Helium induced surface blistering and irradiation swelling have been discussed.

  12. Is it lucio phenomenon or necrotic erythema nodosum leprosum?

    Directory of Open Access Journals (Sweden)

    PSS Ranugha

    2013-01-01

    Full Text Available Lucio phenomenon (LP or erythema necroticans is a relatively rare, peculiar reaction pattern occurring in untreated lepromatous (LL or borderline lepromatous (BL leprosy cases. A 38-year-old male, a cook by occupation, was referred to the dermatology clinic from otolaryngology department with blistering over both the hands and feet of 2 days duration. He had been admitted 1 week back with epistaxis and nasopharyngeal myiasis in otolaryngology department. He was started on systemic antibiotics gentamycin, crystalline penicillin, and metronidazole with nasal instillation of turpentine oil 2 drops 6 times a day. Two days later, he had developed edema with painless hemorrhagic blistering over the dorsum of left hand followed by involvement of the right hand, dorsa of both feet, and both the earlobes within a day. Histopathology of the blister showed sub-epidermal blister, with necrotizing leukocytoclastic vasculitis of papillary dermal vessels with thrombosis, numerous acid-fast bacilli in macrophages, and macrophage granulomas extending up to subcutis. In view of the absent fever or constitutional symptoms, and the classical angular infarcts and hemorrhagic blisters evolving into ulcers with angulated margins, we considered LP as the most likely diagnosis. The patient was started on a combination of WHO recommended multibacillary anti-leprosy therapy and prednisolone (40 mg/day.

  13. Monopathogenic vs multipathogenic explanations of pemphigus pathophysiology

    DEFF Research Database (Denmark)

    Ahmed, A Razzaque; Carrozzo, Marco; Caux, Frédéric

    2016-01-01

    -mediated cell-cell attachments of keratinocytes (KCs) is sufficient to disrupt epidermal integrity and cause blistering. The multipathogenic theory explains intra-epidermal blistering through the "multiple hit" hypothesis stating that a simultaneous and synchronized inactivation of the physiological......This viewpoint highlights major, partly controversial concepts about the pathogenesis of pemphigus. The monopathogenic theory explains intra-epidermal blistering through the "desmoglein (Dsg) compensation" hypothesis, according to which an antibody-dependent disabling of Dsg 1- and/or Dsg 3...... mechanisms regulating and/or mediating intercellular adhesion of KCs is necessary to disrupt epidermal integrity. The major premise for a multipathogenic theory is that a single type of autoantibody induces only reversible changes, so that affected KCs can recover due to a self-repair. The damage, however...

  14. The molecular logic of pemphigus and impetigo: the desmoglein story.

    Science.gov (United States)

    Amagai, Masayuki

    2009-10-01

    Desmosomes are intercellular adhesive junctions of epithelial cells that contain two major transmembrane components, desmogleins (Dsg) and desmocollins; these are both cadherin-type cell-cell adhesion molecules. Pemphigus is an autoimmune blistering disease caused by IgG autoantibodies that target Dsg1 and Dsg3 in pemphigus foliaceus and pemphigus vulgaris respectively. Bullous impetigo is a common and highly contagious superficial skin infection caused by Staphylococcus aureus. Staphylococcal scalded skin syndrome (SSSS) is a generalized form of bullous impetigo. The blisters in bullous impetigo and SSSS are induced by exfoliative toxin that specifically cleaves Dsg1. Clinical and microscopic localization of blisters in pemphigus, bullous impetigo and SSSS are logically explained at the molecular level by the desmoglein compensation theory; the similarity of lesions among these diseases is underscored by a similar pathogenesis.

  15. Necrotizing Fasciitis: Diagnostic Challenges in a Mute Bedridden Patient with Atypical Laboratory Parameters

    Directory of Open Access Journals (Sweden)

    Ghan-Shyam Lohiya

    2012-01-01

    Full Text Available A 27-year-old mute bedridden patient required parenteral corticosteroids and antibiotics, and hospitalization for an acute respiratory illness. After 2 days, staff noted a ~0.3 cm blister on the patient’s right heel. Within 19 hours, blistering increased and the foot became partly gangrenous. The patient developed high fever (40.3°C, and leukocytosis (count: 13×109/L; was 6.5×109/L ten days earlier. Necrotizing fasciitis (NF was diagnosed and treated with emergency leg amputation. Histopathology revealed necrosis of fascia, muscle, subcutaneous tissue, and skin. In bedridden patients, corticosteroids may particularly facilitate serious infections, and initial NF blistering may be mistaken for pressure ulcers. Vigilant and frequent whole body monitoring is necessary for all patients incapable of verbalizing their symptoms.

  16. Effect of smoking, abstention, and nicotine patch on epidermal healing and collagenase in skin transudate

    DEFF Research Database (Denmark)

    Sørensen, Lars Tue; Zillmer, Rikke; Agren, Magnus;

    2009-01-01

    Delayed wound healing may explain postoperative tissue and wound dehiscence in smokers, but the effects of smoking and smoking cessation on the cellular mechanisms remain unclear. Suction blisters were raised in 48 smokers and 30 never smokers. The fluid was retrieved and the epidermal roof...... and in 6 never smokers. Matrix metalloproteinase (MMP)-8 and MMP-1 levels in suction blister fluid were assessed by an enzyme-linked immunosorbent assay. Random-effects models for repeated measurements were applied and p... of abstinence from smoking does not restore epidermal healing, whereas 4 weeks of abstinence normalizes suction blister MMP-8 levels. These findings suggest sustained impaired wound healing in smokers and potential reversibility of extracellular matrix degradation....

  17. Thermodynamic Study on Process in Copper Converters (The Copper-making Stage)

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Theoretical calculations were based on thermodynamic equilibrium in the multi-component and multi-phase system with heat and mass balance as well as the oxygen efficiency to take account for the effects of process kinetics. The variations of temperature, mass fractions of dissolved oxygen and sulfur in blister copper, partial pressures for O2, S2, SO2 in gas phase for the copper-making stage were calculated. The model predicted temperature, time of blowing as well as mass of the blister copper at end points for 6 heats showed a fairly good agreements with corresponding plant data. The calculated content of 0.065% and content of 0.87% in blister copper were both at reasonable levels. Compared with the so called Goto model, the present model has very much improved process description of copper-making stage as well as the prediction of end points for a copper converter by introducing the oxygen efficiency.

  18. Effect of smoking, abstention, and nicotine patch on epidermal healing and collagenase in skin transudate

    DEFF Research Database (Denmark)

    Sorensen, L.T.; Zillmer, R.; Agren, M.;

    2009-01-01

    Delayed wound healing may explain postoperative tissue and wound dehiscence in smokers, but the effects of smoking and smoking cessation on the cellular mechanisms remain unclear. Suction blisters were raised in 48 smokers and 30 never smokers. The fluid was retrieved and the epidermal roof...... and in 6 never smokers. Matrix metalloproteinase (MMP)-8 and MMP-1 levels in suction blister fluid were assessed by an enzyme-linked immunosorbent assay. Random-effects models for repeated measurements were applied and p .... Three months of abstinence from smoking does not restore epidermal healing, whereas 4 weeks of abstinence normalizes suction blister MMP-8 levels. These findings suggest sustained impaired wound healing in smokers and potential reversibility of extracellular matrix degradation Udgivelsesdato: 2009/5...

  19. Surface modifications of W divertor components for EAST during exposure to high heat loads with He

    Energy Technology Data Exchange (ETDEWEB)

    Li, C., E-mail: lichun10@mails.tsinghua.edu.cn [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Greuner, H. [Max Planck Institute for Plasma Physics, Boltzmannstr. 2, 85748 Garching (Germany); Yuan, Y. [School of Physics and Nuclear Energy Engineering, Beihang University, Beijing 100191 (China); Zhao, S.X.; Luo, G.N. [Institute of Plasma Physics, Chinese Academy of Sciences, Hefei, Anhui 230031 (China); Böswirth, B. [Max Planck Institute for Plasma Physics, Boltzmannstr. 2, 85748 Garching (Germany); Fu, B.Q.; Jia, Y.Z. [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Liu, X. [Southwestern Institute of Physics, Chengdu, Sichuan 610041 (China); Liu, W., E-mail: liuw@mail.tsinghua.edu.cn [Laboratory of Advanced Materials, School of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China)

    2015-08-15

    Flat-type W/Cu plasma-facing components have been developed for the new generation divertor of the Chinese Experimental Advanced Superconducting Tokamak. Surface modifications of such actively water-cooled W components following short and long pulse high heat loading coupled with He particle loads with fluence of 3 × 10{sup 22} m{sup −2} have been investigated. An adiabatically loaded W block was investigated as a comparison and exposed to short pulse loads. Blistering was observed on all sample surfaces, but was less pronounced on the components than on the W block, due to the significant lower surface temperature caused by active cooling. For components, longer pulse loads gave rise to a rougher surface. Furthermore, most blisters on components are found to be less than 1 μm in diameter, with just a very few blisters larger than 1 μm, observed only in some near 〈1 1 1〉 grains.

  20. Anesthetic Approach to a Patient with Epidermolysis Bullosa: A Case Report

    Directory of Open Access Journals (Sweden)

    Ersin KOKSAL

    2015-09-01

    Full Text Available Epidermolysis Bullosa (EB is characterized by fragility and formation of blisters in the skin and mucosal membranes. Due to blisters on the airway and occurring new blisters as a result of anesthetic or surgical procedures may complicate anesthesia management. In this case report, we present the anesthetic approach of a 6 years old case with EB who underwent reconstructive surgery. After premedication and optimal monitorization, intravenous (IV anesthesia and analgesia was administered. Associated with the oropharyngeal lesions and limitation to reach an adequate mouth opening, we preferred the facemask to maintain ventilation. Neither new lesions nor complications were detected during or after surgery. [J Contemp Med 2015; 5(3.000: 192-195

  1. An unusual case of Sweet syndrome in a child: overlapping presentation with erythema elevatum diutinum.

    Science.gov (United States)

    Wang, Tingting; Liu, Hongjie; Wang, Lin; Guo, Zaipei; Li, Li

    2014-06-01

    In 1964, Sweet described an acute febrile neutrophilic dermatosis. It is now widely accepted that Sweet syndrome is one of the associated neutrophilic dermatoses. Herein, we describe an unusual case of Sweet syndrome in a 5-year-old child who suffered from recurrent papules, plaques, and blisters on his face and trunk after the initial onset of fever without an obvious cause. Two skin biopsies were performed. The histopathological findings of the left arm biopsy showed a subepidermal blister with dense infiltrating neutrophils within the blister that were superficial to the middle layer of the dermis. The biopsy from a plaque on the left leg showed a dense infiltrate of neutrophils and a large number of infiltrating histiocytes superficial to the middle layer of the dermis. Direct immunofluorescence of a skin biopsy from the left arm confirmed that immunoglobulin M (IgM), IgG, IgA, and C3 expression were negative.

  2. Green tea catechins and their metabolites in human skin before and after exposure to ultraviolet radiation.

    Science.gov (United States)

    Clarke, Kayleigh A; Dew, Tristan P; Watson, Rachel E B; Farrar, Mark D; Osman, Joanne E; Nicolaou, Anna; Rhodes, Lesley E; Williamson, Gary

    2016-01-01

    Dietary flavonoids may protect against sunburn inflammation in skin. Preliminary reports using less complete analysis suggest that certain catechins and their metabolites are found in skin biopsies and blister fluid after consumption of green tea; however, it is not known if they are affected by solar-simulated ultraviolet radiation (UVR) or whether conjugated forms, with consequently altered bioactivity, are present. The present study tested the hypothesis that UVR affects the catechin levels in the skin of healthy volunteers after consumption of green tea and how catechins in the plasma are related to their presence in skin tissue samples. In an open oral intervention study, 11 subjects consumed green tea and vitamin C supplements daily for 3months. Presupplementation and postsupplementation plasma samples, suction blister fluid and skin biopsies were collected; the latter two samples were collected both before and after UVR. A sensitive high-performance liquid chromatography/mass spectrometric assay was used to measure the intact catechin metabolites, conjugates and free forms. Seven green tea catechins and their corresponding metabolites were identified postsupplementation in skin biopsies, 20 in blister fluid and 26 in plasma, with 15 green tea catechin metabolites present in both blister fluid and plasma. The valerolactone, O-methyl-M4-O-sulfate, a gut microbiota metabolite of catechins, was significantly increased 1.6-fold by UVR in blister fluid samples. In conclusion, there were some common catechin metabolites in the plasma and blister fluid, and the concentration was always higher in plasma. The results suggest that green tea catechins and metabolites are bioavailable in skin and provide a novel link between catechin metabolites derived from the skin and gut microbiota.

  3. Genetic control of pungency in C. chinense via the Pun1 locus.

    Science.gov (United States)

    Stewart, Charles; Mazourek, Michael; Stellari, Giulia M; O'Connell, Mary; Jahn, Molly

    2007-01-01

    Capsaicin, the pungent principle in hot peppers, acts to deter mammals from consuming pungent pepper pods. Capsaicinoid biosynthesis is restricted to the genus Capsicum and results from the acylation of the aromatic compound, vanillylamine, with a branched-chain fatty acid. The presence of capsaicinoids is controlled by the Pun1 locus, which encodes a putative acyltransferase. In its homozygous recessive state, pun1/pun1, capsaicinoids are not produced by the pepper plant. HPLC analysis confirmed that capsaicinoids are only found in the interlocular septa of pungent pepper fruits. Immunolocalization studies showed that capsaicinoid biosynthesis is uniformly distributed across the epidermal cells of the interlocular septum. Capsaicinoids are secreted from glandular epidermal cells into subcuticular cavities that swell to form blisters along the epidermis. Blister development is positively associated with capsaicinoid accumulation and blisters are not present in non-pungent fruit. A genetic study was used to determine if the absence of blisters in non-pungent fruit acts independently of Pun1 to control pungency. Screening of non-pungent germplasm and genetic complementation tests identified a previously unknown recessive allele of Pun1, named pun1(2). Sequence analysis of pun1(2) revealed that a four base pair deletion results in a frameshift mutation and the predicted production of a truncated protein. Genetic analysis revealed that pun1(2) co-segregated exactly with the absence of blisters, non-pungency, and a reduced transcript accumulation of several genes involved in capsaicinoid biosynthesis. Collectively, these results establish that blister formation requires the Pun1 allele and that pun1(2) is a recessive allele from C. chinense that results in non-pungency.

  4. IMMUNOHISTOCHEMISTRY STUDIES IN A CASE OF DERMATITIS HERPETIFORMIS DEMONSTRATE COMPLEX PATTERNS OF REACTIVITY

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu Velez

    2013-11-01

    Full Text Available Introduction: Dermatitis herpetiformis (DH is an autoimmune, clinically pleomorphic, papulovesicular disorder sometimes associated with celiac disease and gluten sensitivity. DH is categorized by subepidermal vesicles and bullae on hematoxylin and eosin (H&E staining, and with immunoglobulin A deposits present along the dermal papillary tips on direct immunofluorescence (DIF. Case Report: We describe a 50 year old female that presented with sudden onset pruritus and clinical blisters, predominantly on extensor areas of the extremities. Biopsies for H&E examination, as well as immunohistochemistry (IHC and DIF analysis were performed. Results: H&E examination demonstrated subepidermal blistering; within the blister lumen, numerous neutrophils were present, with occasional eosinophils and lymphocytes also seen. DIF examination revealed linear deposits of IgA along the epidermal basement membrane zone, associated with other immunoglobulins and complement. IHC examination showed similar patterns of reactivity to IgA, and also to other immunoreactants. Cells positive for CD1a were present within the blisters, correlating with S-100 staining. Cells staining positive for CD8, CD45 and occasionally CD4 and Granzyme B were seen not only in the blister lumens, but also around neurovascular packages under the blisters. Finally, CD2 positive cells were found around the upper dermal blood vessels. Discussion: Focal DIF linear IgA deposition is the classic hallmark diagnostic finding in DH. However, it is possible that genetic susceptibility and environmental triggers also play a crucial role in the pathogenesis, often acting via cellular pathways exhibiting disease-associated polymorphisms. In tolerance breakthrough, the initiating antigen presenting cells likely lead to immune system cell differentiation, and activation of adaptive immunity.

  5. IgG/IgE bullous pemphigoid with CD45 lymphocytic reactivity to dermal blood vessels, nerves and eccrine sweat glands

    Directory of Open Access Journals (Sweden)

    Ana Maria Abreu-Velez

    2010-01-01

    Full Text Available Context: Bullous pemphigoid (BP, the most common autoimmune blistering disease, is mediated by autoantibodies. BP primarily affects the elderly and is characterized by the development of urticarial plaques surmounted by subepidermal blisters, and the deposition of immunoglobulins and complement at the basement membrane zone (BMZ of the skin. BP is immunologically characterized by the development of autoantibodies targeting two structural proteins of the hemidesmosomes, BP180 (collagen XVII and BP230 (BPAG1. Case Report: A 63 -year-old Caucasian female patient was evaluated for a 4 day history of several itching, erythematous blisters on her extremities. Biopsies for hematoxylin and eosin (H&E examination, as well as Periodic acid-Schiff (PAS, immunohistochemistry (IHC and direct immunofluorescence (DIF analysis were performed. Results: H&E demonstrated a subepidermal blister, with partial re-epithelialization of the blister floor. Within the blister lumen, numerous neutrophils were present, with occasional eosinophils and lymphocytes also noted. Within the dermis, a mild, superficial, perivascular and periadnexal infiltrate of lymphocytes, histiocytes and occasional eosinophils was identified, with mild perivascular leukocytoclastic debris. The PAS stain was positive at the BMZ, and around selected blood vessels, nerves and sweat glands. DIF revealed linear deposits of IgG and Complement/C3 and fibrinogen at the BMZ, and around selected dermal nerves, blood vessels and sweat glands. Strong granular deposits of IgE were also observed, colocalizing with monoclonal antibodies to Collagen IV (CIV. By IHC, positive CD45 staining of lymphocytes was seen surrounding selected dermal blood vessels, eccrine sweat glands, and nerves. Conclusion : The patient displayed IgG, IgE, and fibrinogen autoantibodies against the BMZ, as well as around some dermal nerves and sweat glands; their binding in the skin could trigger complement activation. In addition, the

  6. High Pressure Hydrogen Materials Compatibility of Piezoelectric Films

    Energy Technology Data Exchange (ETDEWEB)

    Alvine, Kyle J.; Shutthanandan, V.; Bennett, Wendy D.; Bonham, Charles C.; Skorski, Daniel C.; Pitman, Stan G.; Dahl, Michael E.; Henager, Charles H.

    2010-12-02

    Abstract: Hydrogen is being considered as a next-generation clean burning fuel. However, hydrogen has well known materials issues, including blistering and embrittlement in metals. Piezoelectric materials are used as actuators in hydrogen fuel technology. We present studies of materials compatibility of piezoelectric films in a high pressure hydrogen environment. Absorption of high pressure hydrogen was studied with Elastic Recoil Detection Analysis (ERDA) and Rutherford Back Scattering (RBS) in lead zirconate titanate (PZT) and barium titanate (BTO) thin films. Hydrogen surface degradation in the form of blistering and Pb mixing was also observed.

  7. "EB, or Not EB?" Neonatal Desquamative Impetigo in a Degloving Pattern.

    Science.gov (United States)

    Nguyen, Tuyet A; Wang, Audrey S; Eichenfield, Lawrence F; Barrio, Victoria

    2016-01-01

    We present the case of a 7-day-old boy with significant, rapidly spreading blistering and desquamation in a "degloving" pattern on the hands that mimicked epidermolysis bullosa but was ultimately diagnosed as bullous impetigo caused by a clinically aggressive strain of Staphylococcus aureus. Bullous impetigo is a desquamating condition caused by local release of S. aureus exfoliative toxin A and is more commonly seen in children. This case highlights the fragility of newborn skin and reviews the major diagnoses that should be considered in an infant with significant blistering.

  8. Self-healing Nanofiber-Reinforced Polymer Composites. 2. Delamination/Debonding and Adhesive and Cohesive Properties.

    Science.gov (United States)

    Lee, Min Wook; An, Seongpil; Jo, Hong Seok; Yoon, Sam S; Yarin, Alexander L

    2015-09-09

    The capacity for core-shell nanofiber mats containing healing agents (resin monomer and cure) in their cores to adhere to a substrate was studied using blister testing. After extended periodic bending, the adhesion energy was measured, and the effect of self-healing on the composite's delamination from the substrate was considered. In addition, the cohesion of two layers of the self-healing nanofibers was examined using blister testing and compared to that of ordinary nanofiber mats. The damage inflicted by prolonged periodic bending to the interface of the two nanofiber mats was demonstrated to have self-healed, and the cohesion energy was measured.

  9. [Acute pseudo-membranous laryngitis in epidermolysis bullosa acquisita].

    Science.gov (United States)

    Lecomte, H; Folia, M; Muller, G; Gilbert, D; Tron, F; Besancenot, J-F; Romanet, P

    2010-05-01

    Epidermolysis bullosa acquisita is a rare entity belonging to the auto-immune cutaneous blistering disorders of the dermo-epidermal junction. Clinical manifestations are generally cutaneous including the development of sub-epidermal blisters. Mucosal manifestations should be systematically looking for, but laryngeal involvement remains uncommon. We report an 81-year-old woman who presented with dysphagia, dyspnea and dysphonia as the presenting features of laryngeal involvement of an epidermolysis bullosa acquisita. This is the tenth reported case in the literature. We describe our diagnostic approach and the therapeutic management, comparing them with the literature.

  10. Cicatricial Pemphigoid in Accompany with Rheumatoid Arthritis: a Case Report

    Institute of Scientific and Technical Information of China (English)

    Di Wu; Li-ming Zhang; Ying Jiang

    2010-01-01

    @@ CICATRICIAL pemphigoid (CP, also known as benign mucous membrane pemphigoid) is a rare chronic autoimmune subepithelial blister-ing disease, with an incidence of 1 per million, characterized by erosive lesions of mucous membranes and skin that result in scarring.1,2 Rheumatoid arthritis (RA) is a symmetric inflammatory arthritis that mainly affects the small joints of hands and feet, with a prevalence of 0.3% in China. In this case report we described the diagnosis of and treatment for a patient developing CP 18 years after the onset of RA, a combination rarely en-countered or reported so far.

  11. Phylogeny of an Albugo sp. infecting Barbarea vulgaris in Denmark and its frequency of symptom development in natural populations of two evolutionary divergent plant types

    DEFF Research Database (Denmark)

    van Mölken, Tamara; Heimes, Christine; Hauser, Thure Pavlo;

    2014-01-01

    The oomycete Albugo candida has long been considered a broad spectrum generalist pathogen, but recent studies suggest that it is diverged into several more specialised species in addition to the generalist Albugo candida s.s.. Whereas these species cause the disease white blister rust in many...... that the Albugo sp. infecting B. vulgaris may indeed be an independent specialised species. White blister rust and Albugo DNA was only detected in two populations of the plant type that frequently develops symptoms upon controlled inoculations. The lack of white rust and Albugo sp. DNA in the other plant type may...

  12. Inflammatory pain in experimental burns in man

    DEFF Research Database (Denmark)

    Pedersen, J L

    2000-01-01

    by the measurements, and the discrepancies in results between studies. Inflammation has been evaluated in the model by skin erythema intensity, area of flare, and blister formation. The major determinant of skin erythema intensity is the amount of blood in the most superficial part of the dermis, and burn......-induced erythema may be primarily due to congestion of capillary loops and postcapillary venules. The area of flare may be used to evaluate the efferent function of heat-sensitive A delta- and C-fibre nociceptors, whereas blisters may be used to assess edema formation and the degree of injury. Hyperalgesia...

  13. Advances in understanding and managing bullous pemphigoid [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Cathy Y. Zhao

    2015-11-01

    Full Text Available Bullous pemphigoid (BP is the commonest subtype of autoimmune blistering disease in most countries of the world. It occurs most frequently in elderly patients and is characterised clinically by large, tense blisters in the skin preceded by urticarial plaques and pruritus. Immunopathologically, it is characterised by autoantibodies directed against the 180 kD antigen (BP180 and the 230 kD antigen (BP230. New knowledge regarding BP is being continually uncovered. This article reviews the recent advances in BP, including newer diagnostic tests, standardised outcome measures and emerging therapeutic options, as well as the evidence supporting their use.

  14. RhoA is dispensable for skin development, but crucial for contraction and directed migration of keratinocytes

    DEFF Research Database (Denmark)

    Jackson, Ben; Peyrollier, Karine; Pedersen, Esben;

    2011-01-01

    RhoA is a small guanosine-5'-triphosphatase (GTPase) suggested to be essential for cytokinesis, stress fiber formation, and epithelial cell-cell contacts. In skin, loss of RhoA was suggested to underlie pemphigus skin blistering. To analyze RhoA function in vivo, we generated mice with a keratino......RhoA is a small guanosine-5'-triphosphatase (GTPase) suggested to be essential for cytokinesis, stress fiber formation, and epithelial cell-cell contacts. In skin, loss of RhoA was suggested to underlie pemphigus skin blistering. To analyze RhoA function in vivo, we generated mice...

  15. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis

    2015-01-01

    Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs....... Three patients with “nurse’s cramp” related to this task are presented. The patients were referred to a department of occupational medicine due to volar forearm and hand pain related to tablet-dosing from blister packs. A detailed physical examination including a neurological assessment was performed...

  16. Prevention of the exposure by cyclophosphamide oral tablet

    OpenAIRE

    Hanada, Takae; Takami, Yoichiro; Moriyama, Kei; Oro, Masafumi; Ogawa, Takehiro; Moriyasu, Hiroko; Inoue, Yuka; Kanemitsu, Asako; Kawamoto, Eiko; Nagase, Ayaka; Hamahara, Anna; Yamamoto, Atsuko; Shimada, Kenichi; TAKAHASHI, Masashi; Egawa, Takashi

    2015-01-01

    Background Unintended exposure to antitumor agents from an oral medicine may place healthcare workers and patients taking medicine at risk. In this study, the exposure to blister pack by CP (cyclophosphamide) and appropriate preventive procedures were examined. Findings CP detected inside the blister pack of the tested seven lots by LC-MS/MS ranged from 8.2 to 199.6 ng. Raman imaging clearly showed that CP ingredient was completely covered by the tablet coating layer and had not leached out o...

  17. Bullous Mastocytosis Mimicking Congenital Epidermolysis Bullosa

    Directory of Open Access Journals (Sweden)

    Julio Cesar Salas-Alanis

    2014-05-01

    Full Text Available A 2-month-old female infant was referred to DebRA Mexico from the Regional Children's Hospital because of a generalized dermatosis from birth characterized by multiple blisters and erosions on the trunk, face and limbs, associated with minor trauma. A skin biopsy showing subepidermal blisters associated with a dermal infiltrate of Giemsa-positive cells and CD117-positive antibody was consistent with the diagnosis of bullous mastocytosis. Treatment with oral antihistamines, topical steroids, and antibiotics was initiated, leading to a remission of the lesions.

  18. Kindler syndrome

    Directory of Open Access Journals (Sweden)

    Kaviarasan P

    2005-01-01

    Full Text Available Kindler syndrome is a rare autosomal recessive disorder associated with skin fragility. It is characterized by blistering in infancy, photosensitivity and progressive poikiloderma. The syndrome involves the skin and mucous membrane with radiological changes. The genetic defect has been identified on the short arm of chromosome 20. This report describes an 18-year-old patient with classical features like blistering and photosensitivity in childhood and the subsequent development of poikiloderma. The differential diagnosis of Kindler syndrome includes diseases like Bloom syndrome, Cockayne syndrome, dyskeratosis congenita, epidermolysis bullosa, Rothmund-Thomson syndrome and xeroderma pigmentosum. Our patient had classical cutaneous features of Kindler syndrome with phimosis as a complication.

  19. Infections in Combat Casualties During Operations Iraqi and Enduring Freedom

    Science.gov (United States)

    2009-04-01

    2 996.66 Infection joint prosthesis 2 996.67 Infection orthopaedic device 12 Central nervous system 320.89 Meningitis other bacteria 1 320.9...Cellulitis arm 37 682.4 Cellulitis hand 16 682.5 Cellulitis/abscess buttock 1 682.6 Cellulitis leg 77 682.7 Cellulitis foot 30 682.9 Cellulitis/abscess...Abrasion hip/leg infected 3 916.3 Blister hip/leg infected 2 917.3 Blister foot and toes-infected 2 958.3 Post-trauma wound infection 35 997.62 Infection

  20. The Higgs Boson: Is the End in Sight?

    Science.gov (United States)

    Lincoln, Don

    2012-01-01

    This summer, perhaps while you were lounging around the pool in the blistering heat, the blogosphere was buzzing about data taken at the Large Hadron Collider at CERN. The buzz reached a crescendo in the first week of July when both Fermilab and CERN announced the results of their searches for the Higgs boson. Hard data confronted a theory nearly…

  1. Effects of Refresher Training on Job-Task Typewriting Performance

    Science.gov (United States)

    1979-10-01

    socks or shoes. Prevention of foot trouble is the best first aid for feet. The Soldier can prevent many minor foot ailments by personal care. Blisters...of two populations--the elderly who are relatively stable in their abilities and those who decline abruptly and seriously in their abilities. Although

  2. 40 CFR 264.254 - Monitoring and inspection.

    Science.gov (United States)

    2010-07-01

    ... liners and covers must be inspected to ensure tight seams and joints and the absence of tears, punctures, or blisters; and (2) Soil-based and admixed liners and covers must be inspected for imperfections... Waste Piles § 264.254 Monitoring and inspection. (a) During construction or installation, liners...

  3. Surgical treatment in acrofacial vitiligo

    Directory of Open Access Journals (Sweden)

    Shah Bharat

    1994-01-01

    Full Text Available A total 18 patients of stationary acrofacial vitiligo, relatively resistant to medical treatment, of various age were selected for blister grafting. Duration of their disease varied from 3 to 10 years. The autografts were taken up and cosmetically acceptable result were seen in approximately 90% of the cases during the follow up period varying from 6 months to 2 years.

  4. Laboratory Diagnosis and Clinical Profile of Anti-p200 Pemphigoid

    NARCIS (Netherlands)

    Meijer, Joost M.; Diercks, Gilles F. H.; Schmidt, Enno; Pas, Hendri H.; Jonkman, Marcel F.

    2016-01-01

    IMPORTANCE Anti-p200 pemphigoid is a rare subepidermal autoimmune blistering disease characterized by autoantibodies against a 200-kDa protein in the basement membrane zone. Anti-p200 pemphigoid is probably often misdiagnosed because of low availability of diagnostic assays and expertise and classif

  5. The main problems of parents of a child with epidermolysis bullosa

    NARCIS (Netherlands)

    van Scheppingen, Corinne; Lettinga, Ant T.; Duipmans, Jose C.; Maathuis, Karel G. B.; Jonkman, Marcel F.

    2008-01-01

    Epidermolysis Bullosa (EB) is a rare genetic blistering- skin disorder with varying degrees of severity, ranging from mild forms to severe forms, with chronic progression. The aim of this study was to identify and specify the problems of parents of a child with EB. Qualitative research methodology w

  6. Damage phenomena of thin hard coatings submitted to repeated impacts: Influence of the substrate and film properties

    Energy Technology Data Exchange (ETDEWEB)

    Lamri, S. [IRTES-LERMPS, EA 7274, UTBM, 90 010 Belfort Cedex (France); ICD-LASMIS, UTT antenne de Nogent, Rue Lavoisier, 52800 Nogent (France); Langlade, C., E-mail: cecile.langlade@utbm.fr [IRTES-LERMPS, EA 7274, UTBM, 90 010 Belfort Cedex (France); Kermouche, G. [LTDS Laboratory, UMR CNRS 5513, ENI St Etienne (France); UMR CNRS 5146, Ecole des Mines de St-Etienne, Centre SMS, 158 Cours Fauriel, 42100 St-Etienne (France)

    2013-01-10

    To evaluate the surface fatigue resistance of some thin nitride films obtained by Physical Vapour Deposition (PVD) techniques, repeated impact tests have been performed under controlled impact conditions. Short and long duration tests have revealed the occurrence of an original damage phenomenon likely linked to a mechanical blistering of the films. As these blisters appear to be the first damage step, their formation has to be understood in order to be avoided in industrial applications. In particular, the role of the mechanical properties of the substrate has to be clarified as thin protective coatings may be used on pieces prepared using various heat treatments. finite element method (FEM) analysis has been conducted in order to better understand the specific mechanical conditions in the substrate and at the film-substrate interface that could lead to such blistering phenomena. Correlations with the experimental results have been evidenced. From the modelling results the substrate properties have been shown to be of significant influence on the blister formation. However as they do not fully explain the origin of this phenomenon, the influence of the substrate microstructure has also been studied and the presence of vanadium carbides appears to be of major effect.

  7. Salt and pepper staining patterns for LAT, ZAP-70 and MUM-1 in a vasculitic bullousallergic drug eruption

    Directory of Open Access Journals (Sweden)

    Abreu Velez Ana Maria

    2011-07-01

    Full Text Available Background. The term bullous drug eruption refers to clinically adverse drug reactions that result in fluid-filled blisters or bullae. Blistering can be elicited by multiple medications, prescribed or over-the-counter, natural or synthetic. Case Report: A 78-year-old female was evaluated for the presence of a rapidly appearing, diffuse rash with vesicles, bullae and abdominal edema. Methods: Skin biopsies for hematoxylin and eosin examination, as well as for direct immunofluorescence and immunohistochemistry analysis were performed. Results: H&E staining demonstrated a subepidermal blistering disorder. Within the dermis, a mild, superficial, perivascular infiltrate of lymphocytes, histiocytes and eosinophils was seen. No frank leukocytoclastic vasculitis was appreciated. Direct immunofluorescence revealed a strong presence of Complement/C3, IgM and fibrinogen in the upper dermal blood vessels. Staining with LAT, MUM-1, and ZAP-70 was identified in the inflamed vessels, in a delicate salt and pepper pattern. Conclusions: In bullous drug eruptions, inflammation of the dermal blood vessels without frank leuckocytoclasis is often noted; vascular alterations subjacent to the blisters are frequently described as nonspecific. We document specific activation markers of the T cell immune response; further secondary cell signaling pathway molecules are overexpressed in dermal blood vessels, indicative of a complex immune response in these patients

  8. Two courses of rituximab (anti-CD20 monoclonal antibody) for recalcitrant pemphigus vulgaris

    DEFF Research Database (Denmark)

    Faurschou, A.; Gniadecki, R.

    2008-01-01

    Background Pemphigus vulgaris (PV) is a severe autoimmune blistering disease involving the skin and mucous membranes. The response to therapy varies greatly amongst patients and treatment may be challenging. Rituximab is a chimeric monoclonal antibody that selectively targets cell surface antigen...

  9. Crusted (Norwegian) scabies in a patient with dystrophic epidermolysis bullosa

    NARCIS (Netherlands)

    Van der Wal, VB; Vader, PCV; Mandema, JM; Jonkman, MF

    1999-01-01

    A 13-year-old girl with severe non-mutilating recessive dystrophic epidermolysis bullosa (EB) was admitted to hospital because of a Staphyloccus aureus sepsis, deterioration of her general condition and worsening of her sl;in disease, which itched severely, In addition to the blisters and erosions n

  10. Hereditary skin diseases of hemidesmosomes

    NARCIS (Netherlands)

    Jonkman, MF

    1999-01-01

    Studies of hereditary blistering skin diseases (epidermolysis bullosa) and targeted gene mutation experiments in knockout mice have greatly improved our understanding of hemidesmosomes and their associated structures in the cytoskeleton and basement membrane of the skin and mucous membranes. At leas

  11. Mouth Problems in Infants and Children

    Science.gov (United States)

    ... that began as an itchy red sore or cluster of blisters?YesNoDoes your child have a red or purple sore or cluster of sores on a lip or the outer ... look infected, or if new symptoms such as headache or nausea appear.Start OverDiagnosisYour child may have ...

  12. Technical Reference Manual: NATO Planning Guide for the Estimation of Chemical, Biological, Radiological, and Nuclear (CBRN), Casualties, Allied Medical Publication-8(C)

    Science.gov (United States)

    2010-08-01

    chemical blister agent HD (distilled mustard); the biological agents causing anthrax, botulism, pneumonic plague, smallpox, and Venezuelan equine ...Countermeasures—Vaccination/ Antibiotic Prophylaxis ............181 7. Literature Review and Parameter Development .......................................181 8...203 4. Venezuelan Equine Encephalitis (VEE) ....................................................212 E

  13. Staphylococcal scalded skin syndrome : loss of desmoglein 1 in patient skin

    NARCIS (Netherlands)

    Aalfs, A. Susanne; Oktarina, D. A. Mira; Diercks, Gilles F. H.; Jonkman, Marcel F.; Pas, Hendri H.

    2010-01-01

    Staphylococcal scalded skin syndrome (SSSS) is a blistering disease of the skin caused by an infection with certain strains of Staphylococcus aureus. In vitro studies have suggested that exfoliative toxins secreted by these bacteria cleave the desmosomal adhesion molecule desmoglein 1 leading to los

  14. Disease Vector Ecology Profile: Peru

    Science.gov (United States)

    1998-12-01

    Lepidoptera (urticating moths/caterpillars)...........................................................26 4. Meloidae (blister beetles... Systematically performed, larval dipping can provide data on species composition and population dynamics on which to base control measures. Adult... Lepidoptera (urticating moths/caterpillars). Numerous species of tropical lepidoptera have urticating hairs or setae that may cause serious

  15. Children with Rare Chronic Skin Diseases: Hemangiomas and Epidermolysis Bullosa.

    Science.gov (United States)

    Jones, Sheila Dove; Miller, Cynthia Dieterich

    The paper reports on studies involving children having the rare chronic skin diseases of hemangiomas and epidermolysis bullosa (characterized by easy blistering). One study compared the self-concept and psychosocial development of young (mean age 46 months) children (N=19) with hemangiomas with 19 children without hemangiomas. Findings indicated…

  16. Postoperative hand treatment in children with recessive dystrophic epidermolysis bullosa

    NARCIS (Netherlands)

    Formsma, S. A.; Maathuis, C. B. G.; Robinson, P. H.; Jonkman, M. E.

    2008-01-01

    The purpose of this study is to give an overview of the postoperative hand treatment options in children with recessive dystrophic epidermolysis bullosa (EB) and to introduce a treatment protocol and discuss the indications and timing. Recessive dystrophic EB is a rare hereditary blistering skin con

  17. Successful therapeutic transplantation of revertant skin in epidermolysis bullosa

    NARCIS (Netherlands)

    Gostynski, Antoni; Pasmooij, Anna M. G.; Jonkman, Marcel F.

    2014-01-01

    Background: Epidermolysis bullosa (EB) is a group of genetic blistering diseases. Despite many efforts, treatment for EB remains symptomatic. Revertant mosaicism, coexistence of cells carrying disease-causing mutations with cells in which the inherited mutation is genetically corrected by a spontane

  18. Manzinellaforgiftning kompliceret med streptokokpharyngitis og impetigo

    DEFF Research Database (Denmark)

    Bygbjerg, Ib Christian; Johansen, H K

    1991-01-01

    A Danish tourist to Antigua in the West Indies, ate a fruit of Hippomane mancinella and developed acute poisoning with blistering of the oral mucosa and diarrhoea and a streptococcal superinfection. Ignorant tourists and their travel advisers are warned against this potentially deadly apple-tree......-like plant and its tempting fruits....

  19. Near-infrared methods for the identification of tablets in clinical trial supplies.

    Science.gov (United States)

    Dempster, M A; Jones, J A; Last, I R; MacDonald, B F; Prebble, K A

    1993-01-01

    Near-infrared reflectance analysis (NIR) methods have been developed for the confirmation of the identity of blister-packed tablets for clinical trial supplies. Three approaches are described: (1) presentation of single exposed tablets from blisters directly to the optical window; (2) presentation of unopened opaque blister-packed tablets directly to the optical window of the NIR instrument; and (3) use of a fibre-optic accessory to examine tablets through unopened opaque blister packs. For clinical purposes, all tablets in this trial were manufactured to match the appearance of one another. Tablets containing four strengths of an experimental drug (2, 5, 10 and 20% w/w of the active), a marketed product as a clinical comparator (80% w/w of the active), and a placebo were investigated. The NIR methods were developed by chemometrically building a library with second derivative spectra for each tablet type. Library validation and test data are presented along with a comparison of the three sample presentation techniques. The scope and limitation of each sample presentation technique are discussed.

  20. Work of adhesion in laser-induced delamination along polymer-metal interfaces

    NARCIS (Netherlands)

    Fedorov, A.; van Tijum, R.; Vellinga, W. P.; de Hosson, Jeff

    2007-01-01

    Laser-induced delamination is a recent technique aimed at characterizing adhesive strength of thin polymer coatings on metal substrates. A laser pulse is used to create a blister that initiates further delamination of the film under pressure. To process the experimental data a simple elastic model w