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Sample records for winter erythema kwe

  1. The elusive gene for keratolytic winter erythema | Hull | South ...

    African Journals Online (AJOL)

    Keratolytic winter erythema (KWE), also known as Oudtshoorn skin disease, is characterised by a cyclical disruption of normal epidermal keratinisation affecting primarily the palmoplantar skin with peeling of the palms and soles, which is worse in the winter. It is a rare monogenic, autosomal dominant condition of unknown ...

  2. Erythema multiforme

    Science.gov (United States)

    French LE, Prins C. Erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis. In: Bolognia JL, Jorizzo JL, Schaffer JV, eds. Dermatology . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 20. ...

  3. Erythema Migrans

    Directory of Open Access Journals (Sweden)

    Daniel Polvino

    2017-09-01

    Full Text Available History of present illness: A 28-year-old male presented to the emergency department with a chief complaint of two weeks of headache, chills, and numbness in his hands. He reported removing a tick from his upper back approximately two weeks ago, but did not know how long the tick had been embedded. His review of symptoms was otherwise unremarkable. Significant findings: On physical examination, an 8-cm non-raised, erythematous lesion with central clearing was noted on the right posterior thorax. A small scab was located at the center of the lesion with no evidence of retained tick. No other rashes were present. Discussion: Lyme disease is a tick-borne illness caused primarily by the spirochete Borrelia burgdorferi. Ticks must be attached for a minimum of 48 hours in order to transmit the spirochete.1 Erythema migrans (EM is the most common clinical manifestation of Lyme disease. EM is characterized by a slowly-expanding erythematous rash at the site of the tick bite, typically appearing between 7 and 14 days following tick attachment. Rashes range from 5cm to 30cm and may develop central clearing.2 EM must be differentiated from initial erythema at the site of the bite due to a reaction to tick saliva. The differential includes southern tick-associated rash illness, erythema multiforme, cellulitis, contact dermatitis, and tinea corporis. The presence of erythema migrans has a sensitivity of 69% and a specificity of 98% for Lyme disease.3 Serological testing is not indicated in patients with EM, as only about 30% will be seropositive at presentation.4 Treatment of early Lyme disease consists of doxycycline preferentially, or amoxicillin, or cefuroxime for 14 days.6 Recurrence of erythema migrans after a full course of antibiotics is most likely due to re-infection rather than relapse.7 Prognosis is excellent with antibiotic treatment; however, those in endemic areas are at high risk for re-infection.8

  4. Erythema migrans.

    Science.gov (United States)

    Nadelman, Robert B

    2015-06-01

    Erythema migrans (EM) is the most common objective manifestation of Borrelia burgdorferi infection. Systemic symptoms are usually present. Most patients do not recall a preceding tick bite. Despite a characteristic appearance, EM is not pathognomonic for Lyme disease and must be distinguished from other similar appearing skin lesions. EM is a clinical diagnosis; serologic and PCR assays are unnecessary. Leukopenia and thrombocytopenia are indicative of either an alternative diagnosis, or coinfection with another tick-borne pathogen. When EM is promptly treated with appropriate antimicrobial agents, the prognosis is excellent. Persons in endemic areas should take measures to prevent tick bites. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. [Erythema migrans].

    Science.gov (United States)

    Krbková, Lenka; Náterová, Zuzana

    2012-12-01

    The article summarizes the latest knowledge about the etiology, epidemiology, pathogenesis, clinical signs, diagnostic procedures and therapy of erythema migrans (EM), a cutaneous form of Borrelia infection. The sole focus on this clinical entity is intentional since EM is the most common clinical involvement in Lyme borreliosis (LB) in the Czech Republic (CR). New genospecies from the Borrelia burgdorferi sensu lato complex, B. lusitaniae and B. spielmanii, as etiologic agents are reported. Although there are no commercial tests available yet for their detection, ticks are demonstrably infected with them in Europe and probably even in the CR. Six pathogenic genospecies circulate among vertebrates and Ixodes ricinus ticks in Europe. The transmission cycle in nature, hosts identified as reservoirs and distribution of borreliae in Europe are presented. Clinical forms of EM are described in detail including accompanying features. Types of erythema in the USA and Europe are compared. In the part on differential diagnosis, allergies, skin and infectious diseases with similar appearance on the skin as EM are mentioned. Although the diagnosis of EM is exclusively clinical and serology is not indicated, methods of direct detection and two-tier testing of antibodies are discussed. There are therapeutic recommendations concerning the choice of antibiotics available in the CR.

  6. Erythema a computatro.

    Science.gov (United States)

    Gauglitz, G G; Ruzicka, T; Herzinger, T

    2013-01-01

    Historically, erythema ab igne (EAI) was commonly seen on the shins of individuals working in front of coal stoves or sitting close to a fireplace. In the more recent past, this condition has been primarily observed after repeated application of heating pads. Today, unintentional and unperceived exposure to heat from laptop computers needs to be considered as a potential trigger. A rising number of laptop-induced cases of EAI have been reported recently. For this modern-age version of classic EAI, we propose thus the more accurate neo-Latin term erythema a computatro.

  7. Erythema a computatro

    Directory of Open Access Journals (Sweden)

    G.G. Gauglitz

    2013-03-01

    Full Text Available Historically, erythema ab igne (EAI was commonly seen on the shins of individuals working in front of coal stoves or sitting close to a fireplace. In the more recent past, this condition has been primarily observed after repeated application of heating pads. Today, unintentional and unperceived exposure to heat from laptop computers needs to be considered as a potential trigger. A rising number of laptop-induced cases of EAI have been reported recently. For this modern-age version of classic EAI, we propose thus the more accurate neo-Latin term erythema a computatro.

  8. Apoptosis in oral erythema multiforme.

    Science.gov (United States)

    Chrysomali, E; Lozada-Nur, F; Dekker, N P; Papanicolaou, S I; Regezi, J A

    1997-02-01

    Cell death was evaluated in oral erythema multiforme to test the hypothesis that apoptosis may be a mechanism by which keratinocytes die in this condition. Ten erythema multiforme and five control oral mucosa biopsy specimens were evaluated in immunohistochemically stained sections for apoptosis-regulating proteins Bcl-2, Bcl-x, Bax, p53, Fas, and Fas-ligand. Apoptotic keratinocytes, determined by a detection method for DNA fragmentation (TUNEL) and by conventional morphologic criteria were counted per high power field. Keratinocyte staining for Bcl-2 protein was comparable in erythema multiforme and controls. Bcl-x expression was reduced in five erythema multiforme cases. Staining for Bax protein differed in six erythema multiforme cases and showed variable intensity in layers under the parakeratin. Only slight differences in staining patterns of Fas and Fas-ligand proteins were noted between erythema multiforme and controls. The number of apoptotic keratinocytes evaluated by morphologic examination was significantly higher in erythema multiforme (mean per high power field, 0.90 +/- 0.2; controls, 0.06 +/- 0.04; p < 0.05, Mann-Whitney test) and was limited in significance by the TUNEL method (erythema multiforme, 0.43 +/- 0.1; controls, 0.02 +/- 0.02). Overexpression of p53 protein was seen in basal keratinocytes in five erythema multiforme specimens (mean, 17.5 +/- 4.03 per high power field; controls 1.2 +/- 0.3). There is evidence that cell death in erythema multiforme is at least in part due to apoptosis. The apoptotic mechanism may be related to an altered expression of apoptosis-regulating proteins. Although measurable alterations in the phenotypic expression of Fas and Fas-ligand proteins were not apparent, activation of Fas/Fas-ligand system could still be involved in the induction of apoptosis in erythema multiforme.

  9. Methotrexate-Induced Erythema Multiforme

    African Journals Online (AJOL)

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    16. Soteres DF, El-Dahr JM. Reinstitution of methotrexate despite history of erythema multiforme and angioedema. Jr of Allergy and Clinical Immunology. 2004; 113: 312. 17. Schalock PC, Dinulos JGH, Pace N,. Schwarzenberger K, Wegner JK. Erythema multiforme due to. Mycoplasma pneumoniae infection in two children.

  10. Petrophysical evaluation of reservoir sand bodies in Kwe Field ...

    African Journals Online (AJOL)

    Reservoir sand bodies in Kwe Field, coastal swamp depobelt, onshore eastern Niger Delta Basin were evaluated from a composite log suite comprising gamma ray, resistivity, density and neutron logs of five (5) wells with core photographs of one (1) reservoir of one well. The aim of the study was to evaluate the ...

  11. Herpetic Recurrent Oral Erythema Multiforme

    OpenAIRE

    Shantala Arunkumar; Savitha S.Shettar; Mamata G.P; Rajeshwari G. Annigeri; Shakuntala G. K

    2016-01-01

    Erythema multiforme is considered as an immunologic disease possibly occurring because of predisposition to certain microorganisms, radiotherapy, systemic diseases, malignancy, and food or drug allergy. Here we report a case of herpes-induced recurrent erythema multiforme primarily manifesting in oral mucosa during first two episodes and third episode was characterized by oral lesions followed by skin lesions and the severity was increased with the subsequent episod...

  12. 330 kWe Packaged CHP System with Reduced Emissions

    Energy Technology Data Exchange (ETDEWEB)

    Plahn, Paul [Cummins Power Generation, Minneapolis, MN (United States); Keene, Kevin [Cummins Power Generation, Minneapolis, MN (United States); Pendray, John [Cummins Power Generation, Minneapolis, MN (United States)

    2015-03-31

    The objective of this project was to develop a flexible, 330 kWe packaged Combined Heat and Power (CHP) system that can be deployed to commercial and light industrial applications at a lower total cost of ownership than current CHP solutions. The project resulted in a CHP system that is easy to use and inexpensive to install, offering world class customer support, while providing a low-emissions, higher-efficiency internal combustion engine for a CHP system of this size.

  13. Erythema multiforme and persistent erythema as early cutaneous manifestations of Lyme disease

    NARCIS (Netherlands)

    Schuttelaar, M L; Laeijendecker, R; Heinhuis, R J; Van Joost, T

    1997-01-01

    We report two cases of borreliosis (Lyme disease) with unusual cutaneous manifestations, erythema multiforme, and persistent erythema. The lesions in both of our patients had distinctive histopathologic features. To our knowledge, this is the first report of erythema multiforme and persistent

  14. Erythema Chronicum Migrans in Simla, Himachal Pradesh

    Directory of Open Access Journals (Sweden)

    C R Sharma

    1983-01-01

    Full Text Available Seven cases of erythema chronicum migrans are presented. An unusal case with acute course, purpurice and bullous reaction is highlighted. A terminology of acute erythema migrans is suggested for such cases. No organism or vector could be isolated.

  15. Erythema migrans: a spectrum of histopathologic changes.

    Science.gov (United States)

    Wilson, Thomas C; Legler, Allison; Madison, Kathi C; Fairley, Janet A; Swick, Brian L

    2012-12-01

    Early cutaneous Lyme disease, erythema migrans, manifests as a gyrate erythema at the site of a tick bite. The standard histopathologic description is that of a superficial and deep perivascular lymphocytic infiltrate in which plasma cells are identified at the periphery of the lesion and eosinophils in the center. Deviation from these commonly accepted histopathologic findings may lead to an erroneous diagnosis. Herein, we describe 4 cases of erythema migrans, all biopsied at the periphery of the lesion and confirmed by serologic studies, demonstrating a variety of unconventional histopathologic patterns. These findings include eosinophils and neutrophils at the periphery of the expanding annular plaque of erythema migrans, focal interface change, spongiosis, involvement of the superficial vascular plexus alone, and an absence of plasma cells in all cases. These cases highlight the varied and nonspecific histopathologic changes that can be seen in erythema migrans, including the absence of plasma cells and the presence of focal interface change. Based on these findings, the dermatopathologist should always consider erythema migrans as a diagnostic possibility in a biopsy specimen from an expanding gyrate or annular erythema despite the presence of unusual features. In atypical clinical cases, serologic confirmation may be required for diagnosis in the presence of histopathologic findings considered unconventional for erythema migrans.

  16. Erythema nodosum - presentation of three cases.

    Science.gov (United States)

    Starba, Aleksandra; Chowaniec, Małgorzata; Wiland, Piotr

    2016-01-01

    Erythema nodosum (EN) is a well-known form of panniculitis. It may occur as an idiopathic form and also can be induced by certain clinical conditions such as infections and granulomatous diseases such as sarcoidosis. Erythema nodosum may be accompanied by general symptoms such as fever, weakness, and severe pain, but skin lesions resolve without skin damage. Erythema nodosum occurrence is for the clinician a signal for a wider diagnosis and determination of the cause of occurrence of symptoms. The article presents three cases of EN with different causes and treatment.

  17. Electrocardiographic findings in children with erythema migrans.

    Science.gov (United States)

    Mravljak, Marija; Velnar, Tomaz; Bricelj, Vlado; Ruzić-Sabljić, Eva; Arnez, Maja

    2006-11-01

    To assess electrocardiographic findings in children with erythema migrans and to compare them with findings obtained in a healthy control group of comparable age and with a similar proportion of boys and girls. Electrocardiograms were carried out in 147 children under the age of 15 years before treatment with antibiotics for erythema migrans (solitary 68 patients, multiple 79 patients) and in the control group of 148 healthy children. Abnormal electrocardiographic findings were detected more often in healthy children than in patients (14% versus 5%; P = 0.0303) and among patients more often in boys than in girls (10% versus 0%; P = 0.0107). Electrocardiographic abnormalities characteristic for Lyme borreliosis, such as atrioventricular blocks, were rare: in patients with erythema migrans only one child had first-degree atrioventricular block; in the control group one child had first-degree and another had second-degree atrioventricular block. Patients with erythema migrans had shorter PR and RR intervals and lower R and S wave voltages in V1 than the healthy children. Comparison among patients with solitary and multiple erythema migrans did not reveal significant electrocardiographic differences. The frequency of electrocardiographic abnormalities in patients with erythema migrans was not associated with the presence of systemic symptoms, or with the presence of meningitis or the isolation of Borrelia burgdorferi sensu lato from the blood. Electrocardiographic abnormalities in children with erythema migrans are mild, nonspecific and rare. The presence of clinical signs and symptoms indicative or suggestive of disseminated Lyme borreliosis is not associated with higher frequency of such abnormalities. Comparison of findings in patients with erythema migrans and healthy children revealed several distinctions, some of which might have been interpreted as a result of altered activity of the autonomic nervous system.

  18. Hierarchical feature selection for erythema severity estimation

    Science.gov (United States)

    Wang, Li; Shi, Chenbo; Shu, Chang

    2014-10-01

    At present PASI system of scoring is used for evaluating erythema severity, which can help doctors to diagnose psoriasis [1-3]. The system relies on the subjective judge of doctors, where the accuracy and stability cannot be guaranteed [4]. This paper proposes a stable and precise algorithm for erythema severity estimation. Our contributions are twofold. On one hand, in order to extract the multi-scale redness of erythema, we design the hierarchical feature. Different from traditional methods, we not only utilize the color statistical features, but also divide the detect window into small window and extract hierarchical features. Further, a feature re-ranking step is introduced, which can guarantee that extracted features are irrelevant to each other. On the other hand, an adaptive boosting classifier is applied for further feature selection. During the step of training, the classifier will seek out the most valuable feature for evaluating erythema severity, due to its strong learning ability. Experimental results demonstrate the high precision and robustness of our algorithm. The accuracy is 80.1% on the dataset which comprise 116 patients' images with various kinds of erythema. Now our system has been applied for erythema medical efficacy evaluation in Union Hosp, China.

  19. Lyme disease. Recognising and treating erythema migrans.

    Science.gov (United States)

    2015-10-01

    Lyme disease is a tick-borne bacterial infection caused by Borrelia spirochetes. The first stage of infection involves a characteristic skin lesion, erythema migrans. Erythema migrans is a ring-shaped skin lesion, centred on the bite, which expands outwards. It usually appears within two weeks after a bite from an infected tick. If left untreated, the infection sometimes extends or progresses over a period of months or years, leading to potentially severe neurological, articular, cutaneous and cardiac complications. How is erythema migrans associated with Lyme disease recognised and managed? We conducted a systematic review of the literature using the standard Prescrire methodology. This review does not address the complications of Lyme disease. Diagnosis of erythema migrans is based on clinical findings in a patient with a possible or confirmed recent tick bite. Serological tests are not useful at this stage of the infection. Antibiotics shown to be active in vitro also proved effective in non-comparative trials. In randomised trials, amoxicillin, doxycycline, cefuroxime and ceftriaxone had similar efficacy, clearing signs and symptoms in about 90% of patients, with a relapse rate of less than 5% at 6 months. Azithromycin, clarithromycin, erythromycin, three macrolide antibiotics, appear to have lower efficacy. Doxycycline should not be used to treat pregnant or breast-feeding women, or children under 8 years old, due to a risk of tooth and bone disorders in children. In practice, a diagnosis of erythema migrans should be borne in mind when a patient presents with recent history of a possible or confirmed tick bite and skin lesions suggestive of erythema migrans. Oral amoxicillin or doxycycline will prevent progression of the infection to the potentially severe, later stages of Lyme disease. Routine antibiotic prophylaxis is not justified after a tick bite, even in an endemic area, as the risk of infection is low. It is best to monitor the skin around the bite and

  20. Does this patient have erythema migrans?

    Science.gov (United States)

    Tibbles, Carrie D; Edlow, Jonathan A

    2007-06-20

    Erythema migrans, while not pathognomonic, is the most common manifestation of early Lyme disease. Accurate diagnosis of this rash is essential to initiating appropriate antibiotic therapy. To determine the sensitivity of history and physical examination characteristics for the diagnosis of erythema migrans. Structured MEDLINE searches of articles written only in English, 1966 through March 2007. Studies were included if they enrolled at least 15 consecutive patients with the diagnosis of erythema migrans and reported original data regarding the history and physical examination characteristics of the patients. One author abstracted data from the studies. We separately analyzed the studies from Europe and analyzed both Lyme-endemic and nonendemic areas of the United States to search for potential differences in the clinical presentation. Thirty-two studies from Europe, 20 studies from the United States, and 1 from Europe and the United States met inclusion criteria for a total of 8493 patients. Sensitivity was calculated for each of the variables. No studies included patients without erythema migrans, so specificity data and likelihood ratios could not be determined. Many patients do not recall a tick bite. Associated systemic symptoms, such as fever and headache, are frequently reported. Nausea and vomiting are rare. A solitary lesion is the most frequent presentation in both US (81%; 95% confidence interval [CI], 72%-87%) and European patients (88%; 95% CI, 81%-93%). Central clearing is less common in the endemic United States (19%; 95% CI, 11%-32%) vs Europe (79%; 95% CI, 69%-86%) and the nonendemic United States (80%; 95% CI, 63%-90%). Our analysis of the current available literature suggests that there is no single element in the history or physical examination that is highly sensitive by itself for the diagnosis of erythema migrans. Clinicians should be aware of the wide variability in the clinical presentation of erythema migrans and the need to factor in

  1. European erythema migrans disease and related disorders.

    Science.gov (United States)

    Weber, K.; Schierz, G.; Wilske, B.; Preac-Mursic, V.

    1984-01-01

    European erythema migrans disease, lymphocytoma, and acrodermatitis chronica are a group of disorders associated with the bite of ixodid ticks. These disorders are now thought to be due to a single, or closely related, ixodid tick spirochetes. European erythema migrans disease closely resembles Lyme disease. Serological evaluation may help to separate spirochetal lymphocytoma from other pseudolymphomas of nonspirochetal origin and from lymphoma. Acrodermatitis chronica atrophicans, so far observed mainly in Europe, is presumably a late manifestation of this group of spirochetal disorders. Images PLATE I PLATE II PLATE III PLATE IV PMID:6549090

  2. Erythema migrans associated with partial Horner's syndrome.

    Science.gov (United States)

    Verma, Isha; Agrawal, Abhinav

    2015-12-07

    Lyme disease is a tick-borne illness caused mainly by three species of spirochaete Borrelia--B. burgdorferi, B. afzelii and B. garinii. It has three stages of presentation--early localised, early-disseminated and late Lyme. Erythema migrans is the most common manifestation of Lyme disease, and is usually seen 7-14 days after the tick bite. Patients seldom remember the tick bite. Patients may often present with neurological manifestations indicating neuroborreliosis. These manifestations range from a simple nerve palsy to severe complications such as papilloedema, myelitis or meningitis. We present a case of a 37-year-old woman who presented with partial Horner's syndrome, which was associated with erythema migrans, and other signs of Lyme disease. 2015 BMJ Publishing Group Ltd.

  3. ERYTHEMA NODOSUM REVEALING ACUTE MYELOID LEUKEMIA

    Directory of Open Access Journals (Sweden)

    Chebbi Wafa

    2013-07-01

    Full Text Available Introduction: Erythema nodosum (EN is the most common type of panniculitis. It may be idiopathic or secondary to various etiologies. However, the occurrence of erythema nodosum in malignant hemopathy had rarely been reported. Case report: A 42 year-old woman presented with a four week history of recurrent multiple painful erythematous nodules developed on the lower limbs associated with arthralgia of the ankles and fever. The clinical features of skin lesions with contusiform color evolution allowed establishing the diagnosis of EN. No underlying cause was found. The skin lesions were improved with non-steroidal anti-inflammatory drugs and colchicine. Three months later, the patient consulted for recurrence of EN associated with fever, inflammatory polyarthralgia and hepatosplenomegaly. The peripheral blood count revealed pancytopenia. A bone marrow examination confirmed the diagnosis of acute myeloid leukemia type 2. Initiation of chemotherapy was followed by the complete disappearance of skin lesions of EN. Conclusion: Paraneoplastic erythema nodosum is a rare entity. In the literature, a few cases of association with leukemia have been reported. Exploration for solid neoplasms or hemopathy in case of recurrent EN or resistance to conventional treatment should be systematic

  4. 5 kWe scale-down of the SPAR/SP-100 Heat Pipe Reactor

    International Nuclear Information System (INIS)

    Adrian, J.M.; Benke, S.M.

    1987-01-01

    The SPAR/SP-100 Heat Pipe Reactor was designed to operate at 100 kWe. This report presents work done on a 5 kWe scaled-down of the SPAR/SP-100 design. This scale-down was done in order to compare the performance of a small Heat Pipe Reactor to Radioisotope Thermoelectric Generators (RTGs). The work on this design is broken into the following categories: reactor core modeling, control drum modeling, heat rejection modeling, and shadow shield modeling. The reactor core modeling will be completed using the already available computer programs FEMP2D and ORIGEN. FEMP2D will be used to complete the neutronics survey through the core and control drums and it will also be used to ensure the core will be sub-critical in case of a water abort

  5. A facility for testing 10- to 100-kWe space power reactors

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, W F; Bitten, E J

    1992-06-01

    This paper describes an existing facility that could be used in a cost-effective manner to test space power reactors in the 10 to 100-kWe range before launch. The facility has been designed to conduct full power tests of 100-kWe SP-100 reactor systems and already has the structural feature that would be required for lower power testing. The paper describes a reasonable scenario starting with the acceptance at the test site of the unfueled reactor assembly and the separately shipped nuclear fuel. After fueling the reactor and installing it in the facility, cold critical tests are performed, and the reactor is then shipped to the launch site. The availability of this facility represents a cost-effective means of performing the required prelaunch test program.

  6. Evolution of systems concepts for a 100 kWe class space nuclear power system

    International Nuclear Information System (INIS)

    Katucki, R.; Josloff, A.; Kirpich, A.; Florio, F.

    1985-01-01

    Conceptual designs for the SP-100 space nuclear power system have been prepared that meet baseline, backup and growth program scenarios. Near-term advancement in technology was considered in the design of the baseline concept. An improved silicon-germanium thermoelectric technique is used to convert the heat from a fast-spectrum, liquid lithium cooled reactor. This system produces a net power of 100 kWe with a 10-year end of life, under the specific constraints of area and volume. Output of the backup concept is estimated to be 60 kWe for a 10-year end of life. This system differs from the naseline concept because currently available thermoelectric conversion is used from energy supplied by a liquid sodium cooled reactor. The growth concept uses Stirling engine conversion to produce 100 kWe within the constraints of mass and volume. The growth concept can be scaled up to produce a 1 MWe output that uses the same type reactor developed for the baseline concept. Assessments made for each of the program scenarios indicate the key development efforts needed to initiate detailed design and hardware program phases. Development plans were prepared for each scenario that detail the work elements and show the program activities leading to a state of flight readiness

  7. A 50-100 kWe gas-cooled reactor for use on Mars.

    Energy Technology Data Exchange (ETDEWEB)

    Peters, Curtis D. (.)

    2006-04-01

    In the space exploration field there is a general consensus that nuclear reactor powered systems will be extremely desirable for future missions to the outer solar system. Solar systems suffer from the decreasing intensity of solar radiation and relatively low power density. Radioisotope Thermoelectric Generators are limited to generating a few kilowatts electric (kWe). Chemical systems are short-lived due to prodigious fuel use. A well designed 50-100 kWe nuclear reactor power system would provide sufficient power for a variety of long term missions. This thesis will present basic work done on a 50-100 kWe reactor power system that has a reasonable lifespan and would function in an extraterrestrial environment. The system will use a Gas-Cooled Reactor that is directly coupled to a Closed Brayton Cycle (GCR-CBC) power system. Also included will be some variations on the primary design and their effects on the characteristics of the primary design. This thesis also presents a variety of neutronics related calculations, an examination of the reactor's thermal characteristics, feasibility for use in an extraterrestrial environment, and the reactor's safety characteristics in several accident scenarios. While there has been past work for space reactors, the challenges introduced by thin atmospheres like those on Mars have rarely been considered.

  8. A 50-100 kWe gas-cooled reactor for use on Mars

    International Nuclear Information System (INIS)

    Peters, Curtis D.

    2006-01-01

    In the space exploration field there is a general consensus that nuclear reactor powered systems will be extremely desirable for future missions to the outer solar system. Solar systems suffer from the decreasing intensity of solar radiation and relatively low power density. Radioisotope Thermoelectric Generators are limited to generating a few kilowatts electric (kWe). Chemical systems are short-lived due to prodigious fuel use. A well designed 50-100 kWe nuclear reactor power system would provide sufficient power for a variety of long term missions. This thesis will present basic work done on a 50-100 kWe reactor power system that has a reasonable lifespan and would function in an extraterrestrial environment. The system will use a Gas-Cooled Reactor that is directly coupled to a Closed Brayton Cycle (GCR-CBC) power system. Also included will be some variations on the primary design and their effects on the characteristics of the primary design. This thesis also presents a variety of neutronics related calculations, an examination of the reactor's thermal characteristics, feasibility for use in an extraterrestrial environment, and the reactor's safety characteristics in several accident scenarios. While there has been past work for space reactors, the challenges introduced by thin atmospheres like those on Mars have rarely been considered

  9. Fatigue in patients with erythema migrans.

    Science.gov (United States)

    Wormser, Gary P; Sudhindra, Praveen; Lopez, Eliana; Patel, Lisa; Rezai, Sara; Brumbaugh, Aaron D; McKenna, Donna; Scavarda, Carol; Shapiro, Eugene D; Karmen, Carol L; Visintainer, Paul

    2016-11-01

    Fatigue is a common symptom in patients with Lyme disease. The purpose of this study was to characterize fatigue in untreated adult patients presenting with erythema migrans. Selected variables were assessed to determine if any correlated with the presence or severity of fatigue. Fatigue was assessed on the day of the evaluation by a Visual Analogue Scale (VAS), over the past 14days by the 11-item Fatigue Severity Scale (FSS-11) and over the past 28days based on a question from the 36-item Short Form General Health Survey version 2. Fifty-one patients with erythema migrans whose mean age was 49.8years, and 33 (64.7%) of whom were male, were evaluated in this study. The 3 measures of fatigue were positively correlated with one another (P≤0.01). Twenty-six (51%) had fatigue based on a VAS score above 0. Ten (19.6%) had severe fatigue based on an FSS-11 score of ≥4. The strongest correlate for higher fatigue scores was having a greater total number of symptoms. Based on the FSS-11 assessment tool, approximately 20% of early Lyme patients have severe fatigue. Having a high total number of symptoms was associated with both the presence and severity of fatigue. Because prior studies have demonstrated the presence of elevated levels of proinflammatory cytokines and other molecules in the serum of highly symptomatic patients with erythema migrans, the symptom of fatigue in early Lyme disease may be a component of what has been referred to as the acute sickness response. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. The many faces of solitary and multiple erythema migrans.

    Science.gov (United States)

    Eriksson, Pernilla; Schröder, Marika T; Niiranen, Kirsi; Nevanlinna, Antti; Panelius, Jaana; Ranki, Annamari

    2013-11-01

    Case definitions for European Lyme disease have been published. However, multiple erythema migrans may pose a diagnostic challenge. Therefore, we retrospectively reviewed the clinical and serological findings and response to therapy in a cohort of consecutive 54 patients with PCR-confirmed erythema migrans, referred to a university dermatology clinic. The proportion of patients with multiple erythema migrans lesions (usually 2 or 3) was almost equal (46%) to the proportion of patients with single erythema migrans lesions (54%). All patients, except for 2 multiple erythema migrans patients with a concomitant autoimmune disease, completely responded to treatment. In conclusion, multiple erythema migrans may be more common than anticipated, and since only 50% of the patients were seropositive when seeking medi-cal help, PCR testing of skin lesions is helpful to confirm the diagnosis in clinically atypical cases.

  11. Erythema caused by a localised skin infection with Arthrobacter mysorens

    Directory of Open Access Journals (Sweden)

    Chakraborty Trinad

    2010-12-01

    Full Text Available Abstract Background Skin erythemas of unknown origin are a frequent reason for consulting the general practitioner or dermatologist. Case presentation Here we report a case of an erythema resembling the erythema migrans manifestation of Lyme disease, but with atypical symptoms like persistent pruritus. The patient had no history of a recent tick-bite but displayed a positive serology for an advanced stage of Lyme borreliosis, which stood in contrast to the clinical manifestation of erythema migrans as a symptom of early Lyme disease. Three skin swabs and soil samples, collected in the area where the patient possibly acquired the infection, were examined by bacterial and fungal culture methods. Microorganisms were identified by using 16 S rRNA gene sequencing and bioinformatics. The patient and soil isolates were compared by employing RAPD analysis. The serum samples of the patient were examined by immunoblotting. Arthrobacter mysorens, a soil bacterium, was isolated from the collected skin and soil samples. The identity of both isolates was determined by molecular fingerprinting methods. A. mysorens was proven to be causative for the erythema by direct isolation from the affected skin and a positive serology, thus explaining the atypical appearance of the erythema compared to erythema migrans caused by Borrelia infection. Conclusions Infections with A.mysorens might be underreported and microbiological diagnostic techniques should be applied in cases of patients with unclear erythemas, resembling erythema migrans, without a history of tick bites.

  12. Erythema caused by a localised skin infection with Arthrobacter mysorens.

    Science.gov (United States)

    Imirzalioglu, Can; Hain, Torsten; Hossain, Hamid; Chakraborty, Trinad; Domann, Eugen

    2010-12-15

    Skin erythemas of unknown origin are a frequent reason for consulting the general practitioner or dermatologist. Here we report a case of an erythema resembling the erythema migrans manifestation of Lyme disease, but with atypical symptoms like persistent pruritus. The patient had no history of a recent tick-bite but displayed a positive serology for an advanced stage of Lyme borreliosis, which stood in contrast to the clinical manifestation of erythema migrans as a symptom of early Lyme disease. Three skin swabs and soil samples, collected in the area where the patient possibly acquired the infection, were examined by bacterial and fungal culture methods. Microorganisms were identified by using 16 S rRNA gene sequencing and bioinformatics. The patient and soil isolates were compared by employing RAPD analysis. The serum samples of the patient were examined by immunoblotting. Arthrobacter mysorens, a soil bacterium, was isolated from the collected skin and soil samples. The identity of both isolates was determined by molecular fingerprinting methods. A. mysorens was proven to be causative for the erythema by direct isolation from the affected skin and a positive serology, thus explaining the atypical appearance of the erythema compared to erythema migrans caused by Borrelia infection. Infections with A. mysorens might be underreported and microbiological diagnostic techniques should be applied in cases of patients with unclear erythemas, resembling erythema migrans, without a history of tick bites.

  13. Conceptual definition of a 50-100 kWe NEP system for planetary science missions

    Science.gov (United States)

    Friedlander, Alan

    1993-01-01

    The Phase 1 objective of this project is to assess the applicability of a common Nuclear Electric Propulsion (NEP) flight system of the 50-100 kWe power class to meet the advanced transportation requirements of a suite of planetary science (robotic) missions, accounting for differences in mission-specific payloads and delivery requirements. The candidate missions are as follows: (1) Comet Nucleus Sample Return; (2) Multiple Mainbelt Asteroid Rendezvous; (3) Jupiter Grand Tour (Galilean satellites and magnetosphere); (4) Uranus Orbiter/Probe (atmospheric entry and landers); (5) Neptune Orbiter/Probe (atmospheric entry and landers); and (6) Pluto-Charon Orbiter/Lander. The discussion is presented in vugraph form.

  14. Erythema multiforme due to contact with laurel oil.

    Science.gov (United States)

    Athanasiadis, G I; Pfab, F; Klein, A; Braun-Falco, M; Ring, J; Ollert, M

    2007-08-01

    Erythema multiforme is a relatively common skin disorder. The best known cause is herpes simplex virus infection. We report the first case of erythema multiforme due to contact with laurel oil. The diagnosis was confirmed by the positive patch test to laurel oil, the histopathological studies of the lesions and the histopathological studies of the positive patch test to laurel oil.

  15. Erythema nodosum leads to the diagnosis of pulmonary tuberculosis ...

    African Journals Online (AJOL)

    Erythema nodosum leads to the diagnosis of pulmonary tuberculosis. Theocharis Koufakis, Ioannis Gabranis. Abstract. Erythema nodosum is a panniculitis which may have various causes, such as drugs, infections, sarcoidosis, inflammatory bowel disease, tuberculosis or can be idiopathic. We here report a case of a ...

  16. Erythema Migrans–like Illness among Caribbean Islanders

    OpenAIRE

    Sharma, Anu; Jaimungal, Sarada; Basdeo-Maharaj, Khamedaye; Rao, A.V. Chalapathi; Teelucksingh, Surujpaul

    2010-01-01

    Erythema migrans is the skin manifestation of Lyme disease and southern tick-associated rash illness. Neither disease is found in the Caribbean. We report 4 cases of erythema migrans of a possible emerging clinical entity, Caribbean erythma migrans–like illness.

  17. Erythema migrans-like illness among Caribbean islanders.

    Science.gov (United States)

    Sharma, Anu; Jaimungal, Sarada; Basdeo-Maharaj, Khamedaye; Chalapathi Rao, A V; Teelucksingh, Surujpaul

    2010-10-01

    Erythema migrans is the skin manifestation of Lyme disease and southern tick-associated rash illness. Neither disease is found in the Caribbean. We report 4 cases of erythema migrans of a possible emerging clinical entity, Caribbean erythma migrans-like illness.

  18. Erythema Migrans–like Illness among Caribbean Islanders

    Science.gov (United States)

    Jaimungal, Sarada; Basdeo-Maharaj, Khamedaye; Rao, A.V. Chalapathi; Teelucksingh, Surujpaul

    2010-01-01

    Erythema migrans is the skin manifestation of Lyme disease and southern tick-associated rash illness. Neither disease is found in the Caribbean. We report 4 cases of erythema migrans of a possible emerging clinical entity, Caribbean erythma migrans–like illness. PMID:20875293

  19. Erythema elevatum diutinum associated with scleritis

    Directory of Open Access Journals (Sweden)

    Smitha Prabhu

    2011-01-01

    Full Text Available Erythema elevatum diutinum (EED is a chronic and rare variant of leukocytoclastic vasculitis that is being reported nowadays frequently in association with HIV infection. It clinically manifests as asymptomatic to tender erythematous papules, plaques and nodules, usually with acral distribution and is rarely accompanied by systemic complaints other than arthralgia. The reported associations include preceding upper respiratory infections, hematological malignancies, lymphomas and monoclonal gammopathies. Here we report a 45 year old man with multiple joint pains, tender nodules over palms and soles and ocular pain and congestion, who was subsequently diagnosed as a case of EED and scleritis following histopathological examination. Skin as well as ocular complaints completely subsided with Dapsone monotherapy.

  20. An atypical presentation of erythema elevatum diutinum

    Directory of Open Access Journals (Sweden)

    Mariana Quirino Tubone

    2013-04-01

    Full Text Available Erythema elevatum diutinum is a rare chronic leukocytoclastic vasculitis of unknown etiology. Lesions are usually asymptomatic, although burning and itchiness can occur. The typical clinical presentation is characterized by persistent, symmetrical, papules and nodules that may coalesce to form larger nodules or plaques. It may be associated with various pathologies and the diagnosis is based on clinical and histopathological findings. Treatment is based on the use of dapsone and sulfonamides, first-line therapies, and other options such as niacinamide, tetracycline, colchicine, chloroquine and corticosteroids. We describe the case of a 65-year-old male patient that presented a single lesion on the dorsum of the hand, an unusual clinical presentation.

  1. Fixed pigmented erythema due to cimetidine

    Directory of Open Access Journals (Sweden)

    Almamy Diabaté

    2017-07-01

    Full Text Available Fixed pigmented erythema (EPF is pathognomonic of drug-induced toxicity. Antisecretory drugs are among the most commonly not responsible drugs. EPF secondary to cimetidine administration has rarely been described. We report an EPF case during a cimetidine-based treatment in Bouake. A 43-year-old patient, HIV negative, consults for an EPF located on both sides of the breasts, on the 5th day of an antiulcer treatment comprising compressed cimetidine and gastric dressing based on phosphatase d ‘aluminum. The diagnosis is made in front of the characteristic aspect of the lesion of EPF and the early reappearance of lesions recurring exactly in the same places, after the reintroduction of cimetidine. The discovery of an EPF imposes a strict etiological approach in search of the responsible drug. During anti-ulcer treatment, the practitioner should bear in mind the potential role of cimetidine.

  2. Aceclofenac-induced erythema annulare centrifugum

    Directory of Open Access Journals (Sweden)

    Dilip Meena

    2018-01-01

    Full Text Available Erythema annulare centrifugum (EAC is characterised by slowly enlarging annular erythematous lesions and is thought to represent a clinical reaction pattern to infections, medications, and rarely, underlying malignancy. Causative drugs include chloroquine, cimetidine, gold sodium thiomalate, amitriptyline, finasteride, etizolam etc. We present a case of 40-year-old woman who presented to us with a 10 days history of nonpruritic, peripherally growing annular erythematous eruption. She had a history of recent onset of joint pain, for which she was taking aceclofenac 90 mg once a day for 5 days prior to the onset of the rash. This was confirmed on biopsy as EAC. The rash promptly subsided after stopping the drug. We report this case as there was no previous report of aceclofenac induced EAC.

  3. Erythema nodosum an analysis of 100 cases

    Directory of Open Access Journals (Sweden)

    Khatri M

    1992-01-01

    Full Text Available An analysis of 100 cases of erythema nodosum (EN is presented. Likely causative factors were : focal streptococcal infection in 56, oral contraceptives in 4, tuberculosis in 3, kerion (due to Trichophyton mentagrophytes in 2, pregnancy in 2, Behcet′s disease in 2 and amoebiasis in 1 patient. A definite cause could not be elicited in 30 patients. Clinical features were almost similar to previously reported studies, except unilateral distribution in 3 patients. An unusual association of subcutaneous emphysema of the chest with recurrent episode of EN was observed in 1 female patient. Forty-one patients with moderate and severe presentation, treated with indomethacin, showed quicker resolution of the lesions.

  4. Objective measurements of radiotherapy-induced erythema.

    Science.gov (United States)

    Nyström, Josefina; Geladi, Paul; Lindholm-Sethson, Britta; Rattfelt, Jenny; Svensk, Ann-Christin; Franzen, Lars

    2004-11-01

    The development of acute radiation erythema is a common phenomenon among patients under-going radiotherapy treatment. Because of the absence of reliable objective classification methods, the degree of skin reaction can at present mainly be judged subjectively in the clinic. This has motivated the present preliminary study,concerning the first steps in the development of an objective method for skin reaction classification. Three non-invasive techniques were used:near-infrared (NIR) spectroscopy, laser Doppler perfusion imaging and digital photography. The NIR spectra were analysed with principal component analysis (PCA), and the results from the other two with traditional univariate methods. Measurements were made on breast cancer patients who had been exposed to different irradiation doses. A total of 28 breast cancer patients participated one to three times each; 12 were treated with photons at 4 or 6MeV and 16 were treated with high-energy electrons between 10 and 20 MeV to a maximum dose of 50 Gy. PCA of NIR spectra shows that information on radiation dose lies mainly in the first principal component. It is observed that the higher the dose the higher the score value. The results from the laser Doppler measurements show that in 79% of the cases the perfusion increases significantly with radiation dose. Analysis of the digital photography shows that a proposed skin redness index(SRI), increases with a higher radiation dose. However,the increase in most cases is not significant. By combining all data, correlation to radiation doses was seen for 74% of the patients who participated more than once. All three non-invasive methods correlate with the radiation dose but to various degrees. NIR spectroscopy, laser Doppler and a combination of the three techniques are the most promising methods for characterising erythema.

  5. Comparison of concepts for a 300 kWe nuclear power system

    International Nuclear Information System (INIS)

    Kirpich, A.; Biddiscombe, R.; Chan, J.; McNamara, E.

    1986-01-01

    Three alternative concepts for a 300 kWe space reactor power system were recently analyzed by the General Electric Company. All three concepts were based upon the results of previous SP-100 conceptual design studies for a 100 kWe system. These studies recommended the use of a lithium-cooled fast spectrum reactor, a conductively coupled thermoelectric conversion subsystem, and a potassium heat pipe radiator. The three alternative concepts, which all incorporated these features, differed principally in the means of waste heat removal. In two of the concepts, waste heat removal was accomplished by directly coupling radiator heat pipes to the cold-side of the thermoelectric conversion subsystem. In the third concept, and intermediate liquid-metal pumped loop was employed. The principal trade-off factors considered in comparing these approaches included radiator area and mass, available payload volume (assuming a shuttle launch), growth limits, ease of design integration, adaptability to changing user requirements, ease of operation, fabricability and testability. This paper presents the results of these comparative analyses and indicates the direction of further design evolution

  6. Down scale of the SP-100 concept for 5 kWe

    International Nuclear Information System (INIS)

    Evans, B.; Schueler, W.

    1987-01-01

    This paper examines the feasibility of using a SP-100 Thermoelectric space reactor design as a 5 kWe power source, called the SP-5. The SP-100 is scaled down in size to give a high specific power by using the neutronics program FEMP2D. Possible future space missions may require a power source able to provide 5 kWe of power. There is an interest in using nuclear reactors in place of Radioactive Thermoelectric Generators (RTGs) for this low power demand because of the possibility of spreading toxic plutonium by the heat source if there was a launch accident. The SP-5 design will be compared to RTGs on the basis of specific power, safety, and reliability. The reactor studied in this paper is the lithium cooled SP-100. The core was reduced in size by using the neutronics program FEMP2D. A reactor has been designed that is 35 cm high and 15.2 cm in radius. The shield mass is as high as 270 kg and to cool the reactor a radiator with a surface area of 5 square meters (50 kg) is required. This gives a total specific power of 8 We/kg

  7. Status of CEA reactor studies for a 200 kWe turboelectric Space Power System

    International Nuclear Information System (INIS)

    Carre, F.; Gervaise, F.; Proust, E.; Schwartz, J.P.; Tilliette, Z.; Vrillon, B.

    1986-01-01

    A reference design for a 200 kWe Space Nuclear Power System has been developed by the CNES and CEA Agencies of the French Government in order to assess within a first study phase running from mid 1984 to mid 1986, the key feasibility issues and the development cost of a Space Power System compatible with the version of the European launcher (ARIANE V), that will be available after 1995, and with adequate power range and lifetime performances for the missions considered at that time. The heat from a fast spectrum lithium cooled reactor is converted by a turboelectric system, selected for its technological readiness and for its advantage over thermionics and thermoelectricity, of minimizing the total mass of 100 to 300 kWe power systems, considering the available radiator area afforded by the specific ARIANE V geometrical features. A heat pipe radiator is preferred to an equivalent gas cooled system, for the increased reliability brought by the large number of independent cooling elements. The successive topics addressed in the paper, include a description of the system main components and steady state operating conditions, and the present views about the start up procedure and the reactor control

  8. Multiple Erythema Lesions Obscured As Fungal Skin Infection

    Directory of Open Access Journals (Sweden)

    Allma Koçinaj

    2014-09-01

    Full Text Available Erythema migrans is a ring like erythema, with a few centimeters in diameter. Usually it occur solitary, days to weeks after an infected tick bite. According to skin changes it can be manifested acutely such as erythema migrans in Lyme Borreliosis, borrelial lymphocytoma (subacute, or as a late Lyme disease with acrodermatitis chronica atrophicans. All stages of this disease can be treatable with antimicrobial agents. As a first case in our department with multiple lesions, we describe a 14-year-old female and review the patient’s clinical and laboratory features, the causes of the disease, diagnosis as well as treatment.

  9. Erythema Nodosum in a Child with Celiac Disease

    Directory of Open Access Journals (Sweden)

    Andrew Fretzayas

    2011-01-01

    Full Text Available Erythema nodosum is an acute, nodular, erythematous eruption usually limited to the extensor aspects of the lower legs. It could be idiopathic or associated with other systemic diseases. We, herein, report a phenotypically healthy, ten-year-old boy who presented with erythema nodosum in whom serological tests of autoimmunity and intestinal histological examination were compatible with celiac disease. The eruption resolved within 2 months following a gluten-free diet. Therefore, the possibility that erythema nodosum represents an extraintestinal manifestation of celiac disease should be kept in mind accordingly in cases where other common causes of this rash are ruled out.

  10. Bullous Lupus Erythematosus Manifesting As Erythema Multiforme

    Directory of Open Access Journals (Sweden)

    Dhurat Rachita

    2004-01-01

    Full Text Available Bullous SLE has a distinctive clinical, histopathologic and immunopathologic features that together constitute a unique bullous disease phenotype. We report a 33 year old female presenting with multiple tense vesicles and bullae on normal and erythematous skin over the body and oral erosions. Palms and extremities showed typical target lesions. She had consumed NSAIDs intermittently for joint pains. She was diagnosed as bullous erythema multiforme and started on oral prednisolone but lesions failed to heal. Patient recollected a history of low grade fever and a photosensitive rash in the past. Investigations revealed positive ANA with a peripheral pattern. A skin biopsy of a vesicle showed a subepidemal blisher. Perilesional direct immunofluorescence studies showed a linear deposition of IgG, IgA and fibrin along the basement membrane zone and perivascular deposition of IgG. Lapus band test showed a linear deposition of IgG, C3, IgM and fibrin at BMZ clinching the diagnosis of bullous lupus erythematosus.

  11. Idiopathic Granulomatous Mastitis Associated with Erythema Nodosum

    Directory of Open Access Journals (Sweden)

    Tuğba Özlem Kalaycı

    2016-04-01

    Full Text Available Background: Idiopathic granulomatous mastitis (IGM is an uncommon benign chronic inflammatory breast disease, and erythema nodosum (EN is an extremely rare systemic manifestation of IGM. Here, we report a rare case of IGM accompanied by EN. Case Report: A 32-year-old patient was admitted to our clinic with a history of a tender mass in the right breast. On physical examination, the right breast contained a hard, tender mass in the lower half with in-drawing of the nipple. She had florid EN affecting both legs. She was evaluated with mammography, ultrasound, power Doppler ultrasound, non-enhancing magnetic resonance imaging (MRI, dynamic contrast-enhanced MRI, fine needle aspiration biopsy (FNAB and excisional biopsy. Time-intensity curves showed a type II pattern on dynamic contrast-enhanced MRI, which has an intermediate probability for malignancy. The FNAB reported a benign cytology suggestive of a granulomatous inflammation, which was also supported by the histopathological findings. A partial mastectomy was performed following medical treatment. There was no recurrence at 1-year follow-up. Conclusion: IGM should be considered in the differential diagnosis of EN. Although histopathological examination remains the only method for the definite diagnosis of IGM, MRI can be helpful in the diagnosis or differentiation of benign lesions from malignant ones.

  12. Reccurent erythema migrans as a persistent infection.

    Science.gov (United States)

    Svecová, D; Gavornik, P

    2008-08-01

    Effective antibiotic therapy administered early in the course of the clinical presentation of erythema migrans (EM) prevents further progression of infection and dissemination of the agent to internal organs. A 73-year old woman was referred with a history of five episodes of recurrent EM after repeated adequate antibiotic treatment. The patient who had visited an endemic area only once before the disease recalled no tick bite either prior to the first episode or later. After the first episode, the serological examination was negative (IFA, ELISA, Western blot). In the second episode, not preceded by her visit to any endemic area, the patient showed borderline positivity. Western blot confirmed Borrelia burgdorferi sensu lato. The following episodes were observed again without a prior visit to any endemic area. The most recent EM episode was accompanied by nonspecific moderate symptoms such as fatigue and malaise without involvement of internal organs, with the same serological result as found previously. Peripheral blood PCR assay detected Borrelia burgdorferi specific DNA. Intravenous cephalosporin was effective in treating both the skin and extracutaneous signs of the disease. Recurrent episodes of appropriately treated EM may occur as a result of either reinfection due to contact with another vector tick or persistent infection. Intravenous cephalosporin is likely to be appropriate therapy for recurrent borrelial infection in the skin, in particular when accompanied by general extracutaneous signs and symptoms that might indicate dissemination of the spirochetes.

  13. Winter Weather

    Science.gov (United States)

    ... Education Centers Harwood Training Grants Videos E-Tools Winter Storms Plan. Equip. Train To prevent injuries, illnesses and Fatalities during winter storms. This page requires that javascript be enabled ...

  14. Winter MVC

    OpenAIRE

    Castellón Gadea, Pasqual

    2013-01-01

    Winter MVC és un framework de presentació basat en Spring MVC que simplifica la metodologia de configuracions. Winter MVC es un framework de presentación basado en Spring MVC que simplifica la metodología de configuraciones. Winter MVC is a presentation framework that simplifies Spring MVC configuration methodology.

  15. Cutaneous horn and thermal keratosis in erythema AB igne

    Directory of Open Access Journals (Sweden)

    Sood Apra

    2002-01-01

    Full Text Available A 46 - year - old Kashmiri lady developed erythema ab igne on both legs. She subsequently developed multiple keratoses and a cutaneous horn in the involved skin. An uncommon association of these three clinical conditions is being presented.

  16. Numerical investigation: Performances of a standard biogas in a 100 kWe MGT

    Directory of Open Access Journals (Sweden)

    Vincenza Liguori

    2016-11-01

    For reasons related to the design economies, the preliminary numerical investigations such as that of the work in question on a model of combustor of a 100 kWe MGT are essential. To limit nitrogen oxides production, established lean premixed conditions. It is studied the behavior of a standard biogas M65 starting from the mouth of flame, through the laminar model up to the whole combustor but through the model k-ε, at different adducted flows. It is liked also to submit a hint related to the variation of thermal profiles or of concentrations in the combustor when the supplied natural gases have different composition, as well as at different flows and when adopted simplified kinetic paths of model to understand a sort of acceptable degree of simplification, for studies of first approximation.

  17. Dynamics and control of Stirling engines in a 15 kWe solar electric generation concept

    Science.gov (United States)

    Das, R. L.; Bahrami, K. A.

    1979-01-01

    This paper discusses the application of kinematic and free piston Stirling engines in a 15 kWe dish-electric approach for solar thermal electric generation. Initially, the principle of operation of Stirling engines in solar thermal electric generation is discussed. Then, under certain simplifying assumptions, mathematical models describing the dynamic operation of the kinematic and free piston Stirling engines are developed. It is found that the engine dynamics may be approximated by second order models. Control mechanisms for both types of Stirling engines are discussed. An approach based on the modulation of the working fluid mean pressure is presented. It is concluded that this approach offers a fast and effective means of control. The free piston Stirling engine, being a thermally driven mechanical oscillator, presents unique control requirements. These are discussed in this paper.

  18. Multiple erythema migrans--manifestation of systemic cutaneous borreliosis.

    Science.gov (United States)

    Egberts, Friederike; Möller, Maike; Proksch, Erhardt; Schwarz, Thomas

    2008-05-01

    Erythema migrans is the clinical hallmark lesion of a stage I infection with Borrelia burgdorferi. Multifocal lesions are rarely observed in Europe and thus may be missed, in particular when the typical clinical appearance of the pronounced advancing margin is missing. We present three patients with such a clinical appearance which caused differential diagnostic problems. Multiple erythema migrans represent an early stage of systemic infection. Thus early diagnosis and rapid initiation of therapy are warranted.

  19. Recurrent toxin-mediated perineal erythema: eleven pediatric cases.

    Science.gov (United States)

    Patrizi, Annalisa; Raone, Beatrice; Savoia, Francesco; Ricci, Giampaolo; Neri, Iria

    2008-02-01

    Recurrent toxin-mediated perineal erythema is a cutaneous disease mediated by superantigens made by staphylococci and streptococci, which, to our knowledge, has only been reported in young adults. We describe recurrent toxin-mediated perineal erythema in 11 children and outline the differences between recurrent toxin-mediated perineal erythema and Kawasaki disease in this age range. Eleven children (7 male and 4 female) presented with the sudden appearance of asymptomatic erythema, which was salmonlike in color and rapidly desquamating, involving the perineum in 10 patients and extending to the perianal area in 1 patient. At the onset of the rash, all patients were in good health, although 9 had mild fever for 1 to 2 days before its appearance. Physical examination also revealed an erythema of the hands and feet in 4 patients and strawberry tongue in 7. Two patients had a facial impetigo, and another showed a perianal streptococcal dermatitis. A group A beta-hemolytic streptococcus was isolated from the throat in 10 cases and from a perianal culture in 1 case. In 8 cases, resolution was spontaneous, but all patients were treated with systemic antimicrobial therapy for 10 days. Three patients had a personal history of cutaneous rashes on the perineal area during the last years before consultation. Rash recurrence was observed in 3 of the 11 patients at the follow-up examination. Conclusion Recurrent toxin-mediated perineal erythema can be observed not only in young adults but also in childhood.

  20. Know your standard: clarifying the CIE erythema action spectrum.

    Science.gov (United States)

    Webb, Ann R; Slaper, Harry; Koepke, Peter; Schmalwieser, Alois W

    2011-01-01

    The standard erythema action spectrum provides an internationally accepted representation of the erythema-inducing effectiveness of wavelengths in the UV part of the spectrum. The action spectrum forms the basis of the UV index used for public health information, defines the standard erythema dose unit and the minimum erythema dose and is the default response spectrum aspired to by a range of UV radiometer manufacturers. However, there are several versions of this erythema action spectrum in use, and only one of them has been endorsed as a standard. While the differences in erythemally weighted radiation incurred by choice of action spectrum will be no more than a few percent, this uncertainty is unnecessary. Here we detail the differences in the different versions of erythema action spectra, illustrate the resulting effects in quantifying UV doses and encourage readers to use only the standard version of the action spectrum in the future. © 2011 The Authors. Photochemistry and Photobiology © 2011 The American Society of Photobiology.

  1. Not All Erythema Migrans Lesions Are Lyme Disease.

    Science.gov (United States)

    Goddard, Jerome

    2017-02-01

    Lyme disease is the number one arthropod-transmitted disease in the US, and one of the diagnostic criteria for the illness is development of an erythematous bull's-eye rash around a tick bite that may expand over time, hence the term erythema migrans. However, there are other erythema migrans-like rashes, such as those from a condition known as southern tick-associated rash illness. This article describes a patient with an erythema migrans-like lesion similar to that associated with Lyme disease, resulting from a bite by a nymphal-stage lone star tick, Amblyomma americanum. A tick removed from the center of an erythema migrans-like lesion in a patient was identified to species and then submitted to the Centers for Disease Control and Prevention for testing for the agent of Lyme disease, Borrelia burgdorferi. The patient was evaluated by an internist 7 weeks later. After another 3 weeks, the patient's blood was tested serologically for Lyme disease by American Esoteric Laboratories, Memphis, Tenn. Both the tick and human blood sample from this patient were negative for evidence of Lyme disease. Clinically, other than the erythema migrans-like lesion, the patient displayed no signs or symptoms consistent with Lyme disease. This case presents clinical, serological, and molecular evidence that erythema migrans lesions may occur after tick bites in patients and that these lesions may not be due to infection with the agent of Lyme disease. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Oxymetazoline hydrochloride cream for facial erythema associated with rosacea.

    Science.gov (United States)

    Patel, Nupur U; Shukla, Shweta; Zaki, Jessica; Feldman, Steven R

    2017-10-01

    Rosacea is a chronic skin condition characterized by transient and persistent erythema of the central face. The symptom of persistent erythema can be particularly frustrating for both patients and physicians as it is difficult to treat. Areas covered: Current treatment options for the treatment of rosacea include metronidazole, azelaic acid, sodium sulfacetamide-sulfur, and brimonidine. Until recently, brimonidine gel was the only option approved specifically for the treatment of facial erythema. However, oxymetazoline hydrochloride 1% cream is a newly FDA approved topical medication for adult rosacea patients. A primarily alpha-1a agonist, oxymetazoline hydrochloride (HCl) is thought to diminish erythema through vasoconstriction. Our paper seeks to evaluate evidence for topical oxymetazoline HCl with respect to its efficacy and safety for its approved indication of treating the persistent erythema associated with rosacea. Expert commentary: While assessment of available clinical trial data indicates that the medication is as effective as other available treatment for controlling rosacea-associated erythema with minimal risk of adverse effects, studies of long-term duration and direct comparison will be necessary to establish its place in treatment guidelines and clinical practice. As further evidence becomes available, the real-world clinical potential of topical oxymetazoline cream will become clearer.

  3. Good agreement between minimal erythema dose test reactions and objective measurements

    DEFF Research Database (Denmark)

    Bodekær, Mette; Philipsen, Peter Alshede; Karlsmark, Tonny

    2013-01-01

    The erythema resulting from the minimal erythema dose (MED) test is subjectively assessed. The evaluator visually grades erythema on an ordinal scale. Both intra- and interobserver variation have been found for this erythema assessment. We wanted to examine if objective measurements could be used...

  4. Diagnosis, treatment, and prognosis of erythema migrans and Lyme arthritis.

    Science.gov (United States)

    Feder, Henry M; Abeles, Micha; Bernstein, Megan; Whitaker-Worth, Diane; Grant-Kels, Jane M

    2006-01-01

    Most patients with erythema migrans, the pathognomonic rash of Lyme disease, do not recall a deer tick bite. The rash is classically 5 to 68 cm of annular homogenous erythema (59%), central erythema (30%), central clearing (9%), or central purpura (2%). Serologic testing is not indicated for patients with erythema migrans, because initially, the result is usually negative. Successful treatment of a patient with erythema migrans can be accomplished with 20 days of oral doxycycline, amoxicillin, or cefuroxime axetil. Patients with Lyme arthritis usually present with a mildly painful swollen knee. Patients with Lyme arthritis have markedly positive serology and can usually be successfully treated with 28 days of oral doxycycline or amoxicillin. Some patients may have persistent effusion despite 4 to 8 weeks of antibiotics and may need synovectomy. Persistent effusion is not due to persistent infection. Antibiotic therapy for more than 8 weeks for patients with Lyme disease is not indicated. Chronic Lyme disease due to antibiotic resistant infection has not been demonstrated.

  5. Erythema-index of clinical patch test reactions

    DEFF Research Database (Denmark)

    Jemec, G B; Johansen, J D

    1995-01-01

    : The erythema index of 56 patch test reactions ranging from +? to +++, was compared to regional controls and negative patch tests (189). The effects of intrumental application pressure was studied in 5 volunteers. Statistical analysis was carried out using Mann-Whitney and Jonckheere-Terpstra tests. RESULTS......: The erythema-index was significantly higher in all degrees of patch test reactions than in uninvolved regional skin or negative patch tests. It also showed a significant positive trend for higher values in +, ++ and +++ reactions (P... that the method could be used for the grading of eczematous reactions in a clinical setting as well. OBJECTIVE: To assess the usefulness of the erythema index for the quantification of eczematous reactions using the Derma-Spectrometer (Cortex technology, Hadsund, Denmark) in a clinical setting. METHOD...

  6. Erythema nodosum migrans successfully treated with indomethacin: A rare entity

    Directory of Open Access Journals (Sweden)

    Fatemeh Mokhtari

    2014-01-01

    Full Text Available Erythema nodosum migrans (subacute nodular migratory panniculitis is a panniculitis characterized by migrating subcutaneous nodules or plaque on the lower extremity. We describe a 75-year-old woman with idiopathic erythema nodosum migrans which was manifest centrifugally spreading, slightly morpheaform erythematous plaque on the lower left leg successfully treated with indomethacin. She was initially diagnosed and treated as a case with cellulitis and with poor clinical response. A biopsy specimen from this lesion showed that the septal was thickening; fibrous tissue was also seen with lymphohistiocytic infiltrate and occasional multinucleated giant cells with some inflammatory cells infiltrated into the periphery of the fat lobules. Erythema nodosum migrans should be kept in mind in the differential diagnosis of any morpheaform centrifugally expended plaque, especially in the lower extremities in cases of unknown etiology.

  7. Erythema nodosum migrans successfully treated with indomethacin: A rare entity.

    Science.gov (United States)

    Mokhtari, Fatemeh; Abtahi-Naeini, Bahareh; Pourazizi, Mohsen

    2014-01-01

    Erythema nodosum migrans (subacute nodular migratory panniculitis) is a panniculitis characterized by migrating subcutaneous nodules or plaque on the lower extremity. We describe a 75-year-old woman with idiopathic erythema nodosum migrans which was manifest centrifugally spreading, slightly morpheaform erythematous plaque on the lower left leg successfully treated with indomethacin. She was initially diagnosed and treated as a case with cellulitis and with poor clinical response. A biopsy specimen from this lesion showed that the septal was thickening; fibrous tissue was also seen with lymphohistiocytic infiltrate and occasional multinucleated giant cells with some inflammatory cells infiltrated into the periphery of the fat lobules. Erythema nodosum migrans should be kept in mind in the differential diagnosis of any morpheaform centrifugally expended plaque, especially in the lower extremities in cases of unknown etiology.

  8. Discoid Lupus Erythematosus Presenting as Upper Eyelid Edema and Erythema

    Directory of Open Access Journals (Sweden)

    Abbas Darjani

    2017-09-01

    Full Text Available Discoid Lupus Erythematosus (DLE is an autoimmune disorder that usually occurs on sun exposed areas of head and neck. Infrequently it could be presented by palpebral involvement and rarely unilateral upper eye lid edema and erythema have been reported as the sole manifestation of DLE. We describe a 38-year-old woman with chronic left upper eye lid edema and erythema from one year ago which was induced by steroid injection for left eyebrow alopecia. Histopathologic and direct immunofluorescent studies were made on palpebral skin tissue and confirmed DLE diagnosis. Antinuclear antibody (ANA titer was 1/160 with speckled pattern. She was treated by oral hydroxychloroquine (400 mg daily with moderate improvement after three months. We should think about DLE in cases with chronic upper eye lid edema and erythema. The aim of this case report is to emphasize that ophthalmologist and dermatologists should be aware of different presentations of DLE in the periorbital area to prevent misdiagnosis.

  9. Modeling and simulation of a 100 kWe HT-PEMFC subsystem integrated with an absorption chiller subsystem

    DEFF Research Database (Denmark)

    Arsalis, Alexandros

    2012-01-01

    electrical power output of 100 kWe. The heat exhausted to the absorption chiller subsystem is 107 kW and can satisfy a cooling duty of up to 128 or 64.5 kW for a LiBr-water double-effect system or a water-NH3 single-effect system, respectively. Finally, the projected total cost is comparable to conventional......A 100 kWe liquid-cooled HT-PEMFC subsystem is integrated with an absorption chiller subsystem to provide electricity and cooling. The system is designed, modeled and simulated to investigate the potential of this technology for future novel energy system applications. Liquid-cooling can provide...

  10. The 25 kWe solar thermal Stirling hydraulic engine system: Conceptual design

    Science.gov (United States)

    White, Maurice; Emigh, Grant; Noble, Jack; Riggle, Peter; Sorenson, Torvald

    1988-01-01

    The conceptual design and analysis of a solar thermal free-piston Stirling hydraulic engine system designed to deliver 25 kWe when coupled to a 11 meter test bed concentrator is documented. A manufacturing cost assessment for 10,000 units per year was made. The design meets all program objectives including a 60,000 hr design life, dynamic balancing, fully automated control, more than 33.3 percent overall system efficiency, properly conditioned power, maximum utilization of annualized insolation, and projected production costs. The system incorporates a simple, rugged, reliable pool boiler reflux heat pipe to transfer heat from the solar receiver to the Stirling engine. The free-piston engine produces high pressure hydraulic flow which powers a commercial hydraulic motor that, in turn, drives a commercial rotary induction generator. The Stirling hydraulic engine uses hermetic bellows seals to separate helium working gas from hydraulic fluid which provides hydrodynamic lubrication to all moving parts. Maximum utilization of highly refined, field proven commercial components for electric power generation minimizes development cost and risk.

  11. Erythema multiforme as the result of taking carbamazepine

    Directory of Open Access Journals (Sweden)

    Maharani Laillyza Apriasari

    2010-06-01

    Full Text Available Background: Erythema multiforme is an acute mucocutaneus disease which is caused by the hypersensitivity reaction. It is characterized by target lesions on the skin or ulcerative oral lesion. Etiology of the disease is unknown, it is currently considered as immunologic disease. The triggering factors is the use of certain type of drugs like antibiotics, anticonvulsant, and NSAID. Most of the dentists do not know about it is mechanism, so a lot of people consider it as a malpractice. Purpose: This paper reported a case of a man, 46 years old which had ulcerative oral mucous, peeled and pain lips after taking carbamazepine drugs. Case: The clinical diagnosis of this case was erythema multiforme because of the hypersensitivity reaction as the result of taking carbamazepine. Case management: The final diagnosis based on anamnesis history of taking systemic drugs and clinical manifestation of erythema multiforme in the oral cavity. The drugs therapy that had been given were antihistamine, oral corticosteroid, gargle liquid contained of topical anesthetic, corticosteroid, and antibiotic. Conclusion: In this case, it can be concluded that erythema multiforme appeared was triggered by taking carbamazepine as the drug of choice for trigeminal neuralgia therapy. These drugs can cause type III hypersensitivity reaction. The final diagnosis based on anamnesis history of taking carbamazepine before lesions erupted and the characterized clinical manifestation.Latar belakang: Erythema multiforme adalah penyakit mukokutaneus akut yang menyerang kulit dan mukosa sebagai akibat dari reaksi hipersensitivitas. Secara karakteristik ditandai oleh lesi target pada kulit atau lesi ulserasi pada mukosa rongga mulut. Etiologi penyakit ini belum jelas, diduga karena adanya reaksi imunologi. Pencetusnya dikarenakan adanya pemakaian obat-obatan tertentu seperti antibiotik, antikonvulsan dan NSAID. Banyak dokter gigi kurang memahami mekanisme timbulnya penyakit ini, sehingga

  12. Erythema elevatum diutinum in association with dermatitis herpetiformis

    Directory of Open Access Journals (Sweden)

    Shanmuga Sekar Chandrasekaran

    2014-01-01

    Full Text Available Erythema elevatum diutinum (EED is a rare skin disease that initially presents as leucocytoclastic vasculitis and later resolves with fibrosis. Dermatitis herpetiformis is an autoimmune blistering disease characterized by granular deposits of immunoglobulin A (IgA in dermal papillae. We report a rare association of these two disorders.

  13. Borrelia burgdorferi sensu lato bacteremia in Slovenian children with solitary and multiple erythema migrans.

    Science.gov (United States)

    Arnež, Maja; Ružić-Sabljić, Eva

    2011-11-01

    To establish the frequency and characteristics of Borrelia burgdorferi sensu lato bacteremia in Slovenian children with solitary and multiple erythema migrans, 1164 patients were included in this prospective study. Bacteremia was established in 11.4% of all patients, 15.8% of patients with multiple erythema migrans, and in 7.6% of patients with solitary erythema migrans. Bacteremia can be detected in children, with untreated erythema migrans, up to 39 days after the onset of skin rash.

  14. Vesicular Contact Reaction May Progress into Erythema Multiforme.

    Science.gov (United States)

    Czarnecka-Operacz, Magdalena; Jenerowicz, Dorota; Szulczyńska-Gabor, Joanna; Teresiak-Mikołajczak, Ewa; Szyfter-Harris, Joanna; Bowszyc-Dmochowska, Monika

    2016-12-01

    Dear Editor, Erythema multiforme is considered an acute skin condition, characterized by a self-limiting and sometimes recurrent course. It is regarded as a type IV hypersensitivity reaction associated with certain infections, medications, and other various triggers. Allergic contact dermatitis is in turn a delayed type of induced allergy as a result of cutaneous contact with a specific allergen to which the patient develops specific sensitivity. This type of cutaneous reaction is associated with inflammation manifesting with erythema, edema, and vesicles. A 27-year old female patient presented with a 3-day history of erythematous and vesicular lesions which developed 24 hours after cesarean section. Initially the lesions were localized in the area of surgery (mainly the abdomen and upper thighs) and on the next day progressed to the buttocks and lumbar area. The patient was referred to the Outpatient Clinic and was treated with antihistamines, but her dermatological state deteriorated rapidly. At the day of admission to the Department of Dermatology, numerous erythematous and vesicular lesions were present on the skin of the abdomen, thighs, and back (Figure 1, a), but the skin of the neck, chest, and extremities was also covered with erythematous and edematous patches. On the second day of hospitalization, we observed the evolution of lesions localized within the chest and extremities into an erythema multiforme-like targetoid eruption (Figure 1, b). Initially the patient was treated with intravenous injections of dexamethasone and ceftriaxone and orally with second-generation antihistamines (in four-fold doses), followed by intravenous metyloprednisolone pulse-therapy (total dose of 3 g). As the new vesicobullous lesions started to appear on the face and arms, we introduced cyclosporine A orally 400 mg daily. We could then observe gradual remission, but on the seventh day of hospitalization the patient developed a massive labial herpes simplex infection and had

  15. Ocular manifestations of erythema nodosum in children (clinical case

    Directory of Open Access Journals (Sweden)

    E. Yu. Markova

    2015-03-01

    Full Text Available Retinal disorders are the second leading cause of blindness and low vision in children. Early diagnosis and accurate interpretation of optic fundus abnormalities and novel diagnostic tools improve outcomes and prevent irreversible complications. Recently, the occurrence of atypical optic fundus pathology in children has increased. This requires correct differential diagnosis using modern non-invasive methods. Erythema nodosum (EN is a rare condition that affects preschool children. This condition is characterized by acute or chronic deep dermal hypodermal skin vasculitis. Infectious diseases are considered as one of EN causes. EN is also associated with fungal diseases, inflammatory bowel diseases (ulcerative colitis, Crohn’s disease, hormone imbalance, sarcoidosis, rheumatoid arthritis, tuberculosis, medications. However, EN may occur as an isolated condition as well. Literature data on ocular manifestations of erythema nodosum are limited (episcleritis, pigment epitheliopathy. Acute bilateral neurochorioretinitis with serous MZ neuroepithelium detachment in a 5-year girl is of interest for clinicians, pediatricians, and ophthalmologists.  

  16. Ocular manifestations of erythema nodosum in children (clinical case

    Directory of Open Access Journals (Sweden)

    E. Yu. Markova

    2015-01-01

    Full Text Available Retinal disorders are the second leading cause of blindness and low vision in children. Early diagnosis and accurate interpretation of optic fundus abnormalities and novel diagnostic tools improve outcomes and prevent irreversible complications. Recently, the occurrence of atypical optic fundus pathology in children has increased. This requires correct differential diagnosis using modern non-invasive methods. Erythema nodosum (EN is a rare condition that affects preschool children. This condition is characterized by acute or chronic deep dermal hypodermal skin vasculitis. Infectious diseases are considered as one of EN causes. EN is also associated with fungal diseases, inflammatory bowel diseases (ulcerative colitis, Crohn’s disease, hormone imbalance, sarcoidosis, rheumatoid arthritis, tuberculosis, medications. However, EN may occur as an isolated condition as well. Literature data on ocular manifestations of erythema nodosum are limited (episcleritis, pigment epitheliopathy. Acute bilateral neurochorioretinitis with serous MZ neuroepithelium detachment in a 5-year girl is of interest for clinicians, pediatricians, and ophthalmologists.  

  17. [Erythema migrans as a patognomic symptom of lyme disease].

    Science.gov (United States)

    Moniuszko, Anna; Pancewicz, Slawomir; Czupryna, Piotr; Dunaj, Justyna; Guziejko, Katarzyna; Zajkowska, Joanna

    2013-10-01

    Erythema migrans (EM) is an early localized form of Lyme borreliosis (LB). EM appears 3-30 days after tick bite and presents as annular homogenous erythema, marked from unaffected skin. Typical EM has more than 5 cm in diameter, but there are reports of mini-EM in literature. Moreover, multiple or bullous EM are described. Diagnosis is based on clinical picture. In treatment antibiotics must be used. The aim of this paper was to draw attention to still existing problem of LB in Poland, not only in endemic areas and to the necessity of proper diagnosis, early implementation of antibiotics. It may prevent from late form of LB development, which may lead to irreversible damage, especially in nervous system or joints. EM presence in history increases the probability of subsequent LB forms such as neuroborreliosis or arthritis. Otherwise, symptoms may be misinterpreted, as they resemble the other in the course of more common diseases.

  18. Seronegative necrolytic acral erythema: A distinct clinical subset?

    Directory of Open Access Journals (Sweden)

    Panda S

    2010-01-01

    Full Text Available A patient was referred to us with asymptomatic, erythematous, nonitchy, scaly lesions present bilaterally on the dorsa of his feet and toes since the last 2 months. Both the legs had pitting edema as well. There were hyperkeratosis, focal parakeratosis, acanthosis and scattered spongiosis in the epidermis, and proliferation of capillaries with perivascular infiltration of lymphomononuclear cells in the dermis. There was no serological evidence of hepatitis C virus. Laboratory investigations revealed hypoalbuminemia and low-normal serum zinc. On clinicopathological correlation, we made a diagnosis of necrolytic acral erythema (NAE. The lesions responded dramatically to oral zinc sulfate and topical clobetasol propionate within 3 weeks with disappearance of edema and scaling and only a minimal residual erythema. This is the first reported case of NAE from Eastern India. NAE with negative serology for hepatitis C may be viewed as a distinct subset of the condition that had been originally described.

  19. Winter Wonderlands

    Science.gov (United States)

    Coy, Mary

    2011-01-01

    Listening to people complain about the hardships of winter and the dreariness of the nearly constant gray sky prompted the author to help her sixth graders recognize and appreciate the beauty that surrounds them for nearly five months of the year in western New York. The author opines that if students could see things more artistically, the winter…

  20. Socio-Economic Characteristics in Notified Erythema Migrans Patients

    Directory of Open Access Journals (Sweden)

    Sočan Maja

    2015-12-01

    Full Text Available Izhodišče. Lymska borelioza je posledica okužbe z bakterijami kompleksa Borrelia burgdorferi sensu lato. Erythema migrans (EM je najpogostejša klinična oblika lymske borelioze. Namen raziskave je bil pridobiti epidemiološke podatke in preučiti socialno-ekonomske značilnosti prijavljenih bolnikov z EM v Sloveniji.

  1. [Psoriasis migrans : Erythema migrans as Koebner phenomenon in psoriasis].

    Science.gov (United States)

    Ständer, S; Ständer, M; Thomas, P; Prinz, J C; Wolf, R

    2016-07-01

    Psoriasis is a chronic inflammatory disorder of the epidermis, which can be induced by systemic factors, such as streptococci infections or drugs. In addition, psoriasis can be caused by a local cutaneus trauma, known as Koebner phenomenon. Here, we describe a woman with psoriasis in remission, who developed a new psoriatic lesion due to a cutaneous infection with Borrelia burgdorferi. After causal therapy with doxycycline, the erythema migrans and psoriasis lesions disappeared.

  2. Verification of a 2 kWe Closed-Brayton-Cycle Power Conversion System Mechanical Dynamics Model

    Science.gov (United States)

    Ludwiczak, Damian R.; Le, Dzu K.; McNelis, Anne M.; Yu, Albert C.; Samorezov, Sergey; Hervol, Dave S.

    2005-01-01

    Vibration test data from an operating 2 kWe closed-Brayton-cycle (CBC) power conversion system (PCS) located at the NASA Glenn Research Center was used for a comparison with a dynamic disturbance model of the same unit. This effort was performed to show that a dynamic disturbance model of a CBC PCS can be developed that can accurately predict the torque and vibration disturbance fields of such class of rotating machinery. The ability to accurately predict these disturbance fields is required before such hardware can be confidently integrated onto a spacecraft mission. Accurate predictions of CBC disturbance fields will be used for spacecraft control/structure interaction analyses and for understanding the vibration disturbances affecting the scientific instrumentation onboard. This paper discusses how test cell data measurements for the 2 kWe CBC PCS were obtained, the development of a dynamic disturbance model used to predict the transient torque and steady state vibration fields of the same unit, and a comparison of the two sets of data.

  3. Erythema multiformas sociated with herpes virus: case report

    Directory of Open Access Journals (Sweden)

    Anibal Manrique A

    2016-02-01

    Full Text Available Erythema multiforme (EM is a hypersensitivity reaction that affects the skin and/or mucous membranes, in response to infections, drugs, or other comorbidities. Presentation of EM can be Minor (Mild EM, characterized for presenting target lesions or Major (Severe EM, that occurs also with mucous membranes involvement. The case of a 36 year old male patient presenting to emergency of HNAL with fever, malaise, itching and painful ulcer type lesions in oral cavity, multiple target lesions in upper and lower limbs, penis, and perianal region is reported. The diagnosis was EM Major. Ulcerous lesions in oral cavity and target lesions in hands were the most salient.

  4. [A case of Lyme neuroborreliosis without erythema migrans].

    Science.gov (United States)

    Eguchi, Katsuki; Tsuzaka, Kazuhumi; Yabe, Ichiro; Sasaki, Hidenao

    2018-02-28

    A 56-year-old man was sustained ticks at the left axilla and flank. He did not have a rash. About 3 months after the tick bites, he developed back pain, right leg weakness, right abducens nerve palsy, and left facial palsy. Western blot analysis for serum IgM and IgG antibodies against Borrelia were positive. We diagnosed Lyme borreliosis. The patient was treated with antibiotics and steroids, and the symptoms improved. Our findings demonstrate that, even if erythema migrans is not obvious, neuroborreliosis should be considered when neurological signs, such as multiple cranial nerve palsies, are present.

  5. Optical Diagnostics for Classifying Stages of Dental Erythema

    Science.gov (United States)

    Davis, Matthew J.; Splinter, Robert; Lockhart, Peter; Brennan, Michael; Fox, Philip C.

    2003-02-01

    Periodontal disease is a term used to describe an inflammatory disease affecting the tissues surrounding and supporting the teeth. Periodontal diseases are some of the most common chronic disorders, which affect humans in all parts of the world. Treatment usually involves the removal of plaque and calculus by scaling and polishing the tooth. In some cases a surgical reduction of hyperplastic tissue, may also be required. In addition, periodontitis is a risk factor for systemic disorders such as cardiovascular disease and diabetes. Current detection methods are qualitative, inaccurate, and often do not detect the periodontal disease in its early, reversible stages. Therefore, an early detection method should be implemented identifying the relationship of periodontal disease with erythema. In order to achieve this purpose we are developing an optical erythema meter to diagnose the periodontal disease in its reversible, gingival stage. The discrimination between healthy and diseased gum tissue was made by using the reflection of two illuminating wavelengths provided by light emitting diodes operating at wavelengths that target the absorption and reflection spectra of the highlights of each particular tissue type (healthy or diseased, and what kind of disease). Three different color gels could successfully be distinguished with a statistical significance of P < 0.05.

  6. Erythema multiforme and Stevens-Johnson syndrome following radiotherapy

    International Nuclear Information System (INIS)

    Yoshitake, Tadamasa; Nakamura, Katsumasa; Shioyama, Yoshiyuki

    2007-01-01

    Erythema multiforme (EM) and Stevens-Johnson syndrome (SJS) are thought to be hypersensitivity syndromes with various causes, and radiotherapy might be one of the causes of these syndromes. We herein report two cases of EM/SJS following radiotherapy. The first case was a 63-year-old woman with breast cancer. At the end of postoperative radiotherapy with 60 Gy, severe pruritic erythema appeared in the irradiated area and spread over the whole body. She was diagnosed with EM by a skin biopsy. The second case was a 77-year-old woman with uterine cervical cancer who underwent postoperative radiotherapy. At a dose of 30.6 Gy, pruritic redness appeared in the irradiated area and the precordial region, and it became widespread rapidly with polymorphic transformation. Although without any histological confirmation, SJS was strongly suspected because of her pruritic conjunctivitis. Because both patients were given medicines during irradiation, radiotherapy may not be the only cause of EM/SJS. However, it should be noted that radiotherapy might trigger EM/SJS. (author)

  7. Erythema multiforme and Stevens-Johnson syndrome following radiotherapy.

    Science.gov (United States)

    Yoshitake, Tadamasa; Nakamura, Katsumasa; Shioyama, Yoshiyuki; Sasaki, Tomonari; Ooga, Saiji; Abe, Madoka; Urashima, Yusuke; Urabe, Kazunori; Terashima, Hiromi; Honda, Hiroshi

    2007-01-01

    Erythema multiforme (EM) and Stevens-Johnson syndrome (SJS) are thought to be hypersensitivity syndromes with various causes, and radiotherapy might be one of the causes of these syndromes. We herein report two cases of EM/SJS following radiotherapy. The first case was a 63-year-old woman with breast cancer. At the end of postoperative radiotherapy with 60 Gy, severe pruritic erythema appeared in the irradiated area and spread over the whole body. She was diagnosed with EM by a skin biopsy. The second case was a 77-year-old woman with uterine cervical cancer who underwent postoperative radiotherapy. At a dose of 30.6 Gy, pruritic redness appeared in the irradiated area and the precordial region, and it became widespread rapidly with polymorphic transformation. Although without any histological confirmation, SJS was strongly suspected because of her pruritic conjunctivitis. Because both patients were given medicines during irradiation, radiotherapy may not be the only cause of EM/SJS. However, it should be noted that radiotherapy might trigger EM/SJS.

  8. Erythema at BCG Inoculation Site in Kawasaki Disease Patients.

    Science.gov (United States)

    Rezai, Mohammad Sadegh; Shahmohammadi, Soheila

    2014-08-01

    Kawasaki disease is an acute, self-limiting childhood systemic vasculitis with unknown etiology. Because there is no diagnostic test for Kawasaki disease, the diagnosis is based on clinical criteria. An important clinical sign that is not included in the classical clinical criteria for Kawasaki disease is a reaction at the Bacille Calmette-Guérin inoculation site that are present in about 30-50% of Kawasaki disease patients. of this review was to highlight the usefulness of the inflammation at the Bacille Calmette-Guérin inoculation site for early diagnosis of Kawasaki disease, we conducted a literature review on Medline in PubMed area, Google scholar, Magiran and Scientific Information Database using the search terms "Kawasaki disease, Erythema, BCG, inoculation site, children, cardiac complications, coronary artery lesion, aneurysm, incomplete Kawasaki in 2013. A total of 15 articles had been found. Erythema at the Bacille Calmette-Guérin inoculation site was found in 49.87% of Kawasaki disease patients. Coronary artery abnormalities were found in 10.3% of cases. According to this review, BCGitis is more prevalent than cervical lymphadenopathy and rash and it can be a useful criterion in the diagnosis of incomplete Kawasaki disease in cases not fulfills the classic criteria of at least four of the five findings.

  9. Bullous pemphigoid resembling erythema gyratum repens – case report

    Directory of Open Access Journals (Sweden)

    Małgorzata P. Dominiak

    2017-09-01

    Full Text Available Introduction. Bullous pemphigoid is one of the most common autoimmune bullous dermatoses. It is typically diagnosed in elderly patients and can have various clinical presentations. So far, only individual cases of erythema gyratum repens-like bullous pemphigoid have been described in literature worldwide. Objective. Presentation of the case of a patient with bullae forming a wood grain arrangement. Case report. A 76-year-old female patient hospitalised at the Department of Dermatology with erythematous and edematous figurate lesions and tense bullae on the trunk and extremities. On direct immunofluorescence, complement deposits at the basement membrane zone were found. BIOCHIP indirect immunofluorescence revealed circulating anti-BP180 IgG antibodies. Conclusions . In patients with suspected bullous pemphigoid, direct and indirect immunofluorescence assays are required. As part of the diagnosis of both pemphigoid and erythema gyratum repens, malignancy needs to be excluded as a potential cause of skin lesions. In the presented patient, medical history and additional tests did not demonstrate the presence of a neoplasm. The patient requires further clinical follow-up.

  10. WINTER SAECULUM

    Directory of Open Access Journals (Sweden)

    Emil Mihalina

    2017-03-01

    Full Text Available Accumulated imbalances in the economy and on the markets cause specific financial market dynamics that have formed characteristic patterns kept throughout long financial history. In 2008 Authors presented their expectations of key macroeconomic and selected asset class markets developments for period ahead based on Saeculum theory. Use of term Secular describes a specific valuation environment during prolonged period. If valuations as well as selected macro variables are considered as a tool for understanding business cycles then market cycles become much more obvious and easily understandable. Therefore over the long run, certain asset classes do better in terms of risk reward profile than others. Further on, there is no need for frequent portfolio rebalancing and timing of specific investment positions within a particular asset class market. Current stage in cycle development suggests a need for reassessment of trends and prevailing phenomena due to cyclical nture of long lasting Saeculums. Paper reviews developments in recognizable patterns of selected metrics in current Winter Saeculum dominated with prevailing forces of delivering, deflation and decrease in velocity of money.

  11. Urticaria and Prodromal Symptoms Including Erythema Marginatum in Danish Patients with Hereditary Angioedema

    DEFF Research Database (Denmark)

    Rasmussen, Eva R; Valente de Freitas, Priscila; Bygum, Anette

    2016-01-01

    Erythema marginatum is a characteristic skin rash seen in patients with hereditary angioedema (HAE); however, it can be confused with urticaria, leading to delay in correct diagnosis. The aim of this study was to clarify how often erythema marginatum is misinterpreted as urticaria, potentially...

  12. Recidiverende erythema multiforme udløst af herpes simplex-virus

    DEFF Research Database (Denmark)

    Vestergård Grejsen, Dorthe; Henningsen, Emil

    2012-01-01

    We describe two cases of recurrent erythema multiforme, both associated to infection with herpes simplex virus. The importance of subclinical herpes is illustrated. Antiviral and additional treatment is described.......We describe two cases of recurrent erythema multiforme, both associated to infection with herpes simplex virus. The importance of subclinical herpes is illustrated. Antiviral and additional treatment is described....

  13. Comparison of single-spot technique and RGB imaging for erythema index estimation.

    Science.gov (United States)

    Saknite, I; Zavorins, A; Jakovels, D; Spigulis, J; Kisis, J

    2016-03-01

    A commercially available point measurement device, the Mexameter(®), and an experimental RGB imaging prototype device were used for erythema index estimation of 50 rosacea patients by analysing the level of skin redness on the forehead, both cheeks and both sides of a nose. Results are compared with Clinician's Erythema Assessment (CEA) values given by two dermatologists. The Mexameter uses 568 nm and 660 nm LEDs and a photodetector for estimation of erythema index, while the used prototype device acquired RGB images at 460 nm, 530 nm and 665 nm LED illumination. Several erythema index estimation algorithms were compared to determine which one gives the best contrast between increased erythema and normal skin. The erythema index estimations and CEA values correlated much better for the RGB imaging data than for those obtained by the conventional Mexameter technique that is widely used by dermatologists and in clinical trials. In result, we propose an erythema index estimation approach that represents increased erythema with higher accuracy than other available methods.

  14. Ability to cause erythema migrans differs between Borrelia burgdorferi sensu lato isolates.

    Science.gov (United States)

    Tijsse-Klasen, Ellen; Pandak, Nenad; Hengeveld, Paul; Takumi, Katsuhisa; Koopmans, Marion P G; Sprong, Hein

    2013-01-22

    Lyme borreliosis is a tick-borne disease caused by Borrelia burgdorferi sensu lato. The variety of characteristic and non-specific clinical manifestations is partially explained by its genetic diversity. We investigated the ability of B. burgdorferi sl isolates to cause erythema migrans. The genetic constellation of isolates from ticks was compared to isolates found in erythema migrans. PCR and sequence analysis was performed on the plasmid-encoded ospC and the chromosomal 5S-23S rDNA spacer region (IGS). Seven different B. burgdorferi sl genospecies were identified in 152 borrelia isolates from ticks and erythema migrans biopsies. B afzelii (51%) and B. garinii (27%) were the most common in ticks. From the 44 sequences obtained from erythema migrans samples 42 were B. afzelii, one B. garinii and one B. bavariensis. Significant associations with erythema migrans formation were found for four IGS and two ospC types. Five from 45 ospC types were associated with more than one genospecies. B. burgdorferi sl isolates differ in their propensity to cause erythema migrans. These differences were also found within genospecies. In other words, although B. afzelii was mostly associated with erythema migrans, some B. afzelii isolates had a low ability to cause erythema migrans. Our data further support the occurrence of plasmid exchange between borrelia genospecies under natural conditions.

  15. Erythema Dyschromicum Perstans: Identical to Ashy Dermatosis or Not

    Directory of Open Access Journals (Sweden)

    Takafumi Numata

    2015-07-01

    Full Text Available Erythema dyschromicum perstans (EDP and ashy dermatosis (AD are pigmentary disorders of unknown etiology. EDP is usually considered to be identical to AD; however, a new clinical classification for EDP was proposed in the recent literature. Herein, we report a typical case of EDP observed in an African-American man. Interestingly, the late skin lesions in this case fit the criteria of AD as well. While there appear to be a few clinical cases that can be diagnosed as both EDP and AD based on the clinical course, the preponderance of the evidence in the published reports of EDP and AD and the clinical findings reported here strongly suggest that they are two distinct entities in terms of the extent of the inflammation, albeit on the same spectrum of pigment disorders.

  16. Erythema ab igne: new technology rebounding upon its users?

    Science.gov (United States)

    Salgado, Fernanda; Handler, Marc Z; Schwartz, Robert A

    2018-04-01

    Erythema ab igne (EAI) is a persistent, chronic skin condition resulting from prolonged exposure to infrared radiation, experienced as heat. Once associated with traditional warming sources like wood burning stoves or open fires, modern, infrared exposure originates also from newer sources like laptops and heating pads and may be creating a rebound of EAI. The epidemiology may be different too, with younger patients than previously seen. Localized EAI over an area of pain in the abdomen or lower back can be a sign of an underlying disorder, including cancer. Prognosis of EAI is good, with removal of the heat source resulting in complete remission. In chronic cases in which premalignant cutaneous dysplasia has resulted, additional treatments may be necessary including topical retinoids, 5-fluorouracil cream, and laser treatments. Rarely, cancers such as squamous cell carcinoma, Merkel cell carcinoma, and cutaneous marginal zone B cell lymphoma have been associated with longstanding EAI. © 2017 The International Society of Dermatology.

  17. Erythema Ab igne after footbath with Chinese herbal remedies

    Directory of Open Access Journals (Sweden)

    Jeng-Feng Chen

    2011-01-01

    Full Text Available Erythema ab igne (EAI is a reticulated, telangiectatic, and hyperpigmented skin eruption resulting from chronic exposure to long-term moderate heat. The incidence has decreased substantially today because of the advent of modern central heating systems. Recently, we encountered a patient who developed EAI after 2 weeks of footbaths with Chinese herbal remedies, which she used to treat her acute ankle sprain. Alternative Chinese medicine, such as herbal footbath, is a prevalent medical practice to treat acute pains as well as many chronic musculoskeletal ailments among Chinese and Asian populations. It has also become increasingly popular in Western countries in the past decade. Herein, we would like to report an uncommon case of iatrogenic EAI caused by footbath and raise the attention of clinicians to such rare, potentially malignant-transforming, dermatosis.

  18. IDIOPATHIC ERYTHEMA NODOSUM AND PREGNANCY: DESCRIPTION OF A CASE

    Directory of Open Access Journals (Sweden)

    B S Belov

    2009-01-01

    Full Text Available Erythema nodosum (EN is a dermatosis of unclear etiology, which is characterized by vascular lesion of the skin; it shows itself as hard painful nodes occurring in the derma or subcutaneous fat on the shins and thighs. EN has been described in many chronic infectious processes with some features of its clinical course. In most cases, the disease is regarded as a nonspecific immunoinflammatory response to a wide spectrum of etiological factors, including that in gestation, which presents certain problems in curing the patient. The example given below supports the need for timely testing for infectious markers in pregnancy and, in case of evolving EN, for using not only nonsteroidal anti-inflammatory drugs, but also pathogenetic treatment.

  19. Characteristics of patients presenting with erythema nodosum and sarcoidosis.

    LENUS (Irish Health Repository)

    O'Connor, T M

    2012-01-31

    We explored the relationship between erythema nodosum (EN) and sex, age, serum angiotensin converting enzyme (ACE), bronchoalveolar lavage lymphocytosis (BAL-I), interstitial granulomas and radiological stage in patients presenting with pulmonary sarcoidosis in Ireland. Sixty-nine patients diagnosed with sarcoidosis between 2003 and 2006 were studied. Forty one patients (59%) were male. Sixteen patients (23%) presented with EN. Forty one patients of 65 (63%) had transbronchial biopsies demonstrating non-caseating granulomas. Patients with sarcoidosis presenting with EN were more likely to be female (p=0.042), younger (p=0.012) and have earlier stage pulmonary disease (p=0.02). There were no correlations between serum ACE, interstitial granulomas and disease stage. BAL-I did however predict increasing disease radiological stage (p=0.042). In this study, one quarter of patients with sarcoidosis presented with EN among their presenting features. These patients were more likely to be young females with early stage radiological disease.

  20. Serologically diagnosed Lyme disease manifesting erythema migrans in Korea.

    Science.gov (United States)

    Kim, T. H.; Choi, E. H.; Lee, M. G.; Ahn, S. K.

    1999-01-01

    Lyme disease is a vector-borne infection, primarily transmitted by Ixodes ticks, and caused by Borrelia burgdorferi. It has a wide distribution in the northern hemisphere. In Korea, however, only one human case has been reported, although B. burgdorferi was isolated from the vector tick I. persulcatus in the region. A 60-year-old male and a 45-year-old female developed the clinical sign of erythema migrans. Each patients were bitten by a tick four weeks and five weeks, respectively, before entering the hospital. On serologic examination, significantly increased IgM and IgG antibody titers to B. burgdorferi were observed in consecutive tests performed at an interval of two weeks. They responded well to treatment with tetracycline. PMID:10102530

  1. The management of oral erythema multiforme in juvenile patient

    Directory of Open Access Journals (Sweden)

    Diah Savitri Ernawati

    2007-12-01

    Full Text Available Erythema multiforme is an acute inflammatory disease of the skin and mucous membranes that causes a variety of the skin lesionhence the name ‘multiforme’.The oral mucosa looks severely inflamed, but the feature are non specific and usually a biopsy is required in order to confirm the diagnosis. Cracked, bleeding, Crusted, swollen and ulcers of the lips is very characteristic of erythema multiforme, and lip involvement may cause significant morbidity. EM is assumed as an immune complex disorder which rises as a result of an immune response to an external agent such as herpes simplex virus or various drugs. We reported: 14-year girl, complained she suffered from painful oral ulceration for one week. One weeks advance the patient received a treatment of paracetamol and paramex for febris, headache and cough. Clinical examination of the skin showed no signs of cutaneous involvement. Other site such as the conjunctival, and genital were also free of lesions. The patients had several red-based superficial erosions on the upper and lower lips accompanied by crusting and bleeding. Intra oral findings showed multiple irregular erosions, ulcers and intense erythematous areas, mainly on the labial mucosa. The clinical diagnosis of EM was concluded by anamnesis and clinical appearance, with differential diagnosis of secondary herpes infection (herpes labialis and pemphigus vulgaris. Systemic and topical corticosteroid therapy is frequently used to treat EM Although it may partially suppress the disease. Objective: This report explains and describes the management of patients with EM which may help dentists to determine an accurate diagnosis to avoid further complication and to give medical intervention to the disease. Conclusion: Early recognition of this disease may prevent delayed diagnosis and incorrect treatment.

  2. Rosacea assessment by erythema index and principal component analysis segmentation maps

    Science.gov (United States)

    Kuzmina, Ilona; Rubins, Uldis; Saknite, Inga; Spigulis, Janis

    2017-12-01

    RGB images of rosacea were analyzed using segmentation maps of principal component analysis (PCA) and erythema index (EI). Areas of segmented clusters were compared to Clinician's Erythema Assessment (CEA) values given by two dermatologists. The results show that visible blood vessels are segmented more precisely on maps of the erythema index and the third principal component (PC3). In many cases, a distribution of clusters on EI and PC3 maps are very similar. Mean values of clusters' areas on these maps show a decrease of the area of blood vessels and erythema and an increase of lighter skin area after the therapy for the patients with diagnosis CEA = 2 on the first visit and CEA=1 on the second visit. This study shows that EI and PC3 maps are more useful than the maps of the first (PC1) and second (PC2) principal components for indicating vascular structures and erythema on the skin of rosacea patients and therapy monitoring.

  3. Winter Weather: Frostbite

    Science.gov (United States)

    ... Safety During Fire Cleanup Wildfires PSAs Related Links Winter Weather About Winter Weather Before a Storm Prepare Your Home Prepare Your Car Winter Weather Checklists During a Storm Indoor Safety During ...

  4. 100-kWe Lunar/Mars surface power utilizing the SP-100 reactor with dynamic conversion

    International Nuclear Information System (INIS)

    Harty, R.B.; Mason, L.S.

    1993-01-01

    An integration study was performed coupling an SP-100 reactor with either a Brayton or Stirling power conversion subsystem. A power level of 100 kWe was selected for the study. The power system was to be compatible with both the lunar and Mars surface environment and require no site preparation. In addition, the reactor was to have integral shielding and be completely self-contained, including its own auxiliary power for start-up. Initial reliability studies were performed to determine power conversion redundancy and engine module size. Previous studies were used to select the power conversion optimum operating conditions (ratio of hot-side temperature to cold-side temperature). Results of the study indicated that either the Brayton or Stirling power conversion subsystems could be integrated with the SP-100 reactor for either a lunar or Mars surface power application. For the lunar environment, the reactor and primary coolant loop would be contained in a guard vessel to protect from a loss of primary loop containment. For the Mars environment, all refractory components including the reactor, primary coolant, and power conversion components would be contained in a vacuum vessel for protection against the CO 2 environment. The vacuum would be maintained by an active ion pumping system. These active ion vacuum systems have no moving parts and have a long history of reliable operation

  5. Concept, design approaches suited to space nuclear power systems in the range of 20 kWE

    International Nuclear Information System (INIS)

    Tilliette, Z.P.; Carre, F.; Proust, E.

    1989-01-01

    Given the variety of possible missions and flight dates, it seems advisable to widen the basis for future technical choices within the French preliminary studies of 20-kWe space nuclear power systems. In addition to the fast spectrum, liquid metal-cooled reactor presently considered as a reference, shorter development term system, gas- and Na(K)-cooled thermal spectrum reactors are being investigated. The need for adequate ZrH moderator temperature conditions can be satisfied through a Brayton cycle conversion subsystem featuring two separate, high temperature-heat pipes and low temperature-pumped loop radiators. The penalty in efficiency and in radiator area, resulting from the wanted lower reactor inlet temperature, can be limited, particularly in the case of the higher temperature, gas-cooled reactor system. A multiple, pivoting tubes, low temperature radiator concept is proposed; it avoids an extension of the related structural support frame beyond the conversion subsystem region in flight configuration. Arrangements peculiar to small reactors and two-turbo-generator diagrams for reliability reasons are presented. Provisional, not yet optimized, thermal management mass estimates are evaluated

  6. Design and production of a 2.5 kWe insulated metal substrate-based densely packed CPV assembly

    Science.gov (United States)

    Micheli, Leonardo; Sarmah, Nabin; Luo, Xichun; Reddy, K. S.; Mallick, Tapas K.

    2014-09-01

    The original design of a new 144-cell concentrating photovoltaic assembly is presented in this paper. It is conceived to work under 500 suns and to generate about 2.5 kWe. An insulated metal substrate was selected as baseplate, in order to get the best compromise between costs and thermal performances. It is based on a 2mm thick aluminum plate, which is in charge of removing the heat as quick as possible. The copper pattern and thickness has been designed accordingly to the IPC Generic Standard on Printed Board Design and to the restrictions of fit a reflective 125x primary optics and a 4x secondary refractive optics. The original outline of the conductive copper layer has been developed to minimize Joule losses by reducing the number of interconnections between the cells in series. Multijunction solar cells and Schottky bypass diodes have been soldered onto the board as surface mounted components. All the fabrication processes are described. This board represents a novelty for the innovative pattern of the conductive layer, which can be easily adapted to be coupled with different optics geometries and to allocate a different number of cells. The use of an IMS as baseplate will give an experimental contribution to the debate about the exploitability of this kind of substrates in CPV. This board is being characterized indoor and outdoor: the results will be used to improve the design and the reliability of the future receivers.

  7. Erythema migrans mimicking cervical cellulitis with deep neck infection in a child with Lyme disease.

    Science.gov (United States)

    Li, Tsung-Han; Shih, Chien-Ming; Lin, Wei-Jen; Lu, Chien-Wei; Chao, Li-Lian; Wang, Chih-Chien

    2007-07-01

    In the early stage of Lyme disease, atypical lesions of erythema migrans rash can develop and extend over the neck region, mimicking cervical cellulitis with deep neck infection. Here, we report a 9-year-old Taiwanese boy with a recent history of exposure to deer during his visit to Nanto County in central Taiwan. Cervical cellulitis with lymphadenitis was initially diagnosed. Erythema migrans developed in the following days and Lyme disease was finally diagnosed by a Western immunoblot test. Alertness to this unique clinical feature is required for prompt differential diagnosis of Lyme disease with a presentation of erythema migrans mimicking cervical cellulitis.

  8. Erythema Migrans Mimicking Cervical Cellulitis with Deep Neck Infection in a Child with Lyme Disease

    Directory of Open Access Journals (Sweden)

    Tsung-Han Li

    2007-01-01

    Full Text Available In the early stage of Lyme disease, atypical lesions of erythema migrans rash can develop and extend over the neck region, mimicking cervical cellulitis with deep neck infection. Here, we report a 9-year-old Taiwanese boy with a recent history of exposure to deer during his visit to Nanto County in central Taiwan. Cervical cellulitis with lymphadenitis was initially diagnosed. Erythema migrans developed in the following days and Lyme disease was finally diagnosed by a Western immunoblot test. Alertness to this unique clinical feature is required for prompt differential diagnosis of Lyme disease with a presentation of erythema migrans mimicking cervical cellulitis.

  9. Treatment of antiviral-resistant recurrent erythema multiforme with dapsone.

    Science.gov (United States)

    Oak, Allen S W; Seminario-Vidal, Lucia; Sami, Naveed

    2017-03-01

    Recurrent erythema multiforme (REM) is a chronic disease characterized by frequent episodes of target cutaneous lesions in an acral distribution. Conventional treatment includes systemic corticosteroids and antiviral therapy. The aim of this study was to evaluate dapsone as a potential steroid sparing-agent for the treatment of REM after a failed trial of at least one antiviral therapy (acyclovir, famciclovir, or valacyclovir). A retrospective chart review was conducted on thirteen patients with a diagnosis of REM who underwent treatment with dapsone after failing at least one antiviral therapy. Out of 13 patients, 6 showed complete response (CR) and 5 showed partial response (PR). The underlying cause was identified in 5 patients with all showing at least PR. Adverse effects, observed in 4 patients, included fatigue, macrocytic anemia, anxiety, insomnia and involuntary movements, and drug-induced lupus erythematosus. A continuous course of dapsone, titrated up from 25 mg/day to a dose at which clinical improvement is seen with acceptable patient tolerance, is a viable steroid sparing-agent for REM treatment after a failed trial of antiviral therapy. © 2016 Wiley Periodicals, Inc.

  10. ERYTHEMA ELEVATUM DIUTINUM AS MOST PROBABLE DIAGNOSIS: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Erick Francisco Sanchez Jimenez

    2013-07-01

    Full Text Available Cutaneous vasculitis can be cause by multiple disorders or can be idiopathic. Many diseases can present with similar findings, therefore histopathologic examination is always require for confirming the right diagnosis. The erythema elevatum diutinum (EED is a localized vasculitis, classified as a neutrophilic dermatosis. It’s a rare cutaneous condition, distribute on the extensor surface of the extremities, more frequently in the dorsum of the hands, knees and elbows. They have a symmetric distribution and can be asymptomatic, painful; or pruritic, sometimes accompanied paresthesias. The most common clinical presentation is round erythematous papules which become erythemato-violaceous or purpuric plaques. There are not pathognomonic histopathological findings, but can present as a leukocytoclastic vasculitis with perivascular neutrophilic infiltration in the middle and superficial dermis. I presented the case of a 61-year-old female, with erythematous purpuric painful plaques, irregular, symmetric and elevated, located in both thenar regions of her hands and paresthesias. The patient’s presentation is consistent with multiple characteristics of EED such as the description of the lesions, the anatomical location, the symmetric distribution and the histopathological findings of an initial disease. This patient does not have all the clinical progression and outcome, due to the initial stage of the disease.

  11. Suspected early Lyme neuroborreliosis in patients with erythema migrans.

    Science.gov (United States)

    Ogrinc, Katarina; Lotrič-Furlan, Stanka; Maraspin, Vera; Lusa, Lara; Cerar, Tjaša; Ružič-Sabljič, Eva; Strle, Franc

    2013-08-01

    Our objective was to obtain data on patients with erythema migrans (EM) who have symptoms/signs suggesting nervous system involvement and to compare epidemiologic, clinical, and microbiologic findings in patients with and without cerebrospinal fluid (CSF) pleocytosis. Adult patients with EM and suspected early Lyme neuroborreliosis were included in this study. Of 161 patients, 31 (19%) had elevated and 130 (81%) had normal CSF cell counts. In contrast to patients with normal CSF cell counts, those with pleocytosis (1) more often reported radicular pain and more often presented with meningeal signs but less frequently complained of malaise; (2) had larger EM skin lesions despite similar duration; (3) more commonly had Borrelia garinii isolated from EM skin lesions (odds ratio for pleocytosis was 31 times higher in patients with established B. garinii skin infection compared to patients with other Borrelia species isolated from their EM skin lesion) and from CSF; and (4) more frequently fulfilled microbiologic criteria for established borrelial infection of the central nervous system. The positive predictive value of pleocytosis for microbiologically proven borrelial infection of the central nervous system (defined by isolation of Borrelia from CSF and/or demonstration of intrathecal synthesis of borrelial antibodies) was 67.9%, whereas normal CSF white cell counts ruled out Lyme neuroborreliosis with a predictive value of 91.9%. Comparison of European patients with EM who had symptoms/signs suggesting early Lyme neuroborreliosis revealed several differences in the clinical presentation and in microbiologic test results according to CSF findings.

  12. ERYTHEMA NODOSUM AND PROLONGED FEVER ASSOCIATED TO SECONDARY HYPERPARATHYROIDISM

    Directory of Open Access Journals (Sweden)

    Galimberti R

    2005-08-01

    Full Text Available SUMMARYSecondary hyperparathyroidism is one of the main deragements caused by chronic renal failure, and parathyroid hormone is considered one of the toxins of the uremic syndrome. Prolonged fever due to primary hyperparathyroidism have already been described in the literature but not yet as induced by secondary hyperparathyroidism. In this case report a patient suffering from an erythema nodosum and prolonged fever associated to secondary hyperparathyroidism that disappeared through subtotal parathyroidectomy is presented.RESUMENEl hiperparatiroidismo secundario es uno de los principales disturbios causados por la insuficiencia renal crónica, y la paratohormona es considerada una de las toxinas del sindrome urémico. El sindrome febril prolongado secundario a hiperparatiroidismo primario ya ha sido descripto en la literatura, aunque no lo ha sido aun el inducido por hiperparatiroidismo secundario. En el presente reporte se presenta un caso de eritema nodoso y sindrome febril prolongado asociado a hiperparatiroidismo secundario y que resolvió luego de efectuada una paratiroidectomía subtotal.

  13. Erythema Multiforme-like Secondary to Paraphenylenediamine Due to Henna Tattoo Plus Residual Hypopigmentation

    OpenAIRE

    Levancini, Cristian Fischer; Sancho, Maribel Iglesias; Serrano, Vicente Exposito; Torres, Eulalia Baselga

    2015-01-01

    Temporary henna tattoos or pseudotattoos have become increasingly widespread among children and adolescent. A generalized skin reaction, type erythema multiforme-like reaction is unusual, and rarely reported. We describe the case of a 7-year-old boy who reported erythematous papular bull?s-eye shaped lesions and consolidated edema primarily in the upper and lower extremities. These lesions were compatibles with erythema multiforme-like reaction. He also showed an erythematous-eczematous lesio...

  14. The ball SITE sign: Ball sports-induced targetoid erythema in a racquetball player.

    Science.gov (United States)

    Cohen, Philip R

    2015-07-01

    Cutaneous injury following impact of a high velocity ball to the skin may result in either erythema or purpura or both. The lesion typically appears as an annular ring of erythema with or without accompanying ecchymosis when the skin is contacted by a paintball, a ping pong ball, a racquetball or a squash ball. To describe a girl with targetoid erythema following impact of a racquetball on her flank and back and to review other sports associated with this response to skin injury. PubMed was used to search the following terms, separately and in combination: ball, erythema, paint, ping pong, purpura, racquetball, sign, site, sports, squash, targetoid. All papers were reviewed and relevant manuscripts, along with their reference citations, were evaluated. A 13-year-old girl developed an annular red ring surrounding a central area of normal appearing skin on her right flank and upper back where a racquetball traveling at a high velocity contacted her skin. Similar appearing lesions of targetoid erythema have been described at the cutaneous impact sites of either paintballs, ping pong balls, squash balls; in addition to erythema, purpura may also concurrently appear or subsequently develop at the contact location of the ball with the skin. Targetoid erythema is a pathognomonic cutaneous presentation resulting from the impact of either a paintball, ping pong ball, racquetball or squash ball-that is traveling at a high velocity-with a sport participant's skin. The ball SITE (sports-induced targetoid erythema) sign is suggested as a unifying nomenclature to designate this unique, ball sport-associated, cutaneous dermatosis in athletes participating in sports in which high velocity impact of the ball with the skin may occur.

  15. Southern tick-associated rash illness: erythema migrans is not always Lyme disease.

    Science.gov (United States)

    Blanton, Lucas; Keith, Brad; Brzezinski, Walter

    2008-07-01

    Southern tick-associated rash illness (STARI) is a rash occurring after a tick bite. It is a form of erythema migrans, an annular rash with central clearing that is almost identical with the erythema migrans seen in Lyme disease. The etiologic agent is not known but may be a Borrelia species. The tick vector is different in the two diseases. Serious systemic complications are not currently recognized with STARI but treatment with doxycycline is prudent. Differentiating STARI from Lyme disease is discussed.

  16. Erythema multiforme triggered by Treponema pallidum infection in an HIV-infected patient.

    Science.gov (United States)

    Zanella, Luiz Gfab D'Elia; Sampaio, Érika F; Lellis, Rute F

    2018-01-01

    We are currently facing a worldwide epidemic of syphilis. Clinical manifestations that are rarely seen have been encountered, leading the dermatologist to confront unusual clinical conditions in daily practice. Erythema multiforme triggered by syphilis is very rare and is also seldom reported in the literature. We report a case of secondary syphilis in an HIV-positive patient, whose clinical, pathologic and serologic features were consistent with the diagnosis of erythema multiforme triggered by syphilis.

  17. Urticaria multiforme er en variant af urticaria, som imiterer erythema multiforme

    DEFF Research Database (Denmark)

    Authried, Georg; Bracher, Linda; Bygum, Anette

    2013-01-01

    A 21-month-old boy developed urticaria multiforme during the course of a presumed pneumonia, which was treated with imacillin. At admission to hospital he was initially considered to have erythema multiforme, but the correct diagnosis was soon established as urticaria multiforme. He had a good re...... response to antihistamines. The diagnostic differences between urticaria multiforme and erythema multiforme are presented in this case report....

  18. Comparison of erythema migrans caused by Borrelia burgdorferi and Borrelia garinii.

    Science.gov (United States)

    Strle, Franc; Ružić-Sabljić, Eva; Logar, Mateja; Maraspin, Vera; Lotrič-Furlan, Stanka; Cimperman, Jože; Ogrinc, Katarina; Stupica, Daša; Nadelman, Robert B; Nowakowski, John; Wormser, Gary P

    2011-09-01

    A comparison of patients with erythema migrans due to Borrelia garinii versus Borrelia burgdorferi has not been reported. One hundred nineteen patients from New York State with erythema migrans caused by B. burgdorferi were compared with 116 patients from Slovenia with erythema migrans due to B. garinii infection. Patients with B. garinii infection were older, more often reported a tick bite, and developed larger lesions (median largest diameter: 18 and 14  cm, respectively; p = 0.01) that more often had central clearing (61.2% compared with 35.3%; p erythema migrans skin lesions (13.4% compared with 5.2%; p = 0.051), and among patients with multiple erythema migrans the number of lesions was greater in B. burgdorferi-infected patients (median: 5.5 compared with 2.0; p = 0.006). The results of the present study indicate that in patients with erythema migrans the clinical features vary according to whether infection is caused by B. garinii or B. burgdorferi.

  19. Effects of ultraviolet radiation, visible light, and infrared radiation on erythema and pigmentation: a review.

    Science.gov (United States)

    Sklar, Lindsay R; Almutawa, Fahad; Lim, Henry W; Hamzavi, Iltefat

    2013-01-01

    The effects of ultraviolet radiation, visible light, and infrared radiation on cutaneous erythema, immediate pigment darkening, persistent pigment darkening, and delayed tanning are affected by a variety of factors. Some of these factors include the depth of cutaneous penetration of the specific wavelength, the individual skin type, and the absorption spectra of the different chromophores in the skin. UVB is an effective spectrum to induce erythema, which is followed by delayed tanning. UVA induces immediate pigment darkening, persistent pigment darkening, and delayed tanning. At high doses, UVA (primarily UVA2) can also induce erythema in individuals with skin types I-II. Visible light has been shown to induce erythema and a tanning response in dark skin, but not in fair skinned individuals. Infrared radiation produces erythema, which is probably a thermal effect. In this article we reviewed the available literature on the effects of ultraviolet radiation, visible light, and infrared radiation on the skin in regards to erythema and pigmentation. Much remains to be learned on the cutaneous effects of visible light and infrared radiation.

  20. Time-dose relationship of erythema in high energy photon irradiation therapy

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Hidetoshi (Gifu Prefectural Tajimi Hospital (Japan)); Sakuma, Sadayuki

    1992-01-01

    Skin doses of 100 patients who were treated with high energy ionizing irradiation during conventional irradiation therapy were measured by thermoluminescence dosimeter (TLD). In 87 of the 100 patients, acute hyperemic change of the skin (erythema) of the irradiated region was observed. In the other 13 patients, alopetia of the scalp was observed. The following conclusions were reached. The time-dose relationship was linear when erythema tolerance was used as an index, but not when alopecia was used. The tolerance dose for erythema was lower than previously reported. The slope of the isoeffect curve on the log-log plot of total absorbed skin dose against total number of days after the first irradiation was 0.68 when erythema was used as an index. This number is larger than previously reported results. We considered that erythema is significantly influenced by fraction size and that hyperfractionation is a promising method of irradiation, especially in Japan. Combined use of chemotherapeutic agents, such as 5-FU, accelerated erythema. The slope of combined treatment was 0.86. Observing acute hyperemic change of skin is considered to be a useful method of investigating the combined effects of chemotherapeutic agents on irradiation. (author).

  1. Early-onset Lyme carditis with concurrent disseminated erythema migrans.

    Science.gov (United States)

    Patel, Kinjan P; Farjo, Peter D; Juskowich, Joy J; Hama Amin, Ali; Mills, James D

    2017-01-01

    Lyme disease is an infection that is estimated to affect over 300,000 people in the United States annually. Typically, it presents with erythema migrans (EM), an annular rash at the site of tick attachment, within 3 to 30 days of inoculation. Untreated patients may progress to early disseminated disease. A further complication, Lyme carditis is rare but may occur several weeks later. It commonly manifests as a variable atrioventricular (AV) conduction block, with a high-grade AV block occurring in only 1% of untreated patients. This case demonstrates an unusually early presentation of Lyme carditis with complete heart block. A 21-year-old male was transferred from an outside emergency department (ED) for possible pacemaker placement due to symptomatic third-degree AV block. Four days earlier the patient presented to the outside ED with fever, chills, and unrecognized EM on his right neck. He was discharged with antipyretics, but no antibiotic therapy. On the day of transfer, he returned with persistent fevers, EM now on his trunk and upper extremities, lightheadedness, and substernal chest pressure. An electrocardiogram revealed the third-degree AV block leading to transfer. Upon arrival, the patient was promptly diagnosed with Lyme carditis. Pacemaker implantation was deferred, and intravenous (IV) ceftriaxone was initiated. Within 48 hours his third-degree AV block improved to a first-degree block. By this time, his EM had also resolved. He was discharged with oral doxycycline and a 30-day event monitor, which ultimately showed persistent first-degree AV block. This case reinforces a unique presentation of Lyme carditis. Disseminated EM and Lyme carditis may present concurrently within 2 weeks of tick attachment. Early recognition and treatment is important for preventing progression to disseminated infection. Lyme-associated AV block will reverse within 48 to 72 hours of initiating IV antibiotic therapy and will not require pacemaker implantation. Lyme carditis

  2. Socio-Economic Characteristics in Notified Erythema Migrans Patients.

    Science.gov (United States)

    Sočan, Maja; Blaško-Markič, Mateja; Erčulj, Vanja; Lajovic, Jaroslav

    2015-12-01

    Lyme borreliosis disease results from infection by members of the Borrelia burgdorferi sensu lato complex. The most common clinical presentation of Lyme borreliosis is erythema migrans (EM). To gain knowledge of the epidemiological parameters and the risk factors of EM in Slovenia, a survey has been carried out in 2010. A short anonymous and self-administrated questionnaire was sent to 4917 notified EM patients in 2010, aiming to collect epidemiological data and assess socio-economic determinants in patients with EM. Three thousand and five (61%) patients with EM returned completed questionnaires. One thousand and nine hundred twenty-nine (74%) patients noted the tick where the EM developed. The tick bite was most often located on the legs in adults and in the head/neck area in children. The time that elapsed before the tick has been removed increased significantly with age. The attached tick was most frequently overlooked in preschool children. Nearly 70% of patients believed that they contracted the infection with borrelia near home. Infection away from their permanent residence was more often the case in those with a higher level of education and in 15-49 age groups. Compared to the Slovenian general population over 14 years of age, those with a higher level of education, the unemployed and farmers were overrepresented among the EM patients. The risk of Lyme borreliosis is widespread in Slovenia, with some areas more affected then others. Determinants of exposure to infected ticks are different, and depend on the socio-economic status and demographic characteristics.

  3. Microbiologic Evaluation of Patients from Missouri with Erythema Migrans

    Science.gov (United States)

    Wormser, Gary P.; Masters, Edwin; Liveris, Dionysios; Nowakowski, John; Nadelman, Robert B.; Holmgren, Diane; Bittker, Susan; Cooper, Denise; Wang, Guiqing; Schwartz, Ira

    2009-01-01

    Background Borrelia lonestari infects Amblyomma americanum, the tick species that is the most common cause of tick bites in southeast and south-central United States, and this spirochete has been detected in an erythema migrans (EM)–like skin rash in 1 patient. Therefore, B. lonestari is considered to be a leading candidate for the etiologic agent of EM in this region. Methods Skin biopsy specimens obtained from patients from the Cape Girardeau area of Missouri who had EM-like lesions were cultured in Barbour-Stoenner-Kelly medium and evaluated by polymerase chain reaction (PCR) targeting multiple genes. Serum specimens were tested by enzyme-linked immunosorbent assay for antibodies against sonicated whole-cell Borrelia burgdorferi. Results were compared with those obtained over the same period for patients from New York State who had EM. Results B. lonestari was not detected by PCR in any of 31 skin biopsy specimens collected from 30 Missouri patients. None of 19 cultures of Missouri skin samples that were suitable for evaluation were positive for B. burgdorferi, compared with 89 (63%) of 142 cultures of samples collected from New York State patients (P < .001). None of the 25 evaluable Missouri patients were seropositive for antibodies against B. burgdorferi, compared with 107 (75%) of 143 New York State patients (P < .001). Conclusions Neither B. lonestari nor B. burgdorferi is likely to be the cause of EM-like skin lesions in patients from the Cape Girardeau area of Missouri. The etiology of this condition remains unknown. PMID:15668867

  4. Winter Weather Emergencies

    Science.gov (United States)

    Severe winter weather can lead to health and safety challenges. You may have to cope with Cold related health ... Although there are no guarantees of safety during winter weather emergencies, you can take actions to protect ...

  5. Winter maintenance performance measure.

    Science.gov (United States)

    2016-01-01

    The Winter Performance Index is a method of quantifying winter storm events and the DOTs response to them. : It is a valuable tool for evaluating the States maintenance practices, performing post-storm analysis, training : maintenance personnel...

  6. Winter weather demand considerations.

    Science.gov (United States)

    2015-04-01

    Winter weather has varied effects on travel behavior. Using 418 survey responses from the Northern Virginia : commuting area of Washington, D.C. and binary logit models, this study examines travel related changes under : different types of winter wea...

  7. Winter-to-winter variations in indoor radon

    International Nuclear Information System (INIS)

    Mose, D.G.; Mushrush, G.W.; Kline, S.W.

    1989-01-01

    Indoor radon concentrations in northern Virginia and central Maryland show a strong dependence on weather. Winter tends to be associated with higher than average indoor radon, and summer with lower than average. However, compared to the winter of 1986-1987, the winter of 1987-1988 was warmer and drier. Consequently, winter-to-winter indoor radon decreased by about 25%. This winter-to-winter decrease is unexpectedly large, and simulates winter-to-summer variations that have been reported

  8. [Effect of Immunovac-VP-4 and Kagocel immunotherapy on cytokine levels in patients with erythema nodosum].

    Science.gov (United States)

    Sorokina, E V; Akhmatova, N K; Khomenkov, V G; Akhmatov, É A

    2013-01-01

    Fixed erythema--a kind of clinical and histopathologic reaction, fixed drug eruption. The purpose of the study--the study of characteristics of the cytokine profile in patients with erythema and the dynamics of the basal levels of proinflammatory and antiinflammatory cytokines during immunotherapy. All 41 patients with fixed erythema at baseline and after treatment was carried out determination of levels of pro-, anti-inflammatory and regulatory cytokines in the serum by ELISA using test systems "Biosource" (Austria). In patients with fixed erythema Immunovac treatment increased serum IFN-gamma (p 0.05), IL-6. While Kagocel led to an increase in IFN-gamma (p VP-4 had the highest activity for the induction of IFN-gamma. Inclusion in the range of therapeutic and prophylactic measures in patients with fixed erythema immunomodulators promotes activation links innate and adaptive immunity triggers mechanisms, thus increasing the antiviral response in patients with erythema.

  9. Prolonged ultraviolet light-induced erythema and the cutaneous carcinoma phenotype

    International Nuclear Information System (INIS)

    Tanenbaum, L.; Parrish, J.A.; Haynes, H.A.; Fitzpatrick, T.B.; Pathak, M.A.

    1976-01-01

    A considerable amount of evidence exists in support of the role of ultraviolet radiation as a major etiologic factor in human skin cancer, both melanoma and carcinoma types. On the basis of epidemiologic studies a phenotype has been described which helps to identify the persons who are more susceptible to skin cancer. In an attempt to further define this population, patients with cutaneous carcinoma and a normal control group were exposed to artificial ultraviolet light (UVL) and the erythema and tanning responses of each group were measured over a 21-day period. UVL-induced erythema was prolonged in a significantly higher percentage of patients with skin cancer than in control patients, lasting two to three weeks after single exposures to 6 and 8 times the patient's minimal erythema dose. The presence of prolonged erythema correlated with this history of previous skin cancer but did not correlate with other established risk factors for cutaneous carcinoma, i.e., fair skin, light hair and light eyes, easy sunburning and poor tanning, and Celtic ancestry. Prolonged erythema following UVL radiation may therefore represent an additional risk factor and help to identify the skin cancer-susceptible population

  10. Treatment of erythema migrans with doxycycline for 10 days versus 15 days.

    Science.gov (United States)

    Stupica, Dasa; Lusa, Lara; Ruzić-Sabljić, Eva; Cerar, Tjasa; Strle, Franc

    2012-08-01

    The efficacy of 10-day doxycycline treatment in patients with erythema migrans has been assessed in the United States but not in Europe. Experts disagree on the significance of post-Lyme borreliosis symptoms. In a noninferiority trial, the efficacies of 10 days and 15 days of oral doxycycline therapy were evaluated in adult European patients with erythema migrans. The prevalence of nonspecific symptoms was compared between patients with erythema migrans and 81 control subjects without a history of Lyme borreliosis. The efficacy of treatment, determined on the basis of clinical observations and microbiologic tests, was assessed at 14 days and at 2, 6, and 12 months. Nonspecific symptoms in patients and controls were compared at 6 months after enrollment. A total of 117 patients (52%) were treated with doxycycline for 15 days, and 108 (48%) received doxycycline for 10 days. Twelve months after enrollment, 85 of 91 patients (93.4%) in the 15-day group and 79 of 86 (91.9%) in the 10-day group had complete response (difference, 1.6 percentage points; upper limit of the 95% confidence interval, 9.1 percentage points). At 6 months, the frequency of nonspecific symptoms in the patients was similar to that among controls. The 10-day regimen of oral doxycycline was not inferior to the 15-day regimen among adult European patients with solitary erythema migrans. Six months after treatment, the frequency of nonspecific symptoms among erythema migrans patients was similar to that among control subjects. NCT00910715.

  11. Identification of Anaplasma phagocytophilum and Borrelia burgdorferi sensu lato in patients with erythema migrans.

    Science.gov (United States)

    Hulínská, D; Votýpka, J; Vanousová, D; Hercogová, J; Hulínský, V; Drevová, H; Kurzová, Z; Uherková, L

    2009-01-01

    Anaplasma phagocytophilum has been first isolated from the blood of two Czech patients simultaneously with a cultivation of Borrelia burgdorferi sensu lato from their erythema migrans lesions. Cultivation of different Borrelia spp. from 12 erythema migrans biopsies, from 2 blood, one liquor and one placenta sample in BSK-H medium was successful. Adapted conventional methods targeting 16S rRNA and OspA genes for real-time polymerase chain reaction (PCR) and partial sequencing of these genes together with microscopical examinations of the blood smears provided a direct detection of the B. afzelii, B. burgdorferi, B. garinii, B. valaisiana and B. bissettii in the skin, B. garinii in the blood, placenta and liquor in 24 (36.3 %) patients, and A. phagocytophilum in 10 (15 %) patients with erythema migrans. Positive indirect IgM immunofluorescence against Anaplasma sp. was obtained in 7 cases, specific IgG antibodies were detected in 12 patients. Three women suffering from erythema migrans in the first trimester had positive PCR for Anaplasma and/or for Borrelia in the blood and two of them, later, in the placenta. Interpretation of laboratory data can bring important contribution to establishing the role of Anaplasma sp. in erythema migrans and forming the principle of precaution with laboratory diagnosis during pregnancy which always should be reflected in the resistance of Anaplasma sp. toward penicillins.

  12. Erythema elevatum diutinum as a first clinical manifestation for diagnosing HIV infection: case history

    Directory of Open Access Journals (Sweden)

    Patrícia Accioni Rover

    Full Text Available CONTEXT: Erythema elevatum diutinum is a chronic and rare dermatosis that is considered to be a variant of leukocytoclastic vasculitis. It is probably mediated by immune complexes. It is generally associated with autoimmune, neoplastic and infectious processes. Recently, it has been added to the group of specific dermatoses that are associated with HIV. CASE REPORT: We report on the case of a patient who had erythema elevatum diutinum as the first clinical evidence for diagnosing HIV infection. Dapsone was used in the treatment of this patient, and partial regression of the lesions was achieved within 15 days, even before antiretroviral therapy was prescribed. CONCLUSION: When there is a diagnosis of erythema elevatum diutinum, HIV infection should be investigated, especially in atypical and exacerbated clinical manifestations.

  13. Erythema multiforme and Stevens-Johnson syndrome in patients receiving cranial irradiation and phenytoin

    Energy Technology Data Exchange (ETDEWEB)

    Delattre, J.Y.; Safai, B.; Posner, J.B.

    1988-02-01

    In 15 months we encountered eight patients with intracranial tumors who developed erythema multiforme (EM) or erythema multiforme bullosa (Stevens-Johnson syndrome). All occurred shortly after use of phenytoin (DPH) and brain radiation therapy (WBRT). The clinical picture differed from the classic form of EM in that the erythema began on the scalp and spread to the extremities, progressing in three cases to extensive bullous formation. There were no cases of EM among patients who received either DPH or radiotherapy alone. The combination of DPH, WBRT, and tapering of steroids seems to predispose to EM. The pathogenesis of the disorder is probably immunologic. In the absence of seizures, anticonvulsants should not be given routinely to patients with brain tumors. When anticonvulsants are necessary in patients scheduled for WBRT, DPH may not be the drug of choice.

  14. Vesicular erythema migrans: an atypical and easily misdiagnosed form of Lyme disease.

    Science.gov (United States)

    Mazori, Daniel R; Orme, Charisse M; Mir, Adnan; Meehan, Shane A; Neimann, Andrea L

    2015-08-15

    Erythema migrans is the initial sign in the majority of patients infected with Borrelia, the genus of spirochetes that causes Lyme disease. Early identification and treatment decrease the risk of progression to later stages of disease. Although a "bull's eye" appearance owing to lesional clearing is considered classic for erythema migrans, this feature is surprisingly often lacking among patients in the United States. Furthermore, cutaneous Lyme disease can exhibit a wide range of morphologic variability in a minority of patients. Herein, we describe the case of a patient with Lyme disease in which the presence of atypical vesicular features, in conjunction with the initial absence of clearing, resulted in multiple misdiagnoses and delayed treatment. We also review the literature on the epidemiology and management of erythema migrans for cases in which the diagnosis may pose a challenge.

  15. An Emergency Department Presentation of Erythema Ab Igne Caused by Repeated Heater Exposure.

    Science.gov (United States)

    Goorland, Jeffrey; Edens, Mary Ann; Baudoin, Tammy D

    2016-01-01

    Erythema ab igne is a rare, reticular erythematous hyperpigmentation resulting from repeated thermal injury. We describe our assessment of a 22-year-old woman with bilateral shin discoloration of 3 weeks' duration. Upon questioning, she revealed that she had been standing near a portable heater for extended periods. She was advised to avoid further exposure to the heat source. By the time of a follow-up clinic visit, the discoloration had resolved. Patients with hyperpigmented patches should be questioned about heat exposure. Erythema ab igne can progress to serious dermatologic conditions, but if the cause is eliminated, it usually resolves without medical intervention.

  16. Erythema multiforme like allergic contact dermatitis associated with laurel oil: a rare presentation.

    Science.gov (United States)

    Uzuncakmak, Tugba Kevser; Karadag, Ayse Serap; Izol, Belcin; Akdeniz, Necmettin; Cobanoglu, Bengu; Taskin, Secil

    2015-04-16

    Allergic contact dermatitis is a common skin disease, which affects approximately 20% of the population. This reaction may present with several clinical manifestations. Erythema multiforme-like allergic contact dermatitis is a rare type of non-eczematous contact dermatitis, which may lead to difficulty in diagnosis.Essential oil of Laurus nobilis is widely used in massage therapy for antiinflammatory and analgesic effects. Laurus nobilis induced contact dermatitis has been reported in the literature but an erythema multiforme-like presentation is rare.

  17. Early disseminated borreliosis with multiple erythema migrans and elevated liver enzymes: case report and literature review.

    Science.gov (United States)

    Benedix, Frauke; Weide, Benjamin; Broekaert, Sigrid; Metzler, Gisela; Frick, Julia-Stefanie; Burgdorf, Walter H C; Röcken, Martin; Schaller, Martin

    2007-01-01

    A 69-year-old man presented with multiple livid maculae and infiltrated urticarial plaques, as well as elevated liver enzymes. Based on typical clinical picture, histopathology and positive PCR from a skin biopsy, we diagnosed an early disseminated infection with Borrelia afzelii presenting with multiple erythema migrans (erythemata migrantia) and a subclinical hepatitis. During antibiotic treatment with intravenous ceftriaxone, the maculae and plaques vanished almost completely and the liver enzymes decreased within 14 days. Dermatologists should keep in mind that early disseminated borreliosis can present with multiple erythema migrans and hepatitis.

  18. 21 CFR 866.5820 - Systemic lupus erythema-tosus immunological test system.

    Science.gov (United States)

    2010-04-01

    ... HUMAN SERVICES (CONTINUED) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Immunological Test Systems § 866.5820 Systemic lupus erythema-tosus immunological test system. (a) Identification. A systemic... with cellular nuclear double-stranded deoxyribonucleic acid (DNA) or other nuclear constituents that...

  19. Recall of UVB-induced erythema in breast cancer patient receiving multiple drug chemotherapy

    DEFF Research Database (Denmark)

    Andersen, Klaus Ejner; Lindskov, R

    1984-01-01

    One day after sunbathing, a breast cancer patient received intravenous methotrexate, cyclophosphamide and 5-fluorouracil and had a recall of her UV erythema over the following week. Phototesting with UVA and UVB prior to and after a subsequent chemotherapy treatment showed a UVB-induced recall...

  20. Anti-inflammatory potential of a lipolotion containing coriander oil in the ultraviolet erythema test.

    Science.gov (United States)

    Reuter, Juliane; Huyke, Constance; Casetti, Federica; Theek, Carmen; Frank, Uwe; Augustin, Matthias; Schempp, Christoph

    2008-10-01

    Coriander oil is used as an antimicrobial agent and as a natural fragrance. The present study investigated the anti-inflammatory potency of coriander oil in the ultraviolet (UV) erythema test in vivo. 40 volunteers were enrolled in this monocentric,randomized,placebo-controlled double-blind study.Test areas on the back were irradiated with the 1.5 fold minimal erythema dose UV-B. Subsequently, the test areas were treated under occlusion for 47 hours with a lipolotion containing 0.5% or 1.0% essential coriander oil. Hydrocortisone (1.0%) and betamethasone valerate (0.1%) in the vehicle served as positive controls.The vehicle was used as place-bo.The effect of the test substances on the UV-induced erythema was measured photometrically after 48 hours.Additionally,the skin tolerance of the test preparations was assessed on non-irradiated skin. Compared to placebo, the lipolotion with 0.5% coriander oil significantly reduced the UV-induced erythema, but it was not as effective as hydrocortisone. The skin tolerance of both coriander oil concentrations was excellent. The lipolotion containing coriander oil displayed a mild antiinflammatory effect in this study. It could be useful in the concomitant treatment of inflammatory skin diseases.

  1. 9 CFR 311.22 - Hogs affected with urticaria, tinea tonsurans, demodex follicurlorum, or erythema.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Hogs affected with urticaria, tinea... OTHERWISE ADULTERATED CARCASSES AND PARTS § 311.22 Hogs affected with urticaria, tinea tonsurans, demodex follicurlorum, or erythema. Carcasses of hogs affected with urticaria (nettle rash), tinea tonsurans, demodex...

  2. Solitary erythema migrans: a clinical, laboratory and epidemiological study of 77 Dutch patients

    NARCIS (Netherlands)

    Kuiper, H.; Cairo, I.; van Dam, A.; de Jongh, B.; Ramselaar, T.; Spanjaard, L.; Dankert, J.

    1994-01-01

    Regional variations in the clinical spectrum of Lyme borreliosis have been described previously. These may be related to strain variations, or reflect selection bias. We compared the clinical and epidemiological profiles of Dutch patients presenting with solitary erythema migrans alone, with the

  3. Long-term prognosis in patients treated for erythema chronicum migrans and acrodermatitis chronica atrophicans

    NARCIS (Netherlands)

    Hulshof, M. M.; Vandenbroucke, J. P.; Nohlmans, L. M.; Spanjaard, L.; Bavinck, J. N.; Dijkmans, B. A.

    1997-01-01

    To determine whether Lyme borreliosis persisted or had recurred in patients treated for erythema chronicum migrans and acrodermatitis chronica atrophicans. Retrospective follow-up study. Mean time between treatment and follow-up study was 8.8 years (SD, 66.6 years). Department of dermatology.

  4. Het voorkomen van tekebeten en erythema migrans in de huisartsenpraktijken in Nederland

    NARCIS (Netherlands)

    de Mik EL; van Pelt W; Docters-van Leeuwen B; Veen A; Schellekens JFP; Borgdorff MW; CIE; ISC; LBA; LUW

    1995-01-01

    Achtergrond: Lyme disease is een bacteriele infectieziekte veroorzaakt door de spirocheet Borrelia burgdorferi. Het is een multisystemische ziekte met als specifiek kenmerk het erythema migrans, een huidafwijking die in 50% van de gevallen als eerste manifestatie van Lyme disease wordt opgemerkt.

  5. Het voorkomen van tekebeten en erythema migrans in de huisartsenpraktijken in Nederland

    NARCIS (Netherlands)

    Mik EL de; Pelt W van; Docters-van Leeuwen B; Veen A van der; Schellekens JFP; Borgdorff MW; CIE; ISC; LBA; LUW

    1995-01-01

    Lyme disease is a bacterial, infectious disease caused by the spirochete Borrelia burgdorferi. The aim of this study was to get information about the geographic distribution of the occurrence of tick bites and erythema migrans in the Netherlands and the association with possible risk factors.

  6. Het voorkomen van tekebeten en Erythema migrans in de huisartsenpraktijken in Nederland.

    NARCIS (Netherlands)

    Mil, de E.L.; Pelt, van W.; Docters-van Leeuwen, B.; Veen, van der A.; Schellekens, J.F.P.; Borgdorff, M.W.

    1995-01-01

    Lyme disease is a bacterial, infectious disease caused by the spirochete Borrelia burgdorferi. The aim of this study was to get information about the geographic distribution of the occurrence of tick bites and erythema migrans in the Netherlands and the association with possible risk factors.

  7. Evaluation of central nervous system involvement in Lyme borreliosis patients with a solitary erythema migrans lesion

    NARCIS (Netherlands)

    Kuiper, H.; de Jongh, B. M.; van Dam, A. P.; Dodge, D. E.; Ramselaar, A. C.; Spanjaard, L.; Dankert, J.

    1994-01-01

    To determine whether early dissemination of Borrelia burgdorferi to the central nervous system occurs in stage I of Lyme borreliosis, neurological and cerebrospinal fluid examination was performed in 48 consecutive patients in whom the only sign of infection was a solitary erythema migrans lesion.

  8. Erythema ab igne of shins: a kerosene stove-induced prototype in diabetics.

    Science.gov (United States)

    Milgrom, Y; Sabag, T; Zlotogorski, A; Heyman, S N

    2013-01-01

    A patient with erythema ab igne of shins is presented, caused by repeated thermal injury induced by a heating stove placed between the knees. This injury pattern has been repeatedly identified in diabetic patients involved in similar heating practice, underscoring a possible predisposition related to diabetic neuropathy.

  9. Winters fuels report

    International Nuclear Information System (INIS)

    1995-01-01

    The outlook for distillate fuel oil this winter is for increased demand and a return to normal inventory patterns, assuming a resumption of normal, cooler weather than last winter. With industrial production expected to grow slightly from last winter's pace, overall consumption is projected to increase 3 percent from last winter, to 3.4 million barrels per day during the heating season (October 1, 1995-March 31, 1996). Much of the supply win come from stock drawdowns and refinery production. Estimates for the winter are from the Energy Information Administration's (EIA) 4th Quarter 1995 Short-Tenn Energy Outlook (STEO) Mid-World Oil Price Case forecast. Inventories in place on September 30, 1995, of 132 million barrels were 9 percent below the unusually high year-earlier level. Inventories of high-sulfur distillate fuel oil, the principal type used for heating, were 13 percent lower than a year earlier. Supply problems are not anticipated because refinery production and the ready availability of imports should be adequate to meet demand. Residential heating off prices are expected to be somewhat higher than last winter's, as the effects of lower crude oil prices are offset by lower distillate inventories. Heating oil is forecast to average $0.92 per gallon, the highest price since the winter of 1992-93. Diesel fuel (including tax) is predicted to be slightly higher than last year at $1.13 per gallon. This article focuses on the winter assessment for distillate fuel oil, how well last year's STEO winter outlook compared to actual events, and expectations for the coming winter. Additional analyses include regional low-sulfur and high-sulfur distillate supply, demand, and prices, and recent trends in distillate fuel oil inventories

  10. Long term variations in erythema effective solar UV at Chilton, UK, from 1991 to 2015.

    Science.gov (United States)

    Hooke, R J; Higlett, M P; Hunter, N; O'Hagan, J B

    2017-11-08

    In this paper erythema effective UV radiant exposure data from the PHE solar network Chilton site for the 25 year period from 1991 to 2015 are presented. The year with the highest average daily erythema effective radiant exposure was 2003 at 1577 J m -2 and the year with the lowest average daily radiant exposure was 2010 at 1149 J m -2 . Overall, the average daily radiant exposure per year ranged from 5655 J m -2 to 9.98 J m -2 with the average being 1306 J m -2 . A preliminary analysis of the data set is carried out. A statistically significant (p = 0.01) increase in annual radiant exposure of 4.4% per year was observed from 1991-1995. Thereafter a small decrease in annual erythema effective radiant exposure of 0.8% (p = 0.002) per year was observed from 1995-2015 with a slightly faster rate of decrease from 2000-2015 of 1.0% (p = 0.007) per year. In terms of seasonal analyses, a statistically significant increase in erythema effective UV radiant exposure of 5.1% (p = 0.02) per year in the summer during 1991-1995 has been found along with small decreases in spring and summer during 1995-2015 (-1.0%; p = 0.01 and -0.7%; p = 0.01 respectively) and 2000-2015 (-1.1%; p = 0.03 and -1.2%; p = 0.003 respectively). The data suggest that the erythema effective UV dose available for impacting public health has been decreasing in recent years.

  11. Employment and winter construction

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place; Larsen, Jacob Norvig

    2011-01-01

    Reduced seasonal building activity in the construction sector is often assumed to be related to hard winter conditions for building activities and poor working conditions for construction workers, resulting in higher costs and poor quality of building products, particularly in the northern...... hemisphere. Can climatic conditions alone explain the sizeable difference in reduction in building activity in the construction sector in European countries in the winter months, or are other factors such as technology, economic cycles and schemes for financial compensation influential as well? What...... possibilities exist for reducing seasonal variation in employment? In addition to a literature review related to winter construction, European and national employment and meteorological data were studied. Finally, ministerial acts, ministerial orders or other public policy documents related to winter...

  12. Deer Wintering Areas

    Data.gov (United States)

    Vermont Center for Geographic Information — Deer winter habitat is critical to the long term survival of white-tailed deer (Odocoileus virginianus) in Vermont. Being near the northern extreme of the...

  13. Winter Bottom Trawl Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The standardized NEFSC Winter Bottom Trawl Survey was initiated in 1992 and covered offshore areas from the Mid-Atlantic to Georges Bank. Inshore strata were covered...

  14. Bull's-Eye and Nontarget Skin Lesions of Lyme Disease: An Internet Survey of Identification of Erythema Migrans

    Science.gov (United States)

    Aucott, John N.; Crowder, Lauren A.; Yedlin, Victoria; Kortte, Kathleen B.

    2012-01-01

    Introduction. Lyme disease is an emerging worldwide infectious disease with major foci of endemicity in North America and regions of temperate Eurasia. The erythema migrans rash associated with early infection is found in approximately 80% of patients and can have a range of appearances including the classic target bull's-eye lesion and nontarget appearing lesions. Methods. A survey was designed to assess the ability of the general public to distinguish various appearances of erythema migrans from non-Lyme rashes. Participants were solicited from individuals who visited an educational website about Lyme disease. Results. Of 3,104 people who accessed a rash identification survey, 72.7% of participants correctly identified the classic target erythema migrans commonly associated with Lyme disease. A mean of 20.5% of participants was able to correctly identify the four nonclassic erythema migrans. 24.2% of participants incorrectly identified a tick bite reaction in the skin as erythema migrans. Conclusions. Participants were most familiar with the classic target erythema migrans of Lyme disease but were unlikely to correctly identify the nonclassic erythema migrans. These results identify an opportunity for educational intervention to improve early recognition of Lyme disease and to increase the patient's appropriate use of medical services for early Lyme disease diagnosis. PMID:23133445

  15. Bull's-Eye and Nontarget Skin Lesions of Lyme Disease: An Internet Survey of Identification of Erythema Migrans.

    Science.gov (United States)

    Aucott, John N; Crowder, Lauren A; Yedlin, Victoria; Kortte, Kathleen B

    2012-01-01

    Introduction. Lyme disease is an emerging worldwide infectious disease with major foci of endemicity in North America and regions of temperate Eurasia. The erythema migrans rash associated with early infection is found in approximately 80% of patients and can have a range of appearances including the classic target bull's-eye lesion and nontarget appearing lesions. Methods. A survey was designed to assess the ability of the general public to distinguish various appearances of erythema migrans from non-Lyme rashes. Participants were solicited from individuals who visited an educational website about Lyme disease. Results. Of 3,104 people who accessed a rash identification survey, 72.7% of participants correctly identified the classic target erythema migrans commonly associated with Lyme disease. A mean of 20.5% of participants was able to correctly identify the four nonclassic erythema migrans. 24.2% of participants incorrectly identified a tick bite reaction in the skin as erythema migrans. Conclusions. Participants were most familiar with the classic target erythema migrans of Lyme disease but were unlikely to correctly identify the nonclassic erythema migrans. These results identify an opportunity for educational intervention to improve early recognition of Lyme disease and to increase the patient's appropriate use of medical services for early Lyme disease diagnosis.

  16. Bull’s-Eye and Nontarget Skin Lesions of Lyme Disease: An Internet Survey of Identification of Erythema Migrans

    Directory of Open Access Journals (Sweden)

    John N. Aucott

    2012-01-01

    Full Text Available Introduction. Lyme disease is an emerging worldwide infectious disease with major foci of endemicity in North America and regions of temperate Eurasia. The erythema migrans rash associated with early infection is found in approximately 80% of patients and can have a range of appearances including the classic target bull’s-eye lesion and nontarget appearing lesions. Methods. A survey was designed to assess the ability of the general public to distinguish various appearances of erythema migrans from non-Lyme rashes. Participants were solicited from individuals who visited an educational website about Lyme disease. Results. Of 3,104 people who accessed a rash identification survey, 72.7% of participants correctly identified the classic target erythema migrans commonly associated with Lyme disease. A mean of 20.5% of participants was able to correctly identify the four nonclassic erythema migrans. 24.2% of participants incorrectly identified a tick bite reaction in the skin as erythema migrans. Conclusions. Participants were most familiar with the classic target erythema migrans of Lyme disease but were unlikely to correctly identify the nonclassic erythema migrans. These results identify an opportunity for educational intervention to improve early recognition of Lyme disease and to increase the patient’s appropriate use of medical services for early Lyme disease diagnosis.

  17. Clinical appearance of erythema migrans caused by Borrelia afzelii and Borrelia garinii--effect of the patient's sex.

    Science.gov (United States)

    Bennet, Louise; Fraenkel, Carl-Johan; Garpmo, Ulf; Halling, Anders; Ingman, Mikael; Ornstein, Katharina; Stjernberg, Louise; Berglund, Johan

    2006-09-01

    The aim in this survey was to study the clinical characteristics of infections caused by Borrelia genospecies in patients with erythema migrans where borrelial origin was confirmed by polymerase chain reaction. The aim was also to study factors influencing the clinical appearance of erythema migrans. The study was conducted in southern Sweden from May 2001 to December 2003 on patients 18 years and older attending with erythema migrans at outpatient clinics. All erythema migrans were verified by polymerase chain reaction, photographed and categorized as "annular" or "non-annular" lesions. A logistic regression model was used to analyze relations between the appearance of the erythema migrans (i.e. annular or non-annular) and factors that influenced its clinical appearance. A total of 118 patients, 54 women (45.8%) and 64 men (54.2%), fulfilled the inclusion criteria. Of these patients, 74% were infected by B. afzelii and 26% by B. garinii (p erythema migrans were annular, 46% (39/85) were nonannular and 9.4% (8/85) were atypical. For men infected by B. afzelii, the odds ratio of developing non-annular erythema migrans was 0.09 (95% CI: 0.03-0.33) in comparison with women with the same infection. In this prospective study of a large series of erythema migrans, where infecting genospecies were confirmed by polymerase chain reaction, the sex of patients infected with B. afzelii had a strong influence on the appearance of the rash. Patients infected by B. garinii more often had non-annular erythema migrans and a more virulent infection with more individuals presenting with fever, raised levels of C-reactive protein and seroreactivity in the convalescence sera.

  18. Effects of emollients on ultraviolet-radiation-induced erythema of the skin

    International Nuclear Information System (INIS)

    Schleider, N.R.; Moskowitz, R.S.; Cort, D.H.; Horwitz, S.N.; Frost, P.

    1979-01-01

    Several commonly used emollients were studied as to their effectiveness in absorbing and filtering erythema-causing ultraviolet radiation in the 280 to 315 nm range (UVB). Planter's Peanut Oil (Standard Brands) and Mazola Corn Oil (Best Foods Inc.) had no effect; Alpha Keri Bath Oil (Westwood Pharmaceuticals), mineral oil, and Johnson's Baby Oil (Johnson and Johnson Co) had minimal effects. Vaseline Petroleum Jelly (Chesebrough-Ponds Inc.), petrolatum, and hydrophilic ointment substantially reduced the erythema that was induced by exposure to low doses of UVB radiation. Therefore, these emollients may interfere with the therapeutic effects of the ultraviolet radiation component of the Goeckerman treatment when it is administered in low doses to patients with psoriasis

  19. Erythema nodosum migrans in a male patient with hepatitis B infection.

    Science.gov (United States)

    Lazaridou, E; Apalla, Z; Patsatsi, A; Trigoni, A; Ioannides, D

    2009-06-01

    Erythema nodosum migrans (ENM) is believed to represent a variant of chronic erythema nodosum; however, others consider it to be a separate clinical entity. It most commonly affects women in the third to sixth decade of life. Most cases are idiopathic, but some may be associated with streptococcal infection or thyroid disease. We present a case of ENM in a 33-year-old male patient with an erythematous, painful and infiltrated nodule on the lateral left lower leg. The lesion enlarged centrifugally, and a similar lesion appeared on the right lower leg. Both plaques exhibited a tendency to central clearing that made a peripheral ring evident. The patient was concurrently under treatment with antiviral drugs for hepatitis B infection and had an excellent response to treatment with potassium iodide. An association of ENM with the patient's viral hepatitis B could not be excluded.

  20. Henoch–Schonlein purpura presenting sequentially as nodular rash, erythema nodosum, and palpable purpura

    Science.gov (United States)

    Balamurugesan, Kandan; Viswanathan, Stalin

    2014-01-01

    We describe a 26-year-old woman who presented with a nodular rash on the elbows following an insect bite. Two days later, she developed erythema nodosum. Both these lesions were treated symptomatically. One week later, she had purpura, abdominal pain, hematuria, and arthralgias, following which steroids were administered. Her investigations revealed only microscopic hematuria that disappeared with therapy. This pattern of sequential appearance of rash and a nodular morphology are both unique features not previously reported. PMID:24696039

  1. Immune reconstitution inflammatory syndrome unmasking erythema nodosum leprosum: A rare case report

    Directory of Open Access Journals (Sweden)

    Geeta Kiran Arakkal

    2015-01-01

    Full Text Available Immune reconstitution inflammatory syndrome (IRIS occurs as an acute symptomatic expression of a latent infection during the recovery of immune system in response to antiretroviral therapy in HIV patients. IRIS triggers both opportunistic and non-opportunistic infections. We report a case of IRIS in a patient with HIV, presenting as erythema nodosum leprosum (ENL, which led to unmasking of lepromatous leprosy following anti-retroviral therapy (ART.

  2. 100-μsec pulsed CO2 laser resurfacing of lower eyelids: erythema and rhytides reduction

    Science.gov (United States)

    Bell, Thomas; Harris, David M.; Schachter, Daniel; Burkart, John

    1997-05-01

    Lower eyelid skin is very thin with a low density of adnexal structures. Attempts to remove rhytides and improve surface appearance with chemical peels and dermabrasion have been disappointing. Laser resurfacing offers a new modality that may improve the outcome. We evaluated a very short duration (100 microsecond(s) ec) pulsed carbon-dioxide laser (Tru-PulseTM) in terms of healing time (duration of erythema) and efficacy (wrinkle reduction). Female patients aged 35 - 75 received laser resurfacing in a variety of cosmetic zones but only data from lower lids are reported here. Dosimetry varied from total fluences of 5 to 20 J/cm2 (9 mm2 spot, 250 - 500 mJ pulse, 1 to 4 passes). Patients followed a strict regime of post-op wound care. Pre-treatment and follow-up photographs were taken in a studio with constant photographic parameters. Projected 35 mm slides were evaluated side-by-side for clinical improvement and presence of erythema. Within the first 4 days post-op all (100%) lower eyelids exhibited erythema and swelling, at 7 days: 71%, 12 days: 60%, 3 weeks: 25%, and one (1) month or longer 7%. In our sample the longest duration of post-op lower lid erythema lasted 5 weeks. Most patients experienced 70 -80% wrinkle reduction with a range of 0 - 100%. Regression analysis was used to evaluate the relationships between percent wrinkle reduction and the treatment, demographic, and evaluation variables. There was a significant trend for wrinkles to improve over the 3 to 9 month evaluation period. Older patients improved slightly more than younger patients. There was no relationship between total energy density and wrinkle reduction.

  3. Psoriasis image representation using patch-based dictionary learning for erythema severity scoring.

    Science.gov (United States)

    George, Yasmeen; Aldeen, Mohammad; Garnavi, Rahil

    2018-02-23

    Psoriasis is a chronic skin disease which can be life-threatening. Accurate severity scoring helps dermatologists to decide on the treatment. In this paper, we present a semi-supervised computer-aided system for automatic erythema severity scoring in psoriasis images. Firstly, the unsupervised stage includes a novel image representation method. We construct a dictionary, which is then used in the sparse representation for local feature extraction. To acquire the final image representation vector, an aggregation method is exploited over the local features. Secondly, the supervised phase is where various multi-class machine learning (ML) classifiers are trained for erythema severity scoring. Finally, we compare the proposed system with two popular unsupervised feature extractor methods, namely: bag of visual words model (BoVWs) and AlexNet pretrained model. Root mean square error (RMSE) and F1 score are used as performance measures for the learned dictionaries and the trained ML models, respectively. A psoriasis image set consisting of 676 images, is used in this study. Experimental results demonstrate that the use of the proposed procedure can provide a setup where erythema scoring is accurate and consistent. Also, it is revealed that dictionaries with large number of atoms and small patch sizes yield the best representative erythema severity features. Further, random forest (RF) outperforms other classifiers with F1 score 0.71, followed by support vector machine (SVM) and boosting with 0.66 and 0.64 scores, respectively. Furthermore, the conducted comparative studies confirm the effectiveness of the proposed approach with improvement of 9% and 12% over BoVWs and AlexNet based features, respectively. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

  4. Eritema anular eosinofílico en un adulto Eosinophilic anular erythema in an adult

    OpenAIRE

    Lobo, Marta Aguado; Gonzalo, Elena Sierra; Jiménez-Reyes, José

    2017-01-01

    Eosinophilic annular erythema (EAE) is an uncommon eosinophilic dermatosis. Clinically it is characterized by recurrent episodes of annular or figurative plaques. The histopathological study shows a perivascular inflammatory infiltrate in the superficial and deep dermis, composed of lymphocytes and eosinophils. It was originally described in children. We report an adult woman who presented with recurrent erythematous annular plaques on the trunk and extremities. A biopsy showed a mainly periv...

  5. [Multiple erythema migrans and facial nerve paralysis: clinical manifestations of early disseminated Lyme borreliosis].

    Science.gov (United States)

    Braun, S A; Baran, A M; Boettcher, C; Kieseier, B C; Reifenberger, J

    2014-04-01

    Lyme borreliosis is a common vector-borne disease in Europe. The infection follows different stages with a broad variability of clinical symptoms and manifestations in different organs. A 49-year-old man presented with flu-like symptoms, facial nerve paralysis and multiple erythematous macular on his trunk and extremities. We diagnosed Lyme disease (stage II) with facial nerve paralysis and multiple erythema migrans. Intravenous ceftriaxone led to complete healing of hissymptoms within 2 weeks.

  6. Objective assessment in digital images of skin erythema caused by radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Matsubara, H., E-mail: matubara@nirs.go.jp; Matsufuji, N.; Tsuji, H.; Yamamoto, N.; Karasawa, K.; Nakajima, M.; Karube, M. [National Institute of Radiological Sciences (NIRS), Chiba 263-8555 (Japan); Takahashi, W. [Department of Radiology, University of Tokyo Hospital, Tokyo 113-8655 (Japan)

    2015-09-15

    Purpose: Skin toxicity caused by radiotherapy has been visually classified into discrete grades. The present study proposes an objective and continuous assessment method of skin erythema in digital images taken under arbitrary lighting conditions, which is the case for most clinical environments. The purpose of this paper is to show the feasibility of the proposed method. Methods: Clinical data were gathered from six patients who received carbon beam therapy for lung cancer. Skin condition was recorded using an ordinary compact digital camera under unfixed lighting conditions; a laser Doppler flowmeter was used to measure blood flow in the skin. The photos and measurements were taken at 3 h, 30, and 90 days after irradiation. Images were decomposed into hemoglobin and melanin colors using independent component analysis. Pixel values in hemoglobin color images were compared with skin dose and skin blood flow. The uncertainty of the practical photographic method was also studied in nonclinical experiments. Results: The clinical data showed good linearity between skin dose, skin blood flow, and pixel value in the hemoglobin color images; their correlation coefficients were larger than 0.7. It was deduced from the nonclinical that the uncertainty due to the proposed method with photography was 15%; such an uncertainty was not critical for assessment of skin erythema in practical use. Conclusions: Feasibility of the proposed method for assessment of skin erythema using digital images was demonstrated. The numerical relationship obtained helped to predict skin erythema by artificial processing of skin images. Although the proposed method using photographs taken under unfixed lighting conditions increased the uncertainty of skin information in the images, it was shown to be powerful for the assessment of skin conditions because of its flexibility and adaptability.

  7. The Evaluation of Minimal Erythema Dose For Narrowband UVB in Patients Receiving Isotretinoin Treatment

    Directory of Open Access Journals (Sweden)

    Tuba Çetiner

    2012-09-01

    Full Text Available Background and Design: Although photosensitivity is considered as one of the side effects of retinoids, there is no consensus on this issue. In this study, we aimed to evaluate the minimal erythema dose (MED for narrowband ultraviolet B in patients receiving isotretinoin treatmentMaterial and Method: Phototesting was done by narrowband ultraviolet B irradiation on fifty patients for whom isotretinoin treatment was planned. MED values were calculated before treatment (MED1 and during treatment after reaching half of the target dose (kgx120 mg (MED2, and it was evaluated whether there was statistically significant difference between the two MED values. In addition, the patients were assessed according to their skin phototypes in this respect. Results: When the mean values of MED1 and MED2 were compared in all patients who were treated with 0.5-0.7 mg/kg/day isotretinoin, the mean of MED2 values was found to be lower than the mean of MED1 values. Clinically, sunburn erythema was seen in only 3 (6% patients during the treatment. When the patients were evaluated according to their skin phototypes, significant difference between the means of MED 1 and MED 2 values was not determined. Conclusion: Although isotretinoin treatment does not cause clinically sunburn erythema, it was associated with decrease in MED values.

  8. Chronic moderate heat dermatitis (erythema ab igne) in five dogs, three cats and one silvered langur.

    Science.gov (United States)

    Walder, Emily J; Hargis, Ann M

    2002-10-01

    Erythema ab igne, an old and rare disease in the human literature, is an erythematous, often pigmented, reticular, macular dermatosis that occurs at the site of repeated exposure to moderate heat. We identified lesions consistent with erythema ab igne in five dogs, three cats and one silvered langur (Trachypithecus cristatus[Raffles, 1821]). In dogs and cats, the cutaneous lesion distribution typically reflected chronic exposure to moderate heat during lateral or sternal recumbency. The silvered langur developed cutaneous lesions on the dorsal neck from exposure to a heat lamp. Principal clinical lesions consisted of irregular areas of alopecia (7/9) and erythema (7/9), sometimes with hyperpigmentation (3/9). Principal histological features consisted of karyomegaly (9/9) and keratinocyte atypia (4/9), scattered apoptotic or vacuolated basal cells and/or apoptotic keratinocytes (6/9), mild mixed mononuclear interstitial or interface dermatitis (9/9) with adnexal atrophy (8/9), and a variable number of wavy eosinophilic elastic fibres (9/9). The presence of these cutaneous lesions in an animal indicates that the environment should be evaluated for exposure to chronic moderate heat, and the heat source should be eliminated or modified to prevent further exposure and progression of lesions.

  9. Molecular and serological diagnosis of Borrelia burgdorferi infection among patients with diagnosed Erythema migrans.

    Science.gov (United States)

    Kondrusik, Maciej; Grygorczuk, Sambor; Skotarczak, Bogumila; Wodecka, Beata; Rymaszewska, Anna; Pancewicz, Sławomir; Zajkowska, Joanna; Swierzbińska, Renata; Hermanowska-Szpakowicz, Teresa

    2007-01-01

    The aim of the study was to assess the frequency of Borrelia burgdorferi DNA detection in the blood and urine of patients diagnosed with erythema migrans, and compare the results of PCR-based methods with ELISA methodology. The latter was used to detect serum antibodies against Borrelia burgdorferi of the IgM and IgG classes, before and after antibiotic therapy. The study included 86 patients hospitalized in the Department of Infectious Diseases and Neuroinfections in the Medical Academy in Białystok, diagnosed with the erythema migrans phase of Lyme borreliosis. Examinations were carried out twice: the first at the moment of diagnosis (Trial 1), the second after 4 weeks of antibiotic therapy. The study showed that antibiotic therapy in the early phase of borreliosis does not decrease the sensitivity of PCR and that after 4 weeks of therapy (Trial 2), spirochete DNA is still detectable in most patients (45/86). There was no correlation between detectability of spirochete DNA and the presence of antibodies against B. burgdorferi s.l. (assessed by ELISA) during the course of erythema migrans. The largest percentage of positive results in the detection of B. burgdorferi s.l. DNA was observed in patients who simultaneously possessed IgM and IgG antibodies against B. burgdorferi, while the lowest percentage of PCR positive results was among patients with only IgM antibodies.

  10. Topical microemulsion containing Punica granatum extract: its control over skin erythema and melanin in healthy Asian subjects.

    Science.gov (United States)

    Parveen, Rashida; Akhtar, Naveed; Mahmood, Tariq

    2014-12-01

    Punica granatum is apotent source of polyphenolic compounds with strong free radicals scavenging activity. The skin lightening effects of Punica granatum are assumed due to ellagic acid which acts by chelating copper at the active site of tyrosinase. To explore a topical microemulsion (O/W) of pomegranate (Punica granatum) extract for its control on skin erythema and melanin. Microemulsions were formulated using a polysorbate surfactant (Tween 80(®)) along with cosurfactant (propylene glycol) and were characterized regarding their stability. The placebo microemulsion (without extract) and the active microemulsion (containing Punica extract) were applied in a split face fashion by the volunteers (n = 11) for a period of 12 weeks. Skin erythema and melanin were measured at baseline and after every 15 days to determine any effect produced by these formulations. Active formulation showed a significant impact on skin erythema and melanin (p Punica granatum extract for conditions where elevated skin melanin and erythema have significantly prone skin physiology.

  11. The nuclear winter

    International Nuclear Information System (INIS)

    Velikhow, Y.P.

    1986-01-01

    Nuclear winter is an example of possible secondary effects, and if we speak of secondary we are thinking of small-scale second-order effects, but a nuclear winter is not a second-order effect. If you calculate the amount of heat produced by a nuclear explosion, it is a very small amount which does not have any chance of changing the Earth's climate, but a nuclear explosion drives or stars some new mechanism - the mechanism of nuclear winter - after 100 megatons of dust are transferred to the upper atmosphere. Another example of such amplification is radioactive fall-out, especially long-life radioactive fall-out after the possible elimination of the nuclear power industry, nuclear storage and distribution of storage waste around the globe. This is a very powerful amplification mechanism

  12. СLINICAL PRESENTATION AND CONCENTRATION OF CYTOKINES SERUM OF PATIENTS WITH FORM WITHOUT ERYTHEMA OF LYME DISEASE

    Directory of Open Access Journals (Sweden)

    A. L. Bondarenko

    2017-01-01

    Full Text Available Purpose of the study: To investigate the role and clinical inflammatory (IL-17A, IL-23, IL-33 and anti-inflammatory (IL-35 cytokines in patients with of form without erythema of Borrelia infection. Materials and methods: We studied 30 patients with of form without erythema of Lyme borreliosis. The diagnosis was based on epidemiological, medical history, clinical and laboratory, serological data. The blood serum interleukins level was detected from patients at admission to the infectious hospital and on the 10th day of hospitalization, as well as from 30 healthy donors. Groups of investigated persons were matched by sex and age. Blood serum analysis was carried out in the laboratory of directed regulation inter microbe interactions in the exo- and endoecological systems in Kirov State Medical University. Statistical analysis was performed using StatSoft Statistica v 10.0. Results: Patients with form without erythema of Lyme borreliosis oft have lesions of the respiratory system (60,0%, nervous system (53,3%, cardiac disorders (40,0%, rarely – liver disease (26,7%, joints (10,0%. In blood serum of patients with form without erythema at admission and at hospital discharge concentrations of IL-17A, IL-23, IL-33 are authentically higher compared with healthy donors. The content of anti-inflammatory IL-35 in patients with a form without erythema during hospitalization and at discharge is authentically lower than in healthy donors. Conclusion: Patients with form without erythema of Lyme borreliosis have early combined Th1-Th2 immune response (increased content of blood serum IL-23 and IL-33. Elevated concentrations of IL-17A and IL-33 serum in patients with form without erythema indicate the presence of autoimmune or allergic reactions. Patients with form without erythema have inflammatory processes limited moderately by inflammatory reactions on the part of Treg-system (lack of IL-35 production.

  13. Titan's Emergence from Winter

    Science.gov (United States)

    Flasar, F. Michael; Achterberg, Richard; Jennings, Donald; Schinder, Paul

    2011-01-01

    We summarize the changes in Titans thermal structure derived from Cassini CIRS and radio-occultation data during the transition from winter to early spring. Titan's surface, and middle atmosphere show noticeable seasonal change, whereas that in most of the troposphere is mated. This can be understood in terms of the relatively small radiative relaxation time in the middle atmosphere and much larger time scale in the troposphere. The surface exhibits seasonal change because the heat capacity in an annual skin depth is much smaller than that in the lowest scale height of the troposphere. Surface temperatures rise 1 K at raid and high latitudes in the winter northern hemisphere and cool in the southern hemisphere. Changes in in the middle atmosphere are more complicated. Temperatures in the middle stratosphere (approximately 1 mbar) increase by a few kelvin at mid northern latitudes, but those at high latitudes first increase as that region moves out of winter shadow, and then decrease. This probably results from the combined effect of increased solar heating as the suit moves higher in the sky and the decreased adiabatic warming as the sinking motions associated with the cross-equatorial meridional cell weaken. Consistent with this interpretation, the warm temperatures observed higher up at the winter polar stratopause cool significantly.

  14. Fuel Cell Power Plant Initiative. Volume 1; Solid Oxide Fuel Cell/Logistics Fuel Processor 27 kWe Power System Demonstration for ARPA

    Science.gov (United States)

    Veyo, S.E.

    1997-01-01

    This report describes the successful testing of a 27 kWe Solid Oxide Fuel Cell (SOFC) generator fueled by natural gas and/or a fuel gas produced by a brassboard logistics fuel preprocessor (LFP). The test period began on May 24, 1995 and ended on February 26, 1996 with the successful completion of all program requirements and objectives. During this time period, this power system produced 118.2 MWh of electric power. No degradation of the generator's performance was measured after 5582 accumulated hours of operation on these fuels: local natural gas - 3261 hours, jet fuel reformate gas - 766 hours, and diesel fuel reformate gas - 1555 hours. This SOFC generator was thermally cycled from full operating temperature to room temperature and back to operating temperature six times, because of failures of support system components and the occasional loss of test site power, without measurable cell degradation. Numerous outages of the LFP did not interrupt the generator's operation because the fuel control system quickly switched to local natural gas when an alarm indicated that the LFP reformate fuel supply had been interrupted. The report presents the measured electrical performance of the generator on all three fuel types and notes the small differences due to fuel type. Operational difficulties due to component failures are well documented even though they did not affect the overall excellent performance of this SOFC power generator. The final two appendices describe in detail the LFP design and the operating history of the tested brassboard LFP.

  15. Erythema chronicum migrans and salmon fishing in Alaska: an enigma resolved by microbiology laboratory

    Directory of Open Access Journals (Sweden)

    Silvio Daffara

    2010-03-01

    Full Text Available A 50-year-old man, pentathlete and fond of salmon fishing, after returning from Alaska was referred to our Division for an erythematous and indolent lesion on the right thigh gradually enlarging from the right knee to the right rear and the buttock.The patient was clinically diagnosed with figurate erythema. Laboratory analysis demonstrated a moderate leukocytosis and hypergammaglobulinemia, accompanied by serological markers of past contact with noted EBV and CMV.A “punch” biopsy of the edge of the lesion showed a superficial and deep perivascular and interstitial infiltrate of lymphocytes, eosinophiles and a few plasma cells, consistent with a borrelial infection. Lyme serology (IFI suggested a questionable borderline positivity; subsequent investigations by ELISA and Western Blot were both positive, leading to the diagnosis of erythema chronicum migrans in course of borreliosis.The diagnosis was further confirmed by positive PCR for Borrelia burgdorferi sensu lato. The erythema resolved after a 2-week doxycycline treatment (2x100 mg die. The amplification product (16S rDNA gene obtained from skin biopsy was sequenced using standard ABI technology, and confirmed the identification of a member of B. burgdorferi sensu lato (sl complex. Since this sequence was not useful to identify the genospecies, further studies were conducted employing a nested PCR targeted on the internal transcribed spacer (ITS of B. burgdorferi, following a protocol previously described (1. The ITS sequence showed 100% identity with B. afzelii, a species not reported from North America, thus prompting us to conclude that the patient was not infected by B. afzelii during the fishing trip in Alaska.

  16. Poorly differentiated carcinoma arising in the setting of erythema ab igne.

    Science.gov (United States)

    Sigmon, Justin R; Cantrell, Jacob; Teague, Daniel; Sangueza, Omar; Sheehan, Daniel J

    2013-08-01

    Erythema ab igne (EAI) is a reticulated, erythematous, or hyperpigmented dermatosis that is caused by chronic exposure to infrared radiation. Chronic lesions of EAI have significant potential for malignant transformation. We report a case of poorly differentiated carcinoma arising within a patch of long-standing EAI on the lower extremity of a 92-year-old female. This case highlights the importance of recognizing EAI early and counseling patients to avoid further exposure to the offending infrared source to reduce the risk of malignant transformation. EAI has been associated with several different types of cutaneous neoplasms including the Merkel cell carcinoma, squamous cell carcinoma, and cutaneous marginal zone lymphoma.

  17. Erythema multiforme in a patient with recurrent non-hodgkins lymphoma/chronic lymphocytic leukemia

    Directory of Open Access Journals (Sweden)

    Siva Kumara Shankari

    2012-01-01

    Full Text Available Erythema multiforme major (EMM is a hypersensitivity reaction usually secondary to medications, viruses or other infections. Its presentation is fairly typical with a symmetrical distribution of vesicles, bullae or targeted lesions on the upper body, arms, legs, palms, feet and oral mucosa. The authors present a delineated case of EMM in association with chronic lymphocytic leukemia (CLL and non-Hodgkin′s lymphoma (NHL with a very unusual clinical presentation evolving overtime into a unique, almost dermatomal distribution. Typical therapies were not initially helpful and intravenous immunoglobulin antibody had to be administered.

  18. Autoimmune keratolysis in a patient with leucocytoclastic vasculitis: unusual erythema elevatum diutinum with granulomatous pattern

    OpenAIRE

    Casanova, Fábio Henrique Cacho; Meirelles, Rodrigo L.; Tojar, Marcelo; Martins, Maria Cristina; Rigueiro, Moacir P.; Freitas, Denise de

    2000-01-01

    Contexto: A vasculite leucocitoclástica é uma doença que acomete pequenos vasos mais comumente associada a distúrbios do tecido conectivo, caracterizada clinicamente pela presença de lesões purpúricas palpáveis. Manifestações oftalmológicas são raras. Objetivo: Descrever quadro clínico de paciente portador de vasculite leucocitoclástica como manifestação incomum de padrão granulomatoso do erythema elevatum diutinum (EED). Relato de Caso: Paciente de 64 anos, masculino, apresentando baixa de a...

  19. Cutaneous lupus erythematosus manifesting as unilateral eyelid erythema and swelling

    Directory of Open Access Journals (Sweden)

    Yi-Fang Wu

    2012-03-01

    Full Text Available Unilateral eyelid involvement, as the only manifestation of discoid lupus erythematosus (DLE, is very rare. Here, we report the case of a 41-year-old woman who presented with erythema and swelling of her left upper eyelid, which was initially misdiagnosed as cutaneous lymphoid hyperplasia. She had initially received radiotherapy at another institute for treatment. Our examinations established the diagnosis of DLE, and direct immunofluorescence confirmed this diagnosis. The skin lesion improved after treatment with topical steroids and oral hydroxycholoroquine.

  20. Drug induced erythema multiforme: two case series with review of literature.

    Science.gov (United States)

    Shah, Shreyas N; Chauhan, Girish R; Manjunatha, B S; Dagrus, Kapil

    2014-09-01

    Erythema Multiforme, (EM) an uncommon, acute inflammatory reactive mucocutaneous disorder and primary allergies confined to the oral mucosa. However the subsequent attacks can produce more severe forms of EM involving the skin. Manifestations of EM are varied and present a diagnostic dilemma because infections (particularly herpes simplex and mycoplasma pneumoniae) and drugs seem to predispose towards development of EM. We report two cases of EM in which drugs (Dioclofenac sodium & Amoxycilline) seems to be precipitating factor. In addition, the article reviews various aspects of EM as relevant to dental practice and highlight the associated potential etiologic agents, pathogenic mechanisms and therapies.

  1. Erythema nodosum: prospective study of 32 cases Eritema nodoso: estudo prospectivo de 32 casos

    Directory of Open Access Journals (Sweden)

    Nurimar C. Fernandes

    1994-12-01

    Full Text Available The results of 32 cases studied lead us to the conclusion that erythema nodosum's investigation routine is very important, once in our retrospective study, the percentage of cases of unknown etiology was 69.4%, and in this prospective study it is 21.8%. In 10 cases (31.2%, more than one causing agent was suspected. Infections (bacterial, helminthic, fungal, by protozoa were diagnosed in 26 cases, streptococcal infection having predominated (12 cases. Drugs-dipirone, aspirin, anovulatory - were suspected as causing agents in 13 cases. The association of erythema nodosum and histoplasmosis capsulata is described for the first time in Brazil. We consider erythema nodosum to be a complex syndrome which should be regarded as a manifestation of underlying diseases. The fact that all 32 subjects were women, 26 of them during menacme, suggests that particular hormonal media may favor the action of various processes (infections and drugs, precipitating erythema nodosum's clinical picture.O estudo de 32 casos de eritema nodoso permite concluir que a rotina de investigação é extremamente importante já que em nosso estudo retrospectivo, o percentual de etiologia indeterminada foi de 69,4% e neste estudo prospectivo é de 21,8%. Em 10 casos (31,2% mais de um agente causal foi suspeitado. Infecções (bacteriana, helmíntica, fúngica e por protozoário foram diagnosticadas em 26 casos, tendo predominado a infecção estreptocócica com 12 casos. As drogas de suspeição foram dipirona, aspirina e anovulatório em 12 casos. A associação de eritema nodoso e histoplasmose capsulata é descrita pela primeira vez no Brasil. O eritema nodoso é síndrome complexa e deveria ser considerado sempre como manifestação de doença subjacente. A amostra de 32 pacientes exclusivamente do sexo feminino sendo que 26 em idade fértil sugere que vários processos (infecções e drogas podem atuar em meio hormonal, particular e favorecedor, precipitando o quadro de

  2. Editorial - The winter Atomiades

    CERN Multimedia

    Staff Association

    2011-01-01

    As we wrote in our previous editorial, the Staff Association gives direct support to sports events, such as the Atomiades, a section of the Association of Sports Communities of European Research Institutes, which brings together sportsmen and women from 38 European research centres in 13 countries (Austria, Belgium, Czech Republic, United Kingdom, Finland, France, Germany, Hungary, Italy, Luxemburg, the Netherlands, Russia, and Switzerland). The summer Atomiades take place between the months of June and September every three years. Thirteen such events have taken place since 1973, the last one in June 2009 in Berlin. As far as the winter Atomiades are concerned, also organized every three years, and alternating with the summer Atomiades, there have been eleven since 1981, the last one at the end of January this year in neighbouring France. The following article tells the wonderful adventure of the CERN staff who took part in this event. A positive outcome for CERN skiers at the winter Atomiades The 11t...

  3. Winter is losing its cool

    Science.gov (United States)

    Feng, S.

    2017-12-01

    Winter seasons have significant societal impacts across all sectors ranging from direct human health to ecosystems, transportation, and recreation. This study quantifies the severity of winter and its spatial-temporal variations using a newly developed winter severity index and daily temperature, snowfall and snow depth. The winter severity and the number of extreme winter days are decreasing across the global terrestrial areas during 1901-2015 except the southeast United States and isolated regions in the Southern Hemisphere. These changes are dominated by winter warming, while the changes in daily snowfall and snow depth played a secondary role. The simulations of multiple CMIP5 climate models can well capture the spatial and temporal variations of the observed changes in winter severity and extremes during 1951-2005. The models are consistent in projecting a future milder winter under various scenarios. The winter severity is projected to decrease 60-80% in the middle-latitude Northern Hemisphere under the business-as-usual scenario. The winter arrives later, ends earlier and the length of winter season will be notably shorter. The changes in harsh winter in the polar regions are weak, mainly because the warming leads to more snowfall in the high latitudes.

  4. Development and clinical validation of a novel photography-based skin erythema evaluation system: a comparison with the calculated consensus of dermatologists.

    Science.gov (United States)

    Cho, M; Lee, D-H; Doh, E J; Kim, Y; Chung, J H; Kim, H C; Kim, S

    2017-08-01

    Erythema is the most common presenting sign in patients with skin diseases, and various methods to treat erythema symptoms have become common. To evaluate changes in erythema, a reliable device that can support objective diagnosis is required. We developed a novel photography-based system for erythema diagnosis that provides a high-resolution three-view photograph taken in a consistent photography environment with a curved surface light source and can be integrated with optimized image processing algorithms. A new diagnostic algorithm was applied to photographs from 32 patients to determine areas of erythema automatically. To assess the performance in comparison to dermatologists' evaluations, five dermatologists independently evaluate the areas of erythema, and we defined an area called the clinical consensus area of erythema (CCAE), which is based on the majority opinion of dermatologists during evaluation. The CCAE values obtained were compared with the erythema areas determined by the system's diagnostic algorithm. Forty-one photographs with areas of erythema were evaluated by the proposed system and by dermatologists. The results obtained with the proposed system had a mean accuracy of 93.18% with a standard deviation of 3.52% when compared with the CCAE results. The results also showed that the proposed system could detect erythema areas without any pigmentation. In contrast to assessments by individual dermatologists, use of the CCAE reduced the amount of error that occurred owing to bias or subjectivity. A new erythema evaluation system was developed and validated through CCAE, suggesting that the system can support dermatologists' objective diagnoses of erythema. © 2017 Society of Cosmetic Scientists and the Société Française de Cosmétologie.

  5. Reduction of erythema in hairless guinea pigs after cutaneous sulfur mustard vapor exposure by pretreatment with niacinamide, promethazine and indomethacin

    Energy Technology Data Exchange (ETDEWEB)

    Yourick, J.J.; Dawson, J.S.; Mitcheltree, L.W.

    1995-12-31

    Erythema is the initial symptom that occurs after sulfur mustard (HD) cutaneous exposure. The time course of HD-induced erythema is similar to that observed after UV irradiation, which can be reduced by indomethacin. Sulfur mustard lethality is decreased by using promethazine, which is an antihistamine. Niacinamide can reduce microvesication after HD vapor exposure in hairless guinea pig (HGP) skin. The present study examines the effect of the combined administration of niacinamide, indomethacin and promethazine used alone or in all possible combinations on the degree of erythema and histopathologic skin damage after HD exposure in HGP. Niacinamide (750 mg kg%`, i.p.), promethazine (12.5 mg kg%1, i.m.) or indomethacin (4 mg kg%1, p.o.) used singly or in combination was given as a 30-min pretreatment before an 8-min HD vapor cup skin exposure. Using a combination pretreatment of niacinamide, promethazine and indomethacin, erythema was reduced at 4 (91%) and 6 (55%) h, but not 24 h after HD. The incidence of histopathological skin changes (microvesicles, follicular involvement, epidermal necrosis, intracellular edema and pustular epidermatitis) 24 h after HD was not reduced. This study indicates that HD (induced erythema) may result from several different mechanisms, including inflammation, histamine release and DNA damage. It is suggested that two phases of inflammation may occur: an early phase sensitive to antihistamines and non-steroidal antiinflammatory drugs and a late phase of extensive cell damage that was not sensitive to these drug pretreatments.

  6. Time of erythema onset after application of methyl nicotinate ointments as response parameter: influence of penetration kinetics and enhancing agents.

    Science.gov (United States)

    Remane, Y; Leopold, C S

    2006-01-01

    The time of erythema onset may be used as a response parameter for quantification of the cutaneous erythema response induced by methyl nicotinate. The vehicles light mineral oil (LMO; test) and medium chain triglycerides (MCT; standard) were compared with regard to the pharmacodynamic response. Moreover, the influence of penetration enhancers on the time of erythema onset was investigated under zero order penetration kinetics. The enhancers dimethyl sulfoxide, diethylene glycol monoethyl ether and three different glycerides in different concentrations were added to MCT as a standard vehicle. All preparations were applied to the forearms of volunteers under infinite dose conditions at different thermodynamic drug activity levels (0.2-3.2% of the saturation level) and different drug concentrations (0.051-0.816%), respectively. Different penetration kinetics do not influence data of erythema onset, as these data are comparable to those obtained under finite dose conditions (first order penetration kinetics). With regard to the penetration enhancers, a significantly enhanced penetration of methyl nicotinate could be observed only for diethylene glycol monoethyl ether and dimethyl sulfoxide. However, no significant difference between light mineral oil and MCT could be found with regard to penetration enhancement. The time of erythema onset is an easy and efficient parameter for quantification of the pharmacodynamic response caused by nicotinates.

  7. Minimal erythema response (MED to solar simulated irradiation in normal Indian skin

    Directory of Open Access Journals (Sweden)

    Mehta Rai Vandana

    2004-09-01

    Full Text Available BACKGROUND: Phototesting is an essential tool in the investigation of photodermatoses. AIMS: The main aim was to study the cutaneous response to UVR in terms of minimal erythema dose (MED to both UVA and UVB in normal Indian subjects with a solar simulator and to study the relationship of skin type to MED. METHODS: One hundred healthy volunteers not on any medication and without any history of photodermatoses were phototested using a solar simulator with whole spectrum irradiation (UVA, UVB and visible light and only visible and UVA radiation. The tested areas were marked with gentian violet and readings were taken after 24 hrs. RESULTS: Of the 100 volunteers, 48% were males and 52% were females, with a mean age of 36.6 ± 11.6 yrs. The most common skin type among Indians was type 5 (46% followed by type 4 (41%. The mean MED for UVB was 61.5 ± 17.25J/cm2. The MED for UVA could not be determined as none of the patients showed any erythema after irradiation for 45 minutes. CONCLUSIONS: As the MED is found to be low in idiopathic acquired photodermatoses, the MED in the normal population could serve as a baseline data in the investigation.

  8. Erythema Multiforme-like Secondary to Paraphenylenediamine Due to Henna Tattoo Plus Residual Hypopigmentation.

    Science.gov (United States)

    Levancini, Cristian Fischer; Sancho, Maribel Iglesias; Serrano, Vicente Exposito; Torres, Eulalia Baselga

    2015-01-01

    Temporary henna tattoos or pseudotattoos have become increasingly widespread among children and adolescent. A generalized skin reaction, type erythema multiforme-like reaction is unusual, and rarely reported. We describe the case of a 7-year-old boy who reported erythematous papular bull's-eye shaped lesions and consolidated edema primarily in the upper and lower extremities. These lesions were compatibles with erythema multiforme-like reaction. He also showed an erythematous-eczematous lesion on his leg, shaped like a dolphin. In this area, a temporary henna tattoo was painted 1-month earlier. Patch test was positive for paraphenylenediamine (PPD). Skin reactions due to henna are rare. Most of the reactions are due to additives, especially PPD, an aniline derivative, which is added to speed up the process of skin dyeing and to give a darker brown to black color ("black" henna). As henna tattoos are becoming increasingly popular, prevention requires the annual provision of information to consumers, especially young people and their parents.

  9. Erythema persists longer than one year in split-thickness skin graft donor sites

    DEFF Research Database (Denmark)

    Danielsen, Patricia L; Jorgensen, Lars N; Jørgensen, Bo

    2013-01-01

    The recovery of skin function and appearance after harvest of split-thickness skin autografts is incompletely described. We followed the kinetics of skin restoration after a partial-thickness skin excision relative to adjacent normal skin over 12 months. Standardized donor site wounds were made o....... The macroscopically healed wound was compared with adjacent normal skin at 1, 3 and 12 months. At 1 month postoperatively, TEWL was 108% (p = 0.003), erythema 145% (p ......The recovery of skin function and appearance after harvest of split-thickness skin autografts is incompletely described. We followed the kinetics of skin restoration after a partial-thickness skin excision relative to adjacent normal skin over 12 months. Standardized donor site wounds were made...... on the thigh using a pneumatic dermatome in 19 consecutive Caucasian patients, median age 70 years, age range 44-86 years, who were undergoing skin graft surgery for leg ulcers. Transepidermal water loss (TEWL), erythema and pigmentation were measured quantitatively using non-invasive devices...

  10. [Occurrence of erythema migrans in Hajnowka district in years 2004-2009].

    Science.gov (United States)

    Filipiuk, Justyna; Nowicka-Ciełuszecka, Anna; Tarasiuk, Jadwiga; Pancewicz, Sławomir

    2012-01-01

    The aim of the study was the analysis of epidemiology and clinical picture of early Lyme disease-erythema migrans (EM). There was analysed the medical documentation of 307 (126 men and 181 women) patients, who came to Outpatient Clinic of Infectious Diseases with EM in Hajn6wka in years 2004-2009. Most people (54%) lived in Hajnówka district. 51,8% of patients remembered the contact with a tick. The highest incidence of EM cases was observed in July. The average size of erythema was 10,5 cm2. In 59 cases skin lesion was accompanied by such symptoms as: itching, pain and inflammatory infiltration in the skin lesion, pain in muscles and joints, headaches, fever and cold syndroms. The most common localisation of EM were lower limbs (135 people), trunk (68) and upper limbs (29). Time of patients' visit in our Outpatient Clinic from EM notice lasted about 2 months. 6 people from analysed group were reinfected. There was used the month treatment by doxycycline in prevailing cases.

  11. Time course of ultraviolet B-induced erythema in people with red hair harbouring homozygous melanocortin 1 receptor mutations.

    Science.gov (United States)

    Ha, Thomas K K; Waterston, Karen; Bisset, Yvonne; Ray, Amanda; Rees, Jonathan L

    2003-08-01

    It has previously been reported that the time course of erythema may be delayed in those with sun-sensitive skin types and those with skin cancer. One molecular explanation for this putative phenotype would be that it is caused by mutations of the melanocortin 1 receptor (MC1R). In the present study of 20 persons, 10 of whom were MC1R homozygous, we measured erythema over a 21-day period in response to a range of ultraviolet B doses using methods that improved on previous studies. We could detect no consistent differences in ultraviolet radiation-induced erythema between the groups studied. The pharmacological mechanisms underpinning such prolonged inflammatory responses merit further investigation.

  12. Erythema migrans: a reassessment of diagnostic criteria for early cutaneous manifestations of borreliosis with particular emphasis on clonality investigations.

    Science.gov (United States)

    Böer, A; Bresch, M; Dayrit, J; Falk, T M

    2007-06-01

    Controversy exists about the relationship of borrelia infection with B-cell lymphomas because B-cell clonality has been identified in infiltrates that contained borrelia-specific DNA. Systematic clinicopathological, immunophenotypical and molecular pathological studies of early borreliosis are lacking. (i) To clarify whether clonal B-cell populations are present already in early borreliosis of the skin (erythema migrans); (ii) to re-evaluate clinicopathological, immunophenotypical and molecular pathological criteria for diagnosis of erythema migrans. Study of 34 patients with erythema migrans confirmed by polymerase chain reaction (PCR). Infiltrates were analysed by histopathological and immunohistochemical methods and multiplex PCR for clonal IgH rearrangements. Erythema migrans shows a broad spectrum of changes including sparse infiltrates of T lymphocytes, dense interstitial granulomatous infiltrates (CD68+), and pseudolymphomatous patterns with germinal centre formation. There were accompanying epidermal changes in 59% of patients, and plasma cells were an inconsistent finding. B cells were few when infiltrates were sparse, but increased disproportionately when infiltrates were dense. IgH rearrangement studies revealed one pseudo-oligoclonal, three pseudoclonal and three clonal infiltrates. Pseudoclonality was encountered when infiltrates contained only few B lymphocytes. Infiltrates in erythema migrans are dominated by T cells followed by CD68+ histiocytes and B lymphocytes. Plasma cells are an inconsistent finding. Pseudoclonality of IgH rearrangement is a result of infiltrates being sparse in B lymphocytes and represents a pitfall in molecular pathological diagnosis that can only be avoided by duplicate or triplicate tests. Incidental B-cell clonality may be encountered in patients with unequivocal erythema migrans and should not be interpreted as a malignant lymphomatous process induced by borrelia.

  13. Decontamination and winter conditions

    International Nuclear Information System (INIS)

    Quenild, C.; Tveten, U.

    1984-12-01

    The report deals with two decontamonation experiments under winter conditions. A snow-covered parking lot was contaminated, and the snow was subsequently removed using standard snow-moving equipment. The snow left behind was collected and the content of contaminant was determined. A non-radioactive contaminant was used. A decontamination factor exceeding 100 was obtained. Although the eksperimental conditions were close to ideal, it is reason to believe that extremely efficient removal of deposited materials on a snow surface is achivable. In another investigation, run-off from agricultural surface, contaminated while covered with snow, was measured A lycimeter was used in this experiment. A stable layer of ice and snow was allowed to form before contamination. The run-off water was collected at each thaw period until all snow and ice was gone. Cs-134 was used as contaminant. Roughly 30% of the Cs-134 with which the area was contaminated ran off with the melt water. Following a reactor accident situation, this would have given a corresponding reduction in the long term doses. Both of these experiments show that consequence calculation assumptions, as they are currently applied to large accident assessment, tend to overestimate the consequences resulting from accidents taking place under winter conditions

  14. Winter School Les Houches

    CERN Document Server

    Lannoo, Michel; Bastard, Gérald; Voos, Michel; Boccara, Nino

    1986-01-01

    The Winter School held in Les Houches on March 12-21, 1985 was devoted to Semiconductor Heterojunctions and Superlattices, a topic which is recognized as being now one of the most interesting and active fields in semiconductor physics. In fact, following the pioneering work of Esaki and Tsu in 1970, the study of these two-dimensional semiconductor heterostructures has developed rapidly, both from the point of view of basic physics and of applications. For instance, modulation-doped heterojunctions are nowadays currently used to investigate the quantum Hall effect and to make very fast transistors. This book contains the lectures presented at this Winter School, showing in particular that many aspects of semiconductor heterojunctions and super­ lattices were treated, extending from the fabrication of these two-dimensional systems to their basic properties and applications in micro-and opto-electron­ ics. Among the subjects which were covered, one can quote as examples: molecular beam epitaxy and metallorgani...

  15. Evaluación energética de un sistema de generación de 400 kWe en modo diesel‐gas licuado de petróleo//Energy analysis of a 400 kWe power system operated on dual fuel mode with diesel‐liquefied petroleum gas

    Directory of Open Access Journals (Sweden)

    Carlos‐A. Forero-Núñez

    2014-08-01

    Full Text Available El constante aumento en los precios de los combustibles impulsó el desarrollo de sistemas energéticos cada vez más eficientes y flexibles, los cuales permitan el uso de distintos tipos de combustibles, tales como el gas licuado de petróleo (GLP. El presente trabajo buscó analizar el comportamiento energético y ambiental que tiene una planta de generación de 400 kWe operada en modo diesel y dual diesel-GLP de pozo. La eficiencia energética total del sistema en el punto de máxima carga fue igual a 39,9 % en modo diesel y 35,1 % con una relación de sustitución del 28,5 % en modo dual. La adición de GLP resultó en una disminución del índice de emisiones de CO2 de 0,76 a 0,71 kgkWh-1. El adecuado comportamiento del sistema genera interesantes oportunidades para la disminución del impacto ambiental causado por los sistemas diesel, la diversificación de la canasta energética y la reducción de costos de generación eléctrica en pozos petroleros.Palabras claves: eficiencia energética, diesel, GLP, modo dual.________________________________________________________________________________AbstractThe continuous increase of the fuel costs promoted the development of more efficient and flexible power systems, which could use alternative fuels such as liquefied petroleum gas (LPG. This work aimed to analyze the performance and environmental effect of a 400kWe power system fed with diesel and diesel-LGP on a dual fuel mode. The total electric efficiency of this system at his maximum load was 39,9 % with diesel and 35,1 % at a 28,5 % substitution level on a dual fuel mode. The addition of LPG decreased the CO2 emission index from 0,76 to 0,71 kgkWh-1. The proper behavior of this system on a dual fuel mode mitigated the environmental impact of diesel internal combustion engines, diversified the energy market, and reduced the power generation costs onto petroleum extraction wells.Key words: energy efficiency, diesel, LPG, dual fuel mode.

  16. Measurements for winter road maintenance

    OpenAIRE

    Riehm, Mats

    2012-01-01

    Winter road maintenance activities are crucial for maintaining the accessibility and traffic safety of the road network at northerly latitudes during winter. Common winter road maintenance activities include snow ploughing and the use of anti-icing agents (e.g. road salt, NaCl). Since the local weather is decisive in creating an increased risk of slippery conditions, understanding the link between local weather and conditions at the road surface is critically important. Sensors are commonly i...

  17. Ultraviolet erythema as an indicator of nonspecific reactivity during hemorrhagic vasculitis in children

    Energy Technology Data Exchange (ETDEWEB)

    Kharitonova, A.V.

    1973-01-01

    From 1955 to 1967 studies were carried out on 407 children suffering from hemorrhagic vasculitis. For patients in the severe stage of hemorrhagic vasculitis it is characteristic that there are functional shifts in the central nervous system, which are manifested by a changed sensitivity of the skin to ultraviolet irradiation. The appearance of slowed, inert or paradoxal reactions indicates the predominance of processes in the brain that slow down and decrease the reactivity of the organism. In rheumatoid and abdominal-rheumatoid syndromes of the disease, disturbances in indices to skin light-sensitivity are the most manifest. During the recovery period, the indices of ultraviolet erythema, on approaching normal values, still remain low. This behavior requires extensive outpatient observation and treatment of sick children to avoid recidivism. 9 references. (SJR)

  18. NMOSD triggered by yellow fever vaccination - An unusual clinical presentation with segmental painful erythema.

    Science.gov (United States)

    Schöberl, F; Csanadi, E; Eren, O; Dieterich, M; Kümpfel, T

    2017-01-01

    Neuromyelitis Optica Spectrum Disorder (NMOSD) is an immune-mediated disease of the central nervous system with the presence of aquaporin 4-antibodies (AQP4-abs) in most cases. We describe a patient who developed NMOSD after a yellow fever vaccination. He presented to us with an unusual painful erythema Th7-9 triggered by touch in the respective skin area due to a cervical spinal cord lesion affecting the dorsolateral parts of C6/7. To our knowledge, this is the first case of NMOSD with such a clinical presentation expanding the clinical spectrum of NMOSD. It is important to be aware of that a yellow fever vaccination can trigger NMOSD. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Experimental Lyme disease in rabbits: spirochetes found in erythema migrans and blood.

    Science.gov (United States)

    Kornblatt, A N; Steere, A C; Brownstein, D G

    1984-01-01

    In attempts to produce experimental Lyme disease, 33 rabbits were inoculated with Lyme spirochetes by tick feeding or from tick organ homogenates or cultures. Two rabbits developed erythema chronicum migrans at the site of inoculation, in one instance 2 days after injection of a tick organ homogenate and in the other instance, 17 days after feeding of infected Ixodes dammini ticks. Spirochetes were seen in skin biopsy specimens of the second lesion with Warthin-Starry and immunoperoxidase stains. Spirochetes were also recovered from blood cultures of two additional rabbits 2 weeks post-inoculation. These findings are characteristic of early Lyme disease in humans and give additional support for the spirochetal etiology of Lyme disease. Images PMID:6480108

  20. Varicella zoster with erythema multiforme in a young girl: a rare association.

    Science.gov (United States)

    Kishore, B Nanda; Ankadavar, Nandini S; Kamath, Ganesh H; Martis, Jacintha

    2014-05-01

    Erythema multiforme (EM) is an acute, self-limited, mucocutaneous disorder regarded as a hypersensitivity reaction which is triggered by various factors like infection, drugs, and food. Infectious agents are considered to be a major cause of EM other than idiopathic cause. A young girl presented with fluid-filled lesions all over the body of 3 days duration with history of similar lesions with fever in her sibling 2 weeks prior to admission. This was followed by large fluid-filled lesions with halo 3 days thereafter over the trunk, extremities suggesting target lesions of EM. The diagnosis was confirmed by cytology and positive serology. Varicella zoster virus (VZV) has rarely been reported as an etiological agent, despite its high incidence in childhood. VZV as an etiology of EM in a young girl has not been reported so far. This case was reported for its rare association of EM and varicella zoster and also for its rare presentation in a young girl.

  1. Winter fuels report

    Energy Technology Data Exchange (ETDEWEB)

    1990-11-29

    The Winter Fuels Report is intended to provide concise, timely information to the industry, the press, policymakers, consumers, analysts, and state and local governments on the following topics: distillate fuel oil net production, imports and stocks for all PADD's and product supplied on a US level; propane net product supplied on a US level; propane net production, imports and stocks for Petroleum Administration for Defense Districts (PADD) I, II, and III; natural gas supply and disposition and underground storage for the United States and consumption for all PADD's; residential and wholesale pricing data for propane and heating oil for those states participating in the joint Energy Information Administration (EIA)/State Heating Oil and Propane Program; crude oil and petroleum price comparisons for the United States and selected cities; and US total heating degree-days by city. 27 figs, 12 tabs.

  2. Winter fuels report

    Energy Technology Data Exchange (ETDEWEB)

    1995-02-17

    The Winter Fuels Report is intended to provide consise, timely information to the industry, the press, policymakers, consumers, analysts, and State and local governments on the following topics: Distillate fuel oil net production, imports and stocks on a US level and for all Petroleum Administration for Defense Districts (PADD) and product supplied on a US level; Natural gas supply and disposition and underground storage for the US and consumption for all PADD`s as well as selected National average prices; Residential and wholesale pricing data for heating oil and propane for those States participating in the joint Energy Information Administration (EIA)/State Heating Oil and Propane Program; Crude oil and petroleum price comparisons for the US and selected cities; and A 6-10 Day and 30-Day outlook for temperature and precipitation and US total heating degree days by city.

  3. Winter fuels report

    International Nuclear Information System (INIS)

    1995-01-01

    The Winter Fuels Report is intended to provide concise, timely information to the industry, the press, policymakers, consumers, analysts, and State and local governments on the following topics: distillate fuel oil net production, imports and stocks on a US level and for all Petroleum Administration for Defense Districts (PADD) and product supplied on a US level; propane net production, imports and stocks on a US level and for PADD's I, II, and III; natural gas supply and disposition and underground storage for the US and consumption for all PADD's, as well as selected National average prices; residential and wholesale pricing data for heating oil and propane for those States participating in the joint Energy Information Administration (EIA)/State Heating Oil and Propane Program; crude oil and petroleum price comparisons for the US and selected cities; and a 6-10 day, 30-Day, and 90-Day outlook for temperature and precipitation and US total heating degree-days by city

  4. A case of Cinderella: erythema dyschromicum perstans (ashy dermatosis or dermatosis cinecienta).

    Science.gov (United States)

    Muñoz, Claudia; Chang, Anne Lynn S

    2011-01-01

    A 33-year-old healthy Latina (from either Mexico or Central America) woman with Fitzpatrick type V skin complained of a 2-year history of progressive hyperpigmentation on the axillary folds, dorsal hands, upper neck spilling onto the jawline area, and lower abdomen. There was no preceding dermatitis. The lesions were asymptomatic. She did not use any prescription or over-the-counter drugs or any herbal supplements. She denied contact with any new substances and did not start any new activities. A full review of systems was negative. Physical examination revealed diffuse symmetric gray patches on the proximal arms radiating from the axillary folds with extension onto the trunk (Figure 1). This discoloration was also present on the dorsal hands (Figure 2), upper neck and jawline, and lower abdomen. The lesions were nonpalpable and without erythema. Thyroid function test results and morning cortisol levels were normal. Two adjacent 4-mm punch biopsies were performed on the right axillary skin, one consisted of unaffected skin and one of hyperpigmented skin. Figure 3 shows affected axillary skin with an interface dermatitis and significant pigment dropout. There was no evidence of depositional process of substances such as heavy metals, drugs, or tattoo. There was no evidence of an actinic process. Differential diagnosis included erythema dyschromicum perstans (EDP), fixed-drug reaction, or interface drug reaction. As the patient was not taking any medications, the overall clinical and histologic impression was most consistent with EDP. The patient was started on a low-potency topical steroid twice a day to the affected areas. In addition, because the patient was concerned about the cosmetic appearance of the hyperpigmentation, a 4% hydroquinone cream was started twice daily to the neck area.

  5. Photochemistry and photobiology of actinic erythema: defensive and reparative cutaneous mechanisms

    Directory of Open Access Journals (Sweden)

    A.C. Tedesco

    1997-05-01

    Full Text Available Sunlight is part of our everyday life and most people accept it as beneficial to our health. With the advance of our knowledge in cutaneous photochemistry, photobiology and photomedicine over the past four decades, the terrestrial solar radiation has become a concern of dermatologists and is considered to be a major damaging environmental factor for our skin. Most photobiological effects (e.g., sunburn, suntanning, local and systemic immunosuppression, photoaging or dermatoheliosis, skin cancer and precancer, etc. are attributed to ultraviolet radiation (UVR and more particularly to UVB radiation (290-320 nm. UVA radiation (320-400 nm also plays an important role in the induction of erythema by the photosensitized generation of reactive oxygen species (singlet oxygen (1O2, superoxide (O2.- and hydroxyl radicals (.OH that damage DNA and cellular membranes, and promote carcinogenesis and the changes associated with photoaging. Therefore, research efforts have been directed at a better photochemical and photobiological understanding of the so-called sunburn reaction, actinic or solar erythema. To survive the insults of actinic damage, the skin appears to have different intrinsic defensive mechanisms, among which antioxidants (enzymatic and non-enzymatic systems play a pivotal role. In this paper, we will review the basic aspects of the action of UVR on the skin: a photochemical reactions resulting from photon absorption by endogenous chromophores; b the lipid peroxidation phenomenon, and c intrinsic defensive cutaneous mechanisms (antioxidant systems. The last section will cover the inflammatory response including mediator release after cutaneous UVR exposure and adhesion molecule expression

  6. Stamena winter wheat variety

    Directory of Open Access Journals (Sweden)

    Mišić Todor

    2001-01-01

    Full Text Available Stamena is a winter wheat variety developed at the Institute of Field and Vegetable Crops in Novi Sad, Yugoslavia. It was released by the Federal Commission for varietals Approval in 1999. Stamena was developed by crossing genetically divergent and highly productive parents Lasta and Rodna (Breeders: T. Mišić. N. Mladenov, Z. Jerković and R. Jevtić. Spike is white, smooth, awn less, medium compact with 18-21 spike lets. The grain is vitreous and dark red (Triticum aestivum L. ssp. vulgar e var. lutescens. Stamena is a medium early variety, 1 day earlier than Partizanka and 3 days earlier than Jugoslavija (Table 4. It has excellent resistance to winterkilling, as in very winter hardy Partizanka. The average stem height is 78 cm, with a good resistance to lodging. Stamena has field resistance to leaf rust (Pucce, recondita tritict, horizontal resistance, which is the type of resistance that modern wheat breeding is interested in. The resistance to stem rust (Pucce, graminis tritict is good and to powdery mildew (Erysiphegraminis tritici very good. The 1000 grain mass is about 32 g and volume grain mass 81.3 kg/hi. (Table 2. Stamena is classified in the subgroup A-l. It has excellent milling and baking quality and it belong to the 1st technological group (quality enhancer. The quantity of dry gluten is about 9%. The variety Stamena is a very productive, with the genetic potential for grain above 11 t/ha suitable for growing on fertile and less fertile soils. It has started to be grown commercially in 2000.

  7. Topical microemulsion containing Punica granatum extract: its control over skin erythema and melanin in healthy Asian subjects

    Science.gov (United States)

    Parveen, Rashida; Akhtar, Naveed

    2014-01-01

    Introduction Punica granatum is apotent source of polyphenolic compounds with strong free radicals scavenging activity. The skin lightening effects of Punica granatum are assumed due to ellagic acid which acts by chelating copper at the active site of tyrosinase. Aim To explore a topical microemulsion (O/W) of pomegranate (Punica granatum) extract for its control on skin erythema and melanin. Material and methods Microemulsions were formulated using a polysorbate surfactant (Tween 80®) along with cosurfactant (propylene glycol) and were characterized regarding their stability. The placebo microemulsion (without extract) and the active microemulsion (containing Punica extract) were applied in a split face fashion by the volunteers (n = 11) for a period of 12 weeks. Skin erythema and melanin were measured at baseline and after every 15 days to determine any effect produced by these formulations. Results Active formulation showed a significant impact on skin erythema and melanin (p Punica granatum extract for conditions where elevated skin melanin and erythema have significantly prone skin physiology. PMID:25610348

  8. Pregnant women with erythema migrans and isolation of borreliae from blood: course and outcome after treatment with ceftriaxone.

    Science.gov (United States)

    Maraspin, Vera; Ružić-Sabljić, Eva; Pleterski-Rigler, Dušica; Strle, Franc

    2011-12-01

    The course and outcome in 7 pregnant European women with erythema migrans and borreliae isolated from blood, treated with intravenous ceftriaxone for 14 days, were uneventful, and the outcome of their pregnancies was good. Spirochetemia was not associated with constitutional symptoms. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. Optimal Cross Hedging Winter Canola

    OpenAIRE

    Kim, Seon-Woong; Brorsen, B. Wade; Yoon, Byung-Sam

    2014-01-01

    Winter canola in the southern Great Plains has shown large price fluctuations and there have been questions about which futures market could be used to reduce price risk. Our results indicate that the optimal futures contract to cross hedge winter canola is soybean oil futures.

  10. Winter fuels report

    Energy Technology Data Exchange (ETDEWEB)

    1990-10-04

    The Winter Fuels Report is intended to provide concise, timely information to the industry, the press, policymakers, consumers, analysts, and state and local governments on the following topics: distillate fuel oil net production, imports and stocks for all PADD's and product supplied on a US level; propane net production, imports and stocks for Petroleum Administration for Defense Districts (PADD) I, II, and III; natural gas supply and disposition, underground storage, and consumption for all PADD's; residential and wholesale pricing data for propane and heating oil for those states participating in the joint Energy Information Administration (EIA)/State Heating Oil and Propane Program; crude oil price comparisons for the United States and selected cities; and US total heating degree-days by city. This report will be published weekly by the EIA starting the first week in October 1990 and will continue until the first week in April 1991. The data will also be available electronically after 5:00 p.m. on Thursday during the heating season through the EIA Electronic Publication System (EPUB). 12 tabs.

  11. Klaus Winter (1930 - 2015)

    CERN Multimedia

    2015-01-01

    We learned with great sadness that Klaus Winter passed away on 9 February 2015, after a long illness.   Klaus was born in 1930 in Hamburg, where he obtained his diploma in physics in 1955. From 1955 to 1958 he held a scholarship at the Collège de France, where he received his doctorate in nuclear physics under the guidance of Francis Perrin. Klaus joined CERN in 1958, where he first participated in experiments on π+ and K0 decay properties at the PS, and later became the spokesperson of the CHOV Collaboration at the ISR. Starting in 1976, his work focused on experiments with the SPS neutrino beam. In 1984 he joined Ugo Amaldi to head the CHARM experiment, designed for detailed studies of the neutral current interactions of high-energy neutrinos, which had been discovered in 1973 using the Gargamelle bubble chamber at the PS. The unique feature of the detector was its target calorimeter, which used large Carrara marble plates as an absorber material. From 1984 to 1991, Klau...

  12. Winter fuels report

    Energy Technology Data Exchange (ETDEWEB)

    1995-01-13

    The Winter Fuels Report is intended to provide concise, timely information to the industry, the press, policymakers, consumers, analysts, and State and local governments on the following topics: distillate fuel oil net production, imports and stocks on a US level and for all Petroleum Administration for Defense Districts (PADD) and product supplied on a US level; propane net production, imports and stocks on a US level and for PADD`s I, II, and III; natural gas supply and disposition and underground storage for the US and consumption for all PADD`s, as well as selected National average prices; residential and wholesale pricing data for heating oil and propane for those States participating in the joint Energy Information Administration (EIA)/State Heating Oil and Propane Program; crude oil and petroleum price comparisons for the US and selected cities; and a 6-10 day, 30-Day, and 90-Day outlook for temperature and precipitation and US total heating degree-days by city.

  13. Winter Safety Tips for Older Adults

    Science.gov (United States)

    Winter Safety Tips for Older Adults Expert Information from Healthcare Professionals Who Specialize in the Care of ... thick clothing. Think about getting your thermals! –Essential winter wears: hats, gloves or preferably mittens, winter coat, ...

  14. Essential Outdoor Sun Safety Tips for Winter

    Science.gov (United States)

    ... Vitamin D Essential Outdoor Sun Safety Tips for Winter Winter sports enthusiasts are at increased risk for overexposure ... associated with sun exposure. "It's easy to associate winter with frostbite and windburn, but most people are ...

  15. Annular erythema in primary Sjogren's syndrome: description of 43 non-Asian cases.

    Science.gov (United States)

    Brito-Zerón, P; Retamozo, S; Akasbi, M; Gandía, M; Perez-De-Lis, M; Soto-Cardenas, M-J; Diaz-Lagares, C; Kostov, B; Bove, A; Bosch, X; Perez-Alvarez, R; Siso, A; Ramos-Casals, M

    2014-02-01

    The objective of this paper is to evaluate the prevalence and characterize the main epidemiological, clinical and immunological features of annular erythema (AE) in non-Asian patients with primary Sjögren's syndrome (SS). We carried out a retrospective study searching for AE in 377 Spanish patients with primary SS fulfilling the 2002 American-European criteria. In addition, we searched PubMed (1994-2012) using the MeSH terms "annular erythema" and "primary Sjögren's syndrome" for additional cases. All cases with AE reported in patients with SS associated with systemic lupus erythematosus were excluded. In our Spanish cohort, we found 35 (9%) patients diagnosed with AE. All were white females, with a mean age of 47 years at diagnosis of AE. AE preceded diagnosis of SS in 27 (77%) patients. Cutaneous AE lesions involved principally the face and upper extremities. All patients reported photosensitivity, with cutaneous flares being reported during the warmest months in 93% of patients. Immunological markers consisted of anti-Ro/La antibodies in 31 (89%) patients. In the literature search, we identified eight additional non-Asian patients with primary SS diagnosed with AE. In comparison with 52 Asian patients, the 43 non-Asian patients with AE related to primary SS were more frequently women (100% vs 78%, p=0.008), and cutaneous lesions were less frequently reported in the face (55% vs 81%, p=0.045) and more frequently in the neck (40% vs 14%, p=0.041). Immunologically, non-Asian patients had a lower frequency of anti-Ro antibodies and a higher frequency of negative Ro/La antibodies, although the differences were not statistically significant. AE is not an exclusive cutaneous feature of Asian patients with primary SS. In addition to the characteristic cutaneous expression, AE has a very specific clinical and immunological profile: often presenting before the fulfillment of SS criteria, overwhelmingly associated with anti-Ro antibodies but weakly associated with other

  16. Eritema multiforme mayor desencadenado por antimicrobianos Big multiform erythema triggered by antimicrobials

    Directory of Open Access Journals (Sweden)

    Ronaldo de Carvalho Raimundo

    2010-03-01

    Full Text Available El eritema multiforme, aparece como una enfermedad sistémica con la participación de la piel y las membranas mucosas en relación con varios factores como las infecciones bacterianas o virales, y en particular la administración de drogas, analgésicos y antibióticos en general. Se presenta un paciente masculino de 29 años de edad con eritema multiforme mayor desencadenado por antimicrobianos con la aparición de lesiones vesiculares-bulloso-ulcerosas en las regiones de los labios, encías, la lengua y la mucosa genital en tratamiento de una infección del tracto urinario con norfloxacino 400 mg por una semana. Fue realizado un tratamiento de soporte con el uso de colutorios para la higienización bucal y pomada a base de corticoide para protección de las úlceras, antihistamínicos y orientación nutricional de dieta líquida hipercalórica e hiperproteica. Este síndrome está caracterizado como un proceso eruptivo buloso agudo que compromete la calidad de vida del paciente y no hay pruebas de laboratorio específicas por lo que su diagnóstico debe estar basado en la revisión minuciosa de la anamnesis y en los hallazgos clínicos.The multiform erythema appears as a systemic disease where skin and the mucous membranes have participation in relation to some factors such as bacterial or viral infections and in particular the drugs administration, analgesics and antibiotics in general. The aim of present paper was the presentation of case of big multiform erythema triggering by antimicrobials. Authors present the case of a male patient aged 29 with appearance of ulcerous bullous-vesicular lesions in lips, gums, tongue and genital mucosa under treatment with 400 mg norfloxacin due to urinary tract infection for a week. We made support treatment using mouthwashes for oral hygiene and corticoids ointment for ulcer protection, antihistaminics and nutritional guiding of a hypercaloric and hyperprotein liquid diet. This syndrome is characterized

  17. Solitary erythema migrans in children: comparison of treatment with clarithromycin and amoxicillin.

    Science.gov (United States)

    Nizič, Tea; Velikanje, Eva; Ružić-Sabljić, Eva; Arnež, Maja

    2012-07-01

    To compare clinical effectiveness and safety of treatment with clarithromycin and amoxicillin in children with solitary erythema migrans (EM). Consecutive patients younger than 15 years, referred to our institution in 2004 and 2005 with previously untreated solitary erythema migrans, were included in this prospective study. Basic demographic features and clinical data were collected by means of a questionnaire. The efficiency of treatment of acute disease, development of later major and/or minor manifestations of Lyme borreliosis (LB), and side effects of treatment were surveyed by follow-up visits during the first year after the initiation of antibiotic treatment. The study included 68 female and 67 male children patients. The median age of the patients was 6.5 years. Out of 135 patients, 66 received clarithromycin and 69 amoxicillin. Before treatment no differences in demographic and clinical characteristics between the two groups were observed. The mean duration of EM after the beginning of treatment was 4 days in both groups. Associated symptoms during treatment were present for 7 days in patients treated with clarithromycin and for 10 days in patients receiving amoxicillin (p = 0.188). Minor manifestations of LB were identified in 11 (22.0 %) of 50 patients receiving clarithromycin, and in 16 (29.6 %) of 54 patients receiving amoxicillin who remained in the study during the entire observation period. Major manifestations of LB were not identified in any patient treated with clarithromycin, while there were 2 (3.7 %) patients with major manifestations of LB, who were receiving amoxicillin. Side effects of treatment were identified in 24.2 % patients receiving clarithromycin and 28.1 % patients treated with amoxicillin (p = 0.761). Presence of the Jarisch-Herxheimer's reaction at the beginning of treatment was comparable in both groups (10.6 % and 10.3 %;p = 0.823). Clarithromycin and amoxicillin are equally effective and safe in treatment of

  18. Winter/Summer Monsoon Experiment

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Winter/Summer Monsoon Experiment (MONEX) was conducted during the First Global GARP (Global Atmospheric Research Program) Experiment (FGGE). An international...

  19. Erythema Ab Igne in an Adolescent With Chronic Pain: An Alarming Cutaneous Eruption From Heat Exposure.

    Science.gov (United States)

    Gmuca, Sabrina; Yu, JiaDe; Weiss, Pamela F; Treat, James R; Sherry, David D

    2018-03-12

    Erythema ab igne (EAI) is a cutaneous finding caused by prolonged heat exposure and is characterized by a reticular, brownish-pigmented, often telangiectatic dermatosis. The eruption is reminiscent of livedo reticularis, which is typically seen in the setting of a number of rheumatologic conditions, most prominently vasculitis. Identification of key features distinguishing EAI from livedo reticularis can aid in the diagnosis of EAI and correct elucidation of the underlying etiology. Our patient presented with heating pad-induced EAI in the setting of chronic pain. Only 6 other pediatric cases of EAI associated with heat sources for chronic pain are reported (Acta Derm Venereol. 2014;94:365-367, J Pediatr. 2013;163:1789, Int J Eat Disord. 2013;46:381-383, Arch Dis Child. 2008;93:389, Arch Pediatr Adolesc Med. 2012;166:185-186, Br J Clin Pract. 1990;44:248-251). Our case highlights the need for awareness of this pathognomonic skin eruption in children with chronic pain conditions to help avoid an extensive workup for vasculitis.

  20. Erythema ab igne induced by laptop computer: an emerging disease among adolescents?

    Science.gov (United States)

    Brazzelli, V; Grassi, S; Barruscotti, S; Croci, G; Borroni, G

    2015-09-17

    Erythema ab igne (EAI) was a very common disease in the past, when it occurred mainly among people who worked with fire, or in people who had used heat sources in contact with the skin for warming purposes for long time. In the last decades, with the introduction of central heating in the buildings, EAI incidence was remarkably decreased in Western Countries, and it was found almost exclusively among elderly, and in people affected by defects in thermoregulation or alteration of periphery circulation. Recently, a new slight increase of EAI prevalence has been observed, although with some new features. Here, we describe three cases of adolescents who presented with brownish, reticulated patch on the anterior surface of their thighs. An accurate medical questioning revealed that the patients used to place the lower surface of laptop computer on the extensor side of their thighs in a cross-legged position for many hours (about 6-8 hours) every days. In particular, the patients supported the laptop computer always on the same leg. Laptop computer-induced EAI was diagnosed. Only a few cases of laptop computer-induced EAI have been reported in the literature. Although EAI is poorly symptomatic and it generally evolve to complete remission after a early discontinuance of heat source exposure, chronic lesions of EAI have been regarded as precancerous lesions. Therefore, it is important to implement diagnosis and prevention measures of this disease. Dermatologists should consider new causal agents for old diseases.

  1. Quantitative assessment of skin erythema due to radiotherapy--evaluation of different measurements

    International Nuclear Information System (INIS)

    Wengstroem, Yvonne; Forsberg, Christina; Naeslund, Ingemar; Bergh, Jonas

    2004-01-01

    Background and purpose: Visual assessment is the most common clinical investigation of skin reactions in radiotherapy. Due to the unquantitative and subjective nature of this method additional non-invasive methods are needed for more accurate evaluation of the visible acute adverse skin reactions due to radiotherapy. The purpose of this study was to evaluate a new objective measure with regard to reliability and validity and compare it with an established objective measure and a visual assessment. Patients and methods: A sample of 53 consecutive patients commencing curative tangential radiation therapy to the breast parenchyma were included in the study. The skin area of the treated breast was divided into five sections and assessed individually at 0, 24 and 50 Gy. The RTOG scoring system was used for the visual assessment of the skin reactions. The first objective measure included reflectance spectrometry (DermaSpectrometer) measures at fixed points within the treatment area. For the second objective measure digital images (Camera) were taken with a system using a digital camera and software. The images were analyzed using the Adobe Photoshop 5.0 software program. Results: The results provided significant evidence of the test-retest reliability of the camera. The correlation between the objective measures proved to be significant as the treatment progressed. Conclusions: The results suggest that the camera may be used in a reliable and valid way to measure skin erythema due to radiotherapy

  2. Altered expression of epithelial integrins and extracellular matrix receptors in oral erythema multiforme.

    Science.gov (United States)

    Mirowsk, G W; Lozada-Nur, F; Dekker, N P; MacPhail, L A; Regezi, J A

    1996-10-01

    Inflammation and ulceration at the epithelium-connective tissue interface, a characteristic of erythema multiforme (EM), may be associated with altered molecular attachment of basal keratinocytes. To determine the expression of basal keratinocyte-associated integrins and their basement membrane ligands in oral EM, specimens of clinically and microscopically confirmed EM (n = 12) and mucosal controls (n = 7) were stained immunohistochemically for the integrins alpha 3, beta 6, beta 1, and beta 4 and for extracellular matrix proteins laminin 1, laminin 5, collagen IV, and collagen VII using a standard avidin-biotin-peroxidase technique. In EM, results showed increased staining intensity for all integrins studied in basal and suprabasal keratinocytes. Basement membrane-associated staining of a6 and b4 was intense, but disrupted and fragmented. In EM, integrin staining was most marked at the summit of the connective tissue papillae. Laminin 5 staining was more intense than in controls, was frequently fragmented, and extended into the lamina propria. Laminin 1 staining was discontinuous and was frequently less intense than in controls. Collagen IV staining in EM was interrupted along the basement membrane. Collagen VII staining was fragmented but unchanged in intensity. These alterations in interface adhesion molecules suggest that hemidesmosome-associated molecules are important in the pathogenesis of EM. The staining intensities and patterns of expression of these adhesion molecules suggest that oral EM is initially focused in the connective tissue papillae.

  3. Edematous erythema at the hands and feet probably caused by the traditional herb "radix astragali".

    Science.gov (United States)

    Kogure, Toshiaki; Tatsumi, Takeshi; Oku, Yuko

    2011-01-01

    To describe a patient with erhythema and edema after Radix Astragali was added to a kampo formula. A 21-year-old male, who was diagnosed as having atopic dermatitis in 1989, demonstrated systemic dry eruptions and consulted our department for treatment with traditional herbal medicine (THM) in 2004. The oral administration of herbal medicine resulted in decreased symptoms as well as a reduction in the serum IgE level. In August 2007, he complained of sweating on the neck and we added Radix Astragali to the previous formula. About 18 hours after he ingested the new formula including Radix Astragali, erhythema appeared with swelling of the bilateral hands and feet. Administration of the formula was discontinued and about 48 hours later, his symptoms had almost disappeared. Astragaloside, which is the main ingredient of Radix Astragali, was negative on lymphocyte transforming test (LTT) and we could not determine the ingredient that induced erhythema. We consider that the Radix Astragali induced acute erhythema with swelling based on the clinical course. Acute edematous erythema due to THM is very rare and we discuss allergic reactions to traditional herbs and review the litrature.

  4. Erythema multiforme-like eruption from a slimming drug preparation cutaneous adverse drug reaction

    Directory of Open Access Journals (Sweden)

    Linda Tognetti

    2011-01-01

    Full Text Available We report a case of a 34-year-old woman presenting with an erythema multiforme (EM-like eruption. Lesions developed after a 12-day treatment with a slimming drug preparation (food integrator with thermogenic activity and a herbal remedy (pilosella tincture. Serological investigations excluded viral or bacterial infections. Patch testing with galenic preparations of both drugs demonstrated sensitization to the slimming drug preparation. According to literature reports and immune-chemical properties, those components that are likely to have triggered the skin eruption are clorazepate dipotassium and theobromine. Their interaction with other two constituents such as pseudoephedrine hydrochloride and dehydrocholic acid may have caused the adverse reaction by means of a summation effect. There are no reports specifically about EM caused by a slimming drug preparation and no studies have identified thermogenic pills as cause of EM/EM-like eruption. Weight-loss compounds in slimming preparations should be kept in mind as a possible cause of drug-induced EM-like eruption.

  5. Novel use of topical dapsone 5% gel for erythema elevatum diutinum: safer and effective.

    Science.gov (United States)

    Frieling, Gretchen W; Williams, Noelle L; Lim, Scott J M; Rosenthal, Seth I

    2013-04-01

    We present a case of an otherwise healthy 81-year-old gentleman with multiple asymptomatic, erythematous, indurated papules and plaques, ranging in size from 0.5 to 1.5 cm, involving the dorsal, lateral, and palmar surfaces of the fingers bilaterally. A clinical suspicion of erythema elevatum diutinum (EED) led to initial treatment with topical dapsone 5% gel (ACZONE; Allergan Inc, Irvine, CA). Lesional biopsy demonstrated a dense perivascular infiltration of polymorphonuclear leukocytes and chronic inflammatory cells with perivascular fibrin deposition. Focal neutrophilic infiltration of superficial dermal blood vessel walls was present, suggesting a leukocytoclastic vasculitis. Stains for bacteria and fungi were negative. Clinicopathologic findings were consistent with EED, and in the interim, improvement with topical dapsone 5% gel was noted. Addition of oral dapsone led to complete resolution of the lesions. We present this case to illustrate the subtle, indolent clinical presentation of EED and demonstrate the uncomplicated use of topical dapsone 5% gel for rapid improvement and subsequent successful treatment of localized disease.

  6. Molecular diversity of human parvovirus B19 during two outbreaks of erythema infectiosum in Brazil

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Nasser Cubel Garcia

    2017-01-01

    Full Text Available This study was conducted to provide information on the genetic diversity of human parvovirus B19 (B19V circulating in the municipality of Niterói, Rio de Janeiro, Southeast Brazil during 1996–2006, a period with two distinct outbreaks of B19V infection: 1999–2000 and 2004–2005. A total of 27 sera from patients with erythema infectiosum and five sera from HIV-infected patients that tested positive for B19V DNA during the study period were analyzed. To genotype B19V strains, a semi-nested PCR for partial amplification of the capsid gene was performed and sequence analysis revealed that 31 sequences belonged to subgenotype 1a (G1a of the main genotype 1 and one sequence was characterized as subgenotype 3b (G3b. The phylogenetic tree supported the division of the G1a into two well-defined clades with 1.3% of divergence. The low diversity of the G1a strains may be explained by the fact that all patients had acute B19V infection and 30/32 sera were collected during two distinct outbreaks. The G3b strain was from an HIV-infected patient who seroconverted to anti-B19 IgG antibodies in September/2005. This is the first report of G3b in the state of Rio de Janeiro.

  7. Genospecies of Borrelia burgdorferi sensu lato in patients with erythema migrans.

    Science.gov (United States)

    Niscigorska-Olsen, Jolanta; Wodecka, Beata; Moranska, Izabela; Skotarczak, Bogumila

    2008-01-01

    Borrelia burgdorferi sensu lato (s.l.) complex, the etiological factor of Lyme disease, includes over a dozen species of bacteria and 3 pathogenic within it. According to many authors, the clinical symptoms of borreliosis depend on the species that cause the disease. The most frequent symptom of early localized borreliosis is erythema migrans (EM). The aim of the research was to determine species of B. burgdorferi s.l. in 32 patients from the Western Pomerania region in whom EM has been recognized. Blood samples of patients were investigated by PCR-RFLP method, with the use of enzyme differentiating species. The DNA of spirochetes was detected in 25 patients (25/32, 78.1%), compared with 23/32 (71.8%) of ELISA positive patients. Among 25 positive samples, 10 contained the DNA of B. garinii (10/25, 40%), 5 the DNA of B. afzelii (5/25, 20%), 4 the DNA of B. burgdorferi sensu stricto (s.s.) (4/25, 16%) and in 6 samples (6/25, 24%) the DNA of both B. garinii and B. afzelii was found. The DNA of B. burgdorferi s.l. spirochetes may be detected in patients with EM after antibiotic treatment. The most frequent species in patients with EM from the Western Pomerania region is B. garinii. Infections with more than one species of B. burgdorferi s.l. may occur in patients with EM.

  8. Vesiculobullous and hemorrhagic erythema migrans: uncommon variants of a common disease.

    Science.gov (United States)

    Paul, Suchismita; Song, Philip I; Ogbechie, Oluwatobi A; Sugai, Daniel Y; Morley, Keith W; Schalock, Peter C; Kroshinsky, Daniela

    2016-02-01

    The diagnosis of Lyme disease relies on the accurate diagnosis of erythema chronicum migrans (ECM) because serologic tests, culture, and polymerase chain reactions are often inaccurate. Although ECM is classically associated with a targetoid rash, there are many variants of this lesion. These variants of ECM are often initially diagnosed as cellulitis or spider bite reactions and treated with oral antibiotics. Inappropriate treatment further delays the diagnosis of Lyme disease, leading to late complications. We present four cases of vesiculobullous and hemorrhagic ECM, a less common variant of ECM. All four patients had a history of exposure to wooded areas in Massachusetts during the summer months. In these patients, ECM presented with central vesicles and bullae with hemorrhage, crusting, and in some cases necrosis. Serologic testing was positive in three of the four cases at presentation. In one case, microscopic examination of a skin biopsy showed epidermal spongiosis with parakeratosis, focal necrosis, papillary dermal edema, erythrocyte extravasation, and a superficial and deep perivascular lymphocytic infiltrate with neutrophils and eosinophils of the dermis. No fungal organisms or bacteria were identified. All four patients were treated with doxycycline with complete resolution of symptoms. It is important to recognize the vesiculobullous and hemorrhagic variants of ECM in order to minimize the provision of inappropriate antibiotic treatment for other diagnoses. Early diagnosis of ECM and the initiation of appropriate antibiotics may prevent late complications of Lyme disease. © 2015 The International Society of Dermatology.

  9. Severe Hypotension, Hypoxia, and Subcutaneous Erythema Induced by Indigo Carmine Administration during Open Prostatectomy.

    Science.gov (United States)

    Nandate, Koichiro; Voelzke, Bryan B

    2016-01-01

    Indigo carmine (also known as 5,5'-indigodisulfonic acid sodium salt or indigotine) is a blue dye that is administered intravenously to examine the urinary tract and usually is biologically safe and inert. Indigo carmine rarely may cause adverse reactions. We treated a 66-year-old man who had general anesthesia and radical retropubic prostatectomy for prostate cancer. He had a previous history of allergy to bee sting with nausea, vomiting, and dizziness. Within 1 minute after injection of indigo carmine for evaluation of the ureters, the patient developed hypotension to 40 mmHg, severe hypoxia (the value of SpO2 (peripheral capillary oxygen saturation) was 75% on 40% inspired oxygen concentration), poor air movement and bilateral diffuse wheezing on auscultation, and marked subcutaneous erythema at the upper extremities. After treatment with 100% oxygen, epinephrine (total, 1.5 mg), hydrocortisone (100 mg), diphenhydramine (50 mg), albuterol nebulizer (0.083%), and continuous infusion of epinephrine (0.15 μg/kg/min), the vital signs became stable, and he recovered completely. In summary, indigo carmine rarely may cause life-threatening anaphylactic or anaphylactoid reaction that may necessitate rapid treatment to stabilize cardiovascular, hemodynamic, and pulmonary function.

  10. Severe Hypotension, Hypoxia, and Subcutaneous Erythema Induced by Indigo Carmine Administration during Open Prostatectomy

    Directory of Open Access Journals (Sweden)

    Koichiro Nandate

    2016-01-01

    Full Text Available Indigo carmine (also known as 5,5′-indigodisulfonic acid sodium salt or indigotine is a blue dye that is administered intravenously to examine the urinary tract and usually is biologically safe and inert. Indigo carmine rarely may cause adverse reactions. We treated a 66-year-old man who had general anesthesia and radical retropubic prostatectomy for prostate cancer. He had a previous history of allergy to bee sting with nausea, vomiting, and dizziness. Within 1 minute after injection of indigo carmine for evaluation of the ureters, the patient developed hypotension to 40 mmHg, severe hypoxia (the value of SpO2 (peripheral capillary oxygen saturation was 75% on 40% inspired oxygen concentration, poor air movement and bilateral diffuse wheezing on auscultation, and marked subcutaneous erythema at the upper extremities. After treatment with 100% oxygen, epinephrine (total, 1.5 mg, hydrocortisone (100 mg, diphenhydramine (50 mg, albuterol nebulizer (0.083%, and continuous infusion of epinephrine (0.15 μg/kg/min, the vital signs became stable, and he recovered completely. In summary, indigo carmine rarely may cause life-threatening anaphylactic or anaphylactoid reaction that may necessitate rapid treatment to stabilize cardiovascular, hemodynamic, and pulmonary function.

  11. Palatal erythema in patients using Listerine Cool Mint PocketPaks Oral Care Strips: case reports.

    Science.gov (United States)

    Pham, Chris L; Wood, A Jeffrey; Lambert, Michael B; Carpenter, William

    2005-01-01

    The purpose of this report was to present 2 cases of similar erythematous lesions in patients using Listerine Cool Mint PocketPaks Oral Care Strips. The first case, a 44-year-old female presented with an erythematous, well-defined, macular lesion centrally located on the midhard palatal gingiva. The second case involved a healthy 7-year-old Hispanic female who presented with a similar lesion and the same clinical presentation. Both presented as solitary lesions involving the height of the palate, with bilateral congruency to the mid-palatal suture line. The lesions were square in shape, with 3 sides being distinctly demarcated. The fourth side feathered anteriorly, gradually disappearing as it approached the anterior third of the palate. On verbal questioning in both cases, no discomfort or irritation was indicated in the medical history or by the patient. Both patients indicated regular use of Listerine Cool Mint PocketPaks Oral Care Strips. Treatment consisted of a: (1) recommendation that the strips be discontinued; and (2) re-evaluation of the lesions at the follow-up appointments to make assessments for any possible changes in lesion color, size, or shape. Following discontinuance of the Oral Care Strips, the lesions disappeared. Follow-up appointments suggest an allergic contact focal erythema caused by prolonged contact with the irritant, in this case due to use of Listerine Cool Mint PocketPaks Oral Care Strips.

  12. Eritema anular eosinofílico en un adulto Eosinophilic anular erythema in an adult.

    Science.gov (United States)

    Lobo, Marta Aguado; Gonzalo, Elena Sierra; Jiménez-Reyes, José

    2017-10-15

    Eosinophilic annular erythema (EAE) is an uncommon eosinophilic dermatosis. Clinically it is characterized by recurrent episodes of annular or figurative plaques. The histopathological study shows a perivascular inflammatory infiltrate in the superficial and deep dermis, composed of lymphocytes and eosinophils. It was originally described in children. We report an adult woman who presented with recurrent erythematous annular plaques on the trunk and extremities. A biopsy showed a mainly perivascular lymphocytic infiltrate with numerous eosinophils in the dermis. Laboratory examinations revealed subclinical hypothyroidism. The lesions resolved with topical corticosteroid spontaneously after 3 months.El eritema anular eosinofílico (EAE) es una dermatosis eosinofílica poco frecuente. Clínicamente se caracteriza por episodios recurrentes de placas anulares o figuradas.El estudio histopatológico muestra un infiltrado inflamatorio en dermis superficial y profunda, de localización perivascular y compuesto por linfocitos y eosinófilos. Se describió originariamente en niños. Presentamos una mujer adulta con episodios recurrentes de placas anulares o figuradas en el tronco y extremidades. La biopsia mostró un infiltrado linfocítico perivascular con numerosos eosinófilos en la dermis. La analítica reveló la presencia de hipotiroidismo subclínico. Las lesiones se resolvieron después de tres meses de tratamiento con una crema de corticoesteriodes.

  13. ORAL LESIONS OF DRUG INDUCED ERYTHEMA MULTIFORME and ndash; REPORT OF THREE CASES

    Directory of Open Access Journals (Sweden)

    Shruthi Hegde

    2013-09-01

    Full Text Available Abstract: Erythema multiforme (EM is an acute, self-limited, and sometimes recurring skin condition considered to be a hypersensitivity reaction associated with certain infections and medications. A range of medications can trigger the EM. Non-steroidal anti-inflammatory drugs (NSAIDS which are most commonly prescribed for pain relief can also produce rare adverse reactions such as EM. EM is clinically characterized by a and lsquo; and lsquo;minor'' form and a and lsquo; and lsquo;major'' form. Only few reports have stated about oral EM as the third variant of EM. However it is unclear whether EM involving only oral mucosa is a separate entity or is a part of minor form of EM. In this report three cases of EM are discussed , in which two cases involved exclusively oral mucosal lesions and in one case skin manifestations along with oral mucosa was observed. Also the uncommon adverse effects of NSAIDS is highlighted in this report along with its management. [J Contemp Med 2013; 3(3.000: 193-196

  14. The meaning of nuclear winter

    International Nuclear Information System (INIS)

    Geiger, H.J.

    1987-01-01

    In this paper the author reviews the history and origins of the basic ideas underlying nuclear winter; and findings and predictions of several groups regarding this topic. The author reviews some of the further developments and scientific analyses regarding nuclear winter since the initial announcements of 1983, touching on some of the revisions and controversies and trying to indicate the current status of the field

  15. Ultraviolet spectral distribution and erythema-weighted irradiance from indoor tanning devices compared with solar radiation exposures.

    Science.gov (United States)

    Sola, Yolanda; Baeza, David; Gómez, Miguel; Lorente, Jerónimo

    2016-08-01

    Concern regarding the impact of indoor tanning devices on human health has led to different regulations and recommendations, which set limits on erythema-weighted irradiance. Here, we analyze spectral emissions from 52 tanning devices in Spanish facilities and compare them with surface solar irradiance for different solar zenith angles. Whereas most of the devices emitted less UV-B radiation than the midday summer sun, the unweighted UV-A irradiance was 2-6 times higher than solar radiation. Moreover, the spectral distributions of indoor devices were completely different from that of solar radiation, differing in one order of magnitude at some UV-A wavelengths, depending on the lamp characteristics. In 21% of the devices tested, the erythema-weighted irradiance exceeded 0.3Wm(-2): the limit fixed by the European standard and the Spanish regulation. Moreover, 29% of the devices fall within the UV type 4 classification, for which medical advice is required. The high variability in erythema-weighted irradiance results in a wide range of exposure times to reach 1 standard erythemal dose (SED: 100Jm(-2)), with 62% of devices requiring exposures of solar UV-A dose. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Phase 2 Randomized, Dose-Ranging Study of Oxymetazoline Cream for Treatment of Persistent Facial Erythema Associated With Rosacea.

    Science.gov (United States)

    DuBois, Janet; Dover, Jeffrey S; Jones, Terry M; Weiss, Robert A; Berk, David R; Ahluwalia, Gurpreet

    2018-03-01

    Rosacea is a chronic dermatologic condition with limited treatment options. This phase 2 study evaluated the optimal oxymetazoline dosing regimen in patients with moderate to severe persistent facial erythema of rosacea. Patients were randomly assigned to oxymetazoline cream, 0.5%, 1.0%, or 1.5%, or vehicle, administered once daily (QD) or twice daily (BID) for 28 consecutive days. The primary efficacy endpoint was the proportion of patients with ≥2-grade improvement from baseline on the Clinician Erythema Assessment (CEA) and the Subject Self-Assessment of erythema (SSA-1) on day 28. Safety assessments included treatment-emergent adverse events and dermal tolerability. A total of 356 patients were treated (mean age, 50.0 years; 80.1% female). The proportions of patients achieving the primary endpoint were significantly higher with oxymetazoline 0.5% QD (P=0.049), 1.0% QD (P=0.006), 1.5% QD (P=0.012), 1.0% BID (P=0.021), and 1.5% BID (P=0.006) versus their respective vehicles. For both QD and BID dosing, the efficacy of oxymetazoline 1.0% was greater than the 0.5% dose and comparable to the 1.5% dose. Safety and application-site tolerability were similar across groups. Short-term treatment period. Oxymetazoline 1.0% QD provided the optimal dosing regimen and was selected for evaluation in phase 3 clinical studies. J Drugs Dermatol. 2018;17(3):308-316.

  17. Advances in Understanding and Managing Rosacea: Part 2: The Central Role, Evaluation, and Medical Management of Diffuse and Persistent Facial Erythema of Rosacea

    OpenAIRE

    Del Rosso, James Q.

    2012-01-01

    In this article, the second part of a two-part series on rosacea, emphasis will be placed on persistent facial erythema. Despite variations in the intensity of visible redness, persistent facial erythema is a very common and consistent finding among patients with rosacea, including those with presentations classically defined as papulopustular rosacea, erythematotelangiectatic rosacea, and in many patients with phymatous rosacea. The underlying mechanisms of rosacea and their correlation with...

  18. The Evaluation of Noninvasive Measurements of Erythema as a Potential Surrogate for DNA Damage in Repetitively UV-exposed Human Skin.

    Science.gov (United States)

    Miller, Sharon A; Coelho, Sergio G; Yamaguchi, Yuji; Hearing, Vincent J; Beer, Janusz Z; de Gruijl, Frank

    2017-10-01

    Erythema (i.e. visible redness) and DNA damage caused by ultraviolet radiation (UVR) in human skin have similar action spectra and show good correlation after a single exposure to UVR. We explored the potential to use instrumental assessments of erythema as a surrogate for DNA damage after repeated exposures to UVR. We exposed 40 human subjects to three different exposure schedules using two different UVR sources. Cyclobutane-pyrimidine dimers (CPDs) in skin biopsies were measured by immunofluorescence, and erythema was assessed by both the Erythemal Index (EI) and the Oxy-hemoglobin (Oxy-Hb) content. Surprisingly, the skin with the highest cumulative dose ended up with the lowest level of DNA damage, and with the least erythema, as assessed by Oxy-Hb (but not EI) 24 h after the last UV exposure. Although the level of CPDs, on average, paralleled Oxy-Hb (R 2 = 0.80-0.94, P = 0.03-0.11), the correlation did not hold for the pooled individual measurements (R 2 = 0.009, P = 0.37) due to potential individual differences in UV-induced photoadaptation. We suggest that the methodology may be optimized to improve the correlation between DNA damage level and erythema to enable noninvasive risk assessment based on erythema/Oxy-Hb content for individual human subjects. © 2017 The American Society of Photobiology.

  19. The impact of immunosuppression on erythema migrans. A retrospective study of clinical presentation, response to treatment and production of Borrelia antibodies in 33 patients.

    Science.gov (United States)

    Fürst, B; Glatz, M; Kerl, H; Müllegger, R R

    2006-07-01

    Little is known about the potential influence of immunosuppression on erythema migrans, the hallmark of early Lyme borreliosis. We performed a retrospective study to assess the impact of immunosuppression on erythema migrans in 33 patients with a malignant or autoimmune disease, chronic infection, or immunosuppressive therapy for organ transplantation. Only patients with active disease status and/or current immunosuppressive therapy were included. Pre-treatment clinical parameters, such as presentation of the skin lesion and presence of extracutaneous signs and symptoms, the disease course during a median follow-up of 9 months after therapy and serum anti-Borrelia burgdorferi antibodies before therapy and by the end of follow-up in the 33 immunosuppressed patients were statistically compared with 75 otherwise healthy patients with erythema migrans. The 75 control patients were matched for sex, age and antibiotic therapy. With the exception of the site of erythema migrans lesions, which were found more often on the trunk than on the legs in the immunosuppressed patients (vice versa in immunocompetent patients), we found no significant differences for all investigated parameters between the two groups. It appears that immunosuppression does not influence clinical presentation, response to therapy, or production of anti-B. burgdorferi antibodies of patients with erythema migrans. It is thus not necessary to treat immunosuppressed patients with erythema migrans differently from immunocompetent patients.

  20. Expression of CD64 on Circulating Neutrophils Favoring Systemic Inflammatory Status in Erythema Nodosum Leprosum.

    Directory of Open Access Journals (Sweden)

    Veronica Schmitz

    2016-08-01

    Full Text Available Erythema Nodosum Leprosum (ENL is an immune reaction in leprosy that aggravates the patient´s clinical condition. ENL presents systemic symptoms of an acute infectious syndrome with high leukocytosis and intense malaise clinically similar to sepsis. The treatment of ENL patients requires immunosuppression and thus needs to be early and efficient to prevent both disabilities and permanent nerve damage. Some patients experience multiple episodes of ENL and prolonged use of immunosuppressive drugs may lead to serious adverse effects. Thalidomide treatment is extremely effective at ameliorating ENL symptoms. Several mechanisms have been proposed to explain the efficacy of thalidomide in ENL, including the inhibition of TNF production. Given its teratogenicity, thalidomide is prohibitive for women of childbearing age. A rational search for molecular targets during ENL episodes is essential to better understand the disease mechanisms involved, which may also lead to the discovery of new drugs and diagnostic tests. Previous studies have demonstrated that IFN-γ and GM-CSF, involved in the induction of CD64 expression, increase during ENL. The aim of the present study was to investigate CD64 expression during ENL and whether thalidomide treatment modulated its expression. Leprosy patients were allocated to one of five groups: (1 Lepromatous leprosy, (2 Borderline leprosy, (3 Reversal reaction, (4 ENL, and (5 ENL 7 days after thalidomide treatment. The present study demonstrated that CD64 mRNA and protein were expressed in ENL lesions and that thalidomide treatment reduced CD64 expression and neutrophil infiltrates-a hallmark of ENL. We also showed that ENL blood neutrophils exclusively expressed CD64 on the cell surface and that thalidomide diminished overall expression. Patient classification based on clinical symptoms found that severe ENL presented high levels of neutrophil CD64. Collectively, these data revealed that ENL neutrophils express CD64

  1. Azithromycin Is Equally Effective as Amoxicillin in Children with Solitary Erythema Migrans.

    Science.gov (United States)

    Arnež, Maja; Ružić-Sabljić, Eva

    2015-10-01

    Comparison of clinical efficacy and adverse effects of treatment with azithromycin and amoxicillin in children with solitary erythema migrans (EM). Consecutive patients younger than 15 years with untreated solitary EM referred to our institution 2002-2003 were included in this unblinded prospective clinical study in which patients were alternatively treated with either azithromycin for 5 days or amoxicillin for 14 days. The efficacy of treatment of acute disease, development of minor and major manifestations of Lyme borreliosis and adverse effects of treatment were surveyed by follow-up visits during the first year after inclusion. Eighty-four patients received azithromycin and 84 amoxicillin. Pretreatment characteristics in the 2 groups were comparable with the exception that patients in azithromycin group more often reported a tick bite at the site of later EM (69% versus 52%; P = 0.0400), had more often EM on the trunk (50% versus 26%; P = 0.0025) and reported longer duration of symptoms (median 3 versus 2 days; P = 0.0283). The posttreatment period revealed no significant differences between azithromycin and amoxicillin groups including the duration of EM (median 3 days; P = 0.8984) and the appearance of minor (12% versus 21%; P = 0.2146) and major manifestations (2.6% in each group) of Lyme borreliosis. Adverse effects of treatment were observed in 21% of patients treated with azithromycin and in 16% treated with amoxicillin, and the appearance of Jarisch-Herxheimer reaction was recorded in 7% and 15%, respectively (P = 0.1438). Comparison of azithromycin and amoxicillin for the treatment of children with solitary EM revealed comparable efficacy and adverse effects of treatment.

  2. Characterization of Lyme Borreliosis Isolates from Patients with Erythema Migrans and Neuroborreliosis in Southern Sweden

    Science.gov (United States)

    Ornstein, Katharina; Berglund, Johan; Nilsson, Ingrid; Norrby, Ragnar; Bergström, Sven

    2001-01-01

    Southern Sweden is an area of Lyme borreliosis (LB) endemicity, with an incidence of 69 cases per 100,000 inhabitants. The most frequent clinical manifestations are erythema migrans (77%) and neuroborreliosis (16%). There was no record of human Borrelia strains being isolated from patients in this region before the prospective study reported here. Borrelia spirochetes were isolated from skin and cerebrospinal fluid (CSF) from LB patients living in the region. A total of 39 strains were characterized by OspA serotype analysis, species-specific PCR, and signature nucleotide analysis of the 16S rRNA gene. Of 33 skin isolates, 31 (93.9%) were Borrelia afzelii strains and 2 (6.1%) were Borrelia garinii strains. Of six CSF isolates, five (83.3%) were B. garinii and one (16.7%) was B. afzelii. Neither Borrelia burgdorferi sensu stricto strains nor multiple infections were observed. The B. afzelii isolates were of OspA serotype 2. Three B. garinii strains were of OspA serotype 5, and the remaining four strains were of OspA serotype 6. All of the B. garinii strains belonged to the same 16S ribosomal DNA ribotype class. Our findings agree with earlier findings from other geographic regions in Europe where B. afzelii and B. garinii have been recovered predominately from skin and CSF cultures, respectively. To further study the possible presence in Sweden of the genotype B. burgdorferi sensu stricto, which is known to be present in Europe and to occur predominately in patients with Lyme arthritis, molecular detection of Borrelia-specific DNA in synovial samples from Lyme arthritis patients should be performed. PMID:11283044

  3. Investigation of Borrelia burgdorferi genotypes in Australia obtained from erythema migrans tissue

    Science.gov (United States)

    Mayne, Peter J

    2012-01-01

    Background Lyme disease (LD) is an emerging infectious disease in Australia. There has been controversy regarding endemic lyme disease in the country for over 20 years. Borrelia burgdorferi sensu stricto (Bbss) and sensu lato (Bbsl) are closely related spirochetal species that are the causative agents of LD in humans. Clinical transmission of this tick-borne disease is marked by a characteristic rash known as erythema migrans (EM). This study employed molecular techniques to demonstrate the spirochetal agent of Lyme disease isolated from EM biopsies of patients in Australia and then investigate their genetic diversity. Methods Four patients who presented to the author’s practice over a one-year period from mid 2010 to mid 2011 returned positive results on central tissue biopsy of EM lesions using polymerase chain reaction (PCR) analysis. The findings were confirmed by DNA sequencing, and basic local alignment search tool (BLAST) analysis was then used to genetically characterize the causative organisms. Results Three isolates were identified as Bbss that lay genotypically between strains B31 and ZS7 and were then characterized as strain 64b. One of the three isolates though may have similarity to B. bissettii a Bbsl. The fourth isolate was more appropriately placed in the sensu lato group and appeared to be similar, but not identical to, a B. valaisiana-type isolate. In this study, a central biopsy taken within 6 days of infection was used instead of conventional sampling at the leading edge, and the merits of this are discussed. Conclusion These patients acquired infection in Australia, further proving endemic LD on the continent. Central biopsy site of EM is a useful tool for PCR evaluation. BLAST searches suggest a genetic diversity of B. burgdorferi, which has implications concerning the diagnosis, clinical severity, and testing of LD in Australia. PMID:22956879

  4. Estimated incidence of erythema migrans in five regions of France and ecological correlations with environmental characteristics.

    Science.gov (United States)

    Mariet, Anne-Sophie; Retel, Olivier; Avocat, Hélène; Serre, Anne; Schapman, Lucie; Schmitt, Marielle; Charron, Martine; Monnet, Elisabeth

    2013-09-01

    While several studies conducted on Lyme borreliosis (LB) risk in the United States showed an association with environmental characteristics, most of European studies considered solely the effect of climate characteristics. The aims of this study were to estimate incidence of erythema migrans (EM) in five regions of France and to analyze associations with several environmental characteristics of the place of residence. LB surveillance networks of general practitioners (GPs) were set up for a period of 2 years in five regions of France. Participating GPs reported all patients with EM during the study period. Data were pooled according to a standardized EM case definition. For each area with a participating GP, age-standardized incidence rates and ratios were estimated. Associations with altitude, indicators of landscape composition, and indicators of landscape configuration were tested with multivariate Poisson regression. Standardized estimated incidence rates of EM per 10(5) person-years were 8.8 [95% confidence interval (CI)=7.9-9.7] in Aquitaine, 40.0 (95% CI 36.4-43.6) in Limousin, 76.0 (95% CI 72.9-79.1) in the three participating départements of Rhône-Alpes, 46.1 (95% CI 43.0-49.2) in Franche-Comté, and 87.7 (95% CI 84.6-90.8) in Alsace. In multivariate analysis, age-adjusted incidence rates increased with the altitude (p<0.0001) and decreased with forest patch density (p<0.0001). The marked variations in EM risk among the five regions were partly related to differences in landscape and environmental characteristics. The latter may point out potential risk areas and provide information for targeting preventive actions.

  5. [Detection of borrelia DNA from patients with neuroborreliosis and erythema migrans].

    Science.gov (United States)

    Moravcová, Lenka; Pícha, Dusan; Vanousová, Daniela; Hercogová, Jana

    2009-10-01

    Assessment of PCR procedure for proving of the Borrelia burgdorferi sensu lato DNA in nerve and skin forms of Lyme borreliosis. DNA from plasma, urine and CSF was isolated by QIAamp DNA mini kit. PCR was designed as two-step amplification (nested-PCR). Each sample was tested in PCR for five target sequences: two were specific for plasmide genes encoding OspA and OspC proteins and three correlated with genes for 16SrDNA, flagellin and p66 protein. Borrelial DNA was proved in 41 patients suffering from neuroborreliosis out of 56 (77.4 %), among 48 patients with erythema migrans (EM) were found 26 positive (54.2 %). After treatment the specific DNA was detected in 22 patients with neuroborreliosis (41.5 %) and 16 patients with EM (38.1 %). Three months after the treatment 23 patients were positive in both of groups (28.7 %) and next 3 months later the specific DNA was found in 6 (9.5 %). The highest rate of positive results was manifested by 16SrDNA target, lower and comparable results were obtained by OspA, C and flagellin primers, the lowest rate was in p66 system. The tested PCR proved specific DNA in all tested biological fluids in both of the clinical forms of Lyme borreliosis with a relatively high sensitivity. The proving of DNA can not be used for the assessment of the effect of treatment due to the long persistence of PCR positivity after antibiotic treatment. To achieve a sufficient diagnostic sensitivity of PCR it is desirable to use minimally two amplification systems in parallel.

  6. Incidence and antibiotic treatment of erythema migrans in Norway 2005-2009.

    Science.gov (United States)

    Eliassen, Knut Eirik; Berild, Dag; Reiso, Harald; Grude, Nils; Christophersen, Karen Sofie; Finckenhagen, Cecilie; Lindbæk, Morten

    2017-01-01

    The first stage of Lyme borreliosis (LB) is mainly the typical skin lesion, erythema migrans (EM), which is estimated to comprise 80-90% of all LB cases. However, the reporting of, and the actual incidence of LB varies throughout Europe. Studies from Sweden and Holland have found EM incidences varying from 53 to 464 EM/100,000 inhabitants/year. Under-reporting of LB is common and a coefficient of three to reach a realistic estimate is suggested. In Norway, it is mandatory to report only the second and third LB stages to the National Institute of Public Health. To find the Norwegian incidence of EM, we extracted data from the electronic medical records of regular general practitioners and out-of-hours services in the four counties with the highest rates of registered LB in the 5 years from 2005 to 2009. We found an EM incidence of 448 EM/100,000 inhabitants/year in these counties, which yields a national incidence of 148 EM/100,000 inhabitants/year. Our findings show that solitary EMs comprised almost 96% of the total LB incidence in Norway. Older females have the highest rates of EM. Phenoxymethylpenicillin is the most commonly used drug to treat EM in Norway, which complies with the national guidelines for antibiotic use. Antibody tests are performed in 15% of cases. Less than 1% of patients are referred to secondary care. The study also shows a high number of patients seeking care for tick bites without signs of infection and there is an overuse of antibiotics in these patients. Copyright © 2016 Elsevier GmbH. All rights reserved.

  7. An Unexpected Innocent Complication Associated with Azacitidine Treatment of Myelodysplastic Syndrome: Erythema Annulare Centrifugum

    Directory of Open Access Journals (Sweden)

    Esra Turan Erkek

    2016-03-01

    Full Text Available Skin lesions accompanying hematological malignancies can be formed due to either direct tumor infiltration of the skin or indirect effects. Indirectly developing lesions may be a component of paraneoplastic syndrome. Erythema annulare centrifugum (EAC is considered to be a hypersensitivity reaction developed against various antigens associated with infections, drugs, and endocrine diseases. EAC, rarely seen in neoplastic diseases, has been reported in lymphoma, leukemia, histiocytosis, and prostate cancer. Here we report EAC in a patient using a hypomethylating agent, azacitidine. A 69-year-old female patient was admitted to our polyclinic with weakness and ecchymosis in her legs existing for 3 months. She was considered as having refractory anemia with excess blasts-2 according to myelodysplastic syndrome (MDS classification [1]. Because there was only hyperdiploidy in conventional cytogenetic examination, she was classified in group intermediate-2 of the International Prognostic Scoring System. She had a history of radical mastectomy and adjuvant chemoradiotherapy for breast cancer 3 years ago. She said that variously sized round and oval erythematous, itching, painless lesions had formed in the abdominal region on the 4th day of azacitidine usage (75 mg/m2/day, 7 days, s.c. (Figure 1 and 2. There were no concomitant complaints or physical examination findings except fatigue. After azacitidine was stopped, a skin biopsy was taken. In the biopsy, mild perivascular inflammatory infiltration accompanying vascular ectasia in the papillary dermis was detected. The possibility of paraneoplastic syndrome was excluded due to the disappearance of all lesions by 1 week after cessation of treatment. During the second course of azacitidine, the lesions reoccurred on the second day. Subsequently to the second course, the patient died of sepsis, which developed after pneumonia.

  8. IDRC Bulletin — Winter 2017

    International Development Research Centre (IDRC) Digital Library (Canada)

    2018-01-16

    Jan 16, 2018 ... In this issue, read the research results from our Safe and Inclusive Cities program and don't forget that the Joint Canada-Israel Health Research Program 2018 call is now open. IDRC Bulletin logo IDRC Bulletin — Winter 2017. Featured this month. View of Port-au-Prince in Haiti, March 30, 2016. Safe and ...

  9. Learning through a Winter's Tale

    Science.gov (United States)

    Vidotto, Kristie

    2010-01-01

    In this article, the author shares her experience during the final semester of Year 11 Theatre Studies when she performed a monologue about Hermione from "The Winter's Tale". This experience was extremely significant to her because it nearly made her lose faith in one of the most important parts of her life, drama. She believes this…

  10. Winter School on Coding Theory

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 8; Issue 8. Winter School on Coding Theory. Information and Announcements Volume 8 Issue 8 August 2003 pp 111-111. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/008/08/0111-0111. Resonance ...

  11. Nuclear Winter: The Continuing Debate.

    Science.gov (United States)

    1987-03-23

    prospect of human annihilation. Speculation about the environmental results of a ’long darkness’ were considered by Paul Ehrlich .10 The term nuclear winter...Washington D.C., 1983 The Cold and the Dark: The World after Nuclear War, by Paul Ehrlich , et al. New York: Norton, 1984. (QH545 N83 C66 1983k Caldicott

  12. Investigation of Borrelia burgdorferi genotypes in Australia obtained from erythema migrans tissue

    Directory of Open Access Journals (Sweden)

    Mayne PJ

    2012-07-01

    Full Text Available Peter J Mayne International Lyme and Associated Diseases Society, Bethesda, MD, USA The author is a member of the International Lyme and Associated Diseases Society (ILADSBackground: Lyme disease (LD is an emerging infectious disease in Australia. There has been controversy regarding endemic lyme disease in the country for over 20 years. Borrelia burgdorferi sensu stricto (Bbss and sensu lato (Bbsl are closely related spirochetal species that are the causative agents of LD in humans. Clinical transmission of this tick-borne disease is marked by a characteristic rash known as erythema migrans (EM. This study employed molecular techniques to demonstrate the spirochetal agent of Lyme disease isolated from EM biopsies of patients in Australia and then investigate their genetic diversity.Methods: Four patients who presented to the author's practice over a one-year period from mid 2010 to mid 2011 returned positive results on central tissue biopsy of EM lesions using polymerase chain reaction (PCR analysis. The findings were confirmed by DNA sequencing, and basic local alignment search tool (BLAST analysis was then used to genetically characterize the causative organisms.Results: Three isolates were identified as Bbss that lay genotypically between strains B31 and ZS7 and were then characterized as strain 64b. One of the three isolates though may have similarity to B. bissettii a Bbsl. The fourth isolate was more appropriately placed in the sensu lato group and appeared to be similar, but not identical to, a B. valaisiana-type isolate. In this study, a central biopsy taken within 6 days of infection was used instead of conventional sampling at the leading edge, and the merits of this are discussed.Conclusion: These patients acquired infection in Australia, further proving endemic LD on the continent. Central biopsy site of EM is a useful tool for PCR evaluation. BLAST searches suggest a genetic diversity of B. burgdorferi, which has implications

  13. [Evaluation of 10 cases of Lyme disease presenting with erythema migrans in Istanbul, Turkey].

    Science.gov (United States)

    Akın Belli, Aslı; Derviş, Emine; Özbaş Gök, Seyran; Midilli, Kenan; Gargılı, Ayşen

    2015-10-01

    Lyme disease (LD) is a tick-borne, multisystemic infection caused by Borrelia burgdorferi. Although variable rates of seropositivity for B.burgdorferi have been reported between 2% to 44% in Turkey, its actual prevalence is not well-understood. The aim of this retrospective study was to evaluate the characteristics of 10 cases of LD presenting as erythema migrans (EM) between 2009 and 2013 from Istanbul which is one of the metropolitan cities of Turkey. Of the patients, five were male and five were female, ages between 9-51 years (mean age: 34.5 years). Five of the patients were admitted in June, three in October, one in November and two in December and all have the history of tick bite in last 1-2 weeks. There were no clinical symptoms for systemic infection among the patients with normal level routine laboratory test (whole blood count and biochemical tests) results. Five of the cases had EM lesions in the trunk, three in the upper extremities, and two in the lower extremities. Four patients presented with annular, three with solitary macular, and three with target-like EM lesions. In all cases, the biopsy specimens were positive for B.burgdorferi sensu lato DNA with polymerase chain reaction and all were also positive in terms of B.burgdorferi IgM antibodies with ELISA. Nine patients were treated with oral doxycycline, 100 mg twice daily and one child patient was treated with oral amoxicillin 500 mg twice daily for 21 days. EM lesions disappeared within 2-4 weeks in all patients. There was no clinical evidence for systemic involvement in any of the patients like neurologic, cardiac, and joint involvement at the follow-ups on the third, sixth and 12(th) months. To our best knowledge, 10 patients in this study are the largest EM series reported from Turkey. The increase in the number of LD cases may be associated with increased tick bite and increased awareness due to the emergence of concurrent Crimean-Congo hemorrhagic fever epidemic in Turkey. As a result, when

  14. Clinical Pharmacokinetics of Oxymetazoline Cream Following Topical Facial Administration for the Treatment of Erythema Associated With Rosacea.

    Science.gov (United States)

    Kuang, Amy W; DuBois, Janet; Attar, Mayssa; Ahluwalia, Gurpreet

    2018-02-01

    Oxymetazoline cream 1.0% is FDA-approved for the topical treatment of persistent facial erythema associated with rosacea in adults. This phase 2, multicenter, randomized, double-blind, parallel-group study assessed the pharmacokinetics, safety, and tolerability of oxymetazoline in patients with moderate to severe erythema associated with rosacea. Eligible patients were randomized to 1 of 8 treatment groups (oxymetazoline cream 0.5%, 1.0%, or 1.5% or vehicle applied topically either once or twice daily for 28 days). Pharmacokinetic analyses were conducted in patients receiving oxymetazoline. Plasma samples for pharmacokinetic assessments were collected prior to dosing and 6 times postdose on days 1 and 28. A total of 356 patients were included in the safety population (oxymetazoline, n=268; vehicle, n=88). Thirty patients (11.2%) in the oxymetazoline group reported treatment-related treatment-emergent adverse events, most of which were mild to moderate application-site reactions. Oxymetazoline, at all concentrations, was generally safe and well tolerated. Mean maximum observed plasma concentrations were ≤115 pg/mL across all groups; the highest mean values for area under the plasma concentration-time curve from time 0 to 24 hours following once- and twice-daily administration of oxymetazoline 1.5% were 1680 pg•h/mL and 2660 pg•h/mL, respectively. Systemic exposure to oxymetazoline increased dose proportionally with once- and twice-daily administration. These findings support the use of oxymetazoline for the treatment of persistent facial erythema associated with rosacea. J Drugs Dermatol. 2018;17(2):213-220.

  15. Winter movement dynamics of black brant

    Science.gov (United States)

    Lindberg, Mark S.; Ward, David H.; Tibbitts, T. Lee; Roser, John

    2007-01-01

    Although North American geese are managed based on their breeding distributions, the dynamics of those breeding populations may be affected by events that occur during the winter. Birth rates of capital breeding geese may be influenced by wintering conditions, mortality may be influenced by timing of migration and wintering distribution, and immigration and emigration among breeding populations may depend on winter movement and timing of pair formation. We examined factors affecting movements of black brant (Branta bernicla nigricans) among their primary wintering sites in Mexico and southern California, USA, (Mar 1998–Mar 2000) using capture–recapture models. Although brant exhibited high probability (>0.85) of monthly and annual fidelity to the wintering sites we sampled, we observed movements among all wintering sites. Movement probabilities both within and among winters were negatively related to distance between sites. We observed a higher probability both of southward movement between winters (Mar to Dec) and northward movement between months within winters. Between-winter movements were probably most strongly affected by spatial and temporal variation in habitat quality as we saw movement patterns consistent with contrasting environmental conditions (e.g., La Niña and El Niño southern oscillation cycles). Month-to-month movements were related to migration patterns and may also have been affected by differences in habitat conditions among sites. Patterns of winter movements indicate that a network of wintering sites may be necessary for effective conservation of brant.

  16. Wintering ecology of adult North American ospreys

    Science.gov (United States)

    Washburn, Brian E.; Martell, Mark S.; Bierregaard, Richard O.; Henny, Charles J.; Dorr, Brian S.; Olexa, Thomas J.

    2014-01-01

    North American Ospreys (Pandion haliaetus) typically migrate long distances to their wintering grounds in the tropics. Beyond the general distribution of their wintering range (i.e., the Caribbean, South America, and Central America), very little is known about the wintering ecology of these birds. We used satellite telemetry to determine the duration of wintering period, to examine the characteristics of wintering areas used by Ospreys, and to quantify space use and activity patterns of wintering Ospreys. Adult Ospreys migrated to wintering sites and exhibited high wintering site fidelity among years. Overall, Ospreys wintered on river systems (50.6%) more than on lakes (19.0%), and use of coastal areas was (30.4%) intermediate. Ospreys remained on their wintering grounds for an average of 154 d for males and 167 d for females. Locations of wintering Ospreys obtained via GPS-capable satellite telemetry suggest these birds move infrequently and their movements are very localized (i.e., 2 and 1.4 km2, respectively. Overall, our findings suggest wintering adult North American Ospreys are very sedentary, demonstrating a pattern of limited daily movements and high fidelity to a few select locations (presumably roosts). We suggest this wintering strategy might be effective for reducing the risk of mortality and maximizing energy conservation.

  17. Efficacy and safety of oxymetazoline cream 1.0% for treatment of persistent facial erythema associated with rosacea: Findings from the 52-week open label REVEAL trial.

    Science.gov (United States)

    Draelos, Zoe Diana; Gold, Michael H; Weiss, Robert A; Baumann, Leslie; Grekin, Steven K; Robinson, Deanne Mraz; Kempers, Steven E; Alvandi, Nancy; Weng, Emily; Berk, David R; Ahluwalia, Gurpreet

    2018-01-31

    Limited treatments are available for persistent erythema of rosacea. To examine the long-term safety and efficacy of oxymetazoline cream 1.0% in patients with rosacea with moderate-to-severe persistent erythema. Patients applied oxymetazoline once daily for 52 weeks. Safety assessments included treatment-emergent adverse events (TEAEs), skin blanching, inflammatory lesion counts, telangiectasia, disease severity, and rebound effect. Efficacy was assessed by the Clinician Erythema Assessment and Subject Self-Assessment composite score at 3 and 6 hours after the dose on day 1 and at weeks 4, 26, and 52. Among 440 patients, 8.2% reported treatment-related TEAEs; the most common were application-site dermatitis, paresthesia, pain, and pruritus. The rate of discontinuation due to adverse events (mostly application-site TEAEs) was 3.2%. No clinically meaningful changes were observed in skin blanching, inflammatory lesions, or telangiectasia. At week 52, 36.7%, and 43.4% of patients achieved a 2-grade or greater composite improvement from baseline in both Clinician Erythema Assessment and Subject Self-Assessment 3 and 6 hours after a dose, respectively. Less than 1% of patients experienced a rebound effect following treatment cessation. A vehicle-control group was not included. This long-term study demonstrated sustained safety, tolerability, and efficacy of oxymetazoline for moderate-to-severe persistent erythema of rosacea. Copyright © 2018 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  18. Objective evaluation by reflectance spectrophotometry can be of clinical value for the verification of blanching/non blanching erythema in the sacral area.

    Science.gov (United States)

    Sterner, Eila; Fossum, Bjöörn; Berg, Elisabeth; Lindholm, Christina; Stark, André

    2014-08-01

    Early detection of non blanching erythema (pressure ulcer category I) is necessary to prevent any further skin damage. An objective method to discriminate between blanching/non blanching erythema is presently not available. The purpose of this investigation was to explore if a non invasive objective method could differentiate between blanching/non blanching erythema in the sacral area of patients undergoing hip fracture surgery. Seventy-eight patients were included. The sacral area of all patients was assessed using (i) conventional finger-press test and (ii) digital reading of the erythema index assessed with reflectance spectrophotometry. The patients were examined at admission and during 5 days postsurgery. Reflectance spectrophotometry measurements proved able to discriminate between blanching/non blanching erythema. The reliability, quantified by the intra-class correlation coefficient, was excellent between repeated measurements over the measurement period, varying between 0·82 and 0·96, and a significant change was recorded in the areas from day 1 to day 5 (P < 0·0001). The value from the reference point did not show any significant changes over the same period (P = 0·32). An objective method proven to identify early pressure damage to tissue can be a valuable tool in clinical practice. © 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  19. Chemokine Signatures in the Skin Disorders of Lyme Borreliosis in Europe: Predominance of CXCL9 and CXCL10 in Erythema Migrans and Acrodermatitis and CXCL13 in Lymphocytoma▿

    Science.gov (United States)

    Müllegger, Robert R.; Means, Terry K.; Shin, Junghee J.; Lee, Marshall; Jones, Kathryn L.; Glickstein, Lisa J.; Luster, Andrew D.; Steere, Allen C.

    2007-01-01

    The three skin disorders of Lyme borreliosis in Europe include erythema migrans, an acute, self-limited lesion; borrelial lymphocytoma, a subacute lesion; and acrodermatitis chronica atrophicans, a chronic lesion. Using quantitative reverse transcription-PCR, we determined mRNA expression of selected chemokines, cytokines, and leukocyte markers in skin samples from 100 patients with erythema migrans, borrelial lymphocytoma, or acrodermatitis chronica atrophicans and from 25 control subjects. Chemokine patterns in lesional skin in each of the three skin disorders included low but significant mRNA levels of the neutrophil chemoattractant CXCL1 and the dendritic cell chemoattractant CCL20 and intermediate levels of the macrophage chemoattractant CCL2. Erythema migrans and particularly acrodermatitis lesions had high mRNA expression of the T-cell-active chemokines CXCL9 and CXCL10 and low levels of the B-cell-active chemokine CXCL13, whereas lymphocytoma lesions had high levels of CXCL13 and lower levels of CXCL9 and CXCL10. This pattern of chemokine expression was consistent with leukocyte marker mRNA in lesional skin. Moreover, using immunohistologic methods, CD3+ T cells and CXCL9 were visualized in erythema migrans and acrodermatitis lesions, and CD20+ B cells and CXCL13 were seen in lymphocytoma lesions. Thus, erythema migrans and acrodermatitis chronica atrophicans have high levels of the T-cell-active chemokines CXCL9 and CXCL10, whereas borrelial lymphocytoma has high levels of the B-cell-active chemokine CXCL13. PMID:17606602

  20. Chemokine signatures in the skin disorders of Lyme borreliosis in Europe: predominance of CXCL9 and CXCL10 in erythema migrans and acrodermatitis and CXCL13 in lymphocytoma.

    Science.gov (United States)

    Müllegger, Robert R; Means, Terry K; Shin, Junghee J; Lee, Marshall; Jones, Kathryn L; Glickstein, Lisa J; Luster, Andrew D; Steere, Allen C

    2007-09-01

    The three skin disorders of Lyme borreliosis in Europe include erythema migrans, an acute, self-limited lesion; borrelial lymphocytoma, a subacute lesion; and acrodermatitis chronica atrophicans, a chronic lesion. Using quantitative reverse transcription-PCR, we determined mRNA expression of selected chemokines, cytokines, and leukocyte markers in skin samples from 100 patients with erythema migrans, borrelial lymphocytoma, or acrodermatitis chronica atrophicans and from 25 control subjects. Chemokine patterns in lesional skin in each of the three skin disorders included low but significant mRNA levels of the neutrophil chemoattractant CXCL1 and the dendritic cell chemoattractant CCL20 and intermediate levels of the macrophage chemoattractant CCL2. Erythema migrans and particularly acrodermatitis lesions had high mRNA expression of the T-cell-active chemokines CXCL9 and CXCL10 and low levels of the B-cell-active chemokine CXCL13, whereas lymphocytoma lesions had high levels of CXCL13 and lower levels of CXCL9 and CXCL10. This pattern of chemokine expression was consistent with leukocyte marker mRNA in lesional skin. Moreover, using immunohistologic methods, CD3(+) T cells and CXCL9 were visualized in erythema migrans and acrodermatitis lesions, and CD20(+) B cells and CXCL13 were seen in lymphocytoma lesions. Thus, erythema migrans and acrodermatitis chronica atrophicans have high levels of the T-cell-active chemokines CXCL9 and CXCL10, whereas borrelial lymphocytoma has high levels of the B-cell-active chemokine CXCL13.

  1. Classification guide: Sochi 2014 Paralympic Winter Games

    OpenAIRE

    2014-01-01

    The Sochi 2014 Paralympic Winter Games classification guide is designed to provide National Paralympic Committees (NPCs) and International Federations (IFs) with information about the classification policies and procedures that will apply to the Sochi 2014 Paralympic Winter Games.

  2. Co-infection of Borrelia burgdorferi sensu lato and Rickettsia species in ticks and in an erythema migrans patient.

    Science.gov (United States)

    Tijsse-Klasen, Ellen; Sprong, Hein; Pandak, Nenad

    2013-12-10

    Lyme borreliosis is the most prevalent tick-borne disease in Europe. Ixodes ricinus also carries other pathogenic bacteria, but corresponding human diseases are rarely reported. Here, we compared the exposure to Rickettsia helvetica and Rickettsia monacensis with that to Lyme borreliosis spirochetes. We assumed that their exposure corresponds to their infection rate in questing I. ricinus. Three Rickettsia species were detected in ticks with a total prevalence of 7.9%, of which the majority was R. helvetica (78%) and R. monacensis (21%). From the same geographic area, skin biopsies of erythema migrans patients were investigated for possible co-infections with Rickettsia spp.. Forty-seven out of 67 skin biopsies were PCR positive for Borrelia burgdorferi s.l. and one sample was positive for R. monacensis. The Borrelia genospecies from the R. monacensis positive patient was identified as Borrelia afzelii. The patient did not show any symptoms associated with rickettsiosis. Co-infections of I. ricinus with Rickettsia spp. and B. burgdorferi s.l. were as high as expected from the individual prevalence of both pathogens. Co-infection rate in erythema migrans patients corresponded well with tick infection rates. To our knowledge, this is the first reported co-infection of B. afzelii and R. monacensis.

  3. Is the risk of early neurologic Lyme borreliosis reduced by preferentially treating patients with erythema migrans with doxycycline?

    Science.gov (United States)

    Strle, Franc; Stupica, Daša; Bogovič, Petra; Visintainer, Paul; Wormser, Gary P

    2018-02-02

    Doxycycline is highly effective treatment for early neurologic Lyme borreliosis (NLB). Nineteen studies were reviewed to determine if treatment of patients with erythema migrans with other oral antibiotics would increase the risk for developing NLB. In the eight studies that directly compared doxycycline to another antibiotic, the pooled difference indicated a 0.2% greater risk of developing NLB in doxycycline-treated patients (95% CI: -1.0%, +1.4%; P = 0.77), with an estimated heterogeneity of 0.0%, P = 0.58. Overall, in the 19 studies, NLB was reported in 8/828 (1.0%; 95% CI: 0.42%, 1.89%) doxycycline-treated patients versus 6/1022 (0.6%; 95% CI: 0.22%, 1.27%) patients treated with other antibiotics (P = 0.42). Based on the 95% CI calculation (-0.5%, +1.40%), patients receiving nondoxycycline treatment regimens collectively might have at most a 0.5% greater risk for developing NLB. Available data suggest that oral doxycycline is not superior to comparators for preventing NLB in patients receiving treatment for erythema migrans. Copyright © 2018. Published by Elsevier Inc.

  4. Leadership in American Indian Communities: Winter Lessons

    Science.gov (United States)

    Metoyer, Cheryl A.

    2010-01-01

    Winter lessons, or stories told in the winter, were one of the ways in which tribal elders instructed and directed young men and women in the proper ways to assume leadership responsibilities. Winter lessons stressed the appropriate relationship between the leader and the community. The intent was to remember the power and purpose of that…

  5. Comparison Study of Braden Scale and Time-to-Erythema Measures in Long-term Care.

    Science.gov (United States)

    Yap, Tracey L; Rapp, Mary Pat; Kennerly, Susan; Cron, Stanley G; Bergstrom, Nancy

    2015-01-01

    The Braden Scale for Predicting Pressure Sore Risk is used to assess risk, and the Centers for Medicare & Medicaid guidelines suggest the use of a tissue tolerance procedure that detects time-to-erythema (TTE) to further refine tissue tolerance, a component of the Braden Scale. The aim of this study was to compare the Braden Scale and TTE as risk classification methods and their utility in identifying care planning interventions. Descriptive study using retrospective chart review. Participants were a convenience sample of 89 adults 65 years or older residing in a long-term care facility in the Midwestern United States. The sample was drawn from a facility-generated list of 90 residents who had both Braden Scale and tissue tolerance testing performed within 24 hours of admission from any setting, readmission after a hospital stay, or performed as part of a routine annual reassessment. Results of staff performance on the Braden Scale and TTE were compared as risk classification methods and based on their utility for identifying care planning interventions. Data were collected during 1 session when TTE and the Braden Scale were completed. Agreement between the 5 risk categories from the Braden Scale and 5 TTE risk categories was analyzed via the kappa statistic and Kendall tau-c statistic. Spearman or Pearson correlation coefficients were calculated as appropriate for ordinal and continuous risk, intervention, and severity measures. The mean Braden Scale score was 17.5 ± 3 (mean ± SD); the mean TTE-Bed was 2.35 ± 0.57 hours and the mean TTE-Chair was 2.18 ± 0.52. Using a Braden Scale score of 18 or less as a cut point for identifying clinically relevant risk for pressure ulcer development, 55 participants were deemed at risk, 62 had mobility subscale scores less than 4, 76 had activity subscale scores less than 4, and 73 were incontinent. The weighted kappa statistic demonstrated weak agreement between TTE-Bed and the Braden Scale Total Score (κ = 0.04; 95% CI: 0

  6. Winter to winter recurrence of atmospheric circulation anomalies over East Asia and its impact on winter surface air temperature anomalies.

    Science.gov (United States)

    Zhao, Xia; Yang, Guang

    2017-01-01

    The persistence of atmospheric circulation anomalies over East Asia shows a winter to winter recurrence (WTWR) phenomenon. Seasonal variations in sea level pressure anomalies and surface wind anomalies display significantly different characteristics between WTWR and non-WTWR years. The WTWR years are characterized by the recurrence of both a strong (weak) anomalous Siberian High and an East Asian winter monsoon over two successive winters without persistence through the intervening summer. However, anomalies during the non-WTWR years have the opposite sign between the current and ensuing winters. The WTWR of circulation anomalies contributes to that of surface air temperature anomalies (SATAs), which is useful information for improving seasonal and interannual climate predictions over East Asia and China. In the positive (negative) WTWR years, SATAs are cooler (warmer) over East Asia in two successive winters, but the signs of the SATAs are opposite in the preceding and subsequent winters during the non-WTWR years.

  7. Communicating Certainty About Nuclear Winter

    Science.gov (United States)

    Robock, A.

    2013-12-01

    I have been spending much of my time in the past several years trying to warn the world about the continuing danger of nuclear weapons, and that the solution is a rapid reduction in the nuclear arsenal. I feel that a scientist who discovers dangers to society has an ethical duty to issue a warning, even if the danger is so scary that it is hard for people to deal with. The debate about nuclear winter in the 1980s helped to end the nuclear arms race, but the planet still has enough nuclear weapons, even after reductions planned for 2017 under the New START treaty, to produce nuclear winter, with temperatures plunging below freezing in the summer in major agricultural regions, threatening the food supply for most of the planet. New research by myself, Brian Toon, Mike Mills, and colleagues over the past six years has found that a nuclear war between any two countries, such as India and Pakistan, using 50 atom bombs each of the size dropped on Hiroshima could produce climate change unprecedented in recorded human history, and a world food crisis because of the agricultural effects. This is much less than 1% of the current global arsenal. Communicating certainty - what we know for sure - has been much more effective than communicating uncertainty. The limited success I have had has come from persistence and serendipity. The first step was to do the science. We have published peer-reviewed articles in major journals, including Science, Nature, Proceedings of the National Academy of Sciences, Journal of Geophysical Research, Atmospheric Chemistry and Physics, Physics Today, and Climatic Change. But policymakers do not read these journals. Through fairly convoluted circumstances, which will be described in this talk, we were able to get papers published in Scientific American and the Bulletin of Atomic Scientists. I have also published several encyclopedia articles on the subject. As a Lead Author of Chapter 8 (Radiative Forcing) of the recently published Fifth Assessment

  8. Efficacy and safety of pharmacological agents in the treatment of erythema migrans in early Lyme borreliosis-systematic review protocol.

    Science.gov (United States)

    Torbahn, Gabriel; Hofmann, Heidelore; Allert, Roman; Freitag, Michael H; Dersch, Rick; Fingerle, Volker; Sommer, Harriet; Motschall, Edith; Meerpohl, Jörg J; Schmucker, Christine

    2016-05-03

    Erythema migrans represents an early cutaneous and most common manifestation of Lyme borreliosis. Recommendations regarding pharmacological agents, dose and duration of treatment are subject of intense debate. This review aims to explore differences in efficacy and safety between pharmacological treatments and control treatment. To identify relevant studies, we will conduct a systematic literature search. We will include randomised controlled trials (RCTs) and non-RCTs. Eligible comparative studies need to (1) consider patients with a diagnosis of erythema migrans resulting from Lyme borreliosis and (2) compare different pharmacological agents against each other, against any other non-pharmacological treatment, placebo or no treatment. Two review authors will independently assess included studies for risk of bias according to the methods of the Cochrane Handbook for Systematic Reviews of Interventions and related to specific study designs. We will address patient-relevant outcomes including clinical remission of cutaneous symptoms, any treatment-related adverse events, quality of life and progressive symptoms such as neuroborreliosis or Lyme carditis and flu-like symptoms. Provided that the identified trials are comparable in terms of clinical issues, combined estimates will be provided. Estimations of treatment effects will be calculated based on a random effects model. Heterogeneity will be evaluated based on I (2) and chi-square test. In case of significant heterogeneity, a pooled estimate will not be provided, but heterogeneity will be investigated on the basis of methodological and clinical study aspects. We plan subgroup analysis to reveal potential differences in the effect estimates between patient populations and treatment specifications. We will consider risk of bias using sensitivity analyses to decide whether to rely on the pooled estimates. The quality of a body of evidence for individual outcomes will be assessed using the GRADE approach. Benefits and

  9. Molecular Detection of Tick-Borne Pathogens in Humans with Tick Bites and Erythema Migrans, in the Netherlands.

    Directory of Open Access Journals (Sweden)

    Setareh Jahfari

    2016-10-01

    Full Text Available Tick-borne diseases are the most prevalent vector-borne diseases in Europe. Knowledge on the incidence and clinical presentation of other tick-borne diseases than Lyme borreliosis and tick-borne encephalitis is minimal, despite the high human exposure to these pathogens through tick bites. Using molecular detection techniques, the frequency of tick-borne infections after exposure through tick bites was estimated.Ticks, blood samples and questionnaires on health status were collected from patients that visited their general practitioner with a tick bite or erythema migrans in 2007 and 2008. The presence of several tick-borne pathogens in 314 ticks and 626 blood samples of this cohort were analyzed using PCR-based methods. Using multivariate logistic regression, associations were explored between pathogens detected in blood and self-reported symptoms at enrolment and during a three-month follow-up period.Half of the ticks removed from humans tested positive for Borrelia burgdorferi sensu lato, Anaplasma phagocytophilum, Candidatus Neoehrlichia mikurensis, Rickettsia helvetica, Rickettsia monacensis, Borrelia miyamotoi and several Babesia species. Among 92 Borrelia burgdorferi s. l. positive ticks, 33% carried another pathogen from a different genus. In blood of sixteen out of 626 persons with tick bites or erythema migrans, DNA was detected from Candidatus Neoehrlichia mikurensis (n = 7, Anaplasma phagocytophilum (n = 5, Babesia divergens (n = 3, Borrelia miyamotoi (n = 1 and Borrelia burgdorferi s. l. (n = 1. None of these sixteen individuals reported any overt symptoms that would indicate a corresponding illness during the three-month follow-up period. No associations were found between the presence of pathogen DNA in blood and; self-reported symptoms, with pathogen DNA in the corresponding ticks (n = 8, reported tick attachment duration, tick engorgement, or antibiotic treatment at enrolment.Based on molecular detection techniques, the

  10. Molecular Detection of Tick-Borne Pathogens in Humans with Tick Bites and Erythema Migrans, in the Netherlands.

    Science.gov (United States)

    Jahfari, Setareh; Hofhuis, Agnetha; Fonville, Manoj; van der Giessen, Joke; van Pelt, Wilfrid; Sprong, Hein

    2016-10-01

    Tick-borne diseases are the most prevalent vector-borne diseases in Europe. Knowledge on the incidence and clinical presentation of other tick-borne diseases than Lyme borreliosis and tick-borne encephalitis is minimal, despite the high human exposure to these pathogens through tick bites. Using molecular detection techniques, the frequency of tick-borne infections after exposure through tick bites was estimated. Ticks, blood samples and questionnaires on health status were collected from patients that visited their general practitioner with a tick bite or erythema migrans in 2007 and 2008. The presence of several tick-borne pathogens in 314 ticks and 626 blood samples of this cohort were analyzed using PCR-based methods. Using multivariate logistic regression, associations were explored between pathogens detected in blood and self-reported symptoms at enrolment and during a three-month follow-up period. Half of the ticks removed from humans tested positive for Borrelia burgdorferi sensu lato, Anaplasma phagocytophilum, Candidatus Neoehrlichia mikurensis, Rickettsia helvetica, Rickettsia monacensis, Borrelia miyamotoi and several Babesia species. Among 92 Borrelia burgdorferi s. l. positive ticks, 33% carried another pathogen from a different genus. In blood of sixteen out of 626 persons with tick bites or erythema migrans, DNA was detected from Candidatus Neoehrlichia mikurensis (n = 7), Anaplasma phagocytophilum (n = 5), Babesia divergens (n = 3), Borrelia miyamotoi (n = 1) and Borrelia burgdorferi s. l. (n = 1). None of these sixteen individuals reported any overt symptoms that would indicate a corresponding illness during the three-month follow-up period. No associations were found between the presence of pathogen DNA in blood and; self-reported symptoms, with pathogen DNA in the corresponding ticks (n = 8), reported tick attachment duration, tick engorgement, or antibiotic treatment at enrolment. Based on molecular detection techniques, the probability of

  11. When nuisance is nice: ignored erythema nodosa heralding the Löfgren's syndrome in a Nigerian woman.

    Science.gov (United States)

    Akintayo, Richard Oluyinka; Ojuawo, Olutobi Babatope; Opeyemi, Christopher Muyiwa; Aladesanmi, Adeniyi Olatunji

    2017-01-01

    Löfgren's syndrome (LS) is a variant of sarcoidosis characterised by the triad of erythema nodosum (EN), radiographic bilateral hilar adenopathy, and arthralgia/arthritis. Like all cases of sarcoidosis, it is of unknown aetiology and may constitute a diagnostic difficulty in the ambiguous phenotype. Löfgren's syndrome is associated with a good prognosis and commonly undergoes spontaneous remission within four months. However, the co-existence of multiple good and adverse prognostic factors in a patient may call for guarded expectation. Sarcoidosis is generally more prevalent among people of African descent, but the vast majority of the literature on sarcoidosis are from the western hemisphere. Löfgren's syndrome has been rarely documented in West Africans despite the availability of some reports of sarcoidosis in the region. We present a case of a Nigerian woman with LS that started out as isolated EN, which was ignored for months until the onset of florid pulmonary and systemic symptoms.

  12. Comparison of different Borrelia burgdorferi sensu lato strains for detection of immune response in patients with erythema migrans.

    Science.gov (United States)

    Merljak Skocir, Lilijana; Ruzić-Sabljić, Eva; Maraspin-Carman, Vera; Lotric-Furlan, Stanka; Logar, Mateja; Strle, Franc

    2008-07-01

    The aim of the present study was to establish which combination of serological method and Borrelia strain used as an antigen would provide the most appropriate demonstration of borrelial infection in patients with eythema migrans residing in Slovenia. Four different strains were chosen as antigens: two strains of B. afzelii and two strains of B. garinii which differed in their expression of the outer proteins OspA, OspB and OspC. Each individual strain was used as antigen in immunofluorescence test (IFT), enzyme-linked immunosorbent assay (EIA) with whole borrelial cells, and EIA with ultrasonicated borrelial cells. With these 12 different tests, 100 samples were examined for the presence of specific IgM and IgG antibodies: 50 sera of blood donors and 50 sera of patients with erythema migrans. The latter were further subdivided into skin culture-positive and -negative subgroups. A commercial Western blot (WB) test was performed for 26 sera of the control group and 25 sera of patients with erythema migrans. The four different methods had distinct specificity and sensitivity. The most specific approaches were IFT (100% for IgM and 90-92% for IgG) and the WB test (100% for IgM and 73% for IgG), followed by EIA with whole borrelial cells (80-98% for IgM and 76-84% for IgG) and EIA with ultrasonicated borrelial cells (76-94% for IgM and 72-80% for IgG). The sensitivity levels of all these tests were low. The most sensitive were EIA tests with whole borrelial cells (28-36% for IgM and 32-42% for IgG) followed by EIA with ultrasonicated borrelial cells (22-32% for IgM and 24-36% for IgG), the WB test (16% for IgM and 32% for IgG) and IFT (0-2% for IgM and 14-20% for IgG). The following methods gave significant differences between patients and negative controls in detecting IgM antibodies: EIA with whole borrelial cells with both B. afzelii antigens and with antigen B. garinii that expressed OspA and OspC, EIA with ultrasonicated borrelial cells with antigen B. afzelii

  13. Not the usual suspect: a case of erythema induration of Bazin in an urban primary care clinic

    Directory of Open Access Journals (Sweden)

    Ling Xu

    2015-12-01

    Full Text Available Frontline clinicians in the United States, especially those working in safety net hospitals or with immigrant populations, will likely see cutaneous tuberculosis given the tremendous burden of tuberculosis infection worldwide. The tuberculid is a subtype of cutaneous tuberculosis that poses a diagnostic challenge because organisms are not found in smears or cultures taken from the lesions. Tuberculid lesions can mimic erythema nodosum, thrombophlebitis, and cellulitis. We describe the case of a 57-year-old woman immigrant from China who presented with tender, subcutaneous nodules on her ankle and thigh in the setting of prior exposure to tuberculosis. We describe the clinical, pathophysiologic, and histopathologic features of tuberculids in order to raise awareness among primary care clinicians about this difficult to diagnose but readily treatable manifestation of tuberculosis.

  14. Winter therapy for the accelerators

    CERN Document Server

    Corinne Pralavorio

    2016-01-01

    Hundreds of people are hard at work during the year-end technical stop as all the accelerators are undergoing maintenance, renovation and upgrade operations in parallel.   The new beam absorber on its way to Point 2 before being lowered into the LHC tunnel for installation. The accelerator teams didn’t waste any time before starting their annual winter rejuvenation programme over the winter. At the end of November, as the LHC ion run was beginning, work got under way on the PS Booster, where operation had already stopped. On 14 December, once the whole complex had been shut down, the technical teams turned their attention to the other injectors and the LHC. The year-end technical stop (YETS) provides an opportunity to carry out maintenance work on equipment and repair any damage as well as to upgrade the machines for the upcoming runs. Numerous work projects are carried out simultaneously, so good coordination is crucial. Marzia Bernardini's team in the Enginee...

  15. Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability

    Directory of Open Access Journals (Sweden)

    Anderson MS

    2017-07-01

    Full Text Available Michael S Anderson,1 Anish Nadkarni,1 Leah A Cardwell,1 Hossein Alinia,1 Steven R Feldman1–3 1Department of Dermatology, Center for Dermatology Research, 2Department of Pathology, 3Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Background: Brimonidine tartrate is a highly selective alpha 2 agonist that induces direct vasoconstriction of small arteries and veins, thereby reducing vasodilation and edema. Objective: To review the current literature regarding the safety, efficacy, and patient acceptability of brimonidine 0.33% gel.Methods: A PubMed search was performed using the terms brimonidine 0.33% gel, rosacea, safety, efficacy, and acceptability. Peer-reviewed clinical trials and case reports from 2012 to 2016 were screened for inclusion of safety, efficacy, and/or patient acceptability data.Results: Brimonidine topical gel 0.33% is associated with mild, transient skin-related adverse reactions. Efficacy may be achieved within 30 minutes of administration with maximal reductions in erythema 3–6 hours after administration. Patient satisfaction with use of brimonidine topical gel is superior to vehicle gel for facial appearance, treatment effect, facial redness, and daily control of facial redness.Limitations: Studies were typically limited to 1-year follow-up. Only one study has examined the use of brimonidine topical gel in combination with other rosacea and acne medications.Discussion: Brimonidine topical gel 0.33% is a safe, effective, and patient-accepted treatment for facial erythema of rosacea. Keywords: patient satisfaction, adverse reactions, side effects 

  16. Comparison of PCR methods and culture for the detection of Borrelia spp. in patients with erythema migrans.

    Science.gov (United States)

    Cerar, T; Ruzić-Sabljić, E; Glinsek, U; Zore, A; Strle, F

    2008-07-01

    The sensitivities of two PCR assays and culture were compared for the detection of Borrelia spp. in skin specimens of 150 patients with typical erythema migrans. In addition, the accuracy of the methods for the identification of Borrelia spp. was compared by analysing culture isolates and material obtained directly from skin biopsy specimens. Borrelia burgdorferi sensu lato was isolated from 73 (49%) of 150 skin biopsy specimens. Using a nested PCR targeting the rrf-rrl region and a PCR targeting the flagellin gene, 107 (71%) and 36 (24%) specimens, respectively, were positive. With both PCRs, positive results were more frequent with culture-positive samples (67/73 (92%) and 24/73 (33%) for the nested and flagellin PCRs, respectively) than with culture-negative samples (40/77 (52%) and 12/77 (16%) for nested and flagellin PCR, respectively). Pulsed-field gel electrophoresis after MluI restriction identified 69/73 (95%) isolates, of which 58/69 (84%) were Borrelia afzelii and 11/69 (16%) were Borrelia garinii. After MseI restriction of PCR products amplified from the intergenic rrf-rrl region, B. afzelii was identified in 73/107 (68%) samples, B. garinii in 22/107 (21%) samples, and both species in 11/107 (10%) samples. The corresponding results for culture-positive specimens were 41/69 (59%), 14/69 (20%), and 7/69 (10%). Comparison of the results for specimens positive according to both approaches revealed complete uniformity in 80% of the cases. Overall, nested PCR was the most sensitive method for the demonstration of Borrelia spp. in erythema migrans skin lesions, followed by culture and PCR targeting the flagellin gene. The congruence of identification results obtained by analyzing culture isolates and material obtained directly from skin biopsies was relatively high but incomplete.

  17. In Vivo skin hydration and anti-erythema effects of Aloe vera, Aloe ferox and Aloe marlothii gel materials after single and multiple applications

    Science.gov (United States)

    Fox, Lizelle T.; du Plessis, Jeanetta; Gerber, Minja; van Zyl, Sterna; Boneschans, Banie; Hamman, Josias H.

    2014-01-01

    Objective: To investigate the skin hydrating and anti-erythema activity of gel materials from Aloe marlothii A. Berger and A. ferox Mill. in comparison to that of Aloe barbadensis Miller (Aloe vera) in healthy human volunteers. Materials and Methods: Aqueous solutions of the polisaccharidic fractions of the selected aloe leaf gel materials were applied to the volar forearm skin of female subjects. The hydration effect of the aloe gel materials were measured with a Corneometer® CM 825, Visioscan® VC 98 and Cutometer® dual MPA 580 after single and multiple applications. The Mexameter® MX 18 was used to determine the anti-erythema effects of the aloe material solutions on irritated skin areas. Results: The A. vera and A. marlothii gel materials hydrated the skin after a single application, whereas the A. ferox gel material showed dehydration effects compared to the placebo. After multiple applications all the aloe materials exhibited dehydration effects on the skin. Mexameter® readings showed that A. vera and A. ferox have anti-erythema activity similar to that of the positive control group (i.e. hydrocortisone gel) after 6 days of treatment. Conclusion: The polysaccharide component of the gel materials from selected aloe species has a dehydrating effect on the skin after multiple applications. Both A. vera and A. ferox gel materials showed potential to reduce erythema on the skin similar to that of hydrocortisone gel. PMID:24991119

  18. Immunohistochemical Analysis of Interleukin-17 Producing T Helper Cells and Regulatory T Cells Infiltration in Annular Erythema Associated with Sjögren's Syndrome

    Science.gov (United States)

    Itoi, Saori; Tani, Mamori; Kitaba, Shun; Terao, Mika; Murota, Hiroyuki; Oiso, Naoki; Katayama, Ichiro

    2014-01-01

    Background Peculiar erythema known as annular erythema associated with Sjögren's syndrome (AESS) can be differentiated from autoimmune annular erythema and subacute cutaneous lupus erythematosus, both clinically and histologically. However, there are no detailed investigations on immune competent cells infiltration. Objective Preferential infiltration of interleukin-17-producing T helper (Th17) cells and regulatory T (Treg) cells into the labial salivary gland is reported to play a role in maintaining mucoepithelitis in patients with Sjögren's syndrome. In this study, we evaluated Th17 and Treg cell infiltration into the lesional skin of AESS. Methods We analyzed the numbers and infiltration patterns of Th17 and FoxP3 (+) Treg cells in seven cases of AESS using immunohistochemistry. Seven patients with systemic lupus erythematosus (SLE), atopic dermatitis (AD) and psoriasis vulgaris (PV), which are representatives of Th17 cell-involved skin disorders, were enrolled as disease controls. Results Periappendageal and epidermal changes, such as follicular plugging and liquefaction, were evident in the annular erythema of SLE, not AESS, tissue samples. In AESS tissue samples, dense perivascular and periappendageal infiltration of lymph cells was observed in the middle-to-deep dermis, as previously described, in contrast to the superficial infiltration pattern observed in both AD and PV samples. While the total number of infiltrated lymphocytes was similar between AESS and SLE tissue samples, Th17 cells were found to be preferentially infiltrated in the middle-to-deep dermis in AESS samples. Conclusion These results suggest that an increased number and distribution of infiltration of Th17 cells is a preferential feature of AESS, rather than a characteristic feature of annular erythema of SLE. PMID:24882975

  19. 33 CFR 100.109 - Winter Harbor Lobster Boat Race, Winter Harbor, ME.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Winter Harbor Lobster Boat Race, Winter Harbor, ME. 100.109 Section 100.109 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY REGATTAS AND MARINE PARADES SAFETY OF LIFE ON NAVIGABLE WATERS § 100.109 Winter Harbor...

  20. Animals in Winter. Young Discovery Library Series.

    Science.gov (United States)

    de Sairigne, Catherine

    This book is written for children 5 through 10. Part of a series designed to develop their curiosity, fascinate them and educate them, this volume introduces the habits of a variety of animals during the winter. Topics include: (1) surviving during winter, including concepts such as migration, hibernation, and skin color change; (2) changing…

  1. How to Have a Healthy Winter | Poster

    Science.gov (United States)

    Without a doubt, winter is here. Between the icy weather and the recent hustle and bustle of the holidays, everyone is at an increased risk of getting sick. With that in mind, Occupational Health Services has a few simple tips for staying healthy this winter.

  2. Belichten Zantedeschia in winter biedt perspectief

    NARCIS (Netherlands)

    Leeuwen, van P.J.; Trompert, J.P.T.

    2011-01-01

    Zantedeschia produceert in de Nederlandse winter geen bloemen. In de praktijk wordt met assimilatiebelichting wel bloei in de winter verkregen met de cultivar 'Crystal Blush'. Onderzoek door PPO laat zien welke hoeveelheid licht nodig is en dat ook gekleurde Zantedeschia's van een goede kwaliteit

  3. Nuclear Winter: Scientists in the Political Arena

    Science.gov (United States)

    Badash, Lawrence

    2001-03-01

    The nuclear winter phenomenon is used to illustrate the many paths by which scientific advice reaches decision makers in the United States government. Because the Reagan administration was hostile to the strategic policy that the scientific discovery seemed to demand, the leading proponent of nuclear winter, Carl Sagan, used his formidable talent for popularization to reach a larger audience.

  4. 43 CFR 423.37 - Winter activities.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Winter activities. 423.37 Section 423.37 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE....37 Winter activities. (a) You must not tow persons on skis, sleds, or other sliding devices with a...

  5. 36 CFR 1002.19 - Winter activities.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Winter activities. 1002.19... RECREATION § 1002.19 Winter activities. (a) Skiing, snowshoeing, ice skating, sledding, innertubing.... (c) Failure to abide by area designations or activity restrictions established under this section is...

  6. 36 CFR 2.19 - Winter activities.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Winter activities. 2.19... RESOURCE PROTECTION, PUBLIC USE AND RECREATION § 2.19 Winter activities. (a) Skiing, snowshoeing, ice... designations or activity restrictions established under this section is prohibited. ...

  7. Chapter 7: Migration and winter ecology

    Science.gov (United States)

    Deborah M. Finch; Jeffrey F. Kelly; Jean-Luc E. Cartron

    2000-01-01

    The willow flycatcher (Empidonax traillii) is a Neotropical migrant that breeds in North America, but winters in Central and northern South America. Little specific information is known about migration and wintering ecology of the southwestern willow flycatcher (E. t. extimus) (Yong and Finch 1997). Our report applies principally...

  8. Interim Report 'Winter smog and traffic'.

    NARCIS (Netherlands)

    Bloemen, H.; Blom, T.; Bogaard, van den C.; Boluyt, N.; Bree, van L.; Brunekreef, B.; Hoek, G.; Zee, van der S.

    1994-01-01

    This report presents a halfway score of the research project "Winter smog and Traffic", one of the themes of the research programme "Air Pollution and Health". A state of the art is presented of the health effects associated with exposure to winter smog and of the toxicological effects caused by the

  9. Aluminium toxicity in winter wheat

    Directory of Open Access Journals (Sweden)

    Szabó A.

    2015-01-01

    Full Text Available Aluminium is the most frequent metal of the earth crust; it occurs mainly as biologically inactive, insoluble deposit. Environmental problems, industrial contaminations and acid rains increase the soil acidity, leading to the mobilization of Al. Half of the world’s potential arable lands are acidic; therefore, Al-toxicity decreases crop productivity. Wheat is a staple food for 35% of the world population. The effects of Al-stress (0.1 mM were studied on winter wheat; seedlings were grown hydroponically, at acidic pH. After two weeks, the root weight was decreased; a significant difference was found in the P- and Ca-content. The shoot weight and element content changed slightly; Al-content in the root was one magnitude higher than in the shoot, while Al-translocation was limited. The root plasma membrane H+-ATPase has central role in the uptake processes; Al-stress increased the Mg2+-ATPase activity of the microsomal fraction.

  10. Edematous Erythema at the Hands and Feet Probably Caused By the Traditional Herb “Radix Astragali”

    Science.gov (United States)

    Kogure, Toshiaki; Tatsumi, Takeshi; Oku, Yuko

    2011-01-01

    Objective: To describe a patient with erhythema and edema after Radix Astragali was added to a kampo formula. Case summary: A 21-year-old male, who was diagnosed as having atopic dermatitis in 1989, demonstrated systemic dry eruptions and consulted our department for treatment with traditional herbal medicine (THM) in 2004. The oral administration of herbal medicine resulted in decreased symptoms as well as a reduction in the serum IgE level. In August 2007, he complained of sweating on the neck and we added Radix Astragali to the previous formula. About 18 hours after he ingested the new formula including Radix Astragali, erhythema appeared with swelling of the bilateral hands and feet. Administration of the formula was discontinued and about 48 hours later, his symptoms had almost disappeared. Astragaloside, which is the main ingredient of Radix Astragali, was negative on lymphocyte transforming test (LTT) and we could not determine the ingredient that induced erhythema. Conclusion: We consider that the Radix Astragali induced acute erhythema with swelling based on the clinical course. Acute edematous erythema due to THM is very rare and we discuss allergic reactions to traditional herbs and review the litrature. PMID:21614162

  11. Edematous Erythema at the Hands and Feet Probably Caused by the Traditional Herb “Radix Astragali”

    Directory of Open Access Journals (Sweden)

    Toshiaki Kogure

    2011-01-01

    Full Text Available Objective To describe a patient with erhythema and edema after Radix Astragali was added to a kampo formula. Case summary A 21-year-old male, who was diagnosed as having atopic dermatitis in 1989, demonstrated systemic dry eruptions and consulted our department for treatment with traditional herbal medicine (THM in 2004. The oral administration of herbal medicine resulted in decreased symptoms as well as a reduction in the serum IgE level. In August 2007, he complained of sweating on the neck and we added Radix Astragali to the previous formula. About 18 hours after he ingested the new formula including Radix Astragali, erhythema appeared with swelling of the bilateral hands and feet. Administration of the formula was discontinued and about 48 hours later, his symptoms had almost disappeared. Astragaloside, which is the main ingredient of Radix Astragali, was negative on lymphocyte transforming test (LTT and we could not determine the ingredient that induced erhythema. Conclusion We consider that the Radix Astragali induced acute erhythema with swelling based on the clinical course. Acute edematous erythema due to THM is very rare and we discuss allergic reactions to traditional herbs and review the litrature.

  12. Prognosis of 234 rosacea patients according to clinical subtype: The significance of central facial erythema in the prognosis of rosacea.

    Science.gov (United States)

    Lee, Woo Jin; Lee, Ye Jin; Lee, Mi Hye; Won, Chong Hyun; Chang, Sung Eun; Choi, Jee Ho; Lee, Mi Woo

    2016-05-01

    Rosacea has a wide spectrum of clinical features, which include persistent facial redness, flushing, telangiectasia, inflammatory papules/pustules, hypertrophy and/or ocular features. The prognosis of rosacea according to clinical subtype has not been evaluated. We analyzed the prognosis of rosacea in 234 patients, which included 120 patients with mixed subtype, 75 with the erythematotelangiectatic rosacea subtype and 39 with the papulopustular rosacea (PPR) subtype. The prognosis of rosacea was classified as: (i) no improvement; (ii) partial remission; and (iii) complete remission. The frequencies of complete remission, time to complete remission and 1-year complete remission rate were compared between subtypes. Follow-up periods ranged 2-72 months (median follow-up, 17.5). Aggravation of the disease was found in 50.4% of patients during follow up. Partial or complete remission was noted in 61.5% and 20.9% of patients, respectively. The median time to complete remission was 56.0 months. The prognosis of disease was more favorable for patients with the PPR subtype than for patients with other subtypes with respect to the frequency of complete remission, median time to complete remission and the 2-year complete remission rate. In conclusion, papulopustular rosacea without remarkable centrofacial erythema showed a more favorable prognosis than other subtypes. Erythematotelangiectatic lesions in rosacea patients present a challenge for the treatment of rosacea. © 2015 Japanese Dermatological Association.

  13. Detection of HSV-specific DNA in biopsy tissue of patients with erythema multiforme by polymerase chain reaction.

    Science.gov (United States)

    Aslanzadeh, J; Helm, K F; Espy, M J; Muller, S A; Smith, T F

    1992-01-01

    Formalin-fixed paraffin-embedded skin biopsies of lesions of erythema multiforme (EM) from 32 patients and 13 controls were examined for the presence of herpes simplex virus (HSV) by polymerase chain reaction (PCR) and for histological findings by direct immunofluorescence and staining with haematoxylin and eosin. HSV-specific DNA was detected in 23 (72%) patients. A history of recurrent skin rash was present in 59% of the PCR-positive cases, while 55% had had suspected HSV infections. Only two PCR-positive specimens were found in patients without a history of recurrent rash and/or previous oral lesions. One biopsy was positive for HSV by conventional cell cultures. There was no significant difference in histology between HSV-related and HSV-negative cases of EM. In the 13 control specimens [bullous pemphigoid (3), dermatitis herpetiformis (2), lichen planus (1), aphthous ulcer (1), fixed-drug eruption (1), varicella-zoster (1), hypereosinophilic syndrome (1), photocontact dermatitis (1), contact dermatitis (1), and cellulitis (1)], no HSV-DNA was detected.

  14. Transcriptome Assessment of Erythema Migrans Skin Lesions in Patients With Early Lyme Disease Reveals Predominant Interferon Signaling.

    Science.gov (United States)

    Marques, Adriana; Schwartz, Ira; Wormser, Gary P; Wang, Yanmei; Hornung, Ronald L; Demirkale, Cumhur Y; Munson, Peter J; Turk, Siu-Ping; Williams, Carla; Lee, Chyi-Chia Richard; Yang, Jun; Petzke, Mary M

    2017-12-27

    The most common clinical manifestation of early Lyme disease is the erythema migrans (EM) skin lesion that develops at the tick bite site typically between 7 and 14 days after infection with Borreliella burgdorferi. The host-pathogen interactions that occur in the skin may have a critical role in determining outcome of infection. Gene arrays were used to characterize the global transcriptional alterations in skin biopsy samples of EM lesions from untreated adult patients with Lyme disease in comparison to controls. The transcriptional pattern in EM biopsies consisted of 254 differentially regulated genes (180 induced and 74 repressed) characterized by the induction of chemokines, cytokines, Toll-like receptors, antimicrobial peptides, monocytoid cell activation markers, and numerous genes annotated as interferon (IFN)-inducible. The IFN-inducible genes included 3 transcripts involved in tryptophan catabolism (IDO1, KMO, KYNU) that play a pivotal role in immune evasion by certain other microbial pathogens by driving the differentiation of regulatory T cells. This is the first study to globally assess the human skin transcriptional response during early Lyme disease. Borreliella burgdorferi elicits a predominant IFN signature in the EM lesion, suggesting a potential mechanism for spirochetal dissemination via IDO1-mediated localized immunosuppression. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

  15. Serologic evaluation of patients from Missouri with erythema migrans-like skin lesions with the C6 Lyme test.

    Science.gov (United States)

    Philipp, Mario T; Masters, Edwin; Wormser, Gary P; Hogrefe, Wayne; Martin, Dale

    2006-10-01

    Southern tick-associated rash illness (STARI), also known as Masters disease, affects people predominantly in the Southeast and South Central United States. These patients exhibit skin lesions that resemble erythema migrans (EM), the characteristic skin lesion in early Lyme disease. The etiology of STARI remains unknown, and no serologic test is available to aid in its diagnosis. The C6 Lyme enzyme-linked immunosorbent assay was used to evaluate coded serum specimens from patients with STARI at two laboratory sites. The specimens tested at one site consisted of acute- and convalescent-phase samples that were obtained from nine STARI patients from Missouri and from one patient with documented Borrelia lonestari infection who acquired this infection in either North Carolina or Maryland. All of these samples were C6 negative. Seventy acute- or convalescent-phase specimens from 63 STARI patients from Missouri were C6 tested at the second site. All but one of these STARI specimens were also negative. In contrast, of nine acute- and nine convalescent-phase serum specimens obtained from culture-confirmed Lyme disease patients with EM from New York state, seven were C6 positive at the acute stage, and eight were positive at convalescence. The C6 test is negative in patients with STARI, providing further evidence that B. burgdorferi is not the etiologic agent of this disease.

  16. Quantitation of cell-associated borrelial DNA in the blood of Lyme disease patients with erythema migrans.

    Science.gov (United States)

    Liveris, D; Schwartz, I; McKenna, D; Nowakowski, J; Nadelman, R B; DeMarco, J; Iyer, R; Cox, M E; Holmgren, D; Wormser, G P

    2012-05-01

    Bloodstream invasion is an important event in the pathogenesis of the more serious manifestations of Lyme disease. The number of spirochetes in the blood of infected patients, however, has not been determined, and, therefore, it is unknown whether the number of spirochetes can be correlated with particular clinical or laboratory features. This study was designed to measure the level of Borrelia burgdorferi in the plasma of Lyme disease patients and correlate these levels with selected clinical and laboratory findings. Nested and quantitative polymerase chain reaction (qPCR) was employed to detect cell-associated flaB gene DNA in the plasma of untreated early Lyme disease patients with erythema migrans (EM). Twenty-nine (45.3%) of 64 patients had evidence of B. burgdorferi in their plasma by at least one of the PCR methods. For the 22 qPCR-positive patients, the mean number of flaB gene copies per mL of plasma was 4,660, with a range of 414 to 56,000. The number of flaB gene copies did not significantly correlate with any of the clinical, demographic, or laboratory variables assessed. For reasons discussed, we suggest caution in extrapolating an estimate of the number of viable Borrelia in plasma from the observed number of flaB copies.

  17. Photoprotection by Cichorum endivia extracts: prevention of UVB-induced erythema, pyrimidine dimer formation and IL-6 expression.

    Science.gov (United States)

    Enk, C D; Hochberg, M; Torres, A; Lev, O; Dor, I; Srebnik, M; Dembitsky, V M

    2004-01-01

    In the gradual process of evolution, plants have developed natural sun protecting substances that enable continuous survival under direct and intense ultraviolet (UV) radiation. As part of our studies of plant-derived pigments that might constitute an alternative to conventional sunscreens, we have tested the ethanolic extracts of roots, stalks, and inflorescences of populations of wild Cichorum endivia subsp. Divaricatum (Asteraceae) in terms of protection against sunburn, and in prevention of UVB-induced pyrimidine dimer formation and IL-6 mRNA expression in the human keratinocyte cell line, HaCaT. Using ELISA technique for detection of pyrimidine dimers and RT-PCR for detection of IL-6, we found that the ethanolic extract of C. endivia roots absorbs radiation in the UVB spectrum and partially prevents induction of pyrimidine dimers and IL-6 expression. Application of the root extract on the skin prior to UVB irradiation totally prevented erythema. Our findings suggest that C. endivia extracts might possess sun-protective qualities that make them useful as sunscreens. Copyright 2004 S. Karger AG, Basel

  18. Cutaneous reactions simulating erythema multiforme and Stevens Johnson syndrome due to occupational exposure to a plant-growth regulator

    Directory of Open Access Journals (Sweden)

    Inamadar Arun

    2007-01-01

    Full Text Available Background: In India, hydrogen cyanamide (Dormex ® is a plant growth regulator used mainly for the bud-breaking of grapevines. The use of this chemical may result in severe cutaneous reactions simulating erythema multiforme (EM, Stevens-Johnson syndrome (SJS and toxic epidermal necrolysis (TEN. Methods: Studies were conducted on four seasonal grapevine workers who developed severe cutaneous reactions following the unprotected use of Dormex ® (hydrogen cyanamide. Results: Two of the patients had EM-like skin lesions and the other two developed SJS-TEN-like skin lesions. A latent period of 5-7 days existed between the contact with the chemical and the development of the skin lesions. The histopathological picture was suggestive of EM. All the patients responded to systemic steroids and antihistamines. Conclusions: Hydrogen cyanamide may act as a hapten, initiating cytotoxic immunological attack on keratinocytes, resulting in EM- and SJS-TEN-like clinical picture. Awareness regarding such severe cutaneous reactions due to the inappropriate handling of Dormex ® is required. The use of personal protection equipments while handling agricultural chemicals is essential.

  19. Alternative procedure to allow continuation of dapsone therapy despite serious adverse reaction in a case of dapsone-sensitive erythema elevatum diutinum.

    Science.gov (United States)

    Seneschal, Julien; Guillet, Stéphanie; Ezzedine, Khaled; Taïeb, Alain; Milpied, Brigitte

    2012-01-01

    Dapsone has potent anti-inflammatory effects and remains an effective therapy in a variety of skin disorders: cutaneous vasculitis, neutrophilic dermatoses and blistering disorders. However it may cause a severe idiosyncratic reaction compatible with drug-induced DRESS (drug reaction with eosinophilia and systemic symptoms) leading to the discontinuation of the treatment despite its effectiveness. We report a 68-year-old woman who was successfully treated with dapsone for erythema elevatum diutinum. However she developed a hypersensitivity syndrome compatible with DRESS with fever, skin rash and acute hepatitis confirmed in vitro by the presence of circulating dapsone- specific T cells. Dapsone therapy was suspended, leading to a relapse of erythema elevatum diutinum. While alternative therapies were totally ineffective in our patient to improve her skin condition, we proposed a tolerance induction protocol to dapsone with excellent results.

  20. The oceanography of winter leads

    Science.gov (United States)

    Morison, J. H.; McPhee, M. G.; Curtin, T. B.; Paulson, C. A.

    1992-07-01

    Leads in pack ice have long been considered important to the thermodynamics of the polar regions. A winter lead affects the ocean around it because it is a density source. As the surface freezes, salt is rejected and forms more dense water which sinks under the lead. This sets up a circulation with freshwater flowing in from the sides near the surface and dense water flowing away from the lead at the base of the mixed layer. If the mixed layer is fully turbulent, this pattern may not occur; rather, the salt rejected at the surface may simply mix into the surface boundary layer. In either event the instability produced at the surface of leads is the primary source of unstable buoyancy flux and, as such, exerts a strong influence on the mixed layer. Here as many as possible of the disparate and almost anecdotal observations of lead oceanography are assembled and combined with theoretical arguments to predict the form and scale of oceanographic disturbances caused by winter leads. The experimental data suggest the velocity disturbances associated with lead convection are about 1-5 cm s-1. These appear as jets near the surface and the base of the mixed layer when ice velocities across the lead are less than about 5 cm s-1. The salinity disturbances are about 0.01 to 0.05 psu. Scaling arguments suggest that the geostrophic currents set up by the lead density disturbances are also of the order of 1-5 cm s-1. The disturbances are most obvious when freezing is rapid and ice velocity is low because the salinity and velocity disturbances in the upper ocean are not smeared out by turbulence. In this vein, lead convection may be characterized at one extreme as free convection in which the density disturbance forces the circulation. At the other extreme, lead convection may be characterized as forced convection in which the density disturbance is mixed rapidly by boundary layer turbulence. The lead number Lo, which is the ratio of the pressure term to the turbulence term in the

  1. Half a Century of Schladming Winter Schools

    International Nuclear Information System (INIS)

    Pietschmann, H.

    2012-01-01

    The Schladming Winter Schools have started as early as in 1962. Over the times the yearly Schools have closely followed the actual developments in nuclear, particle, or more generally, in theoretical physics. Several new achievements have first been dealt with in length in the lectures at the Schladming Winter School. It has seen very prominent lecturers, among them a series of Nobel laureates (some of them reporting on their works even before they got their Nobel prizes). I will try to highlight the role of the Schladming Winter Schools in pro- mulgating new developments of theoretical physics in depth at the lectures given over the past 50 years. (author)

  2. Symptom load and general function among patients with erythema migrans: a prospective study with a 1-year follow-up after antibiotic treatment in Norwegian general practice.

    Science.gov (United States)

    Eliassen, Knut Eirik; Hjetland, Reidar; Reiso, Harald; Lindbæk, Morten; Tschudi-Madsen, Hedda

    2017-03-01

    Promptly treated erythema migrans (EM) has good prognosis. However, some patients report persistent symptoms. Do patients with EM have more symptoms than the general population? We describe individual symptoms and general function in EM-patients at time of diagnosis and one year after treatment. Prospective study with 1-year follow up after treatment. Questionnaires included a modified version of the Subjective Health Complaints Inventory, comprising three additional Lyme borreliosis (LB) related symptoms. General function was assessed using a five-point scale modified from the COOP/WONCA charts. Norwegian general practice. A total of 188 patients were included in a randomized controlled trial comparing three antibiotic regimens for EM, of whom 139 had complete data for this study. Individual symptoms, symptom load and general function. Mild symptoms were common, reported by 84.9% at baseline and by 85.6% at follow-up. At baseline, patients reported a mean of 5.4 symptoms, compared with 6.2 after one year. Severely bothersome symptoms and severely impaired general function were rare. Tiredness was the most reported symptom both at baseline and at follow-up. Palsy (other than facial) was the least reported symptom, but the only one with a significant increase. However, this was not associated to the EM. The symptom load was comparable to that reported in the general population. We found an increase in symptom load at follow-up that did not significantly affect general function. Monitoring patients' symptom loads prior to treatment reduce the probability of attributing follow-up symptoms to LB. Key points Erythema migrans has a good prognosis.Patients treated for erythema migrans have a slight increase in symptom load one year after treatment. This increase does not affect general function. The levels of subjective health complaints in patients treated for erythema migrans are comparable to the background population.

  3. Recurrent erythema nodosum and pulmonary lymph node tuberculosis in a patient treated for psoriatic arthritis and psoriasis with TNF inhibitors

    Directory of Open Access Journals (Sweden)

    Piotr Parcheta

    2014-10-01

    Full Text Available Introduction. Psoriasis is a chronic inflammatory disease affecting approximately 2% of the population. Biologic agents are the new treatment options for patients with moderate to severe plaque psoriasis who have failed traditional systemic therapies. The therapy with tumor necrosis factor antagonists significantly increases the risk of reactivation of latent tuberculosis; therefore, screening is important before the introduction of biological treatment. Objective. Presentation of diagnostic difficulties in establishing an etiological factor of recurrent erythema nodosum in a 46-year-old woman treated with anti-TNF-α agents (etanercept and adalimumab for plaque psoriasis and psoriatic arthritis. Case report. We present a case of a 46-year-old woman, treated with etanercept and adalimumab for plaque psoriasis and psoriatic arthritis. Despite prophylactic antituberculosis treatment before introduction of biological therapy, the patient developed erythema nodosum most likely caused by lymph node tuberculosis. Conclusions . The development of erythema nodosum, especially the recurrent form, in a patient with a positive tuberculin skin test and negative IGRA test treated with anti-TNF should always prompt increased vigilance and exclusion of active tuberculosis, which may develop even in patients who have undergone prophylactic antituberculosis treatment.

  4. Comparison of three instrumental methods for the objective evaluation of radiotherapy induced erythema in breast cancer patients and a study of the effect of skin lotions

    Energy Technology Data Exchange (ETDEWEB)

    Nystroem, Josefina; Lindholm-Sethson, Britta [Dept. of Chemistry, Umeaa Univ ., Umeaa (Sweden); Centre for Biomedical Engineering and Physics, Umeaa Univ., Umeaa (Sweden); Geladi, Paul [Unit of Biomass Technology and Chemistry, SLU Roebaecksdal en, Umeaa (Sweden); Svensk, Ann-Christine; Larson, Johan; Franzen, Lars [Dept. of Oncology, N orthern Univ. Hospital, Umeaa (Sweden)

    2007-10-15

    A non-blinded three armed study of the effect of Aloe vera, Essex and no lotion on erythema was performed. The erythema is an effect of radiotherapy treatment in breast cancer patients. The study required testing of objective methods for measuring the erythema. The chosen experimental methods were Near Infrared Spectroscopy, Laser Doppler Imaging and Digital Colour Photography. The experimental setup was made in such a way that in parallel with testing the effect of the lotions there was also a test of the sensitivity of the instruments. Fifty women were selected consecutively to participate in the study. They were all subjected to treatment with high-energy electrons (9-20 MeV) after mastectomy, 2 Gy/day to a total dose of 50 Gy. Measurements were performed before the start of radiotherapy and thereafter once a week during the course of treatment. Aloe vera and Essex lotion were applied twice every radiation day in selected sites. The increase in skin redness could be monitored with all techniques with a detection limit of 8 Gy for Digital Colour Photography and Near Infrared Spectroscopy and 18 Gy for Laser Doppler Imaging. In clinical practice our recommendation is to use Digital Colour Photography. No significant median differences were observed between the pairs no lotion-Essex, no lotion-Aloe vera and Essex-Aloe vera for any of the techniques tested.

  5. Comparison of three instrumental methods for the objective evaluation of radiotherapy induced erythema in breast cancer patients and a study of the effect of skin lotions

    International Nuclear Information System (INIS)

    Nystroem, Josefina; Lindholm-Sethson, Britta; Geladi, Paul; Svensk, Ann-Christine; Larson, Johan; Franzen, Lars

    2007-01-01

    A non-blinded three armed study of the effect of Aloe vera, Essex and no lotion on erythema was performed. The erythema is an effect of radiotherapy treatment in breast cancer patients. The study required testing of objective methods for measuring the erythema. The chosen experimental methods were Near Infrared Spectroscopy, Laser Doppler Imaging and Digital Colour Photography. The experimental setup was made in such a way that in parallel with testing the effect of the lotions there was also a test of the sensitivity of the instruments. Fifty women were selected consecutively to participate in the study. They were all subjected to treatment with high-energy electrons (9-20 MeV) after mastectomy, 2 Gy/day to a total dose of 50 Gy. Measurements were performed before the start of radiotherapy and thereafter once a week during the course of treatment. Aloe vera and Essex lotion were applied twice every radiation day in selected sites. The increase in skin redness could be monitored with all techniques with a detection limit of 8 Gy for Digital Colour Photography and Near Infrared Spectroscopy and 18 Gy for Laser Doppler Imaging. In clinical practice our recommendation is to use Digital Colour Photography. No significant median differences were observed between the pairs no lotion-Essex, no lotion-Aloe vera and Essex-Aloe vera for any of the techniques tested

  6. Comparison of post-Lyme Borreliosis symptoms in erythema migrans patients with positive and negative Borrelia burgdorferi sensu lato skin culture.

    Science.gov (United States)

    Stupica, Daša; Lusa, Lara; Cerar, Tjaša; Ružić-Sabljić, Eva; Strle, Franc

    2011-07-01

    Limited data exist on differences of erythema migrans patients with either positive or negative Borrelia burgdorferi sensu lato skin culture. We analyzed 252 adult patients with erythema migrans in whom skin biopsy specimen was cultured for the presence of B. burgdorferi sensu lato. Evaluations of epidemiological, clinical, and microbiological findings were conducted at baseline, 14 days, 2, 6, and 12 months after treatment with either doxycycline or cefuroxime axetil. One hundred fifty-one (59.9%) patients had positive skin culture (86.9% B. afzelii, 8.0% B. garinii, 5.1% B. burgdorferi sensu stricto) and 101 (40.1%) had negative skin culture. Patients in the culture-positive and culture-negative groups were comparable for the basic demographic, epidemiological, clinical, and laboratory characteristics at presentation. Statistically significantly worse selected treatment outcome parameters in the culture-positive group compared with the culture-negative group were established during follow-up. Treatment failure was documented in two patients who were culture positive and in none in the culture-negative group. Although findings for the pretreatment characteristics were comparable between the erythema migrans skin culture-positive and culture-negative patients, some parameters indicate that borrelia skin culture positivity may predict a less-favorable treatment outcome.

  7. Unusial winter 2011/2012 in Slovakia

    Czech Academy of Sciences Publication Activity Database

    Faško, P.; Lapin, M.; Matejovič, P.; Pecho, Jozef

    2012-01-01

    Roč. 15, č. 1 (2012), s. 19-26 ISSN 1335-339X Institutional support: RVO:68378289 Keywords : winter characteristics * climate variabilit * climate change * global warming Subject RIV: DG - Athmosphere Sciences, Meteorology

  8. Habitat characteristics of wintering Wood Warbler Phylloscopus ...

    African Journals Online (AJOL)

    Habitat characteristics of wintering Wood Warbler Phylloscopus sibilatrix in the Centre Region of Cameroon: conservation implications. Taku Awa II, Tsi A Evaristus, Robin C Whytock, Tsetagho Guilain, John Mallord ...

  9. VT Mean Winter Precipitation - 1971-2000

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) ClimatePrecip_PRECIPW7100 includes mean winter precipitation data (October through March) for Vermont (1971-2000). It's a raster dataset derived...

  10. Winter cooling in the northern Arabian Sea

    Digital Repository Service at National Institute of Oceanography (India)

    PrasannaKumar, S.; Prasad, T.G.

    The upper thermo-haline structure and the surface meteorological parameters of the central and eastern Arabian Sea during the inter-monsoon (April-May, 1994) and winter monsoon (February-March, 1995) periods, were analysed to understand physical...

  11. Overview of climatic effects of nuclear winter

    International Nuclear Information System (INIS)

    Jones, E.M.; Malone, R.C.

    1985-01-01

    A general description of the climatic effects of a nuclear war are presented. This paper offers a short history of the subject, a discussion of relevant parameters and physical processes, and a description of plausible nuclear winter scenario. 9 refs

  12. Drought and Winter Drying (Pest Alert)

    Science.gov (United States)

    USDA Forest Service

    Drought and winter drying have periodically caused major damage to trees. Drought reduces the amount of water available in the soil. In the case of winter drying, the water may be in the soil, but freezing of the soil makes the water unavailable to the tree. In both cases, more water is lost through transpiration than is available to the plant. Symptoms of drought and...

  13. Coming to grips with nuclear winter

    International Nuclear Information System (INIS)

    Scherr, S.J.

    1985-01-01

    This editorial examines the politics related to the concept of nuclear winter which is a term used to describe temperature changes brought on by the injection of smoke into the atmosphere by the massive fires set off by nuclear explosions. The climate change alone could cause crop failures and lead to massive starvation. The author suggests that the prospect of a nuclear winter should be a deterrent to any nuclear exchange

  14. Wet winter pore pressures in railway embankments

    OpenAIRE

    Briggs, Kevin M; Smethurst, Joel A; Powrie, William; O'Brien, Anthony S

    2013-01-01

    This paper demonstrates the influence of extreme wet winter weather on pore water pressures within clay fill railway embankments, using field monitoring data and numerical modelling. Piezometer readings taken across the London Underground Ltd network following the wet winter of 2000/2001 were examined, and showed occurrences of hydrostatic pore water pressure within embankments but also many readings below this. A correlation was found between the maximum pore water pressures and the permeabi...

  15. Stevens-Johnson syndrome/toxic epidermal necrolysis and erythema multiforme drug-related hospitalisations in a national administrative database.

    Science.gov (United States)

    Sousa-Pinto, Bernardo; Araújo, Luís; Freitas, Alberto; Correia, Osvaldo; Delgado, Luís

    2018-01-01

    Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) and erythema multiforme (EM) are immunologically-mediated dermatological disorders commonly triggered by drug exposure and/or other external agents. We aimed to characterise SJS/TEN- and EM-drug-related hospitalisations in a nationwide administrative database, focusing on demographic and clinical characteristics, and in the most frequently implicated drug classes. We analysed all drug-related hospitalisations with associated diagnosis of SJS/TEN or EM in Portuguese hospitals between 2009 and 2014. We compared gender, age, comorbidities, length of stay, and in-hospital mortality and estimated the number of episodes per million packages sold of drug classes. Predictors of in-hospital mortality were investigated in both conditions by logistic regression. There were 132 SJS/TEN-related and 122 EM-related hospitalisations. Incidence and in-hospital mortality of SJS/TEN episodes (24.2%) were consistent with previous studies. HIV co-infection was more common among SJS/TEN hospitalisations (9 vs. 2% with EM; P  = 0.009). Liver disease, advanced age, and a TEN diagnosis, were significantly associated with higher risk of mortality in patients with SJS/TEN. The highest numbers of SJS/TEN and EM episodes per million drug packages sold were observed for antivirals (8.7 and 1.5, respectively), antineoplastic/immunosuppressive drugs (5.6 and 3.9, respectively) and hypouricaemic drugs (5.0 and 2.4, respectively). SJS/TEN in-hospital mortality is high, and its risk factors include advanced age, liver disease, and TEN diagnosis. The drug classes most frequently associated with these conditions include antivirals, hypouricaemic drugs and antineoplastic/immunosuppressive drugs. Administrative databases seem useful in the study of SJS/TEN drug-related hospitalisations, yielding results consistent with previous studies and on a nationwide basis.

  16. Burden and Viability of Borrelia burgdorferi in Skin and Joints of Patients With Erythema Migrans or Lyme Arthritis

    Science.gov (United States)

    Li, Xin; McHugh, Gail A.; Damle, Nitin; Sikand, Vijay K.; Glickstein, Lisa; Steere, Allen C.

    2017-01-01

    Objective To determine the burden and viability of Borrelia burgdorferi in the skin and joints of patients with Lyme disease. Methods Standard and quantitative polymerase chain reaction (PCR) techniques were used to detect B burgdorferi DNA in skin samples from 90 patients with erythema migrans (EM) and in synovial fluid (SF) from 63 patients with Lyme arthritis (LA) and in synovial tissue from 9 patients. Quantitative PCR determinations of B burgdorferi DNA, messenger RNA (mRNA), and ribosomal RNA (rRNA) were made in 10 skin samples from EM patients and 11 SF samples from LA patients. Results Skin lesions in most patients with EM had positive PCR results for B burgdorferi DNA. In the majority of patients with LA, a late disease manifestation, PCR results in pretreatment SF samples were positive. In patients with antibiotic-refractory arthritis, positive PCR results persisted for as long as 11 months, but positive results in samples taken during the post-antibiotic period did not correlate with relapse or with the subsequent duration of arthritis, and at synovectomy, all results of PCR of synovial tissue were negative. B burgdorferi mRNA, a marker of spirochetal viability, was detected in 8 of 10 skin samples from EM patients, but in none of 11 SF samples from LA patients, even when obtained prior to antibiotic administration. Moreover, the median ratio of spirochetal rRNA to DNA, a measure of ribosomal activity, was 160 in the 10 EM skin samples, but only 0.15 in the 3 LA SF samples with positive results. Conclusion B burgdorferi in the skin lesions of EM patients were active and viable, whereas those in the SF of LA patients were moribund or dead at any time point. Thus, detection of B burgdorferi DNA in SF is not a reliable test of active joint infection in Lyme disease. PMID:21590753

  17. Elevated Levels of IL-23 in a Subset of Patients With Post–Lyme Disease Symptoms Following Erythema Migrans

    Science.gov (United States)

    Strle, Klemen; Stupica, Daša; Drouin, Elise E.; Steere, Allen C.; Strle, Franc

    2014-01-01

    Background. The causes of post-Lyme disease symptoms are unclear. Herein, we investigated whether specific immune responses were correlated with such symptoms. Methods. The levels of 23 cytokines and chemokines, representative of innate and adaptive immune responses, were assessed in sera from 86 antibiotic-treated European patients with erythema migrans, 45 with post-Lyme symptoms and 41 without symptoms, who were evaluated prior to treatment and 2, 6, and 12 months thereafter. Results. At study entry, significant differences between groups were observed for the type 1 helper T cell (TH1)–associated chemokines CXCL9 and CXCL10, which were associated with negative Borrelia cultures, and the type 17 helper T cell (TH17)–associated cytokine interleukin 23 (IL-23), which was associated with positive cultures and the development of post-Lyme symptoms (P ≤ .02). Moreover, of the 41 patients with detectable IL-23 levels, 25 (61%) developed post-Lyme symptoms, and all 7 with IL-23 levels ≥230 ng/mL had such symptoms. Furthermore, antibody responses to the ECGF autoantigen were more common in patients with post-Lyme symptoms (P = .07) and were correlated directly with IL-23 levels (P = .02). Despite the presence of post-Lyme symptoms, all posttreatment culture results were negative, antiborrelial antibody responses declined, and there were no objective signs of disseminated disease, suggesting that spirochetal eradication had occurred with treatment in all patients. Conclusions. High TH1-associated responses correlated with more effective immune-mediated spirochetal killing, whereas high TH17-associated immune responses, often accompanied by autoantibodies, correlated with post-Lyme symptoms, providing a new paradigm for the study of postinfectious symptoms in a subset of patients with Lyme disease. PMID:24218102

  18. Elevated levels of IL-23 in a subset of patients with post-lyme disease symptoms following erythema migrans.

    Science.gov (United States)

    Strle, Klemen; Stupica, Daša; Drouin, Elise E; Steere, Allen C; Strle, Franc

    2014-02-01

    The causes of post-Lyme disease symptoms are unclear. Herein, we investigated whether specific immune responses were correlated with such symptoms. The levels of 23 cytokines and chemokines, representative of innate and adaptive immune responses, were assessed in sera from 86 antibiotic-treated European patients with erythema migrans, 45 with post-Lyme symptoms and 41 without symptoms, who were evaluated prior to treatment and 2, 6, and 12 months thereafter. At study entry, significant differences between groups were observed for the type 1 helper T cell (TH1)-associated chemokines CXCL9 and CXCL10, which were associated with negative Borrelia cultures, and the type 17 helper T cell (TH17)-associated cytokine interleukin 23 (IL-23), which was associated with positive cultures and the development of post-Lyme symptoms (P ≤ .02). Moreover, of the 41 patients with detectable IL-23 levels, 25 (61%) developed post-Lyme symptoms, and all 7 with IL-23 levels ≥ 230 ng/mL had such symptoms. Furthermore, antibody responses to the ECGF autoantigen were more common in patients with post-Lyme symptoms (P = .07) and were correlated directly with IL-23 levels (P = .02). Despite the presence of post-Lyme symptoms, all posttreatment culture results were negative, antiborrelial antibody responses declined, and there were no objective signs of disseminated disease, suggesting that spirochetal eradication had occurred with treatment in all patients. High TH1-associated responses correlated with more effective immune-mediated spirochetal killing, whereas high TH17-associated immune responses, often accompanied by autoantibodies, correlated with post-Lyme symptoms, providing a new paradigm for the study of postinfectious symptoms in a subset of patients with Lyme disease.

  19. Candidatus Neoehrlichia mikurensis and Borrelia burgdorferi sensu lato detected in the blood of Norwegian patients with erythema migrans.

    Science.gov (United States)

    Quarsten, H; Grankvist, A; Høyvoll, L; Myre, I B; Skarpaas, T; Kjelland, V; Wenneras, C; Noraas, S

    2017-08-01

    The most common tick-borne human disease in Norway is Lyme borreliosis. Ticks in Norway also harbour less known disease-causing agents such as Candidatus Neoehrlichia mikurensis, Borrelia miyamotoi and Rickettsia helvetica. However, human infections caused by these pathogens have never been described in Norway. The main aims of the study were to evaluate the contribution of several tick-borne bacterial agents, other than Borrelia burgdorferi sensu lato, to zoonotic diseases in Norway and to determine their clinical pictures. Blood samples from 70 symptomatic tick-bitten adults from the Agder counties in southern Norway were screened for seven tick-borne pathogens by using a commercial multiplex PCR-based method and by singleplex real-time PCR protocols. Most patients (65/70) presented with a rash clinically diagnosed as erythema migrans (EM). The most frequently detected pathogen DNA was from Ca. N. mikurensis and was found in the blood of 10% (7/70) of the patients. The Ca. N. mikurensis-infected patients presented with an EM-like rash as the only symptom. B. burgdorferi s.l. DNA was present in the blood of 4% (3/70) of the study participants. None had detectable Anaplasma phagocytophilum, B. miyamotoi, Rickettsia typhus group or spotted fever group, Francisella tularensis, Coxiella burnetii or Bartonella spp. DNA in the blood. The commercially available multiplex PCR bacteria flow chip system failed to identify half of the infected patients detected by corresponding real-time PCR protocols. The recovery of Ca. N. mikurensis DNA was higher in the pellet/plasma fraction of blood than from whole blood. To conclude, Ca. N. mikurensis appeared to be the etiological agent in patients with EM in a surprisingly large fraction of tick-bitten persons in the southern part of Norway. Copyright © 2017 Elsevier GmbH. All rights reserved.

  20. Oral doxycycline versus intravenous ceftriaxone for treatment of multiple erythema migrans: an open-label alternate-treatment observational trial.

    Science.gov (United States)

    Stupica, Daša; Velušcek, Maša; Blagus, Rok; Bogovic, Petra; Rojko, Tereza; Cerar, Tjaša; Strle, Franc

    2018-01-29

    Several guidelines advocate the same treatment approaches for both early disseminated Lyme borreliosis, manifested as multiple erythema migrans (EM), and early localized Lyme borreliosis, manifested as solitary EM. Oral doxycycline (100 mg q12h) was compared on a non-inferiority premise with intravenous ceftriaxone (2 g q24h) for 14 days in 200 adult European patients with multiple EM in an open-label alternate-treatment observational trial performed in a single-centre university hospital. Treatment outcome was assessed at 14 days and at 2, 6 and 12 months post-enrolment. Non-specific symptoms in patients and 192 control subjects without a history of Lyme borreliosis were evaluated and compared. This trial was registered at http://clinicaltrials.gov (identifier NCT01163994). At the 12 month visit, 4/82 (4.9%) multiple EM patients prescribed doxycycline and 6/88 (6.8%) multiple EM patients prescribed ceftriaxone showed incomplete response manifested predominantly as post-Lyme symptoms (1.9% difference, upper limit of 95% CI 5.1%). The upper limit of 95% CI for the difference in proportion of patients with incomplete response between doxycycline and ceftriaxone groups did not exceed the predetermined non-inferiority margin of 10%. The frequency of non-specific symptoms in patients was similar to that in controls. The 14 day oral doxycycline was not inferior to the 14 day intravenous ceftriaxone in treatment of adult European patients with early disseminated Lyme borreliosis manifested as multiple EM. The frequency of non-specific symptoms in patients was similar to that in controls without a history of Lyme borreliosis. © The Author(s) 2018. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Antibody responses to borrelia IR(6) peptide variants and the C6 peptide in Swedish patients with erythema migrans.

    Science.gov (United States)

    Tjernberg, Ivar; Sillanpää, Heidi; Seppälä, Ilkka; Eliasson, Ingvar; Forsberg, Pia; Lahdenne, Pekka

    2009-08-01

    The aim of this study was to evaluate the antibody responses to different VlsE protein IR(6) peptide variants and the synthetic C6 peptide in acute and convalescent (2-3 and 6 months) serum samples from Swedish patients with clinical erythema migrans (EM). Serum samples were prospectively collected from 148 patients with EM and compared to serum samples obtained from 200 healthy blood donors. The IgG responses to 3 IR(6) peptide variants originating from Borrelia burgdorferi (B. burgdorferi) sensu stricto, B. garinii, and B. afzelii were measured by enzyme-linked immunosorbent assays (ELISAs) and compared to a commercial C6 peptide ELISA. Seropositivity rate in the IR(6) or C6 peptide ELISAs ranged from 32% to 58% at presentation, 30-52% after 2-3 months, and 20-36% after 6 months. At presentation, positive antibodies in any of the 4 ELISAs were found in 66%. In 7/52 (13%), C6-negative EM cases, serological reaction was found to the B. burgdorferi sensu stricto-derived IR(6) peptide. In patients reporting previous LB compared to those without previous LB, significantly higher seropositivity rates were noted for all IR(6) peptides, but not for the C6 peptide. In the serology of EM in Europe, C6 ELISA does not seem to cover all cases. An ELISA using a mixture of B. burgdorferi sensu stricto IR(6) peptide and the C6 peptide could be of value in the serodiagnosis of LB in Europe. Further studies on combinations of variant IR(6) peptides and the C6 peptide in other manifestations of LB are needed to address this issue.

  2. Decreased Th1-type inflammatory cytokine expression in the skin is associated with persisting symptoms after treatment of erythema migrans.

    Science.gov (United States)

    Sjöwall, Johanna; Fryland, Linda; Nordberg, Marika; Sjögren, Florence; Garpmo, Ulf; Jansson, Christian; Carlsson, Sten-Anders; Bergström, Sven; Ernerudh, Jan; Nyman, Dag; Forsberg, Pia; Ekerfelt, Christina

    2011-03-31

    Despite the good prognosis of erythema migrans (EM), some patients have persisting symptoms of various character and duration post-treatment. Several factors may affect the clinical outcome of EM, e.g. the early interaction between Borrelia (B.) burgdorferi and the host immune response, the B. burgdorferi genotype, antibiotic treatment as well as other clinical circumstances. Our study was designed to determine whether early cytokine expression in the skin and in peripheral blood in patients with EM is associated with the clinical outcome. A prospective follow-up study of 109 patients with EM was conducted at the Åland Islands, Finland. Symptoms were evaluated at 3, 6, 12 and 24 months post-treatment. Skin biopsies from the EM and healthy skin were immunohistochemically analysed for expression of interleukin (IL)-4, IL-10, IL-12p70 and interferon (IFN)-γ, as well as for B. burgdorferi DNA. Blood samples were analysed for B. burgdorferi antibodies, allergic predisposition and levels of systemic cytokines. None of the patients developed late manifestations of Lyme borreliosis. However, at the 6-month follow-up, 7 of 88 patients reported persisting symptoms of diverse character. Compared to asymptomatic patients, these 7 patients showed decreased expression of the Th1-associated cytokine IFN-γ in the EM biopsies (p=0.003). B. afzelii DNA was found in 48%, B. garinii in 15% and B. burgdorferi sensu stricto in 1% of the EM biopsies, and species distribution was the same in patients with and without post-treatment symptoms. The two groups did not differ regarding baseline patient characteristics, B. burgdorferi antibodies, allergic predisposition or systemic cytokine levels. Patients with persisting symptoms following an EM show a decreased Th1-type inflammatory response in infected skin early during the infection, which might reflect a dysregulation of the early immune response. This finding supports the importance of an early, local Th1-type response for optimal

  3. [Influence of immunovac-VP-4 therapy on innate immunity effectors in patients with darier erythema annulare centrifugum].

    Science.gov (United States)

    Sorokina, E V; Akhmatova, N K; Skhodova, S A

    2013-01-01

    Detection of features of functioning ofinnate and adaptive immunity pathways in patients with Darier erythema annulare centrifugum (EAC). 14 EAC patients aged 14 - 52 years were examined. The patients were ranked based on therapy variant. The first group consisted of 6 patients who had received Immunovac-VP-4 (Immunovac) against the background of basic therapy; the second group (4 patients) received cagocel against the background of basic therapy; the third group (4 patients) received only basic therapy; the group of healthy individuals consisted of 15 individuals. All the patients had the level ofcytokines in blood sera determined by solid-phase EIA by using Biosource (Austria) test-systems. Evaluation of TLR expression in peripheral blood mononuclear lymphocytes and keratinocytes was carried out by flow cytometry method by using monoclonal antibodies (Catlag Laboratories, USA) against the corresponding antigens; evaluation of content of lymphocyte subpopulations in blood was carried out by using monoclonal antibodies by flow cytometry method on FacsCalibur flow cytometer (Becton Dickinson, USA). Immunotherapy by Immunovac and cagocel facilitated the increase of CD3+, CD4+, CD8+. Immunovac facilitated a significant increase ofinitially low values ofCD25+, CD95+ and normalization of CD72+; normalization of IgM level. Immunovac increased the level of serum IL-2, induced the increase of IFN-gamma synthesis in contrast to cagocel and basic therapy, the administration of those caused its decrease. TGF-beta increased during the course of Immunovac immunotherapy and decreased during basic therapy. In the course of basic therapy a significant increase of initially high level ofcytokine IL-I beta was observed. Immunovac therapy resulted in correction of content of lymphocyte populations, sera cytokines, facilitating the normalization of immunocompetent cell proliferation processes, activation of NK-cells, macrophages and at the same time suppression of DTH reactions

  4. A leprosy clinical severity scale for erythema nodosum leprosum: An international, multicentre validation study of the ENLIST ENL Severity Scale.

    Science.gov (United States)

    Walker, Stephen L; Sales, Anna M; Butlin, C Ruth; Shah, Mahesh; Maghanoy, Armi; Lambert, Saba M; Darlong, Joydeepa; Rozario, Benjamin Jewel; Pai, Vivek V; Balagon, Marivic; Doni, Shimelis N; Hagge, Deanna A; Nery, José A C; Neupane, Kapil D; Baral, Suwash; Sangma, Biliom A; Alembo, Digafe T; Yetaye, Abeba M; Hassan, Belaynesh A; Shelemo, Mohammed B; Nicholls, Peter G; Lockwood, Diana N J

    2017-07-01

    We wished to validate our recently devised 16-item ENLIST ENL Severity Scale, a clinical tool for measuring the severity of the serious leprosy associated complication of erythema nodosum leprosum (ENL). We also wished to assess the responsiveness of the ENLIST ENL Severity Scale in detecting clinical change in patients with ENL. Participants, recruited from seven centres in six leprosy endemic countries, were assessed using the ENLIST ENL Severity Scale by two researchers, one of whom categorised the severity of ENL. At a subsequent visit a further assessment using the scale was made and both participant and physician rated the change in ENL using the subjective categories of "Much better", "somewhat better", "somewhat worse" and "much worse" compared with "No change" or "about the same". 447 participants were assessed with the ENLIST ENL Severity Scale. The Cronbach alpha of the scale and each item was calculated to determine the internal consistency of the scale. The ENLIST ENL Severity Scale had good internal consistency and this improved following removal of six items to give a Cronbach's alpha of 0.77. The cut off between mild ENL and more severe disease was 9 determined using ROC curves. The minimal important difference of the scale was determined to be 5 using both participant and physician ratings of change. The 10-item ENLIST ENL Severity Scale is the first valid, reliable and responsive measure of ENL severity and improves our ability to assess and compare patients and their treatments in this severe and difficult to manage complication of leprosy. The ENLIST ENL Severity Scale will assist physicians in the monitoring and treatment of patients with ENL. The ENLIST ENL Severity Scale is easy to apply and will be useful as an outcome measure in treatment studies and enable the standardisation of other clinical and laboratory ENL research.

  5. Winter barley mutants created in the Ukraine

    International Nuclear Information System (INIS)

    Zayats, O.M.

    2001-01-01

    Full text: Increasing fodder and protein production is one of the objectives of the development of agriculture in Ukraine. Higher productivity of fodder crops, due to new highly productive varieties, is the means to meet this aim. Winter barley is an important crop for fodder purposes. The climate of the Ukraine is favourable for growing this crop. The areas used for the growth of winter barley are however, small (500,000-550,000 ha) and there is a shortage of good quality varieties. The main aim of the work was therefore to create new varieties of highly productive winter barley, of good quality. The new varieties and mutation lines of winter barley were created under the influence of water solutions of N-nitroso-N-methylurea (NMH - 0,012, 0,005%), N-nitroso-N-ethylurea (NEH - 0,05; 0.025; 0,012%) ethyleneimine (EI - 0,02; 0,01; 0,005%) on winter barley seeds of the varieties of local and foreign selections. On the basis of many years of investigations (1984-94) the following mutations were described: hard-grained, winter-hardiness, earliness, middle-maturity, late-maturity, wide and large leaves, narrow leaves, multinodal, great number of leaves, great number of flowers, strong stem (lodging resistant), tallness, semi-dwarfness, dwarfness, and high productivity. Particularly valuable are mutants with high productivity of green bulk. Their potential yield is 70 t/ha. As a result of the work two varieties of winter barley 'Shyrokolysty' and 'Kormovy' were released into the State register of plant varieties of the Ukraine. The other valuable mutant genotypes are used in cross breeding programmes. (author)

  6. Estimating winter survival of winter wheat by simulations of plant frost tolerance

    NARCIS (Netherlands)

    Bergjord Olsen, A.K.; Persson, T.; Wit, de A.; Nkurunziza, L.; Sindhøj, E.; Eckersten, H.

    2018-01-01

    Based on soil temperature, snow depth and the grown cultivar's maximum attainable level of frost tolerance (LT50c), the FROSTOL model simulates development of frost tolerance (LT50) and winter damage, thereby enabling risk calculations for winter wheat survival. To explore the accuracy of this

  7. Key areas for wintering North American herons

    Science.gov (United States)

    Mikuska, T.; Kushlan, J.A.; Hartley, S.

    1998-01-01

    Nearly all North American heron populations are migratory, but details of where they winter are little known. Locations where North American herons winter were identified using banding recovery data. North American herons winter from Canada through northern South America but especially in eastern North America south of New York, Florida, California, Louisiana, Texas, Mexico and Cuba, these areas accounting for 63% of winter recoveries. We identified regions where recoveries for various species clustered as 'key areas.' These forty-three areas constitute a network of areas that hold sites that likely are important to wintering herons. The relative importance of each area and site within the network must be evaluated by further on the ground inventory. Because of biases inherent in the available data, these hypothesized key areas are indicative rather than exhaustive. As a first cut, this network of areas can serve to inform further inventory activities and can provide an initial basis to begin planning for the year-round conservation of North American heron populations.

  8. Fifth Disease (Erythema Infectiosum)

    Science.gov (United States)

    ... a rare but serious illness called Reye syndrome . Complications Fifth disease might cause some children with weakened ... this topic for: Parents Kids Teens Rubella (German Measles) Measles Scarlet Fever Fevers Impetigo Scabies Impetigo View ...

  9. Contribution of allelopathy and competition to weed suppression by winter wheat, triticale and winter rye

    DEFF Research Database (Denmark)

    Reiss, Antje; Fomsgaard, Inge S.; Mathiassen, Solvejg Kopp

    of competitive traits, such as early vigour, crop height and leaf area index and presence of phytotoxic compounds of the group of benzoxazinoids to weed suppression. Four cultivars of each of the winter cereals wheat, triticale and rye were grown in field experiments at two locations. Soil samples were taken...... 2016. Competitive traits were measured throughout the growing season. Partial least squares regression with weed biomass as response variable was used for modelling. Competitive traits, as well as benzoxazinoid concentrations contributed significantly to the models on winter wheat, winter triticale...... and winter rye data and explained 63, 69 and 58% of the variance in weed biomass in the first two components, respectively. Consequently, it can be concluded that competitive, as well as allelopathic traits, contributed significantly to weed suppressive outcome in winter cereals. This knowledge...

  10. Root development of fodder radish and winter wheat before winter in relation to uptake of nitrogen

    DEFF Research Database (Denmark)

    Wahlström, Ellen Margrethe; Hansen, Elly Møller; Mandel, A.

    2015-01-01

    The nitrate (N) present in soil at the end of autumn is prone to leach during winter and spring in temperate climates if not taken up by plants. In Denmark catch crops are used as a regulatory tool to reduce N leaching and therefore a shift from winter cereals to spring cereals with catch crops has...... occurred. Quantitative data is missing on N leaching of a catch crop compared to a winter cereal in a conventional cereal-based cropping system. The aim of the study was to investigate whether fodder radish (Raphanus sativus L.) (FR) would be more efficient than winter wheat (Triticum aestivum L.) (WW......) at depleting the soil of mineral nitrogen (Nmin) before winter. A secondary aim was to study the agreement between three different root measuring methods: root wash (RW), core break (CB) and minirhizotron (MR). The third aim of the was to correlate the N uptake of FR and WW with RLD. An experiment was made...

  11. Variability in winter climate and winter extremes reduces population growth of an alpine butterfly.

    Science.gov (United States)

    Roland, Jens; Matter, Stephen F

    2013-01-01

    We examined the long-term, 15-year pattern of population change in a network of 21 Rocky Mountain populations of Parnassius smintheus butterflies in response to climatic variation. We found that winter values of the broadscale climate variable, the Pacific Decadal Oscillation (PDO) index, were a strong predictor of annual population growth, much more so than were endogenous biotic factors related to population density. The relationship between PDO and population growth was nonlinear. Populations declined in years with extreme winter PDO values, when there were either extremely warm or extremely cold sea surface temperatures in the eastern Pacific relative to that in the western Pacific. Results suggest that more variable winters, and more frequent extremely cold or warm winters, will result in more frequent decline of these populations, a pattern exacerbated by the trend for increasingly variable winters seen over the past century.

  12. Winter refuge for Aedes aegypti and Ae. albopictus mosquitoes in Hanoi during Winter.

    Science.gov (United States)

    Tsunoda, Takashi; Cuong, Tran Chi; Dong, Tran Duc; Yen, Nguyen Thi; Le, Nguyen Hoang; Phong, Tran Vu; Minakawa, Noboru

    2014-01-01

    Dengue occurs throughout the year in Hanoi, Vietnam, despite winter low temperatures density drastically decreased in winter. Aedes aegypti preferred concrete tanks and this preference increased in winter. Even in winter, the lowest water temperature found in concrete tanks was >14°C, exceeding the developmental zero point of Ae. aegypti. Although jars, drums and concrete tanks were the dominant containers previously (1994-97) in Hanoi, currently the percentage of residences with concrete tanks was still high while jars and drums were quite low. Our study showed that concrete tanks with broken lids allowing mosquitoes access were important winter refuge for Ae. aegypti. We also indicate a concern about concrete tanks serving as foci for Ae. aegypti to expand their distribution in cooler regions.

  13. The engineering approach to winter sports

    CERN Document Server

    Cheli, Federico; Maldifassi, Stefano; Melzi, Stefano; Sabbioni, Edoardo

    2016-01-01

    The Engineering Approach to Winter Sports presents the state-of-the-art research in the field of winter sports in a harmonized and comprehensive way for a diverse audience of engineers, equipment and facilities designers, and materials scientists. The book examines the physics and chemistry of snow and ice with particular focus on the interaction (friction) between sports equipment and snow/ice, how it is influenced by environmental factors, such as temperature and pressure, as well as by contaminants and how it can be modified through the use of ski waxes or the microtextures of blades or ski soles. The authors also cover, in turn, the different disciplines in winter sports:  skiing (both alpine and cross country), skating and jumping, bob sledding and skeleton, hockey and curling, with attention given to both equipment design and on the simulation of gesture and  track optimization.

  14. Prevalence of operator fatigue in winter maintenance operations.

    Science.gov (United States)

    Camden, Matthew C; Medina-Flintsch, Alejandra; Hickman, Jeffrey S; Bryce, James; Flintsch, Gerardo; Hanowski, Richard J

    2018-02-02

    Similar to commercial motor vehicle drivers, winter maintenance operators are likely to be at an increased risk of becoming fatigued while driving due to long, inconsistent shifts, environmental stressors, and limited opportunities for sleep. Despite this risk, there is little research concerning the prevalence of winter maintenance operator fatigue during winter emergencies. The purpose of this research was to investigate the prevalence, sources, and countermeasures of fatigue in winter maintenance operations. Questionnaires from 1043 winter maintenance operators and 453 managers were received from 29 Clear Road member states. Results confirmed that fatigue was prevalent in winter maintenance operations. Over 70% of the operators and managers believed that fatigue has a moderate to significant impact on winter maintenance operations. Approximately 75% of winter maintenance operators reported to at least sometimes drive while fatigued, and 96% of managers believed their winter maintenance operators drove while fatigued at least some of the time. Furthermore, winter maintenance operators and managers identified fatigue countermeasures and sources of fatigue related to winter maintenance equipment. However, the countermeasures believed to be the most effective at reducing fatigue during winter emergencies (i.e., naps) were underutilized. For example, winter maintenance operators reported to never use naps to eliminate fatigue. These results indicated winter maintenance operations are impacted by operator fatigue. These results support the increased need for research and effective countermeasures targeting winter maintenance operator fatigue. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Quantitative detection of Borrelia burgdorferi sensu lato in erythema migrans skin lesions using internally controlled duplex real time PCR.

    Directory of Open Access Journals (Sweden)

    Maria O'Rourke

    Full Text Available B. burgdorferi sensu stricto, B. afzelii, B. garinii and B. bavariensis are the principal species which account for Lyme borreliosis (LB globally. We have developed an internally controlled duplex quantitative real time PCR assay targeting the Borrelia 16S rRNA and the human RNAseP genes. This assay is well-suited for laboratory confirmation of suspected cases of LB and will be used to assess the efficacy of a vaccine against LB in clinical trials. The assay is highly specific, successfully detecting DNA extracted from 83 diverse B. burgdorferi sensu lato strains representing all major species causing LB, while 21 unrelated microbial species and human genomic DNA tested negative. The assay was highly reproducible and sensitive, with a lower limit of detection of 6 copies per PCR reaction. Together with culture, the assay was used to evaluate paired 3 mm skin biopsy samples taken from 121 patients presenting with solitary erythema migrans (EM lesion. PCR testing identified more positive biopsy samples than culture (77.7% PCR positive versus 55.1% culture positive and correctly identified all specimens scored as culture positive. OspA-based typing identified the majority of isolates as B. afzelii (96.8% and the bacterial load was significantly higher in culture positive biopsies than in culture negative biopsies (P<0.001. The quantitative data also enabled relationships between Borrelia burden and patient symptoms to be evaluated. The bacterial load was significantly higher among patients with systemic symptoms than without (P = 0.02 and was significantly higher for biopsies retrieved from patients with EM lesions with central clearing (P<0.001. 16S copy numbers were moderately lower in samples from patients reporting a history of LB (P = 0.10. This is the first quantitative PCR study of human skin biopsies predominantly infected with B. afzelii and the first study to demonstrate a clear relationship between clinical symptoms in B. afzelii

  16. Decreased Th1-type inflammatory cytokine expression in the skin is associated with persisting symptoms after treatment of erythema migrans.

    Directory of Open Access Journals (Sweden)

    Johanna Sjöwall

    Full Text Available BACKGROUND: Despite the good prognosis of erythema migrans (EM, some patients have persisting symptoms of various character and duration post-treatment. Several factors may affect the clinical outcome of EM, e.g. the early interaction between Borrelia (B. burgdorferi and the host immune response, the B. burgdorferi genotype, antibiotic treatment as well as other clinical circumstances. Our study was designed to determine whether early cytokine expression in the skin and in peripheral blood in patients with EM is associated with the clinical outcome. METHODS: A prospective follow-up study of 109 patients with EM was conducted at the Åland Islands, Finland. Symptoms were evaluated at 3, 6, 12 and 24 months post-treatment. Skin biopsies from the EM and healthy skin were immunohistochemically analysed for expression of interleukin (IL-4, IL-10, IL-12p70 and interferon (IFN-γ, as well as for B. burgdorferi DNA. Blood samples were analysed for B. burgdorferi antibodies, allergic predisposition and levels of systemic cytokines. FINDINGS: None of the patients developed late manifestations of Lyme borreliosis. However, at the 6-month follow-up, 7 of 88 patients reported persisting symptoms of diverse character. Compared to asymptomatic patients, these 7 patients showed decreased expression of the Th1-associated cytokine IFN-γ in the EM biopsies (p=0.003. B. afzelii DNA was found in 48%, B. garinii in 15% and B. burgdorferi sensu stricto in 1% of the EM biopsies, and species distribution was the same in patients with and without post-treatment symptoms. The two groups did not differ regarding baseline patient characteristics, B. burgdorferi antibodies, allergic predisposition or systemic cytokine levels. CONCLUSION: Patients with persisting symptoms following an EM show a decreased Th1-type inflammatory response in infected skin early during the infection, which might reflect a dysregulation of the early immune response. This finding supports the

  17. A prospective study among patients presenting at the general practitioner with a tick bite or erythema migrans in The Netherlands.

    Directory of Open Access Journals (Sweden)

    Agnetha Hofhuis

    Full Text Available We performed a nationwide prospective study on the transmission risk for Borrelia to humans, investigating symptoms and serology at enrolment and three months after tick bites, and after standard treatment for erythema migrans (EM. Aiming to quantify the infection risk at point of care by physicians, we explored risk factors such as tick testing for Borrelia and assessment of the duration of the tick's blood meal.Questionnaires, blood samples and ticks from patients who consulted one of 307 general practitioners for tick bites (n = 327 or EM (n = 283 in 2007 and 2008, were collected at enrolment and three months later at follow-up. Borrelia burgdorferi sensu lato DNA was detected in 29.3% of 314 ticks, using PCR/reverse line blot and real-time PCR on the OspA gene. Seroconversion in C6 ELISA, IgM or IgG immunoblots for Borrelia-specific antibodies was observed in 3.2% of tick bite cases. Fourteen tick bite cases had evidence of early Borrelia infection, of which EM developed among seven cases. The risk of developing EM after tick bites was 2.6% (95%CI: 1.1%-5.0%, and the risk of either EM or seroconversion was 5.1% (95%CI: 2.9%-8.2%. Participants with Borrelia-positive ticks had a significantly higher risk of either EM or seroconversion (odds ratio 4.8, 95%CI: 1.1-20.4, and of seroconversion alone (odds ratio 11.1, 95%CI: 1.1-108.9. A third (34% of the cases enrolled with EM did not recall preceding tick bites. Three EM cases (1% reported persisting symptoms, three months after standard antibiotic treatment for EM.One out of forty participants developed EM within three months after tick bites. The infection risk can be assessed by tick testing for Borrelia at point of care by physicians. However, further refining is needed considering sensitivity and specificity of tick tests, accuracy of tick attachment time and engorgement.

  18. A prospective study among patients presenting at the general practitioner with a tick bite or erythema migrans in The Netherlands.

    Science.gov (United States)

    Hofhuis, Agnetha; Herremans, Tineke; Notermans, Daan W; Sprong, Hein; Fonville, Manoj; van der Giessen, Joke W B; van Pelt, Wilfrid

    2013-01-01

    We performed a nationwide prospective study on the transmission risk for Borrelia to humans, investigating symptoms and serology at enrolment and three months after tick bites, and after standard treatment for erythema migrans (EM). Aiming to quantify the infection risk at point of care by physicians, we explored risk factors such as tick testing for Borrelia and assessment of the duration of the tick's blood meal. Questionnaires, blood samples and ticks from patients who consulted one of 307 general practitioners for tick bites (n = 327) or EM (n = 283) in 2007 and 2008, were collected at enrolment and three months later at follow-up. Borrelia burgdorferi sensu lato DNA was detected in 29.3% of 314 ticks, using PCR/reverse line blot and real-time PCR on the OspA gene. Seroconversion in C6 ELISA, IgM or IgG immunoblots for Borrelia-specific antibodies was observed in 3.2% of tick bite cases. Fourteen tick bite cases had evidence of early Borrelia infection, of which EM developed among seven cases. The risk of developing EM after tick bites was 2.6% (95%CI: 1.1%-5.0%), and the risk of either EM or seroconversion was 5.1% (95%CI: 2.9%-8.2%). Participants with Borrelia-positive ticks had a significantly higher risk of either EM or seroconversion (odds ratio 4.8, 95%CI: 1.1-20.4), and of seroconversion alone (odds ratio 11.1, 95%CI: 1.1-108.9). A third (34%) of the cases enrolled with EM did not recall preceding tick bites. Three EM cases (1%) reported persisting symptoms, three months after standard antibiotic treatment for EM. One out of forty participants developed EM within three months after tick bites. The infection risk can be assessed by tick testing for Borrelia at point of care by physicians. However, further refining is needed considering sensitivity and specificity of tick tests, accuracy of tick attachment time and engorgement.

  19. Quantitative Detection of Borrelia burgdorferi sensu lato in Erythema Migrans Skin Lesions Using Internally Controlled Duplex Real Time PCR

    Science.gov (United States)

    Lusa, Lara; Stupica, Dasa; Maraspin, Vera; Barrett, P. Noel; Strle, Franc; Livey, Ian

    2013-01-01

    B. burgdorferi sensu stricto, B. afzelii, B. garinii and B. bavariensis are the principal species which account for Lyme borreliosis (LB) globally. We have developed an internally controlled duplex quantitative real time PCR assay targeting the Borrelia 16S rRNA and the human RNAseP genes. This assay is well-suited for laboratory confirmation of suspected cases of LB and will be used to assess the efficacy of a vaccine against LB in clinical trials. The assay is highly specific, successfully detecting DNA extracted from 83 diverse B. burgdorferi sensu lato strains representing all major species causing LB, while 21 unrelated microbial species and human genomic DNA tested negative. The assay was highly reproducible and sensitive, with a lower limit of detection of 6 copies per PCR reaction. Together with culture, the assay was used to evaluate paired 3 mm skin biopsy samples taken from 121 patients presenting with solitary erythema migrans (EM) lesion. PCR testing identified more positive biopsy samples than culture (77.7% PCR positive versus 55.1% culture positive) and correctly identified all specimens scored as culture positive. OspA-based typing identified the majority of isolates as B. afzelii (96.8%) and the bacterial load was significantly higher in culture positive biopsies than in culture negative biopsies (P<0.001). The quantitative data also enabled relationships between Borrelia burden and patient symptoms to be evaluated. The bacterial load was significantly higher among patients with systemic symptoms than without (P = 0.02) and was significantly higher for biopsies retrieved from patients with EM lesions with central clearing (P<0.001). 16S copy numbers were moderately lower in samples from patients reporting a history of LB (P = 0.10). This is the first quantitative PCR study of human skin biopsies predominantly infected with B. afzelii and the first study to demonstrate a clear relationship between clinical symptoms in B. afzelii

  20. Pivotal Trial of the Efficacy and Safety of Oxymetazoline Cream 1.0% for the Treatment of Persistent Facial Erythema Associated With Rosacea: Findings from the First REVEAL Trial.

    Science.gov (United States)

    Kircik, Leon H; DuBois, Janet; Draelos, Zoe Diana; Werschler, Philip; Grande, Kimberly; Cook-Bolden, Fran E; Weng, Emily; Berk, David R; Ahluwalia, Gurpreet

    2018-01-01

    An unmet need exists for a safe, tolerable, effective treatment for moderate to severe persistent facial erythema in patients with rosacea. This pivotal phase 3, multicenter, double-blind study evaluated the efficacy and safety of topical oxymetazoline in patients with facial erythema associated with moderate to severe rosacea. Patients were randomly assigned to treatment with oxymetazoline hydrochloride cream 1.0% or vehicle applied once daily for 29 days, and were followed for 28 days posttreatment. The primary efficacy outcome was having at least a 2-grade decrease from baseline on both the Clinician Erythema Assessment (CEA) and the Subject Self-Assessment for rosacea facial redness (SSA) scales (composite success) at 3, 6, 9, and 12 hours postdose on day 29. Safety assessments included treatment-emergent adverse events (TEAEs) and posttreatment worsening of erythema (composite CEA/SSA increase of 1-grade severity from baseline; rebound effect). A total of 440 patients (mean age, 49.5 years; 78.9% females) were randomized (oxymetazoline, n=222; vehicle, n=218); most had moderate erythema. On day 29, significantly greater proportions of oxymetazoline recipients achieved the primary efficacy outcome at each time point (P less than 0.02) and overall (P less than 0.001) compared with vehicle recipients. The incidence of discontinuation due to TEAEs was low in both groups (oxymetazoline group, 1.8%; vehicle group, 0.5%). The most common TEAEs reported during the entire study period were application-site dermatitis, application-site erythema, and headache in the oxymetazoline group (1.4% each), and headache (0.9%) in the vehicle group. Following cessation of treatment, low proportions of patients experienced rebound effect (oxymetazoline group, 2.2%; vehicle group, 1.1%). Oxymetazoline applied to the face once daily for 29 days was effective, safe, and well tolerated in patients with moderate to severe persistent facial erythema of rosacea. J Drugs Dermatol. 2018;17(1):97-105..

  1. Evaluation of a Topical Anti-inflammatory/Antifungal Combination Cream in Mild-to-moderate Facial Seborrheic Dermatitis: An Intra-subject Controlled Trial Examining Treated vs. Untreated Skin Utilizing Clinical Features and Erythema-directed Digital Photography.

    Science.gov (United States)

    Dall'Oglio, Federica; Tedeschi, Aurora; Guardabasso, Vincenzo; Micali, Giuseppe

    2015-09-01

    To evaluate if nonprescription topical agents may provide positive outcomes in the management of mild-to-moderate facial seborrheic dermatitis by reducing inflammation and scale production through clinical evaluation and erythema-directed digital photography. Open-label, prospective, not-blinded, intra-patient, controlled, clinical trial (target area). Twenty adult subjects affected by mild-to-moderate facial seborrheic dermatitis were enrolled and instructed to apply the study cream two times daily, initially on a selected target area only for seven days. If the subject developed visible improvement, it was advised to extend the application to all facial affected area for 21 additional days. Efficacy was evaluated by measuring the grade of erythema (by clinical examination and by erythema-directed digital photography), desquamation (by clinical examination), and pruritus (by subject-completed visual analog scale). Additionally, at the end of the protocol, a Physician Global Assessment was carried out. Eighteen subjects completed the study, whereas two subjects were lost to follow-up for nonadherence and personal reasons, respectively. Day 7 data from target areas showed a significant reduction in erythema. At the end of study, a significant improvement was recorded for erythema, desquamation, and pruritus compared to baseline. Physician Global Assessment showed improvement in 89 percent of patients, with a complete response in 56 percent of cases. These preliminary results indicate that the study cream may be a viable nonprescription therapeutic option for patients affected by facial seborrheic dermatitis able to determine early and significant improvement. This study also emphasizes the advantages of using an erythema-directed digital photography system for assisting in a simple, more accurate erythema severity grading and therapeutic monitoring in patients affected by seborrheic dermatitis.

  2. [Winter sport injuries in childhood (author's transl)].

    Science.gov (United States)

    Hausbrandt, D; Höllwarth, M; Ritter, G

    1979-01-01

    3374 accidents occurring on the field of sport during the years 1975--1977 accounted for 19% of all accidents dealt with at the Institute of Kinderchirurgie in Graz. 51% of the accidents were caused by the typical winter sports: skiing, tobogganing, ice-skating and ski-jumping with skiing accounting for 75% of the accidents. The fracture localization typical of the different kinds of winter sport is dealt with in detail. The correct size and safety of the equipment were found to be particularly important in the prevention of such accidents in childhood.

  3. Severe European winters in a secular perspective

    Science.gov (United States)

    Hoy, Andreas; Hänsel, Stephanie

    2017-04-01

    Temperature conditions during the winter time are substantially shaped by a strong year-to-year variability. European winters since the late 1980s - compared to previous decades and centuries - were mainly characterised by a high temperature level, including recent record-warm winters. Yet, comparably cold winters and severe cold spells still occur nowadays, like recently observed from 2009 to 2013 and in early 2017. Central England experienced its second coldest December since start of observations more than 350 years ago in 2010, and some of the lowest temperatures ever measured in northern Europe (below -50 °C in Lapland) were recorded in January 1999. Analysing thermal characteristics and spatial distribution of severe (historical) winters - using early instrumental data - helps expanding and consolidating our knowledge of past weather extremes. This contribution presents efforts towards this direction. We focus on a) compiling and assessing a very long-term instrumental, spatially widespread and well-distributed, high-quality meteorological data set to b) investigate very cold winter temperatures in Europe from early measurements until today. In a first step, we analyse the longest available time series of monthly temperature averages within Europe. Our dataset extends from the Nordic countries up to the Mediterranean and from the British Isles up to Russia. We utilise as much as possible homogenised times series in order to ensure reliable results. Homogenised data derive from the NORDHOM (Scandinavia) and HISTALP (greater alpine region) datasets or were obtained from national weather services and universities. Other (not specifically homogenised) data were derived from the ECA&D dataset or national institutions. The employed time series often start already during the 18th century, with Paris & Central England being the longest datasets (from 1659). In a second step, daily temperature averages are involved. Only some of those series are homogenised, but

  4. Nuclear winter: The evidence and the risks

    International Nuclear Information System (INIS)

    Greene, O.

    1985-01-01

    Global concern over nuclear extinction, centered on the holocaust itself, now has turned to the more terrifying consequences of a post-war nuclear winter: ''the long-term effects - destruction of the environment, spread of epidemic diseases, contamination by radioactivity, and ... collapse of agriculture-[that] would spread famine and death to every country.'' Nuclear Winter, the latest in a series of studies by a number of different groups is clinical, analytical, systematic, and detailed. Two physicists and biologist analyze the effects on the climate, plants, animals, and living systems; the human costs; the policy implications

  5. Mechanical weed control in organic winter wheat

    OpenAIRE

    Euro Pannacci; Francesco Tei; Marcello Guiducci

    2017-01-01

    Three field experiments were carried out in organic winter wheat in three consecutive years (exp. 1, 2005-06; exp. 2, 2006- 07; exp. 3, 2007-08) in central Italy (42°57’ N - 12°22’ E, 165 m a.s.l.) in order to evaluate the efficacy against weeds and the effects on winter wheat of two main mechanical weed control strategies: i) spring tine harrowing used at three different application times (1 passage at T1, 2 passages at the time T1, 1 passage at T1 followed by 1 passage at T1 + 14 days) in t...

  6. Nuclear winter: The evidence and the risks

    Energy Technology Data Exchange (ETDEWEB)

    Greene, O.

    1985-01-01

    Global concern over nuclear extinction, centered on the holocaust itself, now has turned to the more terrifying consequences of a post-war nuclear winter: ''the long-term effects - destruction of the environment, spread of epidemic diseases, contamination by radioactivity, and ... collapse of agriculture-(that) would spread famine and death to every country.'' Nuclear Winter, the latest in a series of studies by a number of different groups is clinical, analytical, systematic, and detailed. Two physicists and biologist analyze the effects on the climate, plants, animals, and living systems; the human costs; the policy implications.

  7. Pivotal Trial of the Efficacy and Safety of Oxymetazoline Cream 1.0% for the Treatment of Persistent Facial Erythema Associated With Rosacea: Findings from the Second REVEAL Trial.

    Science.gov (United States)

    Baumann, Leslie; Goldberg, David J; Stein Gold, Linda; Tanghetti, Emil A; Lain, Edward; Kaufman, Joely; Weng, Emily; Berk, David R; Ahluwalia, Gurpreet

    2018-03-01

    Rosacea is a chronic dermatologic condition with limited treatment options, particularly for persistent erythema. This pivotal phase 3 study evaluated oxymetazoline, an a1A-adrenoceptor agonist, for the treatment of moderate to severe persistent erythema of rosacea. Eligible patients were randomly assigned 1:1 to receive oxymetazoline cream 1.0% or vehicle applied topically to the face once daily for 29 days. The primary efficacy outcome was ≥2-grade improvement from baseline on both Clinician Erythema Assessment (CEA) and Subject Self-Assessment for rosacea facial redness (SSA) (composite success) at 3, 6, 9, and 12 hours postdose on day 29. Digital image analysis of rosacea facial erythema was evaluated as a secondary efficacy outcome measure. Safety assessments included treatment-emergent adverse events (TEAEs) and dermal tolerability. Patients were followed for 28 days posttreatment to assess worsening of erythema (1-grade increase in severity from baseline on composite CEA/SSA in patients with moderate erythema at baseline; rebound effect). The study included 445 patients (mean age: 50.3 years; 78.7% female); most had moderate erythema at baseline (84.0% on CEA; 91.5% on SSA). The proportion of patients achieving the primary efficacy outcome was significantly greater with oxymetazoline versus vehicle (P=0.001). Similar results favoring oxymetazoline over vehicle were observed for the individual CEA and SSA scores (P less than 0.001 and P=0.011, respectively). Median reduction in rosacea facial erythema on day 29 as assessed by digital image analysis also favored oxymetazoline over vehicle (P less than 0.001). Safety results were similar between oxymetazoline and vehicle; discontinuations due to TEAEs were low (2.7% vs 0.5%). Following cessation of treatment, 2 (1.2%) patients in the oxymetazoline group and no patient in the vehicle group had rebound effect compared with their day 1 baseline score. Topical oxymetazoline applied to the face once daily for 29

  8. Stay Safe and Healthy This Winter!

    Centers for Disease Control (CDC) Podcasts

    2010-11-23

    In this podcast for kids, the Kidtastics offer some simple ways to stay safe and healthy during the winter holiday season.  Created: 11/23/2010 by CDC Office of Women’s Health.   Date Released: 11/23/2010.

  9. Music Activities for Lemonade in Winter

    Science.gov (United States)

    Cardany, Audrey Berger

    2014-01-01

    "Lemonade in Winter: A Book About Two Kids Counting Money" is a children's book about math; however, when sharing it in the music classroom, street cries and clapping games emerge. Jenkins' and Karas' book provides a springboard to lessons addressing several music elements, including form, tempo, and rhythm, as well as…

  10. Winter Video Series Coming in January | Poster

    Science.gov (United States)

    The Scientific Library’s annual Summer Video Series was so successful that it will be offering a new Winter Video Series beginning in January. For this inaugural event, the staff is showing the eight-part series from National Geographic titled “American Genius.” 

  11. Winter Wheat Root Growth and Nitrogen Relations

    DEFF Research Database (Denmark)

    Rasmussen, Irene Skovby

    in winter wheat (Triticum aestivum L). Field experiments on the effect of sowing date, N fertilization and cultivars were conducted on a sandy loam soil in Taastrup, Denmark. The root studies were conducted by means of the minirhizotron method. Also, a field experiment on the effect of defoliation and N...

  12. Highway user expectations for ITD winter maintenance.

    Science.gov (United States)

    2014-07-01

    Providing a high Level of Service (LOS) to ensure the safety and mobility for the traveling public is a key objective for winter : maintenance operations. The goal of this research was to obtain a better understanding of Idaho highway users expect...

  13. Winter chemistry of North Slope lakes

    Science.gov (United States)

    Chambers, M. K.; White, D. M.; Lilly, M. R.; Hinzman, L. D.; Hilton, K. M.; Busey, R.

    2006-12-01

    Lakes are important water resources on the North Slope of Alaska. Oilfield exploration and production requires water for facility use as well as transportation. Ice road construction requires winter extraction of fresh water. Since most North Slope lakes are relatively shallow, the quantity and quality of the water remaining under the ice by the end of the winter are important environmental management issues. Currently permits are based on the presence of overwintering fish populations and their sensitivity to low oxygen. Sampling during the winter of 2004 2005 sheds light on the winter chemistry of several pumped lakes and one unpumped lake on the North Slope. Dissolved oxygen, conductivity, pH, and temperature profiles were taken along with ice thickness and water depth measurements. Water samples were extracted and analyzed for Na, Ca, K, Mg, Fe, DOC, and alkalinity in the laboratory. Lake properties, rather than pumping activities, were the best predictors of oxygen depletion, with the highest levels of dissolved oxygen maintained in the lake with the least dissolved constituents. As would be expected, specific conductance increased with depth in the lake while dissolved oxygen decreased with depth. Dissolved oxygen and specific conductance data suggested that the lakes began to refresh in May. The summarized data provides a view of North Slope lake chemistry trends, while continued studies investigate the chemical impacts of pumping North Slope lakes through continued sampling and modeling efforts.

  14. Modeling winter moth Operophtera brumata egg phenology

    NARCIS (Netherlands)

    Salis, Lucia; Lof, Marjolein; Asch, van Margriet; Visser, Marcel E.

    2016-01-01

    Understanding the relationship between an insect's developmental rate and temperature is crucial to forecast insect phenology under climate change. In the winter moth Operophtera brumata timing of egg-hatching has severe fitness consequences on growth and reproduction as egg-hatching has to match

  15. How marketers handled deliveries last winter

    Energy Technology Data Exchange (ETDEWEB)

    1984-10-01

    A special study on how fuel oil marketers handled deliveries last winter is presented. A questionnaire was sent to the marketers asking how many fuel oil trucks they had, how penalties for small deliveries are assessed, and if many customers are calling for a summer fill. The results of the questionnaire are presented.

  16. Impact of warm winters on microbial growth

    Science.gov (United States)

    Birgander, Johanna; Rousk, Johannes; Axel Olsson, Pål

    2014-05-01

    Growth of soil bacteria has an asymmetrical response to higher temperature with a gradual increase with increasing temperatures until an optimum after which a steep decline occurs. In laboratory studies it has been shown that by exposing a soil bacterial community to a temperature above the community's optimum temperature for two months, the bacterial community grows warm-adapted, and the optimum temperature of bacterial growth shifts towards higher temperatures. This result suggests a change in the intrinsic temperature dependence of bacterial growth, as temperature influenced the bacterial growth even though all other factors were kept constant. An intrinsic temperature dependence could be explained by either a change in the bacterial community composition, exchanging less tolerant bacteria towards more tolerant ones, or it could be due to adaptation within the bacteria present. No matter what the shift in temperature tolerance is due to, the shift could have ecosystem scale implications, as winters in northern Europe are getting warmer. To address the question of how microbes and plants are affected by warmer winters, a winter-warming experiment was established in a South Swedish grassland. Results suggest a positive response in microbial growth rate in plots where winter soil temperatures were around 6 °C above ambient. Both bacterial and fungal growth (leucine incorporation, and acetate into ergosterol incorporation, respectively) appeared stimulated, and there are two candidate explanations for these results. Either (i) warming directly influence microbial communities by modulating their temperature adaptation, or (ii) warming indirectly affected the microbial communities via temperature induced changes in bacterial growth conditions. The first explanation is in accordance with what has been shown in laboratory conditions (explained above), where the differences in the intrinsic temperature relationships were examined. To test this explanation the

  17. Nuclear Winter: The implications for civil defense

    International Nuclear Information System (INIS)

    Chester, C.V.; Perry, A.M.; Hobbs, B.F.

    1987-01-01

    ''Nuclear Winter'' is the term given to hypothesized cooling in the northern hemisphere following a nuclear war due to injection of smoke from burning cities into the atmosphere. The voluminous literature on this subject produced since the original paper in 1983 by Turco, Toon, Ackerman, Pollack, and Sagen (TTAPS) has been reviewed. The widespread use of 3-dimensional global circulation models have resulted in reduced estimates of cooling; 15 to 25 0 C for a summer war and a few degrees for a winter war. More serious may be the possibility of suppression of convective precipitation by the altered temperature profiles in the atmosphere. However, very large uncertainties remain in input parameters, the models, and the results of calculations. We believe the state of knowledge about nuclear winter is sufficiently developed to conclude: Neither cold nor drought are likely to be direct threats to human survival for populations with the wherewithal to survive normal January temperatures; The principal threat from nuclear winter is to food production, and could present problems to third parties without food reserves; and Loss of a crop year is neither a new nor unexpected threat from nuclear war to the US and the Soviet Union. Both have at least a year's food reserve at all times. Both face formidable organizational problems in distributing their reserves in a war-damaged environment. The consequences of nuclear winter could be expected to fall more heavily on the Soviet Union than the US due to its higher latitude and less productive agriculture. This may be especially true if disturbances of rainfall amounts and distribution persist for more than a year. 6 refs

  18. Nuclear Winter: Implications for civil defense

    Energy Technology Data Exchange (ETDEWEB)

    Chester, C.V.; Perry, A.M.; Hobbs, B.F.

    1988-05-01

    ''Nuclear Winter'' is the term given to the cooling hypothesized to occur in the Northern Hemisphere following a nuclear war as the result of the injection of smoke from burning cities into the atmosphere. The voluminous literature on this subject produced since the paper was published in 1983 by Turco, Toon, Ackerman, Pollack, and Sagen (TTAPS) has been reviewed. Three-dimensional global circulation models have resulted in reduced estimates of cooling---15 to 25/degree/C for a summer war and a few degrees for a winter war. More serious may be the possibility of suppression of convective precipitation by the altered temperature profiles in the atmosphere. However, very large uncertainties remain in input parameters, the models, and the results of calculations. We believe the state of knowledge about nuclear winter is sufficiently developed to conclude: Neither cold nor drought is likely to be a direct threat to human survival for populations with the wherewithal to survive normal January temperatures. The principal threat from nuclear winter is to food production, and this could present problems to third parties who are without food reserves. Loss of a crop year is neither a new nor an unexpected threat from nuclear war to the United States and the Soviet Union. Both have at least a year's food reserve at all times. Both face formidable organizational problems in distributing their reserves in a war-damaged environment. The consequences of nuclear winter could be expected to fall more heavily on the Soviet Union than the United States due to its higher latitude and less productive agriculture. This may be especially true if disturbances of rainfall amounts and distribution persist for more than a year.

  19. Toward enabling winter occupations: testing a winter coat designed for older adults.

    Science.gov (United States)

    Green, Stephanie L; Boger, Jennifer N; Mihailidis, Alex

    2011-02-01

    Previous research indicates that older adults have difficulties using winter clothing, which contributes to their risk of isolation during winter. Research has also shown that a winter coat that requires less flexibility, strength, and dexterity would help support this population. This pilot study evaluated the measured and perceived effectiveness of a winter coat prototype that had a funnel sleeve design. Eight older adults trialed three coats (the participant's own coat, a coat fitted with sleeve gripper, and the prototype coat), which were evaluated though shoulder range of motion measurements and by the participant completing a survey. Less shoulder range of motion was used to put on the prototype coat. Survey findings support range of motion data that Sleeve Gripper has limited utility. A funnel sleeve design may require less range of motion at the shoulder compared to other coats.

  20. Mycoplasma pneumoniae-induced rash and mucositis as a syndrome distinct from Stevens-Johnson syndrome and erythema multiforme: a systematic review.

    Science.gov (United States)

    Canavan, Theresa N; Mathes, Erin F; Frieden, Ilona; Shinkai, Kanade

    2015-02-01

    Mycoplasma pneumoniae infection is associated with extrapulmonary complications, including mucocutaneous eruptions. These eruptions, which have been termed either "Stevens-Johnson syndrome" or "erythema multiforme" in the literature, may differ from drug-induced Stevens-Johnson syndrome or viral-associated erythema multiforme. We sought to review the literature characterizing morphology and disease course of M pneumoniae-associated mucocutaneous disease. A comprehensive literature search identified 95 articles with 202 cases. Patients were often young (mean age: 11.9 years) and male (66%). Cutaneous involvement ranged from absent (34%), to sparse (47%), to moderate (19%). Oral, ocular, and urogenital mucositis was reported in 94%, 82%, and 63% of cases, respectively. Treatments included antibiotics (80%), systemic corticosteroids (35%), supportive care alone (8%), and/or intravenous immunoglobulin (8%). Complications included mucosal damage (10%), cutaneous scarring (5.6%), recurrence (8%), and mortality (3%). Mild cases may not have been published; thus this review may have a bias toward more severe disease. M pneumoniae-associated mucocutaneous disease has prominent mucositis and sparse cutaneous involvement, although cutaneous involvement varies. Because of the distinct morphology, mild disease course, and potentially important clinical implications regarding treatment, we propose a revision of the nomenclature system and suggest the term "Mycoplasma-induced rash and mucositis" for these cases. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  1. [Amoxicillin-induced skin rash sparing a plaque of erythema migrans: Renbök phenomenon: Case report and literature review].

    Science.gov (United States)

    Dumas, M; Blum, L; Begon, E

    2018-01-01

    Renbök phenomenon describes the inhibition of a lesion when a different one appears. We describe the first case of Renbök phenomenon occurring in a context of erythema migrans (EM) spared by an amoxicillin-induced skin rash and we also present a literature review. A 60-year-old patient was treated with amoxicillin for EM on the right knee and subsequently developed generalized erythema as a result of an antibiotic-induced skin rash, with sparing of the area previously affected by EM. Renbök phenomenon was diagnosed. In 1981, Cochran et al. first described a maculopapular drug reaction, which spared the sites of previous X irradiation for a tumor. Since then, nearly 40 cases have been reported, mostly describing patient with alopecia areata of the scalp with hair growth within plaques of psoriasis. One of the mechanisms suggested is a role played by cytokine cross-regulation in competition among distinct immune responses. We report the first case of Renbök phenomenon involving EM spared by a drug reaction. This phenomenon provides an insight into inflammatory response competition within a single patient. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  2. India Annual Winter Cropped Area, 2001-2016

    Data.gov (United States)

    National Aeronautics and Space Administration — India Annual Winter Cropped Area, 2001 - 2016 consists of annual winter cropped areas for most of India (except the Northeastern states) from 2000-2001 to 2015-2016....

  3. Efficacy and safety of topical oxymetazoline cream 1.0% for treatment of persistent facial erythema associated with rosacea: findings from the 2 phase 3, 29-day, randomized, controlled REVEAL trials.

    Science.gov (United States)

    Stein-Gold, Linda; Kircik, Leon H; Draelos, Zoe Diane; Werschler, Philip; DuBois, Janet; Lain, Edward; Baumann, Leslie; Goldberg, David J; Kaufman, Joely; Tanghetti, Emil A; Alvandi, Nancy; Weng, Emily; Berk, David R; Ahluwalia, Gurpreet

    2018-01-31

    Rosacea is a chronic dermatologic condition with limited treatment options. To evaluate topical oxymetazoline cream 1.0% in patients with moderate-to-severe persistent erythema of rosacea. Data were pooled from 2 identically designed phase 3 trials. Patients were randomized to receive oxymetazoline or vehicle once daily for 29 days and were followed for 28 days after treatment. The primary efficacy outcome was the proportion of patients with a 2-grade or greater improvement from baseline on both the Clinician Erythema Assessment (CEA) and Subject Self-Assessment for rosacea facial redness (SSA) at 3, 6, 9, and 12 hours after the dose on day 29. The pooled population included 885 patients (78.8% of whom were female); 85.8% and 91.2% had moderate erythema according to the CEA and SSA, respectively. The primary outcome was achieved by significantly more patients in the oxymetazoline group than in the vehicle group (P < .001). Individual CEA and SSA scores and reduction in facial erythema (digital image analysis) favored oxymetazoline over vehicle (P < .001). The incidence of treatment-emergent adverse events was low (with oxymetazoline, 16.4%; with vehicle, 11.8%). No clinically relevant worsening of erythema (based on the CEA and SSA) was observed during the 28-day post-treatment follow-up period (with oxymetazoline, 1.7%; with vehicle, 0.6%). Short-term treatment period. Oxymetazoline effectively reduced moderate-to-severe persistent facial erythema of rosacea and was well tolerated. Copyright © 2018 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  4. AGA predicts winter jump in residential gas price

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    The American Gas Association predicts the average heating bill for residential gas consumers could increase by as much as 18% this winter. AGA Pres. Mike Baly said, Last year's winter was warmer than normal. If the 1992-93 winter is similar, AGA projects that residential natural gas heating bills will go up about 6%. If we see a return to normal winter weather, our projection show the average bill could rise by almost 18%

  5. Seed wintering and deterioration characteristics between weedy and cultivated rice

    OpenAIRE

    Baek, Jung-Sun; Chung, Nam-Jin

    2012-01-01

    Background Incidences of weedy rice continuously occurred in paddy fields because its shattering seeds were able to over-winter. In this research, the seed deterioration of weedy rice was investigated compared with cultivated rice, and the wintering characteristics of these two types of rice were investigated with the field wintering test, freezing resistance test, and accelerated aging test. Results For the wintering test, the seeds of weedy rice were placed on the soil surface of a paddy wi...

  6. Measuring Transpiration to Regulate Winter Irrigation Rates

    Energy Technology Data Exchange (ETDEWEB)

    Samuelson, Lisa [Auburn University

    2006-11-08

    Periodic transpiration (monthly sums) in a young loblolly pine plantation between ages 3 and 6 was measured using thermal dissipation probes. Fertilization and fertilization with irrigation were better than irrigation alone in increasing transpiration of young loblolly pines during winter months, apparently because of increased leaf area in fertilized trees. Irrigation alone did not significantly increase transpiration compared with the non-fertilized and non-irrigated control plots.

  7. Catastrophic winter storms. An escalating problem

    Energy Technology Data Exchange (ETDEWEB)

    Changnon, S.A. [Changnon Climatologist, Mahomet, IL 61853 (United States)

    2007-09-15

    Winter storms are a major weather problem in the USA and their losses have been rapidly increasing. A total of 202 catastrophic winter storms, each causing more than $1 million in damages, occurred during 1949-2003, and their losses totaled $35.2 billion (2003 dollars). Catastrophic winter storms occurred in most parts of the contiguous USA, but were concentrated in the eastern half of the nation where 88% of all storm losses occurred. They were most frequent in the Northeast climate district (95 storms), and were least frequent in the West district (14 catastrophic storms). The annual average number of storms is 3.7 with a 1-year high of 9 storms, and 1 year had no storms. Temporal distributions of storms and their losses exhibited considerable spatial variability across the nation. For example, when storms were very frequent in the Northeast, they were infrequent elsewhere, a result of spatial differences in storm-producing synoptic weather conditions over time. The time distribution of the nation's 202 storms during 1949-2003 had a sizable downward trend, whereas the nation's storm losses had a major upward trend for the 55-year period. This increase over time in losses, given the decrease in storm incidences, was a result of significant temporal increases in storm sizes and storm intensities. Increases in storm intensities were small in the northern sections of the nation, but doubled across the southern two-thirds of the nation, reflecting a climatic shift in conditions producing intense winter storms.

  8. Postharvest tillage reduces Downy Brome infestations in winter wheat

    Science.gov (United States)

    In the Pacific Northwest, downy brome continues to infest winter wheat producing regions especially in low-rainfall areas where the winter wheat-summer fallow rotation is the dominate production system. In Washington, a study was conducted for 2 years at each of two locations in the winter wheat -su...

  9. An NOy Algorithm for Arctic Winter 2000

    Science.gov (United States)

    Loewenstein, M.; Jost, H.; Greenblatt, J. B.; Podolske, J. R.; Gao, R. S.; Popp, P. J.; Toon, G. C.; Webster, C. R.; Herman, R. L.; Hurst, D. F.; hide

    2000-01-01

    NOy, total reactive nitrogen, and the long-lived tracer N2O, nitrous oxide, were measured by both in situ and remote sensing instruments during the Arctic winter 1999-2000 SAGE III Ozone Loss and Validation Experiment (SOLVE). The correlation function NOy:N2O observed before the winter Arctic vortex forms, which is known as NOy(sup), is an important reference relationship for conditions in the evolving vortex. NOy(sup) can, with suitable care, be used to quantify vortex denitrification by sedimentation of polar stratospheric cloud particles when NOy data is taken throughout the winter. Observed NOy values less than the reference value can be interpreted in terms of semi-permanent removal of active nitrogen by condensation and sedimentation processes. In this paper we present a segmented function representing NOy(sup) applicable over the full range of altitudes sampled during SOLVE. We also assess the range of application of this function and some of its limitations.

  10. The influence of sowing period and seeding norm on autumn vegetation, winter hardiness and yield of winter cereal crops

    Directory of Open Access Journals (Sweden)

    Potapova G. N.

    2017-10-01

    Full Text Available the winter wheat and triticale in the middle part of the Ural Mountains haven’t been seeded before. The technology of winter crop cultivation should be improved due to the production of new varieties of winter rye. Winter hardiness and yield of winter rye are higher in comparison with winter triticale and especially with winter wheat. The sowing period and the seeding rate influence the amount of yield and winter hardiness. The winter hardiness of winter cereals and the yield of the rye variety Iset sowed on August 25 and the yield of the triticale variety Bashkir short-stalked and wheat Kazanskaya 560 sowed on August 15 were higher. It is important to sow winter grain in local conditions in the second half of August. The sowing this period allows to provide plants with the necessary amount of positive temperatures (450–500 °C. This helps the plants to form 3–4 shoots of tillering and a mass of 10 dry plants reaching 3–5 grams. The winter grain crops in the middle part of the Ural Mountains should be sown with seeding rates of 6 and 7 million of sprouting grains per 1 ha, and the seeds must be cultivated with fungicidal preparation before seeding.

  11. Empiric antibiotic treatment of erythema migrans-like skin lesions as a function of geography: a clinical and cost effectiveness modeling study.

    Science.gov (United States)

    Lantos, Paul M; Brinkerhoff, R Jory; Wormser, Gary P; Clemen, Robert

    2013-12-01

    The skin lesion of early Lyme disease, erythema migrans (EM), is so characteristic that routine practice is to treat all such patients with antibiotics. Because other skin lesions may resemble EM, it is not known whether presumptive treatment of EM is appropriate in regions where Lyme disease is rare. We constructed a decision model to compare the cost and clinical effectiveness of three strategies for the management of EM: Treat All, Observe, and Serology as a function of the probability that an EM-like lesion is Lyme disease. Treat All was found to be the preferred strategy in regions that are endemic for Lyme disease. Where Lyme disease is rare, Observe is the preferred strategy, as presumptive treatment would be expected to produce excessive harm and increased costs. Where Lyme disease is rare, clinicians and public health officials should consider observing patients with EM-like lesions who lack travel to Lyme disease-endemic areas.

  12. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease.

    Science.gov (United States)

    Cameron, Daniel J; Johnson, Lorraine B; Maloney, Elizabeth L

    2014-09-01

    Evidence-based guidelines for the management of patients with Lyme disease were developed by the International Lyme and Associated Diseases Society (ILADS). The guidelines address three clinical questions - the usefulness of antibiotic prophylaxis for known tick bites, the effectiveness of erythema migrans treatment and the role of antibiotic retreatment in patients with persistent manifestations of Lyme disease. Healthcare providers who evaluate and manage patients with Lyme disease are the intended users of the new ILADS guidelines, which replace those issued in 2004 (Exp Rev Anti-infect Ther 2004;2:S1-13). These clinical practice guidelines are intended to assist clinicians by presenting evidence-based treatment recommendations, which follow the Grading of Recommendations Assessment, Development and Evaluation system. ILADS guidelines are not intended to be the sole source of guidance in managing Lyme disease and they should not be viewed as a substitute for clinical judgment nor used to establish treatment protocols.

  13. The Effects of Topically Applied Glycolic Acid and Salicylic Acid on Ultraviolet Radiation-Induced Erythema, DNA Damage and Sunburn Cell Formation in Human Skin

    Science.gov (United States)

    Kornhauser, Andrija; Wei, Rong-Rong; Yamaguchi, Yuji; Coelho, Sergio G.; Kaidbey, Kays; Barton, Curtis; Takahashi, Kaoruko; Beer, Janusz Z.; Miller, Sharon A.; Hearing, Vincent J.

    2009-01-01

    Background α-Hydroxy acids (αHA) are reported to reduce signs of aging in the skin and are widely used cosmetic ingredients. Several studies suggest that αHA can increase the sensitivity of skin to ultraviolet radiation. More recently, β-hydroxy acids (βHA), or combinations of αHA and βHA have also been incorporated into antiaging skin care products. Concerns have also arisen about increased sensitivity to ultraviolet radiation following use of skin care products containing β-HA. Objective To determine whether topical treatment with glycolic acid, a representative αHA, or with salicylic acid, a βHA, modifies the short-term effects of solar simulated radiation (SSR) in human skin. Methods Fourteen subjects participated in this study. Three of the four test sites on the mid-back of each subject were treated daily Monday - Friday, for a total of 3.5 weeks, with glycolic acid (10%), salicylic acid (2%), or vehicle (control). The fourth site received no treatment. After the last treatment, each site was exposed to SSR, and shave biopsies from all 4 sites were obtained. The endpoints evaluated in this study were erythema (assessed visually and instrumentally), DNA damage and sunburn cell formation. Results Treatment with glycolic acid resulted in increased sensitivity of human skin to SSR, measured as an increase in erythema, DNA damage and sunburn cell formation. Salicylic acid did not produce significant changes in any of these biomarkers. Conclusions Short-term topical application of glycolic acid in a cosmetic formulation increased the sensitivity of human skin to SSR, while a comparable treatment with salicylic acid did not. PMID:19411163

  14. Comparison of detection of Borrelia burgdorferi DNA and anti-Borrelia burgdorferi antibodies in patients with erythema migrans in north-eastern Poland.

    Science.gov (United States)

    Moniuszko, Anna; Dunaj, Justyna; Zajkowska, Joanna; Czupryna, Piotr; Świerzbińska, Renata; Guziejko, Katarzyna; Aleksiejczuk, Piotr; Barry, Gerald; Kondrusik, Maciej; Pancewicz, Sławomir

    2015-02-01

    Diagnostic methods in erythema migrans are still not standardized. To evaluate the frequency of Borrelia burgdorferi s.l. DNA presence in patients with erythema migrans (EM); to assess the polymerase chain reaction (PCR) procedure for detecting B. burgdorferi s.l. DNA in patients with the skin form of Lyme borreliosis; and to compare the results of the PCR-based method with the traditional ELISA method. Skin biopsy and blood samples from 93 patients with EM were examined for B. burgdorferi s.l. DNA detection (PCR). Seventy-one of these patients were examined for the presence of anti-B. burgdorferi s.l. antibodies (ELISA). Borrelia burgdorferi s.l. DNA was detected in 48% of the skin biopsy specimens and in 2% of blood samples. Only 1 patient was PCR positive in both blood and skin samples. Seventy percent of patients whose PCR results were positive were bitten by a tick less than 14 days before. IgM anti-B. burgdorferi s.l - specific antibodies were present in the serum of 35% of patients and IgG antibodies - in 30% of patients. Seventeen percent were positive in both IgM and IgG. Polymerase chain reaction of skin biopsy specimens seems to be currently the most sensitive and specific test for the diagnosis of patients with EM, especially in patients with a short duration of the disease (< 14 days) but still its effectiveness is much lower than expected. Polymerase chain reaction of blood samples cannot be recommended at the present time for the routine diagnostic of patients with EM.

  15. Persistent erythema and edema of the midthird and upper aspect of the face (morbus morbihan): evidence of hidden immunologic contact urticaria and impaired lymphatic drainage.

    Science.gov (United States)

    Wohlrab, Johannes; Lueftl, Matthias; Marsch, Wolfgang C

    2005-04-01

    A persistent erythema and edema of the midthird and upper aspect of the face, which bears some resemblance to Melkersson-Rosenthal syndrome and rosaceous lymphedema, has been characterized as morbus morbihan (MM) by French dermatologists. The disease of yet unknown cause starts with recurrent facial edema of short duration, which ultimately leads to persistent swelling after a period of weeks or months. We recruited 6 patients with MM and acquired their history, routine blood tests, and individual UV light tolerability. To check for contact allergies the allergen patch test and the open epicutaneous patch test were performed. To objectify the skin conditions laser Doppler flowmetry and 20-MHz ultrasound were used. Five patients with similar symptoms, but with definitely transient facial erythema and edema caused by proven contact urticaria on cosmetics served as a comparison group. In all patients, routine blood tests and UVA/UVB light tests showed no pathologic results. Observations of 6 patients with MM revealed the common feature of a clinically relevant immunologic contact urticaria caused by various cosmetic ingredients, which could be diagnosed in all of them. Delayed resorption of the acute edema and prolonged inflammation were shown by laser Doppler flowmetry and 20-MHz ultrasound in the affected skin areas in patients with MM after induction of immunologic contact urticaria by a cosmetic ingredient. Strict avoidance of cosmetics yielded a remarkable clinical benefit in the follow-up examinations. We conclude that recurrent and possibly subclinical inflammation caused by immunologic contact urticaria in conjunction with a locally pre-existing lowered lymphatic drainage plays a crucial role in the evolution of MM.

  16. Journal of Special Operations Medicine, Volume 6, Edition 1, Winter 2006

    Science.gov (United States)

    2006-01-01

    ecchymosis elicit emphysema empyema epiphysis epistaxis erythema exacerbate fasciitis fibromyalgia fibrous filariasis foramen funduscope giardiasis gonorrhea...trouble concen- trating, and abnormal dreaming , and teratogenicty Protease Inhibitors (PIs) Indinavir (Crixivan, IDV) Nausea, abdominal pain, nephro

  17. Spectrum of winter dermatoses in rural Yemen.

    Science.gov (United States)

    Al-Kamel, Mohamed A

    2016-05-01

    Surveys that have been carried out to determine the prevalence of skin diseases in rural Yemen are scarce or not available. To investigate the spectrum of winter dermatoses in a rural Yemeni community. A retrospective study was conducted at the dermatology outpatient clinic of the Al-Helal Specialized Hospital (Radaa' district of Al Bayda' Governorate) using data analysis of 700 selected records of patients managed during four months of the 2013-14 winter season. Seven hundred patients with 730 diseases were reported in this study; the major bulk of patients (46.57%) were in the >18-40-year age group, and females outnumbered males. By far, dermatitis, eczematous, and allergic disorders (38.49%) topped the list of the most frequent skin disorders groups, followed by skin infections and infestations (20%) and the pigmentary disorders (13.70%) group. Contact dermatitis (10.68%) was the most prevalent skin disorder, followed by hyperpigmentations (8.77%), acne (8.08%), viral infections (5.75%), atopic dermatitis (5.62%), and parasitic infestations (5.34%). This survey has documented the spectrum of winter dermatoses in a rural Yemeni community but also reflects the pattern of common dermatoses in the whole country. Dermatitis, eczematous, and allergic disorders, skin infections, and pigmentary disorders are the commonest groups. Contact dermatitis is the most prevalent disorder, and leishmaniasis is the most prevalent skin infectious disease. Climate, occupational, social, and environmental factors are the main contributors. Such statistics can form an important basis for community-based health policies. © 2015 The International Society of Dermatology.

  18. Does Zoning Winter Recreationists Reduce Recreation Conflict?

    Science.gov (United States)

    Miller, Aubrey D.; Vaske, Jerry J.; Squires, John R.; Olson, Lucretia E.; Roberts, Elizabeth K.

    2017-01-01

    Parks and protected area managers use zoning to decrease interpersonal conflict between recreationists. Zoning, or segregation, of recreation—often by non-motorized and motorized activity—is designed to limit physical interaction while providing recreation opportunities to both groups. This article investigated the effectiveness of zoning to reduce recreation conflict in the Vail Pass Winter Recreation Area in Colorado, USA. Despite a zoning management system, established groomed travel routes were used by both non-motorized recreationists (backcountry skiers, snowboarders, snowshoers) and motorized recreationists (snowmobilers). We hypothesized that persistent recreation conflict reported by non-motorized recreationists was the result of recreation occurring in areas of mixed non-motorized and motorized use, mostly along groomed routes. We performed a geospatial analysis of recreation [from Global Positioning System (GPS) points, n = 1,233,449] in the Vail Pass Winter Recreation Area to identify areas of mixed non-motorized and motorized use. We then surveyed non-motorized recreationists ( n = 199) to test whether reported conflict is higher for respondents who traveled in areas of mixed-use, compared with respondents traveling outside areas of mixed-use. Results from the geospatial analysis showed that only 0.7 % of the Vail Pass Winter Recreation Area contained recreation from both groups, however that area contained 14.8 % of all non-motorized recreation and 49.1 % of all motorized recreation. Survey analysis results showed higher interpersonal conflict for all five standard conflict variables among non-motorized respondents who traveled in areas of mixed-use, compared with those traveling outside mixed-use areas. Management implications and recommendations for increasing the effectiveness of zoning are provided.

  19. CARROT SEED GROWING THROUGH WINTERING SEEDLINGS

    Directory of Open Access Journals (Sweden)

    A. P. Zvedenuk

    2017-01-01

    Full Text Available The results of research work on carrot seed growing through wintering seedlings carried out at laboratory of seed studies and seed production of Transnistrian Research Institute of Agriculture, on the soil of the first terrace at the rive Dniester were presented in the article. Seed bearing plants of garden carrot ‘Krasavka’ were the object of the study. The seeds were sown to produce the seedlings on 15-16 August. In the first decade of December the plants were covered with white agrotextile with density 23g/m2 that was removed at the beginning of April. The proportion of plant that passed the winter depending on a year of cultivation was 95-100% under argotextile, and 50-80% in open plot. The plants under agrotextile reached 28 cm a high and had 5-7 well-developed leaves, while those on the open plot were at phase of active foliage growing about 10-13 cm. long. Thus, for early mechanized planting in optimal terms the wintering seedlings grown under agrotextile had the best biometrical characteristics. Moreover the outcome of carrot seedlings was 1.2-1.25 million per hectare. Such quantity of seedlings was sufficient to plant 9-10 ha of carrot plants, where the coefficient of multiplication reached 9-10, and only 3 when growing seeds through mother plant as biennial culture. Viability of seed plants grown through seedlings was 100%. Losses of plant with weight 120-150 grams from damage caused by diseases was 23%. The seed yield, when growing seedlings was 639 kg/ha, but growing through plants was 332 kg/ha. The seed outcome suitable for precise mechanized sowing through seedling growing was 77%, where seed germination was 90%, with seed fraction 1.51 and >2.0 mm. It was essentially improved their yielding characteristics. Seed outcome from this fraction obtained through planting method was 32%. The proportion of seeds in fraction 1-1.5 mm was 68%. For mechanized single-seed sowing, the seeds can be used only after mini-coating. The seed

  20. Efficiency of foliar dressing of winter wheat

    Directory of Open Access Journals (Sweden)

    Л. В. Худолій

    2017-06-01

    Full Text Available Purpose. To elaborate winter wheat cultivation technologies based on balanced fertilizer system that combines application of mineral fertilizers and the increase of their efficiency by the use of preparations with microelements. Methods. Field and laboratory studies, mathematical and statistical analysis. Results. During 2011–2013, the effect of cultivation technologies on the formation of yield and quality of winter wheat varie­ty ‘Benefis’ (pea is a predecessor was studied. In case of alternative technologies that provided adding only by-products of the predecessor, the yield of winter wheat was 3.73 t/ha when using integrated protection system, and it was increased to 4.22 t/ha with grain quality of the 4th–5th class of the group B when foliar dressing was applied. Resource saving technologies of cultivation with restricted use of fertilizers (Р45К45N30(II+30(IV provided productivity at the level of 5.19–5.61 t/ha with grain quality of the 2nd–3rd class of the group A. Grain yield of 6.27 t/ha of the 2nd class quality was obtained by the use of intensive cultivation technology, which included application of mineral fertilizers (Р90К90N30(II+60(IV+30(VIII in addition to the use of predecessor’s by-products and foliar dressing. The highest yield of grain (6.71 t/ha on average during all years of the study with the 1st class of the group A quality was provided by energy-intensive technology, which included application of P135K135N60(II+75(IV+45(VIII with embedding of predecessor’s by-products into the soil and foliar dressing. Conclusions. It was established that in the northern part of the Forest-Steppe zone of Ukraine the highest productivity of winter wheat was obtained in dark gray podzolic soils using the energy-intensive technology with application of P135K135N60(II+75(IV+45(VIII against the background of predecessor’s by-products embedded into the soil in case of integrated plant protection, and foliar dres

  1. Mechanical weed control in organic winter wheat

    Directory of Open Access Journals (Sweden)

    Euro Pannacci

    2017-12-01

    Full Text Available Three field experiments were carried out in organic winter wheat in three consecutive years (exp. 1, 2005-06; exp. 2, 2006- 07; exp. 3, 2007-08 in central Italy (42°57’ N - 12°22’ E, 165 m a.s.l. in order to evaluate the efficacy against weeds and the effects on winter wheat of two main mechanical weed control strategies: i spring tine harrowing used at three different application times (1 passage at T1, 2 passages at the time T1, 1 passage at T1 followed by 1 passage at T1 + 14 days in the crop sowed at narrow (traditional row spacing (0.15 m; and ii split-hoeing and finger-weeder, alone and combined at T1, in the crop sowed at wider row spacing (0.30 m. At the time T1 winter wheat was at tillering and weeds were at the cotyledons-2 true leaves growth stage. The experimental design was a randomized block with four replicates. Six weeks after mechanical treatments, weed ground cover (% was rated visually using the Braun-Blanquet coverabundance scale; weeds on three squares (0.6×0.5 m each one per plot were collected, counted, weighed, dried in oven at 105°C to determine weed density and weed above-ground dry biomass. At harvest, wheat ears density, grain yield, weight of 1000 seeds and hectolitre weight were recorded. Total weed flora was quite different in the three experiments. The main weed species were: Polygonum aviculare L. (exp. 1 and 2, Fallopia convolvulus (L. Á. Löve (exp. 1 and 3, Stachys annua (L. L. (exp. 1, Anagallis arvensis L. (exp. 2, Papaver rhoeas L. (exp.3, Veronica hederifolia L. (exp. 3. In the winter wheat sowed at narrow rows, 2 passages with spring-tine harrowing at the same time seems to be the best option in order to reconcile a good efficacy with the feasibility of treatment. In wider rows spacing the best weed control was obtained by split hoeing alone or combined with finger-weeder. The grain yield, on average 10% higher in narrow rows, the lower costs and the good selectivity of spring-tine harrowing

  2. NS Pudarka: A new winter wheat cultivar

    Directory of Open Access Journals (Sweden)

    Hristov Nikola

    2014-01-01

    Full Text Available The high-yielding, medium late winter wheat cultivar NS Pudarka was developed by crossing genetic divergent parents: line NMNH-07 and cv. NS 40S and Simonida. In cultivar NS Pudarka genes responsible for high yield potential, very good technological quality, resistance to lodging, low temperature and diseases, were successfully combined. It was registered by Ministry of agriculture, forestry and water management of Serbia Republic in 2013. This cultivar has wide adaptability and stability of yield that enable growing in different environments with optimal agricultural practice. On the base of technological quality this cultivar belongs to the second quality class, A2 farinograph subgroup and second technological group.

  3. Warmed Winter Water Temperatures Alter Reproduction in Two Fish Species.

    Science.gov (United States)

    Firkus, Tyler; Rahel, Frank J; Bergman, Harold L; Cherrington, Brian D

    2018-02-01

    We examined the spawning success of Fathead Minnows (Pimephales promelas) and Johnny Darters (Etheostoma nigrum) exposed to elevated winter water temperatures typical of streams characterized by anthropogenic thermal inputs. When Fathead Minnows were exposed to temperature treatments of 12, 16, or 20 °C during the winter, spawning occurred at 16 and 20 °C but not 12 °C. Eggs were deposited over 9 weeks before winter spawning ceased. Fathead Minnows from the three winter temperature treatments were then exposed to a simulated spring transition. Spawning occurred at all three temperature treatments during the spring, but fish from the 16° and 20 °C treatment had delayed egg production indicating a latent effect of warm winter temperatures on spring spawning. mRNA analysis of the egg yolk protein vitellogenin showed elevated expression in female Fathead Minnows at 16 and 20 °C during winter spawning that decreased after winter spawning ceased, whereas Fathead Minnows at 12 °C maintained comparatively low expression during winter. Johnny Darters were exposed to 4 °C to represent winter temperatures in the absence of thermal inputs, and 12, 16, and 20 °C to represent varying degrees of winter thermal pollution. Johnny Darters spawned during winter at 12, 16, and 20 °C but not at 4 °C. Johnny Darters at 4 °C subsequently spawned following a simulated spring period while those at 12, 16, and 20 °C did not. Our results indicate elevated winter water temperatures common in effluent-dominated streams can promote out-of-season spawning and that vitellogenin expression is a useful indicator of spawning readiness for fish exposed to elevated winter temperatures.

  4. Warmed Winter Water Temperatures Alter Reproduction in Two Fish Species

    Science.gov (United States)

    Firkus, Tyler; Rahel, Frank J.; Bergman, Harold L.; Cherrington, Brian D.

    2018-02-01

    We examined the spawning success of Fathead Minnows ( Pimephales promelas) and Johnny Darters ( Etheostoma nigrum) exposed to elevated winter water temperatures typical of streams characterized by anthropogenic thermal inputs. When Fathead Minnows were exposed to temperature treatments of 12, 16, or 20 °C during the winter, spawning occurred at 16 and 20 °C but not 12 °C. Eggs were deposited over 9 weeks before winter spawning ceased. Fathead Minnows from the three winter temperature treatments were then exposed to a simulated spring transition. Spawning occurred at all three temperature treatments during the spring, but fish from the 16° and 20 °C treatment had delayed egg production indicating a latent effect of warm winter temperatures on spring spawning. mRNA analysis of the egg yolk protein vitellogenin showed elevated expression in female Fathead Minnows at 16 and 20 °C during winter spawning that decreased after winter spawning ceased, whereas Fathead Minnows at 12 °C maintained comparatively low expression during winter. Johnny Darters were exposed to 4 °C to represent winter temperatures in the absence of thermal inputs, and 12, 16, and 20 °C to represent varying degrees of winter thermal pollution. Johnny Darters spawned during winter at 12, 16, and 20 °C but not at 4 °C. Johnny Darters at 4 °C subsequently spawned following a simulated spring period while those at 12, 16, and 20 °C did not. Our results indicate elevated winter water temperatures common in effluent-dominated streams can promote out-of-season spawning and that vitellogenin expression is a useful indicator of spawning readiness for fish exposed to elevated winter temperatures.

  5. Aspen Winter Conferences on High Energy

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2011-02-12

    The 2011 Aspen Winter Conference on Particle Physics was held at the Aspen Center for Physics from February 12 to February 18, 2011. Ninety-four participants from ten countries, and several universities and national labs attended the workshop titled, "New Data From the Energy Frontier." There were 54 formal talks, and a considerable number of informal discussions held during the week. The week's events included a public lecture ("The Hunt for the Elusive Higgs Boson" given by Ben Kilminster from Ohio State University) and attended by 119 members of the public, and a physics cafe geared for high schoolers that is a discussion with physicists. The 2011 Aspen Winter Conference on Astroparticle physics held at the Aspen Center for Physics was "Indirect and Direct Detection of Dark Matter." It was held from February 6 to February 12, 2011. The 70 participants came from 7 countries and attended 53 talks over five days. Late mornings through the afternoon are reserved for informal discussions. In feedback received from participants, it is often these unplanned chats that produce the most excitement due to working through problems with fellow physicists from other institutions and countries or due to incipient collaborations. In addition, Blas Cabrera of Stanford University gave a public lecture titled "What Makes Up Dark Matter." There were 183 members of the general public in attendance. Before the lecture, 45 people attended the physics cafe to discuss dark matter. This report provides the attendee lists, programs, and announcement posters for each event.

  6. Regional greenhouse gas emissions from cultivation of winter wheat and winter rapeseed for biofuels in Denmark

    DEFF Research Database (Denmark)

    Elsgaard, Lars; Olesen, Jørgen E; Hermansen, John Erik

    2013-01-01

    by such regional factors as soil conditions, climate and input of agrochemicals. Here we analysed at a regional scale the greenhouse gas (GHG) emissions associated with cultivation of winter wheat for bioethanol and winter rapeseed for rapeseed methyl ester (RME) under Danish conditions. Emitted CO2 equivalents...... (CO2eq) were quantified from the footprints of CO2, CH4 and N2O associated with cultivation and the emissions were allocated between biofuel energy and co-products. Greenhouse gas emission at the national level (Denmark) was estimated to 22.1 g CO2eq MJ−1 ethanol for winter wheat and 26.0 g CO2eq MJ−1...... RME for winter rapeseed. Results at the regional level (level 2 according to the Nomenclature of Territorial Units for Statistics [NUTS]) ranged from 20.0 to 23.9 g CO2eq MJ−1 ethanol and from 23.5 to 27.6 g CO2eq MJ−1 RME. Thus, at the regional level emission results varied by up to 20%. Differences...

  7. Winter-APK voor bijen : Helpt u deze winter mee bij het praktijkonderzoek?

    NARCIS (Netherlands)

    Som de Cerff, B.; Cornelissen, B.; Moens, F.

    2013-01-01

    Om de risico’s van een aanrijding bij sneeuw en gladheid te verminderen, laten steeds meer automobilisten bij het monteren van winterbanden ook een wintercontrole uitvoeren. Zou een dergelijke controle voor de winter ook schade aan onze volken in de vorm van wintersterfte kunnen verminderen? Dat zou

  8. Simulation of Winter Wheat Yield with WOFOST in County Scale

    OpenAIRE

    Ma, Shangjie; Pei, Zhiyuan; He, Yajuan; Wang, Lianlin; Ma, Zhiping

    2015-01-01

    International audience; Winter wheat is mainly planted in water shortage area, such as North China and Northwest China. As a key field management measure, irrigation plays an important role in the production of winter wheat. This paper focuses on the improvement of regional winter wheat yield estimation technique in county scale by adjusting the irrigation management measure in crop growth model. The WOFOST (World Food Study) model was used by dividing the whole county into a number of EMUs (...

  9. Wintering bald eagle trends in northern Arizona, 1975-2000

    Science.gov (United States)

    Teryl G. Grubb

    2003-01-01

    Between 1975 and 2000, 4,525 sightings of wintering bald eagles (Haliaeetus leucocephalus) were recorded at Mormon Lake in northern Arizona. Numbers of wintering eagles fluctuated little in the 20 years from 1975 through 1994 (5.5 ± 3.0 mean sightings per day). However, during the winters of 1995 through 1997 local record highs of 59 to 118 eagles...

  10. Evaluation and Economic Value of Winter Weather Forecasts

    OpenAIRE

    Snyder, Derrick William

    2014-01-01

    State and local highway agencies spend millions of dollars each year to deploy winter operation teams to plow snow and de-ice roadways. Accurate and timely weather forecast information is critical for effective decision making. Students from Purdue University partnered with the Indiana Department of Transportation to create an experimental winter weather forecast service for the 2012-2013 winter season in Indiana to assist in achieving these goals. One forecast product, an hourly timeline of ...

  11. The History of Winter: teachers as scientists

    Science.gov (United States)

    Koenig, L.; Courville, Z.; Wasilewski, P. J.; Gow, T.; Bender, K. J.

    2013-12-01

    The History of Winter (HOW) is a NASA Goddard Space Flight Center-funded teacher enrichment program that was started by Dr. Peter Wasilewski (NASA), Dr. Robert Gabrys (NASA) and Dr. Tony Gow (Cold Regions Research and Engineering Laboratory, or CRREL) in 2001 and continues with support and involvement of scientists from both the NASA Cryospheric Sciences Laboratory and CREEL. The program brings educators mostly from middle and high schools but also from state parks, community colleges and other institutions from across the US to the Northwood School (a small, private boarding school) in Lake Placid, NY for one week to learn about several facets of winter, polar, and snow research, including the science and history of polar ice core research, lake ice formation and structure, snow pack science, winter ecology, and remote sensing including current and future NASA cryospheric missions. The program receives support from the Northwood School staff to facilitate the program. The goal of the program is to create 'teachers as scientists' which is achieved through several hands-on field experiences in which the teachers have the opportunity to work with polar researchers from NASA, CRREL and partner Universities to dig and sample snow pits, make ice thin sections from lake ice, make snow shelters, and observe under-ice lake ecology. The hands-on work allows the teachers to use the same tools and techniques used in polar research while simultaneously introducing science concepts and activities to support their classroom work. The ultimate goal of the program is to provide the classroom teachers with the opportunity to learn about current and timely cryospheric research as well as to engage in real fieldwork experiences. The enthusiasm generated during the week-long program is translated into classroom activities with guidance from scientists, teachers and educational professionals. The opportunity to engage with polar researchers, both young investigators and renowned

  12. Home advantage in the Winter Paralympic Games 1976-2014.

    Science.gov (United States)

    Wilson, Darryl; Ramchandani, Girish

    2017-01-01

    There is a limited amount of home advantage research concerned with winter sports. There is also a distinct lack of studies that investigate home advantage in the context of para sport events. This paper addresses this gap in the knowledge by examining home advantage in the Winter Paralympic Games. Using a standardised measure of success, we compared the performances of host nations at home with their own performances away from home between 1976 and 2014. Both country level and individual sport level analysis is conducted for this time period. Comparisons are also drawn with the Winter Olympic Games since 1992, the point from which both the Winter Olympic Games and the Winter Paralympic Games have been hosted by the same nations and in the same years. Clear evidence of a home advantage effect in the Winter Paralympic Games was found at country level. When examining individual sports, only alpine skiing and cross country skiing returned a significant home advantage effect. When comparing home advantage in the Winter Paralympic Games with the Winter Olympic Games for the last seven host nations (1992-2014), we found that home advantage was generally more pronounced (although not a statistically significant difference) in the case of the former. The causes of home advantage in the Winter Paralympic Games are unclear and should be investigated further.

  13. Energy market barometer report - Winter 2016

    International Nuclear Information System (INIS)

    Schleich, Joachim; Cartel, Melodie; Shao, Evan; Vernay, Anne-Lorene

    2017-01-01

    This Winter 2016 edition of the Grenoble Ecole de Management (GEM) Energy Market Barometer explores the opinion of French energy experts about the decentralization of the electricity sector in France. French experts were also asked where the focus of French energy policy should be in the next five years. Key findings: - French energy experts sense a clear trend toward the decentralization of the French electricity system; - Technology innovation and self-sufficiency for corporations and municipalities are the two major promises of decentralization; - The major barriers to faster decentralization in France are the high price of energy storage systems and the lack of political will; - 74% of experts believe that energy efficiency should be a top priority for French energy policy in the next five years; - Reducing greenhouse gas emissions and facilitating the decentralization of the electricity sector should also be a top priority for French energy policy in the next five years; - Experts are divided over the future of nuclear energy

  14. Landsat Science Team: 2016 winter meeting summary

    Science.gov (United States)

    Schroeder, Todd; Loveland, Thomas; Wulder, Michael A.; Irons, James R.

    2016-01-01

    The winter meeting of the joint U.S. Geological Survey (USGS)–NASA Landsat Science Team (LST) was held January 12-14, 2016, at Virginia Tech University in Blacksburg, VA. LST co-chairs Tom Loveland [USGS’s Earth Resources Observation and Science Data Center (EROS)—Senior Scientist] and Jim Irons [NASA’s Goddard Space Flight Center (GSFC)—Landsat 8 Project Scientist] welcomed more than 50 participants to the three-day meeting. The main objectives of this meeting focused on identifying priorities and approaches to improve the global moderate-resolution satellite record. Overall, the meeting was geared more towards soliciting team member recommendations on several rapidly evolving issues, than on providing updates on individual research activities. All the presentations given at the meeting are available at landsat.usgs. gov//science_LST_january2016.php.

  15. Chemical profile of Taxodium distichum winter cones

    Directory of Open Access Journals (Sweden)

    Đapić Nina M.

    2017-01-01

    Full Text Available This work is concerned with the chemical profile of Taxodium distichum winter cones. The extract obtained after maceration in absolute ethanol was subjected to qualitative analysis by gas chromatography/mass spectrometry and quantification was done by gas chromatography/ flame ionization detector. The chromatogram revealed the presence of 53 compounds, of which 33 compounds were identified. The extract contained oxygenated monoterpenes (12.42%, sesquiterpenes (5.18%, oxygenated sesquiterpenes (17.41%, diterpenes (1.15%, and oxygenated diterpenes (30.87%, while the amount of retinoic acid was 0.32%. Monoacylglycerols were detected in the amount of 4.32%. The most abundant compounds were: caryophyllene oxide (14.27%, 6,7-dehydro-ferruginol (12.49%, bornyl acetate (10.96%, 6- deoxy-taxodione (9.50% and trans-caryophyllene (4.20%.

  16. On the relation between ionospheric winter anomalies and solar wind

    International Nuclear Information System (INIS)

    Rumi, G.C.

    2001-01-01

    There are two different winter anomalies. A small one that appears in connection with ionization at relatively low latitudes in the bottom of the D-region of the ionosphere. There, the electron densities in the winter happen to be less than should be expected. On the other hand, the classic winter anomaly is present when in the winter the upper D-region, again at relatively low latitudes, has more ionization than should be expected. Both these effects are due to the slant compression of the geomagnetic field produced by the solar wind in the wind in the winter season (which is, of course, the summer season when reference is made to events in the other hemisphere). It is shown that the small winter anomaly is a consequence of a hemispheric imbalance in the flux of galactic cosmic rays determined by the obliquely distorted geomagnetic field. It is shown that the standard winter anomaly can be ascribed to the influx of a super solar wind, which penetrates into the Earth's polar atmosphere down to E-region, heights and, duly concentrated through a funneling action at the winter pole of the distorted geomagnetic field, slows down the winter polar vortex. An equatorward motion of the polar air with its content of nitric oxide brings about the excess of ionization in the upper D-region at lower latitudes. The experimentally observed rhythmic recurrence of the upper winter anomaly is correlated to a possible rhythmic recurrence of the super solar wind. The actual detection of the upper winter anomaly could yield some information on the velocity of the basic solar wind. A by-product of the present analysis, the determination of Γ, the coefficient of collisional detachment of the electrons from the O 2 - ions, is presented in the Appendix

  17. CAN WINTER DEPRESSION BE PREVENTED BY LIGHT TREATMENT

    NARCIS (Netherlands)

    MEESTERS, Y; LAMBERS, PA; JANSEN, JHC; BOUHUYS, AL; BEERSMA, DGM; VANDENHOOFDAKKER, RH

    1991-01-01

    The administration of light at the development of the first signs of a winter depression appears to prevent it from developing into a full-blown depression. No patient from a group of 10 treated in this way developed any signs of depression during the rest of the winter season, while five of seven

  18. A winter severity index for the state of Maine.

    Science.gov (United States)

    2009-01-01

    Winter maintenance in the Sate of Maine consumes around twenty percent of the Bureau of : Maintenance and Operations budget each year. Costs are directly related to the length and severity : of a winter season. In addition, the cost of materials and ...

  19. Changes occurring in plain, straining and winter yoghurt during the ...

    African Journals Online (AJOL)

    In this study, winter yoghurt, straining yoghurt and yoghurt samples produced from homogenized and non-homogenized sheep and a mixture of sheep and cows milks were evaluated during the storage periods. Winter yoghurt, straining yoghurt and yoghurt samples were stored in sterile jars in the refrigerator (4°C).

  20. Can winter depression be prevented by light treatment?

    NARCIS (Netherlands)

    Meesters, Ybe; Lambers, Petrus A.; Jansen, Jacob; Bouhuys, Antoinette L.; Beersma, Domien G.M.; Hoofdakker, Rutger H. van den

    1991-01-01

    The administration of light at the development of the first signs of a winter depression appears to prevent it from developing into a full-blown depression. No patient from a group of 10 treated in this way developed any signs of depression during the rest of the winter season, while five of seven

  1. The decline in winter excess mortality in The Netherlands

    NARCIS (Netherlands)

    Kunst, A. E.; Looman, C. W.; Mackenbach, J. P.

    1991-01-01

    In most countries, numbers of deaths rise considerably during the winter season. This winter excess in mortality has, however, been declining during recent decades. The causes of this decline are hardly known. This paper attempts to derive a number of hypotheses on the basis of a detailed

  2. Zimbabwean fourth social workers conference and winter school ...

    African Journals Online (AJOL)

    Such steps include running the Annual Social Workers Conference & Winter School. This annual observance creates a platform to showcase the goals and accomplishments of diverse social work professionals in the country, give a report on progress and convening a social work winter school for exchanging professional ...

  3. AGROTECHNOLOGY OF WINTER CABBAGE SEED PRODUCTION IN CONDITION OF DAGESTAN

    Directory of Open Access Journals (Sweden)

    N. M. Velizhanov

    2013-01-01

    Full Text Available Soil-climatic conditions of the South region of Dagestan are suitable for growing of winter cabbage. The yield of winter cab-bage in Dagestan farms is still very low because of low quality of seeds and non'observance of rules of cabbage seed production.

  4. Baraitser–Winter syndrome: An additional Arab patient | Henedy ...

    African Journals Online (AJOL)

    Baraitser–Winter syndrome: An additional Arab patient. MMA Henedy, MJ Marafie, SJ Abulhasan. Abstract. An Arab child is presented herein with a phenotype that fits the rare Baraitser–Winter syndrome. Her clinical features included a unilateral iris coloboma, ptosis, hypertelorism, epicanthic folds, broad nasal bridge, full ...

  5. Overhead irrigation increased winter chilling and floral bud ...

    African Journals Online (AJOL)

    Eucalyptus nitens requires a sufficiently cold winter to produce flower buds. In areas in South Africa where E. nitens commercial plantations as well as breeding and production seed orchards are located, winter chilling is often insufficient for floral bud initiation. Hence, under such conditions, E. nitens floral bud and seed ...

  6. Prevalence of hematozoa infections among breeding and wintering Rusty Blackbirds

    Science.gov (United States)

    William H. Barnard; Claudia Mettke-Hofmann; Steven M. Matsuoka

    2010-01-01

    The Rusty Blackbird (Euphagus carolinus) has declined precipitously over the past several decades,and stressors on both the breeding and wintering grounds are suspected causes. Over 3 years, we collected blood samples from breeding birds in Alaska and Maine and from wintering birds in Mississippi and Arkansas to determine the prevalence of hematozoan infections at...

  7. The phenotypic diversity and fruit characterization of winter squash ...

    African Journals Online (AJOL)

    PRECIOUS

    2010-01-11

    Jan 11, 2010 ... Winter squash are one of the most important Cucurbit crops in Turkey. Winter squash populations show great diversity in morphological characteristics, particularly fruit length, fruit diameter, fruit shape, fruit brightness, skin thickness , flesh thickness and colour in the Black Sea region of. Turkey. In this ...

  8. Changes occurring in plain, straining and winter yoghurt during the ...

    African Journals Online (AJOL)

    user

    2011-02-28

    Feb 28, 2011 ... Department of Food Engineering, Faculty of Agriculture, Yuzuncu Yil University, 65080 Van, Turkey. Accepted 18 January ... cow milk for production of winter yoghurt, which is one of the most liked traditional .... Changes occurring in winter yoghurt samples during the storage periods. Impact factor. Factor.

  9. Controls on winter ecosystem respiration in temperate and boreal ecosystems

    Science.gov (United States)

    T. Wang; P. Ciais; S.L. Piao; C. Ottle; P. Brender; F. Maignan; A. Arain; A. Cescatti; D. Gianelle; C. Gough; L Gu; P. Lafleur; T. Laurila; B. Marcolla; H. Margolis; L. Montagnani; E. Moors; N. Saigusa; T. Vesala; G. Wohlfahrt; C. Koven; A. Black; E. Dellwik; A. Don; D. Hollinger; A. Knohl; R. Monson; J. Munger; A. Suyker; A. Varlagin; S. Verma

    2011-01-01

    Winter CO2 fluxes represent an important component of the annual carbon budget in northern ecosystems. Understanding winter respiration processes and their responses to climate change is also central to our ability to assess terrestrial carbon cycle and climate feedbacks in the future. However, the factors influencing the spatial and temporal...

  10. Comparing effects of Winter Universiade (2011) and European ...

    African Journals Online (AJOL)

    ... both positive and negative effects of these two events have high averages. In other words, positive and negative effects were detected in both the Winter Universiade held in Erzurum and the European Youth Olympic Festival held in Trabzon. Key words: Mega sport events; Local spectator impressions; Winter Universiade; ...

  11. Controls on winter ecosystem respiration in temperate and boreal ecosystems

    NARCIS (Netherlands)

    Ciais, P.; Wang, T.; Piao, S.L.; Ottlé, C.; Brender, P.; Moors, E.J.

    2011-01-01

    Winter CO2 fluxes represent an important component of the annual carbon budget in northern ecosystems. Understanding winter respiration processes and their responses to climate change is also central to our ability to assess terrestrial carbon cycle and climate feedbacks in the future. However, the

  12. Downtown People Mover (DPM) Winterization Test Demonstration : Otis Elevator

    Science.gov (United States)

    1982-01-01

    The Otis Elevator Company Transportation Technology Division (OTIS-TTD) Downtown People Mover (DPM) Winterization Test Demonstration Final Report covers the 1978-79 and 1979-80 winter periods. Tests were performed at the Otis test track in Denver, Co...

  13. Weed seed germination in winter cereals under contrasting tillage systems

    DEFF Research Database (Denmark)

    Scherner, Ananda

    2015-01-01

    Grass weeds and Gallium aparine are major weed problems in North European arable cropping systems with high proportions of winter crops, especially winter wheat (Clarke et al., 2000; Melander et al., 2008). Problems are accentuated where inverting tillage is omitted, as weed seeds tend to accumul...

  14. Identifying the potential wintering sites of the globally threatened ...

    African Journals Online (AJOL)

    The Aquatic Warbler is a threatened Afro-Palaearctic migrant with a largely unknown distribution in the winter (non-breeding) season. Protection of wintering sites may be crucial for the conservation of the species. Previous studies have identified extensive areas of north-western sub-Saharan Africa that could potentially be ...

  15. Investigation of Monnose-Binding Lectin gene Polymorphism in Patients with Erythema Multiforme, Stevens-Johnson Syndrome and Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Overlap Syndrome

    Directory of Open Access Journals (Sweden)

    Sevil Toka

    2012-09-01

    Full Text Available Objective: Monnose-Binding lectin (MBL appears to play an important role in the immune system. The genetic polymorphisms in the MBL2 gene can result in a reduction of serum levels, leading to a predisposition to recurrent infection. The aim of this study is to investigate the influence of a polymorphism in codon 54 of the MBL2 gene on the susceptibility to Erythema Multiforme, Stevens-Johnson Syndrome and Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Overlap Syndrome (EM, SJS and SJS/TEN overlap syndrome. Material and Methods: Our study included 64 patients who were clinically and/or histopathologically diagnosed with EM, SJS, and SJS/TEN overlap syndrome and 66 healthy control subjects who were genotyped for the MBL2 gene codon 54 polymorphism using the PCR-RFLP method. For all statistical analyses, the level of significance was set at p<0.05. Results: The prevalence of the B allele was 18% in the EM, SJS and SJS/TEN patient groups and 13% in the control group. No significant differences in allele frequencies of any polymorphism were observed between the patient and control groups, although the B allele was more frequent in the patient groups (p=0.328.Conclusion: Our results provide no evidence of a relationship between MBL2 gene codon 54 polymorphism and the susceptibility to EM, SJS and SJS/TEN overlap syndrome. However, these findings should be confirmed in studies with a larger sample size.

  16. A novel cosmetic antifungal/anti-inflammatory topical gel for the treatment of mild to moderate seborrheic dermatitis of the face: an open-label trial utilizing clinical evaluation and erythema-directed digital photography.

    Science.gov (United States)

    Dall' Oglio, Federica; Tedeschi, Aurora; Fusto, Carmelinda M; Lacarrubba, Francesco; Dinotta, Franco; Micali, Giuseppe

    2017-10-01

    Topical cosmetic agents may play a role in the management of facial seborrheic dermatitis by reducing inflammation and scale production. Advanced digital photography, equipped with technology able to provide a detailed evaluation of red skin components corresponding to vascular flare (erythema-directed digital photography), is a useful tool for evaluation of erythema in patients affected by inflammatory dermatoses. The aim of this study was to assess the efficacy and safety of a new cosmetic topical gel containing piroctone olamine, lactoferrin, glycero-phospho-inositol, and Aloe vera for the treatment of facial seborrheic dermatitis by clinical and advanced digital photography evaluation. An open-label, prospective, clinical trial was conducted on 25 patients with mild to moderate facial seborrheic dermatitis. Subjects were instructed to apply the gel twice daily for 45 days. The clinical efficacy was evaluated by measuring at baseline, at day 15 and 45 the degree of desquamation (by clinical examination) and erythema (by digital photography technology via VISIA-CR™ system equipped with RBX™), using a 5-point severity scale, and pruritus (by subject-completed Visual Analogue Scale; scale from 0 to 100 mm). Finally, at baseline and at the end of the study, IGA (Investigator Global Assessment) was performed using a 5-point severity scale (from 0 = worsening to 4 = excellent response). At the end of treatment, a significant reduction (P80% improvement) was recorded in 47.9% of patients, with no case of worsening. No signs of local intolerance were documented. The tested cosmetic topical gel was effective in treating mild to moderate seborrheic dermatitis of the face. Erythema-directed digital photography may represent a noteworthy tool for the therapeutic monitoring of facial seborrheic dermatitis and an important adjunct aid in the dermatologic clinical practice.

  17. 32th Winter Workshop on Nuclear Dynamics

    CERN Document Server

    2016-01-01

    The 32nd edition of the Winter Workshop will be held 28 February - 5 March 2016, Hotel Resort Fort Royal Guadeloupe in Guadeloupe a French overseas territory, is an island group in the southern Caribbean Sea. As with previous years, the workshop will bring together scientists from all fields of nuclear physics for engaging and friendly exchanges of ideas. Much emphasis will be on the recent LHC, RHIC and SPS heavy ion results, but advances in the ongoing and future programs at FAIR, FRIB, EIC, JLab and NICA and will also be featured. The meeting will start with a welcome reception on the evening of Sunday, February 28. The workshop program will commence on Monday morning and run until Saturday. We recommend to arrive on Sunday and leave on Sunday. Talks will be as usual 25+5 minutes, there will be no parallel sessions. If you are interested in presenting your work, please fill out the registration form prior to the registration deadline. After the program committee has met we will confirm your talk via indivi...

  18. Geophysical forecast: industry expects busy winter season

    Energy Technology Data Exchange (ETDEWEB)

    Ludwick, J.

    1997-11-01

    Survey results by the Canadian Association of Geophysical Contractors were discussed. According to the survey, all of the sector`s 65 crews will be fully utilized this winter, although no activity records are expected. Charges are likely to be slightly higher than last year. At least some of the increase will go towards increased pay to attract more workers into the field in an effort to counter the labour shortage in the seismic industry. Contractors must compete with other sectors such as construction, which is booming as a result of Alberta`s burgeoning economy. The Slave Lake and Rocky Mountain House regions are expected to be the hottest in Alberta. Southeastern Saskatchewan also promises to be the site of increased activity due to the growing interest in the Red River oil play. Another reason for the increased activity may be the use of innovative technology such as that employed by Enertec Geophysical Service Limited. It will pilot-test its newly acquired PowerProbe technology, which is said to be able to immediately detect the presence of hydrocarbons.

  19. Comparison of East Asian winter monsoon indices

    Directory of Open Access Journals (Sweden)

    Gao Hui

    2007-01-01

    Full Text Available Four East Asian winter monsoon (EAWM indices are compared in this paper. In the research periods, all the indices show similar interannual and decadal-interdecadal variations, with predominant periods centering in 3–4 years, 6.5 years and 9–15 years, respectively. Besides, all the indices show remarkable weakening trends since the 1980s. The correlation coefficient of each two indices is positive with a significance level of 99%. Both the correlation analyses and the composites indicate that in stronger EAWM years, the Siberian high and the higher-level subtropical westerly jet are stronger, and the Aleutian low and the East Asia trough are deeper. This circulation pattern is favorable for much stronger northwesterly wind and lower air temperature in the subtropical regions of East Asia, while it is on the opposite in weaker EAWM years. Besides, EAWM can also exert a remarkable leading effect on the summer monsoon. After stronger (weaker EAWM, less (more summer precipitation is seen over the regions from the Yangtze River valley of China to southern Japan, while more (less from South China Sea to the tropical western Pacific.

  20. Report 3 energy market barometer - Winter 2014

    International Nuclear Information System (INIS)

    Schleich, Joachim; Cateura, Olivier; Faure, Corinne; Jacob, Jojo; Javaudin, Laurent; Molecke, Greg; Olsthoorn, Mark; Pinkse, Jonatan; Shomali, Azadeh; Vernay, Anne-Lorene

    2015-01-01

    This Winter 2014 edition of the Grenoble Ecole de Management (GEM) Energy Market Barometer documents the French energy experts' estimates of the future electricity mix in France and in the European Union, their assessment of the regulatory conditions in France for investments in energy technologies, and their expectations about the development of energy and CO 2 -certificate prices. Key findings: - Fewer than one in four experts believes that the target to decrease nuclear power's share of the French power mix to 50% by 2025 will be met; - The share of renewable energy sources (other than hydropower) in the French power mix is expected to almost quadruple by 2030; - Renewable energy sources (other than hydropower) are believed to become the dominating source of electricity in the EU in 2030; - About two thirds of the experts think that current regulatory conditions in France are particularly accommodating for investments in energy efficiency and renewable energies; - Experts are divided over how supportive current and future regulatory conditions are for encouraging investments in nuclear power in France; - Electricity prices are expected to remain stable over the next six months but to increase over the next 5 years; - Oil prices are expected to continue to decrease over the next six month, but increase over the next 5 years; - CO 2 certificate prices are expected to rise only in the medium to longer term but levels remain rather low

  1. Novel psychrotolerant picocyanobacteria isolated from Chesapeake Bay in the winter.

    Science.gov (United States)

    Xu, Yongle; Jiao, Nianzhi; Chen, Feng

    2015-08-01

    Picocyanobacteria are major primary producers in the ocean, especially in the tropical or subtropical oceans or during warm seasons. Many "warm" picocyanobacterial species have been isolated and characterized. However, picocyanobacteria in cold environments or cold seasons are much less studied. In general, little is known about the taxonomy and ecophysiology of picocyanobacteria living in the winter. In this study, 17 strains of picocyanobacteria were isolated from Chesapeake Bay, a temperate estuarine ecosystem, during the winter months. These winter isolates belong to five distinct phylogenetic lineages, and are distinct from the picocyanobacteria previously isolated from the warm seasons. The vast majority of the winter isolates were closely related to picocyanobacteria isolated from other cold environments like Arctic or subalpine waters. The winter picocyanobacterial isolates were able to maintain slow growth or prolonged dormancy at 4°C. Interestingly, the phycoerythrin-rich strains outperformed the phycocyanin-rich strains at cold temperature. In addition, winter picocyanobacteria changed their morphology when cultivated at 4°C. The close phylogenetic relationship between the winter picocyanobacteria and the picocyanobacteria living in high latitude cold regions indicates that low temperature locations select specific ecotypes of picocyanobacteria. © 2015 Phycological Society of America.

  2. Relationship of deer and moose populations to previous winters' snow

    Science.gov (United States)

    Mech, L.D.; McRoberts, R.E.; Peterson, R.O.; Page, R.E.

    1987-01-01

    (1) Linear regression was used to relate snow accumulation during single and consecutive winters with white-tailed deer (Odocoileus virginianus) fawn:doe ratios, mosse (Alces alces) twinning rates and calf:cow ratios, and annual changes in deer and moose populations. Significant relationships were found between snow accumulation during individual winters and these dependent variables during the following year. However, the strongest relationships were between the dependent variables and the sums of the snow accumulations over the previous three winters. The percentage of the variability explained was 36 to 51. (2) Significant relationships were also found between winter vulnerability of moose calves and the sum of the snow accumulations in the current, and up to seven previous, winters, with about 49% of the variability explained. (3) No relationship was found between wolf numbers and the above dependent variables. (4) These relationships imply that winter influences on maternal nutrition can accumulate for several years and that this cumulative effect strongly determines fecundity and/or calf and fawn survivability. Although wolf (Canis lupus L.) predation is the main direct mortality agent on fawns and calves, wolf density itself appears to be secondary to winter weather in influencing the deer and moose populations.

  3. Autumn Weather and Winter Increase in Cerebrovascular Disease Mortality

    LENUS (Irish Health Repository)

    McDonagh, R

    2016-11-01

    Mortality from cerebrovascular disease increases in winter but the cause is unclear. Ireland’s oceanic climate means that it infrequently experiences extremes of weather. We examined how weather patterns relate to stroke mortality in Ireland. Seasonal data for Sunshine (% of average), Rainfall (% of average) and Temperature (degrees Celsius above average) were collected for autumn (September-November) and winter (December-February) using official Irish Meteorological Office data. National cerebrovascular mortality data was obtained from Quarterly Vital Statistics. Excess winter deaths were calculated by subtracting (nadir) 3rd quarter mortality data from subsequent 1st quarter data. Data for 12 years were analysed, 2002-2014. Mean winter mortality excess was 24.7%. Winter mortality correlated with temperature (r=.60, p=0.04). Rise in winter mortality correlated strongly with the weather in the preceding autumn (Rainfall: r=-0.19 p=0.53, Temperature: r=-0.60, p=0.03, Sunshine, r=0.58, p=0.04). Winter cerebrovascular disease mortality appears higher following cool, sunny autum

  4. Sage-grouse habitat selection during winter in Alberta

    Science.gov (United States)

    Carpenter, Jennifer L.; Aldridge, Cameron L.; Boyce, Mark S.

    2010-01-01

    Greater sage-grouse (Centrocercus urophasianus) are dependent on sagebrush (Artemisia spp.) for food and shelter during winter, yet few studies have assessed winter habitat selection, particularly at scales applicable to conservation planning. Small changes to availability of winter habitats have caused drastic reductions in some sage-grouse populations. We modeled winter habitat selection by sage-grouse in Alberta, Canada, by using a resource selection function. Our purpose was to 1) generate a robust winter habitat-selection model for Alberta sage-grouse; 2) spatially depict habitat suitability in a Geographic Information System to identify areas with a high probability of selection and thus, conservation importance; and 3) assess the relative influence of human development, including oil and gas wells, in landscape models of winter habitat selection. Terrain and vegetation characteristics, sagebrush cover, anthropogenic landscape features, and energy development were important in top Akaike's Information Criterionselected models. During winter, sage-grouse selected dense sagebrush cover and homogenous less rugged areas, and avoided energy development and 2-track truck trails. Sage-grouse avoidance of energy development highlights the need for comprehensive management strategies that maintain suitable habitats across all seasons. ?? 2010 The Wildlife Society.

  5. Winter season mortality: will climate warming bring benefits?

    Science.gov (United States)

    Kinney, Patrick L.; Schwartz, Joel; Pascal, Mathilde; Petkova, Elisaveta; Le Tertre, Alain; Medina, Sylvia; Vautard, Robert

    2015-06-01

    Extreme heat events are associated with spikes in mortality, yet death rates are on average highest during the coldest months of the year. Under the assumption that most winter excess mortality is due to cold temperature, many previous studies have concluded that winter mortality will substantially decline in a warming climate. We analyzed whether and to what extent cold temperatures are associated with excess winter mortality across multiple cities and over multiple years within individual cities, using daily temperature and mortality data from 36 US cities (1985-2006) and 3 French cities (1971-2007). Comparing across cities, we found that excess winter mortality did not depend on seasonal temperature range, and was no lower in warmer vs. colder cities, suggesting that temperature is not a key driver of winter excess mortality. Using regression models within monthly strata, we found that variability in daily mortality within cities was not strongly influenced by winter temperature. Finally we found that inadequate control for seasonality in analyses of the effects of cold temperatures led to spuriously large assumed cold effects, and erroneous attribution of winter mortality to cold temperatures. Our findings suggest that reductions in cold-related mortality under warming climate may be much smaller than some have assumed. This should be of interest to researchers and policy makers concerned with projecting future health effects of climate change and developing relevant adaptation strategies.

  6. Unexpected winter phytoplankton blooms in the North Atlantic subpolar gyre

    Science.gov (United States)

    Lacour, L.; Ardyna, M.; Stec, K. F.; Claustre, H.; Prieur, L.; Poteau, A.; D'Alcala, M. Ribera; Iudicone, D.

    2017-11-01

    In mid- and high-latitude oceans, winter surface cooling and strong winds drive turbulent mixing that carries phytoplankton to depths of several hundred metres, well below the sunlit layer. This downward mixing, in combination with low solar radiation, drastically limits phytoplankton growth during the winter, especially that of the diatoms and other species that are involved in seeding the spring bloom. Here we present observational evidence for widespread winter phytoplankton blooms in a large part of the North Atlantic subpolar gyre from autonomous profiling floats equipped with biogeochemical sensors. These blooms were triggered by intermittent restratification of the mixed layer when mixed-layer eddies led to a horizontal transport of lighter water over denser layers. Combining a bio-optical index with complementary chemotaxonomic and modelling approaches, we show that these restratification events increase phytoplankton residence time in the sunlight zone, resulting in greater light interception and the emergence of winter blooms. Restratification also caused a phytoplankton community shift from pico- and nanophytoplankton to phototrophic diatoms. We conclude that transient winter blooms can maintain active diatom populations throughout the winter months, directly seeding the spring bloom and potentially making a significant contribution to over-winter carbon export.

  7. Wintering Golden Eagles on the coastal plain of South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Vukovich, Mark [USDA Forest Service-Savannah River, New Ellenton, SC (United States); Turner, Kelsey L. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River Ecology Lab. (SREL); Univ. of Georgia, Aiken, SC (United States); Grazia, Tracy E. [USDA Forest Service, New Ellenton, SC (United States). Savannah River; Mims, Thiomas [USDA Forest Service, New Ellenton, SC (United States). Savannah River; Beasley, James C. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River Ecology Lab. (SREL); Univ. of Georgia, Aiken, SC (United States); Kilgo, John C. [USDA Forest Service-Savannah River, New Ellenton, SC (United States)

    2015-10-01

    Golden Eagles (Aquila chrysaetos) are rare winter residents in eastern North America, with most found along the Appalachian Mountains and few reported on the coastal plain of the Carolinas. We used remote cameras baited with wild pig (Sus scrofa) and white-tailed deer (Odocoileus virginianus) carcasses to detect, age, and individually identify Golden Eagles on the U.S. Department of Energy’s Savannah River Site on the coastal plain of South Carolina. We identified eight individual Golden Eagles during the winters of 2013–2014 and 2014–2015, with one detected during both winters. We detected eagles for 19 and 66 calendar days during the winters of 2013–2014 and 2014–2015, respectively, with two adult eagles detected for 30 and 31 calendar days in 2014–2015. Eagles typically scavenged on carcasses for a few days, left, and then returned when cameras were baited with another carcass, suggesting they had remained in the area. These observations suggest that large tracts of forests on the coastal plain may be important wintering areas for some Golden Eagles and, further, that other areas in the coastal plain of the southeastern United States may also harbor wintering eagles. Identification of wintering areas of Golden Eagles in the east will be an important step in the conservation of this protected species, and camera traps baited with carcasses can be an effective tool for such work.

  8. Regional greenhouse gas emissions from cultivation of winter wheat and winter rapeseed for biofuels in Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Elsgaard, Lars; Olesen, Joergen E.; Hermansen, John E.; Kristensen, Inge T.; Boergesen, Christen D. [Dept. of Agroecology, Aarhus Univ., Tjele (Denmark)], E-mail: lars.elsgaard@agrsci.dk

    2013-04-15

    Biofuels from bioenergy crops may substitute a significant part of fossil fuels in the transport sector where, e.g., the European Union has set a target of using 10% renewable energy by 2020. Savings of greenhouse gas emissions by biofuels vary according to cropping systems and are influenced by such regional factors as soil conditions, climate and input of agrochemicals. Here we analysed at a regional scale the greenhouse gas (GHG) emissions associated with cultivation of winter wheat for bioethanol and winter rapeseed for rapeseed methyl ester (RME) under Danish conditions. Emitted CO{sub 2} equivalents (CO{sub 2}eq) were quantified from the footprints of CO{sub 2}, CH{sub 4} and N{sub 2}O associated with cultivation and the emissions were allocated between biofuel energy and co-products. Greenhouse gas emission at the national level (Denmark) was estimated to 22.1 g CO{sub 2}eq MJ{sup 1} ethanol for winter wheat and 26.0 g CO{sub 2}eq MJ{sup 1} RME for winter rapeseed. Results at the regional level (level 2 according to the Nomenclature of Territorial Units for Statistics [NUTS]) ranged from 20.0 to 23.9 g CO{sub 2}eq MJ{sup 1} ethanol and from 23.5 to 27.6 g CO{sub 2}eq MJ{sup 1} RME. Thus, at the regional level emission results varied by up to 20%. Differences in area-based emissions were only 4% reflecting the importance of regional variation in yields for the emission result. Fertilizer nitrogen production and direct emissions of soil N{sub 2}O were major contributors to the final emission result and sensitivity analyses showed that the emission result depended to a large extent on the uncertainty ranges assumed for soil N{sub 2}O emissions. Improvement of greenhouse gas balances could be pursued, e.g., by growing dedicated varieties for energy purposes. However, in a wider perspective, land-use change of native ecosystems to bioenergy cropping systems could compromise the CO{sub 2} savings of bioenergy production and challenge the targets set for biofuel

  9. Winter chilling speeds spring development of temperate butterflies.

    Science.gov (United States)

    Stålhandske, Sandra; Gotthard, Karl; Leimar, Olof

    2017-07-01

    Understanding and predicting phenology has become more important with ongoing climate change and has brought about great research efforts in the recent decades. The majority of studies examining spring phenology of insects have focussed on the effects of spring temperatures alone. Here we use citizen-collected observation data to show that winter cold duration, in addition to spring temperature, can affect the spring emergence of butterflies. Using spatial mixed models, we disentangle the effects of climate variables and reveal impacts of both spring and winter conditions for five butterfly species that overwinter as pupae across the UK, with data from 1976 to 2013 and one butterfly species in Sweden, with data from 2001 to 2013. Warmer springs lead to earlier emergence in all species and milder winters lead to statistically significant delays in three of the five investigated species. We also find that the delaying effect of winter warmth has become more pronounced in the last decade, during which time winter durations have become shorter. For one of the studied species, Anthocharis cardamines (orange tip butterfly), we also make use of parameters determined from previous experiments on pupal development to model the spring phenology. Using daily temperatures in the UK and Sweden, we show that recent variation in spring temperature corresponds to 10-15 day changes in emergence time over UK and Sweden, whereas variation in winter duration corresponds to 20 days variation in the south of the UK versus only 3 days in the south of Sweden. In summary, we show that short winters delay phenology. The effect is most prominent in areas with particularly mild winters, emphasising the importance of winter for the response of ectothermic animals to climate change. With climate change, these effects may become even stronger and apply also at higher latitudes. © 2017 The Authors. Journal of Animal Ecology © 2017 British Ecological Society.

  10. Quantifying Subsidence in the 1999-2000 Arctic Winter Vortex

    Science.gov (United States)

    Greenblatt, Jeffery B.; Jost, Hans-juerg; Loewenstein, Max; Podolske, James R.; Bui, T. Paul; Elkins, James W.; Moore, Fred L.; Ray, Eric A.; Sen, Bhaswar; Margitan, James J.; hide

    2000-01-01

    Quantifying the subsidence of the polar winter stratospheric vortex is essential to the analysis of ozone depletion, as chemical destruction often occurs against a large, altitude-dependent background ozone concentration. Using N2O measurements made during SOLVE on a variety of platforms (ER-2, in-situ balloon and remote balloon), the 1999-2000 Arctic winter subsidence is determined from N2O-potential temperature correlations along several N2O isopleths. The subsidence rates are compared to those determined in other winters, and comparison is also made with results from the SLIMCAT stratospheric chemical transport model.

  11. Notes on winter feeding behavior and molt in Wilson's phalaropes

    Science.gov (United States)

    Burger, J.; Howe, M.

    1975-01-01

    Wilson's Phalaropes, Steganopus tricolor, migrate in late summer from the prairie regions of North America to their wintering grounds in the highlands of Peru and the inland and coastal waters of Chile, Bolivia, Paraguay, Uruguay, and Argentina (Holmes 1939, Meyer de Schauensee 1970). Reports on these birds from their wintering habitat are few. This paper describes numbers, feeding behavior, and molt of Wilson's Phalaropes wintering in a freshwater marsh in central Argentina. Fieldwork in Argentina was conducted by the senior author. The junior author analyzed molt patterns of birds collected there and added data he collected in North Dakota in 1968 and 1969.

  12. Urban emissions of water vapor in winter

    Science.gov (United States)

    Salmon, Olivia E.; Shepson, Paul B.; Ren, Xinrong; Marquardt Collow, Allison B.; Miller, Mark A.; Carlton, Annmarie G.; Cambaliza, Maria O. L.; Heimburger, Alexie; Morgan, Kristan L.; Fuentes, Jose D.; Stirm, Brian H.; Grundman, Robert; Dickerson, Russell R.

    2017-09-01

    Elevated water vapor (H2Ov) mole fractions were occasionally observed downwind of Indianapolis, IN, and the Washington, D.C.-Baltimore, MD, area during airborne mass balance experiments conducted during winter months between 2012 and 2015. On days when an urban H2Ov excess signal was observed, H2Ov emission estimates range between 1.6 × 104 and 1.7 × 105 kg s-1 and account for up to 8.4% of the total (background + urban excess) advected flow of atmospheric boundary layer H2Ov from the urban study sites. Estimates of H2Ov emissions from combustion sources and electricity generation facility cooling towers are 1-2 orders of magnitude smaller than the urban H2Ov emission rates estimated from observations. Instances of urban H2Ov enhancement could be a result of differences in snowmelt and evaporation rates within the urban area, due in part to larger wintertime anthropogenic heat flux and land cover differences, relative to surrounding rural areas. More study is needed to understand why the urban H2Ov excess signal is observed on some days, and not others. Radiative transfer modeling indicates that the observed urban enhancements in H2Ov and other greenhouse gas mole fractions contribute only 0.1°C d-1 to the urban heat island at the surface. This integrated warming through the boundary layer is offset by longwave cooling by H2Ov at the top of the boundary layer. While the radiative impacts of urban H2Ov emissions do not meaningfully influence urban heat island intensity, urban H2Ov emissions may have the potential to alter downwind aerosol and cloud properties.

  13. Energy market barometer report - Winter 2015

    International Nuclear Information System (INIS)

    Schleich, Joachim; Cartel, Melodie; Javaudin, Laurent; Molecke, Greg; Olsthoorn, Mark; Vernay, Anne-Lorene

    2016-01-01

    This Winter 2015 edition of the Grenoble Ecole de Management (GEM) Energy Market Barometer gauged the expectations of French energy experts regarding the low oil price and its consequences on alternative energy technologies. The experts were also asked about the investment climate for energy technologies in France. Key findings: - The energy experts consider the current low oil price a temporary phenomenon. The price of a barrel of crude oil (Brent) to reach US$ 55 at the end of the year (2016). About three quarters of respondents expect the price of oil to increase in 5 years and to exceed US$ 100 per barrel within 10 years. - The current weak price of crude oil is thought to have an adverse impact on the amount of investment in renewables for heat generation, in biofuels, and in energy efficiency technologies. - The experts view the current regulatory environment in France for investments in renewables, e-mobility, smart grids and energy efficiency favorably. They expect it to continue to improve over the next 5 years. However, nuclear energy and natural gas will not see their investment climate improved. - The recent developments on the global and national political stage have not moved most energy and CO 2 price expectations. The experts chart a progressive yet under-whelming raise in the price of CO 2 certificates in the medium to long term, from currently 8.5 euro/ton to euro 10-15 euro/ton in 5 years and 20-25 euro/ton in 10 years. - Prices of electricity, oil and natural gas are expected to rise in the medium term but remain stable over the next six months temporary phenomenon. Coal is the only energy carrier for which experts expect a decrease in price over the next five years

  14. Are patients with erythema migrans who have leukopenia and/or thrombocytopenia coinfected with Anaplasma phagocytophilum or tick-borne encephalitis virus?

    Directory of Open Access Journals (Sweden)

    Franc Strle

    Full Text Available Lyme borreliosis (LB, tick-borne encephalitis (TBE and human granulocytic anaplasmosis (HGA are endemic in central part of Slovenia. We tested the hypothesis that patients with erythema migrans (EM from this region, who have leukopenia and/or thrombocytopenia (typical findings in HGA and in the initial phase of TBE but not in patients with LB are coinfected with Anaplasma phagocytophilum and/or with TBE virus, i.e. that cytopenia is a result of concomitant HGA or the initial phase of TBE. Comparison of clinical and laboratory findings for 67 patients with EM who disclosed leukopenia/thrombocytopenia with the corresponding results in sex- and age-matched patients with EM and normal blood cell counts revealed no differences. In addition, patients with typical EM and leukopenia and/or thrombocytopenia tested negative for the presence of IgM and IgG antibodies to TBE virus by ELISA as well as for the presence of specific IgG antibodies to A. phagocytophilum antigens by IFA in acute and convalescent serum samples. Thus, none of 67 patients (95% CI: 0 to 5.3% with typical EM (the presence of this skin lesion attests for early Lyme borreliosis and is the evidence for a recent tick bite was found to be coinfected with A. phagocytophilum or had a recent primary infection with TBE virus. The findings in the present study indicate that in Slovenia, and probably in other European countries endemic for LB, TBE and HGA, patients with early LB are rarely coinfected with the other tick-transmitted agents.

  15. Long-term ingestion of high flavanol cocoa provides photoprotection against UV-induced erythema and improves skin condition in women.

    Science.gov (United States)

    Heinrich, Ulrike; Neukam, Karin; Tronnier, Hagen; Sies, Helmut; Stahl, Wilhelm

    2006-06-01

    Dietary antioxidants contribute to endogenous photoprotection and are important for the maintenance of skin health. In the present study, 2 groups of women consumed either a high flavanol (326 mg/d) or low flavanol (27 mg/d) cocoa powder dissolved in 100 mL water for 12 wk. Epicatechin (61 mg/d) and catechin (20 mg/d) were the major flavanol monomers in the high flavanol drink, whereas the low flavanol drink contained 6.6 mg epicatechin and 1.6 mg catechin as the daily dose. Photoprotection and indicators of skin condition were assayed before and during the intervention. Following exposure of selected skin areas to 1.25 x minimal erythemal dose (MED) of radiation from a solar simulator, UV-induced erythema was significantly decreased in the high flavanol group, by 15 and 25%, after 6 and 12 wk of treatment, respectively, whereas no change occurred in the low flavanol group. The ingestion of high flavanol cocoa led to increases in blood flow of cutaneous and subcutaneous tissues, and to increases in skin density and skin hydration. Skin thickness was elevated from 1.11 +/- 0.11 mm at wk 0 to 1.24 +/- 0.13 mm at wk 12; transepidermal water loss was diminished from 8.7 +/- 3.7 to 6.3 +/- 2.2 g/(h x m2) within the same time frame. Neither of these variables was affected in the low flavanol cocoa group. Evaluation of the skin surface showed a significant decrease of skin roughness and scaling in the high flavanol cocoa group compared with those at wk 12. Dietary flavanols from cocoa contribute to endogenous photoprotection, improve dermal blood circulation, and affect cosmetically relevant skin surface and hydration variables.

  16. Are patients with erythema migrans who have leukopenia and/or thrombocytopenia coinfected with Anaplasma phagocytophilum or tick-borne encephalitis virus?

    Science.gov (United States)

    Strle, Franc; Bogovič, Petra; Cimperman, Jože; Maraspin, Vera; Ogrinc, Katarina; Rojko, Tereza; Stupica, Daša; Lusa, Lara; Avšič-Županc, Tatjana; Smrdel, Katja Strašek; Jelovšek, Mateja; Lotrič-Furlan, Stanka

    2014-01-01

    Lyme borreliosis (LB), tick-borne encephalitis (TBE) and human granulocytic anaplasmosis (HGA) are endemic in central part of Slovenia. We tested the hypothesis that patients with erythema migrans (EM) from this region, who have leukopenia and/or thrombocytopenia (typical findings in HGA and in the initial phase of TBE but not in patients with LB) are coinfected with Anaplasma phagocytophilum and/or with TBE virus, i.e. that cytopenia is a result of concomitant HGA or the initial phase of TBE. Comparison of clinical and laboratory findings for 67 patients with EM who disclosed leukopenia/thrombocytopenia with the corresponding results in sex- and age-matched patients with EM and normal blood cell counts revealed no differences. In addition, patients with typical EM and leukopenia and/or thrombocytopenia tested negative for the presence of IgM and IgG antibodies to TBE virus by ELISA as well as for the presence of specific IgG antibodies to A. phagocytophilum antigens by IFA in acute and convalescent serum samples. Thus, none of 67 patients (95% CI: 0 to 5.3%) with typical EM (the presence of this skin lesion attests for early Lyme borreliosis and is the evidence for a recent tick bite) was found to be coinfected with A. phagocytophilum or had a recent primary infection with TBE virus. The findings in the present study indicate that in Slovenia, and probably in other European countries endemic for LB, TBE and HGA, patients with early LB are rarely coinfected with the other tick-transmitted agents.

  17. Comparison of phenoxymethylpenicillin, amoxicillin, and doxycycline for erythema migrans in general practice. A randomised controlled trial with a one-year follow-up.

    Science.gov (United States)

    Eliassen, Knut Eirik; Reiso, Harald; Berild, Dag; Lindbæk, Morten

    2018-03-02

    Comparison of the three most commonly used antibiotics for erythema migrans (EM) in Norwegian primary care. A randomised, parallel, controlled trial. Treatments were open to the patients, but blinded for the GPs and investigators. Patients aged ≥18 years, clinically diagnosed with EM were eligible for inclusion. Block randomisation was processed in blocks of six. Patients were assigned to receive one of three antibiotic treatments for 14 days: phenoxymethylpenicillin (PCV), amoxicillin, or doxycycline. The primary outcome was the duration of EM in days in the three treatment groups. Patients kept a diary for the 14 days of treatment, in which they registered concomitant symptoms and side effects. The patients consulted their GP after 14 days of treatment and had a one-year follow-up to monitor any development of disseminated Lyme borreliosis (LB). EMs with duration of more than 14 days were followed until resolution. ClinicalTrials.gov NCT01368341 and EU Clinical Trials Register 2010-023747-15. 188 patients (PCV: n=56, amoxicillin: n=64, doxycycline: n=68) were included by 44 Norwegian general practitioners (GPs) from June 2011 to November 2013. Follow-up was completed by December 2014. The median duration of EM was altogether14 days (range 3 to 293). For the PCV group median duration was 14 days (range 5 to 91), for amoxicillin 13 days (range 4 to 179) and for doxycycline 14 days (range 3 to 293). The duration of EM did not differ significantly between the three antibiotic groups (p=0.277). None of the patients developed disseminated LB within the one-year follow-up. We did not find 14 days of PCV, doxycycline, and amoxicillin treatments to be differently effective or safe in the treatment of clinically diagnosed EM in primary care. Copyright © 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  18. Correlation of Culture Positivity, PCR Positivity, and Burden of Borrelia burgdorferi Sensu Lato in Skin Samples of Erythema Migrans Patients with Clinical Findings.

    Science.gov (United States)

    Stupica, Daša; Lusa, Lara; Maraspin, Vera; Bogovič, Petra; Vidmar, Darja; O'Rourke, Maria; Traweger, Andreas; Livey, Ian; Strle, Franc

    2015-01-01

    Limited data are available regarding the relationship of Borrelia burden in skin of patients with erythema migrans (EM) and the disease course and post-treatment outcome. We studied 121 adult patients with EM in whom skin biopsy specimens were cultured and analyzed by quantitative PCR for the presence of Borreliae. Evaluation of clinical and microbiological findings were conducted at the baseline visit, and 14 days, 2, 6, and 12 months after treatment with either amoxicillin or cefuroxime axetil. In 94/121 (77.7%) patients Borrelia was detected in skin samples by PCR testing and 65/118 (55.1%) patients had positive skin culture result (96.8% B. afzelii, 3.2% B. garinii). Borrelia culture and PCR results correlated significantly with the presence of central clearing and EM size, while Borrelia burden correlated significantly with central clearing, EM size, and presence of newly developed or worsened symptoms since EM onset, with no other known medical explanation (new or increased symptoms, NOIS). In addition, the logistic regression model for repeated measurements adjusted for time from inclusion, indicated higher Borrelia burden was a risk factor for incomplete response (defined as NOIS and/or persistence of EM beyond 14 days and/or occurrence of new objective signs of Lyme borreliosis). The estimated association between PCR positivity and unfavorable outcome was large but not statistically significant, while no corresponding relationship was observed for culture positivity. Higher Borrelia burden in EM skin samples was associated with more frequent central clearing and larger EM lesions at presentation, and with a higher chance of incomplete response.

  19. Correlation of Culture Positivity, PCR Positivity, and Burden of Borrelia burgdorferi Sensu Lato in Skin Samples of Erythema Migrans Patients with Clinical Findings.

    Directory of Open Access Journals (Sweden)

    Daša Stupica

    Full Text Available Limited data are available regarding the relationship of Borrelia burden in skin of patients with erythema migrans (EM and the disease course and post-treatment outcome.We studied 121 adult patients with EM in whom skin biopsy specimens were cultured and analyzed by quantitative PCR for the presence of Borreliae. Evaluation of clinical and microbiological findings were conducted at the baseline visit, and 14 days, 2, 6, and 12 months after treatment with either amoxicillin or cefuroxime axetil.In 94/121 (77.7% patients Borrelia was detected in skin samples by PCR testing and 65/118 (55.1% patients had positive skin culture result (96.8% B. afzelii, 3.2% B. garinii. Borrelia culture and PCR results correlated significantly with the presence of central clearing and EM size, while Borrelia burden correlated significantly with central clearing, EM size, and presence of newly developed or worsened symptoms since EM onset, with no other known medical explanation (new or increased symptoms, NOIS. In addition, the logistic regression model for repeated measurements adjusted for time from inclusion, indicated higher Borrelia burden was a risk factor for incomplete response (defined as NOIS and/or persistence of EM beyond 14 days and/or occurrence of new objective signs of Lyme borreliosis. The estimated association between PCR positivity and unfavorable outcome was large but not statistically significant, while no corresponding relationship was observed for culture positivity.Higher Borrelia burden in EM skin samples was associated with more frequent central clearing and larger EM lesions at presentation, and with a higher chance of incomplete response.

  20. Immunoblot analysis of the seroreactivity to recombinant Borrelia burgdorferi sensu lato antigens, including VlsE, in the long-term course of treated patients with erythema migrans.

    Science.gov (United States)

    Glatz, Martin; Fingerle, Volker; Wilske, Bettina; Ambros-Rudolph, Christina; Kerl, Helmut; Müllegger, Robert R

    2008-01-01

    We evaluated whether immunoblotting is capable of substantiating the posttreatment clinical assessment of patients with erythema migrans (EM), the hallmark of early Lyme borreliosis. In 50 patients, seroreactivity to different antigens of Borrelia burgdorferi sensu lato was analyzed by a recombinant immunoblot test (IB) in consecutive serum samples from a minimum follow-up period of 1 year. Antigens in the IgG test were decorin-binding protein A, internal fragment of p41 (p41i), outer surface protein C (OspC), p39, variable major protein-like sequence expressed (VlsE), p58 and p100; those in the IgM test were p41i, OspC and p39. Immune responses were correlated with clinical and treatment-related parameters. Positive IB results were found in 50% before, in 57% directly after therapy and in 44% by the end of the follow-up for the IgG class, and in 36, 43 and 12% for the IgM class. In acute and convalescence phase sera, VlsE was most immunogenic on IgG testing (60 and 70%), and p41i (46 and 57%) and OspC (40 and 57%) for the IgM class. By the end of the follow-up, only the anti-p41i IgM response was significantly decreased to 24%. No correlation was found between IB results and treatment-related parameters. Thus, immunoblotting does not add to the clinical assessment of EM patients after treatment. (c) 2008 S. Karger AG, Basel.

  1. Daytime changes of skin biophysical characteristics: A study of hydration, transepidermal water loss, ph, sebum, elasticity, erythema, and color index on middle eastern skin

    Directory of Open Access Journals (Sweden)

    Alireza Firooz

    2016-01-01

    Full Text Available Background: The exposure of skin to ultraviolet radiation and temperature differs significantly during the day. It is reasonable that biophysical parameters of human skin have periodic daily fluctuation. The objective of this study was to study the fluctuations of various biophysical characteristics of Middle Eastern skin in standardized experimental conditions. Materials and Methods: Seven biophysical parameters of skin including stratum corneum hydration, transepidermal water loss, pH, sebum, elasticity, skin color, and erythema index were measured at three time points (8 a.m., 12 p.m. and 4 p.m. on the forearm of 12 healthy participants (mean age of 28.4 years without any ongoing skin disease using the CK MPA 580 device in standard temperature and humidity conditions. Results: A significant difference was observed between means of skin color index at 8 a.m. (175.42 ± 13.92 and 4 p.m. (164.44 ± 13.72, P = 0.025, between the pH at 8 a.m. (5.72 ± 0.48 and 4 p.m. (5.33 ± 0.55, P = 0.001 and pH at 12 p.m. (5.60 ± 0.48 and 4 p.m. (5.33 ± 0.55, P = 0.001. Other comparisons between the means of these parameters at different time points resulted in nonsignificant P values. Conclusion: There are daytime changes in skin color index and pH. Skin color index might be higher and cutaneous pH more basic in the early morning compared to later of the day.

  2. Real-time weed detection, decision making and patch spraying in maize, sugarbeet, winter wheat and winter barley

    DEFF Research Database (Denmark)

    Gerhards, R; Christensen, Svend

    2003-01-01

    with weed infestation levels higher than the economic weed threshold; a review of such work is provided. This paper presents a system for site-specific weed control in sugarbeet (Beta vulgaris L.), maize (Zea mays L.), winter wheat (Triticum aestivum L.) and winter barley (Hordeum vulgare L.), including...... online weed detection using digital image analysis, computer-based decision making and global positioning systems (GPS)-controlled patch spraying. In a 4-year study, herbicide use with this map-based approach was reduced in winter cereals by 60% for herbicides against broad-leaved weeds and 90% for grass...

  3. NEFSC 2001 Winter Bottom Trawl Survey (AL0102, EK500)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The objectives of the cruise are to: (1) determine the winter distribution and relative abundance of fish and selected invertebrate species; (2) collect biological...

  4. NEFSC 2000 Winter Bottom Trawl Survey (AL0001, EK500)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The objectives of the cruise are to: (1) determine the winter distribution and relative abundance of fish and selected invertebrate species; (2) collect biological...

  5. Comparison of winter temperature profiles in asphalt and concrete pavements.

    Science.gov (United States)

    2014-06-01

    The objectives of this research were to 1) determine which pavement type, asphalt or concrete, has : higher surface temperatures in winter and 2) compare the subsurface temperatures under asphalt and : concrete pavements to determine the pavement typ...

  6. JTEL Winter School for Advanced Technologically Enhanced Learning

    NARCIS (Netherlands)

    Glahn, Christian; Gruber, Marion

    2010-01-01

    Glahn, C., & Gruber, M. (2010). JTEL Winter School for Advanced Technologically Enhanced Learning. In ~mail. Das Magazin des Tiroler Bildungsinstituts, 01/10, März (p. 3-4). Innsbruck: Grillhof, Medienzentrum.

  7. Prediction of thermal behavior of pervious concrete pavements in winter.

    Science.gov (United States)

    2017-05-15

    Because application of pervious concrete pavement (PCPs) has extended to cold-climate regions of the United States, the safety and : mobility of PCP installations during the winter season need to be maintained. Timely application of salt, anti-icing,...

  8. zimbabwean fourth social workers conference and winter school

    African Journals Online (AJOL)

    cswserver

    commercial 4.0 International License. ZIMBABWEAN FOURTH SOCIAL WORKERS CONFERENCE AND WINTER. SCHOOL. Noah Mudenda. The Council of Social Workers (CSW or Council) was established under the Social Workers Act 27:21 ...

  9. Reindeer (Rangifer tarandus and climate change: Importance of winter forage

    Directory of Open Access Journals (Sweden)

    Thrine Moen Heggberget

    2002-06-01

    Full Text Available As a consequence of increasing greenhouse gas concentrations, climate change is predicted to be particularly pronounced, although regionally variable, in the vast arctic, sub-arctic and alpine tundra areas of the northern hemisphere. Here, we review winter foraging conditions for reindeer and caribou (Rangifer tarandus living in these areas, and consider diet, forage quality and distribution, accessibility due to snow variation, and effects of snow condition on reindeer and caribou populations. Finally, we hypothesise how global warming may affect wild mountain reindeer herds in South Norway. Energy-rich lichens often dominate reindeer and caribou diets. The animals also prefer lichens, and their productivity has been shown to be higher on lichen-rich than on lichen-poor ranges. Nevertheless, this energy source appears to be neither sufficient as winter diet for reindeer or caribou (at least for pregnant females nor necessary. Some reindeer and caribou populations seem to be better adapted to a non-lichen winter diet, e.g. by a larger alimentary tract. Shrubs appear to be the most common alternative winter forage, while some grasses appear to represent a good, nutritionally-balanced winter diet. Reindeer/caribou make good use of a wide variety of plants in winter, including dead and dry parts that are digested more than expected based on their fibre content. The diversity of winter forage is probably important for the mineral content of the diet. A lichen-dominated winter diet may be deficient in essential dietary elements, e.g. minerals. Sodium in particular may be marginal in inland winter ranges. Our review indicates that most Rangifer populations with lichen-dominated winter diets are either periodically or continuously heavily harvested by humans or predators. However, when population size is mainly limited by food, accessible lichen resources are often depleted. Plant studies simulating climatic change indicate that a warmer, wetter

  10. NEFSC 1999 Winter Bottom Trawl Survey (AL9902, EK500)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The objectives of the cruise are to: (1) determine the winter distribution and relative abundance of fish and selected invertebrate species; (2) collect biological...

  11. Nearshore hydrography off Visakhapatnam, East coast of India, during winter

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, B.P.; RameshBabu, V.

    Based on hydrographic data and time series data of currents and temperature, the nearshore hydrographic structure during winter (November, 1981) has been studied to examine the possibility of discharging industrial effluents into the nearby sea...

  12. Research on best practices for winter weather operations.

    Science.gov (United States)

    2012-10-01

    There is a growing need to identify actionable practices relative to winter weather operations. Because of the : potential and inherent hazards during cold weather, it has become increasingly important to ensure that these : practices can be effectiv...

  13. Nitrogen uptake in the northeastern Arabian Sea during winter cooling

    Digital Repository Service at National Institute of Oceanography (India)

    Kumar, S.; Ramesh, R.; Dwivedi, R.M.; Raman, M.; Sheshshayee, M.S.; DeSouza, W.

    technique are presented. In this relatively underexplored region, productivity is high during winter due to supply of nutrients by convective mixing caused by the cooling of the surface by the northeast monsoon winds. Studies done during different months...

  14. Characteristic features of winter precipitation and its variability over ...

    Indian Academy of Sciences (India)

    Keywords. Northwest India; winter precipitation; western disturbances; rabi crops; precipitation variability; precipitation epochs. ... The precipitation is mainly associated with the sequence of synoptic systems known as 'western disturbances'. The precipitation has ... National Atmospheric Research Laboratory, Tirupati, India.

  15. Parameters of apple tree variety resistant to winter unfavorable conditions

    OpenAIRE

    Krasova, N.

    2013-01-01

    Uncontrolled factors of the environment significantly reduce apple yielding power. Tree winter resistance is considered to be one of the basic indexes of adaptation. Certain resistant apple varieties have been revealed. The problem of manifestation of the mechanism of the resistance to winter unfavorable conditions is considered in this paper. A positive tendency has been revealed at the relationship between the contents of saccharose, proline, anthocyans, cyanidines and proteins in one-year ...

  16. Are cold winters in Europe associated with low solar activity?

    International Nuclear Information System (INIS)

    Lockwood, M; Harrison, R G; Woollings, T; Solanki, S K

    2010-01-01

    Solar activity during the current sunspot minimum has fallen to levels unknown since the start of the 20th century. The Maunder minimum (about 1650-1700) was a prolonged episode of low solar activity which coincided with more severe winters in the United Kingdom and continental Europe. Motivated by recent relatively cold winters in the UK, we investigate the possible connection with solar activity. We identify regionally anomalous cold winters by detrending the Central England temperature (CET) record using reconstructions of the northern hemisphere mean temperature. We show that cold winter excursions from the hemispheric trend occur more commonly in the UK during low solar activity, consistent with the solar influence on the occurrence of persistent blocking events in the eastern Atlantic. We stress that this is a regional and seasonal effect relating to European winters and not a global effect. Average solar activity has declined rapidly since 1985 and cosmogenic isotopes suggest an 8% chance of a return to Maunder minimum conditions within the next 50 years (Lockwood 2010 Proc. R. Soc. A 466 303-29): the results presented here indicate that, despite hemispheric warming, the UK and Europe could experience more cold winters than during recent decades.

  17. Polar vortex evolution during Northern Hemispheric winter 2004/05

    Directory of Open Access Journals (Sweden)

    T. Chshyolkova

    2007-06-01

    Full Text Available As a part of the project "Atmospheric Wave Influences upon the Winter Polar Vortices (0–100 km" of the CAWSES program, data from meteor and Medium Frequency radars at 12 locations and MetO (UK Meteorological Office global assimilated fields have been analyzed for the first campaign during the Northern Hemispheric winter of 2004/05. The stratospheric state has been described using the conventional zonal mean parameters as well as Q-diagnostic, which allows consideration of the longitudinal variability. The stratosphere was cold during winter of 2004/05, and the polar vortex was relatively strong during most of the winter with relatively weak disturbances occurring at the end of December and the end of January. For this winter the strongest deformation with the splitting of the polar vortex in the lower stratosphere was observed at the end of February. Here the results show strong latitudinal and longitudinal differences that are evident in the stratospheric and mesospheric data sets at different stations. Eastward winds are weaker and oscillations with planetary wave periods have smaller amplitudes at more poleward stations. Accordingly, the occurrence, time and magnitude of the observed reversal of the zonal mesospheric winds associated with stratospheric disturbances depend on the local stratospheric conditions. In general, compared to previous years, the winter of 2004/05 could be characterized by weak planetary wave activity at stratospheric and mesospheric heights.

  18. WATER NEEDS FOR WINTER BEAN CROP

    Directory of Open Access Journals (Sweden)

    A.E. Klar

    1997-09-01

    Full Text Available A study of water use by bean winter crop (Phaseolus vulgaris, L., cv. Carioca was carried out in a Red Yellow Latosol, clay texture. A furrow irrigation system maintained soil water potentials higher than -40 KPa. Two broadcast nitrogen treatments (0 and 30 kg N/ha were applied 25 days after planting. The major objectives were to study the nitrogen and evapotranspiration interaction and measure the crop coefficients (Kc. The maximum average evapotranspiration (ETm was 1.71 mm/day, or 157.16 mm over 92 days of observations; the ETm values for the vegetative (1, flowering (2 and pod formation (3 phases were 1.48, 2.35, and 1.50 mm/day, respectively, for the 30 kg/ha nitrogen treatment, and 1.48, 1.88 and 1.45 mm/day for the no nitrogen treatment. The crop coefficients (Kc = ETm / ETo were 0.62 and 0.78 for the phase 1, 0.80 and 1.10 for the phase 2, 0.45 and 0.55 for the phase 3 and 0.61 and 0.80 for the entire cycle, based on the FAO-Penman and Class A Pan reference methods (ETo, respectively. The latter one was the best approach to estimate maximum water use by winter bean crop. Nitrogen treatments did not affect evapotranspiration significantly. However, the measured evapotranspiration obtained from the water balance method was 59.78 and 27.12% higher in the flowering than in the vegetative phase, respectively, under 30 and 0 kg N/ha.Um estudo sobre o uso de água do feijoeiro de inverno (Phaseolus vulgaris L. cv. Carioca foi realizado num solo Latossol Vermelho Amarelo de textura argilosa. Um sistema de sulcos de infiltração foi usado para proceder a irrigação com o intuito de manter o solo em potenciais de água superiores a -40,0 KPa. Duas doses de aplicação de N em cobertura (0 a 30 Kg N/ha foram colocados 25 dias após o plantio. Os principais objetivos do estudo foram: avaliar a interação entre as duas doses de N com a evapotranspiração e medir os coeficientes de cultura (Kc. A evapotranspiração média máxima (ETm foi 1,71 mm

  19. SERSO: Summer sun against winter ice; SERSO: Mit Sommer-Sonne gegen Winter-Glatteis

    Energy Technology Data Exchange (ETDEWEB)

    Eugster, W.J. [Polydynamics Engineering, Zuerich (Switzerland); Hess, K. [Polydynamics Engineering, Bremgarten-Bern (Switzerland); Hopkirk, R.J. [Polydynamics Engineering, Maennedorf (Switzerland)

    1997-12-01

    Road surfaces absorb energy from the incoming solar radiation in the summer months. The SERSO project was conceived to collect this energy, store it and reuse it during the following winter period to eliminate ice formation on those same road surfaces. The acronym SERSO (Sonnenenergierueckgewinnung aus Strassenoberflaechen) means `solar energy recuperation from road surfaces`. This pilot unit having been conceived, researched an applied to a bridge on the Swiss national expressway A8 near Daerligen on the south side of the lake of Thun was officially opened on 22nd August 1994. Heat exchanger tubes carrying a water/glycol heat transfer fluid were built into the roadbed on the bridge, covering a total area of some 1`300 m{sup 2}. In summer these collect heat from the exposed carriageways, which is then transported in a closed hydraulic circuit to the neighbouring cylindrical underground rock heat storage volume. Within a diameter of 31.5 m and a depth of 65 m heat is exchanged between the heat transfer fluid and the rock via an array of 91 borehole heat exchangers. The operation of the pilot plant has been accompanied by detailed measurement campaign, whereby a total of 132 sensors are interrogated by remote datalogger. The data consist of temperature measurements at several depths and positions both in the roadbed and in the rock storage volume, of energy fluxes in the hydraulic system and of relevant meteorological data. The experiences gianed during the first two years of operation have shown that sufficient heat can indeed be collected in summer to maintain the bridge free of ice during the following winter. Moreover the energy balances derived from the measurements in the low temperature rock heat store have confirmed the predicted storage efficiency. (orig./AKF) [Deutsch] cVerkehrsflaechen heizen sich im Sommer durch Sonneneinstrahlung stark auf. Diese Sommerwaerme zu sammeln, zwischenzuspeichern und im Winter zur Verhinderung von Glatteisbildung wieder zu

  20. Winter survival of Scots pine seedlings under different snow conditions.

    Science.gov (United States)

    Domisch, Timo; Martz, Françoise; Repo, Tapani; Rautio, Pasi

    2018-04-01

    Future climate scenarios predict increased air temperatures and precipitation, particularly at high latitudes, and especially so during winter. Soil temperatures, however, are more difficult to predict, since they depend strongly on the fate of the insulating snow cover. 'Rain-on-snow' events and warm spells during winter can lead to thaw-freeze cycles, compacted snow and ice encasement, as well as local flooding. These adverse conditions could counteract the otherwise positive effects of climatic changes on forest seedling growth. In order to study the effects of different winter and snow conditions on young Scots pine (Pinus sylvestris L.) seedlings, we conducted a laboratory experiment in which 80 1-year-old Scots pine seedlings were distributed between four winter treatments in dasotrons: ambient snow cover (SNOW), compressed snow and ice encasement (ICE), flooded and frozen soil (FLOOD) and no snow (NO SNOW). During the winter treatment period and a 1.5-month simulated spring/early summer phase, we monitored the needle, stem and root biomass of the seedlings, and determined their starch and soluble sugar concentrations. In addition, we assessed the stress experienced by the seedlings by measuring chlorophyll fluorescence, electric impedance and photosynthesis of the previous-year needles. Compared with the SNOW treatment, carbohydrate concentrations were lower in the FLOOD and NO SNOW treatments where the seedlings had almost died before the end of the experiment, presumably due to frost desiccation of aboveground parts during the winter treatments. The seedlings of the ICE treatment showed dead needles and stems only above the snow and ice cover. The results emphasize the importance of an insulating and protecting snow cover for small forest tree seedlings, and that future winters with changed snow patterns might affect the survival of tree seedlings and thus forest productivity.

  1. 77 FR 7000 - Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Gulf of Maine Winter...

    Science.gov (United States)

    2012-02-10

    ... Fishery; Gulf of Maine Winter Flounder Catch Limit Revisions AGENCY: National Marine Fisheries Service... criteria for Gulf of Maine (GOM) winter flounder and associated increases in GOM winter flounder catch... year (FY) 2011 GOM winter flounder catch levels, including Overfishing Levels (OFLs), Acceptable...

  2. Mapping of QTLs for leaf area and the association with winter ...

    African Journals Online (AJOL)

    Variations in plant architecture are often associated with the ability of plants to survive cold stress during winter. In studies of winter hardiness in lentil, it appeared that small leaf area was associated with improved winter survival. Based on this observation, the inheritance of leaf area and the relationship with winter ...

  3. 75 FR 76405 - Winter Bee, Inc., Provisional Acceptance of a Settlement Agreement and Order

    Science.gov (United States)

    2010-12-08

    ... CONSUMER PRODUCT SAFETY COMMISSION [CPSC Docket No. 11-C0002] Winter Bee, Inc., Provisional...(e).\\1\\ Published below is a provisionally-accepted Settlement Agreement with Winter Bee, Inc... 1. In accordance with 16 CFR 1118.20, Winter Bee, Inc. (``Winter Bee'') and the staff (``Staff'') of...

  4. Addressing challenges for youths with mobility devices in winter conditions.

    Science.gov (United States)

    Morales, Ernesto; Lindsay, Sally; Edwards, Geoffrey; Howell, Lori; Vincent, Claude; Yantzi, Nicole; Gauthier, Véronique

    2018-01-01

    Winter-related research about the experience of navigating in the urban context has mostly focused on the elderly population with physical disabilities. The aim of this project was to explore potential design solutions to enhance young people's mobility devices and the built environment to improve accessibility and participation in winter. A multi-method qualitative design process included the following steps: (1) in-depth interviews; (2) photo elicitation; (3) individual co-design sessions; and (4) group co-design sessions (i.e., focus group). The participants were 13 youths (nine males and four females), aged 12-21, who used a wheelchair (12 power chair users and one manual wheelchair), for some with their parents, others without their parents, according to the parents' willingness to participate or not in the study (n = 13). The first two authors conducted group co-design sessions with mechanical engineers and therapists/clinicians in two Canadian cities to discuss the feasibility of the designs. Results (findings): The youths and their parents reported different winter-related challenges and proposed specific design solutions to enhance their participation and inclusion in winter activities. Seven of these designs were presented at two group co-design sessions of therapists/clinicians and engineers. Two designs were found to be feasible: (1) a traction device for wheelchairs in snow and (2) a mat made of rollers to clean snow and dirt from tires. The results of this research highlight the frustrations and challenges youths who use wheelchairs encounter in winter and a need for new solutions to ensure greater accessibility in winter. Therapists/clinicians and designers should address winter-related accessibility problems in areas with abundant snow. Implications for Rehabilitation Several studies show that current urban contexts do not necessarily respond accurately to the needs of individuals with limited mobility. Winter-related research about the

  5. THE EVOLUTION OF THE WINTER PARALYMPIC GAMES AND SPORTS

    Directory of Open Access Journals (Sweden)

    Vasilios Giovanis

    2015-03-01

    Full Text Available Purpose: The aim of this research was to record and the evolution of the winter paralympic games and sports since 1976 until 2010. The history of the Winter Paralympic Games is relatively recent compared to that one of the Olympic Games. The first Games were held in 1976 in Ornskoldsvik, Sweden and the most recent, 38 years later in 2014, in Sochi, Russia. This article will examine the Winter Paralympic Games up until the ones in 2010 in Vancouver, Canada. During these years, there have been many changes in relation to the Games itself, the governing body of the Paralympic Movement, the sports’ facilities, the sports involved and sports’ categories. The motivation for writing this paper was the need to record and gather all of these items in one paper. Gathering information for the Winter Paralympic Games will be an important theoretical background. This information will create a database for the structure of the governing body of the Paralympic Games, for the organization of the Games [Local Organizing Committee (LOC, venues and equipment], for the evolution of the Winter Paralympic Sports and the categories of the athletes, as well as the evolution of the athletes’ and sports’ participation. Material : The research material that was used was mainly from the bibliography and records of the International Paralympic Committee (IPC, from the Official Post Games Reports and the Internet, while the research method that was used was descriptive. Moreover, the use of diagrams will depict the distribution of the participation of athletes and countries in each Games. Results : The participation of countries grew continuously and steadily from 16 to 44, during the years of 1976 to 2010 respectively. Regarding the athletes’ participation, starting in the first Games with 198 athletes, they reached the number of 502 in the 2010 Vancouver Winter Paralympic Games. The participation percentages of the athletes coming from Europe constituted the bulk

  6. Genetic architecture of winter hardiness and frost tolerance in triticale.

    Directory of Open Access Journals (Sweden)

    Wenxin Liu

    Full Text Available Abiotic stress experienced by autumn-sown crops during winter is of great economic importance as it can have a severe negative impact on yield. In this study, we investigated the genetic architecture of winter hardiness and frost tolerance in triticale. To this end, we used a large mapping population of 647 DH lines phenotyped for both traits in combination with genome-wide marker data. Employing multiple-line cross QTL mapping, we identified nine main effect QTL for winter hardiness and frost tolerance of which six were overlapping between both traits. Three major QTL were identified on chromosomes 5A, 1B and 5R. In addition, an epistasis scan revealed the contribution of epistasis to the genetic architecture of winter hardiness and frost tolerance in triticale. Taken together, our results show that winter hardiness and frost tolerance are complex traits that can be improved by phenotypic selection, but also that genomic approaches hold potential for a knowledge-based improvement of these important traits in elite triticale germplasm.

  7. Suitability of Starch Syrups for Winter Feeding of Honeybee Colonies

    Directory of Open Access Journals (Sweden)

    Semkiw Piotr

    2016-12-01

    Full Text Available Three different starch syrups available on the Polish market for winter feeding of bees were evaluated for two consecutive beekeeping seasons (2012/2013 and 2013/2014. Sugar syrup and inverted sucrose syrup were used as the control. Winter feeding was conducted at two times: earlier and later in the season. After supplementation of winter feeding was stopped, we measured colony strength (number of combs covered by bees and brood area. After overwintering (spring 2013 and 2014, we estimated the influence of these foods on: bee mortality during overwintering (number of dead bees in winter debris, food consumption, colony strength and brood area in spring (two measurements in three-week intervals, development dynamics and honey yield from spring flow. An analysis of the results for the parameters assessed before overwintering, after its end and during spring development did not show significant differences between bee colonies fed with different types of food. No relevant difficulties concerning food crystallisation were encountered. The analysed syrups turned out to be as suitable for winter feeding of bees as sugar and inverted sucrose syrups.

  8. Learning at old age: a study on winter bees

    Directory of Open Access Journals (Sweden)

    Andreas Behrends

    2010-04-01

    Full Text Available Ageing is often accompanied by a decline in learning and memory abilities across the animal kingdom. Understanding age-related changes in cognitive abilities is therefore a major goal of current research. The honey bee is emerging as a novel model organism for age-related changes in brain function, because learning and memory can easily be studied in bees under controlled laboratory conditions. In addition, genetically similar workers naturally display life expectancies from six weeks (summer bees to six months (winter bees. We studied whether in honey bees, extreme longevity leads to a decline in cognitive functions. Six-month-old winter bees were conditioned either to odours or to tactile stimuli. Afterwards, long-term memory and discrimination abilities were analysed. Winter bees were kept under different conditions (flight /no flight opportunity to test for effects of foraging activity on learning performance. Despite their extreme age, winter bees did not display an age-related decline in learning or discrimination abilities, but had a slightly impaired olfactory long-term memory. The opportunity to forage indoors led to a slight decrease in learning performance. This suggests that in honey bees, unlike in most other animals, age per se does not impair associative learning. Future research will show which mechanisms protect winter bees from age-related deficits in learning.

  9. Marine assemblages respond rapidly to winter climate variability.

    Science.gov (United States)

    Morley, James W; Batt, Ryan D; Pinsky, Malin L

    2017-07-01

    Even species within the same assemblage have varied responses to climate change, and there is a poor understanding for why some taxa are more sensitive to climate than others. In addition, multiple mechanisms can drive species' responses, and responses may be specific to certain life stages or times of year. To test how marine species respond to climate variability, we analyzed 73 diverse taxa off the southeast US coast in 26 years of scientific trawl survey data and determined how changes in distribution and biomass relate to temperature. We found that winter temperatures were particularly useful for explaining interannual variation in species' distribution and biomass, although the direction and magnitude of the response varied among species from strongly negative, to little response, to strongly positive. Across species, the response to winter temperature varied greatly, with much of this variation being explained by thermal preference. A separate analysis of annual commercial fishery landings revealed that winter temperatures may also impact several important fisheries in the southeast United States. Based on the life stages of the species surveyed, winter temperature appears to act through overwinter mortality of juveniles or as a cue for migration timing. We predict that this assemblage will be responsive to projected increases in temperature and that winter temperature may be broadly important for species relationships with climate on a global scale. © The Authors Global Change Biology Published by John Wiley & Sons Ltd.

  10. Winter storm-related injuries in Oklahoma, January 2007.

    Science.gov (United States)

    Piercefield, Emily; Wendling, Tracy; Archer, Pam; Mallonee, Sue

    2011-02-01

    A January 2007 ice storm occurred in Oklahoma, causing power outages and hazardous travel conditions. The objective of this investigation was to describe the nature of winter storm-related injuries among Oklahoma residents, to determine populations at risk, and to inform prevention-planning personnel. Winter storm-related injuries were a temporarily reportable condition; all acute-care hospitals and the state medical examiner logged storm-related injuries and deaths during January 12-30, 2007. Medical records were retrospectively abstracted. Risk of injury was described by demographic group, injury type, and mechanism. Among 6,047 persons experiencing winter storm-related injuries, 74% were injured in falls, 13% in motor-vehicle collisions (MVCs), 8% while sledding, 1% by unintentional carbon monoxide poisoning, 1% in cleanup activities, and 3% by other mechanisms. Median age of injured persons was 39years. Persons aged ≥ 40 years were 1.4 times more likely to experience falls as the cause of injury than those aged falls were twice as likely as other mechanisms to cause fractures among persons aged ≥ 40 years. Injured persons aged older persons were more likely to experience falls and fractures. Prevention messages for winter storm-related injuries should target winter-driving safety tips to younger adults and precautions regarding falls to older adults. Published by Elsevier Ltd.

  11. Physiological responses of Yellowstone bison to winter nutritional deprivation

    Science.gov (United States)

    DelGiudice, Glenn D.; Singer, Francis J.; Seal, Ulysses S.; Bowser, Gillian

    1994-01-01

    Because nutrition is critically related to other aspects of bison (Bison bison) ecology, and the winter ranges inhabited by bison in Yellowstone National Park (YNP) are ecologically diverse, it was important to determine if nutritional deprivation differences occurred among winter ranges. We used chemistry profiles of urine suspended in snow to compare nutritional deprivation of bison from January to April 1988 on 4 sampling areas of 3 winter ranges in YNP. Declining (P creatinine ratios in bison on all 4 sampling areas indicated progressive nutritional deprivation through late March. Concurrent increases (P ≤ 0.001) in mean urea nitrogen: creatinine ratios from late February through late march in 3 of 4 areas suggested that increased net catabolism was occurring. Diminished creatinine ratios of sodium and phosphorus reflected low dietary intake of these minerals throughout winter. Mean values and trends of urinary characteristics indicated nutritional deprivation varied among 3 winter ranges in YNP. Continued physiological monitoring of nutritional deprivation, along with detailed examination of other aspects of the bison's ecology, will provide greater insight into the role of ungulate nutrition in the dynamics of such a complex system and improve management.

  12. Weather Support for the 2002 Winter Olympic and Paralympic Games.

    Science.gov (United States)

    Horel, J.; Potter, T.; Dunn, L.; Steenburgh, W. J.; Eubank, M.; Splitt, M.; Onton, D. J.

    2002-02-01

    The 2002 Winter Olympic and Paralympic Games will be hosted by Salt Lake City, Utah, during February-March 2002. Adverse weather during this period may delay sporting events, while snow and ice-covered streets and highways may impede access by the athletes and spectators to the venues. While winter snowstorms and other large-scale weather systems typically have widespread impacts throughout northern Utah, hazardous winter weather is often related to local terrain features (the Wasatch Mountains and Great Salt Lake are the most prominent ones). Examples of such hazardous weather include lake-effect snowstorms, ice fog, gap winds, downslope windstorms, and low visibility over mountain passes.A weather support system has been developed to provide weather information to the athletes, games officials, spectators, and the interested public around the world. This system is managed by the Salt Lake Olympic Committee and relies upon meteorologists from the public, private, and academic sectors of the atmospheric science community. Weather forecasting duties will be led by National Weather Service forecasters and a team of private, weather forecasters organized by KSL, the Salt Lake City NBC television affiliate. Other government agencies, commercial firms, and the University of Utah are providing specialized forecasts and support services for the Olympics. The weather support system developed for the 2002 Winter Olympics is expected to provide long-term benefits to the public through improved understanding,monitoring, and prediction of winter weather in the Intermountain West.

  13. Winter climate change: a critical factor for temperate vegetation performance.

    Science.gov (United States)

    Kreyling, Juergen

    2010-07-01

    Winter ecological processes are important drivers of vegetation and ecosystem functioning in temperate ecosystems. There, winter conditions are subject to rapid climate change. The potential loss of a longer-lasting snow cover with implications to other plant-related climate parameters and overwintering strategies make the temperate zone particularly vulnerable to winter climate change. A formalized literature search in the ISI Web of Science shows that plant related research on the effects of winter climate change is generally underrepresented. Temperate regions in particular are rarely studied in this respect, although the few existing studies imply strong effects of winter climate change on species ranges, species compositions, phenology, or frost injury. The generally positive effect of warming on plant survival and production may be counteracted by effects such as an increased frost injury of roots and shoots, an increased insect pest risk, or a disrupted synchrony between plants and pollinators. Based on the literature study, gaps in current knowledge are discussed. Understanding the relative effects of interacting climate parameters, as well as a stronger consideration of shortterm events and variability of climatic conditions is urgent. With respect to plant response, it would be particularly worthwhile to account for hidden players such as pathogens, pollinators, herbivores, or fungal partners in mycorrhization.

  14. Unusually cold and dry winters increase mortality in Australia.

    Science.gov (United States)

    Huang, Cunrui; Chu, Cordia; Wang, Xiaoming; Barnett, Adrian G

    2015-01-01

    Seasonal patterns in mortality have been recognised for decades, with a marked excess of deaths in winter, yet our understanding of the causes of this phenomenon is not yet complete. Research has shown that low and high temperatures are associated with increased mortality independently of season; however, the impact of unseasonal weather on mortality has been less studied. In this study, we aimed to determine if unseasonal patterns in weather were associated with unseasonal patterns in mortality. We obtained daily temperature, humidity and mortality data from 1988 to 2009 for five major Australian cities with a range of climates. We split the seasonal patterns in temperature, humidity and mortality into their stationary and non-stationary parts. A stationary seasonal pattern is consistent from year-to-year, and a non-stationary pattern varies from year-to-year. We used Poisson regression to investigate associations between unseasonal weather and an unusual number of deaths. We found that deaths rates in Australia were 20-30% higher in winter than summer. The seasonal pattern of mortality was non-stationary, with much larger peaks in some winters. Winters that were colder or drier than a typical winter had significantly increased death risks in most cities. Conversely summers that were warmer or more humid than average showed no increase in death risks. Better understanding the occurrence and cause of seasonal variations in mortality will help with disease prevention and save lives. Copyright © 2014 Elsevier Inc. All rights reserved.

  15. Migration and winter distribution of the Chestnutcollared Longspur

    Directory of Open Access Journals (Sweden)

    Ellison Kevin

    2017-12-01

    Full Text Available The Chestnut-collared Longspur (Calcarius ornatus is one of five grassland songbirds, endemic within North America, with populations that have declined >65% since the 1960s. These species breed and winter in the northern and southern Great Plains, respectively. Identifying migration routes, wintering sites, and the timing of their habitat use is key for understanding the relative magnitude of threats across the annual cycle and effectively targeting habitats for conservation. We tracked migratory movements of seven Chestnut-collared Longspurs with light-level geolocators deployed in Canada. Individuals wintered up to 112-1,200km apart. All followed the Central Flyway, circumvented high-elevation terrain, and traveled east of the breeding location. Unlike most songbirds, the durations of spring and fall migrations were similar; on average 42 ± 7d and 41 ± 5d during fall and spring migrations, respectively, for an approximately 2,000km migration; this highlights the need to better understand habitat requirements during migration for grassland songbirds. Using geospatial habitat data, we assessed winter distribution overlap with four other endemic grassland songbirds; wintering range overlapped 63-99%. Future studies should use more precise devices (e.g., archival GPS units, programmed for data collection dates from this study, to identify specific migratory sites for better conserving this and associated grassland species.

  16. Temperature-associated dynamics of songbird winter distributions and abundances.

    Science.gov (United States)

    Butler, J Russell; MacMynowski, Dena P; Laurent, Chad; Root, Terry L

    2007-12-01

    Using Christmas Bird Count data, we analyze the annual spatio-temporal abundances of six passerine species in the upper Great Plains, US (1960-1990). This study provides new insight into how global warming could cause separation of species within present-day communities. We find that winter relative abundances of similarly-sized songbirds are differentially affected by ambient winter temperature. As such, average annual winter temperature fluctuations (i.e., severity of winter) are significantly (P < 0.05) correlated with the relative abundances of three species while the other three are not. Our conditional probability-of-occurrence analysis indicates that the abundances of the three temperature-associated species declined markedly below -4 degrees C while the abundances of the other three species fluctuated little from 8 degrees C to -16 degrees C. We conclude that even in colder climates i) the winter distributions of some, but not all, songbirds are directly or indirectly limited by temperature; and ii) these birds have dynamic abundances that can quickly respond to temperature changes.

  17. Echo Meadows Project Winter Artificial Recharge.

    Energy Technology Data Exchange (ETDEWEB)

    Ziari, Fred

    2002-12-19

    This report discusses the findings of the Echo Meadows Project (BPA Project 2001-015-00). The main purpose of this project is to artificially recharge an alluvial aquifer, WITH water from Umatilla River during the winter high flow period. In turn, this recharged aquifer will discharge an increased flow of cool groundwater back to the river, thereby improving Umatilla River water quality and temperature. A considerable side benefit is that the Umatilla River should improve as a habitat for migration, spanning, and rearing of anadromous and resident fish. The scope of this project is to provide critical baseline information about the Echo Meadows and the associated reach of the Umatilla River. Key elements of information that has been gathered include: (1) Annual and seasonal groundwater levels in the aquifer with an emphasis on the irrigation season, (2) Groundwater hydraulic properties, particularly hydraulic conductivity and specific yield, and (3) Groundwater and Umatilla River water quality including temperature, nutrients and other indicator parameters. One of the major purposes of this data gathering was to develop input to a groundwater model of the area. The purpose of the model is to estimate our ability to recharge this aquifer using water that is only available outside of the irrigation season (December through the end of February) and to estimate the timing of groundwater return flow back to the river. We have found through the data collection and modeling efforts that this reach of the river had historically returned as much as 45 cubic feet per second (cfs) of water to the Umatilla River during the summer and early fall. However, this return flow was reduced to as low as 10 cfs primarily due to reduced quantities of irrigation application, gain in irrigation efficiencies and increased groundwater pumping. Our modeling indicated that it is possible to restore these critical return flows using applied water outside of the irrigation season. We further

  18. The long term variation in the ionospheric winter absorption anomaly

    International Nuclear Information System (INIS)

    Beynon, W.J.G.; Williams, E.R.

    1976-01-01

    An analysis of vertical incidence absorption data for a mid-latitude station (Freiburg 48 0 N 7.5 0 E) for the 13-year period 1957 to 1969 shows that there is a solar cycle variation both in the number of winter anomaly days and in the magnitude of the absorption anomaly. The magnitude of this variation is discussed in relation to solar X-ray flux and to geomagnetic disturbance. The magnitude of winter anomaly absorption is a maximum in the frequency range 2 to 2.5 MHz. Comparison of the winter anomaly phenomenon at a range of mid-latitude stations suggests that there may be small longitude variation in the magnitude of the phenomenon. (author)

  19. The impact of winter heating on air pollution in China.

    Science.gov (United States)

    Xiao, Qingyang; Ma, Zongwei; Li, Shenshen; Liu, Yang

    2015-01-01

    Fossil-fuel combustion related winter heating has become a major air quality and public health concern in northern China recently. We analyzed the impact of winter heating on aerosol loadings over China using the MODIS-Aqua Collection 6 aerosol product from 2004-2012. Absolute humidity (AH) and planetary boundary layer height (PBL) -adjusted aerosol optical depth (AOD*) was constructed to reflect ground-level PM2.5 concentrations. GIS analysis, standard statistical tests, and statistical modeling indicate that winter heating is an important factor causing increased PM2.5 levels in more than three-quarters of central and eastern China. The heating season AOD* was more than five times higher as the non-heating season AOD*, and the increase in AOD* in the heating areas was greater than in the non-heating areas. Finally, central heating tend to contribute less to air pollution relative to other means of household heating.

  20. Controls on winter ecosystem respiration in temperate and boreal ecosystems

    Directory of Open Access Journals (Sweden)

    T. Wang

    2011-07-01

    Full Text Available Winter CO2 fluxes represent an important component of the annual carbon budget in northern ecosystems. Understanding winter respiration processes and their responses to climate change is also central to our ability to assess terrestrial carbon cycle and climate feedbacks in the future. However, the factors influencing the spatial and temporal patterns of winter ecosystem respiration (Reco of northern ecosystems are poorly understood. For this reason, we analyzed eddy covariance flux data from 57 ecosystem sites ranging from ~35° N to ~70° N. Deciduous forests were characterized by the highest winter Reco rates (0.90 ± 0.39 g C m−2 d−1, when winter is defined as the period during which daily air temperature remains below 0 °C. By contrast, arctic wetlands had the lowest winter Reco rates (0.02 ± 0.02 g C m−2 d−1. Mixed forests, evergreen needle-leaved forests, grasslands, croplands and boreal wetlands were characterized by intermediate winter Reco rates (g C m−2 d−1 of 0.70(±0.33, 0.60(±0.38, 0.62(±0.43, 0.49(±0.22 and 0.27(±0.08, respectively. Our cross site analysis showed that winter air (Tair and soil (Tsoil temperature played a dominating role in determining the spatial patterns of winter Reco in both forest and managed ecosystems (grasslands and croplands. Besides temperature, the seasonal amplitude of the leaf area index (LAI, inferred from satellite observation, or growing season gross primary productivity, which we use here as a proxy for the amount of recent carbon available for Reco in the subsequent winter, played a marginal role in winter CO2 emissions from forest ecosystems. We found that winter Reco sensitivity to temperature variation across space (

  1. Ice and mineral licks used by caribou in winter

    Directory of Open Access Journals (Sweden)

    Douglas C. Heard

    1990-09-01

    Full Text Available In winter, barren-ground caribou obtain minerals from ice and soil licks. Between December and April we have seen caribou cratering on the surface of frozen lakes and licking the ice. Ice samples from eight licks on four lakes contained concentrations of calcium, magnesium, sodium, potassium, phosphorus, chloride and sulphate many times higher than in the surrounding unlicked ice or than would be expected in lake water. Soil licks being used in March and June had high concentrations of calcium, magnesium, sodium phosphorus and potassium. In winter caribou may be seeking supplements of all of the major mineral elements (calcium, magnesium, sodium and potassium at ice and soil licks because lichens, their staple winter diet, are low in minerals and may also reduce the absorption of some minerals.

  2. The Impact of Winter Heating on Air Pollution in China

    Science.gov (United States)

    Xiao, Qingyang; Ma, Zongwei; Li, Shenshen; Liu, Yang

    2015-01-01

    Fossil-fuel combustion related winter heating has become a major air quality and public health concern in northern China recently. We analyzed the impact of winter heating on aerosol loadings over China using the MODIS-Aqua Collection 6 aerosol product from 2004–2012. Absolute humidity (AH) and planetary boundary layer height (PBL) -adjusted aerosol optical depth (AOD*) was constructed to reflect ground-level PM2.5 concentrations. GIS analysis, standard statistical tests, and statistical modeling indicate that winter heating is an important factor causing increased PM2.5 levels in more than three-quarters of central and eastern China. The heating season AOD* was more than five times higher as the non-heating season AOD*, and the increase in AOD* in the heating areas was greater than in the non-heating areas. Finally, central heating tend to contribute less to air pollution relative to other means of household heating. PMID:25629878

  3. Effects of sowing time on pink snow mould, leaf rust and winter damage in winter rye varieties in Finland

    Directory of Open Access Journals (Sweden)

    M. SERENIUS

    2008-12-01

    Full Text Available Disease infection in relation to sowing time of winter rye (Secale cereale was studied in southern Finland in order to compare overwintering capacity of modern rye varieties and to give recommendations for rye cultivation. This was done by using three sowing times and four rye varieties in field trials conducted at three locations in 1999–2001. The early sown rye (beginning of August was severely affected by diseases caused by Puccinia recondita and Microdochium nivale, whereas postponing sowing for two weeks after the recommended sowing time resulted in considerably less infection. The infection levels of diseases differed among rye varieties. Finnish rye varieties Anna and Bor 7068 were more resistant to snow mould and more winter hardy than the Polish variety Amilo, or the German hybrid varieties Picasso and Esprit. However, Amilo was the most resistant to leaf rust. In the first year snow mould appeared to be the primary cause of winter damage, but in the second year the winter damage was positively correlated with leaf rust. No significant correlation between frit fly infestation and winter damage or disease incidence of snow mould or leaf rust was established. The late sowing of rye (in the beginning of September is recommended in Finland, particularly with hybrid varieties, to minimize the need for chemical plant protection in autumn.;

  4. Sustainable winter cities: Future directions for planning, policy and design

    Science.gov (United States)

    Pressman, Norman E. P.

    Attempts to generate a "climate-responsive" northern urban form are part of a relatively recent phenomenon and field of investigation. In conjunction with the international "winter cities" movement, the need has been established for explicit, systematic inquiry directed toward national and local action to improve the comfort and lifestyles of all northern inhabitants. It is important to recognize that winter-induced discomforts exist and that they must be acknowledged in planning theory and practice. For northern cities to function more satisfactorily, the negative impacts of winter must be reduced while its beneficial characteristics are enhanced. While not all summer activities can or should be abandoned during winter, proper micro-climatic control is essential if human life is to be retained outside. The outdoor season should be extended since so much indoor isolation occurs. The main principles to be incorporated in exemplary "winter city" design should be contact with nature, year-round usability, user participation, cultural continuity, and the creation of comfortable micro-climatic conditions throughout much of the city's open spaces. All valuable sources of inspiration must be harnessed in the attempt to mediate between organic regionalism and internationalism, on the one hand, and romanticism and pragmatic realism, on the other. Creating optimum conditions for human well-being, habitation, work and intellectual development in each of the four seasons is vital under harsh environments. Adopting a climate-sensitive approach to planning policy and urban design can render everyday life less stressful, especially during the lengthy winter periods found in many northern latitude and high altitude settings.

  5. Vancouver winters: Environmental influences on inpatient adult orthopaedic trauma demographics

    International Nuclear Information System (INIS)

    Noordin, S.; Masri, B. A.

    2014-01-01

    Objective: To compare the pattern of adult inpatient orthopaedic injuries admitted at three Vancouver hospitals following one of the worst winter snowstorms in the region with the preceding control winter period. Methods: The surveillance study was conducted at the University of British Columbia, Vancouver, Canada, 2007 to 2010. Inpatient adult admissions for orthopaedic injuries at three hospitals were recorded, including age, gender, anatomic location of injury, type of fracture (open or closed), fixation method (internal versus external fixation), and length of acute care hospital stay. Comparisons between admissions during this weather pattern and admission during a previous winter with minimal snow were made. SPSS 19 was used for statistical analysis. Results: Of the 511 patients admitted under Orthopaedic trauma service during the significant winter snowstorms of December 2008 - January 2009, 100 (19.6%) (CI: 16.2%-23.2%) were due to ice and snow, whereas in the preceding mild winter only 18 of 415 (4.3%) (CI: 2.5%-6.8%) cases were related to snow (p<0.05). Ankle and wrist fractures were the most frequent injuries during the index snow storm period (p<0.05). At all the three institutions, 97 (96.5%) fractures were closed during the snowstorm as opposed to 17 (95%) during the control winter period. Internal fixation in 06 (89%) fractures as opposed to external fixation in 12 (11%) patients was the predominant mode of fixation across the board during both time periods. Conclusion: The study demonstrated a significantly higher inpatient orthopaedic trauma volume during the snowstorm more rigorous prospective studies need to be designed to gain further insight to solving these problems from a public health perspective. (author)

  6. The importance of agricultural lands for Himalayan birds in winter.

    Science.gov (United States)

    Elsen, Paul R; Kalyanaraman, Ramnarayan; Ramesh, Krishnamurthy; Wilcove, David S

    2017-04-01

    The impacts of land-use change on biodiversity in the Himalayas are poorly known, notwithstanding widespread deforestation and agricultural intensification in this highly biodiverse region. Although intact primary forests harbor many Himalayan birds during breeding, a large number of bird species use agricultural lands during winter. We assessed how Himalayan bird species richness, abundance, and composition during winter are affected by forest loss stemming from agriculture and grazing. Bird surveys along 12 elevational transects within primary forest, low-intensity agriculture, mixed subsistence agriculture, and intensively grazed pastures in winter revealed that bird species richness and abundance were greatest in low-intensity and mixed agriculture, intermediate in grazed pastures, and lowest in primary forest at both local and landscape scales; over twice as many species and individuals were recorded in low-intensity agriculture than in primary forest. Bird communities in primary forests were distinct from those in all other land-use classes, but only 4 species were unique to primary forests. Low-, medium-, and high-intensity agriculture harbored 32 unique species. Of the species observed in primary forest, 80% had equal or greater abundance in low-intensity agricultural lands, underscoring the value of these lands in retaining diverse community assemblages at high densities in winter. Among disturbed landscapes, bird species richness and abundance declined as land-use intensity increased, especially in high-intensity pastures. Our results suggest that agricultural landscapes are important for most Himalayan bird species in winter. But agricultural intensification-especially increased grazing-will likely result in biodiversity losses. Given that forest reserves alone may inadequately conserve Himalayan birds in winter, comprehensive conservation strategies in the region must go beyond protecting intact primary forests and ensure that low-intensity agricultural

  7. Proceedings of the EuBIC Winter School 2017

    DEFF Research Database (Denmark)

    Willems, Sander; Bouyssié, David; David, Matthieu

    2017-01-01

    The 2017 EuBIC Winter School was held from January 10th to January 13th 2017 in Semmering, Austria. This meeting gathered international researchers in the fields of bioinformatics and proteomics to discuss current challenges in data analysis and biological interpretation. This article outlines...... the scientific program and exchanges that took place on this occasion and presents the current challenges of this ever-growing field. Biological significance The EUPA bioinformatics community (EuBIC) organized its first winter school in January 2017. This successful event illustrates the growing need...

  8. Winter distribution of Calanus finmarchicus in the Northeast Atlantic

    DEFF Research Database (Denmark)

    Heath, M.R.; Fraser, J.G.; Gislason, A.

    2000-01-01

    Data from plankton sampling and Optical Plankton Counter deployments during six cruises between December of 1994 and 1999 have been used to derive a composite three-dimensional distribution of the abundance of Calanus finmarchicus during winter (December-January) in the Norwegian Sea and Northeast...... Northeast Atlantic, the concentration of wintering animals is around 30% of that in the Norwegian Sea and the vertical distribution is more diffuse and on average deeper. Modelling studies have shown that the overwinter distribution and transport are key factors determining the spatial persistence of C...

  9. Tebuconazole Regulates Fatty Acid Composition of Etiolated Winter Wheat Seedlings

    OpenAIRE

    A.V. Korsukova; T.G. Gornostai; O.I. Grabelnych; N.V. Dorofeev; T.P. Pobezhimova; N.A. Sokolova; L.V. Dudareva; V.K. Voinikov

    2016-01-01

    The fatty acid composition of shoots of unhardened and hardened to cold etiolated winter wheat seedlings grown from seeds treated with tebuconazole-based protectant «Bunker» (content of tebuconazole 60 grams per liter, g/L), and the seedlings frost resistance has been studied. It is shown that treatment of winter wheat seeds by «Bunker» preparation (1,5 microliter per gram of seeds, µl/g) is accompanied by an increase of the fatty acids unsaturation in the shoots and increase of the seedlings...

  10. Petrophysical Evaluation of Reservoir Sand Bodies in Kwe Field ...

    African Journals Online (AJOL)

    PROF HORSFALL

    B has an average NTG (65.6 %), Ø (26.0 %), K (95.90 md), Sw (28.87 %) and Sh (71.13 %) while Reservoir C has an average NTG .... The presence of parallel to ripple laminated sandy heteroliths suggests deposition in tidally ... of the reservoir ranges from 25 – 32 % with an average value of 27.50 % while permeability ...

  11. Travel in adverse winter weather conditions by blind pedestrians.

    Science.gov (United States)

    2015-08-31

    Winter weather creates many orientation and mobility (O&M) challenges for people who are visually impaired. Getting the cane tip stuck is one of the noticeable challenges when traveling in snow, particularly when the walking surface is covered in dee...

  12. Identification of vernalization responsive genes in the winter wheat ...

    Indian Academy of Sciences (India)

    1College of Agriculture, Henan University of Science and Technology, Luoyang 471003, People's Republic of China. 2National Engineering ... Key Laboratory of Wheat and Maize Crop Science, Henan Agricultural University, Zhengzhou 450002,. People's ..... Entz M. and Fowler D. 1991 Agronomic performance of winter.

  13. Variation in winter metabolic reduction between sympatric amphibians

    Czech Academy of Sciences Publication Activity Database

    Podhajský, Luděk; Gvoždík, Lumír

    2016-01-01

    Roč. 201, November (2016), s. 110-114 ISSN 1095-6433 R&D Projects: GA ČR(CZ) GA15-07140S Institutional support: RVO:68081766 Keywords : Caloric reserves * Ichthyosaura * Lissotriton * Metabolic rate * Newt * Oxygen consumption * Respirometry * Salamander * Thermal sensitivity * Wintering Subject RIV: EG - Zoology Impact factor: 1.812, year: 2016

  14. Winter habitat associations of diurnal raptors in Californias Central Valley

    Science.gov (United States)

    Pandolrno, E.R.; Herzog, M.P.; Hooper, S.L.; Smith, Z.

    2011-01-01

    The wintering raptors of California's Central Valley are abundant and diverse. Despite this, little information exists on the habitats used by these birds in winter. We recorded diurnal raptors along 19 roadside survey routes throughout the Central Valley for three consecutive winters between 2007 and 2010. We obtained data sufficient to determine significant positive and negative habitat associations for the White-tailed Kite (Elanus leucurus), Bald Eagle {Haliaeetus leucocephalus), Northern Harrier (Circus cyaneus), Red-tailed Hawk (Buteo jamaicensis), Ferruginous Hawk (Buteo regalis), Rough-legged Hawk (Buteo lagopus), American Kestrel (Falco sparverius), and Prairie Falcon (Falco mexicanus). The Prairie Falcon and Ferruginous and Rough-legged hawks showed expected strong positive associations with grasslands. The Bald Eagle and Northern Harrier were positively associated not only with wetlands but also with rice. The strongest positive association for the White-tailed Kite was with wetlands. The Red-tailed Hawk was positively associated with a variety of habitat types but most strongly with wetlands and rice. The American Kestrel, Northern Harrier, and White-tailed Kite were positively associated with alfalfa. Nearly all species were negatively associated with urbanized landscapes, orchards, and other intensive forms of agriculture. The White-tailed Kite, Northern Harrier, Redtailed Hawk, Ferruginous Hawk, and American Kestrel showed significant negative associations with oak savanna. Given the rapid conversion of the Central Valley to urban and intensive agricultural uses over the past few decades, these results have important implications for conservation of these wintering raptors in this region.

  15. Periphyton biomass on artificial substrates during the summer and winter

    Directory of Open Access Journals (Sweden)

    Altevir Signor

    2015-01-01

    Full Text Available This study evaluated the periphyton production on artificial substrates considering it as a source of low cost live food for fish. Blades of artificial substrates such as wood, black plastic, acrylic, fiberglass, ceramics and glass (all with 144cm2 blades, 24 for each substrate were submerged 20.0cm below the water column for 35 days in the winter and 42 days in the summer. The blades were randomly installed in 200m3 pond and evaluated for the biomass production at different phases during the summer and winter. Four blades of each substrate were collected weekly, and the periphytic community was carefully scraped with a spatula and fixed in 4% formaldehyde. The periphytic biomass productivity was evaluated by artificial substrate area and per day. The results evidenced the characteristic periodicity in periphyton biomass production and a significant variability in the collect period and season in the different artificial substrates used. Ceramic and wood showed the best results in the summer while wood showed the best results in the winter. The priphyton biomass productions differ among periods, substrates and seasons. Wood and ceramics could be indicated for periphyton biomass production in either winter or summer.

  16. Short Communication A vetch winter cover crop can improve ...

    African Journals Online (AJOL)

    A high nitrogen (N) fertiliser requirement can be a deterrent to the adoption of conservation agriculture (CA). A field trial was carried out to test whether a high biomass-yielding vetch (Vicia dasycarpa L.) winter cover crop can be used to improve N response and profitability of a subsequent maize (Zea mays L.) crop under ...

  17. Drinking behaviour in sows kept outdoors during the winter months

    DEFF Research Database (Denmark)

    Andersen, Heidi Mai-Lis; Pedersen, Lene Juul

    2014-01-01

    tIn the light of the EU regulation, “pigs must have permanent access to a sufficient quantityof fresh water” and the practical problems it provides farmers during winter to keep waterfree of ice, the aim of this study was to investigate the influence of periods with frost onthe diurnal pattern of...

  18. Genetic Potential of Winter Wheat Grain Quality in Central Asia

    Science.gov (United States)

    Abugaliyeva, Aigul I.; Morgounov, Alexey I.

    2016-01-01

    The grain quality of winter wheat varies significantly by cultivars and growing region, not previously differentiated by end-use (baking, confectionery, etc.) in the national breeding programs. In these conditions it is advisable to determine the genetic potential and analyze the actual grain quality. Determining the genetic potential requires the…

  19. Stay Warm in Winter (A Minute of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2015-02-26

    Hypothermia occurs when the core body temperature is less than 95 degrees. This podcast discusses strategies to prevent hypothermia due to frigid winters temperatures.  Created: 2/26/2015 by MMWR.   Date Released: 2/26/2015.

  20. RESEARCH NOTE THE PERFOR]\\IANCE DURING WINTER, OF ...

    African Journals Online (AJOL)

    THE PERFOR]\\IANCE DURING WINTER, OF HETFERS FED GRASS SILAGE, MADE UNDER. UNFAVOURABLE WEATHER CONDITIONS AND E. curvula HAY, PRODUCED. FROM THE SAME SWARD. Receipt of MS: 06-10-1981. A. van Niekerk. Cedara Agriculrural Research Station, PlBag X9059, Pietermaritzburg ...