Necrotizing fasciitis of the face

Necrotizing fasciitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality rates. Its occurrence in the head and neck region is uncommon, the majority of reported cases being limited to involvement of the neck, usually from infections of dental or pharyngeal origin. Involvement of the face from NF is rare; only 35 such cases have been reported in the literature since 1960. It is not only associated with a high mortality but can also result in severe disfigurement of the face, posing challenging reconstructive problems. Successful management of facial NF requires early diagnosis, prompt institution of broad spectrum antibiotics, aggressive surgical debridement to control the infection, and reconstruction of the resultant soft tissue defects. This report describes four additional cases of facial necrotizing fasciitis. One of the four patients died as a result of sepsis and multi-organ system failure. Two of the three surviving patients had significant facial disfigurement. A comprehensive review of the facial NF cases reported in the literature is also provided. Based on our experience with facial NF and the results of all previous case reports, the clinical manifestations, pathogenesis, and management of this disease are discussed.     

Bizarre imagery, interference, and distinctiveness.

Previous studies have shown that bizarre and common images produce equivalent levels of recall in unmixed-list designs. Using unmixed lists, we tested the view that bizarre images would be less susceptible than common images to common sources of interference. In all experiments, subjects imaged a list of either bizarre or common sentences and then performed some kind of interfering task before recalling the initial list of sentences. Experiment 1 showed that bizarre images were better accessed than common images after imaging an intervening list of common sentences. Also, components of common images tended to be better recalled than those of bizarre images after imaging an intervening list of bizarre sentences. Experiments 2a and 2b showed that interfering tasks consisting of studying lists of common concrete nouns did not differentially affect memory for bizarre and common images. In Experiment 3, labeling and imaging an interfering list of common pictures produced higher recall of bizarre images. Generally, bizarre images appeared to be less susceptible than common images to interference from certain types of common encodings. Importantly, the superior recall of bizarre images was always due to greater image (sentence) access, whereas higher recall of common images was associated with greater recovery of the image (sentence) constituents. Explanation of the precise pattern of results requires consideration of the distinctive properties of bizarre images. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Purification of the human anionic polypeptide fraction of the apo-bile lipoprotein complex by zonal ultracentrifugation

The two main proteic constituents of the human Apo-bile lipoprotein complex (BLC), i.e., the anionic polypeptide fraction (APF) and the IgA fragments, were separated by preparative zonal ultracentrifugation using a sucrose gradient containing 1.5 mM glycodesoxycholate. The purification of the APF was verified by sodium dodecyl sulphate (SDS) polyacrylamide gel electrophoresis and immunology, and its amino acid composition then was determined. This procedure was used to obtain a polyclonal antiserum directed solely against the APF.     

基于SIP的新一代电信业务

第二代(2G)移动网络和传统的固定网络都提供了一套相对完整的话音业务。尽管智能网络(IN)技术使电信业务有所增强,但电信业务的发展仍然缓慢,而且样式基本保持不变。下一代网络(NGN)和第三代(3G)移动网络就是为了克服这些局限性而设计的,它们通过重组网络架构将业务同网络分离开来、将信息和电话技术融合起来并引进了会话初始协议(SIP)等开放协议。同时,它们还有望提供满足用户和运营商需求的新的增值业务。这些网络包括满足用户对业务期望所需的所有组成部分。NGN和3G就其服务能力而言有3个主要优点:首先,它们将信息世界和电话世界结…     

SMC composites waste management as reinforcing fillers in polypropylene by combination of mechanical and chemical recycling processes

A new process of management of waste of composite materials from Sheet Moulding Compounds (SMC), as reinforcing fillers for thermoplastic materials, including both mechanical and chemical processes is proposed in this paper. Communited SMC being composed of coated glass fibres intimately mixed with calcium carbonate powder, their reinforcing power is low. First, the fibrous part was increased by partial dissolution of calcium carbonate present in the crushed products SMC. Second, a process of partial solvolysis was developed aiming at strong increasing the interfacial mechanical properties by functionalising of SMC load incorporated into polypropylene/grafted maleic anhydride polypropylene (PP/PP_gma). At this effect, we investigated a treatment with a hot triamine (diethylenetriamine, DETA) in order to create a functionalisation, after scission of the bond ester of unsaturated polyester, as bridging amino-succinimide.The effect of this recycling way by partial solvolysis was checked from the mechanical properties of the resulting reinforced PP/PP_gma material: Although a lower of Young modulus, better yield stress and especially resilience were observed.     

Agent-oriented techniques for network supervision

This paper presents the results of the Réseau futé (smart net) project, the goal of which is to use distributed AI and multi-agent techniques for network management and supervision. More precisely, these techniques have been applied to the partial automation of the dynamic processing (what is known about a network is always incomplete and can change at any time) of alarms and of various event notifications received by network management platforms. The system that we propose is able for example to automatically handle some alarms or to filter events of no-interest for a given operator. To achieve this goal, an assistant, or interface agent according to the model proposed by Patti Maes [MK93], has been realized. The goal of the assistant is first to learn, by observation, the behavior of the network supervision operator and second to reproduce such a behavior when the conditions in which the behavior has been learned are detected again. The learned information are stored using chronicles [Gha94]. A chronicle is a data-structure allowing programmers to represent sequences of events while taking temporal knowledge into account. Our assistant has been implemented and tested within Magenta which is a program, written in Smalltalk, that simulates (in a simplified way) a network management platform. This program respects roughly the gdmo and cmis standards.     

Aging and prospective memory: Examining the influences of self-initiated retrieval processes.

Past research has frequently failed to find age differences in prospective memory. This article tested the possibility that age differences would be more likely to emerge on a prospective memory task that was high in self-initiated retrieval. In the 1st experiment, participants were asked to perform an action every 10 min (a time-based task presumed to be high in self-initiated retrieval); in the 2nd experiment, participants were asked to perform an action whenever a particular word was presented (an event-based task presumed to be relatively low in self-initiated retrieval). Age differences were found with the time-based task but not with the event-based task. This pattern of age differences was again found in a 3rd experiment in which a new experimental procedure was used and the nature of the prospective memory task was directly varied. Generally, the results suggest that self-initiated retrieval processes are an important component of age-related differences across both retrospective and prospective memory tasks. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Association of IgG1 Antibody Clearance with FcγRIIA Polymorphism and Platelet Count in Infliximab-Treated Patients

The FcγRIIA/CD32A is mainly expressed on platelets, myeloid and several endothelial cells. Its affinity is considered insufficient for allowing significant binding of monomeric IgG, while its H131R polymorphism (histidine > arginine at position 131) influences affinity for multimeric IgG2. Platelet FcγRIIA has been reported to contribute to IgG-containing immune-complexe clearance. Given our finding that platelet FcγRIIA actually binds monomeric IgG, we investigated the role of platelets and FcγRIIA in IgG antibody elimination. We used pharmacokinetics analysis of infliximab (IgG1) in individuals with controlled Crohn’s disease. The influence of platelet count and FcγRIIA polymorphism was quantified by multivariate linear modelling. The infliximab half-life increased with R allele number (13.2, 14.4 and 15.6 days for HH, HR and RR patients, respectively). It decreased with increasing platelet count in R carriers: from ≈20 days (RR) and ≈17 days (HR) at 150 × 10⁹/L, respectively, to ≈13 days (both HR and RR) at 350 × 10⁹/L. Moreover, a flow cytometry assay showed that infliximab and monomeric IgG1 bound efficiently to platelet FcγRIIA H and R allotypes, whereas panitumumab and IgG2 bound poorly to the latter. We propose that infliximab (and presumably any IgG1 antibody) elimination is partly due to an unappreciated mechanism dependent on binding to platelet FcγRIIA, which is probably tuned by its affinity for IgG2.     

Behavior of biliary phospholipids in intestinal lumen during fat digestion in rat

The phospholipids present in the intestinal lumen of rats following ingestion of triglycerides are of biliary origin. They consist of lecithins accompanied by a small proportion of lysolecithins. Their behavior in comparison with the other lipid constituents of the intestinal content was studied by subjecting the latter to gel filtration on an agarose column in the presence of a solution of 6 mM sodium taurocholate in 0.1 M NaCl. Part of the phospholipids is present with the triglycerides and diglycerides in the emulsified phase excluded from the gel where pancreatic lipase and colipase also are found. The remainder is found in optically clear fractions containing fatty acids, monoglycerides, and bile salts. These fractions are eluted at 2.0 column volumes, while mixed fatty acids, monoglycerides, bile salts micelles emerge from the column at 2.4 column volumes in the same chromatographic conditions. This difference in behavior may be explained by the presence of biliary lecithins. This presence could have an important bearing upon the mucosal uptake of the lipolysis products of triglycerides.