Intact neurological outcome after neurointerventional treatment for intracranial venous thrombosis with straight sinus involvement

The role of neurointerventional treatment, including local thrombolysis, for intracranial venous thrombosis (ICVT) currently remains uncertain. We describe a case of postpartum ICVT involving the straight sinus, with rapid neurological deterioration and progressive thrombosis, despite anticoagulation. She underwent multimodality neurointerventional treatment involving attempted mechanical clot disruption, microcatheter suction, intrathrombus thrombolysis and microballoon disruption and clot retrieval. The patient achieved a full clinical recovery, with radiological evidence of recanalisation at follow-up.

The state of hepatitis B and C in the Mediterranean and Balkan countries: report from a summit conference

The burden of disease due to chronic viral hepatitis constitutes a global threat. In many Balkan and Mediterranean countries, the disease burden due to viral hepatitis remains largely unrecognized, including in high-risk groups and migrants, because of a lack of reliable epidemiological data, suggesting the need for better and targeted surveillance for public health gains. In many countries, the burden of chronic liver disease due to hepatitis B and C is increasing due to ageing of unvaccinated populations and migration, and a probable increase in drug injecting. Targeted vaccination strategies for hepatitis B virus (HBV) among risk groups and harm reduction interventions at adequate scale and coverage for injecting drug users are needed. Transmission of HBV and hepatitis C virus (HCV) in healthcare settings and a higher prevalence of HBV and HCV among recipients of blood and blood products in the Balkan and North African countries highlight the need to implement and monitor universal precautions in these settings and use voluntary, nonremunerated, repeat donors. Progress in drug discovery has improved outcomes of treatment for both HBV and HCV, although access is limited by the high costs of these drugs and resources available for health care. Egypt, with the highest burden of hepatitis C in the world, provides treatment through its National Control Strategy. Addressing the burden of viral hepatitis in the Balkan and Mediterranean regions will require national commitments in the form of strategic plans, financial and human resources, normative guidance and technical support from regional agencies and research.

Heart failure in a woman with SLE, anti-phospholipid syndrome and Fabry's disease

We describe a female patient with systemic lupus erythematosus (SLE) also diagnosed with Fabry's disease and anti-phospholipid antibody syndrome (APS). SLE and Fabry's disease are both systemic diseases with variable clinical presentations. Recent studies have shown a relatively high incidence of late onset Fabry's disease in female heterozygous individuals, suggesting that this condition could be under-diagnosed. We discuss a possible association between SLE and Fabry's disease and consider the role of lipid abnormalities in the pathogenesis of SLE.

New St. Jude Medical Portico™ transcatheter aortic valve: features and early results

Patients with symptomatic aortic valve disease who are inoperable or have high surgery-related risks may be treated with transcatheter aortic valve implantation devices. With this method increasingly applied, device innovations are aimed at achieving improved procedural results and therapeutic outcome. This paper describes the innovations implemented in the St. Jude Medical Portico™ system for transcatheter aortic valve implantation, the application of this system and initial clinical experience.

Mollow quintuplets from coherently excited quantum dots

Charge-neutral excitons in semiconductor quantum dots (QDs) have a small finite energy separation caused by the anisotropic exchange splitting. Coherent excitation of neutral excitons will generally excite both exciton components, unless the excitation is parallel to one of the dipole axes. We present a polaron master equation model to describe two-exciton pumping using a coherent continuous wave pump field in the presence of a realistic anisotropic exchange splitting. We predict a five-peak incoherent spectrum, namely a Mollow quintuplet under general excitation conditions. We experimentally confirm such spectral quintuplets for In(Ga)As QDs and obtain very good agreement with theory.

Australian perennial shrub species add value to the feed base of grazing livestock in low- to medium-rainfall zones

Australian native perennial shrubs that are adapted to drought and infertile soils contribute nutrients to grazing systems that would otherwise support limited ruminant productivity. In this study, we report the nutritive value of 39 Australian shrub species of the genera Atriplex, Rhagodia, Maireana, Chenopodium, Enchylaena, Acacia, Eremophila, and Kennedia. Edible foliage was sampled in winter and summer, and there was little difference in nutritive value between seasons. The in vitro organic matter digestibility of most shrub species was 40–70%. Most species contained medium to high levels of crude protein (12–22% of dry matter, DM) and high concentrations of sulfur (2–8 g/kg DM). In an 8-week grazing experiment in which Merino wethers grazed a ‘shrub system’ containing four shrub species and a sown inter-row of annual pasture, the sheep gained weight during autumn without supplementary feeding. By comparison, sheep fed senesced volunteer pasture and supplementary cereal grain only maintained weight. The forage shrubs provided up to 50% of the total DM intake of sheep grazing the ‘shrub system’ and made a modest contribution to the digestible energy intake of the animals and a large contribution to their crude protein and mineral intake. Considering the timely and predictable provision of limiting nutrients and benefits such as gut health and the provision of shade and shelter, we suggest that Australian shrub species can make a valuable addition to the feed base of low- to medium-rainfall zones in southern Australia.

Nitrogen deposition and climate effects on soil nitrogen availability: influences of habitat type and soil characteristics

The amount of plant-available nitrogen (N) in soil is an important indicator of eutrophication of semi-natural habitats, but previous studies have shown contrasting effects of N deposition on mineralisable N in different habitats. The stock of readily mineralisable N (N(rm)) was measured in 665 locations across Britain from a range of intensively and extensively managed habitats, allowing N availability to be studied in relation to soil and vegetation type, and also to variation in climate and in reactive N deposition from the atmosphere. Mineralisable N contents were correlated with deposition in extensively managed habitats but not in intensively managed habitats. The following statements apply only to extensively managed habitats. All habitats showed a similar increase in N(rm) with N deposition. However, soil characteristics affected the relationship, and soil carbon content in particular was a major control on mineralisation. The N(rm) stock increased more with N deposition in organic than in mineral soils. The nitrate proportion of N(rm) also increased with N deposition but, conversely, this increase was greater in mineral than in organic soils. The measurements could be used as indicators of eutrophication, e.g. deposition rates of over 20 kg N ha(-1) y(-1) are associated with nitrate proportions of >41% in a mineral soil (2% carbon), and with N(rm) stocks of over 4.8 kg N ha(-1) in an organic soil (55% carbon). Both N(rm) and nitrate proportion increased with mean annual temperature of the sampling location, despite consistent incubation temperature, suggesting that increasing temperatures are likely to increase the eutrophying effects of N pollution on semi-natural ecosystems.

Genetically engineered Escherichia coli FBR5: part II. Ethanol production from xylose and simultaneous product recovery

In these studies, concentrated xylose solution was fermented to ethanol using Escherichia coli FBR5 which can ferment both lignocellulosic sugars (hexoses and pentoses). E. coli FBR5 can produce 40-50 g L(-1) ethanol from 100 g L(-1) xylose in batch reactors. Increasing sugar concentration beyond this level results in the loss of sugar with the reactor effluent thus affecting the process yield adversely. In a nonintegrated system without simultaneous product removal more than 120 g L(-1) xylose was left unused of the 220 g L(-1) that was fed into the reactor. In contrast to this, application of simultaneous product removal by gas stripping was able to relieve product inhibition and the culture was able to use 216.6 g L(-1) xylose thus producing 140 g L(-1) (based on reactor volume) ethanol resulting in a product yield of 0.48. The product stream achieved an ethanol concentration up to 148.41 g L(-1). This process has potential for greatly improving the performance of E. coli FBR5 where the strain can ferment all the lignocellulosic sugars to ethanol and gas stripping can be applied to recover product.

Finite-difference time-domain technique as an efficient tool for calculating the regularized Green function: applications to the local-field problem in quantum optics for inhomogeneous lossy materials

The calculation of the local density of states (LDOS) in lossy materials has long been disputed due to the divergence of the homogeneous Green function with equal space arguments. For arbitrary-shaped lossy structures, such as those of interest in nanoplasmonics, this problem is particularly challenging. A nondivergent LDOS obtained in numerical methods such as the finite-difference time-domain (FDTD) technique, at first sight appears to be wrong. Here we show that FDTD is not only an ideal choice for obtaining the regularized LDOS, but it can address the local-field problem for any lossy inhomogeneous material. We exemplify the case of a finite-size photon emitter (e.g., a single quantum dot) embedded within and outside a lossy metal nanoparticle and show excellent agreement with analytical results.

Generalized effective mode volume for leaky optical cavities

We show explicitly how the commonly adopted prescription for calculating effective mode volumes is wrong and leads to uncontrolled errors. Instead, we introduce a generalized mode volume that can be easily evaluated based on the mode calculation methods typically applied in the literature, and which allows one to compute the Purcell effect and other interesting optical phenomena in a rigorous and unambiguous way.