Utility of low-dose oral aspirin challenges for diagnosis of aspirin-exacerbated respiratory disease.

BACKGROUND: Aspirin-exacerbated respiratory disease (AERD) is diagnosed through graded aspirin challenges that induce hypersensitivity reactions and eicosanoid level changes. It is not known whether diagnostically useful changes also occur after low-dose aspirin challenges that do not induce hypersensitivity reactions. OBJECTIVE: To investigate the utility of low-dose oral aspirin challenges for diagnosing AERD by measuring different clinical parameters and eicosanoid changes. METHODS: Sixteen patients with AERD and 13 patients with aspirin-tolerant asthma underwent oral challenges with low-dose (20 or 40 mg) aspirin and diagnostic oral graded aspirin challenges (up to 325 mg of aspirin). Forced expiratory volume in 1 second, nasal peak flow, the fraction of exhaled nitric oxide (FeNO), and eicosanoid levels in plasma and urine were analyzed. RESULTS: In patients with AERD but not in those with aspirin-tolerant asthma, 40-mg aspirin challenges induced a significant mean (SEM) decrease from baseline in FeNO (19% [5.1%]; P = .001) without causing any hypersensitivity reaction. The FeNO decrease also occurred after higher-dose aspirin challenges (27.8% [4.9%]; P < .001). The sensitivity and specificity of 40-mg aspirin-induced FeNO changes for identifying AERD were 90% and 100% with an area under the curve of 0.98 (95% CI, 0.92-1.00). The low-dose challenge also induced a significant leukotriene E4 urine increase in patients with AERD (from 6.32 [0.08] to 6.91 [0.15] log-pg/mg creatinine; P < .001), but the sensitivity and specificity of these changes were less than for the FeNO changes. CONCLUSION: The low-dose aspirin-induced decrease in FeNO in patients with AERD may be useful for the diagnosis of aspirin allergy without inducing a hypersensitivity reaction. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01320072.

Love and suicide: the structure of the Affective Intensity Rating Scale (AIRS) and its relation to suicidal behavior.

BACKGROUND: Suicide has been linked to intense negative affect. However, little is known about the range of affects experienced by suicidal persons, or the separate effects of affect valence and intensity. We examine a novel self-report scale, the 17-item Affective Intensity Rating Scale (AIRS), and its relation to suicidality in a high-risk sample. METHODOLOGY/PRINCIPAL FINDINGS: Patients presenting with suicidality were recruited from the Emergency Department in a large urban hospital, and completed a battery of assessments there. Structure of the AIRS was assessed using Maximum Likelihood Factor Analysis with Oblimin rotation. Convergent and divergent validity were assessed by regressing AIRS subscales against Brief Symptom Inventory subscales. Relation to suicidality was assessed by regression of suicide attempt status against scale and subscale scores, and individual items and two-way item interactions, along with significant clinical and demographic factors. 176 subjects were included in analyses. Three reliable subscales were identified within the AIRS measure: positive feelings towards self, negative feelings towards self, and negative feelings towards other. Only individual AIRS items associated significantly with suicide attempt status; strong 'feelings of love' associated positively with actual suicide attempt, while 'feelings of calm' and 'positive feelings towards self' associated negatively. Interaction analyses suggest 'calm' moderates the association of 'love' with suicide attempt. CONCLUSIONS/SIGNIFICANCE: Factor analysis of the AIRS is consistent with a circumplex model of affect. Affective dimensions did not predict suicidal behavior, but intense feelings of love, particularly in the absence of protective feelings of calm or positive self-view associated with current attempt.

The point-characteristic function, wavefronts, and caustic of a spherical wave refracted by an arbitrary smooth surface.

The aim of this paper is to obtain expressions for the k-function, the wavefront train, and the caustic associated with the light rays refracted by an arbitrary smooth surface after being emitted by a point light source located at an arbitrary position in a three-dimensional homogeneous optical medium. The general results are applied to a parabolic refracting surface. For this case, we find that when the point light source is off the optical axis, the caustic locally has singularities of the hyperbolic umbilic type, while the refracted wavefront, at the caustic region, locally has singularities of the cusp ridge and swallowtail types.

Interacción micorrizas arbusculares-Trichoderma harzianum (Moniliaceae) y efectos sobre el crecimiento de Brachiaria decumbens (Poaceae) / Arbuscular Mycorrhizae-Trichoderma harzianum (Moniliaceae) Interaction and Effects on Brachiaria decumbens (Poaceae)’s Growth

Se efectuó un ensayo en condiciones controladas utilizando hongos formadores de micorrizas arbusculares (HFMA) nativos, provenientes de un suelo rizosférico de Pennisetum clandestinum de la Universidad Nacional de Colombia (Bogotá), manteniéndolos en plantas de Brachiaria decumbens creciendo sobre sustrato arenoso suplementado con solución nutritiva. Se evaluaron diferentes tratamientos: plantas con inóculo de HFMA, plantas con Trichoderma harzianum, plantas con HFMA+T. harzianum y plantas control no inoculadas, con el fin de determinar las posibles interacciones entre dichos microorganismos, así como su efecto sobre el crecimiento de B. decumbens. La presencia de T. harzianum disminuyó la colonización radicular por HFMA, aunque no afectó la cantidad de esporas de HFMA/g suelo seco, en tanto que la población de T. harzianum (UFC/g suelo seco) disminuyó significativamente en presencia de HFMA. Estos resultados mostraron que existen interacciones entre HFMA y T. harzianum que afectan tanto el desarrollo de HFMA como la densidad poblacional de T. harzianum. Los valores obtenidos para los parámetros del crecimiento de la planta evaluados sugieren que el efecto de la interacción entre los microorganismos sobre la planta hospedera es de tipo neutral.