Differentiation of vascular claudication due to bilateral common iliac artery stenosis versus neurogenic claudication with spinal stenosis.

BACKGROUND: Differentiating between neurogenic and vascular claudication may be difficult. Vascular claudication due to aortic and iliac artery occlusions may present as low back, hip, and buttock pain while walking short distances. These findings are often very similar to those seen for neurogenic claudication attributed to lumbar stenosis. CASE DESCRIPTION: A 68-year-old female presented with low back, right hip, and groin pain while walking short distances. She had previously undergone lumbar and cardiac surgery. Now, with negative repeated lumbar studies, the CT angiogram (CTA) revealed a dense calcified plaque in the right common iliac artery resulting in 90% stenosis at its origin and <50% stenosis of the left common iliac artery. Once bilateral common iliac artery kissing stents were placed, the patient's symptoms resolved. CONCLUSION: Spine surgeons should be aware that vascular and neurogenic claudication may mimic each other. Obtaining MR studies of the lumbar spine and EMG/NCV, along with the appropriate vascular studies (CTAs), help differentiate between the two, and result in the appropriate operative choices.

The eruptive tempo of Deccan volcanism in relation to the Cretaceous-Paleogene boundary.

Late Cretaceous records of environmental change suggest that Deccan Traps (DT) volcanism contributed to the Cretaceous-Paleogene boundary (KPB) ecosystem crisis. However, testing this hypothesis requires identification of the KPB in the DT. We constrain the location of the KPB with high-precision argon-40/argon-39 data to be coincident with changes in the magmatic plumbing system. We also found that the DT did not erupt in three discrete large pulses and that >90% of DT volume erupted in <1 million years, with ~75% emplaced post-KPB. Late Cretaceous records of climate change coincide temporally with the eruption of the smallest DT phases, suggesting that either the release of climate-modifying gases is not directly related to eruptive volume or DT volcanism was not the source of Late Cretaceous climate change.

Tambora 1815 as a test case for high impact volcanic eruptions: Earth system effects.

The eruption of Tambora (Indonesia) in April 1815 had substantial effects on global climate and led to the 'Year Without a Summer' of 1816 in Europe and North America. Although a tragic event-tens of thousands of people lost their lives-the eruption also was an 'experiment of nature' from which science has learned until today. The aim of this study is to summarize our current understanding of the Tambora eruption and its effects on climate as expressed in early instrumental observations, climate proxies and geological evidence, climate reconstructions, and model simulations. Progress has been made with respect to our understanding of the eruption process and estimated amount of SO2 injected into the atmosphere, although large uncertainties still exist with respect to altitude and hemispheric distribution of Tambora aerosols. With respect to climate effects, the global and Northern Hemispheric cooling are well constrained by proxies whereas there is no strong signal in Southern Hemisphere proxies. Newly recovered early instrumental information for Western Europe and parts of North America, regions with particularly strong climate effects, allow Tambora's effect on the weather systems to be addressed. Climate models respond to prescribed Tambora-like forcing with a strengthening of the wintertime stratospheric polar vortex, global cooling and a slowdown of the water cycle, weakening of the summer monsoon circulations, a strengthening of the Atlantic Meridional Overturning Circulation, and a decrease of atmospheric CO2. Combining observations, climate proxies, and model simulations for the case of Tambora, a better understanding of climate processes has emerged. WIREs Clim Change 2016, 7:569-589. doi: 10.1002/wcc.407 This article is categorized under: 1Paleoclimates and Current Trends > Paleoclimate.

State shift in Deccan volcanism at the Cretaceous-Paleogene boundary, possibly induced by impact.

Bolide impact and flood volcanism compete as leading candidates for the cause of terminal-Cretaceous mass extinctions. High-precision (40)Ar/(39)Ar data indicate that these two mechanisms may be genetically related, and neither can be considered in isolation. The existing Deccan Traps magmatic system underwent a state shift approximately coincident with the Chicxulub impact and the terminal-Cretaceous mass extinctions, after which ~70% of the Traps' total volume was extruded in more massive and more episodic eruptions. Initiation of this new regime occurred within ~50,000 years of the impact, which is consistent with transient effects of impact-induced seismic energy. Postextinction recovery of marine ecosystems was probably suppressed until after the accelerated volcanism waned.

A cryptoendolithic community in volcanic glass.

Fluorescent in situ hybridization (FISH) and 16S rDNA analysis were used to characterize the endolithic colonization of silica-rich rhyolitic glass (obsidian) in a barren terrestrial volcanic environment in Iceland. The rocks were inhabited by a diverse eubacterial assemblage. In the interior of the rock, we identified cyanobacterial and algal 16S (plastid) sequences and visualized phototrophs by FISH, which demonstrates that molecular methods can be used to characterize phototrophs at the limits of photosynthetically active radiation (PAR). Temperatures on the surface of the dark rocks can exceed 40 degrees C but are below freezing for much of the winter. The rocks effectively shield the organisms within from ultraviolet radiation. Although PAR sufficient for photosynthesis cannot penetrate more than approximately 250 mum into the solid rock, the phototrophs inhabit cavities; and we hypothesize that by weathering the rock they may contribute to the formation of cavities in a feedback process, which allows them to acquire sufficient PAR at greater depths. These observations show how pioneer phototrophs can colonize the interior of volcanic glasses and rocks, despite the opaque nature of these materials. The data show that protected microhabitats in volcanic rocky environments would have been available for phototrophs on early Earth.

Induction of plasma (TRAIL), TNFR-2, Fas ligand, and plasma microparticles after human immunodeficiency virus type 1 (HIV-1) transmission: implications for HIV-1 vaccine design.

The death of CD4(+) CCR5(+) T cells is a hallmark of human immunodeficiency virus (HIV) infection. We studied the plasma levels of cell death mediators and products--tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), Fas ligand, TNF receptor type 2 (TNFR-2), and plasma microparticles--during the earliest stages of infection following HIV type 1 (HIV-1) transmission in plasma samples from U.S. plasma donors. Significant plasma TRAIL level elevations occurred a mean of 7.2 days before the peak of plasma viral load (VL), while TNFR-2, Fas ligand, and microparticle level elevations occurred concurrently with maximum VL. Microparticles had been previously shown to mediate immunosuppressive effects on T cells and macrophages. We found that T-cell apoptotic microparticles also potently suppressed in vitro immunoglobulin G (IgG) and IgA antibody production by memory B cells. Thus, release of TRAIL during the onset of plasma viremia (i.e., the eclipse phase) in HIV-1 transmission may initiate or amplify early HIV-1-induced cell death. The window of opportunity for a HIV-1 vaccine is from the time of HIV-1 transmission until establishment of the latently infected CD4(+) T cells. Release of products of cell death and subsequent immunosuppression following HIV-1 transmission could potentially narrow the window of opportunity during which a vaccine is able to extinguish HIV-1 infection and could place severe constraints on the amount of time available for the immune system to respond to the transmitted virus.

Sulfur and chlorine in late Cretaceous Deccan magmas and eruptive gas release.

Large-volume pahoehoe lava flows erupted 67 to 65 million years ago, forming the Deccan Traps, India. The impact of these flood basalt eruptions on the global atmosphere and the coeval end-Cretaceous mass extinction has been uncertain. To assess the potential gas release from this volcanism, we measured sulfur and chlorine concentrations in rare glass inclusions inside crystals and on glassy selvages preserved within lavas. Concentrations range from approximately 1400 parts per million of S and 900 parts per million of Cl in inclusions down to a few hundred parts per million in the lava. These data indicate that eruptions of Deccan lavas could have released at most 0.103 weight % of S, yielding up to 5.4 teragrams of SO2 per cubic kilometer of lava. A more conservative estimate is 0.07 weight % of S and 0.04 weight % of Cl, yielding 3.5 teragrams of SO2 and 1 teragram of HCl for every cubic kilometer of lava erupted. The flows were very large in volume, and these results imply that huge amounts of S and Cl gases were released. The environmental impact from even individual eruptions during past flood basalt activity was probably severe.

Rapid determination of spore chemistry using thermochemolysis gas chromatography-mass spectrometry and micro-Fourier transform infrared spectroscopy.

Spore chemistry is at the centre of investigations aimed at producing a proxy record of harmful ultraviolet radiation (UV-B) through time. A biochemical proxy is essential owing to an absence of long-term (century or more) instrumental records. Spore cell material contains UV-B absorbing compounds that appear to be synthesised in variable amounts dependent on the ambient UV-B flux. To facilitate these investigations we have developed a rapid method for detecting variations in spore chemistry using combined thermochemolysis gas chromatography-mass spectrometry and micro-Fourier transform infrared spectroscopy. Our method was tested using spores obtained from five populations of the tropical lycopsid Lycopodium cernuum growing across an altitudinal gradient (650-1981 m a.s.l.) in S.E. Asia with the assumption that they experienced a range of UV-B radiation doses. Thermochemolysis and subsequent pyrolysis liberated UV-B pigments (ferulic and para-coumaric acid) from the spores. All of the aromatic compounds liberated from spores by thermochemolysis and pyrolysis were active in UV-B protection. The various functional groups associated with UV-B protecting pigments were rapidly detected by micro-FTIR and included the aromatic C[double bond, length as m-dash]C absorption band which was exclusive to the pigments. We show increases in micro-FTIR aromatic absorption (1510 cm(-1)) with altitude that may reflect a chemical response to higher UV-B flux. Our results indicate that rapid chemical analyses of historical spore samples could provide a record ideally suited to investigations of a proxy for stratospheric O3 layer variability and UV-B flux over historical (century to millennia) timescales.