Pediatric-Type Follicular Lymphoma of the Conjunctiva in Two Adolescents.

The authors present two cases of conjunctival pediatric-type follicular lymphoma. A 14-year-old Black boy and 14-year-old Black girl were each referred for evaluation of a painless salmon-colored conjunctival lesion. Both patients underwent excisional biopsy.

A Review of Pediatric Ophthalmic Tumors.

Tumors of the eye, orbit, and ocular adnexa can arise in the pediatric population. These entities can be both vision- and life-threatening and may be associated with systemic disease. Given their relative rarity, pediatricians must be aware of these conditions and understand what findings warrant immediate referral to an ophthalmologist for initiation of further testing.

Schimmelpenning-Feuerstein-Mims syndrome with orbital choristoma and mutation: a current review and novel case report.

Introduction: Schimmelpenning-Feurstein-Mims Syndrome (SFMS) is a rare neurocutaneous disorder. Herein, we describe a novel case and review the phenotypic spectrum and molecular findings of SFMS from an ophthalmology perspective.

Methods: Clinical case including presentation, management, pathology, and genetic analysis is described.

Intraoperative Bivalirudin Use in Patient Undergoing Femoral Endarterectomy with Heparin-Induced Thrombocytopenia: Case Report and Review of the Literature.

Purpose: To describe the intraoperative use of bivalirudin during lower extremity revascularization in the setting of heparin-induced thrombocytopenia (HIT).

Case Summary: A 65 year-old man presented with left common iliac, external iliac, and femoral artery occlusion necessitating revascularization with left femoral endarterectomy and common and external iliac stent angioplasty. Three months before the femoral endarterectomy, the patient was hospitalized for a coronary artery bypass procedure.

Paddlebots: Translation of Rotating Colloidal Assemblies near an Air/Water Interface.

Microbot propulsion requires unique strategies due to the dominance of viscosity and the reversible nature of microscale flows. To address this, swimmers of specific structure that translate in bulk fluid are commonly used; however, another approach is to take advantage of the inherent asymmetry of liquid/solid surfaces for microbots (μbots) to walk or roll. Using this technique, we have previously demonstrated that superparamagnetic colloidal particles can be assembled into small μbots, which can quickly roll along solid surfaces.

Patient education in pediatric ophthalmology: a systematic review.

Background: Patient and caregiver education may have the potential to improve understanding, adherence, and disease outcomes in pediatric ophthalmology. Research suggests that common clinical practices may result in suboptimal patient understanding. We summarize the current literature on patient education interventions in pediatric ophthalmology.

Tropical cyclone impacts on seagrass-associated fishes in a temperate-subtropical estuary.

Major storms can alter coastal ecosystems in several direct and indirect ways including habitat destruction, stormwater-related water quality degradation, and organism mortality. From 2010-2020, ten tropical cyclones impacted coastal North Carolina, providing an opportunity to explore ecosystem responses across multiple storms. Using monthly trawl and contemporaneous seagrass surveys conducted in Back Sound, NC, we evaluated how cyclones may affect the nursery role of shallow-water biogenic habitats by examining seagrass-associated fish responses within a temperate-subtropical estuary.

Histone Deacetylase Isoforms Differentially Modulate Inflammatory and Autoantibody Responses in a Mouse Model of Myasthenia Gravis.

Myasthenia gravis (MG) is an autoimmune disease characterized by chronic muscle fatigue and weakness caused by autoantibodies and complement-mediated damage at neuromuscular junctions. Histone deacetylases (HDACs) are crucial epigenetic regulators of proinflammatory gene expression; however, it is unclear whether HDACs modulate chronic inflammation or autoantibody production associated with MG pathogenesis. We examined expression profiles and serum levels of key inflammatory cytokines (IL-6 and IL-21) and acetylcholine receptor (AChR)-specific autoantibodies following pharmacological inhibition of key HDAC isoforms in a mouse model of MG.

Comparing edge and fragmentation effects within seagrass communities: A meta-analysis.

Examining community responses to habitat configuration across scales informs basic and applied models of ecosystem function. Responses to patch-scale edge effects (i.e.

Cochlear Implant Outcomes Following Vestibular Schwannoma Resection: Systematic Review.

Objective: Hearing loss remains a significant morbidity for patients with vestibular schwannomas (VS). A growing number of reports suggest audibility with cochlear implantation following VS resection; however, there is little consensus on preferred timing and cochlear implant (CI) performance.

Data Sources: A systematic literature search of the Ovid Medline, Embase, Scopus, and clinicaltrails.

Metabolic and mitochondrial treatments for severe paracetamol poisoning: a systematic review.

Background: Paracetamol (acetaminophen) remains a leading cause of poisoning in Europe, North America, and Australia. For over four decades, acetylcysteine has been the antidote of choice. However, despite the use of acetylcysteine, some patients who ingest very large doses of paracetamol or who reach hospital late in the course of their poisoning, develop acute liver failure.

Investigating the direct and indirect effects of forest fragmentation on plant functional diversity.

Ongoing habitat loss and fragmentation alter the functional diversity of forests. Generalising the magnitude of change in functional diversity of fragmented landscapes and its drivers is challenging because of the multiple scales at which landscape fragmentation takes place. Here we propose a multi-scale approach to determine whether fragmentation processes at the local and landscape scales are reducing functional diversity of trees in the East Usambara Mountains, Tanzania.

The effects of habitat loss and fragmentation on plant functional traits and functional diversity: what do we know so far?

Habitat loss and fragmentation result in significant landscape changes that ultimately affect plant diversity and add uncertainty to how natural areas will respond to future global change. This uncertainty is important given that the loss of biodiversity often includes losing key ecosystem functions. Few studies have explored the effects of landscape changes on plant functional diversity and evidence so far has shown far more pervasive effects than previously reported by species richness and composition studies.

Trait sensitivities to seagrass fragmentation across spatial scales shape benthic community structure.

The structure of local ecological communities is thought to be determined by a series of hierarchical abiotic and biotic filters which select for or against species based on their traits. Many human impacts, like fragmentation, serve to alter environmental conditions across a range of spatial scales and may impact trait-environment interactions. We examined the effects of environmental variation associated with habitat fragmentation of seagrass habitat measured from microhabitat to landscape scales in controlling the taxonomic and trait-based community structure of benthic fauna.

Barriers to the Implementation of Pediatric Overweight and Obesity Guidelines in a School-Based Health Center.

This project applied a quality improvement design to assess perceived barriers to pediatric overweight and obesity guideline implementation in school-based health centers. An electronic survey was administered to nurse practitioners and licensed practical nurses working in school-based health centers in New York. The most commonly cited primary care-based barriers were lack of patient compliance, family lifestyle, and the poor dietary practices and sedentary behaviors common in America.

Case Series and Systematic Review of Radiation Outcomes for Endolymphatic Sac Tumors.

Objective: Surgery is the primary treatment modality for endolymphatic sac tumors (ELST). Two case examples are presented to highlight some rare instances when radiation therapy may be used. The outcomes following radiation therapy for ELST are controversial.

Environmental conditions and herbivore biomass determine coral reef benthic community composition: implications for quantitative baselines.

Our ability to understand natural constraints on coral reef benthic communities requires quantitative assessment of the relative strengths of abiotic and biotic processes across large spatial scales. Here, we combine underwater images, visual censuses and remote sensing data for 1566 sites across 34 islands spanning the central-western Pacific Ocean, to empirically assess the relative roles of abiotic and grazing processes in determining the prevalence of calcifying organisms and fleshy algae on coral reefs. We used regression trees to identify the major predictors of benthic composition and to test whether anthropogenic stress at inhabited islands decouples natural relationships.

Protection against inhalation anthrax by immunization with Ty21a stably producing protective antigen of .

The national blueprint for biodefense concluded that the United States is underprepared for biological threats. The licensed anthrax vaccine absorbed vaccine, BioThrax, requires administration of at least 3-5 intramuscular doses. The anthrax vaccine absorbed vaccine consists of complex cell-free culture filtrates of a toxigenic strain and causes tenderness at the injection site and significant adverse events.

Marine Socio-Environmental Covariates: queryable global layers of environmental and anthropogenic variables for marine ecosystem studies.

Biophysical conditions, including climate, environmental stress, and habitat availability, are key drivers of many ecological processes (e.g., community assembly and productivity) and associated ecosystem services (e.