Immunosuppression can lead to opportunistic infections in a host.The evidence of viral infections causing immunosuppression in a host for a transient period is gaining attention.In order to prolong their stay in the h...Immunosuppression can lead to opportunistic infections in a host.The evidence of viral infections causing immunosuppression in a host for a transient period is gaining attention.In order to prolong their stay in the human body,viruses affect the human immune systemin various ways.Common viral infections such as influenza can lead to transient lymphocytopenia,which lays the groundwork for more dangerous opportunistic infections.Cytomegalovirus(CMV)infection is a rare cause of inflammatory myelopathy.We present the case of a patient with an influenza infection who progressed to severe acute respiratory distress syndrome,methicillin-resistant Staphylococcus aureus necrotizing pneumonia,and idiopathic lymphocytopenia with a CD4 count of 61 perμL on arrival.After 2 weeks,the patient developed complete flaccid paralysis with sensory and autonomic dysfunction.Because his polymerase chain reaction results of cerebrospinal fluid and blood test were positive for CMV infection,he was treated with high doses of steroids and ganciclovir intravenously.Due to early diagnosis and intervention,the patient was able to recover in 2 months with only minimal residual weakness.Thus,this case stresses on the importance of looking out for opportunistic infections in patients affected by severe viral infections for their early recovery.展开更多
The shear failure of a rigid-plastic dented clamped tubular beam under the lateral impact of a mass is investigated. Both the denting and the impact point are in the middle span of the beam. It is assumed that denting...The shear failure of a rigid-plastic dented clamped tubular beam under the lateral impact of a mass is investigated. Both the denting and the impact point are in the middle span of the beam. It is assumed that denting does not spread during the shear sliding. Numerical results show that the axial force and lateral deflection of the beam are very small at the moment of the occurence of shear failure, which means that the finite deformation effect can be neglected in the shear failure analysis. Also, some aspects of the initial impact energy are investigated.展开更多
A vaccine must be sufficiently stable and cause no discernible discomfort or organ damage both during administration and at the injection site. To achieve these aims, the skin offers a viable platform, provided, antig...A vaccine must be sufficiently stable and cause no discernible discomfort or organ damage both during administration and at the injection site. To achieve these aims, the skin offers a viable platform, provided, antigens mustpenetrate the skin barrier and then exit the skin through deformable yet stable vesicular carriers to enter thelymphatic system. Even after such antigen delivery into the body, the intended immune response can only beattained if the following immune response has previously been correctly understood at the cellular and molecularlevels. Here we review, the underlying immunological decision tree that has several branching points to generatean optimal immune response. The tolerance versus immunity decision during and after the delivery of an antigen viaskin depends on i) antigen/pathogen application effects on the cutaneous microenvironment, ii) the variousinvolved cells type (skin resident cells or directly the lymph node resident cells), and regulatory molecules. Theskin microenvironment alters due to skin perturbation. The skin is perturbed directly by the antigens/pathogenswhich activate the release of mediators and cytokines and thus trigger an autocrine and paracrine effect, or,indirectly via the antigen/pathogen influence on the commensal microorganisms on the skin (which helpmaintain skin homeostasis). The skin microenvironment changes by the mode of antigen delivery.The cue from cutaneous immunology in vaccine delivery across intact skin may provide insight for future noninvasive vaccination suggesting a possible shift in the vaccination protocols and the essential paradigmrefinement.展开更多
文摘Immunosuppression can lead to opportunistic infections in a host.The evidence of viral infections causing immunosuppression in a host for a transient period is gaining attention.In order to prolong their stay in the human body,viruses affect the human immune systemin various ways.Common viral infections such as influenza can lead to transient lymphocytopenia,which lays the groundwork for more dangerous opportunistic infections.Cytomegalovirus(CMV)infection is a rare cause of inflammatory myelopathy.We present the case of a patient with an influenza infection who progressed to severe acute respiratory distress syndrome,methicillin-resistant Staphylococcus aureus necrotizing pneumonia,and idiopathic lymphocytopenia with a CD4 count of 61 perμL on arrival.After 2 weeks,the patient developed complete flaccid paralysis with sensory and autonomic dysfunction.Because his polymerase chain reaction results of cerebrospinal fluid and blood test were positive for CMV infection,he was treated with high doses of steroids and ganciclovir intravenously.Due to early diagnosis and intervention,the patient was able to recover in 2 months with only minimal residual weakness.Thus,this case stresses on the importance of looking out for opportunistic infections in patients affected by severe viral infections for their early recovery.
文摘The shear failure of a rigid-plastic dented clamped tubular beam under the lateral impact of a mass is investigated. Both the denting and the impact point are in the middle span of the beam. It is assumed that denting does not spread during the shear sliding. Numerical results show that the axial force and lateral deflection of the beam are very small at the moment of the occurence of shear failure, which means that the finite deformation effect can be neglected in the shear failure analysis. Also, some aspects of the initial impact energy are investigated.
文摘A vaccine must be sufficiently stable and cause no discernible discomfort or organ damage both during administration and at the injection site. To achieve these aims, the skin offers a viable platform, provided, antigens mustpenetrate the skin barrier and then exit the skin through deformable yet stable vesicular carriers to enter thelymphatic system. Even after such antigen delivery into the body, the intended immune response can only beattained if the following immune response has previously been correctly understood at the cellular and molecularlevels. Here we review, the underlying immunological decision tree that has several branching points to generatean optimal immune response. The tolerance versus immunity decision during and after the delivery of an antigen viaskin depends on i) antigen/pathogen application effects on the cutaneous microenvironment, ii) the variousinvolved cells type (skin resident cells or directly the lymph node resident cells), and regulatory molecules. Theskin microenvironment alters due to skin perturbation. The skin is perturbed directly by the antigens/pathogenswhich activate the release of mediators and cytokines and thus trigger an autocrine and paracrine effect, or,indirectly via the antigen/pathogen influence on the commensal microorganisms on the skin (which helpmaintain skin homeostasis). The skin microenvironment changes by the mode of antigen delivery.The cue from cutaneous immunology in vaccine delivery across intact skin may provide insight for future noninvasive vaccination suggesting a possible shift in the vaccination protocols and the essential paradigmrefinement.
