Bone lesions are rarely reported in Hairy Cell Leukemia (HCL). We report two BRAFV600E mutated HCL patients presented bone lesions at foreground, poor bone marrow involvement and the important role 18F-FDG PET/CT played in their management. We discuss the crucial role that 18F-FDG PET/CT could play in HCL routine practice.

Cutaneous leiomyomas are benign tumors arising from smooth muscles of the skin. Multiple lesions may be arranged in segmental, zosteriform, disseminated patterns. Multiple pilar leiomyomas may be inherited in an autosomal dominant pattern and may be associated with uterine fibroids and renal cell carcinoma, also known as Reed Syndrome.

Recently, Kubernetes is widely used to manage and schedule the resources of microservices in cloud-native distributed applications, as the most famous container orchestration framework. However, Kubernetes preferentially schedules microservices to nodes with rich and balanced CPU and memory resources on a single node. The native scheduler of Kubernetes, called Kube-scheduler, may cause resource fragmentation and decrease resource utilization. In this paper, we propose a deep reinforcement learning enhanced Kubernetes scheduler named DRS. To improve resource utilization and reduce load imbalance, we first present the Kubernetes scheduling problem as a Markov decision process and elaborately designed the state, action, and reward. Then, we design and implement DRS mointor to perceive six metrics about resource utilization to construct a comprehensive global resource view. Finally, DRS can automatically learn the scheduling policy through interaction with the Kubernetes cluster, without relying on expert knowledge about workload and cluster status. We implement a prototype of DRS in a Kubernetes cluster with five nodes and evaluate its performance. Experimental results highlight that DRS overcomes the shortcomings of Kube-scheduler and achieve the expected scheduling target with three workloads. Compared with Kube-scheduler, DRS brings an improvement of 27.29% in resource utilization and reduce the load imbalance by 2 .90× on average, with only 3.27% CPU overhead and 0.648% communication latency.

Sulfide solid state electrolyte (SSE) possesses high ionic conductivity and great processability but suffers from narrow electrochemical window. Conversion sulfide cathode FeS2 has higher specific capacity and moderate redox potential, making it appropriate towards sulfide SSE. However, the complex reaction pathway and capacity fading mechanism in FeS2 are rarely studied, especially in all-solid-state lithium battery (ASSLB). Herein, argyrodite sulfide SSE is paired with FeS2 to investigate the electrochemical reaction pathways and the capacity fade mechanism. Instead of single conversion reaction, an anionic redox driven reaction of FeS2 is revealed. The oxidization of Li2S vanishes and large quantity of inactive Li2S accumulates to cause the interfacial deterioration, along with the stress concentration during cycling, which leads to the rapid capacity fade of FeS2. Finally, a simple strategy of slurry-coated composite electrode with highly conductive network is proposed to direct the uniform deposition of Li2S and alleviate the stress concentration.

Plant-based high internal phase oil-in-water emulsions (HIPEs) are promising fat replacers. However, producing stable HIPES with improved viscoelastic properties is a challenge for the food industry. Conjugation of plant proteins, such as lupin protein isolate, with phenolic compounds, such as proanthocyanidins from grape seed extract, associated (or not) with moderate heat treatment arise as potential methods to tune the surface properties of proteins and, consequently, the droplet-droplet interactions that drive the viscoelastic properties of HIPEs. In this way, unheated (UHC) and heated (85°C, 15 min) (HC) lupin protein (LPI)-grape seed extract (GSE) conjugates were produced and used to stabilize high internal phase oil-in-water emulsions. Evaluation of stability by Turbiscan and oil loss by centrifugation over 56 days of storage did not reflect the kinetic stability of HIPEs against process conditions. Under shearing, UHC-stabilized emulsions at high GSE concentrations showed oil release, whereas all HC-stabilized HIPEs released oil. However, the increase in GSE concentration and heat treatment improved the viscosity and storage modulus (G’) of HIPEs, possibly due to the droplet-droplet interaction originating from hydrophilic and hydrophobic interactions in UHC and HC-stabilized HIPEs, respectively. This pivotal study confirmed that conjugation of a plant protein with GSE and heat treatment could improve the viscoelastic properties of high internal phase oil-in-water emulsions and produce HIPEs with superior texture (higher G’).

Unroofed coronary sinus syndrome may be associated with persistent left superior vena cava (PLSVC). Herein, we present a case of a 2-year-old patient who underwent an operation for repair of a coronary sinus-type ASD; however, PLSVC was detected intraoperatively. total repair was performed by creating an intra-atrial tunnel.

Non-native plants are typically released from specialist enemies in new ranges, but continue to be attacked by generalists, but whether they shift relative allocation to constitutive or induced defenses is unknown. We compared herbivory on co-occurring native and non-native species and also constitutive and induced defenses. Non-natives suffered less damage than natives and constitutive defenses of non-natives was lower than that of native congeners, whereas induced defense was the opposite. The strength of constitutive defenses for a species was correlated with the intensity of herbivory experienced, for non-natives, whereas induced defenses showed the reverse. The defenses of natives were not related to herbivory pressure. Finally, the strength of induced defenses correlated positively with growth, suggesting a novel mechanism for the evolution of increased competitive ability. These results expand our understanding of fundamental tradeoffs in constitutive and induced defenses and provide novel insight into how herbivory pressure affects defense allocation.

A 5-year-old Staffordshire terrier mix being treated for immune-mediated hemolytic anemia was diagnosed with concurrent disseminated Aspergillus citrinoterreus and localized Curvularia lunata infections. This case highlights the potential development of multiple concurrent opportunistic fungal infections, and it is the first reported case of Aspergillus citrinoterreus infection in a dog.

Eurasian otters are apex predators of freshwater ecosystems and a recovering species across much of their European range; investigating the dietary variation of this predator over time and space therefore provides opportunities to identify changes in freshwater trophic interactions and factors influencing the conservation of otter populations. Here we sampled faeces from 300 dead otters across England and Wales between 2007 and 2016, conducting both morphological analysis of prey remains and dietary DNA metabarcoding. Comparison of these methods showed that greater taxonomic resolution and breadth could be achieved using DNA metabarcoding but combining data from both methodologies gave the most comprehensive dietary description. All otter demographics exploited a broad range of taxa and variation primarily reflected changes in prey distributions and availability across the landscape. This study provides novel insights into the trophic generalism and adaptability of otters across Britain, which is likely to have aided their recent population recovery, and may increase their resilience to future environmental changes.

In this letter, we consider the privacy-preserving strategies of the distributed state estimator over wireless sensor networks. Aiming at an eavesdropper who can intercept the data transmitted on the communication channel, we design a simple preserving scheme to encode the transmitted data by using system dynamics and history estimates. To analyze the privacy-preserving performance, we use the gap between the values deciphered by the eavesdropper and decoded by the sensor as the privacy index to evaluate the degree of robust privacy protection. Finally, we provide some simulations to illustrate the effectiveness of the proposed preserving schemes.

Monkeypox virus (MPXV) is a zoonotic disease endemic in the rain forest countries of Central and West Africa. Understanding the immune response in zoonosis is fundamental to prevent and contrast viral spreading. MPXV is a close relative of the Variola (smallpox) virus and vaccination with vaccinia virus give an 85% protection against MPXV. With the emergence of the recent MPXV outbreak, Jynneos vaccine has been proposed to individuals at high-risk of exposure. Comparative data on MPXV immune response in vaccinated or infected subjects is still scarce. Here we described the differences between a group of infected patients in comparison to smallpox or Jynneos vaccinated subjects. The patients’ response is stronger and faster, while the Jynneos vaccinated controls need more time to develop a good immunity. Interestingly, the historic smallpox-vaccinated controls retain a degree of protection, even after years from vaccination, which is most visible in the T-cellular memory that is comparable to the newly vaccinated subjects.

Bilateral spontaneous pneumothorax can occur as a late complication in patients with COVID-19 even without any history of mechanical ventilation. Here, we are presenting a patient with mild COVID-19 pneumonia with a left massive pneumothorax in the third week of the hospitalization, and the addition of right pneumothorax as well.

Guillain-Barre syndrome (GBS) is a rare autoimmune disease that often manifests as a post-viral complication. However, its association with Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is unclear. We present a rare case of GBS secondary to COVID-19 infection complicated by rapidly progressive sensorimotor deterioration resistant to plasma exchange therapy.

AIM Cachexia is characterized by losses in lean body mass and its progression results in worsened quality of life and exacerbated outcomes in cancer patients. However, the role and impact of fibrosis during the early stages and development of cachexia in under-investigated. The purpose of this study was to determine if fibrosis occurs during cachexia development, and to evaluate this in both sexes. Methods Female and male C57BL6/J mice were injected with PBS or Lewis Lung Carcinoma (LLC) at 8‐week of age and tumors were allowed to develop for 1, 2, 3, or 4 weeks. 3wk and 4wk female tumor‐bearing mice displayed a dichotomy in tumor growth and were reassigned to high tumor (HT) and low tumor (LT) groups. In vitro analyses were also performed on co-cultured C2C12 and 3T3 exposed to LLC conditioned media. Immunohistochemistry and quantitative PCR analysis were used to investigate fibrosis and fibrosis related signaling in skeletal muscle. Results Collagen deposition in skeletal muscle was increased in the 1wk, LT and HT groups in female mice. However, collagen deposition was only increased in the 4wk group in male mice. In general female mice displayed earlier alterations in ECM related genes beginning at 1 wk post-LLC injection. Whereas this was not seen in males. Conclusions While overall tumor burden is tightly correlated to cachexia development in both sexes, fibrotic development is not. Male mice did not exhibit early-stage alterations in ECM related genes contrary to what was noted in female mice.

Abstract Qinghai-Tibetan Plateau is an important ecological security barrier in China, and alpine ecosystem presents a trend of overall improvement under the influence of climate change and human activities, yet there are localized deteriorations. In order to improve the ecological function of the Tibetan Plateau, large-scale ecological restoration projects (ERPs) have been carried out in Tibetan Plateau over the past 30 years. From following the footstep of national ecological constructions to the implementation of projects specific to the plateau characteristics, the ERP of the plateau can be divided into three stages. Major ERPs focusing on four types of projects, i.e. forest protection and construction, grassland protection and construction, water and soil erosion control and desertification land management, with a total area of 850,000km 2 across the Qinghai-Tibetan Plateau. The positive effect at sampling quadrat scale has been widely verified, and the responses of productivity and species diversity were inconsistent. The positive effect at the regional scale gradually emerges, yet the spatial difference is significant, and the quantification of driving forces is an important prerequisite. The positive and negative effects of existing ERP on biodiversity conservation are revealed, for instance, there is a significant increase of rare wild animals in natural reserves and in artificially planted areas it failed to effectively curb the loss of animal and plant diversity. The long-term effects of various ERPs on the biodiversity should be taken into account so as to optimize the ecological measures and build a sustainable management model after project restoration. By summarizing the achievements and problems of ERP across the Qinghai-Tibetan Plateau in the past 30 years, we proposed to set stepwise ecological restoration and management scheme by different restoration goals and reference modes in three stages, i.e. “Environmental treatment—Ecological restoration projects—Adaptive management”.

The clinical assessment of patients with disorders of consciousness (DoC) relies on the observation of behavioral responses to standardized sensory stimulation. However, several medical comorbidities may directly impair the production of reproducible and appropriate responses, thus reducing the sensitivity of behavior-based diagnoses. One of these is Akinetic Mutism (AM), a rare neurological syndrome characterized by the inability to initiate volitional motor responses, sometimes associated with clinical presentations overlapping with those of DoC. Here we describe the case of a patient with large bilateral mesial frontal lesions showing a prolonged behavioral unresponsiveness and a severe disorganization of electroencephalographic (EEG) background, compatible with a vegetative state/unresponsive wakefulness syndrome (VS/UWS). By applying an unprecedented battery of multimodal longitudinal measurements encompassing spontaneous EEG, evoked potentials, event-related potentials, transcranial magnetic stimulation-evoked potentials, and structural and functional MRI, we provide (i) a demonstration of the preservation of consciousness despite unresponsiveness in the context of a complete AM, (ii) a plausible neurophysiological explanation of behavioral unresponsiveness and of its subsequent recovery during rehabilitation stay and (iii) novel insights into the relationships between DoC, AM and parkinsonism. The present case provides proof-of-principle evidence supporting the clinical utility of a multimodal hierarchical workflow combining conventional and advanced techniques to detect covert signs of consciousness in unresponsive patients.

Congenital heart disease is a risk factor for infective endocarditis. Ventricular septal defects and ventricular outflow tract obstructions are the most common causes of endocarditis in this population. We presented a patient diagnosed with leukocytoclastic vasculitis with renal and pulmonary involvement with right-sided infective endocarditis as an etiology for vasculitis.

1) Individual variation in life-history traits can have important implications for the ability of populations to respond to environmental variability and change. 2) In migratory animals, flexibility in the timing of life-history events, such as juvenile emigration from natal areas, can influence the effects of population density and environmental conditions on habitat use and population dynamics. 3) We evaluated the functional relationships between population density and environmental covariates and the abundance of juveniles expressing different life-history pathways in a migratory fish, Chinook salmon (Oncorhynchus tshawytscha), in the Wenatchee River basin in Washington State, USA. 4) We found that the abundance of younger emigrants from natal streams was best described by an accelerating or near-linear function of spawners, whereas the abundance of older emigrants was best described by a decelerating function of spawners. This supports the hypothesis that emigration timing varies in response to density in natal areas, with younger-emigrating life-history pathways comprising a larger proportion of emigrants when densities of conspecifics are high. 5) We also observed positive relationships between winter stream discharge and abundance of younger emigrants, supporting the hypothesis that habitat conditions can also influence the prevalence of different life-history pathways. 6) Our results suggest that early emigration, and a resultant increase in the use of downstream rearing habitats, may increase at higher population densities and with greater winter precipitation. Winter precipitation is projected to increase in this system due to climate warming. 7) Characterizing relationships between life-history prevalence and environmental conditions may improve our understanding of species habitat requirements and is a necessary first step in understanding the dynamics of species with diverse life-history strategies. 8) As environmental conditions change – due to climate change, management, or other factors – resultant life-history changes are likely to have important demographic implications that will be challenging to predict if life-history diversity is not accounted for in population models.