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Introduction:Scabies is a parasitic world-wide dermatosis caused by human ectoparasite Sarcoptes scabiei var. hominis. Crusted scabies is a severe and extremely contagious form of scabies with massive skin infestation. As a result of the clinical presentation not corresponding to the classic scabies, the establishment of a diagnosis is frequently delayed.Objective:We highlight the role of dermoscopy in establishing the diagnosis of scabies.Case report:We present the case of a 77-year-old nursing home resident with a history of psoriasis for over 30 years with symptoms of generalized erythematous-papular lesions covered by scales, accompanied by palmoplantar regions covered by plaques with linear fissures, onycholysis and subungual hyperkeratosis. The dermoscopic examination revealed “delta wing” sign and numerous aggregates of burrows, allowing to establish the diagnosis of scabies.Conclusions:Dermatoscopy as an easily accessible, fast and non-invasive examination can identify typical scabies characteristics, significantly improving the process of diagnosing.

Expanding pierced holes is a common forming practice and problems during these operations are not unusual. A damczyk and Michal have previously developed an equation for maximum hole expansion of HSLA steels, for holes in the sheared then deburred condition. This paper expands the work of the above authors. Nineteen ferritic, ferritic stainless, and austenitic stainless steels were evaluated for hole expansion using various hole-edge conditions. It was found that the behavior of steels having finished holes is very different than those tested in the as-sheared condition. Relationships between hole expansion and tensile-mechanical properties were developed for both conditions.[PUBLICATION ABSTRACT]

A set of 127 binary and multistate characters, weighted by the number of derived character states, degree of covariation, and level of homoplasy, was used in a cladistic analysis of type species representing 12 genera previously assigned to families Monticuliporidae and Mesotrypidae. The most parsimonious tree consisted of a 10-genus monophyletic crown group with the remaining two genera forming a basal paraphyletic stem group. The composition of the monticuliporid crown group is broadly similar to two earlier classifications while stem group membership matches the family Mesotrypidae. Phenetic groupings, based on overall morphological similarity, have memberships that are similar to those of clades but provide no means of determining the polarity of evolutionary relationships either within or between them. Finally, only the observed stratigraphic ranges of the type species of genera provide a statistically significant match with cladistic branching sequence, perhaps because current composite generic ranges reflect the mixing of species belonging to different genera. Based on cladogram topology, we propose the placement of all 12 genera into a single family Monticuliporidae.

Introduction:Cutaneous sarcoidosis is a chronic inflammatory disease of unknown etiology. Its most common manifestations include erythema nodosum and the formation of papules, nodules, and plaques. The literature describes cases of successful treatment with phototherapy.Objective:The purpose of this study is to present the case of a patient with cutaneous sarcoidosis who achieved complete remission of lesions following PUVA phototherapy.Case report:A 51-year-old woman presented to the Dermatology Outpatient Clinic with erythematous and papular lesions on her back. Histopathological examination revealed nodular collection of epithelioid histiocytes in the dermis with sparse lymphocytes at the periphery corresponding to sarcoidosis. Due to the ineffectiveness of potent topical corticosteroids, PUVA phototherapy was implemented. After a cycle of 20 irradiations, complete remission of the skin lesions was achieved.Conclusions:Cutaneous sarcoidosis presents a diagnostic and therapeutic challenge. PUVA phototherapy may be an effective therapeutic option.

Previous studies have proved that observational learning can induce placebo analgesia, but the factors that influence observationally induced placebo analgesia have not yet been extensively examined. The primary goal of this study was to investigate the effect of information about the role that the observed person (model) plays in the experiment on the magnitude of the observationally induced placebo effect. This study also examined the contribution of the observer’s empathy, conformity and fear of pain to the placebo analgesia induced by observational learning. The effects induced in two experimental groups and one control group were compared. Participants in the experimental groups observed a model introduced as either another participant taking part in the study or a coworker of the experimenter. The model rated the intensity of pain induced by electrocutaneous stimuli preceded by color stimuli. One-half of all participants watched a model rating pain stimuli preceded by the color orange as higher than stimuli preceded by the color blue; for the other half, the ratings were the opposite. There was no observation in the control group. Subsequently, all participants received pain stimuli of the same intensity preceded by orange and blue stimuli and rated the intensity of the experienced pain. Placebo analgesia was found in both experimental groups. However, the way the observed model was introduced to participants did not affect the magnitude of placebo analgesia. Thus, the study showed that the role played by the model is not crucial for observationally induced placebo analgesia. The examined observer’s individual characteristics did not predict the magnitude of placebo effect.

Humans often traverse real-world environments with a variety of surface irregularities and inconsistencies, which can disrupt steady gait and require additional effort. Such effects have, however, scarcely been demonstrated quantitatively, because few laboratory biomechanical measures apply outdoors. Walking can nevertheless be quantified by other means. In particular, the foot’s trajectory in space can be reconstructed from foot-mounted inertial measurement units (IMUs), to yield measures of stride and associated variabilities. But it remains unknown whether such measures are related to metabolic energy expenditure. We therefore quantified the effect of five different outdoor terrains on foot motion (from IMUs) and net metabolic rate (from oxygen consumption) in healthy adults (N = 10; walking at 1.25 m/s). Energy expenditure increased significantly ( P < 0.05) in the order Sidewalk, Dirt, Gravel, Grass, and Woodchips, with Woodchips about 27% costlier than Sidewalk. Terrain type also affected measures, particularly stride variability and virtual foot clearance (swing foot’s lowest height above consecutive footfalls). In combination, such measures can also roughly predict metabolic cost (adjusted R 2 = 0.52, partial least squares regression), and even discriminate between terrain types (10% reclassification error). Body-worn sensors can characterize how uneven terrain affects gait, gait variability, and metabolic cost in the real world.

Humans tend to swing their arms when they walk, a curious behaviour since the arms play no obvious role in bipedal gait. It might be costly to use muscles to swing the arms, and it is unclear whether potential benefits elsewhere in the body would justify such costs. To examine these costs and benefits, we developed a passive dynamic walking model with free-swinging arms. Even with no torques driving the arms or legs, the model produced walking gaits with arm swinging similar to humans. Passive gaits with arm phasing opposite to normal were also found, but these induced a much greater reaction moment from the ground, which could require muscular effort in humans. We therefore hypothesized that the reduction of this moment may explain the physiological benefit of arm swinging. Experimental measurements of humans (n = 10) showed that normal arm swinging required minimal shoulder torque, while volitionally holding the arms still required 12 per cent more metabolic energy. Among measures of gait mechanics, vertical ground reaction moment was most affected by arm swinging and increased by 63 per cent without it. Walking with opposite-to-normal arm phasing required minimal shoulder effort but magnified the ground reaction moment, causing metabolic rate to increase by 26 per cent. Passive dynamics appear to make arm swinging easy, while indirect benefits from reduced vertical moments make it worthwhile overall.

Imidacloprid is a neonicotinoid pesticide heavily used by the agricultural industry and shown to have negative impacts on honey bees above certain concentrations. We evaluated the effects of different imidacloprid concentrations in sugar syrup using cage and field studies, and across different environments. Honey bee colonies fed sublethal concentrations of imidicloprid (0, 5, 20 and 100 ppb) over 6 weeks in field trials at a desert site (Arizona), a site near intensive agriculture (Arkansas) and a site with little nearby agriculture but abundant natural forage (Mississippi) were monitored with respect to colony metrics, such as adult bee and brood population sizes, as well as pesticide residues. Hive weight and internal hive temperature were monitored continuously over two trials in Arizona. Colonies fed 100 ppb imidacloprid in Arizona had significantly lower adult bee populations, brood surface areas and average frame weights, and reduced temperature control, compared to colonies in one or more of the other treatment groups, and consumption rates of those colonies were lower compared to other colonies in Arizona and Arkansas, although no differences in capped brood or average frame weight were observed among treatments in Arkansas. At the Mississippi site, also rich in alternative forage, colonies fed 5 ppb imidacloprid had less capped brood than control colonies, but contamination of control colonies was detected. In contrast, significantly higher daily hive weight variability among colonies fed 5 ppb imidacloprid in Arizona suggested greater foraging activity during a nectar flow post treatment, than any other treatment group. Imidacloprid concentrations in stored honey corresponded well with the respective syrup concentrations fed to the colonies and remained stable within the hive for at least 7 months after the end of treatment.

Supporting post-exercise recovery requires choosing not only the right treatment but also the equipment, in which the impact is not always clear. The study aimed to determine the effect of foam rolling on the rate of lactate removal and DOMS prevention and whether the type of foam roller is effective in the context of post-exercise recovery. This randomized trial enrolled 33 active healthy males divided into three groups of eleven individuals: foam rolling with a smooth (STH) or grid roller (GRID) or passive recovery (PAS). All the participants performed full squat jumps for one minute. Examination took place at rest (thermal imaging of skin temperature-[T.sub.sk ] and blood lactate-[LA]), immediately following exercise (T.sub.sk & LA), immediately after recovery treatment (T.sub.sk) and after 30 minutes of rest (T.sub.sk & LA). Their pain levels were assessed using the Visual Analog Scale (VAS) 24, 48, 72, and 96 hours after exercise. The magnitude of lactate decrease depended on the type of recovery used. In the PAS group, the decrease in lactate concentration by 2.65 mmol/L following a half-hour rest was significantly lower than that in the other groups (STH vs. PAS p = 0.042 / GRID vs. PAS p = 0.025). For thermal responses, significant differences between both experimental groups were noted only 30 minutes after exercise. A significant decrease in pain in the STH group occurred between 48 and 96 hours, while the GRID group showed a systematic significant decrease in VAS values in subsequent measurements. Changes in VAS values in subsequent measurements in the PAS group were not statistically significant (p>0.05). Foam rolling seems to be effective for enhancing lactate clearance and counteracting DOMS, but the type of foam roller does not seem to influence the recovery rate.

The movement of lithium ions into and out of electrodes is central to the operation of lithium-ion batteries. Although this process has been extensively studied at the device level, it remains insufficiently characterized at the nanoscale level of grain clusters, single grains and defects. Here, we probe the spatial variation of lithium-ion diffusion times in the battery-cathode material LiCoO 2 at a resolution of ∼100 nm by using an atomic force microscope to both redistribute lithium ions and measure the resulting cathode deformation. The relationship between diffusion and single grains and grain boundaries is observed, revealing that the diffusion coefficient increases for certain grain orientations and single-grain boundaries. This knowledge provides feedback to improve understanding of the nanoscale mechanisms underpinning lithium-ion battery operation. The diffusion times of lithium ions in the cathode of a lithium-ion battery have been probed at a spatial resolution below 100 nanometres.