Cobalamin deficiency resulting in a rare haematological disorder: a case report.

INTRODUCTION: We present the case of a patient with a cobalamin deficiency resulting in pancytopaenia, emphasizing the importance to define, diagnose and treat cobalamin deficiency. CASE PRESENTATION: A 52-year-old man from the Democratic Republic of Congo presented to the emergency department with shortness of breath and a sore tongue. Physical examination was unremarkable. His haemoglobin was low and the peripheral blood smear revealed pancytopaenia with a thrombotic microangiopathy. The findings were low cobalamin and folate levels, and high homocysteine and methylmalonate levels. Pernicious anaemia with chronic atrophic gastritis was confirmed by gastric biopsy and positive antiparietal cell and anti-intrinsic factor antibodies. Cobalamin with added folate was given. Six months later, the patient was asymptomatic. CONCLUSION: Cobalamin deficiency should always be ruled out in a patient with pancytopaenia. Our case report highlights a life-threatening cobalamin deficiency completely reversible after treatment.

SBML qualitative models: a model representation format and infrastructure to foster interactions between qualitative modelling formalisms and tools.

BACKGROUND: Qualitative frameworks, especially those based on the logical discrete formalism, are increasingly used to model regulatory and signalling networks. A major advantage of these frameworks is that they do not require precise quantitative data, and that they are well-suited for studies of large networks. While numerous groups have developed specific computational tools that provide original methods to analyse qualitative models, a standard format to exchange qualitative models has been missing. RESULTS: We present the Systems Biology Markup Language (SBML) Qualitative Models Package ("qual"), an extension of the SBML Level 3 standard designed for computer representation of qualitative models of biological networks. We demonstrate the interoperability of models via SBML qual through the analysis of a specific signalling network by three independent software tools. Furthermore, the collective effort to define the SBML qual format paved the way for the development of LogicalModel, an open-source model library, which will facilitate the adoption of the format as well as the collaborative development of algorithms to analyse qualitative models. CONCLUSIONS: SBML qual allows the exchange of qualitative models among a number of complementary software tools. SBML qual has the potential to promote collaborative work on the development of novel computational approaches, as well as on the specification and the analysis of comprehensive qualitative models of regulatory and signalling networks.

Plant functional and phylogenetic turnover correlate with climate and land use in the Western Swiss Alps

Understanding the relative importance of historical and environmental processes in the structure and composition of communities is one of the longest quests in ecological research. Increasingly, researchers are relying on the functional and phylogenetic β-diversity of natural communities to provide concise explanations on the mechanistic basis of community assembly and the drivers of trait variation among species. The present study investigated how plant functional and phylogenetic β-diversity change along key environmental and spatial gradients in the Western Swiss Alps. Methods Using the quadratic diversity measure based on six functional traits: specific leaf area (SLA), leaf dry matter content (LDMC), plant height (H), leaf carbon content (C), leaf nitrogen content (N), and leaf carbon to nitrogen content (C/N) alongside a species-resolved phylogenetic tree, we relate variations in climate, spatial geographic, land use and soil gradients to plant functional and phylogenetic turnover in mountain communities of the Western Swiss Alps. Important findings Our study highlights two main points. First, climate and land use factors play an important role in mountain plant community turnover. Second, the overlap between plant functional and phylogenetic turnover along these gradients correlates with the low phylogenetic signal in traits, suggesting that in mountain landscapes, trait lability is likely an important factor in driving plant community assembly. Overall, we demonstrate the importance of climate and land use factors in plant functional and phylogenetic community turnover, and provide valuable complementary insights into understanding patterns of β-diversity along several ecological gradients.

[Illustrations de L'art du fabricant de velours de coton] / Bernard, grav.; Fossier, dess. ; Jean-Marie Roland de la Platière, aut. du texte

Comprend : [Bandeau folio Aij : allégorie de la Justice. Homme écrivant, singe. Ornements à la Bérin.] [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.1 : de la mécanique à carder le coton. Vues et développements de la machine à carder le coton.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.2 : de la mécanique à carder le coton. Machine à carder le coton.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.3 : de la mécanique à carder le coton. Machine à carder le coton. Fig.4 : petits cadres en fer, implantés sur la charpente de la mécanique, sur lesquels s'appuie et tourne l'axe des cylindres.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.4 : de la mécanique à filer le coton et de la manière de s'en servir.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.5 : de la mécanique à filer le coton et de la manière de s'en servir.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.6 : fabrication du velours. Fig.1 : moulins à retordre les fils de coton, doublés pour la châine des velours] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.7 : fabrication du velours. Fig.1 : vue perspective du métier monté et en travail.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.8 : fabrication du velours. Armure de piqué pour un carreau quatre points simple ou double, velours velvet-ret, croisé, piqué ou cannelé. Fig.8 : fabrication d'une toile sans lisière.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.9 : fabrication du velours. Le fourneau à brûler, griller ou raser les velours de coton et de la manière de faire cette opération.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.10 avec 3 vignettes : vignette 1, fabrication du velours. Des couleurs en bon teint. Atelier de teinture pour les coulers ordinaires, les garançages etc. Vignette 2 : atelier de teinture pour les cuves de bleu. Vignette 3 : atelier de teinture pour les tones de noir.] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257] ; [Pl.11 : fabrication du velours. Des couleurs en bon teint. De la cuve du bleu à chaud. Mécanique à imprimer au cylindre les toiles, croisés, satinettes, velours de coton etc. Mécanique à découper les velours cannelés et le velvet-ret avec l'ouvrier vu en travail. ] L'art du fabricant de velours de coton. [Cote : Res Atlas V 117/Microfilm R 101257]

Discours économique et évolution institutionnelle, les apports de J. R. Commons

John Roger Commons est, de manière quasi systématique, considéré comme l'un des pères fondateurs de l'ancien institutionnalisme américain. On souligne tout aussi couramment l'influence que la philosophie pragmatiste a pu avoir sur ses travaux, du moins en ce qui concerne son ouvrage de 1934. Plus rares sont les commentateurs soulignant le rôle qu'a le langage, a fortiori le langage de l'économiste, dans l'analyse qu'il fait de l'évolution institutionnelle. Notre but sera de souligner ce fait : pour Commons, dire c'est faire, dans la lignée de la linguistique performativiste, dire c'est agir sur l'évolution institutionnelle. Abstract : John Roger Commons is well known as one of the founders of old institutionnalism. It is current to emphazise his philosophical roots : the american pragmatism, at least in his masterpiece of 1934. On the other hand, it is less frequent to point out the important role that the langage, and a fortiori economics' langage, has in his understanding of institutional evolution. Our aim will be to spotlight this point : for Commons, we can do things with words, on the way of performativist linguistic, when we use words, we influence institutional evolution.

Double seronegative myasthenia gravis with antiphospholipid syndrome: a case report.

INTRODUCTION: Myasthenia gravis is an autoimmune disease characterized by fluctuating muscle weakness. It is often associated with other autoimmune disorders, such as thyroid disease, rheumatoid arthritis, systemic lupus erythematosus, and antiphospholipid syndrome. Many aspects of autoimmune diseases are not completely understood, particularly when they occur in association, which suggests a common pathogenetic mechanism. CASE PRESENTATION: We report a case of a 42-year-old Caucasian woman with antiphospholipid syndrome, in whom myasthenia gravis developed years later. She tested negative for both antibodies against the acetylcholine receptor and against muscle-specific receptor tyrosine-kinase, but had typical decremental responses at the repetitive nerve stimulation testing, so that a generalized myasthenia gravis was diagnosed. Her thromboplastin time and activated partial thromboplastin time were high, anticardiolipin and anti-β2 glycoprotein-I antibodies were slightly elevated, as a manifestation of the antiphospholipid syndrome. She had a good clinical response when treated with a combination of pyridostigmine, prednisone and azathioprine. CONCLUSIONS: Many patients with myasthenia gravis test positive for a large variety of auto-antibodies, testifying of an immune dysregulation, and some display mild T-cell lymphopenia associated with hypergammaglobulinemia and B-cell hyper-reactivity. Both of these mechanisms could explain the occurrence of another autoimmune condition, such as antiphospholipid syndrome, but further studies are necessary to shed light on this matter.Clinicians should be aware that patients with an autoimmune diagnosis such as antiphospholipid syndrome who develop signs and neurological symptoms suggestive of myasthenia gravis are at risk and should prompt an emergent evaluation by a specialist.