Descemet's membrane endothelial keratoplasty rejection after SARS-COV2 infection or vaccination: 2-year retrospective study.

PURPOSE: To assess the incidence of Descemet's membrane endothelial keratoplasty (DMEK) rejection potentially associated with coronavirus disease 2019 (COVID-19) infection or vaccination, and its association with known rejection risk factors during the first two years of the pandemic. METHODS: This retrospective study included patients with DMEK rejection between January 2020 and December 2021. Diagnostic criteria were based on symptoms, visual acuity, and other clinical assessments. Risk factors for graft rejection were considered, and a telephone survey was conducted to identify possible preceding COVID-19 infection or vaccination. RESULTS: Of 58 patients, 44 were included. Six patients (14%) reported COVID-19 infection, with one immediate endothelial graft rejection (EGR) post-infection. After vaccine availability, 13 of 36 patients had EGR at an average of 2.7 months post-vaccination. Five (38%) had immediate EGR following vaccination, four of which had concomitant risk factors for rejection. CONCLUSION: Although the risk of endothelial graft rejection (EGR) associated with COVID-19 infection or vaccination appears to be extremely low, there may be a causative relationship, especially in patients with pre-existing risk factors for EGR. A temporary increase in anti-rejection treatment following COVID-19 infection or vaccination is recommended, especially in patients with pre-existing risk factors, along with closer monitoring during the subsequent 4 to 8 weeks.

Composite infrared spectrometer (CIRS) on Cassini.

The Cassini spacecraft orbiting Saturn carries the composite infrared spectrometer (CIRS) designed to study thermal emission from Saturn and its rings and moons. CIRS, a Fourier transform spectrometer, is an indispensable part of the payload providing unique measurements and important synergies with the other instruments. It takes full advantage of Cassini's 13-year-long mission and surpasses the capabilities of previous spectrometers on Voyager 1 and 2. The instrument, consisting of two interferometers sharing a telescope and a scan mechanism, covers over a factor of 100 in wavelength in the mid and far infrared. It is used to study temperature, composition, structure, and dynamics of the atmospheres of Jupiter, Saturn, and Titan, the rings of Saturn, and surfaces of the icy moons. CIRS has returned a large volume of scientific results, the culmination of over 30 years of instrument development, operation, data calibration, and analysis. As Cassini and CIRS reach the end of their mission in 2017, we expect that archived spectra will be used by scientists for many years to come.

Composite infrared spectrometer (CIRS) on Cassini: publisher's note.

This publisher's note renumbers the reference list in Appl. Opt.56, 5274 (2017)APOPAI0003-693510.1364/AO.56.005274.

Utility of immunoblotting for early diagnosis of toxoplasmosis seroconversion in pregnant women.

Congenital transmission of Toxoplasma gondii occurs mainly when a mother acquires the infection for the first time during pregnancy. It was recently shown that although early treatment of the primary infection during pregnancy has little or no impact on the fetomaternal transmission rate, it does reduce the incidence of sequelae in infected infants. Seroconversion is defined by the appearance of IgG. Commercial reagents continue to vary considerably in detecting low concentrations of antibodies, as during early seroconversion. We compared two routinely used immunoassays (IA) (Platelia and Elecsys Toxo IgG) and an indirect immunofluorescence assay (IIF) with a qualitative test based on immunoblot analysis (Toxo II IgG) (IB) to assess their abilities to diagnose seroconversion at its earliest stages. This prospective study was carried out between January and November 2010. It included 39 pregnant women with monthly follow-up who seroconverted during pregnancy. On first sera that were IgM positive but IgG negative (or equivocal) as detected by IA, IB diagnosed seroconversion twice as often as IIF (26/39 [66.7%] versus 13/39 [33.3%]; P < 0.001; χ(2) test). Serum samples were retaken 2 to 5 weeks later for the other 13 cases (IgG negative by IB on first serum). Seroconversion was demonstrated as follows: IB for 5 cases where IA remained negative or equivocal, IB and IIF for 5 cases where IA remained negative or equivocal, IA for 2 cases, and no method for 1 case (a third sample was necessary). In summary, IB permitted toxoplasmosis seroconversion diagnosis before other means in 92.3% of cases (36/39) and thus earlier therapeutic intervention.

Titan's atmospheric temperatures, winds, and composition.

Temperatures obtained from early Cassini infrared observations of Titan show a stratopause at an altitude of 310 kilometers (and 186 kelvin at 15 degrees S). Stratospheric temperatures are coldest in the winter northern hemisphere, with zonal winds reaching 160 meters per second. The concentrations of several stratospheric organic compounds are enhanced at mid- and high northern latitudes, and the strong zonal winds may inhibit mixing between these latitudes and the rest of Titan. Above the south pole, temperatures in the stratosphere are 4 to 5 kelvin cooler than at the equator. The stratospheric mole fractions of methane and carbon monoxide are (1.6 +/- 0.5) x 10(-2) and (4.5 +/- 1.5) x 10(-5), respectively.

Temperatures, winds, and composition in the saturnian system.

Stratospheric temperatures on Saturn imply a strong decay of the equatorial winds with altitude. If the decrease in winds reported from recent Hubble Space Telescope images is not a temporal change, then the features tracked must have been at least 130 kilometers higher than in earlier studies. Saturn's south polar stratosphere is warmer than predicted from simple radiative models. The C/H ratio on Saturn is seven times solar, twice Jupiter's. Saturn's ring temperatures have radial variations down to the smallest scale resolved (100 kilometers). Diurnal surface temperature variations on Phoebe suggest a more porous regolith than on the jovian satellites.

Jupiter's atmospheric composition from the Cassini thermal infrared spectroscopy experiment.

The Composite Infrared Spectrometer observed Jupiter in the thermal infrared during the swing-by of the Cassini spacecraft. Results include the detection of two new stratospheric species, the methyl radical and diacetylene, gaseous species present in the north and south auroral infrared hot spots; determination of the variations with latitude of acetylene and ethane, the latter a tracer of atmospheric motion; observations of unexpected spatial distributions of carbon dioxide and hydrogen cyanide, both considered to be products of comet Shoemaker-Levy 9 impacts; characterization of the morphology of the auroral infrared hot spot acetylene emission; and a new evaluation of the energetics of the northern auroral infrared hot spot.

An intense stratospheric jet on Jupiter.

The Earth's equatorial stratosphere shows oscillations in which the east-west winds reverse direction and the temperatures change cyclically with a period of about two years. This phenomenon, called the quasi-biennial oscillation, also affects the dynamics of the mid- and high-latitude stratosphere and weather in the lower atmosphere. Ground-based observations have suggested that similar temperature oscillations (with a 4-5-yr cycle) occur on Jupiter, but these data suffer from poor vertical resolution and Jupiter's stratospheric wind velocities have not yet been determined. Here we report maps of temperatures and winds with high spatial resolution, obtained from spacecraft measurements of infrared spectra of Jupiter's stratosphere. We find an intense, high-altitude equatorial jet with a speed of approximately 140 m s(-1), whose spatial structure resembles that of a quasi-quadrennial oscillation. Wave activity in the stratosphere also appears analogous to that occurring on Earth. A strong interaction between Jupiter and its plasma environment produces hot spots in its upper atmosphere and stratosphere near its poles, and the temperature maps define the penetration of the hot spots into the stratosphere.

Numerical simulation of the general circulation of the atmosphere of Titan.

The atmospheric circulation of Titan is investigated with a general circulation model. The representation of the large-scale dynamics is based on a grid point model developed and used at Laboratoire de Météorologie Dynamique for climate studies. The code also includes an accurate representation of radiative heating and cooling by molecular gases and haze as well as a parametrization of the vertical turbulent mixing of momentum and potential temperature. Long-term simulations of the atmospheric circulation are presented. Starting from a state of rest, the model spontaneously produces a strong superrotation with prograde equatorial winds (i.e., in the same sense as the assumed rotation of the solid body) increasing from the surface to reach 100 m sec-1 near the 1-mbar pressure level. Those equatorial winds are in very good agreement with some indirect observations, especially those of the 1989 occultation of Star 28-Sgr by Titan. On the other hand, the model simulates latitudinal temperature contrasts in the stratosphere that are significantly weaker than those observed by Voyager 1 which, we suggest, may be partly due to the nonrepresentation of the spatial and temporal variations of the abundances of molecular species and haze. We present diagnostics of the simulated atmospheric circulation underlying the importance of the seasonal cycle and a tentative explanation for the creation and maintenance of the atmospheric superrotation based on a careful angular momentum budget.

Absolute absorption coefficient of C6H2 in the mid-UV range at low temperature; implications for the interpretation of Titan atmospheric spectra.

The interpretation of mid-UV albedo spectra of planetary atmospheres, especially that of Titan, is the main goal of the SIPAT (Spectroscopie uv d'Interet Prebiologique dans l'Atmosphere de Titan) research program. This laboratory experiment has been developed in order to systematically determine the absorption coefficients of molecular compounds which are potential absorbers of scattered sunlight in planetary atmospheres, with high spectral resolution, and at various temperatures below room temperature. From photochemical modelling and experimental simulations, we may expect triacetylene (C6H2) to be present in the atmosphere of Titan, even though it has not yet been detected. We present here the first determination of the absolute absorption coefficient of that compound in the 200-300 nm range and at two temperatures (296 K and 233 K). The temperature dependence of the C6H2 absorption coefficient in that wavelength range is compared to that previously observed in the case of cyanoacetylene (HC3N). We then discuss the implications of the present results for the interpretation of Titan UV spectra, where it appears that large uncertainities can be introduced either by the presence of trace impurities in laboratory samples or by the variations of absorption coefficients with temperature.

Coupled atmosphere-ocean models of Titan's past.

We have developed a coupled atmosphere and ocean model of Titan's surface. The atmospheric model is a 1-D spectrally-resolved radiative-convective model. The ocean thermodynamics are based upon solution theory. The ocean, initially composed of CH4, becomes progressively enriched in ethane over time. The partial pressures of N2 and CH4 in the atmosphere are dependent on the ocean temperature and composition. We find that the resulting system is stable against a runaway greenhouse. Accounting for the decreased solar luminosity, we find that Titan's surface temperature was about 20 K colder 4 Gyr ago. Without an ocean, but only small CH4 lakes, the temperature change is 12 K. In both cases we find that the surface of Titan may have been ice covered about 3 Gyr ago. In the lakes case condensation of N2 provides the ice, whereas in the ocean case the ocean freezes. The dominant factor influencing the evolution of Titan's surface temperature is the change in the solar constant--amplified, if an ocean is present, by the temperature dependence of the solubility of N2. Accretional heating can dramatically alter the surface temperature; a surface thermal flux of 500 erg cm-2 sec-1, representative of small levels of accretional heating, results in a approximately 20 K change in surface temperatures.

The greenhouse and antigreenhouse effects on Titan.

There are many parallels between the atmospheric thermal structure of the Saturnian satellite Titan and the terrestrial greenhouse effect; these parallels provide a comparison for theories of the heat balance of Earth. Titan's atmosphere has a greenhouse effect caused primarily by pressure-induced opacity of N2, CH4, and H2. H2 is a key absorber because it is primarily responsible for the absorption in the wave number 400 to 600 cm-1 "window" region of Titan's infrared spectrum. The concentration of CH4, also an important absorber, is set by the saturation vapor pressure and hence is dependent on temperature. In this respect there is a similarity between the role of H2 and CH4 on Titan and that of CO2 and H2O on Earth. Titan also has an antigreenhouse effect that results from the presence of a high-altitude haze layer that is absorbing at solar wavelengths but transparent in the thermal infrared. The antigreenhouse effect on Titan reduces the surface temperature by 9 K whereas the greenhouse effect increases it by 21 K. The net effect is that the surface temperature (94 K) is 12 K warmer than the effective temperature (82 K). If the haze layer were removed, the antigreenhouse effect would be greatly reduced, the greenhouse effect would become even stronger, and the surface temperature would rise by over 20 K.

UV spectroscopy of Titan's atmosphere, planetary organic chemistry and prebiological synthesis. II. Interpretation of new IUE observations in the 220-335 nm range.

We report on new observations of Titan with the International Ultraviolet Explorer in the mid-UV range (lambda approximately 220-335 nm). We use these data to determine upper limits for the abundances of simple organic compounds in the gas phase and to further constrain the properties of the high altitude haze on Titan. As a baseline, we adopted the parametrized microphysical model of McKay et al. (1989) which is successful at reproducing Titan's thermal structure while satisfying several other observational constraints in the visible and IR regions. However, we find that such a model--in which all particles at a given altitude are assumed to have the same size--cannot match simultaneously the IUE observations and the visible/IR data, even when allowance is made for a wide range of values in the adjustable parameters. On the other hand, a good overall agreement is obtained when considering a biomodal size distribution, with small haze particles or "polymers" (r < 0.02 micrometer) acting as strong Rayleigh absorbers below 300 nm and larger haze particles (r approximately 0.1-0.5 micrometer) being responsible for the characteristics of the albedo spectrum in the near-UV, visible, and IR regions. This approach is consistent with the results of several previous investigations of the properties of Titan's haze, although our preferred vertical structure for the haze + polymer material somewhat differs from earlier solutions. On the basis of simple dynamical considerations, we adopted a uniformly mixed layer between 150 and 600 km. The IUE data allow us to place fairly stringent constraints on the abundance of the Rayleigh absorbers, if we assume that their optical properties are similar to those of laboratory-synthesized "tholins": The column-mass density of this material--the essential observable that can be determined from our study--is of the order of 5 micrograms cm-2. This would correspond to number-densities between 10(3) and 10(7) cm-3 in the 150-600 km altitude range, if the average particle radius is between 0.001 and 0.02 micrometer. Such high number densities are a priori at odds with the estimated coagulation lifetime for particles of that size. Thus, our proposed bimodal size distribution is plausible only if inhibiting processes act to slow down considerably the coagulation of polymers in Titan's stratosphere.

The thermal structure of Titan's atmosphere.

We have developed a radiative-convective model of the thermal structure of Titan's atmosphere. The model computes the solar and infrared radiation in a series of spectral intervals with vertical resolution. Sources of opacity in the visible and near infrared include stratospheric haze particles, methane cloud particles, and gaseous methane; sources of opacity in the thermal infrared include the pressure-induced opacity of N2, CH4, and H2, the permitted transitions of C2H2 and C2H6, and particulate opacity. The haze properties are determined with a simple microphysics model. The model contains a minimum of free parameters and we try to determine these by fits to independent data sets. We find that gas and haze opacity alone, with the temperatures fixed by Voyager observations, produces a model that is within a few percent of radiative convective balance everywhere in the atmosphere. In a self-consistent computation of temperatures, we find that our model calculation for the surface temperature is, in general, colder than the observed value by 5-10 degrees K. The presence or absence of methane condensation clouds only slightly alters the results. Good agreement can be obtained by adjusting the parameters in the model. The model parameters in these optimized cases are typically within 15% of the baseline values and within the limits allowed by observations. We conclude that the most important factors controlling Titan's thermal structure are absorption of sunlight by the stratospheric haze and the pressure-induced gas opacity in the infrared. Within the uncertainties of the model, these effects can explain the observed temperature profile. Condensation clouds play a minor role, if any.