High-accuracy measurement of atomic polarizability in an optical lattice clock.

Presently, the Stark effect contributes the largest source of uncertainty in a ytterbium optical atomic clock through blackbody radiation. By employing an ultracold, trapped atomic ensemble and high stability optical clock, we characterize the quadratic Stark effect with unprecedented precision. We report the ytterbium optical clock's sensitivity to electric fields (such as blackbody radiation) as the differential static polarizability of the ground and excited clock levels α(clock) = 36.2612(7) kHz (kV/cm)(-2). The clock's uncertainty due to room temperature blackbody radiation is reduced by an order of magnitude to 3×10(-17).

Typical levels of airborne fungal spores in houses without obvious moisture problems during a rainy season in Florida, USA.

OBJECTIVE: The aim of this study was to determine types and levels of airborne fungal spores in air-conditioned homes built after 1980 without obvious moisture problems during the 2004 summer (rainy season) in central Florida, USA. METHODS: Eighteen single-family homes were selected based on protocol questionnaire and cursory inspection, which revealed no obvious moisture or visible fungal growth. Non-cultured spores were collected with Air-O-Cell cassettes. Three indoor air samples and 2 outdoor air samples were collected from each home. One indoor and 2 outdoor samples were not interpretable. Fifty-three indoor and 34 outdoor air samples were analyzed by optical microscopy. RESULTS: Several spore types were detected in the indoor samples, at levels generally lower than those detected in the outdoor samples. Spores from the Penicillium/Aspergillus group were the most prevalent types indoors, exceeding the absolute levels and relative percentages of these spores outdoors. Ascospores and basidiospores were the most prevalent spore types outdoors. The percentages of other spore types (Cladosporium and Curvularia) were similar in the indoor and outdoor samples. Moisture-indicator fungi (Chaetomium, Stachybotrys, and Ulocladium species) were nearly absent in both indoor and outdoor samples. CONCLUSION: Airborne fungal spores are present in average central Florida homes without obvious moisture problems during the summer, at levels that are lower than those found outdoors. Spores from the Penicillium/Aspergillus group are prevalent in these homes, and moisture-indicator fungi (Chaetomium, Stachybotrys, and Ulocladium species) are nearly absent. Despite climatic differences, airborne fungal spore types and levels in central Florida houses are similar to those found in other geographical locations.

Absolute-frequency measurements with a stabilized near-infrared optical frequency comb from a Cr:forsterite laser.

A frequency comb is generated with a chromium-doped forsterite femtosecond laser, spectrally broadened in a dispersion-shifted highly nonlinear fiber, and stabilized. The resultant evenly spaced comb of frequencies ranges from 1.1 to beyond 1.8 microm. The frequency comb was referenced simultaneously to the National Institute of Standards and Technology's optical frequency standard based on neutral calcium and to a hydrogen maser that is calibrated by a cesium atomic fountain clock. With this comb we measured two frequency references in the telecommunications band: one half of the frequency of the d/f crossover transition in 87Rb at 780 nm, and the methane v2 + 2v3 R(8) line at 1315 nm.

Role of spurious reflections in ring-down spectroscopy.

Spurious coherent reflections from optical elements that re-enter an exit port of a two-mirror ring-down cavity can significantly change the effective reflectivity of the cavity mirrors, thus altering the cavity decay time. For a 25-cm-long Fabry-Perot cavity with a decay constant of 40 mus , we find that a specular reflection of only 10(-4) of the transmitted ring-down power that is mode matched back toward the cavity could change the decay time by as much as +/-0.4 mus , depending on the phase of the returning reflection. The perturbation of the decay time is proportional to the electric field, so a decrease in the spurious reflected power of 100 times will result in a perturbation that is only 10 times smaller. We demonstrate the effect with a cw system by purposely introducing a spurious reflection.

Chronic urticaria: mechanisms and treatment.

Chronic urticaria (CU) is a vexing clinical syndrome. The clinician is challenged by the patient's symptoms. The experienced physician can evaluate the CU patient and prescribe effective treatment. The following review emphasizes the autoimmune mechanisms of CU. Despite this new insight into the pathogenesis of CU, many cases are still categorized as idiopathic. CU patients are a heterogenous group of patients who require an individualized approach to evaluation and management.

Direct comparison of two cold-atom-based optical frequency standards by using a femtosecond-laser comb.

With a fiber-broadened, femtosecond-laser frequency comb, the 76-THz interval between two laser-cooled optical frequency standards was measured with a statistical uncertainty of 2x10(-13) in 5 s , to our knowledge the best short-term instability thus far reported for an optical frequency measurement. One standard is based on the calcium intercombination line at 657 nm, and the other, on the mercury ion electric-quadrupole transition at 282 nm. By linking this measurement to the known Ca frequency, we report a new frequency value for the Hg(+) clock transition with an improvement in accuracy of ~10(5) compared with its best previous measurement.

Allergy to iguana.

BACKGROUND: Furry animals produce allergens that can cause allergic rhinitis and asthma. In contrast, scaly animals, such as lizards, are assumed not to be allergenic. OBJECTIVE: We sought to evaluate a 32-year-old man who complained of allergic rhinitis and asthma symptoms that occurred exclusively in his own home. He had dogs and cats at home but denied any increase in symptoms specifically associated with these pets. Skin prick testing initially performed to 42 common aeroallergens, including cat, dog, and house dust mite, elicited negative results. He later reported that the symptoms were worse on exposure to his pet iguanas. METHODS: Skin prick tests were subsequently performed to an extract made from scales from his pet iguana. Extracts were also prepared from several zoo reptiles. Immunoassays for IgE antibody, as well as IgE immunoblots, were performed by using these extracts and the patient's serum. RESULTS: The skin prick test result with the pet iguana scale extract was positive. The patient's serum contained IgE antibody to his own pet iguana and to a zoo iguana. CONCLUSION: Our patient's history, skin test results, and in vitro studies clearly demonstrate that he is allergic to iguana. Physicians should be aware that such allergy to scaly pets may occur and should not restrict history taking to questions about furry pets.

Chronic sinusitis in children.

Chronic sinusitis is now recognized as a common clinical syndrome in adults and children. An astute physician can diagnose chronic sinusitis during the physical exam, but fiber-optic rhinoscopy and x-rays (plain films and computerized tomography) are required to confirm this diagnosis, evaluate the severity of the sinusitis and determine follow-up treatment. Appropriate treatment plans are prescribed for an adequate duration to eliminate infection and inflammatory components of the pathologic process of the sinuses involved. Antibiotics, decongestants, and inhaled or systemic corticosteroids are required in the treatment of patients with chronic sinusitis. When combined with close clinical follow-up, successful resolution is expected. Surgical intervention is needed in the medically refractory and symptomatic cases, or when complications develop. The frequent diagnosis of chronic sinusitis in the past 1-2 decades is, in part, due to the enhanced awareness and clinical skills of the treating physicians, but other concerns about environmental influences such as frequent respiratory tract infections in childhood and air quality issues are considered potentially important.

Update on urticaria and angioedema (hives).

The update on urticaria involves new concepts on the pathogenesis and the treatment of severe hives that are unresponsive to conventional treatments. A newly described autoantibody IgG against IgE receptor has been identified in some severe chronic urticaria patients. Anti-inflammatory and immunomodulating agents are being used with increasing frequency by academic faculty and other physicians in severe chronic idiopathic urticaria (CIU).

Air cleaners: a review.

Air cleaners are manufactured by many companies in the United States. Air cleaning devices vary widely in design, methods of operation, cost, and level of efficiency. No universally accepted performance standards are available to compare the capabilities of the available air cleaners. These units are classified as household appliances, not as medical devices. Clinical studies have failed to substantiate a significant impact of air cleaners on patients' symptoms. Air cleaners should be used when it is desirable to further reduce airborne contaminant concentrations that are not eliminated by other environmental control measures. Air cleaners should not be the primary means of improving indoor air quality.

Allergenicity of the cat flea (Ctenocephalides felis felis)

Adult fleas, spent and unspent culture media were extracted and the radio-allergosorbent test (RAST) performed with sera of 48 cat flea skin test-positive individuals from the Tampa Bay area of Florida. Sixteen sera (33.6%) had a positive RAST to the cat flea extract prepared in our laboratory [1.7-11.4% of the total counts (TC) added]. Six of the 16 sera (12.5%) also contained specific IgE to allergens in the spent medium (0.8-3.3% TC). The allergen composition and strength were studied by RAST inhibition of two commercial cat flea extracts and compared with our in-house flea extract. The results demonstrated similar allergen compositions and different potencies. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) of the in-house flea extract showed several Coomassie blue-stained bands (10-85 kD). SDS-PAGE immunoblots revealed five IgE-binding bands at 34, 35, 39, 54 and 60 kD. Flea allergens were quantified in eight house dust samples using RAST inhibition assays and expressed as RAST inhibition units; five of these samples contained detectable levels. Cat flea allergens may contribute to the allergenicity of house dust in areas of heavy flea infestation.

Relative efficacy and safety of loratadine, hydroxyzine, and placebo in chronic idiopathic urticaria.

The efficacy and safety of a new non-sedating antihistamine, loratadine (Clarityn, CAS 79794-75-5) 10 mg q.d., was compared to the classical antihistamine, hydroxyzine 25 mg t.i.d. and placebo in a 4-week (optional 12 week) randomized, double-blind, multi-center study in 203 patients with chronic idiopathic urticaria. Efficacy evaluations included weekly physician and patient assessments of pruritus, overall disease condition, and therapeutic response to treatment. Loratadine and hydroxyzine were significantly more effective than placebo and clinically comparable to each other as measured by all efficacy evaluations at each visit. Loratadine was safe and well tolerated with sedation and dry mouth similar to placebo and significantly less than hydroxyzine.

Environmental control of indoor air pollution.

Indoor air pollution is becoming an increasing problem in industrialized countries. Most people spend their time indoors which results in chronic exposure to indoor allergens and irritants. New products have been introduced to the environment to which humans are not immunologically adapted. This article describes the main sources of indoor air pollution and the best ways to control exposure to indoor air pollutants.

House dust mite allergy in Florida. Mite survey in households of mite-sensitive individuals in Tampa, Florida.

This study evaluated the prevalence of positive house dust mite skin tests in a population of atopic individuals and identified the mite species present in mattress and house dust samples in homes of the Tampa Bay area. Four hundred consecutive individuals were evaluated for respiratory complaints and skin tested with standardized extracts of Dermatophagoides pteronyssinus (Dp) and Dermatophagoides farinae (Df). Two hundred forty individuals (60%) had a positive skin test to the mite extracts. Dust samples were collected in 40 homes of mite-allergic individuals and analyzed by light microscopy. Mite species were found in 53 of the 60 dust samples (20 mattresses and 40 carpets). Mite numbers ranged from 110-6200 mites/g of mattress dust and from 120-5500 mites/g of carpet dust. Eleven different mite species were identified and Blomia tropicalis (Bt), not previously identified in the United States, was found in 30% of the samples. Dp and Df wee the predominant species. These observations suggest that house dust mite allergy is common in the Tampa Bay area and that the house dust mite fauna comprises several mite species besides Dp and Df. Prospective studies in progress are designed to confirm the role of different mite species in house dust mite allergy.

Neighbors' problems, our problems: population growth in Central America.

PIP: A largely ignored issue, Central America faces its most pressing problem in its soaring population growth, one that is wreaking havoc on its economic and social infrastructures. Rising by a factor of 7, Central America's population -- presently 28.9 million -- is expected to reach 7.7 million by the year 2000, and 62.8 million by 2025. Typical of most of the Third World, Central America's population explosion stems from the fact that while the latter half of the 20th century has seen reductions of mortality rates, brought on by improvements of general health conditions, birth rates have remained excessively high. Despite moderate declines in the birth rate, Central American women still average 3-6 children. These demographic factors pose catastrophic consequences for Central America's natural resources, urban development and labor force. And they also threaten to increase migration to the US. Economic pressures have put great demands on the region's rain forests, exploited both for its resources and cleared away to create farmland. Today, only 40% of the original forest remains, and almost 3% more is destroyed annually. The area's capital cities have seen their populations increase 3-6 fold between 1950 and 1980. This explosion places further demands on already overburdened urban infrastructures, and has led to a mushrooming of squatter settlements. It has also led to a massive increase in the urban labor force which cannot be accommodated by the region's economies, which are in disarray due to falling export commodity earnings, limited natural resources, and scant investment capital. The economic woes could further increase the flow of workers to the US (15-20% of El Salvador's total population has already filed to the US). Historically, the region had attempted to offset population growth through economic development, but such expectations were not met, especially with the economic decline that wiped out gains made during the 1960s and 70s. Only recently have the countries acknowledged the need to halt population growth.^ieng

A multicenter, open study of the non-sedating antihistamine, terfenadine (Seldane), in the maintenance therapy of seasonal allergic rhinitis.

A multicenter open study was conducted throughout the 1984 fall pollen season to assess the possible development of tolerance or loss of efficacy to terfenadine in the maintenance therapy of patients with seasonal pollinosis. Patients with proven allergic pollinosis were entered into a 1-week initial treatment period taking terfenadine 60 mg bid and only those who responded to the initial treatment with "moderate" to "complete" relief continued on terfenadine throughout a 4 to 11-week pollen season for evaluation of continued efficacy. A total of 179 patients from five study centers were enrolled in the initial treatment period and 154 (86%) responded to terfenadine with "moderate" to "complete" relief of symptoms. Of these 154 patients who continued terfenadine treatment, approximately 90% of the patients maintained the same degree of relief throughout the pollen season. All symptoms of seasonal pollinosis including nasal congestion improved significantly the first day of treatment. This improvement in symptoms continued during the first week and remained unabated throughout the pollen season. The incidence of adverse events was low with sedation being reported by only 2.8% of patients at some time point during the study. It is concluded that terfenadine is a safe and effective non-sedating antihistamine in the maintenance therapy of seasonal allergic pollinosis and that tolerance is not noted during continued administration.

Double-blind comparison of terfenadine, chlorpheniramine, and placebo in the treatment of chronic idiopathic urticaria.

The efficacy of terfenadine, a nonsedating H1 antihistamine, in the management of chronic idiopathic urticaria was compared with chlorpheniramine and placebo in a parallel multicenter trial. Subjects with symptoms of hives for 3 days per week for at least 6 weeks were initially screened and admitted if no identifiable cause for symptoms could be determined. Patients entered a single-blind placebo period, and if hives of moderate severity were present for at least 3 days during the week, they were randomly assigned in a double-blind fashion to take terfenadine, 60 mg twice daily, chlorpheniramine, 4 mg three times a day, or placebo for 6 weeks. Data were analyzed for 122 patients. Those patients receiving both active treatments noted significant improvement in symptoms: pruritus, redness, number of hives, and waking hours during which hives were present, at the end of the first day of therapy. Symptom control by terfenadine was statistically superior to placebo during all 6 weeks, as rated by both patients and investigators. However, statistical significance was not achieved for chlorpheniramine at all observation points. Diphenhydramine was permitted as a relief medication for refractory symptoms and was taken by 52% of subjects receiving placebo, 26% taking chlorpheniramine, and only 9% of patients who were receiving terfenadine. In addition to providing superior symptom control, terfenadine caused less drowsiness and fatigue than chlorpheniramine. Terfenadine is a useful therapeutic agent for primary management of chronic idiopathic urticaria.