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Background Alpha-gal syndrome (AGS) is a recently described allergy to galactose-α-1,3-galactose, an oligosaccharide present in mammalian meat. AGS can present with angioedema, urticaria, and anaphylaxis arising 3–6 hours after ingestion, although symptoms such as gastrointestinal distress, fatigue, and arthralgias are also reported. Because AGS appears to be associated with tick bites, patients may present to infectious diseases (ID) clinics for evaluation. Methods We documented a series of 5 patients referred to the University of North Carolina ID Clinic between 2020 and 2022 for various tick-borne infections that were found to have symptoms and laboratory testing consistent with AGS. Patients were subsequently referred to the Allergy and Immunology Clinic. Results Patients were referred to the ID Clinic for persistent symptoms following positive tick-borne disease testing or presumed tick-borne infection. All patients had an elevated alpha-gal immunoglobulin E and clinical presentation consistent with AGS. Common symptoms included episodic gastrointestinal distress (eg, cramping, nausea, diarrhea), fatigue, arthralgias, and subjective cognitive impairment, but a notable absence of severe anaphylaxis. Four patients were seen by at least 1 nonallergy specialist prior to referral to ID. Patients reported substantial improvement in their symptoms following dietary restriction. Conclusions ID physicians should be aware of AGS as a cause of persistent, nonspecific symptoms following a tick exposure or tick-borne illness. Further research is needed to determine the prevalence of alpha-gal sensitization and AGS following tick-borne bites.

This paper presents the ideas for the 2021 ImageCLEF lab that will be organized as part of the Conference and Labs of the Evaluation Forum—CLEF Labs 2021 in Bucharest, Romania. ImageCLEF is an ongoing evaluation initiative (active since 2003) that promotes the evaluation of technologies for annotation, indexing and retrieval of visual data with the aim of providing information access to large collections of images in various usage scenarios and domains. In 2021, the 19th edition of ImageCLEF will organize four main tasks: (i) aMedicaltask addressing visual question answering, a concept annotation and a tuberculosis classification task, (ii) aCoraltask addressing the annotation and localisation of substrates in coral reef images, (iii) aDrawnUItask addressing the creation of websites from either a drawing or a screenshot by detecting the different elements present on the design and a new (iv)Awaretask addressing the prediction of real-life consequences of online photo sharing. The strong participation in 2020, despite the COVID pandemic, with over 115 research groups registering and 40 submitting over 295 runs for the tasks shows an important interest in this benchmarking campaign. We expect the new tasks to attract at least as many researchers for 2021.

Two key features—non-volatility and non-flammability—make ionic liquids (ILs) very attractive for use as electrolyte solvents in advanced energy storage systems, such as supercapacitors and Li-ion batteries. Since most ILs possess high viscosity and are less prone to dissolving common electrolytic salts when compared to traditional electrolytic solvents, they must be formulated with low viscosity thinner solvents to achieve desired ionic conductivity and dissolution of electrolyte salts in excess of 0.5 M concentration. In the past few years, our research group has synthesized several specifically designed ILs (mono-cationic, di-cationic, and zwitterionic) with bis(trifluoromethylsulfonyl)imide (TFSI) and dicyanamide (DCA) as counter anions. This article describes several electrolyte formulations to achieve superior electrolytic properties. The performance of a few representative IL-based electrolytes in supercapacitor coin cells is presented.