Methanol poisoning: a review and case study of four patients from central Australia

Methanol intoxication, a rare and potentially lethal form of poisoning, usually results from ingestion and occasionally inhalation of methanol. Initial symptoms of blurred vision, elongated anion gap and metabolic acidosis are typically delayed and may not at first be recognised as methanol-related complaints. Once diagnosed, treatment must be prompt and definitive. As well as general supportive care, ethanol infusion, dialysis and alkalinization from the mainstays of treatment. The cases described in this paper are compared to previous reports from other countries worldwide and contrast the variance in outcome often seen in methanol poisoning. The paper describes two tragic deaths and two lucky survivors, all of whom had consumed a cocktail of methanol and other alcoholic beverages at the same party. The ICU nurse's role in managing the methanol-intoxicated patient relies on that person's sound knowledge of the unusual biochemical reactions occurring in the body and the need to institute definitive and supportive measures to help both patient and family recover.     

Potential Effect of CD271 on Human Mesenchymal Stromal Cell Proliferation and Differentiation

The Low-Affinity Nerve Growth Factor Receptor (LNGFR), also known as CD271, is a member of the tumor necrosis factor receptor superfamily. The CD271 cell surface marker defines a subset of multipotential mesenchymal stromal cells and may be used to isolate and enrich cells derived from bone marrow aspirate. In this study, we compare the proliferative and differentiation potentials of CD271⁺ and CD271⁻ mesenchymal stromal cells. Mesenchymal stromal cells were isolated from bone marrow aspirate and adipose tissue by plastic adherence and positive selection. The proliferation and differentiation potentials of CD271⁺ and CD271⁻ mesenchymal stromal cells were assessed by inducing osteogenic, adipogenic and chondrogenic in vitro differentiation. Compared to CD271⁺, CD271⁻ mesenchymal stromal cells showed a lower proliferation rate and a decreased ability to give rise to osteocytes, adipocytes and chondrocytes. Furthermore, we observed that CD271⁺ mesenchymal stromal cells isolated from adipose tissue displayed a higher efficiency of proliferation and trilineage differentiation compared to CD271⁺ mesenchymal stromal cells isolated from bone marrow samples, although the CD271 expression levels were comparable. In conclusion, these data show that both the presence of CD271 antigen and the source of mesenchymal stromal cells represent important factors in determining the ability of the cells to proliferate and differentiate.     

Lack of DMBT1 expression in oesophageal, gastric and colon cancers

The cell-wall characteristics of Gardnerella vaginalis grown in conventional and biofilm systems were studied by electron microscopy. The gram-positive nature of the cell wall was confirmed. Novel cell-wall particles which appeared to be associated with cell division were also identified, particularly in organisms of biofilm origin.     

Enhanced Photostability of Fluoroquinolone Antibacterials Capped on Silver Nanoparticles

The photolabile and phototoxic fluoroquinolone (FQ) antibacterial drugs norfloxacin and rufloxacin have been used as capping agents for 25 nm Ag nanoparticles, exploiting the noncovalent interaction between the cationic piperazinyl ring of both FQs and the negatively charged metal surface. The resulting FQ‐protected silver nanoclusters (Ag@FQs), ca. 80 nm in diameter, are dispersible in phosphate buffer at physiological pH and their response to light excitation has been studied by steady‐state and time‐resolved spectroscopic and photochemical techniques. The fluorescence emission of the FQs chromophores is not extensively quenched in the Ag@FQs. In contrast, both Ag@FQs exhibit a photochemical stability more than one order of magnitude larger than that of the free drugs. This is the result of significant and differentiated quenching effects by the Ag surface on the kinetic and population of the excited triplet states of FQs, which are the key intermediate in the drugs photodecomposition. In view of the well‐known antimicrobial properties of the Ag nanoparticles, the Ag@FQs could represent intriguing nanohybrids in the perspective multifunctional nanodrugs.     

Identification and kinetics of oxidized compounds from phosphatidylcholine molecular species

Heat-induced oxidative modifications of two phosphatidylcholine molecular species as potential functional food components were evaluated. 1-stearoyl-2-oleoyl-sn-glycero-3-phosphocholine (SOPC) and 1-stearoyl-2-linoleoyl-sn-glycero-3-phosphocholine (SLPC) were chosen as models. The optimal temperature for hydroperoxide formation was determined by MS for each standard: 125 °C for SLPC and 150 °C for SOPC. Oxidation was performed at these temperatures and degradation products were identified using LC–ESI-MS combined to an acid treatment. Kinetics of formation of oxidation products from SOPC and SLPC were monitored over 120 min and curves were drawn for each identified structure. Results showed that native phospholipids rapidly decreased with heat and that oxidation products showed functions, such as hydroxyl, oxo or epoxy groups. Kinetics pointed out that some of these quite stable oxidation products are likely to be found in sizable amounts in processed foods containing phospholipids.     

Tracheal intubation in infants

BACKGROUND: So far only a few cases of carcinoma in situ of the fallopian tube have been reported, but its detailed clinical and pathologic findings, including cytology, have not been fully described. CASE: A 70-year-old female was admitted to our hospital because of irregular genital bleeding. Endometrial smear revealed a small number of atypical cells with a clear background. Hysterectomy, bilateral salpingo-oophorectomy and omentectomy were performed. Grossly, a grayish white papillary tumor, measuring 1.5 x 1.0 cm, was observed within the lumen of the left fallopian tube. Microscopically, the diagnosis of papillary adenocarcinoma in situ of the left fallopian tube was made according to 1992 International Federation of Gynecologists and Obstetricians fallopian tube staging. CONCLUSION: Although endometrial brush cytology is not sensitive enough to detect a primary carcinoma of the fallopian tube, our case indicates that it may contribute useful information on extrauterine diseases and can detect a stage 0 cancer of the fallopian tube. Clinicians, as well as pathologists, should consider the possibility of fallopian tube cancer if cervical or endometrial cytology shows atypical cells with papillary patterns with a clear background but endometrial curettage cannot prove malignancy.