Tubal hydatidiform mole

We report a tubal hydatidiform mole, most likely resulting from dispermic fertilization. Early hatching of the embryo, because of a defective zona pellucida, may have favored tubal implantation.     

Glutamate receptor activity is required for normal development of tectal cell dendrites in vivo

Glutamatergic retinotectal inputs mediated principally by NMDA receptors can be recorded from optic tectal neurons early during their morphological development in Xenopus tadpoles. As tectal cell dendrites elaborate, retinotectal synaptic responses acquire an AMPA receptor-mediated synaptic component, in addition to the NMDA component. Here, we tested whether glutamatergic activity was required for the elaboration of dendritic arbors in Xenopus optic tectal neurons. In vivo time-lapse imaging of single DiI-labeled neurons shows that the NMDA receptor antagonist APV (100 microM) blocked the early development of the tectal cell dendritic arbor, whereas the AMPA receptor antagonist CNQX (20 microM) or the sodium channel blocker TTX (1 microM) did not. The decreased dendritic development is attributable to failure to add new branches and extend preexisting branches. These observations indicate that NMDA-type glutamatergic activity promotes the initial development of the dendritic arbor. At later stages of tectal neuron development when AMPA receptor-mediated synaptic transmission is strong, both APV and CNQX decrease dendritic arbor branch length, consistent with a role for glutamatergic synaptic transmission in maintaining dendritic arbor structure. These results indicate that AMPA and NMDA receptors can differentially influence dendritic growth at different stages of neuronal development, in correlation with changes in the relative contribution of the receptor subtype to synaptic transmission.     

Interpretation of the complete blood count

The authors' impression is that the CBC provides much more information than is routinely used. When anemia is present, the CBC contains considerable information regarding its cause, which can assist in formulating a differential diagnosis and directing further evaluation. White blood cell and platelet count levels may similarly direct practitioners to consider or dismiss underlying conditions. This article assists the pediatrician in optimizing use of this familiar diagnostic tool.     

The present state of the art in chemotherapy for soft tissue sarcomas in adults: the EORTC point of view

In the present study effects of light on the sleep duration of anesthetized hornets (Vespa orientalis) were investigated. Following initial anesthesia by diethyl ether the sleeping time of workers and drones at 22 degrees C in the dark was 59 +/- 15 min. After repeated anesthesia the sleeping time was 30 +/- 15 min in the dark. When exposed to polychromatic light from a halogen lamp of 230 mW/cm2, focused on a spot of the cuticle of the hornet, the sleeping time was markedly shortened so that following initial as well as repeated anesthesia the hornets woke up after 4.5 +/- 2.9 min. Any decrease in light intensity resulted in an increase in the sleeping time but irradiances of less than 14 mW/cm2 had no measurable influence on the wake-up time. After illumination with polychromatic light from a mercury lamp the sleeping times were much shorter than after illumination with a halogen lamp at the same conditions and intensity. This difference is attributed to the relatively higher portion of U.V. light in the total emission of the Hg lamp. Effects of the spectral composition of the incident light beam on the wake-up of the sleeping hornets were also investigated. Near U.V. light in the 300-400 nm region was found to be most efficient. Shorter wavelengths as well as wavelengths between 400-470 nm had less influence and wavelengths above 470 nm had very little effect on the wake up. The sleeping times of hibernating queens were relatively longer than those of workers and drones under the same conditions. These effects are ascribed to the extraretinal light perception. The possible reasons underlying this phenomenon are discussed.     

Lung inflammation in patients with systemic lupus erythematosus detected by quantitative 67Ga-citrate lung scanning

The severity of lung inflammation in 34 patients with systemic lupus erythematosus (SLE) was measured by quantitative 67Ga-citrate lung scanning. The severity of lung inflammation in SLE was represented by the 67Ga uptake index (GUI). Quantitative 67Ga lung scanning was also performed on 20 normal controls for comparison with the SLE patients. The patients were divided into two subgroups according to the following two criteria: (a) stable or flare stage according to clinical features; or (b) positive or negative results of chest X-ray. The GUI values of the subgroups were also compared. The results revealed a trend towards higher values of GUI in SLE patients than in the normal controls. The GUI values were also higher for SLE cases with a flare stage or a negative chest X-ray than in SLE cases with a stable stage or a positive chest X-ray. The statistical results reveal that the differences in the GUI values are not significant. However, we found that (1) positive chest X-ray findings may be a later manifestation of a lung inflammation and (2) the values of GUI parallel clinical features in SLE patients.