Measures to be adopted in the prevention and treatment of atrophic rhinitis in piglets under field conditions (author's transl)

The following measures designed for the prevention of Atrophic rhinitis (AR) were compared. (1) Adopting the all in - all out system in separate farrowing quarters. The variation in age between piglets in a single farrowing house was confined to one to two weeks. (2) Treating the piglets with a combined preparation of penicillin, chloramphenicol, oxytetracycline hydrochloride or sulphonamides on the third, sixth and twelfth days of life. (3) Administering immune sera to piglets. (4) Vaccinating sows and piglets with Bordetella bronchiseptica vaccine and piggery--specific Pasteurella multocida vaccine. The various forms of treatment had a beneficial effect on the clinical picture in every case of Atrophic rhinitis. Moreover, the dosage of the antibiotic oxytetracycline hydrochloride as well as the titre of the immune serum were found to be factors in the prevention of AR. The pressure of infection with Bordetella bronchiseptica and/or Pasteurella multocida is a factor of major importance in the pathogenesis of clinically apparent AR in piglets under eight weeks. Maintaining infection at a low level is the main object in the control of AR. The more so as the knowledge available today does not make it possible to free piggeries from Bordetella bronchiseptica and Pasteurella multocida.     

Platelet-derived growth factor delays oligodendrocyte differentiation and axonal myelination in vivo in the anterior medullary velum of the developing rat

The AA dimeric form of platelet-derived growth factor (PDGF-AA) is implicated in the differentiation of cells of the oligodendrocyte lineage, which express PDGF receptors of the alpha subunit type (PDGF-alphaR). In the present study, we show that a single injection of PDGF-AA into the cerebrospinal fluid of neonatal rats delays oligodendrocyte differentiation and interrupts the progress of myelination in the anterior medullary velum (AMV), a white matter tract roofing the IVth ventricle of the brain. PDGF-AA or saline was injected intrathecally in postnatal day (P) 7 rats, and the AMV was subsequently removed and immunolabelled with the oligodendrocyte-specific antibody Rip, at P9, P12, and P21, corresponding to postinjection days (PID) 2, 5, and 14. At P9 (PID2), myelination was retarded in PDGF-AA-treated rats as opposed to saline-treated controls but progressed rapidly after P12 (PID5). Quantification supported the qualitative observations that PDGF-AA mediated an acute decrease in the number of Rip+ oligodendrocytes at P9-12, which largely recovered by P21, suggesting that PDGF-AA may have delayed recruitment of myelinating oligodendrocytes. However, the definitive number of Rip+ oligodendrocytes in the AMV was not increased, suggesting that its action as a promoter of early oligodendrocyte survival may not ultimately affect the definitive number of myelinating oliogdendrocytes in vivo. We discuss the possibilities that excess PDGF-AA may have acted on early oligodendrocytes (precursors or preoligodendrocytes) to either (1) delay their differentiation by maintaining them in the cell cycle or (2) accelerate their differentiation, which may result in premature cell death in the absence of synchronised survival signals. This study supports a role for PDGF-AA in the timing of oligodendrocyte differentiation in vivo, as has been shown in vitro.     

Hypercapnic respiratory acidosis precipitated by hypercaloric carbohydrate infusion in resolving septic acute respiratory distress syndrome: a case report

Complications may occur when nutritional support is administered either parenterally or enterally. Inappropriate nutritional formulas with high carbohydrate loads can precipitate respiratory failure in patients with compromised lung function, induce respiratory distress which manifests as dyspnea and tachypnea in an originally normal lung condition, produce hypercapnic acidosis in mechanically ventilated patients with chronic obstructive pulmonary disease (COPD) as well as patients recovering from acute respiratory distress syndrome (ARDS) without chronic lung disease, or result in difficult weaning. Hypercaloric mixed substrates administered either parenterally or enterally can also have profound impacts on gas exchange and energy expenditure. This report describes a patient who experienced exacerbation of respiratory distress and hypercapnic acidosis during recovery from septic ARDS as the result of a nutritionally-related increase in CO2 production. As carbohydrate calories were decreased, CO2 production diminished and the hypercapnia was resolved. The importance of indirect calorimetry cannot be overemphasized during tailoring of nutritional support for the critically ill patients.     

Hippocampal N-acetyl aspartate in unaffected siblings of patients with schizophrenia: a possible intermediate neurobiological phenotype

BACKGROUND: Shared neurobiological characteristics of patients with schizophrenia and their siblings may represent "intermediate phenotypes" that may more closely reflect the genetic susceptibility underlying this illness. We sought evidence of such phenotypes using magnetic resonance spectroscopy based on previously described regional abnormalities in levels of the neuronal marker N-acetyl-aspartate (NAA) in the hippocampal area and dorsolateral prefrontal cortex of patients with schizophrenia. METHODS: We studied 47 schizophrenics, 60 unaffected siblings, and 66 healthy control subjects with long echo time multislice proton magnetic resonance spectroscopic imaging, primarily measuring NAA, creatine plus phosphocreatine (CRE), and choline-containing compounds. RESULTS: Both patients and their unaffected siblings had significant reductions in hippocampal area NAA/CRE as compared with control subjects. As exploratory analyses, estimates of heritability were performed. Although quantitative correlation of hippocampal NAA between patients and sibs was low (likely reflecting measurement noise), qualitatively defined "low hippocampal NAA/CRE phenotypes" yielded relative risk estimates (lambda s) of between 3.8 and 8.8, suggesting this characteristic is heritable. CONCLUSIONS: Our finding adds to the evidence that hippocampal abnormalities are associated with schizophrenia and may represent a novel biological phenotype for genetic studies of schizophrenia.     

Modulation of RecA nucleoprotein function by the mutagenic UmuD'C protein complex

The RecA, UmuC, and UmuD' proteins are essential for error-prone, replicative bypass of DNA lesions. Normally, RecA protein mediates homologous pairing of DNA. We show that purified Umu(D')2C blocks this recombination function. Biosensor measurements establish that the mutagenic complex binds to the RecA nucleoprotein filament with a stoichiometry of one Umu(D')2C complex for every two RecA monomers. Furthermore, Umu(D')2C competitively inhibits LexA repressor cleavage but not ATPase activity, implying that Umu(D')2C binds in or proximal to the helical groove of the RecA nucleoprotein filament. This binding reduces joint molecule formation and even more severely impedes DNA heteroduplex formation by RecA protein, ultimately blocking all DNA pairing activity and thereby abridging participation in recombination function. Thus, Umu(D')2C restricts the activities of the RecA nucleoprotein filament and presumably, in this manner, recruits it for mutagenic repair function. This modulation by Umu(D')2C is envisioned as a key event in the transition from a normal mode of genomic maintenance by "error-free" recombinational repair, to one of "error-prone" DNA replication.     

Computed tomographic and magnetic resonance imaging of chronic odontoid fractures

STUDY DESIGN: The analysis of the imaging characteristics found in chronic odontoid fractures. OBJECTIVES: To determine the efficacy of computed tomography and magnetic resonance imaging in diagnosing a chronic odontoid fracture. SUMMARY OF BACKGROUND DATA: Radiographic examination of the cervical spine is intrinsic to the evaluation of all patients with blunt trauma. Injury to the craniocervical junction constitutes 19-25% of all cervical spine fractures. At the authors' trauma center computed tomography is routinely used instead of the open-mouth odontoid radiograph to facilitate cervical spine evaluation. This practice has increased the detection of fractures that are unrecognized in plain radiography, and has, at the same time, raised questions about the age and significance of these fractures. METHODS: Radiography, computed tomography, and magnetic resonance imaging studies were performed on three patients who came to the emergency department with odontoid fractures. Two patients had a history of severe trauma, and one had a history inconsistent with an acute odontoid fracture. One patient also had a technetium Tc 99m methylene dihydroxyphosphonate bone scan. The studies were obtained to determine the age of the fractures. RESULTS: All three patients were determined to have chronic odontoid fractures. This diagnosis was facilitated by the use of computed tomographic and magnetic resonance imaging. Computed tomography showed increased sclerosis in the proximal fracture fragment in all cases and well-corticated fracture edges in one patient. Magnetic resonance images showed normal bone marrow or bone sclerosis in the odontoid process. Soft tissue edema was absent. A bone scan was not useful in resolving this issue. CONCLUSION: Computed tomography and magnetic resonance imaging can be useful in determining the chronicity of an odontoid fracture.