Cardiac tamponade as a presentation of primary hypothyroidism in a young woman

Pericardial effusion (PE) as a hypothyroidism associated sign, is something that can be found with relative frequency; nevertheless, cardiac tamponade (CT) as the first sign of this disease may be considered exceptional especially in young patients. We report a 31 years old woman with clinical symptoms and signs of CT that in the forward workshop was diagnosed of primary hypothyroidism as cause of the CT. We shortly describe the case and review the literature, emphasizing the importance of the knowledge of CT trigger factors in myxedematous PE, as well as its usual benign evolution with hormonal treatment, without recurrences of the CT after pericardiocentesis is performed. This justify a conservative approach, in spite of the slow resolution of the PE what can take as long as 1.5 years.     

Role of Ponded Turbidity Currents in Reservoir Trap Efficiency

The capacity to store water in a reservoir declines as it traps sediment. A river entering a reservoir forms a prograding delta. Coarse sediment (e.g., sand) deposits in the fluvial topset and avalanching foreset of the delta, and is typically trapped with an efficiency near 100%. The trap efficiency of fine sediment (e.g., mud), on the other hand, may be below 100%, because some of this sediment may pass out of the reservoir without settling out. Here, a model of trap efficiency of mud is developed in terms of the mechanics of a turbidity current that plunges on the foreset. The dam causes a sustained turbidity current to reflect and form a muddy pond bounded upstream by a hydraulic jump. If the interface of this muddy pond rises above any vent or overflow point at the dam, the trap efficiency of mud drops below 100%. A model of the coevolution of topset, foreset, and bottomset in a reservoir that captures the dynamics of the internal muddy pond is presented. Numerical implementation, comparison against an experiment, and application to a field-scale case provide the basis for a physical understanding of the processes that determine reservoir trap efficiency.     

Mitochondrial DNA haplotype frequencies in natural and experimental populations of Drosophila subobscura

The evolution of Drosophila subobscura mitochondrial DNA has been studied in experimental populations, founded with flies from a natural population from Esporles (Majorca, Balearic Islands, Spain). This population, like other European ones, is characterized by the presence of two very common (>96%) mitochondrial haplotypes (called I and II) and rare and endemic haplotypes that appear at very low frequencies. There is no statistical evidence of positive Darwinian selection acting on the mitochondrial DNA variants according to Tajima's neutrality test. Two experimental populations, with one replicate each, were established with flies having a heterogeneous nuclear genetic background, which was representative of the composition of the natural population. Both populations were started with the two most frequent mitochondrial haplotypes, but at different initial frequencies. After 13 to 16 generations, haplotype II reached fixation in three cages and its frequency was 0.89 by generation 25 in the fourth cage. Random drift can be rejected as the force responsible for the observed changes in haplotype frequencies. There is not only statistical evidence of a linear trend favoring a mtDNA (haploid) fitness effect, but also of a significant nonlinear deviation that could be due to a nuclear component.     

Effects of amount of whole cottonseed on intake, digestibility, and physiological responses of dairy cows

In Experiment 1, 27 lactating cows were fed complete rations ad libitum of 0, 15, and 30% whole cottonseed to examine the effects on intake, digestibility, blood gases, and blood metabolites. Dry matter intake declined linearly with increased cottonseed, but because of greater energy density, calculated net energy for lactation intake was not depressed significantly. Ether extract, crude protein, and calcium digestibility increased with cottonseed in the diet. Respiration rates declined with dry matter intake and increased cottonseed feeding; some blood gases were influenced by cottonseed feeding but not in a detrimental way. No data among 13 blood metabolites indicated effects of gossypol toxicity with 30% whole cottonseed in the diet. In Experiment 2, 24 dry, nonpregnant Holstein cows were offered complete rations ad libitum of 15, 35, and 55% whole cottonseed to measure responses in intake, respiration rates, and blood metabolites. The highest cottonseed diet significantly depressed intake of both dry matter and calculated net energy for lactation. Maximum dry matter from cottonseed eaten by an individual was 8.4 kg/d (average for 1 wk). Respiration rates declined parallel to intake. No evidence for gossypol toxicity was seen among data of 11 metabolites in blood.     

Family burden following traumatic brain injury.

Investigated burden experienced by 60 spouses and 71 parents who served as primary caregivers to individuals with traumatic brain injury (BI). Burden levels, as assessed by the Questionnaire on Resources and Stress (QRS-SF), were compared for spouses and parents. Both parents and spouses exhibited high levels of burden. Relative to spouses, parents reported significantly greater burden related to lifespan care. Spouses reported significantly less personal reward than did parents. The presence of social aggression and cognitive disability in the individual with BI was found to have a greater association with subjective burden of caregivers than was the presence of physical disability or injury severity. Results of previous studies with QRS-SF scores show that the responsibility assumed by spouses and parents of persons with BI was as great as that experienced by families of people with severe chronic physical disabilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Seasonal differences in neonatal jaundice

Cytomegalovirus is the main agent of congenital viral infections. The aim of this study was to compare the incidence of congenital cytomegalovirus infections of two groups of newborns of differing socioeconomic status. Cytomegalovirus was isolated from urine or oropharingeal secretions in 218 children born in a private clinic and 471 born in a public hospital. Positive viral isolates were confirmed with indirect immunofluorescence using monoclonal antibodies. Infection was detected in 12 children (1.82%), four coming from the private clinic (1.86%) and 8 coming from the public hospital (1.81%). Ninety two percent of infected children were asymptomatic. Urine and oropharingeal secretion samples had the same yield for viral isolation. It is concluded that the incidence of congenital cytomegalovirus infection is similar to that described in developed countries.     

Kaolinite-mullite reaction series: a TEM study

The kaolinite-mullite reaction series in single crystal kaolinite has been characterized by transmission electron microscopy. The exotherm observed at 980° C is attributed to the formation of a spinel phase. Mullite crystallites have also been observed with the spinel phase and both phases have a composition near that of 32 mullite. Subsequent heat treatment leads to the growth of mullite crystallites on the original kaolinite plates with the c-axis perpendicular to the plate.