Merkel cell tumor: diagnosis, prognosis, and management

The histologic features of the Merkel cell and the pathologic characteristics of the Merkel cell tumor are described. From a literature review, 68 cases are examined; 23 cases that have been followed up accurately are presented from the Mayo Clinic. A representative case is used to demonstrate the problems of diagnosis and suggested treatment. The latter should be wide local resection with removal of nodal metastases if present. When indicated, this should be followed up with radiation therapy. Chemotherapy is of little or no value. Survival rates are presented.     

Trisomy 16 confined to chorionic villi and unfavourable outcome of pregnancy.

Two cases of trisomy 16 confined to placental tissue associated with an unfavourable outcome of the pregnancy are reported. In the first case, after a diagnosis of an apparent non-mosaic trisomy 16 at chorionic villi sample (CVS), an intrauterine fetal death occurred at the 22nd week. In the second case a mosaic with trisomy 16 was found in chorionic villi and the fetus was still-born at 38 weeks. From a comparison of their cases with those of the literature, the authors conclude that a trisomy 16 confined to placental tissue has a negative effect on fetal growth and pregnancy outcome.     

The limnology of selected Guatemalan Lakes

Hydrobiologia - During the summer of 1969, fourteen Guatemalan lakes were sampled, including eight in the lowland northern province of Peten and six in southern Guatemala. The majority of the Peten...     

PRODUCTIVITY AND PRODUCTION EFFICIENCY OF AN UPPER SONORAN DESERT EPHEMERAL COMMUNITY

During years with good winter rainfall, ephemeral plants can contribute considerably to primary production in the upper Sonoran Desert. This study was designed to compare ephemeral community productivity and production efficiency within the different microhabitats created by trees, shrubs and open spaces in a Sonoran Desert ecosystem. Ephemerals were periodically harvested in the different habitats and dried for biomass and caloric determinations. The caloric data were compared to total solar input into the different microhabitats in order to determine production efficiencies of each stand. Productivity rates were also determined for the total community for the sample period, winters of 1972-74. Both productivity and production efficiency were highest under the shade of Cercidium. The highest production efficiency occurring in the shaded sites was 5.03% which approaches the theoretical maximum photosynthetic efficiency level. The production efficiency of the entire ephemeral community for the whole growing season was only 0.17% during an optimal year, demonstrating the influence of the environment in the interspaces on productivity and solar conversion in the desert.     

Antagonism of kainic acid lesions in the mouse hippocampus by U-54494A and U-50488H.

A morphometric study of kainic acid- (KA) induced lesions was designed for the study of the interaction of the diamines U-5449A and U-50488H with excitatory amino acids, and the dose-response relationship thereof. IC50S determined for binding at the kappa receptor and other opioid receptors demonstrated the lack of kappa activity of U-54494A, a structurally related analog of U-50488H. Both opiate kappa receptor related anticonvulsant diamines were tested for their ability to protect the mouse hippocampus from the cytopathological changes induced by KA in neurons and glia. The damage observed with i.c.v. KA in mouse was restricted to neurons of the CA3 pyramidal region and glia of the hippocampus. It involved massive cell loss and shrunken neurons with dark cytoplasm and nuclei. Groups treated with combinations of KA and U-54494A or U-50488H showed scarce damage, but patches of necrotic changes were still observed. Control animals treated with saline (i.c.v.) and U-54494A (s.c.) or U-50488H (s.c.) did not suffer any noticeable alterations of the polymorphic layers of the hippocampal formation. Image analysis of the CA3 area of the hippocampus was used to quantitate the vacuolization induced by KA lesions in the control and treated groups. By this method, both U-54494A and U-50488H were shown to protect this area in a dose-related fashion as evidenced by reduced vacuolization. The anticonvulsant properties of these compounds may result in the antagonism of the excitotoxic lesions. More specifically, the ability of these diamines to block depolarization-induced influxes of Ca++ may protect the CA3 cells from the cytotoxic effects of persistent depolarization.