Louisa May Alcott: her mysterious illness

Louisa May Alcott (1832-1888), famous in her own time and immortalized in ours as a major figure of the "American Renaissance," died at the age of 55 after intermittent suffering over 20 years. Her illnesses evoked intense interest in her time and in ours. Alcott tracked her signs and symptoms (in letters and journal entries), which included headaches and vertigo, rheumatism, musculo-skeletal pain, and skin rashes; in her final years she recorded severe dyspepsia with symptoms of obstruction, and headaches compatible with severe hypertension. Her death came suddenly with a stroke. Standard biographies propose that her illnesses were due to acute mercury poisoning from inorganic mercury medication she received for a bout of typhoid in 1863, a cause she herself believed. We have reviewed Alcott's observations, as well as those of others, and have determined that acute mercury poisoning could not have caused her long-term complaints. We propose instead that Alcott suffered a multi-system disease, possibly originating from effects of mercury on the immune system. A portrait of Alcott raises the possibility that she had systemic lupus erythematosus (SLE).     

The Use of Isotope Effects to Study Dopamine ��-Monooxygenase Catalysis: the Work of Judith P. Klinman

Deduction of the Kinetic Mechanism in Multisubstrate Enzyme Reactions from Tritium Isotope Effects. Application to Dopamine β-Hydroxylase(Klinman, J. P., Humphries, H., and Voet, J. G. (1980) J. Biol. Chem. 255, 11648–11651)Use of Isotope Effects to Characterize Intermediates in the Mechanism-based Inactivation of Dopamine β-Monooxygenase by β-Chlorophenethylamine(Bossard, M. J., and Klinman, J. P. (1990) J. Biol. Chem. 265, 5640–5647)Judith Klinman was born Judith Pollock in 1941 in Philadelphia, Pennsylvania. Early on, she realized she was interested in science and decided to go to the University of Pennsylvania to study chemistry. However, her parents wanted her to become a medical technologist and forget about science. She eventually got them to agree to let her go if she got a scholarship; she graduated in 1962 with an A.B. She then decided to go to graduate school at New York University, but moved back to Penn after a year. Working with Edward R. Thornton, she completed her Ph.D. in 3 years, publishing a thesis titled “A Kinetic Study of the Hydrolysis and Imidazole-catalyzed Hydrolysis of Substituted Benzoyl Imidazole in Light and Heavy Water.”Open in a separate windowJudith P. KlinmanAfter graduating in 1966, Klinman first carried out postdoctoral research with David Samuel at the Weizmann Institute of Science in Israel and later with Journal of Biological Chemistry (JBC) Classic author Irwin Rose (1) at the Institute for Cancer Research in Philadelphia. Returning to the United States in 1968, she joined the Institute for Cancer Research in Philadelphia, where she was a research scientist for 10 years. In 1978 she became the first woman professor in the chemistry department of the University of California, Berkeley, where she continues to do research today as Professor of Chemistry and Molecular and Cell Biology in the Department of Chemistry.Throughout her research career, Klinman has contributed extensively to the understanding of the fundamental properties that underlie enzyme catalysis. Early in her career, she developed the application of kinetic isotope effects to the study of enzyme catalysis, showing how these probes can be used to uncover chemical steps, to determine kinetic order, and to obtain substrate dissociation constants. The two JBC Classics reprinted here stem from her use of isotope effects to isolate the chemical steps involved in the dopamine β-monooxygenase-catalyzed conversion of dopamine and oxygen to norepinephrine and water.In 1965, JBC Classic author Seymour Kaufman (2) suggested that oxygen binding precedes the addition of substrate in dopamine β-hydroxylase (now called dopamine β-monooxygenase) (3). However, confirmation of this hypothesis was hard to do using classical methods such as product and dead-end inhibition studies and equilibrium exchange techniques because of the apparent reversibility of the chemical step and the fact that one of the reaction products was water. In the first Classic, Klinman was able to disprove this hypothesis and use the sensitivity of kinetic tritium isotope effects to changes in oxygen concentrations in the reaction to provide unequivocal evidence for a random order of addition of dopamine and oxygen to dopamine β-hydroxylase.In the second Classic, Klinman uses isotope effects to study the inhibition of dopamine β-monooxygenase by β-chlorophenethylamine. Previously, she had postulated an inhibition mechanism in which bound α-aminoacetophenone was generated followed by an intramolecular redox reaction to yield a ketone-derived radical cation as the inhibitory species (4). However, she was unable to determine whether inhibition by α-aminoacetophenone occurred at the reductant- or substrate-binding site and was unable to provide evidence of keto-enol tautomerization of α-aminoacetophenone at the active site. Both of these questions were addressed using kinetic isotope effects. As reported in the JBC Classic, she showed that α-aminoacetophenone acts at the substrate-binding site and that there are two isotope-sensitive steps in β-chlorophenethylamine inactivation, with the second step attributed to an isotope-sensitive partitioning of the bound enol of α-aminoacetophenone between reketonization and oxidation.Over the years, Klinman continued her investigations into enzyme catalysis. In 1990 she demonstrated the presence of the neurotoxin, 6-hydroxydopaquinone (TPQ), at the active site of a copper-containing amine oxidase from bovine plasma, overcoming years of incorrect speculation regarding the nature of the active site structure and opening up the currently active field of protein-derived cofactors. Subsequent work from her group showed that the extracellular protein lysyl oxidase, responsible for collagen and elastin cross-linking, contains a lysine cross-linked variant of TPQ. Since the 1990s, Klinman''s kinetic studies of enzyme reactions have demonstrated anomalies that implicate quantum mechanical hydrogen tunneling in enzyme-catalyzed hydrogen activation reactions. In recent years she has developed a unique set of experimental probes for determining the mechanism of oxygen activation. These probes are beginning to shed light on how proteins can reductively activate O₂ to free radical intermediates, while avoiding oxidative damage to themselves.In addition to being the first woman faculty member in the physical sciences at the University of California, Berkeley, Klinman was the first woman Chair of the Department of Chemistry from 2000 to 2003. During her tenure at Berkeley she has been a Chancellor''s Professor, Guggenheim Fellow, and Miller Fellow. She was elected to the National Academy of Sciences (1994), the American Academy of Arts and Sciences (1993), and the American Philosophical Society (2001) and has received the Repligen Award (1994) and the Remsen Award (2005) from the American Chemical Society and the Merck Award from the American Society for Biochemistry and Molecular Biology (2007). Klinman was also President of the American Society for Biochemistry and Molecular Biology in 1998 and served on the editorial board of the Journal of Biological Chemistry from 1979 to 1984.     

A case of 'contagious delusional parasitosis' in an adult pair of twin sisters

In July 1992, a 50-year-old married woman, who was a hospital administrative clerk with an adult daughter, stated that, for over 5 years, she had been parasitised by 'small animals coming out from her skin'. While physical and microscopical examinations did not show either lesions or parasites on the skin, both the patient's medical history and the conviction with which she reported the phenomenon, led to a diagnosis of Delusory Parasitosis, a condition which has been well-defined for over 50 years and considered of prevailingly psychiatric competence. The patient was examined several times during the course of 6 years. She exhibited varying levels of anxiety, and brought with her different species of insects which she had captured 'when she saw them coming out of her skin'. In July 1998 the patient returned with her twin sister, who 'had been infected by her'. Indeed, she too 'had discharged various insects from her skin' for more than a year. The authors provide information on the response of this hallucinatory syndrome to therapy which, as in this case, appears to be resistant to treatment, unless appropriate psychoactive drugs are used.     

Memoirs of an amnesiac--two years with brain cancer,or the outer space of living with brain tumors.

Alexandra Dane Dor-Ner ("Ali" to friends) was a photographer, writer, and a producer of programs on child development. In February 1989, at the age of 41, she was diagnosed with malignant brain cancer. During the following months she underwent brain surgery, radiation, and implant radiation. Throughout her treatment, she continued to work on a novel and write stores and literary criticism. A volunteer in hospitals before her illness, she now became very active in a support group of brain tumor patients and often served as a first resource and contact for others diagnosed with brain cancer. All was very accomplished; her award-winning photographs have been exhibited in the Smithsonian Institution in Washington, and her articles and pictures were published in books, periodicals, and newspapers around the world. A native of Boston, Ali lived for 17 years in Israel, where she joined a group of photographers documenting disappearing neighborhoods in Jerusalem. She was awarded first prize in the "Israel Through the Camera''s Eye" competition in 1977. She also taught English and photography in Israeli high schools. Ali traveled extensively on photographic assignments. Early in their 22-year marriage, she and her husband circumnavigated the globe on a freighter, producing a documentary film of the voyage. "Memoirs of an Amnesiac" was written while Ali was a student at the Warren Wilson College Writers'' Program in North Carolina; she intended to explore the compensatory aspects of her disease. In February 1991, within days of completing the piece, Ali had a third brain operation to remove a regrowth of cancerous tumor cells, as well as necrotic tissue. Two days later, she was again operated on to remove blood clots resulting from the previous surgery. For the next 12 weeks she fought to regain her ability to walk, talk, and write. In May, she underwent a fifth operation to relieve pressure in the brain. She was still in the hospital when she learned, to her great pleasure, that she would be awarded a master of fine arts degree from Warren Wilson College. She died on June 19, 1991.     

Succeeding in Science Despite the Odds; Studying Metabolism with NMR by Mildred Cohn

A Study of Oxidative Phosphorylation with O¹⁸-labeled Inorganic Phosphate(Cohn, M. (1953) J. Biol. Chem. 201, 735–750)Nuclear Magnetic Resonance Spectra of Adenosine Di- and Triphosphate. II. Effect of Complexing with Divalent Metal Ions(Cohn, M., and Hughes, T. R. (1962) J. Biol. Chem. 237, 176–181)Mildred Cohn was born in New York City in 1913. When she was young, her father told her she could achieve anything she chose to, but not without some difficulty because she was both female and Jewish. With her parents'' encouragement, Cohn moved rapidly through the New York public school system and graduated from high school at age 14. She decided to go to Hunter College in Manhattan, then an all-girls college, and majored in chemistry and minored in physics. Hunter''s attitude toward science education at that time can be summed up by the chairman of the chemistry department who declared that it was not ladylike for women to be chemists and that his sole purpose was to prepare his students to become chemistry teachers.When Cohn graduated from Hunter College in 1931 she tried to get a scholarship for graduate studies in chemistry but was unsuccessful. She enrolled in Columbia University nonetheless and used her savings to pay for her education. At Columbia, she studied under Nobel laureate Harold Urey but had to drop out after a year because of lack of money. She then took a job with the National Advisory Committee of Aeronautics and after a few years was able to earn enough money to return to Columbia. Working with Urey, she studied ways of separating different isotopes of carbon and received her Ph.D. in physical chemistry in 1937.Unfortunately, jobs were scarce in 1938, during the years of the Great Depression, and academic positions for women were even more scarce. Industrial recruiters regularly posted notices announcing that, “Mr. X of Y Company will interview prospective doctorate recipients—Male, Christian”(1).¹ With Urey''s help, Cohn was able to obtain a postdoctoral position at George Washington University with future Nobel prize winner Vincent du Vigneaud. In du Vigneaud''s laboratory, Cohn pioneered the effort to use isotopic tracers to follow the metabolism of sulfur-containing compounds, the subject of a previous Journal of Biological Chemistry (JBC) Classic (2). Cohn worked with du Vigneaud for 9 years and moved with him to New York when he went to Cornell Medical College.In 1946, Cohn went to Washington University in St. Louis to work with Carl and Gerty Cori, Nobel prize laureates and authors of a previous JBC Classic (3), who were studying biological catalysts. There, she did independent research, mainly focusing on using isotopes and NMR to study metabolic processes. Cohn was promoted to Associate Professor in Biochemistry in 1958 but left Washington University 2 years later to move to the University of Pennsylvania School of Medicine. She became a full Professor in 1961 and retired as Benjamin Rush Professor Emerita of Biochemistry and Biophysics in 1982.Once, when asked what her most exciting scientific moments were (4), Cohn replied, “In 1958, using nuclear magnetic resonance, I saw the first three peaks of ATP (5). That was exciting. [I could] distinguish the three phosphorus atoms of ATP with a spectroscopic method, which had never been done before. Another paper, in 1962 (the second JBC Classic reprinted here), was about the effect of metal ions on the phosphorus spectrum of ATP. And earlier, I found that oxygen in inorganic phosphate exchanged with water through oxidative phosphorylation (the first JBC Classic reprinted here).”Cohn''s study of oxidative phosphorylation came at a time when it was known that phosphorylation occurred concomitantly with oxidation in the electron transport chain. However, no one had yet discovered the nature of the interaction of the electron transport system with phosphate or any part of the phosphorylating system. Cohn approached this problem by tracking the loss of O¹⁸ from inorganic phosphate during oxidative phosphorylation in rat liver mitochondria. In the first JBC Classic reprinted here, she describes her findings as, “a new reaction which occurs in oxidative phosphorylation associated with the electron transport system has been observed in the rat liver mitochondria with α-ketoglutarate, â-hydroxybutyrate, and succinate as substrates. This reaction manifests itself by a replacement of O¹⁸ with normal O¹⁶ in inorganic phosphate labeled with O¹⁸ and parallels the phosphorylation which is associated with the oxidation.” Cohn concluded that water must be involved in this reaction because there was no other source of oxygen large enough to account for the amounts she saw introduced into inorganic phosphate. In the second JBC Classic Cohn describes her use of NMR to examine the structural changes in ADP and ATP caused by various divalent metal ions. Cohn knew that divalent ions were involved in enzymatic reactions of ADP and ATP but didn''t know their functions. Using NMR, she measured the changes in the chemical shifts in the peaks of the ATP and ADP phosphorus nuclei in the presence of Mg²⁺, Ca²⁺, and Zn²⁺ as well as the paramagnetic ions Cu²⁺, Mn²⁺, and Co²⁺. By analyzing the resultant spectra, she was able to determine which metals bound to which phosphate groups and thus gained insight into the nature of the metal complexes formed.Cohn received many awards and honors for her contributions to science, including the National Medal of Science in 1982, “for pioneering the use of stable isotopic tracers and nuclear magnetic resonance spectroscopy in the study of the mechanisms of enzymatic catalysis,” as well as election to the National Academies of Science in 1971. She also served the American Society of Biological Chemists (ASBC), now American Society for Biochemistry and Molecular Biology (ASBMB), in many ways. She was President of the Society in 1978 and was on the Federation of American Societies for Experimental Biology (FASEB) Board from 1978 to 1980 as ASBC representative. In addition, Cohn was the first woman to be appointed to the JBC Editorial Board.Despite her success, Cohn''s father was right about the difficulties she would encounter in her life. “My career has been affected at every stage by the fact that I am a woman, beginning with my undergraduate education, which was very inferior in chemistry, and physics was not even offered [as a major] at Hunter College, unlike the excellent science education that my male counterparts received at City College,” she notes. “In my day, I experienced discrimination in academia, government, and industry.”     

Test of the monophyly of Odostomiinae and Turbonilliinae (Gastropoda, Heterobranchia, Pyramidellidae) based on 16S mtDNA sequences

Schander, C., Halanych, K. M., Dahlgren, T. & Sundberg, P. (2003) Test of the monophyly of Odostomiinae and Turbonilliinae (Gastropoda, Heterobranchia, Pyramidellidae) based on 16S mtDNA sequences. — Zoologica Scripta, 32 , 243−254.
While gastropod phylogeny has received much recent attention, relationships within some major gastropod clades have still not been studied. The Pyramidellidae is one such group, comprising more than 6000 named species in more than 350 genera. We sequenced part of the mitochondrial 16S gene from 32 species in an attempt to clarify pyramidellid phylogeny and employed a successive alignment approach that allowed us to maximize the phylogenetic signal of the data. Neighbour-joining, maximum parsimony and likelihood analyses recovered two distinct clades. One clade consisted of Noemiamea which nested within Odostomia ( sensu stricto ) . The inclusion of Brachystomia , Megastomia , Jordaniella and Liostomia within Odostomia is not supported. The second clade comprised Spiralinella , Brachystomia , Boonea , Jordaniella , Liostomia and Parthenina . Our results further suggest that Turbonilla, as interpreted by most authors, is polyphyletic. This study shows that the 16S gene is useful in unravelling pyramidellid phylogeny but needs to be combined with other data (including molecular, morphological and developmental) to fully clarify the evolutionary relationships.     

Inbreeding,eugenics, and Helen Dean King (1869–1955)

Helen Dean King’s scientific work focused on inbreeding using experimental data collected from standardized laboratory rats to elucidate problems in human heredity. The meticulous care with which she carried on her inbreeding experiments assured that her results were dependable and her theoretical explanations credible. By using her nearly homozygous rats as desired commodities, she also was granted access to venues and people otherwise unavailable to her as a woman. King’s scientific career was made possible through her life experiences. She earned a doctorate from Bryn Mawr College under Thomas Hunt Morgan and spent a productive career at the Wistar Institute of Anatomy and Biology in Philadelphia where she had access to the experimental subjects which made her career possible. In this paper I examine King’s work on inbreeding, her participation in the debates over eugenics, her position at the Wistar Institute, her status as a woman working with mostly male scientists, and her involvement with popular science.     

Twenty-year cytogenetic and molecular follow-up of a patient with ring chromosome 15: a case report

ABSTRACT: INTRODUCTION: Ring chromosome 15 is a rare disorder, with only a few over 40 cases reported in the literature. There are only two previous reports of cases where patients with ring chromosome 15 have been followed-up. CASE PRESENTATION: We report here on the 20-year clinical and cytogenetic follow-up of a patient with a ring chromosome 15. Our patient, a Caucasoid Asian woman, presented with short stature, microcephaly, minor dysmorphic features, hyperextensible knees, generalized hirsutism, cafe-au-lait and small hypochromic spots spread over her face and the front of her chest and abdomen, dorsolumbar scoliosis and mild intellectual disability. She was followed-up from the age of eight to 28 years. When she was 27 years old, she was reported by her mother to present with compulsive overeating and an aggressive mood when challenged. Karyotyping revealed that the majority of her cells harbored one normal chromosome and one ring chromosome. Silver staining revealed the presence of the nucleolar organizer region in the ring chromosome. Ring loss and/or secondary aberrations exhibited a slight increase over time, from 4.67% in 1989 to 7.67% in 2009, with the presence of two monocentric rings, cells with interlocked rings, a dicentric ring, and broken or open rings. A genome-wide array technique detected a 5.5Mb deletion in 15q26.2. CONCLUSIONS: We observed that some phenotypic alterations in our patient can be associated with gene loss and haploinsufficiency. Other features may be related to different factors, including ring instability and epigenetic factors.     

Raissa L. Berg's contributions to the study of phenotypic integration,with a professional biographical sketch

Raissa L. Berg had a remarkable career in many respects and an impact on the study of phenotypic integration that continues to increase over 50 years after the publication of her seminal paper in that area. She was born and lived most of her life in Russia, with most of her research focused on measuring spontaneous mutation rates in Drosophila. She was forced to abandon this work during the height of Lysenko''s power in Russia, so she turned temporarily to the study of correlation patterns in plants; ironically, this work has had a more enduring impact than her main body of research. She showed that floral and vegetative traits become decoupled into separate correlation ‘pleiades’ in plants with specialized pollinators, but floral and vegetative traits remain correlated in plants that have less specialized pollination. Unfortunately, her plant work is often mis-cited as providing evidence for increased correlations among floral traits due to selection by pollinators for functional integration, a point she never made and one that is not supported by her data. Still, many studies of correlation pleiades have been conducted in plants, with the results mostly supporting Berg''s hypothesis, although more studies on species with generalized pollination are needed.     

Life span in captive nocturnal prosimians (Perodicticus potto) with reproductive and mortality records

Three pottos survived captivity 4 to 19 years. The female that died recently was probably 21 years old at the time of her death since she was at least primiparous at the time of her capture in December 1959. During her captive lifetime she had given birth to three single individuals and one set of twins. Her mate is still alive and is believed to be at least 20 years old, having survived 19 years of captivity. Regular copulatory behavior was noted within one month of her death. These data suggest a somewhat longer life span for this species than had been previous recorded in the scientific literature.     

Worker-queen conflict in annual social hymenoptera

There is a conflict of interest between the queen and her worker-daughters in social hymenoptera over which party shall lay the haploid eggs which become males and over the ratio of investment in male and female reproductives. A model of this conflict in annual colonies is developed in this paper which can be analysed by mathematical optimisation methods. In the absence of worker-laying the queen prefers a 1:1 investment ratio while the workers prefer a 3: 1 female-biased ratio; it is concluded that the queen is in a strong position to impose her preference because she can lay only haploid eggs in the last generation. If the workers can lay and rear haploid eggs in the last generation (but not in the previous generation because of the danger that physical conflict will destroy the queen together with her contribution to future generations), the queen can gain control of male production by forcing the workers to rear her haploid eggs; but in so doing she must relinquish some control over the investment ratio.     

Sexual cannibalism by Octopus cyanea on a Pacific coral reef

Sexual cannibalism is rare in the animal kingdom. Although cannibalism is not uncommon in cephalopods, here we report the first documented case of sexual cannibalism. A large female Octopus cyanea was observed continuously for 2.5 days in Palau, Micronesia, when she was out of her den. On the second day, a small male followed and mated her 13 times during 3.5 h while she continued to forage over 70 m distance. After the 12th mating, she aggressively chased a different small octopus that barely escaped by jetting, inking and swimming upwards. Shortly thereafter, the original small male mated her a 13th time, but subsequently she attacked and suffocated him and spent 2 days cannibalizing him in her den. This sort of intraspecific aggression helps to explain several reports of octopuses mating out in the open, a behaviour that may serve to allow the smaller mate to escape cannibalism.     

Richard Doll and Alice Stewart: reputation and the shaping of scientific "truth"

As the world watched the Fukushima reactors release radionuclides into the ocean and atmosphere, the warnings of Dr. Alice Stewart about radiation risk and the reassurances of Sir Richard Doll assumed renewed relevance. Doll and Stewart, pioneer cancer epidemiologists who made major contributions in the 1950s-he by demonstrating the link between lung cancer and smoking, she by discovering that fetal X-rays double the chance of a childhood cancer-were locked into opposition about low-dose radiation risk. When she went public with the discovery that radiation at a fraction of the dose "known" to be dangerous could kill a child, her reputation plummeted, whereas Doll, foremost among her detractors, was knighted and lauded as "the world's most distinguished medical epidemiologist" for his work. Their lives and careers, so closely intertwined, took contrary courses, he becoming "more of the establishment" (as he said), while she became more oppositional. When it was discovered, after his death, that he'd been taking large sums of money from industries whose chemicals he was clearing of cancer risk, his reputation remained unscathed; it is now enshrined in the "Authorized Biography" (2009) commissioned by the Wellcome Institute, along with Doll's denigration of Stewart as an "embittered" woman and biased scientist. Stewart lived long enough to see radiation science move her way, to see international committees affirm, in the 1990s, that there is no threshold beneath which radiation ceases to be dangerous; recent evidence from Chernobyl is bearing out her warnings. But a look at the making and breaking of these reputations reveals the power of status, position, and image to shape scientific "knowledge" and social policy.     

Case report of acute necrotizing pancreatitis associated with combination treatment of sitagliptin and exenatide

ObjectiveTo report the first postmarketing case of necrotizing pancreatitis in a patient on combination therapy of sitagliptin and exenatide.MethodsWe describe the patient’s clinical presentation, laboratory test results, imaging, and autopsy findings.ResultsA 76-year-old woman with a history of type 2 diabetes mellitus presented with severe abdominal pain, vomiting, and fever requiring hospital admission. She had been treated with exenatide for 3 years to manage her diabetes mellitus. A few weeks before presentation, sitagliptin was added, presumably to further optimize her glycemic control. Acute pancreatitis was diagnosed during hospital admission. At initial presentation, her serum amylase concentration was 1136 U/L (reference range, 10-130 U/L) and her lipase concentration was greater than 3500 U/L (reference range, 0-75 U/L). In addition, computed tomography of the abdomen and pelvis demonstrated extensive pancreatic parenchymal necrosis. She had undergone previous cholecystectomy, reported no alcohol consumption, and had a normal lipid profile. Although she had a long-standing history of diabetes mellitus, she had no history of pancreatitis or other risk factors that would have caused her to develop the underlying condition. After initial brief improvement, her symptoms worsened, and despite aggressive care, her clinical state deteriorated and she died. Autopsy findings demonstrated acute necrotizing pancreatitis with complete digestion of the pancreas.ConclusionsConsidering the temporal relationship of her symptoms to the addition of sitagliptin to her existing exenatide regimen, this case strongly suggests a possible causal link between exenatide or sitagliptin (or the combination of the 2 drugs) and the etiology of pancreatitis in this patient. (Endocr Pract. 2012;18:e10-e13)     

The life and work of Eugenie Clark: devoted to diving and science

Synopsis Eugenie Clark is an ichthyologist with a talent for communicating about marine life. Her life had three principal periods, (1) studies under Charles Breder, Carl Hubbs, Lester Aronson and Myron Gordon, (2) directorship of the Cape Haze Marine Laboratory sponsored by the Vanderbilts, and (3) professorship and inspired teaching at the University of Maryland. Genie proved that sharks have surprising learning abilities and that, contrary to popular opinion, none are vicious killers. During her studies on reproductive behavior, territoriality, and ecology of tropical marine sand-dwelling fishes of the Caribbean and Red seas, among many other phenomena, she discovered the cross-fertilizing hermaphroditeSerranus subligarius, the Moses and peacock soles producing toxins that repel sharks and other predators, and sharks sleeping in underwater caves in Mexico and Japan. She combined a love for swimming and diving with the study of marine fishes - from hard-hat diving and snorkeling to using SCUBA and submersibles. Professor emerita since 1992, she has ridden whale sharks and participated in dives using submersibles to 3 600 m depths. She is a recipient of over 25 honors and awards, participated in 24 television specials, and the current IMAX film on sharks. She is the author of theLady with a Spear andThe Lady and the Sharks which are of considerable popular fame.     

Brood adoption and deceit among African Marsh Harriers Circus ranivorus

Complete adoption of unrelated broods by foster parents is surprisingly common among birds and the behaviour appears to be maladaptive in several species. In a small, marked, southern African population of African Marsh Harriers Circus ranivorus, studied over 4 years, a young male took over the complete parenting (provisioning and defence) of an unrelated brood, and several times fed the brood in preference to the soliciting maternal parent. This female then deserted and deceitfully courted (out of season) a third male, whose provisioned food she took to feed to her own young. Since the adopting male retained the territory and bred successfully for at least two further years, he suffered no expected loss in fitness and hence this case of fostering was neither maladaptive nor apparently altruistic.     

Identification of vocalizers by pant hoots,pant grunts and screams in a chimpanzee

Identification of vocalizers was examined using an auditory-visual matching-to-sample task with a female chimpanzee. She succeeded in selecting the picture of the vocalizer in response to various types of vocalizations: pant hoots, pant grunts, and screams. When pant hoots by two chimpanzees were presented as a "duet", she could identify both of the vocalizers. These results suggest that researchers have underestimated the capability of vocalizer identification in chimpanzees. The chimpanzee correctly chose her own pictures in response to her vocalizations only by exclusion, and she did not show vocal self-recognition. The effect of acoustical modification (pitch shift and filtration) on the performance suggested that pitch is an important cue for the vocalizer identification.     

Comparison of evoked vs. spontaneous tics in a patient with trigeminal neuralgia (tic doloureux)

A 53-year old woman with tic doloureaux, affecting her right maxillary division of the trigeminal nerve (V2), could elicit shooting pains by slightly tapping her teeth when off medication. The pains, which she normally rated as > 6/10 on a visual analog scale (VAS), were electric shock-like in nature. She had no other spontaneous or ongoing background pain affecting the region. Based on her ability to elicit these tics, functional magnetic resonance imaging (fMRI) was performed while she produced brief shocks every 2 minutes on cue (evoked pain) over a 20 min period. In addition, she had 1–2 spontaneous shocks manifested between these evoked pains over the course of functional image acquisition. Increased fMRI activation for both evoked and spontaneous tics was observed throughout cortical and subcortical structures commonly observed in experimental pain studies with healthy subjects; including the primary somatosensory cortex, insula, anterior cingulate, and thalamus. Spontaneous tics produced more decrease in signals in a number of regions including the posterior cingulate cortex and amygdala, suggesting that regions known to be involved in expectation/anticipation may have been activated for the evoked, but not spontaneous, tics. In this patient there were large increases in activation observed in the frontal regions, including the anterior cingulate cortex and the basal ganglia. Spontaneous tics showed increased activation in classic aversion circuitry that may contribute to increased levels of anxiety. We believe that this is the first report of functional imaging of brain changes in tic-doloureaux.     

Pregnancy,delivery, and breastfeeding after total gastrectomy for gastric cancer: a case report

Background

The reports of pregnancy after total gastrectomy for gastric cancer are rare.

Case presentation

We report a case of a 35-year-old woman, gravida 0, para 0, who became pregnant and delivered a baby 2?years and 6?months after laparoscopic-assisted total gastrectomy for early gastric cancer. Postoperatively, she showed a good progress during the follow-up and was continuously taking oral iron supplement and administered with methylcobalamin intramuscular injection. Two years after gastrectomy, she became pregnant. During the pregnancy, she kept taking iron and vitamin B₁₂ supplementation and had a good course of pregnancy and a normal delivery. However, 2?months after the delivery, liver dysfunction was detected via blood examination. The patient switched from exclusive breastfeeding to combined feeding with formula, and her laboratory results returned to normal. During 10?years of follow-up after the delivery, the patient was in good condition without any recurrence and nutritional deficiencies, and her child had thrived.

Conclusions

Careful monitoring and management of iron and vitamin deficiencies are essential during pregnancy and the lactation periods for patients who previously underwent total gastrectomy. During the lactation period, a combination of formula and breastfeeding provides maternal and fetal nutritional support.