Cerebral infarction in diabetes: Clinical pattern,stroke subtypes,and predictors of in-hospital mortality

Background  

To compare the characteristics and prognostic features of ischemic stroke in patients with diabetes and without diabetes, and to determine the independent predictors of in-hospital mortality in people with diabetes and ischemic stroke.     

Ectopic ACTH syndrome due to Grawitz tumor

An extremely unusual case of adrenocorticotropin (ACTH)-producing Grawitz tumor is reported in a 56-year-old female. The clinical feature of the patient was compatible with Cushing's syndrome. The plasma levels of ACTH and cortisol were markedly elevated. At autopsy, a left renal tumor was demonstrated and its histopathological diagnosis was renal cell carcinoma (Grawitz tumor). The adrenal gland was bilaterally enlarged with diffuse hyperplasia of the fasciculate zone. The adenohypophyseal cells were atrophic and showed Crooke's degeneration. The tumor contained extremely high levels of ACTH, beta-lipotropin and beta-endorphin. The presence of large molecular weight forms of ACTH has also been demonstrated by a Sephadex G-50 gel filtration of the tumor extract. We authors believe that this is the first documented case of ACTH-producing Grawitz tumor in the literature.     

Genetic predictors of sick sinus syndrome

Molecular Biology Reports - Sick sinus syndrome (SSS) encompasses a group of conduction disorders characterized by the inability of sinoatrial node to perform its pacemaker function. Our aim was to...     

Immobilisation stress-induced anorexia is not due to gastric ulceration

The relationship between the anorexia following immobilisation and the associated gastric pathology in male and female rats was investigated. Male rats were injected with saline or the histamine-H2. antagonist, ranitidine, which inhibits gastric acid secretion but does not readily enter the brain. Thirty minutes later, the animals were immobilised for 2 hours. Ranitidine pretreatment reduced the number of gastric lesions but had no effect on the degree of stress-induced anorexia. The number of gastric lesions did not correlate significantly with the degree of anorexia or weight loss. Previous studies have reported that female rats (unlike males) exhibit anorexia after repeated daily immobilisations and have greater gastric pathology following stress. Therefore, in a second experiment, female rats were pretreated with saline or ranitidine and immobilised for 2 hours/day for 4 days. The drug did not decrease the number of lesions observed after this treatment. However, as in the first experiment, the number of lesions did not correlate significantly with anorexia or weight loss. It is therefore unlikely that immobilisation stress-induced anorexia in either male or female rats is merely a consequence of gastric ulceration.     

Chronic recurrent vulvovaginitis is not only due to Candida

BackgroundRecurrent vulvovaginitis is a growing problem that affects millions of women worldwide. In many cases it is treated as vulvovaginal candidiasis, but there is not always microbiological confirmation.AimsTo determine the etiology of vulvovaginitis in a group of patients.MethodsThis is a cross-sectional study in which the data from the medical records of 316 adult patients who consulted for vulvovaginitis were analyzed. Eighty nine percent of the cases had already suffered previous episodes.ResultsThe median age was 34 (265 patients were between 16 and 45 years old). Yeasts were isolated in culture from 211 (66.8%) patients, although pseudo-hyphae and yeasts were observed in only 166 samples (52.5%) in the direct microscopic examination. Multiple predisposing factors were found, among which the use of contraceptives or previous antibiotics stand out. Most of the patients (almost 90%) had been treated with antifungals, with or without microbiological confirmation. Candida albicans was isolated in 187 (88.6%) patients, followed by Candida glabrata in 6 (2.8%) patients. Association with bacterial vaginosis was found in 35.1% and with intermediate bacterial microbiota in 33.2% of the cases. A remarkably high proportion of C. albicans isolates resistant to fluconazole (80.1%) and itraconazole (58.8%) was found.ConclusionsA microbiological analysis is essential to confirm the diagnosis of vulvovaginal candidiasis, whether simple, complicated, or recurrent. Identifying the isolated yeast species and determining its susceptibility to antifungal agents are particularly important.     

Cooperation due to cultural norms, not individual reputation

Increased cooperation in groups that are allowed to communicate (engage in "cheap talk") has been attributed to reputation-building and to cultural norms or culturally normal behavior. We tested these two theories by exposing groups of undergraduates to a public-goods social dilemma. Five groups were permitted to communicate via anonymous written messages that were read aloud. The groups with messaging contributed substantially more to the common good than the groups without messaging. Because the messages were anonymous, their efficacy cannot be explained by effects on reputation. Instead, the results point to the participants' histories of giving and receiving exhortations to cooperate - i.e., to culturally normal behavior (cultural norms).     

Pollen aperture heteromorphism is not due to unreduced gametophytes

Variations in ploidy level of the sporophyte are usually acknowledged as the main cause of polymorphism in pollen aperture number and pollen size. In heteromorphic species (two or more pollen morphs in all flowers of all plants) the different pollen types could thus be due to the presence of reduced and unreduced gametes. But data from the fossil record indicate that pollen aperture number has increased, suggesting that this trait may have evolved through selection. Our studies of Viola diversifolia have shown that the different aperture morphs have different selective values, also indicating that this character could have evolved and is not always due to ploidy level variations. To test this hypothesis, we measured DNA content of the reproductive nucleus as a test of gametophytic reduction in four heteromorphic species of Viola and in diploid and tetraploid individuals of a Petunia hybrida clone (which also served as a control to test for accuracy of the measurements). Our results show that aperture polymorphism is not due to gametophytic ploidy variations within plants and that variations in the proportions of the different pollen morphs are not correlated with variations of the amount of DNA in the sporophyte.