The Management of Abdominal Injuries in the Presence of Head Injury

When head and blunt abdominal injuries are combined, the head injury is often afforded too much attention and the abdominal injury too little, especially when the patient is unconscious. If mismanaged, the abdominal injury is often the more serious threat to life. Except for extradural hemorrhage, neurosurgical intervention, when indicated, can be delayed until the patient has been thoroughly evaluated for the presence of extra cranial injuries with higher therapeutic priority.Abdominal examination of the unconscious or uncooperative patient is difficult. Tenderness as a sign of abdominal injury cannot be elicited. Abdominal rigidity (in the absence of rigid extremities), a silent abdomen, shock, and extreme restlessness may indicate intra-abdominal changes. Abdominal paracentesis is a valuable diagnostic aid, and the finding of blood, bile-stained fluid, intestinal contents or air is an indication for immediate laparotomy. Once all injuries are known, priorities for treatment can be assigned. Often head and abdominal injuries can be treated concomitantly.     

Renal Disease Secondary to Metabolic Disorders or Physiological Deficiency States

Significant alterations in the structure and functions of the kidney are caused by a number of metabolic disturbances and deficiencies of physiological substances. These include intercapillary glomerulosclerosis, gout, hypercalcemia, hereditary cystinuria, potassium depletion, pyrophosphates deficiency, vitamin D deficiency and liver disorders. Some of these metabolic disorders are secondary to drug ingestion.     

STUDIES ON THE LIFE CYCLE AND TAXONOMY OF LIGNIERA VERRUCOSA

Miller , Charles E. (A. and M. College of Texas, College Station.) Studies on the life cycle and taxonomy of Ligniera verrucosa. Amer. Jour. Bot. 46(10): 725–729. Illus. 1959.—A study of the roots of Veronica persica Poir. and V. hederaefolia L. plants infected with Sorosphaera veronicae Schroeter revealed intracellular cystosori and zoosporangial sori of Ligniera verrucosa. The zoosporangial phase of this species has been heretofore unknown. The plasmodia of L. verrucosa occur in root hairs, and other epidermal and sub-epidermal cells of the roots. Zoosporangial and cystosoral plasmodia are indistinguishable until cleavage has started. It is thought that plasmodia produced during early infection develop into zoosporangia, while those produced later develop into resting spores. Zoospores discharged from zoosporangia may reinfect host cells developing there into zoosporangial or cystosoral plasmodia. No evidence for any sexual process was observed. The spherical zoosporangia making up a single zoosporangial sorus may be interconnected; a single discharge pore may serve to liberate zoospores from different zoosporangia. In the Plasmodiophorales the classical basis for generic distinction has been the arrangement of the resting spores in the sorus. Ligniera, because of the supposedly uncharacteristic nature of its cystosori, has been suggested as a host-variety of Sorosphaera. A comparative study of the cystosori and zoosporangia of Ligniera and Sorosphaera growing in a single host has led to the conclusion that these genera should be considered distinct.     

A study of the hatching process in aquatic invertebrates. XVI. Events of eclosion in Calopsectra neoflavellus Malloch (Diptera,Tendipedidae). XVII. Hatching in Argulus megalops Smith (Crustacea,Branchiura)

Summary Hatching in the tendipedid, Calopsectra neoflavellus involves first a slow uptake of water by the embryo during development, whereby it increases in size and comes to fill entirely the space within the chorion. After completion of embryonic development, the prolarva increases still more in size by swallowing and absorbing water. Internal pressure thus generated results in the bursting of the chorion. The larva then frees itself by active movements.In the branchiuran, Argulus megalops, hatching is similar to that previously described for Copepoda, in that an inner egg membrane swells osmotically and splits the outer chorion. Subsequent bursting of the inner membrane throws the larva nearly out of the egg, but final emergence is by active struggle of the larva.

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Zusammenfassung Das Ausschlüpfen von Calopsectra neoflavellus enthält erstens eine langsame Wasseraufnahme durch den Embryo, wodurch der Embryo wächst und das Wasser den ganzen Raum zwischen Embryo und Chorion füllt. Nach Vollendung der Entwicklung quillt der Embryo noch mehr auf durch den Schluckakt und Aufnahme des Wassers. Dann zerreisst das Chorion durch den intraovularen Druck. Endlich befreit sich die Larve durch Sträuben.In Argulus megalops (Branchiura) gleicht das Ausschlüpfen dem vorher dargestellten für den Copepoden. Eine innere Membran schwillt osmotisch und zerreisst; das Chorion dann zerreist auch die innere Membran selbst and wirft die Larve nahezu aus dem Ei hinaus, aber die schliessiiche Befreiung geschieht durch Sträuben.

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Supported by National Science Foundation grant GB-219, entitled A study of hatching and of the ecology of egg masses of aquatic invertebrates.     

Differing activities of medullary respiratory neurons in eupnea and gasping

Our purpose was to compare further eupneic ventilatory activity with that of gasping. Decerebrate, paralyzed, and ventilated cats were used; the vagi were sectioned within the thorax caudal to the laryngeal branches. Activities of the phrenic nerve and medullary respiratory neurons were recorded. Antidromic invasion was used to define bulbospinal, laryngeal, or not antidromically activated units. The ventilatory pattern was reversibly altered to gasping by exposure to 1% carbon monoxide in air. In eupnea, activities of inspiratory neurons commenced at various times during inspiration, and for most the discharge frequency gradually increased. In gasping, the peak discharge frequency of inspiratory neurons was unaltered. However, all commenced activities at the start of the phrenic burst and reached peak discharge almost immediately. The discharge frequencies of all groups of expiratory neurons fell in gasping, with many neurons ceasing activity entirely. These data are consistent with the hypothesis that brain stem mechanisms controlling eupnea and gasping differ fundamentally.     

Sites of Tubulin Polymerization in PC 12 Cells

The site at which tubulin enters into polymer in the neuritic process is a very important datum in terms of our understanding of the mechanism of transport of the microtubular cytoskeleton out the axon. If the form of tubulin being transported out the axon is the microtubule, then assembly of tubulin into microtubules should occur at or near the cell body; if, however, the form of tubulin transported is free tubulin dimer, then assembly can occur at any free microtubule end out the neurite. We have injected a fluorescent analog of tubulin into differentiated PC 12 cells and used differential extraction protocols to extract free dimer but not microtubules. We have imaged these cells before and after extraction by low-light-level video fluorescence microscopy and have used image analysis to examine the sites of tubulin incorporation into polymer or other unextracted components as a function of time. We find that tubulin in the distal reaches of the neurite is found initially as monomer and that its appearance in the unextracted component occurs later. This pattern of appearance of fluorescent tubulin initially in the soluble fraction and later in the unextractable component is qualitatively similar to that reported by other workers for biotinylated tubulin, but we see a larger gap between the rates of appearance in soluble fraction and in polymer. Quantitative analysis of fluorescence intensities in the two compartments with distance out the neurite reveals substantial variation between different neurites: In some neurites, the pattern of variation of unextracted/total tubulin suggests that tubulin enters into the unextracted component primarily near the cell body and that this unextracted component moves out the neurite with time, and in other neurites it suggest that monomer adds into microtubule ends staggered out the neurite. In no case do we see a pattern suggesting that distal addition predominates. These analyses of fluorescence intensities in extracted and unextracted neurites suggest that both transport of polymerized microtubules and monomer addition onto staggered microtubule ends occur in PC12 neurites and that in individual neurites one or the other of these two behaviors may predominate.