Treatment of the inadequate endometrium in infertility

The one feature that characterizes all shock, regardless of its cause, is a reduction in the effective circulating blood volume. The reduced blood volume leads to decreased venous return, decreased cardiac output, vasoconstriction, tachycardia, hypotension, tissue anoxia and death if the sequence of events is uninterrupted. Immediate therapy must be directed at restoration of the blood volume, preferably with whole blood. Infection must be controlled by use of antibiotics intramuscularly and intravenously. If shock persists, aqueous adrenal extract should be administered in large quantities. As a last resort, a vasopressor should be tried.     

The influence of habitat management on the breeding success of the Great Bittern Botaurus stellaris in Britain

Great Bitterns Botaurus stellaris have experienced a population decline in the UK, such that in 1997 the total number of breeding males was just 11. This study aimed to identify factors affecting productivity, and how management could be used to manipulate this. An intensive study of Great Bittern breeding success was conducted between 1997 and 2001. The date that males established their booming territories was closely correlated with when females started nesting. Wetter sites with greater fish densities had males that established their booming territories earlier in the season. However, only the date that males started booming determined when females started nesting. The mean clutch size of Great Bitterns was four and the only cause of nest failure was predation. Of eight nests suspected to be second attempts the mean interval between these first and second attempts was 12.25 ± 0.88 (sd) days (range 8–15). The fate of radiotagged chicks followed to fledging revealed that the overall probability of a chick surviving to fledge was 39.1%. Daily losses of Great Bittern chicks due to starvation/exposure accounted for 76.25% and predation 21.25%. The youngest chicks in poor condition were most likely to die, particularly in periods of high rainfall. A simulated renesting model allowed estimation of Great Bittern productivity as 1.24 chicks per female and 1.52 nesting attempts per female. Habitat management, or lack of water control that resulted in sites being drier in spring, delayed nesting, although statistically there was no difference in productivity compared with wetter sites.     

Fine Needle Aspiration Cytology of Collagenous Spherulosis of the Breast

We present a case of a 45-year-old woman with a benign breast lump in which collagenous spherulosis was an incidental finding. Since collagenous spherulosis has a similar appearance to adenoid cystic carcinoma of breast on fine needle aspiration cytology, the two conditions can easily be confused. The problem of making this important distinction is discussed.     

Landscape-Genetic Analysis of Population Structure in the Texas Gray Fox Oral Rabies Vaccination Zone

ABSTRACT In west-central Texas, USA, abatement efforts for the gray fox (Urocyon cinereoargenteus) rabies epizootic illustrate the difficulties inherent in large-scale management of wildlife disease. The rabies epizootic has been managed through a cooperative oral rabies vaccination program (ORV) since 1996. Millions of edible baits containing a rabies vaccine have been distributed annually in a 16-km to 24-km zone around the perimeter of the epizootic, which encompasses a geographic area >4 × 10⁵ km². The ORV program successfully halted expansion of the epizootic into metropolitan areas but has not achieved the ultimate goal of eradication. Rabies activity in gray fox continues to occur periodically outside the ORV zone, preventing ORV zone contraction and dissipation of the epizootic. We employed a landscape-genetic approach to assess gray fox population structure and dispersal in the affected area, with the aim of assisting rabies management efforts. No unique genetic clusters or population boundaries were detected. Instead, foxes were weakly structured over the entire region in an isolation by distance pattern. Local subpopulations appeared to be genetically non-independent over distances >30 km, implying that long-distance movements or dispersal may have been common in the region. We concluded that gray foxes in west-central Texas have a high potential for long-distance rabies virus trafficking. Thus, a 16-km to 24-km ORV zone may be too narrow to contain the fox rabies epizootic. Continued expansion of the ORV zone, although costly, may be critical to the long-term goal of eliminating the Texas fox rabies virus variant from the United States.     

Hydrogen isotope fractionation during H2/CO2 acetogenesis: hydrogen utilization efficiency and the origin of lipid-bound hydrogen

Hydrogen metabolism was studied in the anaerobic bacterium, Sporomusa sp. strain DMG 58, by measuring natural abundance levels of deuterium in H₂, H₂O, and individual fatty acids during acetogenic growth on H₂/CO₂. Four cultures were grown, each in medium with a distinct hydrogen‐isotopic composition (δD‐H₂O). The δD value of H₂ was quantified in the residual gas exiting the growth chambers and found to decrease concurrently with net H₂ consumption, indicating rapid isotope exchange between H₂ and H₂O. An isotopic mass balance was used to constrain the efficiency with which H₂ was activated by the cell and the reducing equivalents catabolized, which we term the H₂ utilization efficiency. Results indicate that H₂ utilization efficiency in these cultures is less than 20% during the growth phase, and less than 2% after the growth phase. The gross rate of cellular H₂ activation was similar in the growth phase and afterward. Biomass harvested at the end of each experiment was used to analyse the D/H of individual membrane lipids. Values of δD were highly correlated between lipids and water (δD‐lipids = 0.59 × δD‐water – 381‰; R² = 0.995), indicating the source of lipid hydrogen is in isotopic equilibrium with water. Results are consistent with two possibilities: (i) water is the sole source of hydrogen to lipids, and the fractionation during biosynthesis is significantly larger than previously observed (α = 0.59), or (ii) hydrogen from H₂ is incorporated into lipids, but only after reaching isotopic equilibrium with H₂O. Fatty acids were strongly depleted in deuterium relative to all other organisms studied thus far, and such large depletions may prove useful as biomarkers for studying H₂ cycling in anoxic environments as well as in the geological record.