Cervical screening in Luxembourg: 1990–1999

For quality assurance purposes, the results of the 1990's obtained by the National Cervical Cancer Screening Programme (NCCSP) launched in 1962 were reviewed. The positive cytodiagnosis, the histologically verified in situ and invasive cervical cancers and the mortality rates were reported.     

Infochemicals influencing the host foraging behaviour of Dahlbominus fuscipennis, a pupal parasitoid of the European spruce sawfly (Gilpinia hercyniae)

The chalcidoid wasp Dahlbominus fuscipennis Zett. (Hymenoptera: Eulophidae) parasitises pupae of the European spruce sawfly Gilpinia hercyniae Htg. (Hymenoptera: Diprionidae). In this parasitoid-host system the role of infochemicals for successful parasitisation was studied. Olfactometer experiments and dual choice bioassays in petri dishes showed that D. fuscipennis was not attracted by volatiles from a plant-host complex consisting of spruce, sawfly larvae and pupae. On the other hand, odours from needles of Picea abies (L.), that were collected from the ground, attracted D. fuscipennis to the habitat of the sawfly. Volatiles from host pupae were not attractive, whereas a contact kairomone from sawfly pupae elicited frequent antennal drumming, a behaviour that indicates host recognition. This contact kairomone was extracted with methanol from the outer cocoon layer of the pupa. The kairomone is not produced by the silk glands of the last instar larva spinning the cocoon, since a methanolic extract of silk gland secretion did not elicit any response in D. fuscipennis. Further bioassays revealed that non-volatile components of the integument of the prepupa within the cocoon also elicited antennal drumming. We suggest that chemicals of the prepupal integument diffuse from inside the cocoon to the outside where they inform the parasitoid on the suitability of the host.     

The maltodextrin system of Escherichia coli: glycogen-derived endogenous induction and osmoregulation

Strains of Escherichia coli lacking MalQ (maltodextrin glucanotransferase or amylomaltase) are endogenously induced for the maltose regulon by maltotriose that is derived from the degradation of glycogen (glycogen-dependent endogenous induction). A high level of induction was dependent on the presence of MalP, maltodextrin phosphorylase, while expression was counteracted by MalZ, maltodextrin glucosidase. Glycogen-derived endogenous induction was sensitive to high osmolarity. This osmodependence was caused by MalZ. malZ, the gene encoding this enzyme, was found to be induced by high osmolarity even in the absence of MalT, the central regulator of all mal genes. The osmodependent expression of malZ was neither RpoS nor OmpR dependent. In contrast, the malPQ operon, whose expression was also increased at a high osmolarity, was partially dependent on RpoS. In the absence of glycogen, residual endogenous induction of the mal genes that is sensitive to increasing osmolarity can still be observed. This glycogen-independent endogenous induction is not understood, and it is not affected by altering the expression of MalP, MalQ, and MalZ. In particular, its independence from MalZ suggests that the responsible inducer is not maltotriose.     

PISA. The effect of paracetamol (acetaminophen) and ibuprofen on body temperature in acute stroke: Protocol for a phase II double-blind randomised placebo-controlled trial [ISRCTN98608690]

Background

During the first days after stroke, one to two fifths of the patients develop fever or subfebrile temperatures. Body temperature is a strong prognostic factor after stroke. Pharmacological reduction of temperature in patients with acute ischaemic stroke may improve their functional outcome. Previously, we studied the effect of high dose (6 g daily) and low dose (3 g daily) paracetamol (acetaminophen) in a randomised placebo-controlled trial of 75 patients with acute ischemic stroke. In the high-dose paracetamol group, mean body temperature at 12 and 24 hours after start of treatment was 0.4°C lower than in the placebo group. The effect of ibuprofen, another potent antipyretic drug, on body-core temperature in normothermic patients has not been studied.

Aim

The aim of the present trial is to study the effects of high-dose paracetamol and ibuprofen on body temperature in patients with acute ischaemic stroke, and to study the safety of these treatments.

Design

Seventy-five (3 × 25) patients with acute ischaemic stroke confined to the anterior circulation will be randomised to treatment with either: 400 mg ibuprofen, 1000 mg acetaminophen, or with placebo 6 times daily during 5 days. Body-temperatures will be measured with a rectal electronic thermometer at the start of treatment and after 24 hours. An infrared tympanic thermometer will be used to monitor body temperature at 2-hour intervals during the first 24 hours and at 12-hour intervals thereafter. The primary outcome measure will be rectal temperature at 24 hours after the start of treatment. The study results will be analysed on an intent-to-treat basis, but an on-treatment analysis will also be performed. No formal interim analysis will be carried out.