The intrauterine ponderal index in relation to birth weight discordance in twin gestations

Objective: To establish the relationship between the fetal ponderal index and birth weight discordance in twins. Method: The fetal ponderal index (estimated fetal weight ÷ femur length³) was calculated in 86 pairs of twins delivered within 2 weeks of the last sonography and analyzed in relation to birth weight discordance. Results: A weak but significant correlation between fetal ponderal index and birth weight (r = 0.26, P < 0.0007) but no correlation with gestational age (r = 0.035, P = 0.65) were found. Members of concordant pairs (<15% birth weight difference) had a significantly higher fetal ponderal index compared with members of mildly (15–25%) discordant pairs (P < 0.02), but not as compared with members of severely discordant (>25%) pairs. Conclusion: The characteristics of the fetal ponderal index in twins are similar to those in singletons. Fetal size seems to be diminished in severe but not in mild discordants. However, in its present form, the fetal ponderal index is a poor predictor of discordant growth and therefore should be employed cautiously in twin gestations.     

Physical examination--the significance of Homan's sign]

Homans's sign is often used in the diagnosis of deep venous thrombosis of the leg. A positive Homans's sign (calf pain at dorsiflexion of the foot) is thought to be associated with the presence of thrombosis. However, Homans's sign has a very poor predictive value for the presence or absence of deep vein thrombosis, like any other symptom or clinical sign of this disease.     

Cerebrospinal fluid isoprostane shows oxidative stress in patients with multiple sclerosis

The CSF level of the isoprostane 8-epi-prostaglandin (PG)-F2alpha (a reliable marker of oxidative stress in vivo) was three times higher in subjects with definite MS than in a benchmark group of subjects with other neurologic diseases. This increase was not correlated with that of PGE2 levels, measured as an index of cyclooxygenase activity, and was much lower in steroid-treated patients. The levels of 8-epi-PGF2alpha were moderately correlated with the degree of disability.     

The time course of psychophysical end-stopping.

This study measured the time course of psychophysical end-stopping and compared it with the time course of masking. For a 10' D6 target on an 18' D6 pedestal, two abutting end-zone masks (each 13.5' long) covering the filter end-zones reduce masking. This facilitatory 'end-stopping' effect was measured over a range of exposure durations and stimulus onset asynchronies (SOAs). We found that psychophysical end-stopping has a delayed onset which is around 70-100 ms after stimulus onset, in contrast to masking which is robust immediately after stimulus onset, suggesting intracortical feedback processes in the generation of psychophysical end-stopping. The development course of psychophysical end-stopping is relatively long and lasts for approximately 150-200 ms after stimulus onset, in contrast to that of masking which lasts for approximately 100-150 ms. Our results also showed that end-stopping occurs only when the center mask and the end-zone masks have sufficient temporal overlap, possibly indicating that the feedback process for generating end-stopping is triggered by the activation of the spatial filter center by the center mask. These results are in tune with current knowledge of intracortical feedback modulating activities of receptive fields, and have been incorporated into our model to describe the temporal dynamics within end-stopped spatial filters.     

Sparse-sampling of gratings in the visual cortex of strabismic amblyopes

Strabismic amblyopes show losses in positional acuity that cannot be explained by their resolution or contrast sensitivities. One hypothesis for these losses is a reduction in the density of cortical neurons that are driven by the amblyopic eye (cortical undersampling). The question this study addressed was whether the foveal representation of the amblyopic eye is undersampled in the cortex of strabismic amblyopes. In order to assess spatial sampling psychophysically, we recorded the perceived orientation of a stationary grating as a function of grating orientation and frequency in three strabismic amblyopes. To ensure high retinal contrast, the grating was imaged on the fovea of each observer using a laser interferometer. We found that the strabismic amblyopes misperceived the orientation of the grating at spatial frequencies that are a factor of two to six lower than the sampling frequency of the foveal cones. Since the retina and LGN in strabismic amblyopes are presumably normal, this result suggests sparse cortical sampling in the foveal representation of the amblyopic eye. Undersampling by cortical neurons may contribute to the spatial distortions present in strabismic amblyopic eyes.     

Functional evaluation of the perineum in pregnancy. Inversion of control

This study concerns clinical data of 142 women, who were subjected to functional evaluation of perineum during the last part of pregnancy. The 16 cases characterized by synergic activation, during the examination of perineal muscles ("perineal testing"), of antagonist muscles ("inverted control"), were examined taking into account data regarding evolution of labour and perineal outcome. "Inverted control" seems to influence, in this study, length of the second stage and frequency of operative deliveries whereas we can't confirm the importance of this disorder within pathogenesis of perineal obstetric complications.     

Evaluation of whole blood catalase estimation for diagnosis of malignancy

Whole blood catalase levels were estimated using a disc flotation method in 209 random patients with a wide variety of malignancies. Fifty patients had received no treatment, and the remainder, although having undergone prior therapy, had recurrent or metastatic disease at the time of the study. No relationship was found between the presence of cancer and catalase levels. A direct relationship was found for catalase with hemoglobin levels in both normal and patients' samples. Whole blood catalase is of no value in diagnosis and monitoring of cancer. The decreased catalase values found here and reported previously by others are the result of low hemoglobin levels found in many patients with cancer.     

Increased brain synthesis of prostaglandin E2 and F2-isoprostane in human and experimental transmissible spongiform encephalopathies

The levels of 2 arachidonic acid metabolites formed either by enzymatic activity of cyclooxygenase, i.e. prostaglandin E2 (PGE2), or by free radical-catalyzed peroxidation, i.e. F2-isoprostane 8-epi-prostaglandin F2alpha (8-epi-PGF2alpha), were measured in the CSF of subjects with sporadic and familial Creutzfeldt-Jakob disease (CJD) and in brain homogenates of scrapie-infected mice. The CSF levels of both metabolites were increased in sporadic CJD (n = 52) and familial CJD (n = 10) patients when compared with a group of patients with noninflammatory disorders. Similarly, PGE2 and 8-epi-PGF2alpha levels were higher in brain homogenates obtained from C57BL/6J mice infected with the ME7 scrapie strain than in brain homogenates from control animals. As PGE2 is 1 of the most abundant prostaglandins released during inflammation and 8-epi-PGF2alpha is a quantitative marker of lipid peroxidation, our results provide in vivo biochemical evidence for the occurrence of inflammation and oxidative stress in human and experimental transmissible spongiform encephalopathies (TSEs), a concept so far based mainly on histopathological and in vitro evidence. Interestingly, in sporadic CJD patients, high CSF levels of PGE2, but not 8-epi-PGF2alpha, correlated with short survival time, suggesting that the inflammatory response correlates with the clinical duration of disease.