Malignant lymphoma of the urethra: report of a case with detection of Epstein–Barr virus genome in the tumour cells

We report a primary non-Hodgkin's B-cell lymphoma of the urethra in a 78-year-old female. Serum antibodies for Epstein–Barr virus (EBV) were negative, but there was a 40-fold increase in antibodies to EBV-associated nuclear antigen. Using PCR and in situ hybridization techniques, EBV genome was found in the tumour cell nuclei.     

Properties of perception of laterally moving objects in persons with profound retardation

ABSTRACT. Twenty-two persons with profound retardation were assessed for their perception of moving objects at a velocity of 5 s^-1. Abnormalities were not found in the ocular structures and optic discs of subjects upon ophthalmological examination. Stimuli consisted of six habituation trials and two test trials. Duration of eye movement in pursuit of stimulus was estimated by calculating the linearity and gradients of electro-oculograms. Subjects were divided into three groups based on the change of estimated time of pursuit eye movement. Those showing habituation as well as dishabituation (group 1) had higher developmental communicative ages than subjects with only habituation (group 2) and subjects who did not exhibit habituation (group 3). The results indicated a relationship between the perception of moving objects and the development of communication level in persons with profound retardation. The present study investigated abnormalities in the computer tomographic scanning of the subjects' heads and found cerebral disturbance of the visual cognition of moving objects in persons with profound retardation.     

Early onset of cecal perforation in neonatal,recto-sigmoid type Hirschsprung's disease

Hirschsprung's disease has been considered to cause intestinal perforation in rare cases. Even if a perforation occurs, the majority of cases are associated with the long-segment or total colonic type. Our case developed the perforation in the neonatal period in spite of being of the recto-sigmoidal type, and it affected the cecum. We do not have a good explanation for this condition. However, the pathological examination of the specimens of the perforated cecum revealed some necrosis (ulceration, subcutaneous hemorrhage, congestion and severe edema) which was considered to be caused by ischemia, secondary to a localized vascular accident in the wall of the distended intestine.     

Capillary geometry in the soleus muscle of rats cold-acclimatized for 68 generations

The effects of chronic cold exposure on soleus muscle capillarity were examined, particularly in terms of the distribution of arteriolar and venular capillaries and their capillary domain area (CDA) in adult rats exposed to cold for 68 generations (CG; n = 6). These parameters were compared with those obtained from control rats (CON; n = 5) and deacclimatized rats (DCG; n = 4), reared in thermoneutral temperature after being reared for 11 generations in cold. Morphometric data were obtained from muscle cross sections exposed to a double-staining method that stained the arteriolar and venular portions of capillaries blue and red, respectively. In CG, the capillary densities of arteriolar and venular capillaries were significantly greater than that of both CON and DCG (P < 0.05). The CDA of arteriolar, intermediate and venular portions in CG was significantly smaller by 15, 14 and 13%, respectively, than those of respective portions in CON (P < 0.05). Although CDA of arteriolar and venular capillary portions was also smaller in DCG than in CON, the degree of reduction was less in DCG than in CG. The succinate dehydrogenase activity of soleus muscle was significantly greater in CG than in both CON and DCG (P < 0.05). These results suggest that adaptive changes in the oxygen transport system, identified as an increase in the number of arteriolar capillaries and a reduction in the diffusion distance for oxygen, were observed in the soleus muscle after chronic cold exposure. These changes may improve the effective oxygen supply to muscle tissues and enable muscle tissues to promote thermogenesis in the cold atmosphere.     

Double ventricular responses during extrastimulation of atrioventricular nodal reentrant tachycardia

In patients with dual atrioventricular (AV) nodal pathways,double ventricular responses to a single atrial depolarizationhave been shown to occur, but virtually only during a trialpacing in sinus rhythm. We report on a patient with a slow-fastform of AV nodal reentrant tachycardia who exhibited doubleventricular responses following extrastimulation during AV nodalreentrant tachycardia. The phenomenon of double ventricularresponses during the tachycardia was demonstrated by ex trastimulationfrom the proximal coronary sinus. Retrograde unidirectionalblock in the slow pathway, and an anterograde effective refractoryperiod that was shorter in the fast pathway than that in theslow pathway, are suggested.     

External and Skeletal Observations on a New Lethal Mutant of the Rat: Congenital Osteochondrodysplasia with Systemic Subcutaneous Edema

Abstract Malformed rat newborns showing severe subcutaneous edema were frequently found dead in our Wistar-Imamichi rat colony. Their family record suggested that this malformation would be an inherited disorder. Experimental crosses of the phenotypically normal litter-mates revealed that this malformation was a new lethal mutant of the rat, following a single autosomal recessive inheritance. External features and skeletal anomalies of the mutant were carefully checked and compared to those of the phenotypically normal litter-mates. The comparison revealed that (1) this mutant has a characteristic external appearance that includes shortening of the head, trunk, tail and extremities, systemic subcutaneous edema, protruding of the tongue and cleft palate, (2) the axial bones and appendices are shortened and deformed severely and (3) ossification status of the newborn is delayed in digital bones and advanced in the vertebral centra and arches, stemebrae, choracoid process and talus. Observation of the parturition showed that this mutant is born alive but die shortly after birth because of breathing insufficiency. Based on these observations, this mutant was diagnosed as congenital osteochondrodysplasia with systemic subcutaneous edema (ocd for the gene symbol). The mode of inheritance and the similarities to some genetical disorders of other species, including human, are discussed.     

Synthesis and stabilization of amino and carboxy terminal constrained collagenous peptides

Short collagenous peptides cross-linked at their amino and carboxy termini with Lys-Lys-dimer template(s) were synthesized, and the effect of the cross-linking on their stabilities was investigated by thermal denaturation experiments. Two chemoselective ligations were used for the construction of the amino and the carboxy cross-linked peptides. The thermal transition temperature (T_m) and the standard free energies (ΔG°) of the cross-linked collagenous peptides increased, and the thermal stabilization effect corresponded to an elongation by two units of the Gly-Pro-Hyp triad. The van't Hoff enthalpy (ΔH°) and the entropy (ΔS°) values of the cross-linked peptides increased with chain elongation, although the increments were smaller than those of the linear peptides. When the same chain lengths were compared, the ΔH° was increased and the ΔS° was nearly the same or increased by the cross-linking. These results suggest that the cross-linking of the collagenous peptides with the Lys-Lys-dimer template(s) for stabilization contributes to the enthalpic effect, rather than the entropic effect.     

Clinical profiles of autopsy-confirmed dementia with Lewy bodies at institutionalization: Comparison with Alzheimer's disease

Background: It has been reported that Alzheimer’s disease (AD) patients with Lewy pathology have a shorter time from a given baseline to institutionalization than those with AD alone. Taking the clinical distinction between dementia with Lewy bodies (DLB) and AD into consideration, the previous findings may indicate the possibility that the clinical characteristics of DLB patients have an influence on early institutionalization. This study was carried out to clarify whether there are any differences in the symptoms that required institutionalization between patients with DLB and those with AD. Methods: Hospital records and standardized data forms completed at admission to a residential care facility were reviewed to assess the profiles in all cases with autopsy‐confirmed diagnoses for correct differential diagnosis. We examined functional, cognitive and symptomatic conditions at admission to a residential care facility of 18 DLB and 35 AD patients whose diagnoses were confirmed by autopsy. The examinations were conducted using the Gottfries‐Bråne‐Steen (GBS) scale and cognitive tests, and the results were compared between the two groups of patients. Results: Hallucinations, impaired wakefulness, disturbance of ADL and emotional disturbance, common clinical features compatible with DLB, were more frequently observed in DLB patients than in AD patients (P < 0.05). Moreover, DLB patients had higher scores on cognitive tests than did AD patients at admission to a residential care facility (P < 0.05). Conclusion: The distinctive clinical features at admission to a residential care facility may indicate that the reasons for the necessity of institutionalization are different between DLB and AD, and that the interventions specific to DLB patients and their families would be necessary to prevent or postpone institutionalization.