Wave parameters of the sperm flagellum as predictors of human spermatozoa motility

Summary. We characterized the undulatory movement of the sperm's flagellum as a sigmoid wave by measuring the absolute and linear speed of the sperm, period, amplitude and length of the flagellum's wave, and the segment comprised between the head and the origin of the movement in the flagellum. These parameters were correlated with traditional ones used to determine the pattern of movement of the sperm. Our results show that wave parameters are useful predictors of sperm motility. They correlate among themselves, and thus, a few wave parameters may characterize the sperm motility. The advantage of wave parameters is that they can be easily obtained and can be eventually associated to the sperms' internal morphology.     

Reduced incidence of pneumonia in influenza-vaccinated solid organ transplant recipients with influenza disease

Whether influenza vaccination influences the severity of illness in cases of clinical failure in solid organ transplant (SOT) recipients receiving influenza vaccine has not been extensively studied. Our goal was to evaluate the frequency of influenza vaccination among SOT recipients with influenza disease and its impact on the illness severity during the 2010–2011 season. Adult SOT recipients with confirmed influenza infection were included from December 2010 to April 2011. Follow-up data were recorded and antibody titres were determined using a microneutralization assay. Sixty-four SOT recipients were included in the study, ten (15.6%) with severe disease, requiring admission to intensive care units, of whom four (6.3%) died. In all, 34 (53.1%) received the 2010–2011 seasonal influenza vaccine and 32 (50.0%) received the 2009-H1N1 pandemic vaccine, and none had detectable antibodies against influenza at the time of diagnosis of influenza infection. Twenty-three (67.6%) of the patients that received the vaccine required hospital admission and presented less dyspnoea (10, 29.4% versus 14 (50.0%), p 0.09) and pneumonia (8, 23.8% versus 15, 50.0%, p 0.03, relative risk 0.3, 95% CI 0.1-0.9) than unvaccinated patients, with relative risk reductions of 60% and 70%, respectively. Although influenza vaccination confers protection on SOT recipients against developing influenza pneumonia, the rate of clinical failure is still high. New strategies to improve influenza immunization are needed for this group of patients.     

Immature Gastric Teratoma in an Infant

A 45 day old boy presented with progressive abdominal distension, tarry stools and anemia. A plain roentgenogram of the abdomen showed irregular, coarse calcifications in the left upper quadrant. The ultrasonography and computerized tomography of the abdomen revealed a large heterogeneous tumor with calcified parts in the left hemiabdomen. At operation, a 12 cm × 11 cm × 10 cm, multilobular, exogastric and endogastric tumor, including a portion of the anterior wall of the stomach, was extirpated. The pathological examination revealed a gastric teratoma with immature neural elements. Eight years after the total excision of the tumor there has not been any recurrence.
This study includes a review of 88 cases (including the present case) of gastric teratoma reported in the English and Japanese literature.