The parental effects of body size on developmental phenotype in Harmonia axyridis.

Body size is a trait with many potential impacts on fitness. Adult body size can affect the strength of condition-dependent parental effects that determine offspring phenotypes, with potentially important transgenerational consequences. In a preliminary experiment, larval food deprivation (30 min daily access) created Harmonia axyridis Pallas (Coleoptera: Coccinellidae) females that weighed <50% of controls reared on ad libitum food (eggs of Ephestia kuehniella Zeller). Although only 1/3 of larvae survived to adulthood in the 30 min treatment, adult pairs produced eggs that were not significantly different in size from those of pairs fed ad libitum as larvae. Less extreme larval food deprivation (4 h daily access) was used to create a cohort of H. axyridis that weighed <60% of controls reared on ad libitum food. Small couples had lower 20-day fecundities and reduced egg fertility relative to large couples. Both egg and pupal periods were shortest when both parents were small, and longest when both parents were large, with reciprocal crosses intermediate. There were no consistent effects of parental body size on larval development time, but the progeny of small females mated to large males pupated later than other treatments. Progeny of large pairs had the heaviest adult weights at emergence, and progeny of small pairs, the lightest, with the progeny of reciprocal crosses intermediate. Small females produced the lightest female offspring, whereas small males sired the lightest male offspring, suggesting stronger responses to epigenetic signals from parents of the same sex. These results indicate that H. axyridis cohorts maturing with abundant food will produce progeny with larger potential body size and fitness, whereas those experiencing food limitation will confer size and fitness limitations to the subsequent generation, with potentially important implications for short-term population dynamics.

Measuring the Costs of Limb Regeneration and Their Transgenerational Consequences in Two Nearctic Lady Beetles (Coleoptera: Coccinellidae).

We examined the ability of Coleomegilla maculata DeGeer and Hippodamia convergens Guerin-Meneville to regenerate, during pupation, a foreleg amputated in the fourth instar. Leg regeneration was complete for 80.7% of amputated H. convergens larvae, with 12.5% regenerating partially, and 6.8% showing no regeneration. Regeneration in C. maculata was 72.2% complete, 20.5% partial, and 7.2% none, but mortality following ablation was slightly higher than for H. convergens (7.4 vs. 0.6%). Ablation/regeneration caused a slight delay in pupation, but pupation time, fresh mass at emergence, and reproductive performance remained unaffected in either species. Reciprocal crosses were made between regenerated and unoperated beetles, and 12 progeny reared from the second clutch of each female in all treatments. Mating treatment affected eclosion time in H. convergens, whereas in C. maculata, larval development and pupation time were also affected. Considering all treatments, larval mortality was higher in H. convergens than in C. maculata, but lower when both H. convergens parents regenerated. Parental mating treatment did not affect adult weight in either species, but development of C. maculata progeny was faster when only the sire regenerated, and slower when the only the dame regenerated, whereas progeny of regenerated sires completed pupated faster than those sired by controls. We infer that genes activated during regeneration have pleiotropic effects with subtle, gender-specific, epigenetic consequences. If these pleiotropic effects are genetically linked to important traits, regenerative genetic elements could be conserved in coccinellids via natural selection acting on these traits, rather than on regenerative ability per se.

No nutritional benefits of egg cannibalism for Coleomegilla maculata (Coleoptera: Coccinellidae) on a high-quality diet.

Egg cannibalism serves various functions in the Coccinellidae. Here we examined the fitness consequences of egg cannibalism by neonates, fourth instar larvae, and prereproductive adults of Coleomegilla maculata DeGeer, with beetles fed a diet of Ephestia kuehniella Zeller eggs. Cannibalism of two eggs by neonates had no effect on development, and cannibalism of five eggs by fourth instars did not benefit any aspect of reproduction, but delayed pupation slightly. Cannibalism of eggs by pre-reproductive adults had no effect on reproductive success in any combination of reciprocal crosses of cannibals and non-cannibals. Females did not recognize, nor avoid consuming, their own clutches, and cannibalism propensity did not change following mating and onset of oviposition in either sex. These results contrast with those for more strictly aphidophagous species in which larvae gain developmental benefits, and females may recognize and avoid filial egg clusters while using cannibalism to interfere with conspecific females, whereas males reduce egg cannibalism after mating because they cannot recognize filial clusters. Egg cannibalism may confer developmental benefits to C. maculata when diet is suboptimal, as previously shown, but no such benefits were evident on the high-quality E. kuehniella egg diet. Female C. maculata do not require aphids to reproduce and distribute their eggs broadly in the environment, given that larvae can develop on pollen and non-aphid prey. Thus, C. maculata is not subject to the intraspecific competition that selects for cannibalism in more aphidophagous species, and also lacks many secondary adaptations associated with the behaviour.

Accidental ingestion of magnetic spheres in children.

Magnetic foreign body ingestion can have a very serious sequale if multiple or combined with another metal object inside the abdomen. We report 2 cases of ingestion of rare-earth magnets with a very different consequences. This adds to the world's literature on this topic.

Terminal ileum and total colonic duplication associated with a rectovestibular fistula in a child.

The presence of terminal ileum and complete colonic duplication associated with a rectovestibular fistula, caecal diverticulum and multiple appendixes in a child presents an extremely rare diagnostic and management conundrum. We report our surgical approach to successfully correcting this anomaly.

Trans-cervical, trans-tracheal approach to proximal tracheo-oesophageal fistula: a novel technique.

Esophageal atresia and tracheo-esophageal fistula (TEF) occur in 1/2400-4500 births. Whilst the diagnosis of esophageal atresia is readily made shortly after birth, patients with an isolated H type TEF can present with varying degrees of symptomatology which can pose a diagnostic challenge. A combination of contrast esophagogram and endoscopic evaluastion is the most commonly employed localization strategy. Despite accurate pre-operative localization, intra-operative identification of the TEF can prove substantially more challenging. The authors of this report describe a novel approach in the management of a proximal TEF, which allows direct visualization and cannulation via a trans-cervical, trans-tracheal approach.

Managing newborn ileostomies.

The early post-ileostomy medical management of neonates is not clearly defined. A retrospective chart review of all infants who received an ileostomy March 2010-December 2011, identified the post-operative ileostomy progress of each infant. There were 16 cases of neonatal ileostomy during the study period. Over the first 14 postoperative days there was no weight gain. By 21 days the infants were gaining a median 140 g/week. The median stoma output was 5 mls/kg/dy during the first 7 days increasing to 17.5-20 mIs/kg/dy. Weight gain or weight loss was closely related to the consistency and volume of the stoma output. Ten infants had a hig stoma output > 20 mls/kg/dy (3 preterm, 7 term). This high stoma output was associated with sub-optimal weight gain. This study provides a template for the expectant management of newborn infants after an ileostomy. The critical issues are weight gain, stoma output and local and systemic complications.

An unusual cause of acute scrotum in a child.

Acute non-traumatic scrotal pain in children, commonly due to a torted testicular appendage (hydatid of Morgagni) or torted epididymal appendage is well described. These vestigial embryonal duct remnants are of Müllerian and Wolffian duct origin respectively. Very rarely, the other infrequently encountered Wolffian duct remnants known as the paradidymis or organ of Giraldés and the superior and inferior aberrant ducts known as the organs of Haller can become torted. We describe the presentation, management and diagnosis of a torted embryonal remnant arising from the distal spermatic cord.

Effect of high and low temperatures on the drugstore beetle (Coleoptera: Anobiidae).

The drugstore beetle, Stegobium paniceum (L.) (Coleoptera: Anobiidae), is a pest of stored medicinal and aromatic plants. Generally, mortality of each stage increased with an increase of temperature and exposure time. Heat tolerance for different stages from highest to lowest was young larvae, old larvae, eggs, adult, and pupae. The mortality after 7 h at 42 degrees C for young larvae, old larvae, eggs, adults, and pupae, respectively, was 16 +/- 5, 31 +/- 6, 48 +/- 3, 63 +/- 8, and 86 +/- 2% (mean +/- SEM). Similar trends for stage specific mortality were seen with the lethal time for 90% mortality (LT90) at 42 degrees C; 773, 144, 12, and 11 h for old larvae, eggs, adults, and pupa respectively. Mortality was too low with young larvae to estimate LT90. The LT90 for young larvae at 42, 45, 50, 55, and 60 degrees C was 25, 20, 3.9, 0.18, and 0.08 h, respectively. The cold tolerance of different stages at 0 degree C from highest to lowest was adults, old larvae, young larvae, pupae, and eggs. The LT90 at 0 degrees C was 298, 153, 151, 89, and 53 h, respectively. The LT90 for adults at 5, -5, -10, and -15 degrees C was 792, 58, 2, and 0.8 h, respectively. The supercooling point of adults was -15.2 +/- 2 degrees C; young larvae, -9.0 +/- 0.8 degrees C; old larvae, -6.5 +/- 0.5 degrees C; and pupae, -4.0 +/- 1.4 degrees C. Heat treatments that control young larvae should control all other stages of S. paniceum. Cold treatments that control adults should control all other stages of S. paniceum. Dried plants stored at 5 degrees C for 45 d or 42 degrees C for 30 h and then kept below 18 degrees C throughout the rest of the year, should remain pest-free without any chemical control.

A matched case-control study of Triple negative vs. HER-2 positive (irrespective of hormonal status) breast cancer: two subtypes with high risk features and poor outcome.

Genetic profile studies of breast cancer identified a number of biologically different subtypes. These genetic subtypes are often surrogated by estrogen receptors (ER), progesterone receptors (PR) and HER2 status as measured by immunohistochemistry (IHC). Triple negative (TN) subtype is recognized to have high risk features and poor outcome. Over expression of the HER2 is also recognized as a poor outcome marker. The characteristics and outcome of HER2 positive tumours (irrespective of hormonal status) (HER2 HR+/-) identified by IHC have not addressed in the era of surrogate genetic subtyping. Therefore, we retrospectively compared the risk features and clinical outcome of patients with TN against these with HER2 HR+/- tumours.

A matched group study of triple negative versus HER-2 positive (irrespective of hormonal status) breast cancer: two subtypes with high-risk features and poor outcome.

INTRODUCTION: Genetic profile studies of breast cancer identified a number of biologically different subtypes. These genetic subtypes are often surrogated by oestrogen receptors (ERs), progesterone receptors (PR) and HER2 status as measured by immunohistochemistry (IHC). Triple negative (TN) subtype is recognized to have high-risk features and poor outcome. Over-expression of the HER2 is also recognized as poor outcome marker. The characteristics and outcome of HER2 positive tumours (irrespective of hormonal status) (HER2 HR+/-) identified by IHC have not addressed in the era of surrogate genetic subtyping. Therefore, we retrospectively compared the risk features and clinical outcome of patients with TN against these with HER2 HR+/- tumours. PATIENTS AND METHODS: Forty patients with HER2 HR+/- tumours were matched for age and stage to 40 patients with TN tumours. Clinical and pathological data were collected retrospectively. All patients were managed in a single institution. RESULTS: Tumour grade and stage and rate of pathologically involved lymph nodes were similar in both groups. There was a trend of more lymphovascular invasion in HER2 HR+/- than TN patients (40% vs. 27.5%. p=0.07). Relapse and death rates were not statistically different (p=0.469 and p=1.0, respectively). Median relapse free survival was 38 months for TN and not reached for HER2 HR+/- patients (Log rank; p=0.757). Median overall survival was not reached in both groups. Multivariate analysis did not identify TN or HER2 HR+/- status to have any differential impact on RFS. CONCLUSION: HER2 HR+/- tumours exhibit high risk, presenting features and relatively poor clinical outcome possibly not very different from the increasingly recognized TN tumour.

Role of the Penrose drain in the management of VLBW infants with perforated necrotising enterocolitis.

We studied the effectiveness of the Penrose drain in very low birth weight infants with BW < 1500g with perforated necrotizing Enterocolitis. We reviewed the infants with perforated NEC over the 9 years between 1995-2004. The inclusive criteria was free intraperitoneal air in VLBW infants < 1500g. A total 22 infants were studied. Gestational age ranged from 23 to 33 weeks. Perforated NEC was diagnosed on PFA. In all infants a Penrose drain was inserted in either the right or left lower abdominal quadrants. Most of the infants fell in the BW range 800g to 980g with median age of 16 days. The incidence of Perforated NEC was very high in females (81.8%) as compared to males (18.2%). A Penrose drain was inserted on the same day when the pneumoperitoneum was diagnosed. A total of 22 infants had a Penrose drain inserted. Two (9%) showed improvement, 20(91%) were taken to theatre for laparotomy. Thirteen (59%) had an ileostomy performed. Seven (31.8%) had extensive bowel necrosis and subsequently died. A total 15(68.2%) out of 22 survived with initial management of Penrose drain insertion and subsequent laparotomy. Penrose drain insertion is an effective first line treatment in the pre-term infant BW < 1500g, with perforated NEC.

Total and free tissue factor pathway inhibitor in pregnancy hypertension.

OBJECTIVE: To clarify the role played by tissue factor pathway inhibitor (TFPI) in pregnancy hypertension. METHODS: Using enzyme-linked immunosorbent assays, hemostatic measurements were obtained for women with pre-eclampsia (n=51), nonproteinuric hypertension of pregnancy (n=62), postpartum pre-eclampsia 24 h after childbirth (n=31), and no hypertension (healthy pregnant controls, n=100). RESULTS: There was a significant increase in circulating free TFPI levels in women with pre-eclampsia (9.7+/-6.2 ng/mL) or nonproteinuric hypertension of pregnancy (8.3+/-5.3 ng/mL) compared with healthy controls (5.3+/-2.1 ng/mL). In women with pre-eclampsia the levels remained elevated after placental delivery (10.6+/-4.0 ng/mL). Free protein S levels were significantly higher in women with pre-eclampsia (40.0%+/-10.7%), nonproteinuric hypertension of pregnancy (37.1%+/-12.5%), or postpartum pre-eclampsia (39.3%+/-9.1%) than in healthy pregnant controls (32.2%+/-8.5%). CONCLUSION: Increased levels of the physiologically active free forms of TFPI and free protein S, 2 coagulation inhibitors, may protect women with pregnancy-induced hypertension from the risks of hemostatic activation.

Laparoscopic appendectomy versus open appendectomy in children.

This study compares the benefits, advantages and complications of laparoscopic Appendicectomy (LA) versus Open Appendectomy (OA) in children's in Dublin Ireland. Total 200 patients were studied. Hundred of LA and 100 for OA. Out of 100 LA 58 were male, 42 were female aged between 4-15 yr. and out of 100 OA 58 were male, 42 were female aged between 4-14 yr. The mean operative time of LA was 35.8 minutes and the Anaesthetic time was 46.6 minutes. Patients having LA had less post-op pain with early start of feed at 16.7 hrs, and had significantly less post-op hospital stay of 1.6 days. Post op complications rate was 3%. The patient started the normal life activities at 10.8th post op day. Wound infection rate was 3% with Re-admission rate of 2%. The mean operative time of OA was 45.66 minutes and the Anaesthetic time was 56.75 minutes. Patients having OA had post-op pain hospital stay of 2.55 days with start of feed at 24.7 hrs. Post op complications rate was 2%. The patient started the normal life activities at 15.78th post op day. Wound infection rate was 3% with Re-admission rate of 1%. Laparoscopic appendectomy is safe alternative to conventional open appendectomy, leading to early ambulation, decreased hospital stay, and better exploration of abdominal cavity.

Relación entre la obesidad exógena en los niños y la velocidad de crecimiento / The obesity in the child

Estudio prospectivo, observacional y correlativo para valorar la relación entre la obesidad exógena y la velocidad de crecimiento. En conclusión la obesidad exógena se asocia a la aceleración de la velocidad, crecimiento y la maduración ósea. Esto se debe tener en cuenta tanto para la detección temprana de la obesidad y para evitar sobreestimación en la talla final de los niños obesos

Enfermedad de Graves en niños: presentación clínica y respuesta al tratamiento / Graves' disease in childs

Se incluyeron 14 niños entre 1991 y 2000 con enfermedad de Graves para evaluar la presentación clínica. En conclusión, la enfermedad de Graves se presenta con mayor frecuencia en las niñas y el propiltiouracilo se puede considerar como una medida terapéutica inicial adecuada

Alteraciones hormonales en los neonatos en la unidad de cuidados intensivos / Changes hormonal in the newborn

Para evaluar las alteraciones hormonales de los neonatos en la unidad de cuidados intensivos neonatal se analizaron los niveles séricos de cortisol, T4 libre, T4 total y el TSH en 56 neonatos. En conclusión, los neonatos en UCI pueden presentar alteraciones hormonales, las mas frecuentes son la hipocortisolemia y el hipotiroidismo

Efecto de la hormona de crecimiento recombinante humana sobre el sistema inmune de los niños / Effect of growth human hormone in inmune system in the childs

Trabajo prospectivo, abierto, experimental en el cual se incluyeron 16 pacientes con talla baja familiarpara valorar el efecto de la hormona de crecimiento (GH) sobre el sistema inmune. En conclusión, la aplicación de l aGH podría tener un efecto positivo sobre el sistema inmune

Déficit de la hormona de crecimiento en los niños, presentación clínica y respuesta al tratamiento / Growth hormone in the childs

Trabajo prospectivo abierto para evaluar la presentación clinica del déficit de la hormona de crecimiento (GH) en los niños y su respuesta al tratamiento. En conclusión, los niños con talla baa y baja velocidad de crecimiento deben ser estudiados para aclarar la causa e instaurar el tratamiento y así asegurar un pronóstico estatural normal