Validation of a hematology analyzer in donkey medicine.

Asinina de Miranda is a protected donkey sub-species from the Mirandês plateau in northeastern of Portugal. Donkeys are animals that have substantially lost their place as working animals in modern society, this had led to a decrease in their population numbers. A need to preserve native species has led to the foundation of organizations like Associação para o Estudo e Proteção do Gado Asinino (AEPGA) and the development of studies regarding breed welfare, such as hematology. The IDEXX ProCyte Dx is a veterinary hematology analyzer validated for several species, but not for donkeys. The aim of this study was to validate the ProCyte Dx for Asinina de Miranda donkeys. The validation requires a controlled study of precision, carryover, linearity and comparison between the equipment and the manually obtained values for the leukocyte differential count and hematocrit. Results indicated coefficient of variation was good (below 5 %) for both the intra-assay and the inter-assay precision, except for basophils. Carryover was 0 % for all the parameters except platelets (5.88 %). Linearity showed a very high Pearson correlation coefficient, above 0.99, for erythrocytes, hematocrit, hemoglobin, leucocytes, neutrophils, lymphocytes, monocytes, eosinophils, platelets and plateletcrit. Comparison demonstrated excellent agreement for hematocrit (rs=0.96) and good Spearman rank correlation for neutrophils (rs=0.84) and lymphocytes (rs=0.90). Accuracy for total leukocyte count and platelets could not be determined. In conclusion, the ProCyte Dx seems appropriate to be used in Asinina de Miranda hematology.

Oxidative stress and diabetic retinopathy: development and treatment.

Diabetic retinopathy (DR) is the most common microvascular complication in diabetic patients and one of the main causes of acquired blindness in the world. From the 90s until date, the incidence of this complication has increased. Reactive oxygen species (ROS) is a free radical with impaired electron that usually participates in the redox mechanisms of some body molecules such as enzymes, proteins, and so on. In normal biological conditions, ROS is maintained in equilibrium, however its overproduction can lead to biological process called oxidative stress and this is considered the main pathogenesis of DR. The retina is susceptible to ROS because of high-energy demands and exposure to light. When the balance is broken, ROS produces retinal cell injury by interacting with the cellular components. This article describes the possible role of oxidative stress in the development of DR and proposes some treatment options based on its stages. The review of the topic shows that blindness caused by DR can be avoided by early detection and timely treatment.

Effect of water deficit and domestic storage on the procyanidin profile, size, and aggregation process in pear-jujube (Z. jujuba) fruits.

No information exists on the proanthocyanidin content of pear-jujube (Ziziphus jujuba Mill) fruit, their polymeric types and sizes, and their self-aggregation, or on the effect of different water deficit levels during the fruit maturation period on these compounds. Two trimers, two tetramers, and six B type procyanidin pentamers were identified and quantified for the first time. Water deficit increased the content of procyanidins of low molecular mass, improving their potential bioavailability and possible physiological effects on human health. The tendency of procyanidins to self-aggregate was similar in the edible portion and pit, and was not affected by water deficit. The procyanidin content of fruit from well watered trees increased during domestic cold storage, whereas the fruits from trees suffering severe water stress lost some of their procyanidin content.

Leaf mechanisms for drought resistance in Zizyphus jujuba trees.

No information exists on the mechanisms developed at the level of leaf water relations by pear-jujube trees (Zizyphus jujuba Mill.) to confront drought. For this reason, the purpose of the present study was to analyse its leaf water relations in order to clarify the resistance mechanisms (avoidance and tolerance) developed in response to a water stress and during recovery. Field-grown 7-year-old pear-jujube trees (cv. Grande de Albatera) were subjected to three irrigation treatments. Control (T0) plants were drip irrigated (112% ETo) in order to guarantee non-limiting soil water conditions, T1 plants (deficit irrigation, 64% ETo) were drip irrigated according to the criteria used by the grower and T2 plants irrigated as T0 but subjected to water withholding for 36 days and a subsequent re-irrigation at the levels used in T0 for 14 days, during the summer of 2011. The results indicated that pear-jujube plants confront water stress by developing stress avoidance and stress tolerance mechanisms. From the beginning of deficit irrigation (T1) and water withholding (T2) to when maximum water stress levels were achieved, leaf turgor was maintained allowing substantial gas exchange levels and, consequently, good leaf productivity. This leaf turgor maintenance was mainly due to two simultaneous and complementary mechanisms. Leaf conductance and the duration of maximum stomatal opening in water stressed plants decreased in order to control water loss via transpiration, contributing to maintain leaf turgor (stress avoidance mechanisms). Also, the gradual recovery of g(l) observed after rewatering the plants can be considered as a mechanism for promoting leaf rehydration. In addition, from the beginning of the stress period, active osmotic adjustment operated, also contributing to the maintenance of leaf turgor (stress tolerance mechanism). The high RWC(a) levels and the possibility of increasing the accumulation of water in the apoplasm in response to water stress, supporting a steeper gradient in water potential between the leaf and the soil, which can be considered another drought tolerance characteristic in pear-jujube.

Angiomatosis cavernosa cerebral múltiple en pediatria / Cavernous angiomatosis in children

Las malformaciones vasculares intracraneanas en niños son lesiones congénitas debidas a alteraciones en el desarrollo de la red arteriocapilar. Se presentan por orden de frecuencia: malformaciones arteriovenosas, angiomas cavernosos o cavernomas, angiomas venosos y telangiectasias. Se describe el caso de un paciente de 3 años de edad con diagnostico de angiomatosis cavernosa cerebral múltiple derecha, con variadas manifestaciones clínicas, como crisis convulsivas focales complejas motoras, alteración en la marcha, hemiparesia izquierda, entre otras que están relacionadas con esta patología. Los casos descritos de angiomatosis cavernosa múltiple son en pacientes adultos, es evidente entonces que este caso clínico contribuye a una identificación en la literatura por sus características especiales de presentación clínica y manejo en pacientes pediátricos.

Intracranial vascular malformations are congenital lesions due to alterations in network development arterioca-pillary. Are presented in order of frequency, arteriovenous malformations, cavernous angiomas or cavernomas, venous angiomas and telangiectasias. This paper describe the case of a 3 year old boy diagnosed with multiple peripheral cerebral cavernous angio-matosis right with different clinical symptoms such as focal motor seizures, left hemiparesis, among others related to this pathology. Multiple cavernous angiomatosis has been described in adult patients, it is clear then that the case report contributes to the literature identifying special characteristics of clinical presentation and management in pediatric patients.

Present status of Maconellicoccus hirsutus (Hemiptera: Pseudococcidae) in the Mariana Islands and its control by two fortuitously introduced natural enemies.

The mealybug Maconellicoccus hirsutus (Green) (Hemiptera: Pseudococcidae), attacks ornamental and fruit crops in the Mariana Islands. Insecticides cannot penetrate the heavy layers of wax that protect the insect's body. We surveyed the mealybug's locally recruited natural enemies and their effects on its population on Guam, Rota, Saipan, and Tinian to assess the need for introduction of exotic natural enemies. We monitored population densities of M. hirsutus, those of its natural enemies, and parasitism rates for 3 yr, 2005-2007. Our surveys revealed the presence of two parasitoids, Anagyrus kamali Moursi (Hymenoptera: Encyrtidae) and Allotropa sp. near mecrida (Walker) (Hymenoptera: Platygastridae), fortuitously introduced to the Mariana Islands with M. hirsutus. The predator Cryptolaemus montrouzieri Mulsant (Coleoptera: Coccinellidae) also was often found feeding on M. hirsutus. Population density of M. hirsutus was below the economic threshold at all locations. Rainfall seemed to affect mean numbers of M. hirsutus and mean numbers of eggs at some locations. On all four islands, the two parasitoids, complemented by the predator, were effectively controlling the M. hirsutus population. No evidence of hyperparasitism was recorded. Currently, economic damage by M. hirsutus is not a concern in the Mariana Islands, and additional parasitoids need not be introduced to control M. hirsutus.

Response of Melittia oedipus (Lepidoptera: Sesiidae) to visual cues is increased by the presence of food source.

Visual and olfactory cues were shown to mediate short-distance orientation to different colors in the presence and in the absence of food in Melittia oedipus Oberthür (Lepidoptera: Sesiidae), a biological control agent of Coccinia grandis (L.) Voigt (Violales: Cucurbitaceae). Yellow was the color most preferred by M. oedipus, and adults landed significantly more on yellow paper moistened with honey-water. The next preferred colors were gray and white with the identical food source. Colors such as red, blue, green, brown, and black were least preferred by M. oedipus and attracted the adults on par with each other. The M. oedipus landings on petri dishes which held yellow-, gray-, and white-colored papers were significantly higher than the colorless petri dishes with olfactory stimuli only. There was no significant difference in landings on different-colored papers moistened with honey-water or with water alone in the morning compared with those in the evening. The cumulative response of M. oedipus to different-colored papers moistened with honey-water was significantly higher than the colored papers moistened with water only. Correspondingly, the response of M. oedipus to yellow-colored paper moistened with honey-water was significantly higher than the yellow-colored paper moistened with water only. Therefore, yellow paper moistened with honey-water can increase the feeding rate of M. oedipus and can be a potential technique in developing mass cultures for field release to control the invasive weed.

Development of an efficient pheromone-based trapping method for the banana root borer Cosmopolites sordidus.

The banana root borer Cosmopolites sordidus (Germar) (Coleoptera: Curculionidae) is a major pest of bananas throughout the world. Chemical control is both undesirable and expensive, where biological control alternatives are limited, and pheromone-based trapping results in low captures. In this study, several important factors that affect pheromone-based catches, such as trap type, trap dimensions, and color and position of the traps, were optimized. Ground traps were found to be superior to ramp and pitfall traps, and larger traps (40 x 25 cm and above) were more efficient than smaller ones (30 x 15 cm). In a color-choice test, the banana weevil clearly preferred brown traps over yellow, red, gray, blue, black, white, and green, with mahogany being more attractive than other shades of brown. In addition, pheromone baited ground traps positioned in the shade of the canopy caught significantly more adults than those placed in sunlight. Therefore, mahogany-brown ground traps 40 x 25 cm appear to be the most efficient at catching C. sordidus adults and have the greatest potential for use in mass trapping and programs for eradication of this pest.

Clinicopathologic studies of age-related macular degeneration with classic subfoveal choroidal neovascularization treated with photodynamic therapy.

BACKGROUND: Photodynamic therapy (PDT) is a relatively new modality that is currently under clinical and experimental evaluation for treatment of subfoveal choroidal neovascularization (CNV). The authors report the case of an 82-year-old woman who underwent verteporfin-mediated PDT for classic subfoveal CNV. Fluorescein angiography performed 2 weeks after treatment disclosed reduction of the initial area of neovascularization and leakage by approximately 60%. Three weeks after PDT, however, the area of leakage was almost the same size as that before treatment. The patient underwent submacular membranectomy almost 4 weeks after treatment. The authors describe the ultrastructural vascular changes after PDT and a clinicopathologic study of classic CNV. METHODS: The submacular membrane was studied by light and electron microscopy and immunohistochemical techniques. RESULTS: Ultrastructural examination of the peripheral vessels showed evidence of endothelial cell degeneration with platelet aggregation and thrombus formation. Occasional occluded vessels were surrounded by macrophages, a phenomenon previously reported to describe the process of resorption of such blood vessels. The vessels in the center of the membrane were unremarkable. CONCLUSION: Photodynamic therapy causes endothelial cell damage, thrombus formation, and vascular occlusion of classic CNV in age-related macular degeneration.

Clinicopathologic correlation of an untreated macular hole and a macular hole treated by vitrectomy, transforming growth factor-beta 2, and gas tamponade.

PURPOSE: To study the clinicopathologic features of an untreated macular hole in the right eye and a macular hole in the left eye treated by vitrectomy, application of transforming growth factor-beta 2, and gas tamponade. METHODS: The patient, a 73-year-old man with bilateral macular holes, was studied clinically before and after surgical treatment of the macular hole in his left eye. The patient's eyes were obtained postmortem and serially step-sectioned through the macula and optic nerve head for electron microscopy. RESULTS: Examination of 1-micron thick plastic-embedded sections through the macula of the right eye disclosed a 0.6-mm macular hole with rounded gliotic margins, a thin epiretinal membrane, and parafoveal cystic changes. Examination of 1-micron thick plastic-embedded sections through the macula of the left eye disclosed a 0.25-mm defect in the fovea, which was bridged by glial cells. The glial cells were continuous with a thin hypocellular epiretinal membrane without contraction features on both sides of the defect. The ultrastructural features of the glial cells were consistent with Mueller cells. CONCLUSIONS: Treatment of a macular hole with vitrectomy, transforming growth factor-beta 2, and gas tamponade was followed by complete closure of the macular hole by Mueller cell proliferation.

Clinicopathologic correlation of an epiretinal membrane associated with a recurrent macular hole.

PURPOSE: To describe the clinicopathologic features of an epiretinal membrane associated with a recurrent, full-thickness idiopathic macular hole and speculate on the mechanism(s) contributing to its recurrence 1 year after initially successful closure of pars plana vitrectomy and gas tamponade (SF6). METHODS: After fixation of the 2 x 1 mm specimen in a mixture of 1% glutaraldehyde and 4% formaldehyde followed by 2.5% glutaraldehyde, postfixation with osmium tetroxide, and standard dehydration, the specimen was embedded in epoxy resin. Ultrathin sections were stained with uranyl acetate and lead citrate for transmission electron microscopy. RESULTS: Ultrastructural examination disclosed a fibrocellular membrane composed of Müller cells and fibrous astrocytes. Native collagen was entrapped in the matrix in some areas. CONCLUSION: Those cells that may lead to the closure of an idiopathic macular hole may also contribute to its recurrence if the reparative process goes awry.

Reassembly of corneal epithelial adhesion structures after excimer laser keratectomy in humans.

OBJECTIVE: To determine the pattern of long-term reformation of the adhesion structures after excimer laser phototherapeutic keratectomy. METHODS: Four corneal buttons were removed at penetrating keratoplasty 6 to 15 months after initial excimer laser phototherapeutic keratectomy. Morphometric analysis of electron micrographs of the wound bed was performed to determine the extent and pattern of reformation of hemidesmosomes, anchoring fibrils, and basal laminae. RESULTS: Eight percent of the basal epithelial cells had underlying normal anchoring fibrils at 6 months, compared with 35% at 15 months. The percentage of basal cell membrane occupied by hemidesmosomes remained fairly constant (35.2% to 37.7%). With the exception of a localized area of multilamination seen at 9 months, the cross-sectional area of basal lamina per 100 microns of basal cell membrane increased with the duration of wound healing (18.0 microns 2 at 6 months, 24.4 microns 2 at 15 months) but remained below normal levels (32 microns 2). CONCLUSIONS: These data suggest that after human excimer keratectomy, the anchoring fibrils and basal lamina do not completely normalize even after 15 months.

Secondary epiretinal membrane after blunt trauma.

Electron microscopic study of a surgically removed epiretinal membrane secondary to blunt trauma disclosed the membrane to be hypocellular and lined by internal limiting membrane on the external surface and by a layer of fibrocytes and myofibrocytes on the internal surface. The membrane was composed predominantly of new collagen. Occasional fibrous astrocytes, rare macrophages, and no blood vessels were present.

Clinicopathologic correlation of a macular hole treated by cortical vitreous peeling and gas tamponade.

PURPOSE: To study the histopathology of a stage III macular hole that had been treated by vitrectomy with cortical vitreous and epicortical vitreous membrane peeling and gas tamponade. METHODS: The light and electron microscopic features of a treated macular hole were studied. RESULTS: A 16-microns-wide break was present in the external limiting membrane. This was sealed by Müller cell processes. Photoreceptors adjacent to the healed defect appeared normal. No cystoid macular edema was present. CONCLUSION: Cortical vitreous peeling and gas tamponade can allow the macular hole to settle and the edges to re-approximate. The residual defect can be sealed by Müller cells.

Clinicopathologic correlation of choroidal neovascularization demonstrated by indocyanine green angiography in a patient with retention of good vision for almost four years.

OBJECTIVE: The clinicopathologic features of age-related macular degeneration (AMD) with occult choroidal neovascularization (CNV) detected by digital indocyanine green (ICG) videoangiography in an 82-year-old woman are discussed. METHODS: Serial sections through the macula of both eyes were prepared, and two-dimensional reconstruction maps depicting the histopathologic features were drawn. A technique by which electron microscopic examination of sections removed from glass slides was performed is described. RESULTS: Histopathologic examination of the lesion disclosed a 3.5 mm x 0.02 mm thick fibrovascular subretinal pigment epithelial choroidal neovascular membrane in an eye with diffuse basal laminar deposit in the macula. CONCLUSION: This case represents the first clinicopathologic correlation involving ICG videoangiography of CNV. The findings support the growing clinical impression that ICG videoangiography is of value in identifying what has been previously described as ill-defined or occult CNV.

Intraocular cilia. Report of six cases of 6 weeks' to 32 years' duration.

In this study, we describe the clinicopathologic features seen in six cases of intraocular cilia and review the features of previously reported cases. Ultrastructural studies of the cilia showed partial loss of the cuticle layer, diffuse accumulation of small electron-dense granules in cuticle and cortical cells, and loss of continuous cell membranes of the cortex. The cilia were almost completely intact in most of our cases. Intraocular cilia can be tolerated for long periods.

Ocular clinicopathologic study of the mitochondrial encephalomyopathy overlap syndromes.

Recent advances in molecular genetics have led to a better understanding of mitochondrially inherited diseases. Mitochondrial encephalomyopathy overlap syndrome is one such group of diseases in which ocular abnormalities are frequently manifest. The authors describe the clinical, molecular genetic, and pathologic findings of two patients with the mitochondrial encephalomyopathy overlap syndrome. The patients shared a similar clinical course with features overlapping the three traditionally distinct clinical phenotypes (the Kearns-Sayre syndrome; the syndrome of mitochondrial encephalopathy, lactic acidosis, and stroke [MELAS], and the syndrome of myoclonus, epilepsy, and ragged red fibers [MERRF]). The patients had identical mitochondrial DNA mutations (at nucleotide position 3243) and had similar ultrastructural abnormalities, including abundant enlarged mitochondria with "whorled" and "tubular" cristae. These abnormal mitochondria appeared to be preferentially distributed in cells with high metabolic activity (retinal pigment epithelium, corneal endothelium, and extraocular muscles).