[Ambulant Management in Case of Premature Rupture of Membranes (PROM) at Term: Maternal and Perinatal Outcome]. / Ambulantes Management bei vorzeitigem Blasensprung (VBS) am Termin. Eine Outcome-Analysestudie bei ambulantem vs. stationärem Management.

Introduction: It is estimated that after premature rupture of membranes (PROM) at term, 60% of all women go into labour within 48 h, 95% within 72 h. Often labour is induced after 24 h because the risk of maternal and neonatal infection rises. The majority of clinicians advise hospital care to allow monitoring and detection of problems. But for low-risk patients who meet strict inclusion criteria, sometimes home management is possible. This study examines the safety and costs of home management. Material and Methods: We included 239 patients with PROM at term, 202 of them with hospital and 37 with home management. Patients who met the inclusion criteria were checked 12 h after PROM and were induced by the end of 24 h if labour had not begun spontaneously. Results: There were no differences in maternal or neonatal outcome. Women with home management were likely to spend less time in hospital and this was associated with reduced costs. Conclusion: Women with outpatient management of PROM had a shorter hospitalization stay without negative impact on maternal or fetal outcome. In times of increasing financial pressure on the medical system, outpatient management for PROM seems to be a viable option.

Male moths bearing transplanted female antennae express characteristically female behaviour and central neural activity.

The primary olfactory centres of the sphinx moth Manduca sexta, the antennal lobes, contain a small number of sexually dimorphic glomeruli: the male-specific macroglomerular complex and the large female glomeruli. These glomeruli play important roles in sex-specific behaviours, such as the location of conspecific females and the selection of appropriate host plants for oviposition. The development of sexually dimorphic glomeruli depends strictly on the ingrowth of sex-specific olfactory receptor cell afferents. In the present study we tested the role of female-specific olfactory receptor cells (ORCs) in mediating female-specific host plant approach behaviour and in determining the response of downstream antennal lobe neurons. We generated male gynandromorphs by excising one imaginal disc from a male larva and replacing it with the antennal imaginal disc from a female donor. Most male gynandromorphs had an apparently normal female antenna and a feminised antennal lobe. These gynandromorphs were tested for flight responses in a wind tunnel towards tomato plants, a preferred host plant for oviposition in M. sexta. Male gynandromorphs landed on host plants as often as normal females, demonstrating that the presence of the induced female-specific glomeruli was necessary and sufficient to produce female-like, odour-oriented behaviour, i.e. orientation towards host plants. We also characterised the physiological and morphological properties of antennal lobe neurons of male gynandromorphs. We found that projection neurons with arborisations in the induced female-specific glomeruli showed physiological responses akin to those of female-specific projection neurons in normal females. These results therefore indicate that ORCs confer specific odour tuning to their glomerular targets and, furthermore, instruct odour-specific behaviour.

Attraction of a leaf beetle (Oreina cacaliae) to damaged host plants.

Early in spring, just after the snow melts, the leaf beetle Oreina cacaliae feeds on flowers of Petasites paradoxus. Later in spring they switch to their principle host plant Adenostyles alliariae. The attractiveness of short- and long-term damaged host plants was studied in a wind tunnel. The spring host P. paradoxus was more attractive to the beetles after it had been damaged overnight by conspecifics or artificially, but not when the plants were damaged half an hour before the wind-tunnel experiments. Contrary to P. paradoxus, the principle host plant, A. alliariae was more attractive shortly after an attack by conspecifics (half an hour before the experiment) compared to a undamaged plant, but lost its increased attractiveness when damaged overnight. The enhanced attraction of damaged plants was longer lasting in the spring host P. paradoxus than in the main host A. alliariae. Volatiles emitted by host plants were collected and gas chromatographic analyses of the odors collected showed qualitative and quantitative differences between damaged and undamaged plants. Among the volatiles recorded, green leaf volatiles and mono- and sesquiterpenes dominated. In overnight damaged P. paradoxus plants with an enhanced attractiveness, limonene was emitted in higher amounts. In freshly damaged A. alliariae leaves, more alpha-humulene and germacrene D were emitted compared to (E,E)-alpha-farnesene, whereas in the less attractive A. alliariae plants, more (E,E)-alpha-farnesene was emitted compared to alpha-humulene and germacrene D. In the field, the long lasting attraction of flowering P. paradoxus early in the season may facilitate mating in O. cacaliae after a successful overwintering.