First Report of Bean Common Mosaic Necrosis Potyvirus (BCMNV) Infecting Common Bean in California.

During the 1996 growing season (June to September) an outbreak of bean common mosaic was detected in a navy bean field (cv. Snow Bunting) in Colusa County, CA. Early field inspections (August 1996) revealed an incidence of 5 to 10% infection, whereas a late field inspection (September) showed an incidence of 70 to 90% infection. Enzyme-linked immunosorbent assay (ELISA) was performed on 18 leaf samples from symptomatic plants collected from this field with two monoclonal antibodies (Mab): Mab I-2, which detects bean common mosaic necrosis virus (BCMNV) strains (previously necrotic or serotype A bean common mosaic potyvirus [BCMV] strains), and Mab 197, which detects BCMV strains (previously non-necrotic or serotype B BCMV strains) and BCMNV (3). ELISA results indicated BCMNV infection in all 18 samples. In order to confirm ELISA results and to further characterize the viral isolate(s), primary leaves of the differential bean cvs. Black Turtle Soup (BTS) T-39, Topcrop, Amanda, and Sutter Pink were inoculated mechanically with sap prepared from the same leaves used for ELISA. Within 1 week, BTS T-39 and Topcrop plants showed necrotic spots on inoculated leaves and systemic necrosis and death (black root rot symptoms), Sutter Pink showed typical systemic mosaic symptoms, and Amanda showed necrotic spots and restricted vein necrosis on inoculated leaves. These reactions were consistent with infection by the NL-3 strain of BCMNV (1). Reverse transcriptase-polymerase chain reaction was used to amplify a portion of the genome of the virus that contains the 3' end of the coat protein (CP) gene and the 3' untranslated region (UTR). A DNA fragment of approximately 670 bp was amplified and DNA sequence analysis revealed that the nucleotide sequences of the 3' end of the CP and the UTR region of the California BCMNV isolate were 98 and 94% similar to those of the Michigan isolate of the BCMNV NL-3 strain (2), respectively. Together, these results suggest that the outbreak of bean common mosaic in the cv. Snow Bunting navy beans was caused by a pathogroup VI BCMNV isolate, and DNA sequence information suggests that it is similar to the NL-3 strain of BCMNV. This is the first report of BCMNV in California. References: (1) E. Drijfhout et al. Neth. J. Plant Pathol. 84:13, 1978. (2) G. F. Fang et al. Virus Res. 39:13, 1995. (3) G. I. Mink et al. Arch. Virol. S:397, 1992.

Advantages of video endoscopy in pediatric aerodigestive tract disorders.

The naked eye examination of the larynx through the laryngoscope is inadequate for the examination of the minute anatomic structures and does not permit the visualization of the subglottic space or the trachea. A telescope coupled to a miniature television camera is advanced under precise visual control through the vocal cords and into the trachea. Oxygen is administered through the instrument to avoid fogging and provide diffusion oxygenation during the apneic phase. The procedure is safe, fast, and provides a simultaneous record. A vastly improved image allows the examination to be performed from the television screen. Electronic imaging has much to offer in the area of pediatric endoscopy. Video endoscopic examinations of the aerodigestive tract of 151 infants were successfully performed without any complications.

Transcutaneous PO2 monitoring in infants with cyanotic congenital heart disease treated with prostaglandin E1.

Transcutaneous PO2 (tcPO2) has been shown to closely approximate arterial PO2 (PaO2) in infants with normal oxygenation (PaO2 60-100 mm Hg). During hypoxemia (PaO2 less than 60 mm Hg), or administration of vasoactive drugs, such as tolazoline, correlation is frequently so poor that tcPO2 monitoring is of little value. We examined the relationship of tcPO2 to PaO2 among 6 infants with cyanotic congenital heart disease who were receiving prostaglandin E1 (PGE1). Close, linear correlation was found, even during hypoxemia. We conclude that tcPO2 monitoring has potential clinical value in such patients.

Predicting survival among ventilator-dependent very low birth weight infants.

Ventilator-bound very low birth weight (VLBW) infants represent an increasing proportion of our nursery population. We reviewed the hospital course of 38 VLBW infants who required more than 1 month of intermittent mandatory ventilation (IMV) between 1976 and 1978. Twenty-eight infants survived; 10 died. There were no significant differences between survivors and nonsurvivors in estimated gestational age (EGA), Apgar scores, first pH, first mean arterial pressure (MAP), h of IMV required, or birth weight; nor did the incidence of patent ductus arteriosus (PDA), respiratory distress syndrome (RDS), or transport differ. Pneumothorax was significantly more common among those infants who died. When ventilator settings were reviewed, significant differences were found consistently between the 2 groups of 3, 5, and 7 days of age, but not at 1, 14, 21, or 28 days of age. A predictive model for estimating the probability of survival of such infants was developed based upon these data, employing birth weight, mean airway pressure (MAWP) at 7 days of age, and occurrence of pneumothorax, and was applied prospectively to a group of 29 such infants born in 1979 and 1980. Prediction of outcome was significantly more accurate than chance alone. We conclude that prolonged ventilator dependence is largely confined to VLBW infants; that it is the rule among infants less than 750 g; and that accurate, objective assessment of an individual infant's prognosis may lead to improved care.

Favorable results of neonatal intensive care for very low-birth-weight infants.

From 1961 to 1976, 229 infants with birth weights ranging from 751 to 1,000 gm were admitted to the Stanford University Hospital Intensive Care Nursery. The overall neonatal mortality for these infants was 63% (144/229), and there were ten late deaths. Before 1967, no infant in this group who required mechanical ventilation survived; thereafter, 30% (34/114) of the ventilated patients survived. Of the 75 long-term survivors 60 participated in a high-risk infant follow-up program; these included 23 infants who had received mechanical ventilation. The mean birth weight of these infants was 928 +/- 67 (SD) gm. Seventeen children (28%) had significant morbidity: seven (12%) with severe handicaps and ten (17%) with moderate handicaps. During this same period, seven infants weighing less than 750 gm at birth were also observed. The three infants who had not required ventilatory support thrived; the other four infants had required respirators and were significantly handicapped. More recently, neonatal mortality for infants with birth weights from 751 to 1,000 gm has improved: for 1977 to 1980, it was 28% (33/118). Furthermore, neonatal mortality for ventilated infants in this weight group was 27% (26/95). These data indicate an improved prognosis for very low-birth-weight infants, even with ventilatory support.