Opsoclonus-myoclonus-ataxia syndrome associated with central nervous system HIV-1 escape phenomenon. / Síndrome opsoclono-mioclono-ataxia asociado a fenómeno de escape viral por virus de la inmunodeficiencia humana en el sistema nervioso central.

INTRODUCTION: Opsoclonus-myoclonus-ataxia (OMA) syndrome is a rare neurological disorder characterized by involuntary conjugate saccadic eye movements, myoclonus, and ataxia. Few reports exist on patients with HIV and OMA. CASE REPORT: A 41-year-old man diagnosed with HIV-1 infection in 1997 coursed with multiple anti-retroviral schemes as a consequence of poor adherence. In 2008 he presented an HIV-1 viral load of 100,000 copies/mL and a CD4+ T cell count of 10 cells/mm3. In 2013 our patient arrived with an 11-month history of progressive opsoclonus and ataxia. He had undetectable plasma HIV-1 RNA load and CD4+ of 606 cells/mm3. No opportunistic infections were found. Cerebrospinal fluid analysis showed mildly elevated protein concentration and HIV-1 viral load of 534 copies/mL. Cerebrospinal fluid co-receptor tropism test showed selective CCR5 usage. A brain magnetic resonance imaging showed hippocampal atrophy and T2-weighted hyperintensities. Our patient exhibited a dramatic recovery and cerebrospinal fluid HIV clearance after adjustment of anti-retroviral treatment based on genotyping resistance and tropism analyses. CONCLUSIONS: In patients with HIV presenting cengral nervous system dysfunction without opportunistic infections, cerebro-spinal fluid and plasma HIV-1 viral load, resistance and tropism tests should be performed to assess a potential viral escape and to design the appropriate anti-retroviral therapy in an individual patient basis.

TITLE: Síndrome opsoclono-mioclono-ataxia asociado a fenómeno de escape viral por virus de la inmunodeficiencia humana en el sistema nervioso central.Introducción. El síndrome opsoclono-mioclono-ataxia (OMA) es un trastorno neurológico infrecuente caracterizado por movimientos oculares conjugados sacádicos involuntarios, mioclonías y ataxia. Existen pocos casos en la bibliografía de pacientes con virus de la inmunodeficiencia humana (VIH) y OMA. Caso clínico. Varón de 41 años y diagnóstico de infección por el VIH-1 desde 1997, que cursó con múltiples esquemas antirretrovirales debido a una pobre adhesión al tratamiento. En 2008 presentó una carga viral de 100.000 copias/mL y una cuenta linfocitaria CD4+ de 10 células/mm3. En 2013 sufrió un cuadro progresivo de 11 meses de evolución caracterizado por opsoclonía y ataxia. En ese momento, su carga viral era indetectable, y la cuenta de CD4+, de 606 células/mm3. Se descartaron infecciones oportunistas. El examen del líquido cefalorraquídeo demostró hiperproteinorraquia leve y una carga viral de 534 copias/mL. El examen del tropismo de correceptor en el líquido cefalorraquídeo demostró un uso selectivo de CCR5. La resonancia magnética cerebral objetivó atrofia hipocámpica e hiperintensidades en las secuencias ponderadas en T2. El paciente mostró una recuperación clínica franca y un aclaramiento de la carga viral en el líquido cefalorraquídeo tras el ajuste de antirretrovirales basado en la resistencia de genotipo y el análisis de tropismo. Conclusiones. En pacientes con infección por el VIH y disfunción del sistema nervioso central sin infecciones oportunistas, debería llevarse a cabo una determinación de la carga viral en el plasma y el líquido cefalorraquídeo para descartar un potencial fenómeno de escape viral, así como exámenes de resistencia y tropismo para diseñar el tratamiento antirretroviral adecuado.

Spectroscopic examination of Red Queen's funerary mask and her green stone offering from the Mayan site of Palenque, Mexico.

This work presents a non-invasive material study of the Red Queen's funerary offering via in situ infrared (FTIR) and Raman spectroscopies for mineral identification, and X-ray fluorescence spectroscopy (XRF) for elemental characterization. A second non-destructive laboratory stage on the main mask of the offering only was carried out by particle induced X-ray emission (PIXE) for further elemental analysis. The main FTIR results indicate that all of the tesserae of the main mask are composed of malachite, identified by their ν(CuO), ν(CuOH), ν1-ν4(CO32-) and δ(CO32-) infrared and T(CO32-) Raman vibrational modes. Moreover, the pupils are composed of obsidian (δ(SiOSi) and ν(SiO) infrared vibrational modes), and remarkably, jadeite was identified in the sclera of the eyes. Most of the accompanying mask's tesserae are green quartz and chalcedony (δ(SiOSi) and ν(SiO) infrared and Raman vibrational modes). The pendants are made of jadeite, while the headdress´ tesserae were identified as omphacite. The diadem and necklace's green beads were mostly jadeite, omphacite and albite. Jadeite, albite and omphacite were identified through their characteristic infrared and Raman vibrational modes: ν(SiOSi), δ(SiOSi), τ(SiO4) and AlSiO4 interactions. Yellow-orange beads in the diadem and in the pectoral are quartz. Green and blue pectoral beads are jadeite, omphacite and quartz. Limestones and shells identified in the figurine, valve and in some of the headdress and accompanying mask's tesserae, were properly classified by Raman spectroscopy, using their characteristic ν1 and ν4 (CO32-) vibrational modes for aragonite and beta-carotenes characteristic Raman shifts for Spondylus valves. These results indicate a special selection and the use of unique raw materials for the royal burial of the Red Queen, different to those used for other rulers of Palenque and other contemporary Mayan sites.

Methodology for the non-destructive characterization of jadeite-jade for archaeological studies.

The present paper proposes a methodology that complies with the requirements of identifying and characterizing jadeite (and its associated minerals) for archaeological studies, avoiding the acquisition of samples and ensuring the integrity of the object. The methodology exploits a carefully selected array of techniques (optical microscopy, UV fluorescence photography, X-Ray digital radiography, infrared and Raman spectroscopies, X-Ray fluorescence and particle induced X-ray emission spectroscopies) that, despite not definitively replacing laboratory procedures, provides a first mineral and elemental evaluation of jadeite archaeological objects. The proposed methodology was applied in the characterization of twelve different jade tones, allowing the identification of major - jadeite, albite and omphacite - and minor - pumpellyite, actinolite, analcime, rutile, grossular and titanite - mineral phases. To display its advantages and limitations, this methodology was also compared with a characterization employing specific gravity measurements and with an invasive methodology based on petrography and scanning electron microscopy with energy dispersive spectroscopy.

Reuse of olive mill effluents from two-phase extraction process by integrated advanced oxidation and reverse osmosis treatment.

In this work, complete reclamation of the olive mill effluents coming from a two-phase olive oil extraction process (OME-2) was studied on a pilot scale. The developed depuration procedure integrates an advanced oxidation process based on Fenton's reagent (secondary treatment) coupled with a final reverse osmosis (RO) stage (purification step). The former aims for the removal of the major concentration of refractory organic pollutants present in OME-2, whereas the latter provides efficient purification of the high salinity. Complete physicochemical composition of OME-2 after the secondary treatment was examined, including the particle size distribution, organic matter gradation and bacterial growth, in order to assess the selection of the membrane and its fouling propensity. Hydrodynamics and selectivity of the membrane were accurately modelized. Upon optimization of the hydrodynamic conditions, the RO membrane showed stable performance and fouling problems were satisfactorily overcome. Steady-state permeate flux equal to 21.1 L h(-1)m(-2) and rejection values up to 99.1% and 98.1% of the organic pollutants and electroconductivity were respectively attained. This ensured parametric values below standard limits for reuse of the regenerated effluent, e.g. in the olives washing machines, offering the possibility of closing the loop and thus rending the production process environmentally friendly.

Effective treatment of olive mill effluents from two-phase and three-phase extraction processes by batch membranes in series operation upon threshold conditions.

Production of olive oil results in the generation of high amounts of heavy polluted effluents characterized by extremely variable contaminants degree, leading to sensible complexity in treatment. In this work, batch membrane processes in series comprising ultrafiltration (UF), nanofiltration (NF) and reverse osmosis (RO) are used to purify the effluents exiting both the two-phase and tree-phase extraction processes to a grade compatible to the discharge in municipal sewer systems in Spain and Italy. However, one main problem in applying this technology to wastewater management issues is given by membrane fouling. In the last years, the threshold flux theory was introduced as a key tool to understand fouling problems, and threshold flux measurement can give valuable information regarding optimal membrane process design and operation. In the present manuscript, mathematical approach of threshold flux conditions for membranes operation is addressed, also implementing proper pretreatment processes such as pH-T flocculation and UV/TiO2 photocatalysis with ferromagnetic-core nanoparticles in order to reduce membranes fouling. Both influence the organic matter content as well as the particle size distribution of the solutes surviving in the wastewater stream, leading, when properly applied, to reduced fouling, higher rejection and recovery values, thus enhancing the economic feasibility of the process.

Localization and expression of spermadhesin PSP-I/PSP-II subunits in the reproductive organs of the boar.

The epithelial localization and expression of the spermadhesin PSP-I and PSP-II subunits were determined in the testis, ductus epididymes (caput, corpus and cauda), seminal vesicles and bulbourethral glands of mature boars, using immunohistochemical, western blotting and RT-PCR methods. Immunohistochemistry showed positive labelling for PSP-I and PSP-II antibodies in the epithelium of seminal vesicles in all males tested. Positive immunolabelling, but with variable intensity, was also present in the epididymal epithelium (caput, corpus and cauda), although varying largely among segments and boars. Immunoreactivity was nearly or completely absent in the seminiferous epithelium and the bulbourethral gland, although SDS-PAGE and western blotting revealed the presence of PSP-I and PSP-II immunoreactive bands in all the tissue extracts, including the testis and the bulbourethral gland. mRNA amplification by RT-PCR using primers specific for PSP-I and PSP-II showed a trend similar to that observed for western blotting, i.e. intensity variation between tissues (even between segments of the same epididymis) and among boars. Our results indicate that the seminal vesicles are the main source of PSP-I and PSP-II spermadhesins, although epididymal segments, testis and the bulbourethral gland also participate in the expression of both proteins.

Phylogenetic status and matrilineal structure of the biting midge, Culicoides imicola, in Portugal, Rhodes and Israel.

The biting midge Culicoides imicola Kieffer (Diptera: Ceratopogonidae) is the most important Old World vector of African horse sickness (AHS) and bluetongue (BT). Recent increases of BT incidence in the Mediterranean basin are attributed to its increased abundance and distribution. The phylogenetic status and genetic structure of C. imicola in this region are unknown, despite the importance of these aspects for BT epidemiology in the North American BT vector. In this study, analyses of partial mitochondrial cytochrome oxidase subunit I gene (COI) sequences were used to infer phylogenetic relationships among 50 C. imicola from Portugal, Rhodes, Israel, and South Africa and four other species of the Imicola Complex from southern Africa, and to estimate levels of matrilineal subdivision in C. imicola between Portugal and Israel. Eleven haplotypes were detected in C. imicola, and these formed one well-supported clade in maximum likelihood and Bayesian trees implying that the C. imicola samples comprise one phylogenetic species. Molecular variance was distributed mainly between Portugal and Israel, with no haplotypes shared between these countries, suggesting that female-mediated gene flow at this scale has been either limited or non-existent. Our results provide phylogenetic evidence that C. imicola in the study areas are potentially competent AHS and BT vectors. The geographical structure of the C. imicola COI haplotypes was concordant with that of BT virus serotypes in recent BT outbreaks in the Mediterranean basin, suggesting that population subdivision in its vector can impose spatial constraints on BT virus transmission.

[Megadolicobasilar, ulcerative colitis and ischemic stroke]. / Megadolicobasilar, colitis ulcerosa e ictus isquémicos.

Megadolichobasilar (MDB) is a rare arterial anomaly consisting of excessive elongation, widening and tortuosity of the basilar artery. It may be associated with different neurological disturbances, including cerebral ischemic stroke, compression of the cranial nerves, hydrocephalus, headache and vertigo. Ulcerative colitis (UC) is an inflammatory bowel disease of unknown aetiology which may be complicated by arterial or venous cerebral illness, among others neurological anomalies. We report a patient suffering from UC who presented ischemic stroke. The neurorradiological studies showed incompletely thrombosed MDB accompanied by a distal aneurysm from narrow zone. These findings advised anticoagulant treatment which leads to neurological stability. To our knowledge, it is the first report of MDB associated with UC. Although this association is probably fortuitous, we discuss both the etiopatogeny and the possibly influence of each one on the clinical picture.

[Aetiological diagnosis of cerebral infarction in a county hospital]. / Diagnóstico etiológico del infarto cerebral en el hospital comarcal.

INTRODUCTION: Cerebral infarction (CI) can be classified aetiologically in several different ways using explicit diagnostic criteria. However, the extent to which these diagnostic criteria are actually implemented in clinical practice is unknown. Aims. The aim of this study was to analyse the management and use of diagnostic tests in the aetiological diagnosis of CI in two county hospitals and to compare this with the most common recommendations. We also sought to analyse the clinical and demographic variables that may help to explain why these guidelines are not followed. PATIENTS AND METHODS: We reviewed the discharge abstracts of 307 cases of CI attended in two county hospitals between 1999 and 2000 and we analysed the clinical data, diagnostic tests and the final diagnosis. The diagnoses were reorganised using the TOAST, Laussane, NINDS and SEN 98 classifications and we analysed the frequency with which the diagnostic tests were employed in each aetiological subtype. RESULTS: Average age: 71.3 years; 59.3% were males. CAT scans were performed in 97.1% of cases, neurosonology was used in 40.1% and echocardiography was performed in 8.5%. The aetiological diagnosis was: atherothrombotic 22.4%, cardioembolic 10.7%, lacunar 26%, unusual causes 0.3% and unknown causes 1.6%. In 37.4% of cases the diagnosis was given as unspecified CI. On reclassifying the diagnoses according to SEN 98 criteria, we obtained the following: atherothrombotic 19.5%, cardioembolic 2.8%, lacunar 13.7% and of unknown origin 63.5%. 0.6% of the cases were unclassifiable. Factors that exerted an influence on the fact that diagnostic tests were less frequently carried out included age, level of awareness and mortality. The most frequent cause of incomplete studies was the absence of carotid Doppler. CONCLUSIONS: The guidelines for aetiological diagnosis of CI are not often followed. Systematic performance of a neurosonological study would improve aetiological diagnosis of CI.

Hemoglobin concentration and acetylcholinesterase activity of oligochaetes in relation to lead concentration in spiked sediments from Ignacio Ramirez reservoir.

This paper presents toxicity and uptake data of Limnodrilus hoffmeisteri generated by lead in systems using natural sediments from Ignacio Ramírez reservoir. Lead uptake, hemoglobin concentration, and acetylcholinesterase activity were studied in L. hoffmeisteri exposed to spiked sediments. All assays of lead uptake were conducted using whole sediments. Sediment texture was also considered. Acetylcholinesterase activity and hemoglobin concentration decreased after treatment with lead. Acetylcholinesterase activity and hemoglobin concentration tests indicated a response to the concentration of lead. These results suggest the usefulness of a diversity of bioassays to evaluate the toxicity of sediments polluted with heavy metals.

[Advances in the treatment of epilepsy: status epilepticus]. / Avances en el tratamiento de la epilepsia: estado de mal epiléptico.

OBJECTIVE: The complexity of the treatment of status epilepticus (SE) is due to the wide variety of forms of clinical presentation. In this review we wish to emphasize that satisfactory management of SE requires a system which takes account of the successive phases of the gravity of the electroclinical course of SE and the different types of SE according to the electroclinical semiology of the seizure. DEVELOPMENT: The concepts and classifications which, in current epileptology, are used in SE are mainly based on criteria developed at three international symposia: in Marseilles in 1962 and Santa Monica, California, in 1979 and 1997. Current knowledge permits distinction of different therapeutic periods depending on the chronology of each SE and to classify the SE according to the type of seizures, age of the patient and underlying pathology. CONCLUSIONS: The classifications described permit the standardization of treatment: preventive measure in high-risk patients; immediate and in situ treatment during the prodromal phase; three parallel lines of action--differential diagnosis, general measures and antiepileptic treatment--during the initial phase; measures in hospital emergencies and in the Intensive Care Unit when the SE is at a fully established phase; special measures, including induction of anaesthesia in the refractory phase; transition to long-term treatment, recovery of autonomy by the patient and long-term management in the phases following remission of the SE. The standardization proposed may perhaps serve as a basis for the future development of guidelines.

Seasonal distribution and relationship to temperature and precipitation of the most abundant species of Culicoides in five provinces of Andalusia, Spain.

A total of 177,344 Culicoides specimens were collected from 3,109 light trap collections made weekly from August 1990 to October 1991 at 62 sites in the provinces of Cádiz, Córdoba, Huelva, Seville, and Málaga, Spain. Reported for the 1st time are Culicoides agathensis, Culicoides bahrainensis, Culicoides marcleti, and Culicoides odiatus in the Iberian Peninsula, and Culicoides scoticus in Andalusia, Spain. As a group, Culicoides were active throughout the year. The 3 most common species were Culicoides imicola (56,254), Culicoides newsteadi (24,359), and Culicoides circumscriptus (16,720). Numbers of C. imicola peaked in October, C. newsteadi peaked in May, and C. circumscriptus peaked in June. Based on regression analyses, the optimal minimum and maximum air temperatures, respectively, for adult insect activity were approximately > or = 18 degrees C and > or = 38 degrees C for C. imicola, 12 degrees C for C. newsteadi, 14 degrees C for C. circumscriptus (minimum temperature only), 16 degrees C and > or = 38 degrees C for "other" Culicoides, and 14 degrees C and 32 degrees C for total Culicoides. Optimal minimum and maximum temperatures could not be determined for Culicoides pulicaris, Culicoides punctatus, subgenus Monoculicoides, and the Culicoides obsoletus group. During August and September, the months when African horse sickness outbreaks occurred, C. imicola was the predominant species in the coastal Mediterranean zone. If the "other" Culicoides spp. group was not considered, the predominant species were C. imicola in the Guadalquivir River valley zone, C. newsteadi in the Subbética mountainous range zone, and subgenus Monoculicoides in the coastal Atlantic zone.

[Intracranial involvement in neurosarcoidosis: a report of 4 cases as initial manifestation of the disease]. / Afectación intracraneal en la neurosarcoidosis: descripción de cuatro casos como manifestación inicial de la enfermedad.

INTRODUCTION: The incidence of sarcoidosis in our country is one of the lowest in Europe. Neurosarcoidosis affects only 5% on patients with sarcoidosis. Clinical cases. We describe four patients in which neurologic disfunction was the presenting finding. Initial neurological symptoms include status epilepticus, headache, fever and nerve cranial palsies. MRI showed a spectrum of protean central nervous abnormalities: 1. Hypotalamic infiltrating lesion; 2. Brain parenchyme enhanced masses; 3. Leptomeningeal enhancement, and 4. Focal white-matter lesions. Thoracic CT scan, bronchoscopy, Gallium scintigraphy and pulmonary biopsy yielded to diagnosis in three patients. Biopsy of the meninges was required in one patient because systemic involvement was not found. Histological examination of an intracranial mass was also performed in another patient to rule out tumoral lesions. ACE in serum was normal in all patients. CSF ACE was determine in only one patient and was also normal. Three patients started treatment with corticosteroids but one of them required adjuvant treatment with immunosuppressor. Cranial nerve palsy resolved spontaneously in the last patient. CONCLUSIONS: Clinical and radiological polymorphism explained the delay before diagnosis and the problems in ruling out other diseases. MRI is highly useful for the diagnosis and follow up treatment.

The relationship between climate and the distribution of Culicoides imicola in Iberia.

The biting midge Culicoides imicola was captured at 17 of 27 farms in Spain and Portugal during a survey of its distribution following outbreaks of African horse sickness in Iberia that occurred between 1987 and 1990. Farms were sampled approximately twice weekly from October 1992 to February 1995. Farms were widely spaced apart (maximum 850 km) and had considerable variation in climate. Across sites, summer temperatures ranged from 18.3 degrees C-27.2 degrees C; in winter the range was 4.4 degrees C-11.6 degrees C. Relative humidities in summer ranged from 37.2% to 90.1%. Proximity to southern Spain (Seville) was the most significant predictor of the presence/absence of C. imicola, but high summer temperatures and possibly dry summer conditions, were also important. Vila Nova de Milfontes in Portugal, where C. imicola was abundant and the climate is relatively cool, was an exception to the climatic trends at the other 26 sites. This exception points to a lack of knowledge of climatic requirements for immature development of C. imicola. The absence of C. imicola from the three most easterly sites, which have apparently favourable climates, suggests a relatively recent invasion by this species into Iberia.

The seasonal and geographical distribution of Culicoides imicola, C. pulicaris group and C. obsoletus group biting midges in central and southern Spain.

Pirbright-type light traps were used to collect Culicoides biting midges (Diptera: Ceratopogonidae) at fifteen sites in twelve provinces of central Spain and Andalusia. A total of 293,625 Culicoides were collected in 1,387 samples over a two year period. These comprised approximately 9.2% Culicoides imicola, 11.4% C. pulicaris group, 1.6% C. obsoletus group and 12.2% C. circumscriptus. Culicoides imicola was present at ten of the fifteen sites; the five sites from which it was absent were the most eastern of the fifteen. The greatest abundance of this species was at Navalmoral in Caceres Province. Culicoides pulicaris group were present at all sites; C. obsoletus group were present at twelve sites. The annual peaks in abundance were: C. imicola, August-October; C. pulicaris group, May-June; and C. obsoletus group, March-June. The geographical and seasonal distributions of C. imicola are consistent with those of the outbreaks of African horse sickness (AHS) and bluetongue (BT) during epizootics in Spain, and support the contention that C. imicola was the major vector of AHS and BT viruses.

Serum and tissue CEA in colorectal cancer: clinical relevance.

PURPOSE: This article is an analysis of the information derived from the determination of tumor-tissue concentration of CEA in patients with colorectal cancer. To ascertain the relationship between tumor marker content with the histologic aspects and serologic levels of CEA of this neoplam. MATERIALS AND METHODS: 136 patients with colorectal adenocarcinoma and 41 with colorectal benign processes are analyzed and followed during an average time of 27 months. The CEA of the serum were obtained preoperatively and postoperatively and measured by radioimmunoassay (RIA). Tissular CEA levels were determined with RIA. The histological characteristics are analyzed (Dukes classification, grade of differentiation, index of atypia, microscopic vascular and lymphatic involvement. RESULTS: 1) The cut off point of the tissular CEA with the best sensitivity and specificity for the diagnosis of normal mucosa is 386 ng/mg and for tumoral tissue is 1160 ng/mg. 2) There is no correlation between tissue and serologic CEA value. 3) The tissular level of CEA have a significant statistical correlation with Dukes stage (p < 0.003); other histological characteristics were no significative. 4) There are significant statistical correlations between serologic CEA and relapse but no with survival rates. CONCLUSIONS: 1) Serologic CEA levels depend on numerous factors. 2) There aren't correlations between preoperative serologic levels and tissular CEA levels. 3) Tissular CEA do not predict what patients will have an elevated serologic CEA level in relapse.

Spatial and seasonal distribution of Culicoides imicola in Iberia in relation to the transmission of African horse sickness virus.

Collections of biting midges were made over 24 months from sixty sites spread across Iberia. Information on the distribution of the vector of African horse sickness virus, Culicoides imicola, from these 3119 samples showed that this species was annually present across south-western Spain as far as 3 degrees 53'W and throughout most of Portugal, up to 41 degrees 5'N. C. imicola was found in all areas where African horse sickness epizootics had occurred in 1987-90 and also in areas outside the epizootic zones. Seasonal patterns of capture success of C. imicola, from seventeen frequently sampled sites where the vector was present, usually showed a late summer-early autumn peak. At the sites furthest south there was a discrete peak, mostly in September or October, before and after which the numbers captured increased or decreased steadily. At higher latitudes peak abundances occurred as early as May or as late as November, population build up was less uniform and numbers often declined rapidly after the peak was reached. Both the distribution and seasonal abundance patterns closely matched transmission patterns of African horse sickness virus, which rose during late summer and caused most cases during the autumn months.

Seasonal and geographical distribution of Culicoides imicola Kieffer (Diptera: Ceratopogonidae) in southwestern Spain.

Culicoides imicola Kieffer adults were collected in light traps weekly between August 1990 and October 1991. The species was collected at all 62 sites located in 5 provinces of the Autonomous Region of Andalucía (Spain). Culicoides imicola represented 31.7% of the total collection of Culicoides. The highest numbers of C. imicola were collected from September through November 1990 and September and October 1991. The lowest numbers were collected from December 1990 through April 1991. The presence or absence of C. imicola was related to the mean monthly minimum and maximum air temperature. Greatest numbers of C. imicola were collected at daily minimum and maximum temperatures of 18 degrees C and 38 degrees C, respectively. The relevance of this information to previous outbreaks of African horse sickness is discussed.

Prediction of survival and recurrence by serum and cytosolic levels of CEA, CA125 and SCC antigens in resectable non-small-cell lung cancer.

Risk of death and risk of recurrence in 108 potentially curable non-small-cell lung cancer patients were analysed with respect of TNM stage, histological type and carcinoembryonic antigen (CEA), CA125 antigen and squamous cell carcinoma antigen (SCC) levels in serum and cytosol. CA125 and CEA levels were closely related to outcome figures. Multivariate analyses indicated that TNM stage and histological type had the best predictive power, but serum and cytosolic CA125 and serum CEA contained additional, independent prognostic information. Predictive information drawn from serum and cytosolic levels proved mutually complementary. We conclude that CA125 and CEA complement TNM classification and histological type for the purpose of quantifying risk of death or recurrence.