Severe and acute loss of visual field in a young patient with optic disc drusen

CASE REPORT

We describe a case of a young patient with bilateral optic disc drusen, who in the course of 10 months, had a sudden visual field constriction in the right eye accompanied by moderate loss of vision, corresponding to the ophthalmological examination of changing from hidden to visible drusen.

DISCUSSION

The optic disk drusen are a fairly common disorder that is mainly considered as a benign disorder due to the low frequency of complications that appear during their course. This case shows how they can become a real problem in a short period of time.

Magnetization Measurements on Iron (III)Solutions for Detecting Oligomer Formation

By measuring the magnetization at low temperatures (near 1 K) and intense magnetic fields ( ≳100 KG), information about oligomer formation in ferric salts solutions can be obtained. It is shown that, under rather general conditions, the magnetic moment per ferric ion of a given ferric solution measured in the saturation regime should be equal to 5 β if all the complexes involved in the solution are high-spin monomers. Moreover, if the solution is mainly composed by monomeric species and antiferromagnetic dimers, the relative concentration of monomeric and dimeric species can easily be determined. This techniques has been applied to solutions of Cl3Fe and (NO3)3Fe9H2O in isopropanol as solvent containing about 0.4 M of water. In the first case the present measurements are consistent with the existence of dihydroxo ferric dimers suggested by previous Mössbauer and Optical Absorption data. The relative concentration of these dimers increases from 25% to 50% when the water content increases from 0.4 M to ~ 10 M. In the second case it is confirmed that the solution is mainly composed by oligomers, the relative concentration of monomeric species being less than 30%.

Sharp lines due to Cr³⁺ and Mn²⁺ impurities in insulators: going beyond the usual Tanabe-Sugano approach

This work is aimed at understanding the different behavior of optical sharp lines (corresponding to 10Dq-independent transitions) of Mn(2+) and Cr(3+) in normal and inverted perovskites that cannot be explained within the usual Tanabe-Sugano approach. In particular, we want to clarify why on passing from KMgF3:M to LiBaF3:M (M = Mn(2+), Cr(3+)) the energy, E((6)A1 → (4)A1), for Mn(2+) decreases by Δ = 1100 cm(-1), while Δ < 100 cm(-1) for the energy E((2)E →( 4)A2) corresponding to Cr(3+). The origin of this surprising difference in these model systems is clarified by writing the transition energies of MF6 complexes through the ten Coulomb and exchange integrals consistent with the cubic symmetry and not considered in the usual Tanabe-Sugano approach. It is shown that E((6)A1 → (4)A1) depends on exchange integrals K(3z(2) - r(2), xy) and K(x(2) - y(2), xy), while E((2)E → (4)A2) depends on K(xz, yz) where the two involved electrons display a π character. These exchange integrals have been calculated just considering a MF6 unit subject to the internal electric field due to the rest of the lattice ions. In addition to a reasonably reproduction of the main trends observed experimentally for the model systems, the present calculations prove that the exchange integrals are not related in a simple way to the covalency of involved orbitals. Particular attention is also paid to explain why the transitions, which are 10Dq-independent are less sensitive to the host lattice change than those which do depend on 10Dq. The present work shows that K(xz, yz) for Cr(3+) is particularly insensitive to the host lattice change and thus sheds light on the origin of the near independence of E((2)E → (4)A2) along the series of oxides doped with such an impurity .

Transition metal complexes coupled to vacancies in oxides: origin of different properties of Cr3+ in MgO bounded to a <100> or <110> Mg2+ vacancy

Despite the importance of vacancies over the properties of insulating oxides its influence on neighboring transition metal ions is far from being understood. This work is devoted to find the origin of various up to now unexplained properties of chromium bounded either to a <100> or a <110> Mg(2+) vacancy in MgO. In these model systems particular attention is paid to understand, by means of ab initio calculations, why the cubic field splitting parameter, 10Dq, is surprisingly 1600 cm(-1) higher for a <100> than for a <110> vacancy, a fact behind the suppression of the sharp (2)E → (4)A2 luminescence in the latter case. Our calculations, which reproduce the main experimental facts, prove that the average Cr(3+)-O(2-) distance is the same within 0.8% for both systems, and thus, the low 10Dq value for a <110> vacancy is shown to be due mainly to the electrostatic potential from the missing Mg(2+) ion, which increases the energy of antibonding t(2g) (∼xy, xz, yz) levels. By contrast, for a <100> Mg(2+) vacancy that potential provides a supplementary increase of the e(g) (∼x(2) - y(2), 3z(2 )- r(2)) level energy and thus of 10Dq. The existence of the (2)E → (4)A2 luminescence for Cr(3+)-doped MgO under perfect cubic symmetry or with a <100> vacancy is shown to be greatly helped by the internal electric field created by the rest of the lattice ions on the CrO6(9-) unit, whose importance is usually ignored. The present results underline the role of ab initio calculations for unveiling the subtle effects induced by a close vacancy on the properties of transition metal ions in oxides. At the same time they stress the failure of the empirical superposition model for deriving the equilibrium geometry of C4v and C2v centers in MgO:Cr(3+).

Resultados a largo plazo de prótesis de cúbito distal como cirugía de rescate en un caso de técnica de Sauvé-Kapandji fallida

La técnica de Sauvé-Kapandji se emplea como tratamiento de rescate en la patología de la articulación radiocubital distal (ARCD). Los resultados postoperatorios son buenos, aunque a largo plazo pueden surgir complicaciones como dolor, muñón cubital inestable y pérdida de fuerza de prensión. Presentamos un caso de cirugía de rescate de esta técnica mediante prótesis de cúbito distal. A los cuatro años de seguimiento, el paciente presenta desaparición completa del dolor y recuperación de la fuerza de prensión, lo que hace pensar que la prótesis cubital puede ser un buen método de rescate cuando fracasa un Sauvé-Kapandji.

Divergent effects of D₂/₃ receptor activation in the nucleus accumbens core and shell on impulsivity and locomotor activity in high and low impulsive rats

RATIONALE

Previously we demonstrated reduced D2/3 receptor availability in the ventral striatum of hyper-impulsive rats on the five-choice serial reaction time task (5-CSRTT). However, the anatomical locus of D2/3 receptor dysfunction in high impulsive (HI) rats is unknown.

OBJECTIVE

In the present study, we investigated whether D2/3 receptor dysfunction in HI rats is localised to the core or shell sub-regions of the nucleus accumbens (NAcb).

METHODS

Rats were selected for low (low impulsive, LI) and high impulsivity on the 5-CSRTT and implanted with guide cannulae targeting the NAcb core and shell. The D2/3 receptor agonist quinpirole was locally injected in the NAcb (0.1, 0.3 and 1 μg per infusion) and its effects investigated on the performance of LI and HI rats on the 5-CSRTT as well as spontaneous locomotor activity in an open field.

RESULTS

Intra-NAcb core quinpirole increased premature responding in HI rats but not in LI rats. In contrast, intra-NAcb shell quinpirole strongly increased locomotor activity in HI rats, unlike LI rats. This effect was blocked by intra-NAcb shell infusions of the D2/3 receptor antagonist nafadotride (0.03 μg). However, nafadotride was ineffective in blocking the effects of intra-NAcb core quinpirole on premature responding in HI rats.

CONCLUSIONS

These findings indicate that impulsivity and hyperactivity are separately regulated by core and shell sub-regions of the NAcb and that HI rats show an enhanced response to D2/3 receptor activation in these regions. These results suggest that the symptom clusters of hyperactivity and impulsivity in attention-deficit hyperactivity disorder may be neurally dissociable at the level of the NAcb.

Circulating irisin levels and coronary heart disease: association with future acute coronary syndrome and major adverse cardiovascular events

INTRODUCTION

Irisin is a newly discovered myokine, associated with 'browning' of the white adipose tissue, obesity, insulin resistance and metabolic syndrome. The purpose of this study is to evaluate circulating irisin as a predictor of acute coronary syndromes (ACSs) and major adverse cardiovascular events (MACE).

METHODS

Sub-study 1: a case-control study, nested within the Veteran's Affairs Normative Ageing Study, evaluating circulating irisin levels in 88 ACS cases and 158 age- and sampling year-matched controls, as a predictor of ACS. Sub-study 2: a prospective cohort study, where 103 participants with established coronary artery disease were stratified by circulating irisin levels at the time they received percutaneous coronary interventions (PCIs) and were followed for the development of MACE.

RESULTS

Study 1: there was no association between irisin levels and ACS in otherwise healthy individuals (odds ratio: 1.00 95% confidence interval: (0.99-1.00)). Study 2: the incidence of MACE was significantly lower in the first irisin tertile compared with the second and third (incidence rate 0 vs 0.92 (0.51-1.61) vs 0.57 (0.28-1.14) events per 1000 person-days; P < 0.01). This was primarily driven by the lower incidence of unstable angina (incidence rate 0 vs 0.61 (0.31-1.22) vs 0.43 (0.19-0.96) per 1000 person-days; P = 0.01).

CONCLUSION

This is the first study to date that demonstrates that, although circulating irisin levels do not predict the development of ACS in healthy individuals, increased irisin levels are associated with the development of MACE in patients with established coronary artery disease after PCI.

Geographic population structure of the African malaria vector Anopheles gambiae suggests a role for the forest-savannah biome transition as a barrier to gene flow

The primary Afrotropical malaria mosquito vector Anopheles gambiae sensu stricto has a complex population structure. In west Africa, this species is split into two molecular forms and displays local and regional variation in chromosomal arrangements and behaviors. To investigate patterns of macrogeographic population substructure, 25 An. gambiae samples from 12 African countries were genotyped at 13 microsatellite loci. This analysis detected the presence of additional population structuring, with the M-form being subdivided into distinct west, central, and southern African genetic clusters. These clusters are coincident with the central African rainforest belt and northern and southern savannah biomes, which suggests restrictions to gene flow associated with the transition between these biomes. By contrast, geographically patterned population substructure appears much weaker within the S-form.