Quantification of Candida albicans morphology in vaginal smears

The morphology index (Mi) of Candida albicans cells was determined by microscopic image analysis in vaginal smears from 26 patients. The morphology of the cells typically showed a broad distribution of forms, but the mean Mi was greater than 2.0 in 23/26 instances, indicating a preponderance of pseudohyphal and hyphal forms. No association could be found between Mi and the clinical assessment of signs or symptoms of Candida infection. Comparison of these 26 patients with 43 others who had Candida-positive vaginal smears but with fewer than 15 fungal cells in the smear revealed significantly lower scores for vulvovaginal symptoms among the latter.

Growth faltering lacks association with the distribution of first year deaths

A retrospective study of infant mortality from death registers was made in St Lucia and St Vincent. In both islands postneonatal deaths by month were found to be evenly distributed throughout the first year although the total infant mortality rates differed widely. The growth of a cohort of children from three St Lucian villages was studied. Their weight curve showed 'faltering' at 3 months, closely resembling the developing world pattern described by Waterlow, Ashworth & Griffiths (1980). We therefore conclude that there is no necessary association between this pattern of infant growth and infant mortality rate, nor between the distribution of weight velocity and the distribution of deaths in the first year.