A Fetal-Maternal Shift of Blood Oxygen Affinity in an Australian Viviparous Lizard, Sphenomorphus quoyii (Reptilia, Scincidae)

Compared to adults, the oxygen affinity of blood from fetal Sphenomorphus quoyii is very much higher: P50 is approximately 70 Torr in adults and 30 Torr in nearly full term embryos (PC02= 17 Torr, T=34 degrees C). Following birth, oxygen affinity decreases gradually and adult values are approached after about 15 weeks, with the onset of winter retreat. Electrophoresis revealed a multiple hemoglobin system in both adults and embryos, but there were no apparent differences between them

Anomia and dyslexia in Chinese: A familiar story?

We report a study investigating the factors that predict the naming performance of four Chinese-speaking anomic patients. The results showed that the rated familiarity of an item predicts naming performance for all of the patients, a finding that is consistent with data from studies of English-speaking anomic patients. These data are discussed in terms of current models of spoken word production that have been developed largely on the basis of data from English speakers. We also investigated the relationship between anemia and dyslexia for each patient by presenting 232 items to name from pictorial input and from print. The results showed that there was a highly significant correlation between anemia and dyslexia for the same items among three of the four patients, a finding that is consistent with other studies of Chinese-speaking aphasic patients. However, for one patient there was a complete dissociation between naming and oral reading of the same items (impaired picture naming co-incident with flawless oral reading), suggesting that spoken word production and oral reading can proceed via separate cognitive systems. We offer a model of spoken word production and oral reading in chinese that assumes picture naming and oral reading rely upon functionally separate pathways to account for these data.link_to_subscribed_fulltex

613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review

Background Rupture of the spleen in the absence of trauma or previously diagnosed disease is largely ignored in the emergency literature and is often not documented as such in journals from other fields. We have conducted a systematic review of the literature to highlight the surprisingly frequent occurrence of this phenomenon and to document the diversity of diseases that can present in this fashion. Methods Systematic review of English and French language publications catalogued in Pubmed, Embase and CINAHL between 1950 and 2011. Results We found 613 cases of splenic rupture meeting the criteria above, 327 of which occurred as the presenting complaint of an underlying disease and 112 of which occurred following a medical procedure. Rupture appeared to occur spontaneously in histologically normal (but not necessarily normal size) spleens in 35 cases and after minor trauma in 23 cases. Medications were implicated in 47 cases, a splenic or adjacent anatomical abnormality in 31 cases and pregnancy or its complications in 38 cases. The most common associated diseases were infectious (n = 143), haematologic (n = 84) and non-haematologic neoplasms (n = 48). Amyloidosis (n = 24), internal trauma such as cough or vomiting (n = 17) and rheumatologic diseases (n = 10) are less frequently reported. Colonoscopy (n = 87) was the procedure reported most frequently as a cause of rupture. The anatomic abnormalities associated with rupture include splenic cysts (n = 6), infarction (n = 6) and hamartomata (n = 5). Medications associated with rupture include anticoagulants (n = 21), thrombolytics (n = 13) and recombinant G-CSF (n = 10). Other causes or associations reported very infrequently include other endoscopy, pulmonary, cardiac or abdominal surgery, hysterectomy, peliosis, empyema, remote pancreato-renal transplant, thrombosed splenic vein, hemangiomata, pancreatic pseudocysts, splenic artery aneurysm, cholesterol embolism, splenic granuloma, congenital diaphragmatic hernia, rib exostosis, pancreatitis, Gaucher's disease, Wilson's disease, pheochromocytoma, afibrinogenemia and ruptured ectopic pregnancy. Conclusions Emergency physicians should be attuned to the fact that rupture of the spleen can occur in the absence of major trauma or previously diagnosed splenic disease. The occurrence of such a rupture is likely to be the manifesting complaint of an underlying disease. Furthermore, colonoscopy should be more widely documented as a cause of splenic rupture