The growth and development of the major pelvic ganglion of the female rat in normal and disease conditions

The development of the pelvic ganglion was studied in female rats from birth to 90 days (adult) by electron microscopy, by morphometry on plastic sections and by histochemistry on whole-mount preparations. The pelvic ganglion of the adult female Sprague-Dawley rat had a volume (measured by the Cavalieri method) of 210 million pm3 and contained a total of 8185 ± 2147 neurons (counted by full reconstruction of three ganglia), which ranged in size from 1100-24500 gm3 (average 4942). In the newborn, the pelvic ganglion had similar topographical relations with surrounding organs as in the adult, was immersed in loose connective tissue rather than possessing a proper capsule, and had a volume about one quarter that in the adult. The ganglion was made of neurons, non-neuronal cells and blood vessels but it contained notably less collagen and fewer nerve bundles than in the adult; in contrast, SIF cells were abundant. Neuronal sizes ranged from 350 to 2250 p.m3 with an average of 596. The number of neurons was not evaluated at the developmental stages, but other studies have shown that in the female rat neurons are markedly more numerous in the newborn than in the adult. Intermediate stages in ganglion volume and neuronal size growth were found at 3, 7, 14, and 30 days. The neurons at birth were similar to those of the adult in shape; however, they lacked a glial sheath and had extensive membrane to membrane contacts with each other and with SIF cells. Only few Schwann cells were present and many nerve bundles were devoid of them. The intracellular organelles observed at birth were the same as those in the adult, but some, notably microtubules, were less abundant. Both axo-dendritic and axo-somatic synapses were observed from the time of birth. The growth of the pelvic ganglion was also investigated in experimental conditions of polyuria. For this, Brattleboro rats, with congenital diabetes insipidus, and their control parent strain Long-Evans, were used. In the adult Brattleboro rat there was hypertrophy of pelvic ganglion neurons and of urinary bladder: bladder weight was increased 4 fold and bladder capacity 3 fold. The muscle coat was increased in extent but not in thickness over the controls, and the muscle cells much enlarged in size. Brattleboro rats studied at 14 days of age were already displaying significant enlargement of bladder and pelvic ganglion over age matched controls

Structure of the ovaries of the Nimba otter shrew, Micropotamogale lamottei, and the Madagascar hedgehog tenrec, Echinops telfairi

The otter shrews are members of the subfamily Potamogalinae within the family Tenrecidae. No description of the ovaries of any member of this subfamily has been published previously. The lesser hedgehog tenrec, Echinops telfairi, is a member of the subfamily Tenrecinae of the same family and, although its ovaries have not been described, other members of this subfamily have been shown to have ovaries with non-antral follicles. Examination of these two species illustrated that non-antral follicles were characteristic of the ovaries of both species, as was clefting and lobulation of the ovaries. Juvenile otter shrews range from those with only small follicles in the cortex to those with 300- to 400-mu m follicles similar to those seen in non-pregnant and pregnant adults. As in other species, most of the growth of the oocyte occurred when follicles had one to two layers of granulosa cells. When larger follicles became atretic in the Nimba otter shrew, hypertrophy of the theca interna produced nodules of glandular interstitial tissue. In the tenrec, the hypertrophying theca interna cells in most large follicles appeared to undergo degeneration. Both species had some follicular fluid in the intercellular spaces between the more peripheral granulosa cells. It is suggested that this fluid could aid in separation of the cumulus from the remaining granulosa at ovulation. The protruding follicles in lobules and absence of a tunica albuginea might also facilitate ovulation of non-antral follicles. Ovaries with a thin-absent tunica albuginea and follicles with small-absent antra are widespread within both the Eulipotyphla and in the Afrosoricida, suggesting that such features may represent a primitive condition in ovarian development. Lobulated and deeply crypted ovaries are found in both groups but are not as common in the Eulipotyphla making inclusion of this feature as primitive more speculative. Copyright (C) 2005 S. Karger AG, Basel

Antipyretic and Antinociceptive properties o the aqueous extract and Saponin from an edible vegetable: Vernonia Amygdalina leaf

Vernonia amygdalina is commonly used for food and health purposes. The processing of the leaf for food is usually aimed at removing bitter tasting principles like saponins. This study was designed to determine the antipyretic and antinociceptive properties of the aqueous extract, crude saponin and the chromatographic fraction of the crude saponin from the leaf. In the antipyretic evaluation, anal temperature change in fasted rats with prior induced pyrexia using intra-peritoneal administered 15% w/v Saccharomyces cerevisiae, was measured four hours after dose administration. In the antinociceptive evaluation, 0.6% acetic acid solution administered by intra peritoneal route at a dose of 15 ml/kg was used to induce writhing in the writhing test; hot plate at 55 °C ± 1 to induce thermal pain in the hot plate test; and cold mixture of water and ethylene glycol (1:1) maintained at -10 °C to initiate pain sensation in the cold tail flick tests. Antipyretic data showed significant (P ≤ 0.05) anal temperature decrease for all the test doses compared to the placebo. This was markedly observed with the aqueous extract at 0.55 oC ± 0.03 anal temperature decrease, compared to the 0.29 0C ± 0.01 of the crude saponin, at a similar dose level of 400 mg/kg. At 200 mg/kg dose, the crude saponin induced an anal temperature decrease of 0.14 0C ± 0.02. This was higher than the response obtained with the chromatographic fraction which produced 0.06 0C ± 0.01 anal temperature decrease. Antinociceptive data was significant (P ≤ 0.05) for the crude saponin in the writhing (52.58 % antinociceptic effect) and hot plate tests (14.24 maximum percent analgesia), contrary to observation in the cold tail flick test. Findings showed the antipyretic and non-steroid like antinociceptive property of the crude saponin, which may support the rationale for the use of Vernonia amygdalina leaf to reduce fever and/or pain.Keywords: Anal temperature, writhing, pain, pyrexiaAfrican Journal of Food, Agriculture, Nutrition and Development, Volume 13 No. 2, April 201

Tuberculosis among Health-Care Workers in Low- and Middle-Income Countries: A Systematic Review

BACKGROUND: The risk of transmission of Mycobacterium tuberculosis from patients to health-care workers (HCWs) is a neglected problem in many low- and middle-income countries (LMICs). Most health-care facilities in these countries lack resources to prevent nosocomial transmission of tuberculosis (TB). METHODS AND FINDINGS: We conducted a systematic review to summarize the evidence on the incidence and prevalence of latent TB infection (LTBI) and disease among HCWs in LMICs, and to evaluate the impact of various preventive strategies that have been attempted. To identify relevant studies, we searched electronic databases and journals, and contacted experts in the field. We identified 42 articles, consisting of 51 studies, and extracted data on incidence, prevalence, and risk factors for LTBI and disease among HCWs. The prevalence of LTBI among HCWs was, on average, 54% (range 33% to 79%). Estimates of the annual risk of LTBI ranged from 0.5% to 14.3%, and the annual incidence of TB disease in HCWs ranged from 69 to 5,780 per 100,000. The attributable risk for TB disease in HCWs, compared to the risk in the general population, ranged from 25 to 5,361 per 100,000 per year. A higher risk of acquiring TB disease was associated with certain work locations (inpatient TB facility, laboratory, internal medicine, and emergency facilities) and occupational categories (radiology technicians, patient attendants, nurses, ward attendants, paramedics, and clinical officers). CONCLUSIONS: In summary, our review demonstrates that TB is a significant occupational problem among HCWs in LMICs. Available evidence reinforces the need to design and implement simple, effective, and affordable TB infection-control programs in health-care facilities in these countries

Infection control and the burden of tuberculosis infection and disease in health care workers in china: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Hospitals with inadequate infection control are risky environments for the emergence and transmission of tuberculosis (TB). We evaluated TB infection control practices, and the prevalence of latent TB infection (LTBI) and TB disease and risk factors in health care workers (HCW) in TB centers in Henan province in China.</p> <p>Methods</p> <p>A cross-sectional survey was conducted in 2005. To assess TB infection control practices in TB centers, checklists were used. HCW were tuberculin skin tested (TST) to measure LTBI prevalence, and were asked for sputum smears and chest X-rays to detect TB disease, and questionnaires to assess risk factors. Differences between groups for categorical variables were analyzed by binary logistic regression. The clustered design of the study was taken into account by using a multilevel logistic model.</p> <p>Results</p> <p>The assessment of infection control practices showed that only in a minority of the centers the patient consultation areas and X-ray areas were separated from the waiting areas and administrative areas. Mechanical ventilation was not available in any of the TB centers. N95 respirators were not available for HCW and surgical masks were not available for TB patients and suspects. The LTBI prevalence of HCW with and without BCG scar was 55.6% (432/777) and 49.0% (674/1376), respectively (P = 0.003). Older HCW, HCW with longer duration of employment, and HCW who worked in departments with increased contact with TB patients had a higher prevalence of LTBI. HCW who work in TB centers at the prefecture level, or with an inpatient ward also had a higher prevalence of LTBI. Twenty cases of pulmonary TB were detected among 3746 HCW. The TB prevalence was 6.7/1000 among medical staff and 2.5/1000 among administrative/logistic staff.</p> <p>Conclusion</p> <p>TB infection control in TB centers in Henan, China, appears to be inadequate and the prevalence of LTBI and TB disease among HCW was high. TB infection control practices in TB centers should be strengthened in China, including administrative measures, renovation of buildings, and use of respirators and masks. Regular screening of HCW for TB disease and LTBI needs to be considered, offering preventive therapy to those with TST conversions.</p

The Incidence of New Vertebral Compression Fractures in Women after Kyphoplasty and Factors Involved

PURPOSE: To identify the incidence of new vertebral compression fractures in women after kyphoplasty and to analyze influential factors in these patients. MATERIALS AND METHODS: One hundred and eleven consecutive female patients with osteoporotic vertebral compression fractures (VCFs) underwent kyphoplasty at 137 levels. These patients were followed for 15.2 months postoperatively. For the survey of new vertebral compression fractures, medical records and x-rays were reviewed, and telephone interviews were conducted with all patients. RESULTS: During that time 20 (18%) patients developed new VCFs. The rate of occurrence of new VCFs in one year was 15.5% using a Kaplan-Meier curve. Body mass index (BMI), symptom duration and kyphoplasty level were the statistically significant factors between the patient groups both with and without new VCFs after kyphoplasty. In the comparison between the adjacent and remote new VCF groups, the adjacent new VCF group showed a larger amount of polymethyl methacrylate (PMMA) use during kyphoplasty (p<0.05). Before kyphoplasty, 9.9% of the patients had been prescribed medication for osteoporosis, and 93.7% of the patients started or continued medication after kyphoplasty. The development of new VCFs was affected by the number of vertebrae involved in the kyphoplasty. However, the lower incidence rate (15.5%) of new compression fractures might be due to a greater percentage (93.7% in our study) of patients taking anti-osteoporotic medication before and/or after kyphoplasty. CONCLUSION: When kyphoplasty is planned for the management of patients with osteoporotic VCFs, the application of a small amount of PMMA can be considered in order to lower the risk of new fractures in adjacent vertebrae. The postoperative use of anti- osteoporotic medication is recommended for the prevention of new VCFs.ope