Large solitary luteinized follicle cyst of pregnancy and puerperium

Solitary luteinized follicle cyst is a rare cause of ovarian enlargement during pregnancy and puerperium. Only rare cases of this clinical condition have been reported in the literature. We report a case of a large solitary luteinized follicle cyst arising in a 32-year-old multipara four days post partum which required postpartum surgical intervention. The perinatal outcome is usually good, with liveborn infants being delivered at or near term. The complications of the disease include ovarian torsion, intra-cystic haemorrhage, and rupture. The condition should be included in the differential diagnostic workup whenever a growing simple cyst is encountered during pregnancy and puerperium.Key words: luteinized follicle cyst; pregnancy; puerperium

Petrogenesis of Tertiary Alkaline Magmas in the Siebengebirge, Germany

Basanites from the Tertiary Siebengebirge area of Germany (part of the Central European Volcanic Province; CEVP) have high Mg# (>0·60), moderate to high Cr (>300 ppm) and Ni (>200 ppm) contents and strong light rare earth element enrichment, but systematic depletion in Rb and K relative to trace elements of similar compatibility in anhydrous mantle. Rare earth element melting models can explain the petrogenesis of these basanites in terms of partial melting of a spinel peridotite source containing residual amphibole. It is inferred that amphibole, indicated by the relative K and Rb depletion and the melting model, was precipitated in the spinel peridotite lithospheric mantle beneath the Siebengebirge, by metasomatic fluids or melts from a rising mantle diapir or plume. Alkali basalts and more differentiated rocks have lower Mg# and lower abundances of Ni and Cr, and have undergone fractionation of mainly olivine, clinopyroxene, Fe-Ti oxides, amphibole and plagioclase. Most of the basanites and alkali basalts approach the Sr-Nd-Pb isotope compositions inferred for the European Asthenospheric Reservoir component. Trace element constraints (i.e. low Nb/U and Ce/Pb ratios) and the Sr-Nd-Pb isotope composition of the differentiated rocks indicate that assimilation of lower crustal material has modified the composition of the primary mantle-derived magmas. High 207Pb/204Pb ratios in the differentiated lavas point to assimilation of ancient lower crustal components having high U/Pb and Th/Pb ratios. Relatively shallow melting of inferred amphibole-bearing spinel peridotite sources may suggest an origin from the metasomatized part of the thermal boundary layer. Application of new thermobarometric equations for the basaltic magmas indicates relatively normal mantle potential temperatures (1300-1400°C); thus the inferred mantle ‘baby plume' or ‘hot finger' is not thermally anomalou

'I-I' and 'I-me' : Transposing Buber's interpersonal attitudes to the intrapersonal plane

Hermans' polyphonic model of the self proposes that dialogical relationships can be established between multiple I-positions1 (e.g., Hermans, 2001a). There have been few attempts, however, to explicitly characterize the forms that these intrapersonal relationships may take. Drawing on Buber's (1958) distinction between the 'I-Thou' and 'I-It' attitude, it is proposed that intrapersonal relationships can take one of two forms: an 'I-I' form, in which one I-position encounters and confirms another I-position in its uniqueness and wholeness; and an 'I-Me' form, in which one I-position experiences another I-position in a detached and objectifying way. This article argues that this I-Me form of intrapersonal relating is associated with psychological distress, and that this is so for a number of reasons: Most notably, because an individual who objectifies and subjugates certain I-position cannot reconnect with more central I-positions when dominance reversal (Hermans, 2001a) takes place. On this basis, it is suggested that a key role of the therapeutic process is to help clients become more able to experience moments of I-I intrapersonal encounter, and it is argued that this requires the therapist to confirm the client both as a whole and in terms of each of his or her different voices

Herpes Simplex Virus 1 and 2 Infections during Differentiation of Human Cortical Neurons

Herpes simplex virus 1 (HSV-1) and 2 (HSV-2) can infect the central nervous system (CNS) with dire consequences; in children and adults, HSV-1 may cause focal encephalitis, while HSV-2 causes meningitis. In neonates, both viruses can cause severe, disseminated CNS infections with high mortality rates. Here, we differentiated human induced pluripotent stem cells (iPSCs) towards cortical neurons for infection with clinical CNS strains of HSV-1 or HSV-2. Progenies from both viruses were produced at equal quantities in iPSCs, neuroprogenitors and cortical neurons. HSV-1 and HSV-2 decreased viability of neuroprogenitors by 36.0% and 57.6% (p < 0.0001), respectively, 48 h post-infection, while cortical neurons were resilient to infection by both viruses. However, in these functional neurons, both HSV-1 and HSV-2 decreased gene expression of two markers of synaptic activity, CAMK2B and ARC, and affected synaptic activity negatively in multielectrode array experiments. However, unaltered secretion levels of the neurodegeneration markers tau and NfL suggested intact axonal integrity. Viral replication of both viruses was found after six days, coinciding with 6-fold and 22-fold increase in gene expression of cellular RNA polymerase II by HSV-1 and HSV-2, respectively. Our results suggest a resilience of human cortical neurons relative to the replication of HSV-1 and HSV-2

A Flagellar A-Kinase Anchoring Protein with Two Amphipathic Helices Forms a Structural Scaffold in the Radial Spoke Complex

A-kinase anchoring proteins (AKAPs) contain an amphipathic helix (AH) that binds the dimerization and docking (D/D) domain, RIIa, in cAMP-dependent protein kinase A (PKA). Many AKAPs were discovered solely based on the AH–RIIa interaction in vitro. An RIIa or a similar Dpy-30 domain is also present in numerous diverged molecules that are implicated in critical processes as diverse as flagellar beating, membrane trafficking, histone methylation, and stem cell differentiation, yet these molecules remain poorly characterized. Here we demonstrate that an AKAP, RSP3, forms a dimeric structural scaffold in the flagellar radial spoke complex, anchoring through two distinct AHs, the RIIa and Dpy-30 domains, in four non-PKA spoke proteins involved in the assembly and modulation of the complex. Interestingly, one AH can bind both RIIa and Dpy-30 domains in vitro. Thus, AHs and D/D domains constitute a versatile yet potentially promiscuous system for localizing various effector mechanisms. These results greatly expand the current concept about anchoring mechanisms and AKAPs

Third party consultation: a method for the study and resolution of conflict

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66597/2/10.1177_002200277201600105.pd