A Large‐scale,Rapid Public Health Response to Rabies in an Organ Recipient and the Previously Undiagnosed Organ Donor

This article describes and contrasts the public health response to two human rabies cases: one organ recipient diagnosed within days of symptom onset and the transplant donor who was diagnosed 18 months post‐symptom onset. In response to an organ‐transplant‐related rabies case diagnosed in 2013, organ donor and recipient investigations were conducted by multiple public health agencies. Persons with potential exposure to infectious patient materials were assessed for rabies virus exposure. An exposure investigation was conducted to determine the source of the organ donor's infection. Over 100 persons from more than 20 agencies spent over 2700 h conducting contact investigations in healthcare, military and community settings. The 564 persons assessed include 417 healthcare workers [5.8% recommended for post‐exposure prophylaxis (PEP)], 96 community contacts (15.6% recommended for PEP), 30 autopsy personnel (50% recommended for PEP), and 21 other persons (4.8% recommended for PEP). Donor contacts represented 188 assessed with 20.2% recommended for PEP, compared with 5.6% of 306 recipient contacts recommended for PEP. Human rabies cases result in substantial use of public health and medical resources, especially when diagnosis is delayed. Although rare, clinicians should consider rabies in cases of encephalitis of unexplained aetiology, particularly for cases that may result in organ donation.     

The mbuna cichlids of Lake Malawi: a model for rapid speciation and adaptive radiation

Mbuna, the dominant fishes on the rocky shores of Lake Malawi, have become a major ‘model system’ for the study of rapid speciation and adaptive radiation. At least 295 putative species are known, of which more than 200 remain undescribed. There is no good evidence for monophyly in the mbuna, rather mitochondrial DNA phylogenies indicate that they are polyphlyetic with respect to benthic feeding cichlids of the genera Aulonocara, Alticorpus and some species of Lethrinops. Male mbuna hold territories for 18 months or more and breed year‐round. All species are maternal mouthbrooders, but females do not guard free‐swimming young. Mbuna are polygamous (both sexes). There is sexual dimorphism in size, colour and fin length, and many species show within‐population colour polymorphism. Mbuna genera are largely differentiated on the basis of head, jaw and tooth morphology, but congeneric species are generally distinguished by male colour. Many morphologically specialized forms have broad diets and often feed on common easily obtainable resources. While it is likely that dietary and habitat niche partitioning contributes to species coexistence, this has never clearly been demonstrated under experimental conditions. Populations on spatially separated habitat patches are often genetically differentiated, probably because most species are specialized for life on rocky shores, and lack a dispersal phase in their life histories. Males seem to disperse more than females, but are able to home several kilometres back to their territories. Some closely related ecologically equivalent allopatric populations are differentiated in male colour. Those tested have been shown to mate at least partially assortatively. Sexual selection acting on male colour seems the most plausible mechanism for initial species divergence. The same colour forms seem to have arisen several times, suggesting frequent parallel evolution. The main conservation threat to mbuna at present seems to be translocation of species within the lake as a result of the aquarium trade. However, deleterious effects on indigenous populations are not documented. In the long run, sedimentation, pollution, introduction of alien species and the development of targeted food fisheries could be more serious threats.     

The response of understory herbaceous plants to nitrogen fertilization in forests of different land-use history

Forests growing on former agricultural land often have reduced frequencies of many native forest herbs compared with forests that were never cleared for agriculture. A leading explanation for this pattern is that many forest herbs are dispersal limited, but environmental conditions may also hinder colonization. We examined the response of six forest herb taxa (Arisaema triphyllum, Cimicifuga racemosa, Disporum lanuginosum, Osmorhiza spp., Polygonatum spp., and Prenanthes altissima) to nitrogen (N) fertilization in forests with and without an agricultural history to investigate how N availability affects plant performance. The study was conducted in the southern Appalachian Mountains in western North Carolina, USA. There was a significant interaction between land-use history and N treatment for several species. In A. triphyllum and Osmorhiza spp., N fertilization increased aboveground biomass or leaf area more in the post-agriculture site than in the reference site. However, in the reference site, N fertilization depressed aboveground biomass or leaf area in the same taxa, as well as in C. racemosa. The foliar N concentration of these three taxa was elevated in fertilized plots regardless of land-use history, and there was no indication that the light environment differed among plots. These results suggest that some plants growing in post-agricultural stands may be N limited, whereas undisturbed stands in this region appear to be approaching N saturation. Thus, environmental conditions, and particularly N availability, may be an obstacle to the restoration of forest herb communities.     

Selenium supplementation of young red deer (Cervus elaphus)

Two selenium (Se) supplementation trials were conducted in successive years involving a total of 70 red deer calves 3-15 months of age grazing pasture containing 30-57 ppb of Se on a dry matter basis. The trials compared growth rate, whole blood Se and glutathione peroxidase (GSHpx) concentrations of calves which received periodic doses of oral Se or a single injection of barium selenate (equivalent to 50 mg Se) or no Se supplementation. There were no significant weight gain differences between treated and untreated groups in either trial. Whole blood GSHpx levels were strongly correlated with blood Se levels (r = 0.9278) and produced the following regression equation: GSHpx = 0.0155 Se - 2.292. In both years the 3 month old calves had GSHpx levels of 6-9 kU/I which probably derived from maternal transfer of Se. The GSHpx levels in unsupplemented calves declined from these levels to a minimum in winter (group means approximately 2.6) and then progressively rose the following spring and summer. Periodical oral dosing with Se or a single injection of barium selenate significantly elevated blood Se and GSHpx levels throughout the trials.     

Pseudohyperparathyroidism in a mare associated with squamous cell carcinoma of the vulva

An 18-year-old Appaloosa mare was examined because of squamous cell carcinoma of the vulva, anorexia with pronounced weight loss, and hypercalcemia. The tumor had developed rapidly over a period of 3 months and externally extended ventrally involving the perineum and the dorsal aspect of the udder. Necropsy examination demonstrated a large primary squamous cell carcinoma of the vulva, perineum, and mammary gland with metastases to the supramammary, sublumbar, deep inguinal, and mediastinal lymph nodes. No gross renal lesions were observed and, histologically, there was only mild vacuolation of renal tubular epithelium. Based on the normal concentration of serum parathyroid hormone, the absence of evidence of hypervitaminosis D, and normal renal function, a diagnosis was made of hypercalcemia of malignancy or pseudohyperparathyroidism. The mechanism responsible for hypercalcemia was not determined, but the histologic type of the neoplasm and the clinical course suggested possible production of a humoral hypercalcemic factor by the neoplasm, similar to that demonstrated in certain types of human squamous cell carcinoma.     

The flight from the arts and sciences: trends in degrees conferred

After rising steadily between 1954 and 1968, the percentage of all bachelor's degrees awarded in the arts and sciences declined dramatically. These swings cannot be explained by demographic variables; however, they have been affected by changes in the academic profiles of educational institutions that were in turn related to trends in enrollment. Even more important have been the changing choices of fields of study made by men and women (particularly in the case of the humanities), in part as a consequence of widening opportunities for women. The flight from the arts and sciences now appears to be over, and in the future gender-related variables can be expected to have less impact on the distribution of degrees conferred.