Internal and external regulation of plant organ stoichiometry.

Internal differences between plant organs are caused by the functional differentiation of plant tissue, whereas external supply rates of elements constrain nutrient uptake. Previous studies have concentrated on foliar or whole-plant stoichiometric response to the environment, whereas investigation of organ-specific comparisons is still pending. We explore C:N:P ratios of stems, leaves, diaspores and belowground organs in marsh plants, and evaluate the influence of environmental constraints using standardised major axis regression (SMA). For a pooled dataset, SMA resulted in distinct patterns of isometric and anisometric slopes between plant organs. Bivariate line-fitting for a split dataset of four ecological groups revealed that species of the frequently inundated marsh had higher N:C ratios than those of the infrequently inundated marsh. The influence of nutrient availability was detectable in decreased P:C and increased N:P ratios in P-poor sites. Across ecological groups, leaves and diaspores showed higher elemental homeostasis than stems and belowground organs. Any change in N:C ratios of belowground organs and diaspores in response to the environment was accompanied by an even stronger internal change in stem N:C ratios, indicating a pivotal role of stems of herbaceous plants in ecosystem processes. We found distinct patterns of C:N:P ratios in plant organs related to their internal function and external environmental constraints. Leaves and diaspores showed a higher degree of homeostasis than stems and belowground organs. We detected a clear external signal in element:element ratios of plant organs, with low soil P translating into lower tissue P:C ratio and stronger N retention in leaves as a response to salt stress.

Complex regional pain syndrome (reflex sympathetic dystrophy and causalgia): management with the calcium channel blocker nifedipine and/or the alpha-sympathetic blocker phenoxybenzamine in 59 patients.

Complex Regional Pain Syndrome (CRPS) is the new name for entities formerly known mostly as Reflex Sympathetic Dystrophy and Causalgia. Treatment of CRPS with either the calcium channel blocker nifedipine or the alpha-sympathetic blocker phenoxybenzamine was assessed in 59 patients, 12 with early stages of CRPS, 47 with chronic stage CRPS. In the early stage CRPS patients, 3 of 5 were cured with nifedipine and 8 of 9 (2 of whom had earlier received nifedipine) with phenoxybenzamine, for a cure rate of 92% (11 out of 12). In the chronic stage CRPS patients, 10 of 30 were cured with nifedipine; phenoxybenzamine cured 7 of 17 patients when administered as a first choice and another 2 of 7 patients who received nifedipine earlier, for a total late stage success rate of 40% (19 out of 47). The most common side effects necessitating discontinuing the drug were headaches for nifedipine and orthostatic dizziness, nausea and diarrhoea for phenoxybenzamine. All male patients on phenoxybenzamine experienced impotence, but this did not lead to discontinuing this agent and immediately disappeared after stopping the drug. These results once again stress the importance of early recognition of CRPS, and treatment with either of these drugs could be considered as a first choice for early CRPS, especially because in this series this treatment was not combined with physical therapy making it very cost-effective. In the chronic stage of CRPS, treatment with these drugs was much less successful (40%), even though it was always combined with physical therapy, but it can still be considered, either as a first choice or when other types of treatment have failed.

Local mechanics of the lung tissue determined by functional EIT.

A new functional EIT (f-EIT) evaluation technique providing information on the local dynamic behaviour of the lung is presented. Out of a series of single EIT thoracic images local time courses of the impedance change are extracted. To detect regional differences in the dynamic behaviour of the lung tissue the local time courses at different locations are related to the average time course of the impedance change over the whole thoracic cross section. The time shifts between this reference signal and the signals from separate positions are calculated from the phase information of the complex cross spectra and evaluated in terms of the local phase angle. The computed phaseshifts are imaged over the cross section creating an 'f-EIT phase image' characterizing the local dynamic properties. To relate the observed differences to the proper lung location the resulting images are presented as a combination of the f-EIT ventilation images, which represent the local amplitude of ventilation and the f-EIT phase images. The new imaging technique was tested in spontaneously breathing humans. Alterations to pulmonary dynamics were induced by changing the body posture of the subjects. The f-EIT phase imaging procedure was shown to identify lung regions with different dynamics and it is expected that this technique will also distinguish pathologically determined alterations.