Individual variation in the production and survival of F cells in sickle-cell disease.

The protective role and underlying sources of the elevated levels of fetal hemoglobin associated with sickle-cell anemia were reassessed by microscopical immunodiffusion assays. Three variables that contribute to levels of fetal hemoglobin were examined: the percentage of fetal-hemoglobin-containing reticulocytes produced; the quantity of fetal hemoglobin synthesized within such cells; and the extent to which the fraction of fetal-hemoglobin-bearing erythrocytes is enriched beyond the level produced. Four general findings emerged from analysis of 29 patients: each variable is separately regulated; the expression of each is often distinctly different between individual patients; contrary to prior speculation, production of fetal hemoglobin may be as great in the absence of heterocellular hereditary persistence of the hemoglobin as in its presence; and fetal hemoglobin does not, as often supposed, guarantee preferential cell survival. We conclude that the differences encountered among patients must reflect heterogeneity among factors that modify production and survival of cells bearing fetal hemoglobin.


Defective long-term caloric regulation in obesity.

Whereas precise caloric intake occurs in normal and obese individuals on an acute basis, obese subjects do not maintain caloric regulation when there is a long overnight delay detween the preload and the subsequent meals.


Patterns of phencyclidine use.

Use of phencyclidine is a diverse phenomenon with wide variations in both the amount taken and the frequency of use. There is a large group of persons who have tried PCP once or twice and discontinued using. One of the key distinctions pointed out by this exploratory study relates to the feelings of control persons have over the effects of the drug. The PCP user who is not bothered by the lack of control is more likely to feel good and party with others when using and is more likely to have high use patterns. Feelings of control over the effects of PCP indicate an important individual difference in understanding reactions to PCP use and further research should systematically examine this phenomenon. There has been a discrepancy between our conceptions of PCP use and the actual patterns of use found in the United States. It appears that at this time most persons in the drug abuse field are willing to accept the fact that PCP is a drug of choice among young people and that some as yet unspecified proportion of users is able to use PCP and avoid major problems. While there remains much speculation about the motivation for use and the effects of such use, it would apper that we are ready to engage in research which systematically looks at the spectrum of users.


Phencyclidine use among youth: history, epidemiology, and acute and chronic intoxication.

Phencyclidine use appears to be in a growth phase nationally. Factors contributing to the increasing popularity include the user's ability to control the dosage, an understanding of the immediate effects, and its availability. Those most at risk appear to be young Caucasian males. Phencyclidine-related problems are often like tips of icebergs, the underlying causes of which are hidden from public view. The problems often surface in the form of speech difficulties, memory loss, thinking disorders, personality changes, paranoia, severe depression, violence, accidents, suicides and homicides. Of particular concern to law enforcement personnel is the upsurge in phencyclidine-related violent crimes and carrying of weapons by users to protect themselves from their imagined persecutors. The evidence currently available supports the assumption that if there is a solution to the problem of phencyclidine abuse, that solution is prevention. Therefore, medical personnel and others within the helping professions must be alerted to the fact that phencyclidine is not just another drug problem. The findings from users we have already studied strongly suggest that phencyclidine is not an "upper" or a "downer," but perhaps an "insideouter", with longer term implications.


Quantitative structure-activity relationships in the 2,4,5-ring substituted phenylisopropylamines.

The potency of a series of 2,4,5-ring substituted phenylisopropylamines was examined using the rabbit hyperthermia assay. An excellent correlation (r = 0.99) was found between the rabbit hyperthermic and human psychotomimetic potencies. In the hyperthermic model, the 4-X-substituted-2,5-dimethoxyphenylisopropylamines were found to be one to two orders of magnitude more potent than the 2-X- or 5-X-substituted positional isomers (X = -H, -CH3, -SCH3, -Br). Conformational perturbations induced by substituents ortho to the ethylamine side chain were studied with the PCILO and ab initio molecular orbital methods. The variations in the biological activities could not be rationalized in terms of the ability of the ortho substituents to stabilize conformations which mimic LSD. The electronic structures of the positional isomers were examined in the corresponding toluene analogues using the CNDO/2 method. A reasonable correlation (r = 0.98) was found between the Highest Occupied Molecular Orbital (HOMO) energy and the ionization potentials reported from photoelectron spectroscopy studies. In the case of the positional isomers, the HOMO energies were ordered as follows: 4-X greater than 5-X greater than 2-X. However, the regression analysis of the relationship between these orbital energies and Log Biological Activity (B.A.) was not impressive. Examination of the partition coefficients (octanol/water) of the positional isomers indicated that the 4-X- and 5-X-substituted compounds have almost equivalent Log P's, but that the 2-X-substituted-4,5-dimethoxyphenylisopropylamines are unusually hydrophilic. The regression of Log H.P. to the HOMO energies resulted in a marginally significant relationship; addition of the Log P's resulted in no significant improvement. Qualitative models based on both regiospecific lipophilicity or electron densities and also metabolic conversion to reactive intermediates are presented.


Carbon-13 nuclear magnetic resonance study of the alpha- and beta- isomers of methadol and acetylmethadol hydrochlorides.

The 13C-NMR spectra reported in these studies give direct evidence for the presence of two contributing conformers for alpha-methadol hydrochloride, alpha-acetylmethadol hydrochloride and beta-acetylmethadol hydrochloride. Indirect evidence is also available for the presence of more than one conformer for beta-methadol hydrochloride. However, in order to be more descriptive about the structures of the conformers, it is necessary to obtain 13C-NMR spectra that have a higher degree of resolution than is available from our present NMR system. Such systems are available, and plans are currently in progress to obtain 13C-NMR spectra or these compounds at high enough magnetic fields and low enough temperatures to give us the necessary data.


Fatal infantile form of muscle phosphorylase deficiency.

A girl had generalized, rapidly progressive weakness beginning at age 4 weeks, and causing severe respiratory insufficiency and death at age 13 weeks. Histochemical and biochemical investigations of a muscle biopsy showed increased glycogen concentration and complete lack of phosphorylase activity. The enzyme protein appeared to be absent by immunodiffusion, and the metabolic block was documented by studies of anaerobic glycolysis in vitro. The biochemical basis for the unusual clinical picture is obscure, but muscle phosphorylase deficiency has to be considered in the differential diagnosis of the "floppy baby syndrome".


Gamma hydroxybutyrate in the monkey. III. Effect of intravenous anticonvulsant drugs.

Monkeys were treated intravenously with various anticonvulsant drugs before and after the intravenous administration of gamma hydroxybutyrate (GHB). Continuous electroencephalographic (EEG) and temperature monitoring was performed throughout all experiments. The GHB-induced EEG changes were abolished by ethosuximide and clonazepam, marginally improved by diazepam, and unaffected by phenobarbital. The GHB-induced myoclonic jerks were abolished by ethosuximide, significantly improved by diazepam, and worsened by clonazepam. Phenobarbital was effective in diminishing the frequency of GHB-induced myoclonic jerks only when given prior to administration of GHB. The GHB-induced stupor was improved only by ethosuximide. The GHB model of petit mal seizures is quite specific for drugs used in this disorder. GHB may play a role in the pathogenesis of absence seizures in children.


Gamma hydroxybutyrate in the monkey. IV. Dopaminergic mechanisms.

The electrical seizure activity and trancelike state induced in the rhesus monkey by gamma-hydroxybutyrate (GHB) were abolished by dextroamphetamine. Dextroamphetamine blockade of this neurophysiologic effect was overcome with chlorpromazine, a dopamine receptor blocker. These results suggest that the electroencephalographic (EEG) and behavioral effects of GHB are related to effects on dopaminergic systems. Such a relationship, if substantiated by further studies, might indicate that anticonvulsant drugs used to treat petit mal epilepsy have a dopaminergic mode of action.


[Epilepsy with centrotemporal (Rolandic) spikes. A peculiar seizure disorder of childhood].

The study presents the results of a long term investigation of 60 epileptic children with Rolandic (centrotemporal) spikes in EEG. The results could be summarized as follows: the Rolandic epilepsy is relatively frequent entity (13.4% of the total number of epileptic children). The age span was from 3--13 years, with a peak of age incidence between the 7th and 8th year of life. More than half of children had nocturnal fits only. From the clinical point of view 60% of children had generalized crises, and the remaining 40% had partial attacks corresponding to the functional organization of the Rolandic cortical area. The evolution of the Rolandic epilepsy in childhood is favourable. More than 50% didn't have more attacks after the introduction of antiepileptic therapy, and 3/4 of them could be classified as practically cured after an long-term follow-up (criterion: an attack-free period of at least 5 years. Finally, in more than 80% of cases after three years of follow-up the spikes have disappeared from the EEG tracings which were completely normal.


Balancing needs with resources: a service-based approach.

A service-based analysis of public sector health expenditure in North Canterbury is presented. The results indicate that the largest share of the $61 million spent by the North Canterbury Hospital Board and the Christchurch District Health Office in 1975-76 was devoted to primary health care, followed by mental health, surgery and medicine. The implications of this approach for the planning and development of health services are discussed and it is suggested that this provides a framework for setting priorities both within and between services.


Drug resistant tuberculosis in New Zealand.

Strains of M. tuberculosis resistant to one or more of the antituberculous drugs have not been common in New Zealand in the past. There is however, a high incidence of drug resistant tuberculosis in Western Samoa, 50 percent of cultures tested showing drug resistance and half of these are resistant to two or more drugs. A change from the usual initial treatment is suggested for Samoan patients with tuberculosis in New Zealand.


[Effect of reserpine on the formation of 9,10-dimethyl-1,2-benzanthracene induced tumors in pinealectomized and thymectomized rats].

After reserpine treatment the incidence of dimethylbenzanthracene-induced tumors was found to be significantly higher in pinealectomized rats than in intact or thymectomized ones. A very high rate of DMBA-leukemia was observed in immune-deficient pinealectomized rats after reserpine administration. It is therefore suggested that the neuroendocrine disturbances due to removal of the pineal gland in the newborn animals, are latent and become evident after reserpine administration as reflected in an increased tumor incidence.


[General aspects of intravenous feeding of cancer patients].

In order to obtain or maintain a good nutritional status in cancer patients, it is often necessary to perform intravenous nutrition. In summary, several studies have indicated that intravenous nutrition may be beneficial in association with surgery, radiation, or chemotherapy in patients with cancer. More controlled studies, however, are required. There is no indication at the present time of any adverse effects of this method of treatment in relation to tumor growth. The general nutritional improvement in patients on intravenous nutrition increases the immunocompetence, resistance to radiation and cytostatics as well as the mood and quality of life of the cancer patients. In very broad terms this new intravenous nutrition therapy means that a cancer patient should not be left without specific cancer therapy because of starvation and its serious or even fatal complications.


[Detection of stage specific and organ specific human brain antigens during embryogenesis].

The rabbit antisera were obtained against the water soluble antigens of the brain of 8--10 weeks old human foetuses. Three groups of specific antigens were identified in the brain of human foetuses: 1) antigens common for the embryonic brain and other organs of the same age; 2) antigens common for the embryonic brain and some organs of the adult organism; 3) stage (phase)-specific brain antigens present only in the brain between the 8th and 10th weeks of pregnancy.


Clinical trial of topical disodium chromoglycate in vernal keratoconjunctivitis.

The clinical picture of Spring catarrh was studied in 96 cases. The duration of the disease was found to be 3.5 +/- 2.6 years. It exists all the year round with a higher frequency between April and August. Male children were affected about three times more frequently than females. The effect of DSCG was studied in 20 cases. It had a significant therapeutic effect. We advise a combined DSCG and corticosteroid treatment in the period of exacerbation.


Lymphoid lesions of the conjunctiva: relation of histopathology to clinical outcome.

A retrospective clinicopathologic study of 40 patients with lymphoid lesions of the conjunctiva demonstrated the validity of current histologic criteria in predicting clinical outcome. Overall histologic architecture as well as cytologic detail must be used to differentiate benign reactive lymphoid hyperplasia from lymphoma. Lesions verified clinically as being malignant had obvious malignant cytologic features. Clinical signs of surface follicularity, multifocality, and minimal elevation suggest benignancy. All the benign lesions, on histopathologic examination, were either follicular in architecture or composed of mature lymphocytes, and were generally restricted to the substantia propria. Bilaterality and clinical recurrence do not necessarily imply a malignant disease.


Observations on the pathology of canine microsporidiosis.

The available literature on canine microsporidiosis indicates that this disease, primarily of young dogs, is a distinct clinicopathological entity. It has been confused with canine distemper and rabies, and must be differentiated from toxoplasmosis. Information available on the spectrum of pathological change associated with this disease is incomplete but a distinct pattern emerges from a study of the reports. The aetiological agent appears to have a predilection for the central nervous system and kidneys, but other tissues and organs, and especially the liver, may also be infected. Vasculitis and perivasculitis, which may include fibrinoid necrosis, seem to be a basic lesion. Cellular inflammation ranges from polymorphonuclear leukocyte infiltration in areas of necrosis to focal granulomas. There may be no cellular reaction to compact groups of organisms. Histopathological and ultrastructural studies of this case augment our knowledge of the pathological changes seen with canine microsporidiosis.


New chemotherapeutic agent for root canal treatment. A preliminary electron microscopic study on an in vivo and in vitro endodontically treated tooth.

A preliminary in vivo and in vitro electron microscopic study of root canals treated endodontically with EDTA-C and Salvizol proved the latter to be superior as a chemomechanical and irrigation solution, especially in the apical third of the roots. A further virtue of Salvizol, as has been demonstrated, is its capability to dissolve the organic matrix of dentin, thus exposing the mineralizing front and the patent tubules even in the apical third of the canal. The combined properties of Salvizol which introduce it as a chemotherapeutic agent for endodontics are: (1) broad spectrum of bactericidal activity, (2) ability to dissolve calcium, (3) neutral pH, (4) cleansing potency, and (5) biologic compatibility.


The response of the living organism to dead and fixed dead enclosed homologous tissue.

Polyethylene tubes at both ends and with four perforations in the side walls were filled with untreated homologous necrotic muscle tissue or formaldehyde-fixed or glutaraldehyde-fixed homologous necrotic tissue and implanted subcutaneously in rats. The cell reaction in the tissues surrounding the differently filled tubes was examined. It was found that the inflammatory reaction to untreated necrotic homologous tissue was the least severe.


Functional rehabilitation of ankylosed temporomandibular joints.

Successful chrome-cobalt prostheses have been used to replace the condyle and glenoid fossa in six young Macaca irus monkeys. In one group of two animals the left temporomandibular joint was replaced; in the second group the right joint and in the third group both temporomandibular joints were replaced. Neither masticatory function nor ability to open or close the mouth was affected, and all the animals remained in excellent health, living in the colony for 9 to 10 months. A similar surgical procedure was carried out for treatment of three human patients with ankylosed temporomandibular joints.


Histopathology and electron and immunofluorescence microscopy of gingivitis granulomatosa associated with glossitis and cheilitis in a case of Anderson-Fabry disease.

A 17-year-old white boy with signs, symptoms, and family history of angiokeratoma corporis diffusum universale, Anderson-Fabry disease (AFD), developed recurrent and then persistent swelling of both lips, erythematous hyperplastic gingivae, and a pebbled tongue. Positive blood findings were raised serum IgE, decreased T-cell level, and increased B-cell level. Histopathology of the gingiva showed noncaseating granulomas with multinucleate giant cells containing Schaumann bodies and large plasma-cell infiltrates in which immunofluorescence demonstrated immune globulins of several classes. Electron microscopy and histochemistry demonstrated ceramide in the vasculature. No glycolipid was found in the macrophages or giant cells of the granulomas which, in contrast, resembled sarcoid reactions. Plasma cells with Russell bodies and immune reaction-induced degranulation of mast cells were also identified. The pathogenesis of the oral findings possibly relates to altered immune reactivity associated with damage to the microvasculature analogous to that in Melkersson-Rosenthal syndrome.


Histologic study of tooth transplantation in the rabbit.

Tooth transplantation between preimmunized unrelated mismatched animals appears to induce the same immunologic problems that appear in the grafting of other organs. Such transplants showed more inflammatory root resorption and ankylosis and less reattachment of periodontal ligaments than did allografts between compatible animals. It appears that transferring the teeth to the similar side, suturing the gingival soft tissue around the teeth, splinting the transplanted teeth, and antibiotic therapy improve results by minimizing the effects of surgical procedures and trauma. Surgical trauma is confirmed as an important factor, along with immunogenetic differences between donor and recipient, in determining the outcome of tooth transplantation.


The effect of dinitrochlorobenzene (DNCB) on dimethylbenzathracene (DMBA) carcinogenesis on hamster buccal pouch.

DNCB is an antigen that stimulates the cell-mediated response in a sensitized host. The purpose of this study was to define the effect DNCB would have on a standard model system for oral carcinogenesis, theorizing that tumorgenesis would be delayed or inhibited. Fifty-six Syrian hamsters were divided into four groups. In group A (DNCB/DMBA), the right buccal pouch of twenty animals was treated with 2% DNCB in orabase, twice a week, and 0.5% DMBA, three times a week, for 10 weeks. In group B, twenty animals received DMBA only. In group C, six animals received DMBA in Orabase. In group D, ten animals received DNCB in Orabase only. The animals were killed at 6, 12, 16, and 20 weeks. The results indicate that there were no differences in the latent period or in the histologic characteristics of the epidermoid carcinomas that developed. However, there was sensitization of the buccal pouch in pouches painted with DNCB, in that gross and histologic evidence of a delayed sensitivity reaction was demonstrated.


Pulpal and periodontal effects of electrosurgery involving cervical metallic restorations.

The pulpal and periodontal effects of electrosurgery involving teeth restored with Class V cervical amalgams and nonrestored teeth were evaluated in three cynomolgus monkeys. Electrosurgical current was delivered for 1 second with a fully rectified unit at an output intensity consistent with normal clinical usage. Experimental conditions included electrosurgery involving restored teeth, electrosurgery involving unrestored enamel, restored teeth not subjected to electrosurgery, and teeth which were neither restored nor subjected to electrosurgery. No pulpal or periodontal tissue changes were observed in the latter three groups of teeth. Electrosurgery involving cervical restorations consistently resulted in coagulation necrosis of the pulp and extensive resorption of cementum, dentin, and interradicular bone in the furcation area of multirooted teeth. The results suggest that inadvertent contact with cervical restorations during electrosurgical procedures may endanger both the pulp and the periodontal attachment apparatus.


[Nitrogen balances in very premature newborns in the course of parenteral nutrition (author's transl)].

Nitrogen balance studies were performed in the course of parenteral nutrition during the first 5 days of life in 2 groups of premature newborns (I. group: 7 prematures, b.w. M = 1295g; II. group: 7 prematures, b.w. M = 1447g). Glucose and fat emulsion were administered intravenously in children of the first group, in the second one L- Aminoacids (250 mg N/kg body weight/24 hrs.) were added. In comparison with the first group nitrogen retention of 77 to 170 mg/kg body weight/24 hrs. was reached, but blood urea concentration increased significantly.


Residues of pesticides and PCBs in estuarine fish,1972-76--National Pesticide Monitoring Program.

This report summarizes 1524 analyses of juvenile fish collected semiannually in 144 estuaries nationwide from July 1972 through June 1976. Pooled samples of 25 whole fish were screened for 20 common pesticides and polychlorinated biphenyls (PCBs). The three most common residues, DDT, PCBs, and dieldrin, were found in 39, 22, and 5 percent of the samples, respectively. Data indicate that estuarine pollution levels continue to decline.


Residues of organochlorine insecticides and polychlorinated biphenyls in fish from Lakes Huron and Superior, Canada--1968-76.

Five species of fish from Lake Superior and 12 species from Lake Huron were analyzed for organochlorine pesticides and polychlorinated biphenyls (PCBs) between 1968 and 1975. Mean residues of sigma DDT peaked at 1.72 ppm and 7.60 ppm in lake trout (Salvelinus namaycush) from Lakes Superior and Huron, respectively. By 1975, the mean level of sigma DDT had decreased in lake trout and was highest in bloaters (Coregonus hoi) from both lakes: 1.06 ppm and 1.87 ppm, respectively. Dieldrin levels in fish from Lake Superior changed little over the same period. However, in 1969-70, dieldrin levels in fish from Lake Huron exceeded the 0.3 ppm tolerance level set by Health and Welfare Canada or the Food and Drug Administration, U.S. Department of Health, Education, and Welfare in 5 percent of lake whitefish (Coregonus clupeaformis) and 10 percent of bloaters. By 1975, 50 percent of bloaters caught in Georgian Bay and North Channel had dieldrin levels above 0.3 ppm. PCB residues declined in lake trout and lake whitefish caught in Lake Superior between 1971 and 1975, but increased slightly in bloaters and white sucker (Catostomus commersoni). Mean PCB residues in bloaters caught in Lake Huron in 1969-71 and 1975-76, and splake (Salvelinus fontinalis and S. namaycush) and cisco (Coregonus artedii) caught in 1975 exceeded the 2 ppm tolerance level.


Residues of organochlorine insecticides and polychlorinated biphenyls in fish from Lakes Saint Clair and Erie, Canada--1968-76.

Eighteen species of fish from Lake Saint Clair and 19 species from Lake Erie were analyzed for organochlorine pesticides and polychlorinated biphenyls (PCBs) between 1968 and 1976. Mean residues of sigma DDT peaked at 1.19 ppm in longnose gar (Lepisosteus osseus) caught in Lake Saint Clair in 1970-71, but had declined in all species by 1975-76. Dieldrin levels in fish tissues increased over the same period. White bass (Morone chrysops), caught in 1975 in Lake Erie, had the highest mean residue of dieldrin at 0.17 ppm. PCB residues increased in some species and decreased in others. PCB residues exceeding the tolerance level of Health and Welfare Canada were found in the following: from Lake Saint Clair, smallmouth bass (Micropterus dolomieui) in 1975 and channel catfish (Ictalurus punctatus) in 1971; from Lake Erie, coho salmon (Oncorhynchus kisutch) in 1970, smallmouth bass, alewife (Alosa pseudoharengus), freshwater drum (Aplodinotus grunniens), and gizzard shad (Dorosoma cepedianum) in 1971, and white bass in 1971 and 1976.


Organochlorine pesticides and polychlorinated biphenyls on sediments from a subarctic salt marsh, James Bay, Canada--1976.

Sediment samples were collected from a subarctic salt marsh on James Bay, Ontario in May 1976. Of 15 organochlorine compounds analyzed, trace amounts mainly of p,p-DDE and polychlorinated biphenyls (PCBs) were detected, but could not be quantitated.


[Preliminary results of a new radioimmunoassay for thyroxine binding globulin (T.B.G.) (author's transl)].

A radioimmunoassay for the accurate measurement of T.B.G., developed by Crouzat-Reynes, was used to perform T.B.G. concentration in sera of euthyroid subjects in different clinical situations, in hypothyroid and hyperthyroid patients. In normal control, the T.B.G. concentration was not different from men and women, from young and old subjects (m = 21,1; sigma = 3,9). On the other hand, in women either pregnant (m = 51,2; sigma = 18,1) or receiving oral contraception (m = 30,1; sigma = 5,7), the T.B.G. levels were significantly higher than euthyro subjects. Cirrhosis of the liver and liver carcinoma were without apparent effect on T.B.G. levels because it was a too few number of patients and the group was too heterogeneous. In the group of hypothyroid (m = 25,9; sigma = 6,5) and hyperthyroid (m = 21,1; sigma = 5,5) patients, the T.B.G. serum concentrations were not significantly different from normal. The ratio T4/T.B.G., as I.T.L. (T4 X T3 uptake) permit to bring back in normal range T4 levels changed by extrathyroidal process; however, this ratio seems to us to be less interesting than standard I.T.L. The T.B.G. assay has not to be considered only as a substitution of T3 uptake because they do not study the same parameters.


Nutritional management of chronic renal failure.

Patients with renal failure often have wasting syndrome, owing both to poor dietary intake and to the rigors and consequences of the uremic syndrome. Dietary therapy aims to improve nutritional status and also to minimize uremic toxicity and the metabolic imbalances associated with failing kidney function. Excessive protein intake can increase uremic toxicity, but opinion is divided as to when protein intake should be restricted. Restriction rarely is necessary until the glomerular filtration rate (GFR) is below 25 ml/min. When the GFR is between 4 and 10 ml/min, a diet containing 35 (for women and very small men) to 40 gm of high-quality protein will maintain good nutrition and relative freedom from symptoms. With a GFR below 4 to 5 ml/min, maintenance dialysis should be instituted or a supplemental diet containing essential amino acids may be used. Most patients should receive calories in the amount of at least 35 kcal/kg of body weight per day. Supplements of folic acid, pyridoxine hydrochloride, ascorbic acid, and the water-soluble vitamins should be given. Sodium and water restriction may be necessary.


Effects of combinations of phencyclidine and pentobarbital on schedule-controlled behavior in the squirrel monkey.

Three squirrel monkeys trained on a variable interval schedule of food presentation were used to examine the interaction between phencyclidine (PCP) and pentobarbital (PB). First, dose-response curves for each drug given alone were obtained. PCP caused small response rate increases at low doses, and a dose-dependent decrease in responding at higher doses. PB caused only dose-dependent decreases in responding. The PB dose-response curve was then redetermined in the presence of four doses of PCP. Little support was found for the hypothesis that PCP enhances the depressant properties of PB. In fact, most dose combinations caused less disruption of responding than expected from simple addition of the effects of each drug given alone. These results are discussed in terms of species differences, measurement of different dipendent variables and rate-dependency.


Effects of passive immunization against morphine on heroin self-administration.

Antimorphine antibodies produced in Rhesus monkeys immunized with morphine-6-hemisuccinate-BSA were passively administered to recipient monkeys trained to self-administer heroin and cocaine. Following antibody administration, changes in heroin self-administration behavior were observed which were similar to those achieved with low doses of naloxone. Both manipulations increased heroin self-administration without affecting cocaine responding.


Short-term memory in the rhesus monkey: effects of dopamine blockade via acute haloperidol administration.

The effects of dopaminergic blockade on recent or short-term memory (STM) were evaluated in test-sophisticated rhesus monkeys. Each monkey was tested under several doses of the antidopaminergic haloperidol (0.006 to 0.05 mg/kg), in an automated, delayed-response procedure. The same procedure and test apparatus had previously been used to demonstrate profound STM impairments in aged rhesus monkeys and strikingly similar deficits in young monkeys given the anticholinergic scopolamine. The results of this study do not support the notion that dopaminergic mechanisms play a critical role in primate STM. Although significant impairments in delayed-response accuracy were observed with the higher doses of haloperidol, this impairment was unrelated to the duration of the retention interval, implying a more general, non-mnemonic dysfunction. Since the qualitative nature of this deficit to dissimilar to, and not as specific as that previously found in aged rhesus monkeys (or young monkeys given scopolamine), it is suggested that age-related changes observed in the dopaminergic system are less likely to be responsible for the aged STM impairments than comparable age-related changes in the cholinergic system.


A two-way scanning method for total body in vivo neutron activation analysis.

When determining the total body content of many elements by neutron activation analysis, irradiation and whole body counting by scanning along the length of the body has significant advantages. A neutron source of lower output and a whole body counter using smaller detectors and shielding (than otherwise needed) can provide a high, uniform response for many elements throughout the body. This was previously achieved by making the speed and direction of scanning identical in irradiation and counting (one-way scanning). A simple theoretical model for scanned irradiation and counting is described. The model is used to show that a scanning regime in which both scanning directions are used (two-way scanning) can provide acceptably uniform response for elements having induced activities of a wide range of half-life. This is supported by measurements made using an existing scanning facility for total body in vivo neutron activation analysis. The two-way scanning regime offers the advantages of increased patient comfort, simpler operation and more efficient use of the time available for counting induced activity.


Pulse propagation in muscle.

A technique is described for measuring the propagation velocity of a mechanical pulse along a muscle. The pulse is generated and detected by piezoelectric crystals (bimorph benders). Measurement of the time delay for a known crystal separation gives the propagation velocity v (of the order of 100 m s-1) from which the Young's modulus is calculated. Primary results for elastic moduli of frog and toad muscles at 5 degrees C are: 2.6 X 10(6) N m-2 at rest, 3.1 X 10(7) N m-2 in tetanus and 2.1 X 10(7) N m-2 in rigor. Exploratory experiments are also described showing the application of the technique to (i) the development of tetanus, (ii) variation with sarcomere length and (iii) the mechanics of rigor. The pulse technique gives an almost instantaneous measurement of the purely elastic response of a muscle and is thereby of value in basic studies of the mechanism of contraction. It is also a useful non-destructive probe in following the effects of such variables as temperature, fatigue or chemical treatments.


Undersea psychophysiologic reactions of human organism.

The determinations carried out on 12 divers during the immersion into the sea to a depth between 7 and 29 m, as well as on controls in immersions at 4 m revealed a significant prolongation of the visual reaction time and a marked tachycardia. The changes were more marked at great depths and if exercise was superimposed over hyperbaric stress. A rise in the urinary excretion of 17-HOCS and vanillylmandelic acid and an impairment of the manual dexterity were also found during immersions. The results stress the importance of divers' monitoring during their underwater activity and the necessity of improving their physical training.


Mechanisms and significance of QRS macrovoltage in the absence of cardiac hypertrophy.

The electric stimulation of the lateral ventricular walls carried out in experiments on dog heart (open-thorax), as well as the analysis of the clinical, radiological and electrocardiographic data recorded in 462 cases with QRS macrovoltage led to the following conclusions: a) in 22% of the cases (hospital cardiologic examinations) this anomaly cannot be accounted for either by age, blood pressure or cardiac hypertrophy; b) a temporarily perturbed development of the ventricular depolarization, i.e. a "jerky" depolarization, not stagnant enough to produce an intraventricular block, may generate great negativity and positivity myocardial masses responsible for the appearance of large dipoles, namely of the increased QRS voltage; c) the coincident ischemia and macrovoltage of the QRS major wave, as well as the subsequent evolution of incipient CHD in a series of patients point to the hypothesis according to which the regional myocardial ischemia may induce a QRS macrovoltage by means of the above mechanism.


A sensitive radioimmunoassay for 6-keto-prostaglandin F1alpha: preliminary observations on circulating concentrations.

A radioimmunoassay for 6-keto-prostaglandin F1alpha (6-keto-PGF1alpha) is reported. The mean least detectable mass of 6-keto-PGF1alpha is 1.45 pg and the mean mass of added 6-keto-PGF1alpha required to displace zero-point binding by 50% is 94.2 pg. Cross-reactivities of the antiserum with all the prostaglandins and related compounds tested are less than 0.1% except for PGE2 and PGF2alpha which are respectively 0.16% and 0.80%. The assay is both accurate and reproducible and measured levels are in good agreement following extraction of 0.25--4.0 ml of plasma. Mean circulating concentrations of 6-keto-PGF1alpha in five non-pregnant humans, rhesus monkeys and sheep were 115, 65 and 25 pg/ml respectively.


Arachidonic acid distribution in lipids of mammary glands and DMBA-induced tumors of rats.

In the phospholipid fractions, arachidonic acid represented a several fold higher percentage of fatty acids from DMBA-induced tumors and in mammary glands from midpregnant rats when compared to mammary glands from virgin rats. Arachidonic acid was not present in measurable quantities in the neutral lipid fractions of mammary glands from virgin rats. The arachidonic acid in the neutral lipid fraction of mammary glands from midpregnant rats was only detectable in the triglyceride-sterol ester fraction, but in that fraction less than 1% of the fatty acids were arachidonic acid. In the neutral lipids of the DMBA-induced tumors, it was of particular interest that a high proportion (19%) of the fatty acids in the diglyceride fraction consisted of arachidonic acid; no arachidonic acid was detected in the diglycerides of the normal tissues.


Oxygen requirement for prostaglandin biosynthesis.

The formation of prostaglandins by vesicular gland cyclooxygenase can be regulated by O2 concentrations below 30 micron (20 mm Hg) with an apparent Km value of about 5 micron. This result suggests that most mammalian tissues might be expected normally to have sufficient O2 for some synthesis, and that only occasionally, would the level of oxygen available within some tissues become marginally inadequate to sustain a high rate of prostaglandin biosynthesis.


Redistribution of intrarenal blood flow following ADH administration: lack of inhibition by blockade of prostaglandin in cyclooxygenase.

The effect of prostaglandin synthesis inhibition on the redistribution of renal cortical blood flow in response to antidiuretic hormone (ADH) was examined using radioactive microspheres in water loaded, thiopental-anesthetized dogs. Microsphere injections were made during a control and an ADH infusion period (0.35 mU/kg/min following a 20 mU/kg bolus)  both before and after indomethacin pretreatment (8 mg/kg intravenously). Urinary prostaglandin E2 (PGE2) excretion in each period was measured by gas chromatography-mass spectrometry. ADH caused a marked redistribution of flow toward inner cortical zones from 19 +/- 1 to 25 +/- 2 ml/min (mean +/- SE, p less than 0.01). Fractional flow to inner zones was also significantly increased. Indomethacin pretreatment had no effect on the ADH-induced redistribution (17 +/- 2 vs. 24 +/- 2 ml/min, p less than 0.01), although urinary PGE2 excretion was suppressed by indomethacin by 60%. It is concluded that prostaglandins do not mediate the redistribution of intrarenal blood flow accompanying ADH administration.


Role of prostaglandins and histamine in reactive hyperemia: in-vivo studies on single mesenteric arterioles.

Direct, in vivo microcirculatory experiments were undertaken with anesthetized rats to determine whether prostaglandin (PG)-like compounds and histamine may mediate post-occlusion hyperemia in single mesenteric arterioles. Superfusion of the mesenteric vasculature with two structurally different PG synthetase inhibitors, indomethacin and 5,8,11,14-eicosatetraynoic acid (ETA), was found to markedly inhibit postocclusion vasodilator responses in arterioles 20-22 micrometer i.d. Superfusion of mesentery with an H2-histamine receptor antagonist, metiamide, resulted in a 40% inhibition of the postocclusion vasodilator responses in arterioles. Superfusion of the mesenteric vasculature with a combination of indomethacin and metiamide resulted in a 95% suppression of the postocclusion dilator responses. Administration of either the PG synthetase inhibitors, metiamide, or a combination of both types of drugs did not, however, influence resting arteriolar tone or responsiveness to PGE1 or epinephrine. Although the results of these experiments implicate a role for PG-like substances and histamine in reactive or postocclusion hypermia, they do not provide evidence for a role of these humoral substances in the normal moment-to-moment regulation of arteriolar tone.


Drug-induced lung disease.

Since there are no diagnostic studies to confirm the presence of a drug-induced lung reaction the physician will make a correct diagnosis only if he is aware of the drugs which have been identified to cause pulmonary reactions and their specific manifestations. Failure to recognize a drug-induced lung disease can lead to significant morbidity and in some cases mortality. The major drug-induced lung diseases are reviewed, the drugs being presented in the context of their clinical use and the reactions on the basis of common pathogenetic mechanisms.


Clinical and laboratory studies of levamisole in patients with rheumatoid arthritis.

Two studies with levamisole in rheumatoid arthritis are reported. In the first study of 30 patients levamisole was superior to placebo in terms of pain relief, reduction in articular tenderness, duration of morning stiffness, erythrocyte sedimentation rate (ESR), and radioisotope uptake in knee and wrist joints. There were no consistent differences in lymphocyte function, immunoglobin or complement concentration, or polymorphonuclear granulocytic function. In the second study forty patients were commenced on treatment with either gold or levamisole. At the end of one year there were significant improvements with both regimens in pain score, joint tenderness and ESR. The patients on levamisole showed significant improvement of duration of morning stiffness, while the patients on gold showed significant improvement of rheumatoid factor titre and left hand grip, but there were no significant differences between the two regimens.


Absorption of phenoxymethylpenicillin in children. The influence of age, state of disease and pharmaceutical preparation.

The bioavailability of phenoxymethylpenicillin (pc V) was determined in children with upper respiratory infection (age 1 month-5 years) following the administration of different commercial preparations of pc V. Administration of potassium pc V in water solution resulted in a significantly higher plasma concentration than the same dose of potassium pc V in an oil vehicle. There was no difference in absorption between tablet and mixture (the water solution) when potassium pc V was given, but with calcium pc V lower plasma levels were found after the oil mixture form than after the tablets. The results indicate that the oil mixture form and not the type of salt is responsible for the decreased absorption observed after some preparations of pc V. The absorption of solutions of potassium and calcium pc V was also examined in two different age groups, 1--5 months and 6 months-5 years. For both preparations the younger children obtained higher plasma levels. In 4 children with coeliac disease a decreased absorption compared to control children was found of potassium pc V in solution and this was most pronounced when the oil vehicle was used.


Abnormalities of the gait occurring during recovery from fractures of the lower limb and their improvement during rehabilitation.

The gait patterns of 19 patients recovering from fractures of the lower limb were analysed using a metal track on which patients walked in shoes fitted with metal contacts. The technique demonstrated marked abnormalities of the gait when patients were admitted to a rehabilitation unit, with an overall reduction of the extent of these abnormalities during treatment. Marked improvements of gait occurred whilst the patients were walking with the aid of crutches. However, little improvement occurred whilst the patients walked with sticks, but when sticks were discarded further marked improvements occurred.


Oesophageal diverticula. A follow-up study of 34 patients.

Of the 34 patients treated surgically for oesophageal diverticula during a 17-year yperiod, 14 had Zenker's and 20 thoracic diverticula. In addition to three diverticular perforations, the selection of the patients for surgery was based on major symptomatology and roentgenological retention in the diverticulum. The most usual method was a simple diverticulectomy. One patient was lost because of an oesophagopleural fistula, while non-lethal complications occurred in 10 patients. Twenty-nine patients were available for the follow-up study, which was made, on an average, 5.5 years postoperatively. Four had died of other causes. Seventeen patients regarded the results as good and 11 as acceptable. A roentgenological recurrence was detected after six Zenker's and four thoracic diverticulectomies by using the hypotonic double contrast method. Most recurrences caused only minor symptoms, if any. Two new diverticula were found in addition to the recurrences. Only one patient was reoperated on, while the slight discomfort felt by the others was not considered an indication for surgery.


The re-use of previously implanted pacemakers.

Two methods were used to sterilize pacemakers recovered for reimplantation in other patients. In a series of 50 reimplantations there was no battery or pocket complication which could be attributed to these methods. We believe that reimplantation is justified especially as the economic factors will become much more important with the new long-lasting, hermetically sealed lithium pacemakers.


Afterload reduction in the treatment of cardiac failure.

The vasodilators produce disparate modifications of cardiac function depending on the differing alterations of preload versus impedance: nitrates principally cause venodilation; nitroprusside, phentolamine and prazosin produce balanced arterial and venous dilation; while hydralazine predominantly effects arterial dilation. Combined nitroprusside and dopamine or dobutamine synergistically enhance low cardiac output and decrease raised left ventricular end-diastolic pressure. Ambulatory oral vasodilator therapy is provided by long-acting nitrates, hydralazine and prazosin alone, combined nitrate-hydralazine and combined prazosin-hydralazine. It is truly remarkable how quickly systemic vasodilators have become established as an important new medical advance in acute and chronic congestive heart failure treatment. In the future, as more experience is gained with the vasodilators and as newer such agents become available, the systemic vasodilators likely will be utilized as often as digitalis in the standard treatment of congestive heart failure.


[Peroral nitrate therapy in severe cardiac insufficiency following acute myocardial infarct].

Ten patients with severe congestive heart failure after acute myocardial infarction were treated with 40 mg isosorbiddinitrate-retard every 4 hours and additional sublingual nitroglycerine. There was a prompt improvement of hemodynamic parameters which was maintained for 24 hours: pulmonary capillary wedge pressure (PCW) decreased within 10 min from 26 +/- 5 (X +/- SEM) to 17 +/- 2 mm Hg (p less than 0.01) and mean arterial pressure from 109 +/- 7 to 98 +/- 6 mm Hg. The heart rate remained constant, and the cardiac index improved from 2.3 +/- 0.2 to 2.5 +/- 0.21/min/m2. The fall in blood pressure was dependent on the pretreatment pressure: it was significantly greater in patients with elevated blood pressure and only slight in those with a low pretreatment blood pressure. In the presented series of patients neither adverse effects or symptoms nor a critical reduction of blood pressure were observed. Combined oral treatment with isosorbiddinitrate and nitroglycerine can therefore be carried out without invasive blood pressure monitoring.


[The accumulation of osteocementum around a dental implant under physical loading].

Hollow cylinder implants of titanium with a titanium spray surface were implanted in macaca speciosa, as previously described (Schweiz.Mschr.Zahnheilk.86: 713, 1976). This time, however, the implants were submitted to masticatory forces. Histologically it can be shown that the ankylotic contact between implant and bone, which is initially obtained, remains after 6-16 months. In one case the substance encasing the implant at its deepest part was identified as genuine osteocementum.


Neuronal plasticity in primate telencephalon: anomalous projections induced by prenatal removal of frontal cortex.

When the dorsolateral prefrontal cortex in one hemisphere of a rhesus monkey is resected 6 weeks before birth and the fetus survives to postnatal ages, neurons of the corresponding cortex in the intact hemisphere issue a greatly expanded projection to the contralateral caudate nucleus in addition to a normal projection to the ipsilateral caudate. The enhancement of the crossed prefronto-caudate pathway after prenatal neurosurgery provides direct evidence for lesion-induced neuronal rearrangement in the primate telencephalon.


Australopithecine enamel prism patterns.

Following a recent suggestion that tooth enamel prism shape differs within Hominoidea, the teeth of a number of extinct and extant hominoid species were analyzed by scanning electron microscopy. The enamel prism patterns of some gracile and robust australopithecine specimens from Sterkfontein, Swartkrans, and Kromdraai are recorded. The characteristic arrangements of enamel prisms in all modern and extinct hominoid species were found to be essentially similar. The implications of enamel prisms for phylogenetic deduction in Hominoidea are discussed.


Spinothalamic tract neurons in the substantia gelatinosa.

The substantia gelatinosa of the mammalian spinal cord is generally believed to be a closed system; that is its neurons are thought to project only to the substantia gelatinosa of the same or the contralateral side. Experiments in monkeys, using injections of the marker enzyme horseradish peroxidase, show that at least some neurons of the substantia gelatinosa project to the thalamus and thus belong to the spinothalamic tract. Such neurons include two cell types intrinsic to the gelatinosa, the central cells and the limitrophe cells of Cajal.


Rapid light-induced changes in near infrared transmission of rods in Bufo marinus.

Rapid transient changes in axial transmission of near infrared light through the outer segments of retinal rods of Bufo marinus are induced by illumination. The reasons for these changes are not clear. The changes in optical transmission may be useful in the study of photoreceptor function. However, the study of photoreceptor functions through the use of indicator dyes may be confounded by the intrinsic light-induced changes of optical properties of the photoreceptor cells.


Characteristics of hospitalized tuberculous patients today.

The characteristics of 149 patients with tuberculosis consecutively discharged from the Tuberculosis Service of the University of Tennessee Hospital in 1975 and 1976 were evaluated. The results of this study indicate the presence in this group of advanced age, alcohol abuse, debility from multiple chronic diseases, drug resistance, and recalcitrance. Despite the unfavorable circumstances surrounding these patients, 118 patients showed bacteriologic and/or roentgenographic evidence of improvement during an average of two to four months of hospitalization. We are not advocating the reversal of the present trend toward brief hospitalization and ambulatory care for the majority of tuberculous patients. However, as a result of this study, we believe hard-core patients of the type described in this paper require significant hospitalization for proper management.


Percutaneous extraction of an embolized hyperalimentation catheter fragment.

Extraction of an embolized catheter fragment from an infant's heart was accomplished using a loop wire snare. At the time of extraction, a cutdown venotomy was necessary to avoid damaging the femoral vein. This is the eighth reported case of nonsurgical extraction in children under the age of 10 years.


Private health insurance plans in 1976: an evaluation.

Private health insures collected a record $39.4 billion in premiums and returned $35 billion in benefits to their subscribers in 1976--a reflection of the steadily rising cost of health care, higher utilization, and the demand for expanded services. The industry experienced a net underwriting loss of $611 million, mainly because claims and operating expenses under insurance-company group business ran 3 percent above premium income. About 77 percent of the civilian population had some form of private hospital insurance, and about the same percentage had some form of surgical insurance. Lesser proportions were covered for other types of care. An estimated 12--13 percent of the population under age 65 had no economic protection against the costs of illness or health-related care--under either a private insurance plan or public program. Although virtually all of the aged were covered by Medicare, some 13--15 million bought private insurance, most of it under plans that covered some or all of the gaps in the Federal program.


Evaluation of modified human umbilical vein as an arterial substitute in femoropopliteal reconstructive surgical procedures.

Modified human umbilical vein allografts tanned with glutaraldehyde and encased in a polyester mesh were used as arterial substitutes in 13 femoropopliteal reconstructive procedures. A cumulative patency rate of 91 per cent has been obtained for the two year follow-up period. Two grafts were lost due to patient death from myocardial infarction. The grafts were determined to be patent at the time of death, and no death was in any way associated with the graft material. One graft occluded immediately postoperatively due to the absence of any significant distal runoff to the arteries of the calf. There has been no incidence of aneurysmal formation, and based upon our previous experience with bovine artery heterograft, the modified human umbilical vein appears to be superior in this respect. Modified human umbilical vein allograft is superior to autogenous saphenous vein in that it is immediately available, valveless, branchless and may be specially constructed as to diameter and length. We have found the allograft to be flexible, easy to handle and suture, and of sufficient length, elasticity and compliance. Our cumulative patency rate for the two year follow-up period compares favorably with that of previously reported uses of autogenous saphenous vein in femoropopliteal arterial reconstruction. Those results show the modified human umbilical vein allograft to be well deserving as an alternative to autogenous saphenous vein in femoropopliteal arterial reconstructive procedures.


Cyclopia associated with triploidy and hydatidiform mole: a case report.

A live 22-week-old cyclops fetus with a 69 XYY chromosome pattern and partial hydatidiform mole of the placenta is reported. Although cyclopia and chromosomal triploidy have certain features in common they appear to be two quite distinct entities. As no other 69 XYY fetus has survived to 22 weeks gestation and no other case of cyclopia has been reported with a triploid set of chromosomes, the assumption that the two conditions occurred coincidently in this fetus will have to await the accumulation of additional case reports.


[Preoperative localization of myocardial areas requiring revascularization in coronary artery disease (author's transl)].

At the time of preoperative coronary angiography in 44 patients left ventricular angiograms immediately after high frequency stimulation and after administration of nitroglycerin were performed. For interpretation we used the shortening (in percentage) of 8 vertical semi-diameters and of longitudinal axis in biplane angiograms. The data found in 15 healthy persons were used for comparison. Looking at the rate of shortening after high frequency stimulation myocardial areas endangered by hypoxia could be unmasked. By giving nitroglycerin thereafter we were able to differentiate between reversibly and irreversibly damaged areas. In 7 patients this has already been proven by postoperative examination. In preoperatively reversibly damaged myocardial areas no hypokinesis could be observed any more after successful revascularization. In contrast there was no improvement seen in preoperatively irreversibly damaged areas in spite of graft patency. The described preoperative angiography-test allows: 1. to unmask myocardial areas endangered by hypoxia. 2. to differentiate preoperatively between reversibly and irreversibly damaged areas. 3. more precise indication as well as better control of the results of revascularization.


A case of septo-optic dysplasia.

A child was reported here who has the hypoplastic optic nerve, absent septum pellucidum and endocrinological disorders. Growth hormone deficiency, antidiuretic hormone deficiency and mild hypothyroidism were observed. He has been treated with thyroid hormone and DDAVP.


Effect of trichlorophenols on xenobiotic metabolism in the rat.

Unlike halogenated benzenes, trichlorophenols did not induce xenobiotic metabolism in the rat. 2,3,5-, 2,3,6-, 2,4,5-, and 2,4,6-Trichlorophenol at doses as high as 400 mg/kg p.o. daily for 14 days did not alter EPN detoxification. Only 2,4,5-trichlorophenol at the highest dose decreased microsomal NADPH-cytochrome c reductase activity and cytochrome P-450 content. In vitro, all 4 isomers inhibited EPN detoxification and the demethylation of p-nitroanisole. UDP-glucuronyltransferase was not altered in vivo and was only slightly inhibited in vitro by 2,3,5- and 2,4,5-trichlorophenol. The compounds were not hepatotoxic as assessed by measurement of hepatic glucose-6-phosphatase and serum sorbitol dehydrogenase.


[Exact reproduction of daily treatment fields using wedge filters (author's transl)].

With the use of more sophisticated techniques in megavoltage irradiation, the exact reproduction of the daily treatment fields is of utmost importance. In this short communication a relatively simple method is described which can be applied when wedge filters are used.


Disposition of ORF 9326, a novel contragestational steroid, in animals.

The disposition of ORF 9326 [17BETA-acetoxy-2alpha-chloro-3(p-nitrophenoxy) imino-5-androstane], an O-aryl oxime of 2beta-chlorodihydrotestosterone acetate, was studied in rats, dogs, monkeys and rabbits. Intravenous administration of 3H-ORF 9326 dissolved in PEG-400 to rats, dogs and monkeys resulted in a rapid decline of radioactivity in blood followed by  a terminal slope suggesting long retention of radioactivity. Apparent half lives of radioactivity in blood were calculated to be from 50--95 hours for the three species, which peak levels of radioactivity in whole blood occurring within 4--7 hours after administration of the compound. Tissue distribution studies in the rat and dog indicate that body fat is one of the major depot areas for the drug and/or its metabolites. The major route of excretion for ORF 9326 and/or its metabolites in dog and rat is biliary whereas in monkey and rabbit it appears to be renal. Greater than 90% of the radioactive compounds excreted in the urine of dogs and monkeys following intravenous administration of 3H-ORF 9326 appear to be in the form of conjugates.


In vivo patterns of circulating steroids in adult male rats. IV. Evidence for rapid oscillations in testosterone in normal and totally parenterally nourished animals.

In vivo patterns of circulating testosterone (T) were investigated in stock fed controls and parenterally nourished (TPN) rats. Rats were sampled at 2 minute intervals for 30 minutes via a jugular cannula. Both groups exhibited a rapid oscillatory T pattern. In the control group, T concentrations at any specific time interval exhibited large differences with coefficients of variation (17-88%). In TPN rats this variation was 34-79%. Moreover, the mean T concentration of all samples obtained during the 30 minute period for each individual animal ranged from 1.3 +/- 0.1 (S.E.M.) to 3.5 +/- 0.3 (S.E.M.) ng/ml in controls and 1.3 +/- 0.1 (S.E.M.) to 2.0 +/- 0.2 (S.E.M.)ng/ml in controls and 1.3 +/- 0.1 (S.E.M.) to 2.0 +/- 0.2 (S.E.M.) ng/ml for TNP rats respectively. The mean coefficient of variation in control animals, however, was twice that of TPN rats, indicating that variation in basal T may be minimized during intravenous feeding. The occurrence of rapid oscillations in T  of both stock and parenterally fed animals shows that nutritional regimen does not affect this phenomenon.


Methods of cost control in urologic care.

The urologist now has the capability of significantly reducing the cost of care for his patients. Major savings could occur by performing procedures, laboratory tests, and roentgenographic studies in proper sequence. The use of outpatient evaluations and surgery can save the patient expensive hospital room charges. Proper utilization of equipment would markedly decrease costly duplication of services. Quality of care cannot and will not be affected by these cost-saving measures. Furthermore, retrospective and prospective clinical studies should be instituted immediately to determine the pathophysiology of genitourinary disease, specifically answering the question of which laboratory tests have the highest diagnostic yield. Protocols could be started to eliminate wasteful low-yield procedures and to maximize diagnosis and therapy while minimizing cost. Finally, controls must be placed on the continuing trend toward an excess of physicians.


Baboon veno-arterial cardiopulmonary bypass without anticoagulants.

Four hr veno-arterial cardiopulmonary bypass via a median sternotomy utilizing a membrane oxygenator was done in 15 baboons. A comparison of perfusion with and without anticoagulants was made. From this study systemic heparin had no advantage over no anticoagulants. These findings, in a clinically-relevant primate model, suggest that the scientific basis for the use of systemic heparin in membrane oxygenation is unclear.


Long-term short hemodialysis-implications to dialysis index.

From this data, we conclude: 1) that dialysis therapy should be individualized to achieve optimal patient well-being; 2) that long-term hemodialysis for 8--12 hr/wk with 1.0--1.5 M2 coil dialyzers and 1.3--2.5 M2 Dow Cordis hollow fiber kidney is feasible and safe; 3) that most patients do well on hemodialysis, when DI is maintained at 0.9 to 1.1 with coil dialyzers and 0.75 to 0.85 with Dow Cordis hollow fiber; 4) that patients with creatinine clearance greater than or equal to 1.0 ml/min or with excessive interdialytic weight gain (greater than 3.0 kg) may acquire maintenance of a DI greater than 1.2 when utilizing coil dialyzers.


[Carotene and fluorometrically determined vitamin A levels in the blood plasma of cows in relation to gravidity and type of feeding].

From January to June we determined the concentration of vitamin A and carotene in the blood plasma of 66 high-pregnant cows and cows 23 to 54 days after calving. Seasonal changes and a decrease in the content of both substances before delivery were proved. In field conditions of three farms it was determined that the haylage type of winter feeding was better than the silage type of winter feeding in view of provitamin A supply. The concentration of carotene in blood was always higher with haylage feeding as well as that of vitamin A during the period of high lactation. Regardless of that the level of vitamin A in dairy cows in April and May was lower by almost a quarter compared with feeding fresh green forage in June. The results reveal that the suitable time for assessing the sufficiency of vitamin A supply in cows is the time starting one month after the beginning of lactation. The usability and accuracy of the fluorometric method for determining vitamin A, while respecting the interference caused by phytofluen and beta-carotene, have been proved.


[The course of mastitides in cows infected into the mammary gland with strains of Mycoplasma bovigenitalium and M. bovis].

Six cows were inoculated into the mammary gland with eight mycoplasma strains isolated from the genital tract of bulls and two type strains. The milk of cows infected with Mycoplasma bovigenitalium strains isolated from the genital tracts of bulls showed a change in the appearance and contained large quantities of mycoplasmas and specific antibodies. The mastitis was most intense in about 9 days and began to subside in 17 days infection. The type strain of M. bovigenitalium PG11 failed to produce mastitis. On the other hand, the type strain of M. bovis PG45 produced severe mastitis after a 14-day latency period, with the infection spreading to the uninoculated quarters, causing atrophy of the mammary gland, and persisting till slaughter. The sera of all cows that developed mastitis after experimental infection contained high titres of specific antibodies. The two infecting mycoplasma species were recovered from the inner organs and mammary glands of these cows after slaughter.


[Effect of hypodermyiasis in cattle on milk-production indicators in 1st-calvers].

We investigated the effect of hypodermosis on the quantitative and some qualitative indicators of milk from 20 experimental and 18 control first-calvers of the Pinzgau cattle breed. The experiment took place at two experimental localities in mountainous pastures of the Central-Slovakian region. In the experimental animals, treated with Hypocid, the production of milk per dairy cow increased on an average by 115.98 kg, i.e. 24.83%, over the experimental period of 61 days (May, June) with an average invasion intensity of 5.94 larvas in control animals. Milk fat production increased on an average by 7.20 kg, i.e. 34.97%. Production recalculated to FCM milk amounted on an average to 31.61%. The profitability of treating hypodermosis with the Hypocid preparation is expressed by the average savings of 0.40 Kcs per litre of milk per day.


[Economic evaluation of the method of gradual formation of groups of dairy cows from primiparae free of infectious mastitis].

Employing the turnover of a dairy-cow herd with primiparas to control infectious mastitis is beneficial because young dairy cows, as a rule free of inflammations of the mammary gland, are not included among dairy cows already infected or suspected of being infected and so it is possible to form groups of dairy cows free of mastitis. For this intention an agricultural enterprise was chosen in potato production region I. In the given period 316 to 336 dairy cows of Bohemian Spotted breed were followed. To express the impact of the infection on the milk efficiency and to draw economic conclusions on the efficiency of treating infectious mastitis we observed the total milk yield of the different dairy cows in one lactation. In the given enterprise unsuccessful treatment of an infected dairy cow in three lactations resulted in a total loss of 4,648 Kcs. Therefore from the economic aspect it appears to be profitable to replace productive, but ill, older dairy cows by healthy first-calvers because the negative effect of the mastitis on the production of milk increases with every successive lactation.


[Effect of dietary nitrogen compounds and urea on the GLDH and DS activities in broilers].

The influence of concentration of nitrogenous matters (N-matters) and urea supplement in diet for broilers was studied, as exerted on the activities of the enzymes glutamate dehydrogenase (GLDH) and glutamine synthetase (GS) in liver, kidney, tissue and contents of the cecum. If 2% urea had been substituted for a portion of N-matters, no significant differences in the activities of both enzymes in liver and cecum were found. Higher levels of GLDH were recorded in the kidney of broilers given diets with the urea supplement of 17 and 19% N-matters concentrations. The GLDH and GS activities were significantly high in the contents of the cecum, the GLDH activity being the highest with the diet of 19% N-matters concentration. No significant changes in the GLDH activity depending on the concentration of N-matters in the diet were observed in the liver. The GS activity increased moderately with the higher concentration of N-matters.


[Distribution of erythromycin following intramuscular administration in laboratory animals].

Levels of erythromycin in the blood and organs of rabbits, rats and mice were determined after the i. m. implantation of the drug Erythromycin inj. ad usum vet. at doses of 10 mg kg-1 live weight (rabbits), and/or 25 mg kg-1 (rats) and 1 mg pro toto--approximately 40 mg kg-1 (mice). A diffusion plate method and the germ Sarcina lutea CCM 552 were used to find out the antibiotic in samples. Sensitivity of the method used was 0.025 microgram ml-1 (g). In rabbits the level of the antibiotic was maintained in the blood and examined organs and tissues (lungs, liver, kidney, muscles and the wall of the small intestine) by the above dose for more than 12 hours--except liver. The values obtained for the organs and tissues were mostly higher than those obtained for the blood. The highest levels were found in the kidneys and lungs. Neither did the dose of 20 mg kg-1 l. w. maintain the significant level of erythromycin in the blood serum in the course of 24 hours. The results obtained in rats and mice almost coincided with the distribution of erythromycin in the rabbit organisms, and the affinity of this antibiotic with the pulmonary tissue was proved.


[The etiology of foul brood].

Five hundred and thirty-six samples of honeycombs were examined in a laboratory in the years 1971-1974. In all the samples clinically determined as the foul brood, B. alvei was isolated as a pure culture, and enterococci, or both microorganisms were isolated in mixed form. Twenty-five strains of the isolated streptococci were analyzed microbiologically and biochemically; on the basis of their culture and biochemical characteristics five strains were designated as Streptococcus faecalis, 14 strains as Streptococcus faecalis var. liquefaciens, five strains as Streptococcus faecium and one strain as Streptococcus durans. After checking the used taxonomic key of the culture and biochemical classification of B. alvei it may be stated that the culture and biochemical characteristics are stable. The strains of B. alvei (very dried strains), which persisted in the dried slant meat-peptone agar, were viable under the laboratory conditions, which proves the high resistance of the spores to the environment.


Congenital brucellosis in cattle associated with localisation in a hygroma.

A heifer born to a cow experimentally infected with Brucella abortus strain 544 and reared in isolation from its birth was found infected. Antibodies appeared when it was 10 months old. The heifer calved normally. Brucella abortus of the same characteristics as strain 544 was recovered from a hygroma and from lymph nodes and udder. Five heifers out of 55 (about 10 per cent) born to infected dams and reared in isolation from their birth were found to be infected.


Bacterial and mycoplasma flora of a laboratory colony of the common marmoset (Callithrix jacchus).

A survey was carried out to characterise the bacterial and mycoplasma flora of a closed colony of marmosets, Callithrix jacchus. Bordetella bronchiseptica and Staphylococcus aureus were the only potential bacterial pathogens isolated from the colony; Candida albicans was also identified. S aureus and C albicans were the only organisms which were associated with macroscopic lesions or overt disease. Post mortem examination of the animals proved only reliable method of establishing the presence of some bacterial species in the colony, eg, B bronchiseptica and of obtaining a reliable estimate of the incidence of the various organisms within the colony. The marmosets were all infected with ureaplasmas in the  upper respiratory tract. Mycoplasma salivarium was isolated from this site in several animals. There was no evidence to indicate that cross-infection had occurred between the animal technicians and the marmosets, except in one possible case of candidiasis.


An improved method for gas chromatographic determination of urinary xylitol and glucuronic, glucaric gulonic and ascorbic acids, with their values in the rat, rabbit, guinea-pig and marmoset.

1. Urinary levels of xylitol and glucuronic, glucaric, gulonic and ascorbic acids were measured in the rat, rabbit, guinea-pig and marmoset by an improved g.l.c. technique. 2. Administration of a compound (2-methylbenzanilide) known to be conjugated and excreted as a beta-glucuronide had some effect on the output of these compounds of the glucuronic acid pathway in all four species, and caused a significant decrease in gulonic acid in the rat.


Excretion and biotransformation of carboxymethyl-cysteine in rat, dog, monkey and man.

1. Following an oral dose of S-carboxymethyl [35S]cysteine monkey (rhesus and African green), rat, dog, and man excreted 77,88,95, and 100% respectively of the 35S radioactivity in urine and 7.0, 2.5, 0.7, and 0.3% in faeces during a 3 to 4 day period. 2. The principal drug-related components excreted were unchanged carboxymethylcysteine, dicarboxymethyl sulphide and inorganic sulphate. 3. Rat, dog, and man excreted primarily dicarboxymethyl sulphide and unchanged carboxymethylcysteine and no inorganic sulphate (rat, 7%). 4. Monkey excreted largely inorganic sulphate, moderate amounts of dicarboxymethyl sulphide and a trace of unchanged drug.


Evidence for repair of ultraviolet-induced damage in Cystobacter species (Myxobacterales).

Cystobacter species strain CK 1 does not grow with more than 0.2 microgram/ml acriflavine. Spontaneous two-step mutants growing with 2 microgram acriflavine per ml have been selected. One mutant (strain CK3) was used to investigate the effect of repair inhibitors. Both strains exhibit pronounced shoulders in their UV dose curves of inactivation. Acriflavine (AF), coumarin (CU), and caffeine (CA) when incorporated in the post-irradiation plating medium decreased survival of irradiated cells. Post-treatment with 2 microgram acriflavine/ml abolished the shoulder of the curve. Caffeine (1600 microgram/ml) and coumarin (350 microgram/ml) reduced it only to about 40%. It is concluded that probably two repair mechanisms are present. Pre-treatment of the cells with 2 microgram acriflavine/ml for two hours before UV-irradiation resulted in a constant dose enhancement factor of 1.9. The protective effect is increased with the time of treatment with acriflavine. This may indicate that pyrimidine dimers are responsible for UV-inactivation.


[Catalases of mycobacteria as antigens. I. Isolation, purification and characterization of catalases from different mycobacteria (author's transl)].

Preparations of catalase isolated from the strains M. tuberculosis, M. kansasii and M. bovis BCG are produced for testing their antigenic activity. After desintegration of the bacteria the highest activity remained in the precipitation with 50% saturated ammonium sulphate solution. The further purification of the catalase-fractions occurred with the aid of column chromatography on Sephadex G 200 and DEAE-Sephadex-A 50 after ultrafiltration. In this way the relative activity increased in M. tuberculosis 3- to 4-fold, in M. kansasii 12-fold and in M. bovis BCG 16-fold. The catalase preparations are uniform and nearly free from other protein compounds as indicated by the results of immunoelectrophoresis and Ouchterlony test.


[Experimental contribution to the theme of pharyngeal gonorrhea].

Experimental inoculations of the pharynx with gonococci were undertaken. In seven volunteers gonococci could be cultivated and identified from 16 hours to 8 weeks following infection. In three cases, it was tried to infect the female genital tract using positive pharyngeal smears. This was successful in one instance and the diagnosis was again confirmed by culture and sugar fermentation.


[Spontaneous formation of angiogenic woven bone within cancellous bones. Some observations on microfractures of isolated trabecula (author's transl)].

Femoral heads removed for subcapital fracture of the femur were embedded in methacrylate. Contact roentgen films of slabs of 1--2 mm thickness were screened for aggregates of woven bone. A variety of form exceeding that seen by other methods was found, not only in association with isolated trabecula. The distribution was found to confirm earlier findings by Todd et al. (1972), Freeman et al. (1974) and Watson (1975). The aggregates were seen more frequently in porotic areas than in the trajectorial groups of trabecula in the femoral heads. Aggregates of typical shapes were also found in one hemipelvis and in a humeral head. In embedded specimens discontinuities were seen in some trabecula with aggregates and not in other elements. There was no evidence of cracks where aggregates were attached to the edges of bone plates. Some trabecula with aggregates were ground down to 100 micrometer for microradiography. Cracks of the underlying trabecula could be shown, but neither signs of resorption nor of formation or osteocyte activation could be found. Aggregates of woven bone within cancellous bone have been found in subchondral bone of experimental animals being impact loaded and in connection with discontinuities. They are found near areas bypassed by the transmission of loads, too, in osteoporosis beside the groups of pricipal trabecula, and without association with discontinuities. It is concluded, that aggregates of woven bone are the product of mesenchymal activation or some defect in the regulation of mesenchymal activity and associated with causes of bone atrophy rather than with specific mechanical conditions.


[The importance of adhesive dry mats for the reduction of germ spreading in hospitals (author's transl)].

Footwear of hospital staff present a distinct problem for transmission of different germs. According to literature references footmats of synthetic fibres or spun rayons, which are soaked with disinfectants generally do not lead to the required reduction of germs. They should not be used for the prevention of germ dissemination.--Antimicrobial adhesive mats are able to reduce the number of infectional bacteria from the soles of clean staff shoes to almost 50 percent of the former amount. In addition they kill the adhesive bacteria by an impregnated disinfectant.--With normal soiled shoes, however, the mats show a rapid descrease of adhesive capacity. Moreover such contaminated mats could develop into a source of bacteria.--Therefore, adhesive mats should only be used in areas of marked cleanliness. Also, from an economical point of view, the regular use of these mats can be propagated in these areas only.


[Quantitative determination of glutaraldehyde in disinfectants (author's transl)].

Glutaraldehyde is oxidized by KMnO4 to glutaricacid. The separation of the glutaricacid from the reaction-mixture by use of extraction columns is followed by quantitative gas-chromatography.


[Analysis of the biological effect of city smog extract. III. Comparative investigations on the effect of city smog extracts on cell replication and DNA-synthesis of kidney cells in vitro from the primate Cercopithecus aethiops (author's transl)].

We analysed the cytotoxic effect of city smog extracts from a heavy industrialized area using kidney cell cultures from the primate Cercopithecus aethiops.--Using logarithmically growing cell cultures we determined cell replication and the rate of DNA-synthesis after incorporation of 3H-thymidine.--In presence of city smog extracts we found a dose dependent reduction of cell replication and of DNA-synthesis. In presence of high concentrations (BP-aquivalent 0.25-0.5 microgram/ml) of city smog extract we found no increase in cell number over a period of 72 h. Under the same conditions hardly any DNA-synthesis was detected.--In presence of middle and low concentrations of city smog extract a dose- and time-dependent increase in cell number and rate of DNA-synthesis was detected.


Continuous infusion of insulin vs repeated S.C. injections in the treatment of diabetic ketoacidosis in children.

Thirty-two episodes of diabetic ketoacidosis in 30 children treated with conventional repeated s.c. injections of insulin every 4 h are compared with 18 episodes in 14 children treated with continuous i.v. insulin infusion. Fluid therapy, bicarbonate and potassium supplementation were essentially the same for both groups. Recovery as reflected in serum glucose, bicarbonate and the rate of rehydration, was smoother and more rapid in the children receiving continuous i.v. insulin, though the difference just failed to attain statistical significance in this small series of cases. There was, however, a marked difference in insulin administered (0.58 U/kg +/- 0.05 SEM in the children treated with continuous i.v. insulin infusion vs 2.54 +/- 0.27 SEM in the children treated with repeated s.c. injections). Hypoglycemia was noted in 11 and hypokalemia in 10 children on conventional insulin therapy given every 4 h s.c. In contrast, there was no hypoglycemia and only one case of hypokalemia with the i.v. insulin infusion.


The value of continuous ECG monitoring during treatment of diabetic ketoacidosis. A computer study.

In order to confirm or refute the previously held view that electrocardiographic (ECG) abnormalities are frequent in diabetic ketoacidosis, we have undertaken continuous ECG monitoring for 24 h, with subsequent computer analysis, in 14 diabetic patients admitted with severe ketoacidosis. There was a steady fall in heart rate during the 24-h except in 3 severely dehydrated patients. Depression of the ST-segment was minimal and ST-segment height correlated significantly with heart rate, whereas no consistent relationship was found between T-wave amplitude and either heart rate or plasma potassium. Two patients developed short periods of supraventricular ectopic beats. Although ECG monitoring has been claimed to be a useful aid in the management of diabetic ketoacidosis, this study clearly demonstrates that significant ECG changes are rare and ECG monitoring thereafter adds little to careful clinical observation and regular biochemical assessment.


[Disorders in the conversion of fibrinogen to fibrin in patients with multiple myeloma].

A prolonged thrombin clotting time was found in 15 of 85 patients with multiple myeloma. Among those with abnormal clotting time in 9 cases (60.0%) the M protein was classified as IgG-lambda, in 1 (6.6%) as IgA-lambda, in 2 (13.3%) as IgG-kappa, and in 3 (20.3%) as IgA-kappa. There was no correlation between the prolongation of thrombin time and occurrence of bleeding. The reptilase clotting time was parallel to the thrombin time. The addition of calcium chloride partially corrected both clotting times. The isolated M proteins IgG-lambda and IgG-kappa from patients with prolonged thrombin time at the concentration of 25-50 mg/ml inhibited the polymerization of fibrin monomers but had no effect on the amidolytic and proteolytic action of thrombin.


Classification of the epilepsies. An investigation of 1,508 consecutive adult patients.

The relative frequency of different types of epilepsy in accordance with the International Classification of Epilepsies is reported, concerning 1,508 consecutive outpatients with epilepsy, who at the time of investigation were at age 15 years and above. The investigation showed a marked preponderance for partial epilepsies as against generalized epilepsies; partial epilepsies with complex symptomatology were especially frequent, contributing by more than one third of all cases.


[Correlation between epileptogenic nature of a lesional focus and presence of "activated astrocytes". Human and animal investigation (author's transl)].

Histoenzymologic analysis of human and animal epileptogenic foci has shown enzymatic changes in certain reactive astrocytes. Histochemical examination of these astrocytes in animals has led to clear differentiation between the classic, perilesional reactive astrocyte, constituting a medium for cicatrical glioses and the reactive astrocyte present in experimental epileptogenic foci. We have called the latter the "activated astrocyte". Analysis of 154 human cerebral tumours revealed activated astrocytes in the cortex of all patients with epileptic antecedents. No epileptic attacks were observed in patients where the cortex was invaded by the tumour but no activated astrocytes were present. Analysis of ten cases of non tumoral focal epilepsy confirmed the presence of activated astrocytes in the focus in all cases where the scar was resected surgically. The production of epileptogenic foci in animals shows the close relation between activated astrocytes and the epileptogenic focus. It even seems that the enzymatic changes in the astrocytes precedes the first electrical signs. The authors arguse against the hypothesis that the activated astrocytes are the result of attacks. Until the morphological criteria of the epilectic neuron have been defined the activated astrocyte constitutes the only morphological evidence of the epileptogenic focus.


Two forms of cutis laxa presenting in the newborn period.

Two infants are described with congenital cutis laxa. They represent two distinct disorders. In the first, congenital cutis laxa is associated with a generalized disorder of elastic tissue in which there may be diaphragmatic or other hernias, diverticula of the gastrointestinal or urinary tract and infantile emphysema. The disease is fatal often within the first year. In the second, congenital cutis laxa is associated with widely patent anterior fontanel, a variety of malformations, and retarded growth and development. Recognition of these distinct syndromes in the newborn period and their recessive inheritance permit realistic discussion of the prognosis which is very different from the benign dominant forms of cutis laxa.


Immunochemical studies on the specific agglutinogens of Staphylococcus aureus. I. Isolation and characterization of antigen h1.

The specific Staphylococcus aureus agglutinogen h1 has been purified and shown to be a protein with a molecular weight of about 95,000. Chemical analysis revealed all the common amino acids, except tyrosine and the sulphur-containing ones. The purified h1 antigen was strongly immunogenic in rabbits. The antiserum produced one precipitation line on double diffusion in agar against a suspension of bacteria. It also agglutinated bacteria of the h1-containing strains, as well as tanned sheep erythrocytes sensitized with h1, in high dilutions. Antibodies to other known staphylococcal antigens were not detected. The identity between h1 and Pillet's type 9 antigen was confirmed.


In vitro sensitivity of Trichomonas vaginalis and Candida albicans to chemotherapeutic agents.

Strains of fresh clinical isolates of Trichomonas vaginalis and Candida albicans have been tested in vitro for their sensitivity to eight drugs used in the therapy of monilial and trichomonal vaginitis. Three of the chemotherapeutic agents, chlorchinaldol, clotrimazole and broxyquinoline were effective against both organisms. Tinidazole and metronidazole were active against T. vaginalis. The strains of C. albicans were also sensitive to trichomycin, natamycin and nystatin. Tinidazole was the most effective trichomonacide, clotrimazole and chlorchinaldol were most effective against C. albicans, while chlorchinaldol had the best in vitro effect against both organisms. The ranges of the MICs are compared to values previously reported.


Liberation of endotoxin during growth of Neisseria meningitidis in a chemically-defined medium.

Modified medium 199 is well suited to the growth of meningococci if rich growth is not necessary. The bacteria were very sensitive to changes in pH and needed a good buffer capacity of the medium. Four strains of Neisseria meningitidis were studied. After the stationary phase had been reached, the vital cell count decreased relatively slowly. However, the total cell count remained unchanged for at least 12 hours. The standardized E. coli endotoxin could be detected easily by the Limulus lysate test in different protein-free, pH-adjusted and ion-balanced liquids, and the determination of endotoxin was reproducible. The Limulus lysate test was more sensitive than the rabbit pyrogen test as regards meningococcal endotoxin. Liberation of endotoxin during growth in modified medium 199 varied with strain and growth conditions. Repeated investigations showed the same pattern of growth and endotoxin liberation for each strain, also under other growth conditions. When sonicating the bacteria, high yields of endotoxin were obtained from each strain.


A modified Sperber technique for direct estimation of true renal tubular excretion fraction.

The Sperber technique in the hen is particularly suitable for the study of renal tubular secretion. However, results obtained with this technique vary considerably, due to an unpredictable and highly variable shunting of renal portal blood. In an attempt to get a total and stable renal perfusion by portal blood from the leg, appropriate shunt vessels were ligated. This procedure was found to force all portal blood from the leg to perfuse the ligated kidney, without affecting the symmetry of glomerular filtration or renal clearance of 125-I-Na-o-iodohippurate between the kidneys. In conclusion, the abolition of renal portal shunt flow allows use of the Sperber technique for a direct estimation of the true tubular excretion fraction (TTEF) of a substance. Thus, TTEFPAH, a measure of the tubular excretion efficiency of para-amino-hippuric acid, was found to be about 70%. The stable renal perfusion in ligated animals will also facilitate comparative studies of renal tubular excretion in the hen. Moreover, no animal has to be rejected due to a low renal perfusion of portal blood. Furthermore, the use of ligated hens makes it unnecessary to use markers for the renal perfusion of portal blood when steady-state experiments are performed. Finally, the total renal perfusion of portal blood in ligated animals will facilitate the demonstration of a secretory component in the renal handling of substances with a low affinity for the renal transport system.


Thyrotropin-releasing factor: distribution in neural and gastrointestinal tissues.

Specimens of several rat tissues were purified with methanol extraction, gel filtration and cation exchange chromatography and measured for thyrotropin-releasing factor (TRF) concentration by radioimmunoassay. TRF immunoreactivity of neural tissues (hypothalamus, spinal cord, medulla, cerebrum and cerebellum) and gastrointestinal tissues (pancreas, stomach, duodenum and colon) behaved as synthetic TRF during the purification. This dual distribution suggests that TRF-secreting cells have their origin in the embryonal neuroectoderm.


Simultaneous measurements of capillary diffusion and filtration exchange during shifts in filtration-absorption and at graded alterations in the capillary permeability surface area products (PS).

The diffusion exchange of Cr-EDTA, using the single injection indicator diffusion method, was followed simultaneously with estimations of the capillary filtration capacity (CFC) in an "isogravimetric" rat hindquarter preparation during artificial perfusion and maximal dilatation. Measurements were performed at constant flow and during 1) shifts in filtration-absorbtion, 2) alterations of perfused capillary wall area (graded rarification of capillary network by microsphere injection) and 3) during alterations of permeability (i.a. infusion of histamine). At maximal vasodilatation CFC was 0.037 +/- 0.001 ml/min X mmHg X 100 g and PS for Cr-EDTA 5.67 +/- 0.13 ml/min X 100 g. During filtration or absorbtion, Cr-EDTA transfer from vessels to interstitium changed only slightly but the situation may well be different for solute transfer from interstitium to vessels. Alterations in capillary wall area resulted in proportional changes in PS for Cr-EDTA while the CFC changes were always relatively smaller. Histamine increased CFC some threefold with a marked increase in protein transfer, while PS for Cr-EDTA increased only marginally. This histamine effect could be ascribed mainly to an increase in the number of large pores which, because of their relative paucity, are of little importance for small molecular diffusion exchange but highly important for convective and macromolecular exchange.


Effects of tricyclic antidepressants on human plasma levels of TSH, GH and prolactin.

Six healthy male volunteers were given chlorimipramine 25 mg t.i.d. or nortriptyline 25 mg t.i.d. in a randomized order of 7 days. Plasma samples were assayed for TSH, GH and prolactin before and after stimulation with TRH 200 microgram i.v. It was found that the tricyclic antidepressants did not exert any influence on plasma hormonal levels compared with no treatment conditions. Diminished TSH-responses following daily TRH injections were demonstrated in endogenously depressed and chronic schizophrenic patients. A decreased TSH-response was observed in healthy volunteers after a second TRH injection with an interval of 2 days between the TRH injections. A complete restoration of the TSH-response was obtained after an interval of 4 days.


High versus low dose rate intracavitary irradiation of carcinoma of the uterine cervix. A preliminary report.

Overall 2-year actuarial survival rates were 77 and 81 per cent in a high and a low dose rate group, respectively. In the high dose rate group 60 patients were controlled, 8 developed rectal bleeding, and 7 recurred. In the low dose rate group 54 were controlled, one developed rectal bleeding, and 9 recurred. Optimum TDF was 125 in both groups.


[Comparison between the AMDP system and other standardized systems and multifactorial scales for the evaluation of psychopathology (author's transl)].

The author compares the advantages and disadvantages of psychiatric documentation and rating systems (the AMDP and MSIS systems), and of major multiphasic rating scales (the CPRS, IMPS, PSE, SCI and WPRS scales). He briefly describes the history and content of the AMDP System, formerly known as AMP. This standardized system of alemanic origin is presently adapted or being adapted in nine languages (Croatian, English, Esthonian, French, Italian, Japanese, Portugese, Russian and Spanish). Of the four forms, only the two forms designed for the quantitative assessment of pychopathological and somatic symptoms have been included in the first edition of the French adaptation (1978). Similarities and dissimilarities between the German system and its first French adaptation are discussed.


TSH response pattern to TRH test and optimum time of blood sampling in sporadic euthyroid goitre.

Attempts were made to estimate the response pattern of thyrotrophin (TSH) to thyrotrophin-releasing hormone (TRH) and the optimum time of blood sampling in patients with sporadic euthyroid goitre. Of the 65 subjects studied, 21 served as a reference group and 44 were patients with sporadic euthyroid goitres, divided into diagnostic subgroups according to type of goitre. Patients with a single autonomous thyroid adenoma were excluded. The classification of goitre was based on clinical features, thyroid function tests, thyroid imaging studies using 99mTc pertechnetate uptake, and examination of thyroid specimens originating from selective goitre resection carried out after the laboratory investigations. A standardized i.v. TRH test was performed in all probands and the TSH response was followed for 60 min postinjection. There was a definite trend towards lack of response with increasing nodularity of the thyroid gland. Moreover, no further information concerning the TSH response pattern was achieved by extending the blood sampling period beyond the +20 min limit of the time axis. The study lends support to the view that increasing functional autonomy is a general trend in goitre evolution.


Oesophageal disease revealed by endoscopy in 1,000 patients referred primarily for gastroscopy.

Of 1000 patients referred primarily for gastroscopy, almost 18% had endoscopic signs of clinically important oesophageal disease. Erosive oesophagitis, a disease that is notoriously difficult to diagnose on X-ray, was demonstrated in alsmot 10% and oesophageal varices in 3.6% of the patients. It is concluded that a thorough examination of the oesophagus should be included in every routine upper gastrointestinal endoscopy.


Platelet survival determination in atherosclerosis.

Platelet survival presently represents a useful method for the study of atherosclerosis and its consequences in patients and in animal models. The currently used technique, while time consuming, appears to be reliable and reproducible for the measurement of platelet survival and turnover rate. The test offers promise to detect and perhaps quantify the degree of active vessel wall damage. In addition, it might prove useful to identify drugs with potential as platelet suppressants. Finally, the test might be used to compare with new techniques developed or used to identify vessel damage or thrombosis proneness.