A study of the in vitro diffusion kinetics of acetylsalicylic acid using the Sartorius absorption simulator.

A unidirectional transport condition is often assumed when studying the in vitro diffusion of drugs. The present work describes a kinetic model that can be applied to beyond the first diffusion period. Acetylsalicylic acid was chosen as a model substance and its in vitro diffusion was studied using the Sartorius absorption simulator. The results of the two kinetic models (unidirectional and bidirectional) were in good agreement with each other. The curvature of the corrected substance concentration in the artificial plasma versus time plot can be used as a warning signal to detect passage beyond the first diffusion period.


[The dynamics of drug release from suppositories. Part 2: Phenylpyrazolone derivatives in animal experimentation (author's transl)].

The authors studied the in vivo absorption of aminophenazone and aminoantipyrine from suppositories produced by means of, respectively, hydrophilic vehicles (PEG 1000, PEG 1500, PEG 2800, PEG 4000, PEG 5000) and lipophil vehicles (Witepsol H 15 and cocoa butter). It was found that the above-mentioned drugs were absorbed more rapidly from the suppositories with a hydrophilic vehicle than from those with a lipophil vehicle. The absorption time decreased with the increase in molecular mass of the polyethylene glycols used. The absorption times of the two drugs from suppositories with cocoa butter and Witepsol H 15 were relatively short. A correlation has been established between in vitro release and in vivo absorption.


Conditioned-reflex learning of normal juvenile and adult rats exposed to action of substance P and of an SP analogue.

The actions of both Substance P, a potential neurotransmitter or modulator and of a shortened analogue on learning and memorizing processes are reported in this paper. Sixty male rats, aged 22, 14, and 10 weeks, were exposed to Substance P (Arg-Pro-Gln-Gln-Phe-Gly-Leu-MetNH2) and to a shortened hexapeptide analogue (Lys-Phe-Ile-Gly-Leu-MetNH2), doses being 250 microgram/kg and 500 microgram/kg, to test their action upon learning and memorizing processes, such as acquisition, retention, and ecphoration, by means of a conditioned-reflex locomotor defense method. Response time of all three age groups as well their retention and ecphoration were normal under the impact of hexapeptide. The effects of Substance P were decline of retention in juvenile animals (10 weeks of age) and coupling between the processes of central-nervous afference synthesis, on the one hand, and the efference integral related to motoricity, on the other, in both juvenile and adult animals. A retention test was conducted and showed that discontinuation of application of either peptide over 4 d was followed by complete inhibition of ecphoration. Learning and memorising processes were restorable by reapplication of the peptides. These findings were defined as "state-dependent learning". Only slight variation under the impact of both Substance P and the analogue was recordable by non-invasive measurement of systolic blood pressure.


[The antibacterial activity of some substituted cysteine sulphonamides and peptides containing cysteine sulphonamide].

The authors investigated the antibacterial activity of some cysteine sulphonamides substituted in the sulphonamide group as well as that of some peptides containing cysteine sulphonamide. They found that the antibacterial activity of these compounds was in part considerably stronger than that of cysteine sulphonamide.


Effect of moderate exercise on urinary MHPG in depressed patients.

This study attempted to clarify sources of artefact in biochemical studies with affective disorders in which 3-methoxy-4-hydroxy phenylglycol (MHPG) is used as a measurement of change in central nervous system norepinephrine (NE) turnover. Substantial increases in urinary MHPG excretion occurred in ten of the 11 patients when they increased their level of physical activity (0.5 +/- .14 mg/12 hrs versus 1.54 +/- .49 mg/12 hrs). Increases were also observed in NE (19.2 +/- 5.1 microgram/12 hrs versus 25.2 +/- 3.7 microgram/12 hrs). In four patients in whom cerebrospinal fluid MHPG levels were obtained a consistent increase of MHPG levels was observed during the activity period. Elevation of these metabolites were not correlated with changes in depression as reflected by psychiatric observation and rating scales. These data reveal a considerable amount of lability in urinary and CSF MHPG levels in the face of an unchanging affective state. They ask for careful controls for activity and stress in psychiatric patients when urinary MHPG is used as an index of central NE turnover.


[A comparative study of the longacting neuroleptics perphenazin-enanthate and fluspirilene (author's transl)].

The clinical profile and side-effects of perphenazin-enanthate and fluspirilene were compared in 45 female chronic schizophrenic patients. 100 mg perphenazin-enanthate fortnightly or 8 mg fluspirilene weekly were administered. During the four months' period the psychopathological and somatic symptoms were evaluated by means of the AMP-system and the self-evaluation scale PD-S (v. Zerssen). A covariance analysis was carried out covering 12 AMP syndromes and 6 PD-S factors. The antipsychotic effect of both drugs was similar concerning the paranoid, the hallucinatory-desintegrative and the catatonic syndromes. A significant difference with regard to perphenazin-enanthate was found in the AMP-syndromes of hostility, hypochondria, and autonomic symptoms. Neither drug induced any depression. In the self-rating scale, the factors anxiousness and depressivity were also significantly lower in the perphenazin-enanthate regime. The patients under perphenazin-enanthate required a smaller amount of antiparkinsonian drugs. The more pronounced sedative effect of perphenazin-enanthate can be recommended in hostile and restless schizophrenic patients, whereas fluspirilene should be given to inactive autistic patients.


[Comparative investigation of action and side effects in intravenous, intramuscular and oral application of fluphenazine dihydrochloride (author's transl)].

Patients suffering from acute schizophrenia are subjected to treatment according to different therapy standards, depending on the individual hospital. Hence, the present study aimed at a comparative investigation of the effects and side effects of fluphenazine dihydrochloride administered to 51 acutely diseased schizophrenics via the intravenous, intramuscular and oral routes. It was also interesting to record the assessment of efficacy, painfulness and, as the case may be, repeated selection of the form of application concerned, by the patients themselves. Finally, we also investigated the relations between the age of the patients, duration of previous hospitalisation, and the effects achieved with the three application forms. Documentation was effected via the following examination instruments described and recommended by the National Institute of Mental Health (NIMH), USA; CGI, BPRS, Dotes, APDI and PTR.


[Comparison of psychiatrist's rating and self rating of schizoprenic patients (author's transl)].

40 acute schizophrenic in-patients were examined using a rating scale (AMP-system) and a self-report questionnaire (APZ) immediately after their admission and on average 7 weeks later. The aim of the study was to clarify the usefulness of self-report questionnaires in schizophrenic patients. There were four groups of subjects: 1. Patients, who filled in the questionnaire immediately after admission, 2. patients, who did not at this phase of their illness, 3. patients, who filled in the form 7 weeks later during remission and 4. patients, who did not. The main questions were: --Are their any differences in the psychopathology between testable and untestable patients immediately after admission resp. during remission 7 weeks later? --How do the psychiatrist's ratings and the self-ratings correlate in different phases of the illness? If was found that the degree of psychopathology correlated negatively in the acute state with the capacity to perform a self-rating. Seven weeks later during remission this correlation could not be found anymore. Motivational variables of staff and patients in influencing the testability are mentioned. It is also shown that there are selfreports and rating-scales. The correlations are different during the two phases of the illness.


[Treatment of acute schizophrenic stupor: the effect of biperiden (author's transl)].

The study reports about the intravenous application of Biperiden at patients with acute hypokinetic reaction suffering from schizophrenia of the paranoid-hallucinatory type. In all of the six cases examined a fast abolition of the stupor could be observed. The pathophysiological mechanisms deriving from our clinical experiences are discussed. Furthermore, a therapeutic procedure is suggested to treat acute schizophrenic stupor merely with drugs.


Effects of lithium on vigilance, psychomotoric performance and mood.

It can be expected that investigations on the effect of lithium on the "normal" human mind may elucidate the influence of lithium on experience and behaviour during the "free interval" of manic-depressive patients. In a placebo-controlled double-blind trial 24 normal healthy volunteers were given lithium sulphate (24--36 mval/die) or placebo over a period of two weeks. The subjects were tested after one and two weeks drug intake using the following tests: quantitative pharmaco-EEG, psychological performance, and mood scales. In comparison to placebo lithium shows decreased flicker fusion threshold, and mood change towards depression (Bf-S). In the resting EEG a decrease of relative slow alpha (7.5--9.0 cps)--and an increase of relative fast beta (20.0--30.0, and 30.0--48.0 cps)--power was observed. The results suggest that lithium leads to decreased vigilance and reduced spontaneous activity.


Rheological properties of skin components under compressive load.

Characterization was made of the mechanical properties under compression of four major skin components (collagen, elastin, chondroitin sulfate, and hyaluronic acid) placed in a gel matrix. Using the previous theoretical work of Bert et al., thickness under compression was related to degree of hydration and the results expressed in terms of pressure vs. hydration. All measurements were conducted at 14 degrees C, 21 degrees C, and 25 degrees C. Application of the findings to a model based on the finite deformation strain-energy theory of Aubert indicate that collagen, elastin, and chondroitin sulfate show a viscoelastic response under compression. On the other hand, hyaluronic acid and gelatin exhibit rubber-like behavior.


Dose dependence of PGBX, a polymeric derivative of prostaglandin B1, for normalization of hereditary diabetes of the mouse.

A polymeric derivative of prostaglandin B1, PGBX, which reactivates phosphorylation in damaged mitochondria, is shown to normalize the high blood glucose, obesity, and excessive appetite of the hereditary diabetic mouse. The degree of normalization is shown to vary with dosage.


Swimbladder membrane protein of an abyssal fish, Coryphaenoides acrolepis.

Protein components of the membranous foamy tissue collected from the swimbladder of Coryphaenoides acrolepis, a continental slope/deep sea grenadier fish, were partially fractionated and characterized by procedures used successfully for erythrocyte membrane proteins. Methods involving pH and ionic strength adjustment in the presence of EDTA and beta-mercaptoethanol resulted in some protein fractionation but no distinct separation or isolation of membrane proteins. Gel filtration by Sephadex G-100 and Sepharose 2B in the presence of dodecyl sulfate partially fractionated protein species between 18,000 and 150,000 molecular weight (as confirmed by dodecyl sulfate polyacrylamide gel electrophoresis). Low molecular weight proteins were resolvable into a few diffuse and streaky bands by dodecyl sulfate and chloral hydrate polyacrylamide gel electrophoresis, the former giving superior reso-ution. A major fraction of large molecular weight protein (greater than or equal to 40 X 10(6)) was not resolved by any method. A possible explanation for these unusual findings is that decompression due to rapid ascent of the fish from deep ocean caused irreversible alteration of swimbladder membrane proteins.


Translation of glutamate dehydrogenase mRNA in a reticulocyte cell-free system.

Messenger RNA template activity for glutamate dehydrogenase was detected in poly(A)-rich RNA extracted from rat liver polysomes. Enzyme synthesized in cell-free reticulocyte system was detected by measuring enzyme activity in the translation incubation mixture using dual wavelength spectrophotometric technique. The translation product was also identified by a partial purification of the labeled synthesized enzyme and by coelectrophoresis with the carrier enzyme preparation from mitochondrial matrix.


Membrane potential and active transport--an information theory approach.

A membrane potential stabilizing mechanism is proposed. Permeability is portrayed as controlled by a potential sensor. The active transport system is suggested to be a Maxwell demon able to recognize different ions, and modulate their passage into and out of the cell, without apparent reliance on energy. The idea that information is equivalent to entropy is used to resolve that paradox and construct a model of the active transport system. The non-steady ionic state of muscle cell is deduced; that ionic concentration may determine the condition of muscle is also suggested.


Lymphocyte culture supernatants prevent sickling of red blood cells.

Metabisulphate-treated red blood cells from sickle-cell patients were protected from sickling by exposure to supernatants from cultures of phytohemagglutinin-stimulated normal human lymphocytes. Such supernatants, when not thus stimulated, afforded no protection.


Successful therapy of heart disease by high potassium together with low sodium in accord with predictions from the associated cation, structured water concept of the cell.

High potassium together with low sodium in diet and intravenous fluids has been observed clinically by Sodi-Pallares to have a beneficial effect on chronic heart failure and on acute myocardial infarction. Recent studies from the laboratory of Ling indicate that high potassium, low sodium environments can partially restore damaged cell proteins to their normal undamaged configuration. It follows that by this mechanism cell proteins damaged by the chronic or acute hypoxia of heart disease are probably partly repaired when high potassium, low sodium therapy is used.


Homotransplantation of limbs in rats. A preliminary report on an experimental study with nonspecific immunosuppressive drugs.

We did 97 limb homografts among histoincompatible rats, Wistar and Fischer 344 pairs, and we concluded as follows. 1. Using microvascular anastomoses, rats are technically, immunologically, and economically superior to other animals for the study of limb homografts. 2. The homografted legs in animals without the use of any immunosuppressive agents were rejected by the 14th postoperative day (average, 12.5 days) among the Wistar and Fischer 344 pairs. The common features of limb rejection became clear, both macroscopically and histologically. 3. Rats immunosuppressed with azathioprine and prednisolone retained the homografted legs intact for 24, 21, and 17 days (when the recipient rat died). Other immunosuppressive drugs (6-MP, prednisolone) did not delay rejection.


Use of thirty latissimus dorsi flaps.

Experiences with 30 latissimus dorsi flaps are described. Used either as a muscle flap, as a myocutaneous flap, or as an "island" of skin nourished by a subcutaneous pedicle of muscle and vessels, the flap has an excellent blood supply and is suitable for many repairs of defects of the chest wall.


Successful correction of velopharyngeal stress incompetence in musicians playing wind instruments.

Two professional musicians who played wind instruments developed velopharyngeal stress incompetence which prevented them from generating the high intraoral pressures required to play their instruments. In both cases, we did a V-Y pushback with a superiorly-based pharyngeal flap. At 1 1/2 and two years postoperatively, both patients remain free of velopharyngeal incompetence and are actively engaged in their musical careers.


Thumb reconstruction in children through metacarpal lengthening.

In 7 children, aged 10 to 14 years, we did thumb reconstructions by a gradual lengthening of the first metacarpal. In all cases, spontaneous bone consolidation occurred between the distracted fragments. The average period of treatment was 4 months, and a mean metacarpal elongation of 88% was achieved. The quality of the skin sensitivity in the amputation stump was preserved after the lengthening.


The differing effects of isoxsuprine on muscle flap and skin flap survival in the pig.

The pretreatment of pigs with isoxsuprine for two weeks resulted in a significant increase in the surviving length of sartorius muscle flaps when compared with untreated flaps on the same animal. However, there was no improvement in the surviving length of neurovascular island skin flaps when these animals were treated with isoxsuprine. The difference in these results is thought to be due to the action of isoxsuprine on the blood supply of skeletal muscle.


Late development of hematoma around a breast implant, necessitating removal.

We present a patient who bled into the pocket around a breast implant 2 1/2 years after an augmentation mammaplasty. She had received inflatible silicone prostheses, each containing 40 mg of triamcinolone acetonide. Our belief is that this large dosage of corticosteroid was responsible for the late erosion of the medium-sized artery, which caused the hemorrhage. Exploration and evacuation of the hematoma was followed by an uneventful postoperative course.


An interpersonal communication analysis of relationship in psychotherapy.

In psychotherapy theorty, research, and practice, relationship has remained a controversial and elusive construct. Psychoanalytic theorists highlight transference-countertransference factors as central theoretical and technical components, but have yet to translate these constructs into a scientifically useful format. Rogerian theorists have consistently specified the relationship factors of positive regard, empathy, and congruence as "necessary and sufficient conditions" for constructive personality change in therapy and have evolved operational anchorings (e.g. Rogers, Gendlin, Kiesler, and Truax, 1967). Behaviorists (e.g., Wilson and Evans, 1978) conceptualize relationship factors as nonspecific variables which are important in enhancing the social influence and eliciting power of the therapist as an agent of change, while considering most client emotional responses toward the therapist as random factors which are generally irrelevant to the therapeutic process. My purpose in this paper is to offer a conceptual and empirical analysis of relationship in human behavior and in psychotherapy from an interpersonal communication perspective.


A cognitive investigation of schizophrenic delusions.

Delusions have traditionally been regarded as unmodifiable false beliefs. Both Freud (1911) and Jaspers (1968) argue that there is a unidirectional relationship between a delusional belief and consensually validatable realtiy: the delusion structures reality in accordance with the delusion's demand. In contrast, we postulate that there is a bidirectional interaction between the delusion and external events. We believe that external events might modify the rigid belief when there is a dramatic incongruity between specific beliefs and selected events. The following investigation was motivated by a desire to understand more clearly how some overtly delusional patients come to lose their delusions during the course of treatment for schizophrenia. Do delusions simply melt away under the influence of major tranquilizers, or does the delusional patient play some active part in assessing the validity of this belief?


The consciously rejected child: legal and social issues.

With increasing frequency, we are observing the phenomenon of the parentally abandoned or rejected child. This can in large measure be attributed to several social/historical developments in American society (Crandall and Grossberg, 1978). Important factors contributing to the phenomenon include the much publicized "breakdown" of traditional family structures; increasing divorce rates; the urbanization of the American population, which creates a cloak of social anonymity; and the establishment of a state/federal welfare bureaucracy, which in part supplants the caretaking functions traditionally carried out by parents. Children who become the victims of parental abandonment find themselves in circumstances in which they come to the attention of an remain, at least for a time, the responsiblity of the legal system and the mental health professions. The interaction of these two institutions, with their overlapping obligations of responsibility toward protecting children, often creates its own problems. Problems arise in part from the somewhat different "interests" of children whom the legal and mental health professions seek to protect and in part from a lack of mutual understanding and knowledge concerning the respective goals, duties, and professional obligations of the two professions. By becoming familiar with the complexity of legal issues which surround the topic of intrafamily relationships in general and parental rights in particular, the psychiatric practitioner can anticipate certain problems which might occur during the course of treatment and can in some instances specify conditions or introduce safeguards in order to minimize the impact of legal intrusions upon the treatment program. The following discussion is designed to help the practitioner to achieve these goals.


Pathological jealousy.

Five women with excessive and irrational jealousy of their spouses have long defied my therapeutic efforts and have prompted me to explore the sources and the ramifications of conjugal jealousy. This paper presents my experiences and the formulations that have emerged from them.


Becoming homosexual: a model of gay identity acquisition.

How do male homosexuals who choose homosexuality as a way of life recall having acquired their gay identities? This question provided the impetus for the descriptive study presented here. Rather than concerning itself with the etiology of homosexuality, this report-- a synthesis of and elaboration on recent investigations of homosexual and/or gay identity--concerns itself with documenting the ways in which a man learns that he is homosexual, how he realizes or decides that he is gay, and how he integrates this affectional and sexual preference into his identity or self-conception.


The menstrual cycle and habituation.

A group of women were studied over two consecutive menstrual cycles, at about one week intervals. Twenty-one of these women had spontaneous ovulatory menstrual cycles, 6 women had anovulatory cycles, and 7 were regular users of oral contraceptives. All cycles were converted to classic 28 day cycles. On each visit, a record was obtained of the subject's galvanic skin responses (GSRs) to 21 successive auditory stimuli. It was found that, during ovulatory cycles, a marked change in the rate of habituation of the GSR occurred around day 14 and day 28. During days 1--14 the mean habituation point (number of GSR responses to sound before 3 successive nonresponses) was 12.4 SE 1.6. This dropped to 6.8 SE 1.6 during days 15--28 (2-tailed t test, p less than 0.001). This change was not found for women on oral contraceptives, who showed consistent habituation rates throughout the cycle (mean habituation point 7.2 SE 1.1). The evidence also suggested that women with anovulatory cycles differed from those with ovulatory cycles in that they did not show a chnage in their habituation point around midcycle.


Predictability, attentional focus, sex role orientation, and menstrual-related stress.

Two separate studies assessed the influence on menstrual distress and related inhibition of such variables as predictability of onset, dispositional susceptibility to cultural expectations, and the attentional focus provided by labels. Greater predictability of onset was associated with more positive feedlings about menstruation in spite of more severe distress. More feminine subjects reported more severe distress, while masculinity was related inversely to inhibition. Subjects reported less distress when the symptoms to which they responded were labeled as related to menstruation. Similarly, subjects' ratings of their general health status were not related to menstrual distress scores if the symptoms were labeled menstrual. Findings are discussed with respect to greater integration of menstrual research into the literature on pain and stress generally.


Clinical, genetic and DNA repair studies on a consecutive series of patients with xeroderma pigmentosum.

We report clinical, genetic and biochemical findings in 13 families with the photosensitive genodermatosis, xeroderma pigmentosum. All patients had a defect in repair of DNA damage provoked by ultraviolet radiation. Eleven patients and their three affected sibs were defective in the excision repair of UVR induced DNA lesions while the other two were defective in post-replication repair. One in the former group was diagnosed prior to the development of permanent skin abnormalities and preventive measures succeeded for almost five years in maintaining a normal appearing skin. In addition, two cases were diagnosed prenatally and aborted therapeutically. Some patients' parents showed slightly reduced repair of UVR induced DNA damage. In xeroderma pigmentosum (XP), the defect in the excision of DNA lesions appears to be due to homozygosity for one of at least seven different mutations and, accordingly, XP patients can be assigned to seven so-called complementation groups, A to G. Of these, groups A, C and D are the most common. Somatic cell fusion allowed three of the families reported here to be assigned to group A, four to group C and four to group D. Fibroblasts of patients from these three groups were shown to differ not only in the degree and kinetics of their residual DNA repair but also in the kinetics with which their defect is complemented by fusion with normal or XP cells of other groups. This confirms that mutations of different genes play a role in XP and provides a basis for understanding how such genes interact to secure repair of DNA lesions in normal cells. We discuss the phenotype of XP from different complementation groups in relation to the severe neurological abnormalities which may develop and must be considered in genetic counselling. We also discuss the biochemical anomalies of XP and the cellular effects of physical and chemical agents which damage DNA. In the practical management of XP, the importance of early differential diagnosis and prompt initiation of treatment is emphasized. Lastly we review the relationship between DNA repair and skin cancer in XP.


An outbreak of suspected solanine poisoning in schoolboys: Examinations of criteria of solanine poisoning.

Seventy eight schoolboys became ill after eating potato at lunch on the second day of the autumn term. Seventeen of the boys required admission to hospital. The gastrointestinal, circulatory, neurological and dermatological findings and the results of laboratory investigations were in keeping with solanine poisoning. The illness affected the junior boys and all the monitors but no other senior boys or staff. This pattern was compatible with the consumption of a relatively small number of toxic potatoes believed to have come from a bag (A) left in the stores since the summer term. The amount of solanine in potato waste recovered after the meal was excessive as assessed by its anticholinesterase activity. The amount of alpha-solanine and alpha-chaconine in the flesh and peel of potatoes from a bag (B) known to have been left from the previous term was high. The anomalously narrow margin between the solanidine alkaloid content reported for normal and toxic potatoes might perhaps result from an excessive synthesis by the latter of additional, related steroids, such as sapogenins and saponins, which, by promoting gastrointestinal absorption or other means, might enhance the toxicity of solanidine alkaloid.


Hypertension and hyperkalaemia responding to bendrofluazide.

A 33-year-old man is described with hyperkalaemia, hypertension and acidosis. The blood pressure was 160 to 200 mmHg systolic and 90 to 110 mmHg diastolic and the plasma potassium was between 6.0 and 7.0 mmole per litre. There was no renal disease and creatinine clearance was 103 ml per minute. Plasma renin activity was low and plasma aldosterone was at the lower limit of normal. Sodium deprivation or oral frusemide had little effect on blood pressure, plasma potassium, renin, aldosterone or arginine vasopressin. However, bendrofluazide caused a rapid fall of blood pressure and plasma potassium, and rise of plasma renin, aldosterone and plasma arginine vasopressin. Hypertension and hyperkalaemia is rare in the absence of renal failure. Four similar patients reported previously are reviewed. We suggest that our patient, and perhaps some of those reported earlier had primary abnormality of renal tubular function with impaired secretion of potassium and excessive tubular reabsorption of sodium. The plasma renin activity could be due to volume expansion and the low plasma aldosterone was probably caused by the antagonistic effects of low renin depressing synthesis and hyperkalaemia increasing it. A minor similar tubular abnormality might be the explanation in some of the patients with essential hypertension who have low plasma renin activity.


Cardiovascular control in recently injured tetraplegics in spinal shock.

Cardiovascular control was studied in five tetraplegic patients with physiologically complete cervical spinal cord transections. All had been injured less than two weeks previously and were in spinal shock. Blood pressure, heart rate, and plasma noradrenaline and adrenaline were measured at rest and during and after bladder stimulation and application of cold stimuli to skin below the level of the lesion. In three patients the cardiovascular responses to intravenously infused 1-noradrenaline and to the Valsalva manoeuvre were recorded. Measurements were also made in six chronic tetraplegic patients (in whom reflex spinal cord activity had returned) at rest, and during and after bladder stimulation, and in six normal subjects at rest. Average resting blood pressure in the recently injured tetraplegics was 130/57 (mean 81) mmHg, in the chronic tetraplegics 107/55 (mean 73) mmHg and in normal subjects 122/82 (mean 95) mmHg. Average resting heart rate was 64, 73 and 77 beats/min in the three groups respectively. Resting plasma noradrenaline and adrenaline levels in both the recently injured and chronic tetraplegics were lower than than in normal subjects. In the recently injured tetraplegics bladder stimulation caused minimal changes in blood pressure, heart rate and plasma noradrenaline and adrenaline levels. In the chronic tetraplegics similar stimulation caused marked hypertension, bradycardia and elevation in plasma noradrenaline but not adrenaline levels. Cold stimuli in the recently injured tetraplegics did not change blood pressure or heart rate. In the recently injured tetraplegics intravenous infusion of 1-noradrenaline resulted in greater elevation in blood pressure than normal. There was a decrease in heart rate. One patient was able to perform the Valsalva manoeuvre. His blood pressure responses were consistenly abnormal ('blocked' Valsalva).


Treatment of renal bone disease with 1 alpha-hydroxylated derivatives of vitamin D3. Clinical, biochemical, radiographic and histological responses.

Forty patients with severe bone disease and chronic renal failure were treated with 1 alpha-hydroxycholecalciferol (1 alpha-OHD3) or 1,25-dihydroxycholecalciferol (1,25(OH)2D3) for 7--49 months (total = 738 patient months). There were symptomatic, biochemical and radiographic improvements in the majority of patients (greater than 70 per cent). Paired bone biopsies, taken before and during treatment in 26 patients, showed no change in bone matrix area, whereas matrix area decreased in a control group of 26 patients over the same period. There were small but consistent decreases in bone marrow fibrosis and in bone cell (osteoblast and osteoclast) counts in treated patients but not in controls. However, the proportion of patients who showed histological 'cure', in the sense of complete reversal of marrow fibrosis or excess osteoid was no greater in the treated than in the control group...


Deafness in myxoedema.

Deafness has been demonstrated in 41 (85 per cent) of a consecutive series of 48 patients with myxoedema. There was no difference between the incidence of high and low frequency hearing loss. Severe myxoedema was associated with a higher incidence of deafness than mild myxoedema. Hearing was retested when patients were euthyroid following treatment with thyroxine. Improvement in hearing was found in 55 out of 75 deaf ears (73 per cent) and return to normal hearing occurred in 17 (23 per cent) of the 75 deaf ears.


Radiobiological effects and dose-LET spectra.

To advance our knowledge about radiobiological cell effects typical different cell reactions must be discriminated and studied individually. Today the 2-component theory which distinguishes between repairable beta-reactions and nonrepairable alpha-reactions, is the first step on this road. Such specialized investigations give a more detailed and clearer picture of the cell reactions than the usual RBE comparisons carried out with different radiation types. This is especially important for clinical radiotherapy where it is essential to increase the selectivity between reactions on normal and tumor cells. alpha-values for different types of radiation are communicated.


Cell survival over the depth profile after irradiation with a negative pion beam.

The colony-forming ability of Chinese hamster fibroblast cells in vitro has been investigated throughout the depth dose profile of a negative pion beam. In the peak and 2 cm beyond, the RBE for macroclones (more than 50 cells per clone) was 1.3 and in the plateau region 0.8--1.0. All of the microclones (2-49 cells per clone) were observed as well. The RBE values are the same for peak and somewhat higher for plateau and post peak than found in cell survival studies referring to macroclones.


Biological effects of negative pions in monolayers and spheroids of Chinese hamster cells.

The therapeutic value of pion irradiation was critically challenged by examining, in a cell culture system, various parameters of biological significance such as relative biological efficiency (RBE), oxygen enhancement ratio (OER), DNA-break formation, changes in cell cycle kinetics and regrowth. In all parameters, pions were superior to conventional low-LET radiation.


Chromatid breaks induced in Chinese hamster cells by low doses (12--100 rad) of pi--mesons.

Monolayer cultures of the fibroblast-like Chinese hamster cell-line 19/1 were irradiated in the G2-phase of the cell cycle by pi--mesons (6 rad/min peak-pion dose rate). Frequencies of induced single- and isochromatid breaks, acentric fragments and interchanges were compared with data obtained from 140 kV X-rays. The RBE-values were for the pion dose peak between 0.8--1.2 and for the pion dose plateau 0.5--0.9. Whereas for single chromatid breaks there was no significant difference between X-rays and peak pions for identical physical doses, the isochromatid breaks alone showed a significantly higher frequency for 100 rad peak pions.


RBE and OER values of negative pion beams from growth inhibition of Vicia faba roots.

Two pion beams of different momentum width have been used to expose meristems of Vicia Faba roots under aerobic and hypoxic conditions. The measurements of the resulting 10 days growth inhibition after exposures at various locations on the pion beam axes have been made and RBE and OER values evaluated for 50% effects compared to 60Co gamma-rays. The results have been related to the fractional doses from star products defined by telescope measurements of stopped pions along the same beams. It has been found that the RBE value increases with the fractional "star dose" up to a maximum after which the RBE decreases. The OER values, however, were found to decrease with increasing "star dose" fraction rather rapidly after which it was found to be independent of the "star dose" contribution.


Preclinical radiobiology with pions: RBE--values for mouse skin damage as a function of single doses of pions.

The macroscopic reaction of the mouse skin was used to derive RBE values for negative pi-Mesons. Hind limbs of mice were irradiated with pions or X-rays. The pions were produced by the 590 MeV accelerator of the Schweizerisches Institut für Nuklearforschung (SIN). Early reaction was assessed over a period of 6--30 days after irradiation with single doses (20--45 Gy). The radiation damage was scored using an arbitrary scale of effect. The time pattern of development of the skin reaction and the subsequent healing after exposure both to pions and X-rays were similar, indicating that depletion and repopulation of the basal cells of the skin were comparable, both after pions and X-rays. RBE values as a function of pion doses at the peak (dose maximum), plateau and at the postpeak (12 mm downstream of the dose maximum) were computed with nonparametric statistical methods. The RBE at the peak and at the plateau relative to X-rays of the same dose rate was 1.15--1.25 and 0.85, respectively. The RBE of peak pions manifested a marked dependence on dose, when plateau pions were chosen as reference radiation. In this experiment there was no significant difference in RBE between peak and postpeak. The importance of some experimental condition (dose rate, irradiation volume) is discussed.


Long-term effects of negative pions in female mice exposed to whole-body irradiation.

Long-term effects, especially the incidence of tumors, of whole-body exposure of female NMRI mice with either negative pions (peak or plateau region) or X rays have been studied in comparison to controls. Animals were irradiated at the age of 10 days after birth. The mice were then regularly examined for deaths and signs of severe disease, moribund animals being killed. A detailed histopathological work-up has been performed. The data show that the survival as defined by death or the time of autopsy is significantly lower in irradiated mice in comparison to controls, that there is no difference in reduction of survival between groups treated either with X rays or pions at peak region, but that a difference can be seen when comparing X rays with pions at plateau region. The incidence of ovarian tumors at any particular age is higher in mice treated with X rays or pions than in control groups, but significantly lower in animals exposed to plateau pions than in those treated with peak pions or X rays.


Low-dose effects of X-rays and negative pions on the pronuclear zygote stage of mouse embryos.

Mouse embryos in the pronuclear-zygote stage (day 0 of gestation) were irradiated with 13.5 rad of 140kV X-rays or negative pions. On day 13 the fetuses were examined for developmental anomalies such as intrauterine death, growth retardation and malformations. Significant decreases in the percentage of normal implantations were obtained with peak pions (high LET) and X-rays, whereas the effect of plateau pions was less obvious. Irradiation with peak pions was more effective than with X-rays by a factor of about 1.7.


Effect of negative pi mesons on vascular permeability of brain in neonatal rats.

Neonatal rats and their radiation-induced cerebral petechial hemorrhages were used as an experimental system for evaluating the effects of negative pions on healthy tissue and especially on the microvasculature. Dose response curves for peak and plateau pions (dose range 150--250 rad and 100--400 rad, respectively) were obtained and compared with those of 200 kV X-rays of corresponding dose rates. The RBE of the peak pions was 1.1, that of the plateau pions 0.6 resulting in a peak/plateau ratio of 1.8. Implications were made as to the importance of this favorable peak/plateau relationship since the response of the capillary endothelium to pion-irradiation might be one of the limiting factors in radiotherapy.


Effects of rotation on radiographic dimensions of metacarpals.

An experiment is described which shows that small rotations of metacarpals about their long axes produce small systemmatic changes in the cortical dimensions as measured by radiographic morphometry. The effect is of no significance in cross-sectional studies but is an important source of error in sequential studies.


Education in radiologic technology: an analysis.

One of the most important goals for the radiologic technology profession is to base its educational programs on evaluation of competence, therby assuring the employers, consumers, government agencies and other professionals that the profession is striving for quality performance by its graduates. The profession of radiologic technology is in a period of changes as Virginia A. Milligan so adequately described in her Jerman Memorial Lecture, "The Anatomy of Change". To achieve cohesiveness and accomplishment of goals, this change must be recognized and accepted, otherwise, fragmentation will result and destruction of the profession will occur from within.


Radiographic considerations of Hirschsprung's disease.

This article describes Hirshsprung's disease and its radiographic appearance. It gives important features that must be considered when doing a barium enema on children suspected of having the disease. It also explains why these features must be considered.


Psychodynamic components in the role of the radiologic technologist.

The role of the radiologic technologist involves frequent psychosocial transactions and interpersonal relationships. The technologist is called upon to utilize knowledge and skills in the area of human relations in relating to patients, functioning on the allied-health team, and carrying out administrative tasks. This article focuses upon the role of the radiologic technologist as a psychotherapeutic enabler and counselor. While it is well recognized that the technologist does not function as a psychotherapist in the complete sense of the term, there are role components that psychotherapeutic in nature. This article explores, analyzes and elucidates these psychodynamic aspects and provides the reader with guidelines for performance in psychosocial role activities.


[The significance of the migration of disseminated small round opacities in lung disease--with silicosis serving as a model (author's transl)].

Radiographic follow-up studies of cases of silicosis serve as an example to illustrate the migration of nodular lung disease--in order to demonstrate the fact that silicotic pulmonary nodules with dense profusion tend to coalesce resulting in the formation of large opacities. More widely disseminated nodules with less dense profusion can--on the contrary--result in migration towards the periphery of the lung and thus mimick pleural disease by the formation of subpleural nodules.


CT scanners: the industry behind the science.

The history of computerized tomography scanners is an interesting study. Probably no medical technology has made such a spectacular splash as has this one. Coming on the scene just as medical costs were skyrocketing, it has been the subject of much controversy over its medical value in terms of other diagnostic technologies and its high cost. This article details some of the behind-the-scenes activity in the development and production of computerized tomography units.


[Xeroradiographic studies of arteriovenous shunts in patients on hemodialysis (author's transl)].

A simple procedure for visualization of iatrogenic av-shunts in the upper extremity of patients on hemodialysis is presented. During compression proximal to the fistula (applying pressure of more than the patient's systolic value) 45 ml Metrizamide (80 mg iodine/ml) are injected into the venous limb of the shunt. A single xeroradiogram obtained 5-7 seconds later shows the arterial and venous vessels simultaneously. The examination requires less than 15 minutes to perform and is far less discomforting to the patient than arteriography. 42 patients were examined by this method without complications. Pathological findings - including stenoses, pseudoaneurysms and venous thromboses - were confirmed surgically.


[Angiographic findings in cerebral aneurysms (author's transl)].

The angiograms of 140 patients with congenital intracerebral aneurysms were examined, and specific angiographic findings correlated to course and prognosis of the patient. Vascular spasm at or near the aneurysm seen shortly after its rupture seems to be a protective measure against further hemorrhage. Persistance of spasm for over a week, however, is a bad prognostic sign. Decreased blood flow in the aneurysmal cavity itself on initial angiography was frequently accompanied by an increase in recurrent hermorrhage. This was also true for aneurymsm with multiple lobulations. A mass effect with midline shift was seen in 20% of the patients.


[Bilateral fusion of the lesser multangulum (trapezoid) and the capitate in Turner's syndrome (author's transl)].

Fusion of the carpal bones, especially the lesser multangulum (trapezoid) and the capitate, are rare. Fusion of the lunate and triquetrum, however, are more common and are more frequent in negroes than in caucasians. The patient presented had Turner's syndrome, retarded bone age and shortening of the fourth metacarpals. Etiology, pathology, symptoms and possible relation to Turner's syndrome are discussed.


[Enchondroma - radiology and pathology (author's transl)].

Analysis of 374 cases of enchondroma, 42% of which were localized in the short bones of the hand. The findings in radiology and pathology are presented and discussed, with special attention to the difficulty of classifying these tumors histologically and distinguishing them from chondrosarcoma. The recurrence rate in the short bones of the hand was 9%, and 19% in the long tubular bones. It was especially high after mere currettage of the tumor.


Prognostic factors of breast neoplasms detected on screening by mammography and physical examination.

A total of 183 neoplasms detected on screening women between the ages of 45 and 64 by mammography and physical examination were analyzed according to multiple histologic parameters. In general, tumors apparent only on mammography should be associcated with favorable long-term survival because of their early stage. These lesions had histologic features indicating significant potential for subsequent metastatic spread. This analysis strongly suggests that mammographic screening of asymptomatic women both above and below 50 years of age can substantially reduce breast cancer mortality.


The silhouette sign and the inferior vena cava.

Pulmonary lesions causing obliteration of the normal inferior vena cava (IVC) shadow on the lateral radiograph are described. Retrocardiac mediastinal mass lesions and subpulmonic pleural effusions may also obliterate the IVC contour. Loss of the IVC shadow is an additional radiographic sign of right lower lobe collapse and frequently of disease involving the medial basal segment of the right lower lobe. This finding should be an indication that further investigation is needed to explain the loss of normal aeration.


Basilar pneumothorax in the supine adult.

A pneumothorax in a supine patient may outline the anterior costophrenic sulcus, resulting in an abrupt curvilinear change in density projected over the right or left upper quadrant, which is normally convex inferiorly. The upper quadrant will also appear relatively lucent. In a small pneumothorax these may be the only radiographic findings when the patient is supine. This can be easily identified on mobile-unit radiographs of limited technical quality. Either finding should lead to a prompt cross-table lateral or decubitus study to confirm the diagnosis and allow estimation of the size of the pneumothorax.


Iodine absorption from the gastrointestinal tract during hypaque-enema examination.

Iodinated contrast agents administered intravenously or intra-arterially may cause serious reactions in hypersensitive patients. Oral administration of Hypaque (diatrizoate sodium) results in minimal absorption of iodine, but the amount of iodine absorbed with Hypaque-enema studies is unreported. Hypaque-enema examinations were performed in 20 normal, nonsensitive patients and increased serum iodine levels ten to 200 times base-line values, peaking after approximately one hour in patients who had measurements obtained for four hours. Therefore, before Hypague-enema studies, patients must be carefully questioned about their tolerance of iodinated contrast agents, and preparations should be made for possible serious hypersensitivity reactions.


Hemophilia and the female: considerations for the radiologist.

Hemophilia A and B are commonly considered male diseases because of their X-linked recessive inheritance, but clinical hemophilia is occasionally seen in females. This may represent an extreme example of the Lyon hypothesis in which a heterozygous female has only the one X chromosome bearing the aberrant gene in the active state.


Craniosynostosis: correlation of bone scans, radiographs, and surgical findings.

Skull scintigraphy was performed in 68 children with suspected craniosynostosis after injection of technetium-99m methylene diphosphonate. The scans demonstrated four patterns of sutural activity: normal, absent, increased, and wide. When correlated with surgical findings, "absent" indicated fused sutures, "increased" indicated fusing hyperactive sutures or sutures reacting to fusion elsewhere, and "wide" indicated splite sutures. Upon correlation with the radiographs, it was found that when the radiograph was normal, the scan contributed little; when the radiograph was abnormal or equivocal, the scan was often of great assistance in confirming fused sutures and detecting other abnormal sutures.


Paranasal sinus mucoceles in children.

The clinical and radiographic features of paranasal sinus mucoceles in 6 pediatric patients are discussed. These lesions may be associated with clinical signs of a periorbital or intracranial mass. Characteristic radiographic findings can suggest the preoperative diagnosis, although a sphenoid sinus mucocele may simulate more serious conditions.


Lymphography in childhood rhabdomyosarcomas.

Forty-one children with subdiaphragmatic rhabdomyosarcoma underwent bipedal lymphography. Twenty-two (53.5%) of the lymphograms were interpreted as being positive. In our series, the lower limbs were the most common primary site of involvement, were more frequently involved by the alveolar histologic subtype which carries a poor prognosis, and were associated with a higher incidence of lymph node metastases. Positive lymphographic findings in this group of children were similar to those seen in both adults and children with other solid tumors, i.e., the presence of discrete lymph node filling defects. However, in 3 cases, abnormalities more characteristic of lymphoma were identified. Evaluation of lymph node metastases as demonstrated by lymphography has prognostic significance.


Normal functional anatomy of the facial artery.

The functional anatomy of the facial artery consists of a group of constant arterial pedicles nourishing a specific territory and supplied by a variable facial trunk. There is a hemodynamic balance with other variable connecting trunks such as the transverse facial and internal maxillary arteries. Every type of variant, irrespective of its origin, may be understood based on the constant relationships and anastomoses involved. Knowledge of this functional anatomical system is crucial to an understanding of the blood supply to the face.


Delayed intracranial hematoma in patients with severe head injury.

Serial computed tomography was peformed on 119 consecutive patients suffering from severe head injury. The development of delayed intracranial hematomas, both intra- and extraaxial, was evaluated by comparing the initial scan with subsequent studies. Ten delayed intracerebral hematomas and nine delayed extracerebral collections were encountered. The occurrence of delayed intracerebral hemorrhage is more frequenct than previously reported and is associated with a poor outcome.


High speed synchronous volume computed tomography of the heart.

A new generation, fully electronic high-speed whole-body computed tomography system is being developed to provide accurate dynamic visualization and measurement of the vital functions of the heart based on rapid changes in its shape, dimensions, and perfusion. This Dynamic Spatial Reconstruction System (DSR) will provide stop-action (1/100 sec.), rapidly sequential (60/sec.) synchronous volume (240 simultaneous, 1mm-thick cross sections) reconstructions and display of the full anatomic extent of the internal and external structures of the heart throughout successive cardiac cycles, and will permit visualization of the three-dimensional vascular anatomy and circulation throughout the myocardium.


Computed tomography of the retroperitoneum following nephrectomy.

Twenty-five patients were examined by computed tomography (CT) after nephrectomy. CT was useful in the detection of postoperative complications and local recurrence of tumor. Ultrasound was difficult because of rib artifacts or bowel gas, and a fluid-filled bowel often simulated tumor: oral contrast material was useful during CT. Local recurrence was demonstrated by CT in 8 patients in whom it was clinically suspected. Recurrent tumor was simulated by scarring in 3 cases and by an accessory or residual spleen in 2. Operative complications included one hematoma and one retroperitoneal abscess. CT could be useful in following up selected patients after nephrectomy.


Ultrasonic evaluation of the stomach, small bowel, and colon.

A characteristic sonographic pattern that suggests a bowel lesion is pathologically significant in over 90% of patients with this pattern. The authors call this pattern the "pseudokidney sign" because it superficially resembles the ultrasonic appearance of the kidney. Although found occasionally in normal persons, this characteristic pattern should always lead the sonographer to consider a bowel lesion. Additional radiographic examinations, such as an upper-gastrointestinal series, small-bowel studies, and barium-enema examinations, are advised for definitive diagnosis.


Sonographic patterns of distended, fluid-filled bowel.

When small or large bowel is distended with fluid, certain characteristic features can be seen on ultrasound which cannot be visualized when the bowel is collapsed. The proximal and distal portions of the small bowel can frequently be differentiated both in vitro and in vivo by the echoes emanating from the valvulae conniventes ("keyboard sign"). This depends upon the angle at which the bowel segment is scanned in relation to its long axis, the relative amount of intraluminal fluid and gas, the diameter of the bowel in relation to the beam width of the transducer, and the intrinsic resolution of the scanning system. Similarly, the ascending and transverse colon can be recognized by haustral sacculations, the distal rectosigmoid colon and rectum by the rectal valves. The tubular shape, characteristic arrangement and location, and peristaltic motion of most fluid-filled bowel segments are helpful in differentiating loops of bowel from cystic masses in the abdomen or pelvis.


Ultrasonographic localization of the gallbladder.

A linera echo connecting the gallbladder to the right or main portal vein was seen on ultrasonograms in a high percentage of patients (68%). This echo represents a portion of the main lobar fissure of the liver and appears to be a reliable anatomical indicator of the location of the gallbladder. The anatomical features responsible for this echo are discussed.


Ultrasound evaluation of the gallbladder wall.

In a series of 526 consecutive, unprepared patients examined by ultrasound, the gallbladder was visualized in 507 (96%). The average wall thickness was 2 mm or less in 97% of asymptomatic subjects without cholelithiasis and 3 mm or greater in 45% of those with choletithiasis. Pathologic correlation of increased thickness and chronic cholecystitis was made in a subgroup of 47 surgical patients. Local tenderness and mucosal thickening were found in 8 patients with acute cholecystitis. Use of electronic sector scanning is emphasized.


Gallbladder wall thickening: ultrasonic findings.

Despite the commonplace pathologic occurrence of gallbladder wall thickening in cholecystitis, ultrasonic evaluation of the gallbladder wall has rarely proved useful. Three additional cases of clearly documented ultrasonically visible gallbladder wall thickening are presented to support recent contentions that this may be a new sign of gallbladder disease.


Ultrasound evaluation of common bile duct size.

A new sonographic technique for demonstration of the common bile duct is described in a prospective study of 200 patients. The mean diameter of the normal common duct was 4.1 mm. A common duct greater than 7 mm in diameter can be seen in (a) nonjaundiced patients with gallstones and/or pancreatitis, or (b) jaundiced patients with common duct obstruction by stone or tumor. A common duct greater than 11 mm in diameter is strongly suggestive of obstruction by stone or tumor.


Radionuclide bone imaging as a means of differentiating loosening and infection in patients with a painful total hip prosthesis.

Twenty patients with 23 painful total hip prostheses were examined by radionuclide imaging (20 cases), arthrography (11 cases), needle aspiration (9 cases), and surgery (19 cases) for the purpose of assessing loosening and/or infection. Bone imaging was most accurate, showing three main distributions of activity: (a) ectopic calcification, (b) focal increased activity at the upper and lower ends of the femoral prosthesis, and (c) diffuse activity. These findings suggest that infection and loosening can be differentiated in many instances. None of the patients with focal activity had infection, compared to 2 of the 3 patients with diffuse uptake.


99mTc-methylene diphosphonate bone imaging in the evaluation of total hip prostheses.

A retrospective study was performed to determine the accuracy of 99mTc-methylene diphosphonate bone imaging in the evaluation of total hip arthrosplasty for lossening and/or infection. Using focally increased activity at the tip of the femoral component or in the region of the acetabular component as a criterion, the examination was 77% specific and 100% sensitive for loosening and/or infection. A possible explanation for the increased uptake at the tip of the femoral component and the role of this examination in the management of a painful total hip prosthesis are discussed.


Regression of Hodgkin disease in the mediastinum: a mathematical model.

Twenty-seven patients with mediastinal Hodgkin disease were teated either by radiation therapy or chemotherapy. The rates of tumor regression were measured and were fitted into a three-parameter Gompertzian model. Tumor regression was more pronounced and prompt in patients treated with radiotherapy. The Gompertzian model matched the radiation therapy data closely in the first 90 days after initiation of therapy in cases of approximately equal tumor size.


Pattern of recurrences in endometrial carcinoma and their management.

During the period 1961-1971, 177 surgical candidates with clinical Stage I adenocarcinoma of the endometrium were treated. The pattern of recurrence according to the initial mode of treatment and the high risk factors predisposing to recurrence are presented. The incidence of vaginal vault recurrence was reduced from 7.4% with surgery to 1.2% by the use of adjunctive radiotherapy. Management of recurrence according to site is outlined. The local control rate for patients with local recurrence was 44% and the five-year survival rate after recurrence was 33%.


Intracranial blood clot volume and geometric parameters determined from CT images.

A method of determining intracranial blood vlot volumes from CT images data is presented. This technique avoids dependence on regular geometric volume approximations. Studies are presented on phantoms of known volume (ranging from 3.5 to 108 cm3) but with varying size, shape, and density relative to the surrounding medium. For a wide range of differential densities across the boundary, these phantom results indicate that volumes may be calculated to an accuracy generally better than +/- 2 cm3. A series of clinical cases, principally hypertensive intracranial hemorrhages, have been studied to demonstrate the technique. Three-dimensional axes, which allow clot localization relative to cerebral anatomy, are defined using the anterior/posterior falx attachment points and the dorsum sellae. Clot volume, center of mass, vector of clot expansion, and shift of anatomical structures are determined. Correlation of these data with clinical outcome and surgery is discussed.


Radiation absorbed dose to the lens in dacryoscintigraphy with 99mTcO4-.

Calculations of the radiation dose to the lens for 99mTcO4- in dacryoscintigraphy are developed in some detail. The results indicate that the absorbed dose to the germinal epithelium of the lens is 2.2 X 10(-5) to 1.4 X 10(-4) rad/microCi (5.9 x 10(-12) to 3.8 x 10(-11) Gy/Bq) 99mTcO4- under physiological conditions. With blockage of the lacrimal drainage apparatus, the dose to the lens could increase to 4 X 10(-3) rad/microCi (1 X 10(-9) Gy/Bq).


Radiographic, photofluorographic, and television imaging systems: an evaluation.

A feasibility study for the photographic recording of fluoroscopic images from a high resolution system is described. Resolution on the television monitor was 2 line pairs/mm, making clinically acceptable recordings possible. Significant reductions in radiation dose to the patient and potential financial savings are indicated if a multiformat camera is developed to photograph the monitor.


Cellular response of a rat brain tumor to a therapeutic carbon ion beam.

Clonogenic cell survival of in situ 9L brain tumors was measured in air-breathing rats and rats killed with nitrogen. Animals were irradiated with BEVALAC accelerated carbon ions in the plateau and spread-out Bragg peak regions of the specific ionization curve. The relative biological effectiveness (RBE) for carbon ions in the plateau was 1.2 +/- 0.1 for oxic cells and 1.3 +/- 0.1 for anoxic cells; in the Bragg peak the RBE was 1.6 +/- 0.1 for oxic cells and 2.0 +/- 0.1 for anoxic cells. The oxygen enhancement ratio (OER) in the plateau was 2.0 +/- 0.1, not significantly different from the 2.1 +/- 0.2 found for x rays. The OER in the Bragg peak was reduced to 1.7 +/- 0.1. For cells having the same radiobiological sensitivity as in situ 9L cells, the neon ion beam may be therapeutically superior; however, this does not preclude selection of the carbon ion beam in many clinical situations.


Evaluation of hepatobiliary imaging by radionuclide scintigraphy, ultrasonography, and contrast cholangiography.

Cholescintigraphy, ultrasonography, and contrast cholangiography were compared in 60 patients. Among those having abdominal pain but no biliary disease or jaundice, cholescintigraphy was normal in 14/14, ultrasound in 10/13, and cholangiography in 13/14. Jaundice due to hepatocellular disease was correctly distinguished from complete biliary obstruction by cholescintigraphy in 17/17 patients and by ultrasound in 14/17. In cholelithiasis, ultrasound was abnormal in 10/12 and cholangiography in 7/9. Cholescintigraphy appeared most sensitive to active cholecystitis; only cholangiography and ultrasound visualized gallstones.


Microfibrillar collagen hemostat: a new transcatheter embolization agent.

Nine patients underwent transcatheter embolization with a suspension of microfibrillar collagen hemostat (MCH). Four of the patients had large vascular renal tumors, and two had bleeding bladder carcinomas. There was one case each of bleeding rectal tumor, bleeding esophageal varices, and arteriovenous malformation of the shoulder. MCH was highly thrombogenic and could be injected through very small catheters. It was highly effective as an occlusive agent and was able to penetrate the small end-arteries of a lesion. Its main disadvantage is that if normal tissues are inadvertently embolized, there is a risk of ischemic complication.


Gray-scale ultrasonography in the evaluation of neoplastic invasion of the base of the tongue.

Patients with primary carcinoma of the base of the tongue or direct invasion from contiguous areas were examined clinically and with ultrasound, and in some cases with computed tomography (CT), xerography, and polytomography. In all cases, multiple biopsy specimens were obtained. Utrasonography was better than the other imaging methods in delineating disease extent in the tongue itself, while CT and tomography were more useful in evaluating the retropharyngeal and lateral pharyngeal regions. It is suggested that ultrasound be used in the initial evaluation of such patients.


Detectability of spherical objects by computed tomography.

A Lucite phantom was constructed with voids cut in long cylinders, short cylinders and spheres in order to quantitate the effect of partial volume averaging on detectability. Typical scans of varying contrast revealed that the long cylinders cinsistently can be detected to a smaller size than either short cylinders or spheres of the same diameter. The authors feel that low contrast detectability must involve the influence of beam profile on partial volume contrast losses for spherical objects.


An alternate technique for lower extremity venography.

An alternate technique of performing lower extremity venography is described for use in patients in whom injection into a superficial vein of the foot is not possible.


The use of xylocaine to diminish leg cramps in venography.

A double-blind study was performed using the Bettmann-Paulin technique to test the hypothesis that small quantities of Xylocaine mixed with diluted contrast medium would reduce leg cramps in patients during venography. Under random selection, one group of patients received 10 mg/50 ml of Xylocaine per diluted contrast medium; a second group, 20 mg/50 ml; and a third group, plain contrast medium. The findings support the hypothesis, with drug hypersensitivity the only contraindication.


Intravenous lidocaine: an effective analgesic for lower extremity venography.

Lidocaine (60 mg/100 ml) was added to contrast medium (120 ml of Conray-60) in an attempt to decrease pain associated with leg venography in 100 patients. No side effects were seen, and there was a marked reduction in pain as reported by four different examiners in two separate hospital populations.


Pain accompanying leg venography: a comparison of sodium and methylglucamine diatrizoates.

Leg venography with either 50% sodium diatrizoate or 60% meglumine diatrizoate was performed on 31 patients suspected of having deep venous thrombophlebitis. Four of 14 patients receiving meglumine diatrizoate experienced pain during venography, as compared to 14 of 17 patients receiving sodium diatrizoate (p less than 0.004). A second study showed no statistically significant difference in the incidence of pain between two groups of patients receiving either Renografin-45 (6% sodium diatrizoate, 39% meglumine diatrizoate) or Renografin-M-45 (45% meglumine diatrizoate).


Tolazoline-augmented arteriography in the evaluation of bone and soft-tissue tumors.

Twelve patients with bone tumors were prospectively evaluated by arteriography both with and without tolazoline. In general, tolazoline improved definition of tumor extent; however, in 2 patients with highly vascular tumors and 2 patients with hypovascular tumors, tolazoline did not improve visualization. In 3 of the 12 patients, the tolazoline-augmented study was less accurate than the nontolazoline study in defining tumor extent.


Lymphography without the use of vital dyes.

Pedal lymphography was performed without the use of vital dyes in 510 patients. Lymphatic vessels were still readily identifiable by this method, due to their transparency, clarity, elasticity, distensibility, and characteristic branching pattern. Procedure time was shortened by 10-15 minutes without compromising the high success rate.


Diagnosis of aortic graft infection.

A technique using the "skinny" needle to diagnose aortic graft infection is described. The technique is similar to the standard translumbar technique, except that the needle is directed caudally. Both radiologic and bacterial diagnosis can be made using this technique, and puncture of the graft appears to be without significant consequence.


A safe technique for introduction of the Kimray-Greenfield filter.

A modification in the introduction of the Kimray-Greenfield filter is described. Rather than advancing the stylet toward the Luer-lok assembly and thereby discharging the filter, the authors propose positioning the carrier containing the closed filter farther into the inferior vena cava, then withdrawing the catheter and carriage while holding the stylet in place. This method reduces the chance for damaging the caval wall.


An iridium-192 mold for use in treating carcinoma of the soft palate.

A Lucite sandwich mold containing Iridium-192 wire for use in the treatment of soft palate carcinoma is described. This mold is very simple to use, produces a homogeneous (+/- 10%) radiation field across the midplane of the tumor, and requires minimal machinist time.


Positioning device for cardiac series.

The author describes a new positioning device for use during radiography of the chest. This device is particularly helpful when doing a cardiac series.


Nonoperative retrieval of impacted intrahepatic biliary stones using the fogarty balloon catheter.

Nonoperative removal of impacted intrahepatic stones was achieved in 2 patients using a Fogarty balloon catheter. The stones could not be dislodged with a basket. Fluoroscopic monitoring during the procedure reduces the risk of injury to the liver.


An improved technique of loading contrast material for angiography.

The author describes a new technique which facilitates loading of contrast material into the injector syringe without interrupting the angiographic procedure.


Real-time ultrasound: its role in abdominal examinations.

Until recently, real-time ultrasound has not had a central role in abdominal examinations due to the limited resolution of the scanners. However, a new generation of high-resolution real-time scanners has been introduced in the past year, and these machines are now being promoted as principal abdominal scanners. The authors have used a mechanical, phase-focused, annular array in conjunction with a conventional articulated-arm B-scanner for over a year in more than 2,000 examinations. Based on this experience, they present the argument that high-resolution real-time should be used as the standard technique for abdominal examination, and that it is not necessary to have a conventional articulated-arum scanner as backup.


Real-time ultrasound in abdominal examinations.

Three types of real-time ultrasonic equipment are discussed: sequenced linear arrays, mechancial sector scanners, and phased array systems. Their limitations, including those involving documentation, are briefly reviewed. Although real-time scanners are satisfactory for small, local examinations, they should be used in conjuction with static B-scanners for larger abdominal surveys.


Double bond isomers of cloprostenol.

The syntheses of five compounds isomeric with the potent luteolytic agent cloprostenol are described. These are the trans-delta 5, cis and trans-delta 4, cis-delta 6 (methyl ester) and cis-delta 13 analogues. The cis-delta 4 isomer is as potent as cloprostenol as a luteolytic agent in hamsters but the others are markedly less so.


A calcitonin-like action of prostaglandin E1.

The pharmacological effects of PGE1 (6 and 9 days, 2-1,250 micrograms/kg per day subcutaneously) upon the growth and the bone resorption of mammals were studied using the proximal tibia and upper incisor of immature rats along with lead acetate as a time marker, and upon the serum calcium and inorganic phosphorus levels. The following results were obtained. 1. PGE1 hardly affected the body weight or the weight of organs of the rats but apparently inhibited the longitudinal growth of proximal tibia in a dose related manner. 2. PGE1 clearly inhibited not only the longitudinal growth (incisor growth) but also the appositional growth (dentin formation) of incisal dentin. 3. The grade of the inhibitory effect on the growth was in the order of bone growth greater than dentin formation greater than incisor growth. 4. The occurrence of osteoporosis due to a low calcium diet was inhibited by the simultaneous administration of PGE1, the mechanism being considered to be mainly due to the inhibitory effect on the bone resorption. 5. PGE1 lowered the level of serum calcium and the lowering effect was not observed in the thyro-parathyroidectomized rat. From the facts that the above effects were exactly the same as those of calcitonin (1), the possibility that the subcutaneous injection of PGE1 may induce a calcitonin-like action, a part of which may dependent on the calcitonin secretion is suggested.


Prostaglandins contribute to the vasodilation induced by nicotinic acid.

The significance of endogenously formed prostaglandins in the vasodilation induced by nicotinic acid (NIC) was investigated. The forearm venous plasma level of radioimmunoassayed PGE (R-PGE) and the forearm blood flow (FBF) were measured in 13 healthy male volunteers at rest and during infusion of NIC. Each subject was subsequently re-studied after pretreatment with the PG synthesis inhibitor, naproxen. In the absence of naproxen, NIC infusion resulted in an almost four-fold rise in the release of R-PGE and a 60% increase in FBF. Pretreatment with naproxen did not affect the basal release of R-PGE or the basal FBF but inhibited both the release of R-PGE and the increase in FBF following NIC. The data support the hypothesis that the vasodilating effect of NIC is largely dependent upon an increased vascular formation of PG.


Applications and limitations of measurement of 15-keto,13,14-dihydro prostaglandin E2 in human blood by radioimmunoassay.

It has been anticipated that the inherent limitations of radioimmunoassays for prostaglandin E (PGE) would be obviated by assays for its major circulating metabolite, 15-keto, 13,14-dihydro PGE2) which has a longer half-life in blood. We examined the effects of PGE2 infusion and alterations in lipolysis in vivo, and of clotting, prolonged storage and hemolysis in vitro, on KH2-PGE2 immunoreactivity in unextracted human plasma and serum samples. Indeed KH2-PGE2 levels rose several hundred fold during infusions of PGE2 at doses which cause little or no increment in peripheral PGE levels. During stimulation of lipolysis by infusions of epinephrine, apparent KH2-PGE2 levels rose five-fold. However, the dilution curve of plasma obtained during stimulation of lipolysis was not parallel to the standard curve; furthermore, apparent KH2-PGE2 levels were correlated strongly with free fatty acid (FFA) levels, suggesting that FFA's cross-reacted in the RIA weakly but significantly due to their very high molar concentration in blood. Clotting and prolonged storage of samples, but not hemolysis, also caused marked apparent increments in KH2-PGE2 levels. Competition curves using dilutions of such samples were again not parallel to the standard curves in plasma or buffer, but resembled dilution curves of samples containing high levels of FFA. These results suggest that handling of human blood samples for KH2-PGE2 measurement must be carefully standardized to avoid significant artifacts which presumably are due in part to fatty acids released from triglyceride stores in vivo or from disrupted membrane phospholipids in vitro. Unextracted plasma appears to be unsatisfactory for use in this RIA.


PGE1 metabolism by the perfused rat liver.

The hepatic and biliary metabolites of PGE1 have been isolated and identified after infusions of PGE1 into isolated rat liver preparations. The results demonstrate that in general PGE1 undergoes metabolism similar to that of PGE2 in the rat and reveals the possibility of a selective PG metabolite transport system across the biliary canalicular membrane.


Prostaglandins F in uterine and ovarian compartments and in plasma from the uterine vein, ovarian artery and vein, and abdominal aorta of pseudopregnant rats with and without deciduomata.

Prostaglandins F were measured in uterine and ovarian compartments and in uterine venous, ovarian arterial and venous and abdominal aorta plasma and the uptake of 3H-PGF2 alpha by ovarian compartments of 240 pseudopregnant rats with or without bilateral deciduomata in five experiments. Concentrations of PGF in deciduomal tissue, uterine venous plasma, ovarian arterial and venous plasma, corpora lutea, and remainder of the ovary and 3H-PGF2 alpha in the ovary were consistently as high or higher in pseudopregnant rats with deciduomata as in the endometrium, ovarian compartments, or samples of plasma from the same blood vessels of pseudopregnant rats without deciduomata. Levels of PGF were consistently 3 to 7 fold higher in uterine venous than in plasma from the abdominal aorta. It is concluded that extended luteal maintenance by deciduomal tissue is by some mechanism other than an inhibition of PGF synthesis by the uterus, transfer of PGF locally to the ovary, or uptake of PGF by the ovarian compartments.


Role of arachidonic acid derivatives in neutrophil aggregation: a hypothesis.

Chemotactic substances stimulate neutrophils in suspension to aggregate. Arachidonic acid (but not several structurally related fatty acids) induces a similar neutrophil response. We now report that two blockers of arachidonic acid metabolism, indomethacin and 5,8,11,14-eicosatetraynoic acid, inhibit this arachidonic acid-mediated response. Moreover, both blockers also inhibit aggregation stimulated by a synthetic chemotactic tripeptide, formyl-methionyl-leucyl-phenylalanine, and their potency in doing so parallels their potency in inhibiting the response to arachidonic acid. These results suggest that metabolites of arachidonic acid may stimulate certain neutrophil functions and be involved in cellular responses to at least some chemotactic substances.


Effect of inhibiting prostaglandin synthesis on edema formation and albumin leakage during thermal trauma in the rat.

Prostaglandins (PGs) participate in the inflammatory response, but the contribution of endogenously synthesized PGs to edema formation and increased vascular permeability is not known. Using a 10% scald burn in the rat, we measured water content (as percent, wet minus dry/wet weight) and 131I-RISA leakage (counts/g dry tissue) in scalded and normal skin at 30 minutes and 3 hr post injury. Four groups (10 rats/group) in each time period studied: control; scald; scald, 5 mg/kg indomethacin; scald, 10 mg/kg indomethacin. Indomethacin was administered intravenously 30 minutes before the scald; RISA was injected intravenously 30 min before termination of the study. In all indomethacin-treated groups immunoreactive plasma PGA was significantly lower (p less than 0.05) than in scalded, untreated groups. All scalded groups showed significantly higher RISA counts and water content than did the control group (p less than 0.01). At 30 min post-injury the indomethacin -treated groups did not differ from the untreated scald group (p greater than 0.20). In the 3 hour study all scalded groups had significantly higher content and RISA counts than control (p less than 0.01). Thus PGs produced during thermal trauma do not greatly contribute to the edema formation and increase in vascular permeability.


Non-specific antagonism against thromboxane A2 of 7-ethoxycarbonyl-6,8-dimethyl-4-hydroxymethyl-1(2H)-phthalazinone (EG-626) in contraction of isolated smooth muscles.

7-Ethoxycarbonyl-6,8-dimethyl-4-hydroxymethyl-1(2H)-phthalazinone (EG-626) was reported as an antagonist of thromboxane (Tx) A2 in the contraction of rabbit aorta. It was, however, observed that EG-626 did inhibit the contraction of superfused rabbit aorta, but also did inhibit that of rabbit coeliac artery, rat stomach strip and rat colon induced by TxA2, PG endoperoxides, angiotensin II and PGF2 alpha in non-specific manner. EG-626 had no effect on the biosynthesis of PG endoperoxides as well as TxA2. These results indicate that EG-626 is not a TxA2 antagonist, but has a general inhibitory effect on the smooth muscles. This inhibitory effect of EG-626 may be explained by the inhibition of phosphodiesterase.


[Evaluation of the reproducibility in radioactivity measurements with liquid scintillation counters--intercomparison among several presently available counters of different models (author's transl)].

Experimental studies were carried out to evaluate the reproducibility in 3H measurements with presently available liquid scintillation counters. A set of 3H samples which have activities ranging from 10(4) to 10(7) dpm were prepared and measured repeatedly in every possible different order with six counters of different models. The results demonstrate that the measured counting rates of the samples are subjected to much greater variations than expected from counting statistics. The poor reproducibility was found to be attributed to rate dependent photomultiplier gain variations. The variations in counting rate as large as 10 per cent was observed in a particular counter. It is also found that rate dependent photomultiplier gain variations can cause the external channel ratio to shift, giving rise to error as large as 9% in the efficiency determination.


[Evaluation of the reproducibility in radioactivity measurements with liquid scintillation counters--effect of anomalous count rate-dependent photomultiplier gain variations (author's transl)].

Time variations in count rate were measured for prolonged period of time using a set of 3H samples and a few other specially prepared samples of 14C, 32P, and 137Cs. Besides, beta-ray spectra of a particular 3H sample were measured as a function of time with a multichannel pulse height analyzer. These measurements lead to the following conclusions: (1) Anomalous count rate variations are attributed to strong dependence of photomultiplier gain on count rate. (2) Different steady state count rates can be observed for 3H samples having activities of approximately 10(5) dps when they are measured immediately after the measurements of background and 3H samples of higher activities. (3) The count rate-dependent effect on photomultiplier gain can be described properly by the current flowing through the tube rather than the count rate. (4) The measurement of the external standard channel ratio using the built-in 137Cs source can affect seriously the successive measurements on 3H samples, while the channels ratio itself exhibits strong time dependence.


[Behaviours of trinitratonitrosyl complexes of ruthenium in dilute nitric acid solutions (author's transl)].

This study aimed to elucidate the protolysis and condensation processes of the Ru complexes in relation to the concentration of nitric acid. The compositions of the dissociated and undissociated complexes were determined by the extraction with tributyl phosphate (TBP) and absorption spectroscopy in order to follow the rather rapid protolysis reaction of the complexes. The test solutions were prepared by dissolving the freshly obtained complexes into 0.50-0.001 M nitric acid solutions. The amounts of the undissociated complexes were determined at different elapses of time in the test solutions. The protolysis became significant when the concentration was below 0.15 M, and the dissociation rate suddenly increased at this concentration. At the concentrations above 0.2 M, the absorption peak of the complexes at 480 nm survived even after 144 hours. But below 0.15 M, the formation of dissociation products by protolysis was observed after the disappearance of the absorption peak. The amount of dissociation products rapidly increased after the preparation of the test solution as the concentration decreased below 0.15 M.


[In vivo distributions of 111In and/or 3H labeled lymphocyte in C3H/He mouse (author's transl)].

Although 99mTc and 51Cr have been used for lymphocyte labeling, these radionuclides have several disadvantages for study on immunological behaviour of lymphocyte; very high rate elution and low labeling efficiency for both radionuclides, and short half life for 99mTc. Indium-111 has quite suitable physical properties for clinical nuclear medicine, i.e. desirable photon energy (247,173 keV) and 2.8 day half life. 111In-oxine is lipid soluble and is known to pass through the cell membrane and attaches firmly to cytoplasmic component of the cell. On the other hand, 3H-thymidine is well known substance which incorporated to nucleic acid in the cell. In this study, distribution patterns of 111In-oxine and/or 3H-thymidine labeled lymphocyte in C3H/He mice were examined and the suitability of 111In-oxine labeled lymphocyte for radionuclide imaging in vivo was discussed. Thirty minutes after intravenous injection of 3H and/or 111In labeled lymphocyte, about 12% of lymphocyte were found in the lungs and rest of them were distributed mainly in the blood, kidneys and liver. After 24 hours the activity in the lung decreased markedly and the activity in the liver and kidneys increased with time. Between lymphocyte labeled with 111In-oxine and 3H-thymidine, there is not so much differences in terms of distribution patterns. From this study, it is concluded that the 111In-oxine labeled lymphocyte distributes in the same way as 3H labeled one, in spite of different labeling sites. This 111In-oxine labeling method can be used as a useful tool of radionuclide imaging in kinetic studies of lymphocyte in vivo.


[Radioimmunoassay of cholylglycine in serum (author's transl)].

Serum levels of cholylglycines (CG) were determined by radioimmunoassay and that of total bile acids (TBA) by enzymatic method. In normal subjects, serum levels of CG, TBA and CG/TBA ratio were 0.6 +/- 0.4 micronM, 7 +/- 2 micronM and 0.08 +/- 0.06, respectively. They were increased markedly in acute hepatitis and moderately in chronic hepatitis and cirrhosis. Thus, measurement of serum CG as compared with serum TBA appears to be a sensitive liver test.


Effects of carbenicillin and phosphomycin on ADP induced platelet aggregation.

The effects of carbenicillin and phosphomycin separately or simultaneously, on ADP induced platelet aggregation have been studied in vivo. Platelet aggregation, ADP induced, was inhibited by carbenicillin and phosphomycin. The inhibition was proportional to the concentration of antibiotic. A slight inhibition was observed when platelet rich plasma was incubated simultaneously with both antibiotics, but synergy on the ADP-induced platelet aggregation was absent.


[The age as a factor on the nutritive utilization of protein by rainbow trout (author's transl)].

Nutritive utilization of protein was studied in three age weight rainbow trout (Salmo gairdnerii) groups fed on a 37.5% casein-protein diet. As to digestive efficiency age was found to have no influence on the apparent and true digestibility coefficient for protein. On the other hand Biological Value, Net Protein Utilization and Protein Productive Value decreased with age-weight increases, the results being significantly correlated (P less than 0.001) between these parameters and the age-weight of the animals. Relative intake, weight increment and Protein Efficiency Ratio also decreased with age-weight increases.


[Protein nutritive utilization in goats with and without exclusion of rumen and reticulum (author's transl)].

The digestive utilization of protein in fistulated goats has been studied through a system of three cannulae. The protein digestibility coefficient is greater with casein in the rumen than with it in the abomasum, explainable by a higher ammonium production. On the other hand, with casein in the abomasum the duodenal digest contains more protein, and aminoacid composition improves in quality and quantity. The differences found in the above mentioned results are mainly due to a rumen bacterial action upon aminoacids and the subsequent absorption of the ammonium formed.


[LH and prolactin secretion under constant light in estrogen treated rats (author's transl)].

Plasma LH and prolactin levels were studied in ovariectomized adult female rats submitted to light-darkness (L:D) or constant light (L:L) schedules, after the administration of estradiol benzoate (EB), 75 micrograms/day for six consecutive days. Previous to the treatment with EB LH levels were lower and prolactin levels higher in the L:L females. On days 1 and 2 after treatment, L:D females showed circadian variations of LH levels, these being higher at 17 h than at 10 h. This pattern disappeared in the L:D females. Prolactin levels increased similarly in both groups. Nine days after treatment, plasma prolactin levels remained high and the circadian pattern of LH in the L:D group disappeared.


[Vagal control of larynx resistance to the air flow (author's transl)].

Air flow larynx resistance changes have been recorded in dogs after electrical stimulation and lesion of the recurrent and vagus cervicalis nerves respectively. Experiments were carried out with glottis in situ and isolated. The effects of the administration of athropine i.v. (0.3 mg/kg) were also studied. Air flow larynx resistance decreased after secting the right recurrent nerves as well as after athropine administration. Electrical stimulation of the central end of the right vagus nerve produced a complex response characterized by an initial apnaea followed by a larynx resistance decrease. After a few seconds the response continued with glottis spasms followed by typical emetic movements. During the emetic movements larynx closed and opened throughout the respiratory cycle, the closing movement being simultaneous with the inspiratory position of the thorax and with minimal values of the intraabdominal pressure. Larynx resistance increased after uni- and bilateral sections of the vagus cervicalis and after the electrical stimulation of the peripheral end of the right vagus cervicalis. According to the present results, the possible existence of a controlling reflex of laryngeal sphincter motility, generated at the bronchopulmonary level, is postulated.


Effect of bleeding on irradiation-induced erythropoiesis in the spleen of AKR mice.

The effect of erythropoietin, increased by bleeding, on the erythropoiesis induced by irradiation in the spleen of AKR mice, has been studied. The following parameters were measured to quantify the erythropoietic activity: the number and size of hematopoietic nodules (colonies) and proerythroblasts in the spleen, the spleen, blood and red-cell 59Fe uptake and the hematocrit and reticulocytes in the blood. Under erythropoietic stimulus an increase in the number and size of colonies was observed and these colonies were observed sooner because of their more rapid growth. The proerythroblasts in the spleen appeared earlier, and there were increases in the spleen, blood and red-cell 59Fe uptake and in the hematocrit and reticulocytes in the blood.


Different types of hypercalciuria in patients with renal lithiasis and evidence of the calcium renal waste.

A study of normal subjects and patients with hypercalciuria and recurrent renal stones has identified three main types of hypercalciuria: complex, absorptive and renal. Complex hypercalciuria is a combination of absorption, renal leak and resorption factors. Absorption and renal leak were examined by means of a 45Ca test. Resorption is defined as an increase of the urinary calcium:creatinine ratio while the subjects are being maintained on an intake of 400 mg of calcium per 24 h.


[Effect of mexiletine on glucose and oxygen uptake in rat brain, liver and myocardial tissue in vitro (author's transl)].

The effect of mexiletine on oxygen and glucose consumption was studied both in homogenate and slices of brain, liver and myocardium of Wistar rats. Oxygen consumption was detected by means of Warburg's manometric techniques, and glucose utilization by the enzymatic method of glucose oxidase. Whilst glucose uptake was not modified in any of the studied preparations, mexiletine promoted a significant increase of oxygen consumption in the homogenized slices, and an inhibition in the intact tissue.


Effect of ethanol on glucose and tyrosine transport in the rat small intestine.

The effect of ethanol on the intestinal absorption of glucose and tyrosine in the rat small intestine has been studied. Ethanol inhibits the active transport of these substrates both in incubation and preincubation experiments. Ethanol, besides, increases diffusion of arabinose, which may indicate an unspecific alteration of intestinal permeability.


Oxyphenisatin derivatives and intestinal glucose and tyrosine absorption.

The effect of oxyphenisatin and three other isatin derivatives on glucose and tyrosine absorption is studied in rat small intestine, in vitro. Compounds with free phenolic groups elicit, even at low concentrations, strong inhibition on active transport, while those with the sulfate-esterified phenolic groups show no effect whatsoever. One minute preincubation with 10(-7) M oxyphenisatin is enough to inhibit sugar absorption completely.


Insulin effects on glucose utilization by human lymphocytes.

In recently isolated human lymphocytes, no effect of insulin on (U-14C) glucose incorporation into CO2, triglycerides and glycogen, was found over a wide range of insulin concentration. The rates of glucose oxidation, synthesis of triglycerides and synthesis of glycogen are much lower than those observed in chicken and rat adipocytes. The authors discard the possibility of using the human lymphocyte as an instrument in the study of the insulin action on normal and altered human physiology.


[Effect of octanoic acid on the insulin secretion in response to glucose in vitro (author's transl)].

The effect of octanoic acid (1.5 mM) on insulin secretion in 4.4 and 16.7 mM glucose stimulation has been studied in rat's isolated and perfused pancreas. The absence of octanoic acid does not produce any significant insulin secretion increase in response to 4.4 mM glucose infusion, whereas its presence produces a significant insulinic response of a monophasic nature. Both in the presence and absence of octanoic acid, the 16.7 mM glucose-stimulation produces a biphasic insulin secretion. The octanoic acid enhances both the first and the second phase of insulin secretion. The present results show that octanoic acid clearly potentiates the insulin secretion in response to 4.4 mM and 16.7 mM glucose.


[Evolution of liver and kidney gluconeogenesis during acute liver intoxication by carbon tetrachloride (author's transl)].

Evolution of early renal metabolic adaptation to the rat liver intoxication by carbon tetrachloride is studied. Liver glycogen is very rapidly depleted (20% of initial values at 3 h) and liver gluconeogenic capacity is completely inhibited 7 h after carbon tetrachloride treatment. Contrariwise, a gradual enhancement of phosphoenolpyruvate carboxikinase activity and gluconeogenic capacity of kidney cortex takes place during this period. Accordingly, renal concentrations of aspartate, malate, and phosphoenolpyruvate indicate that the reaction catalysed by phosphoenolpyruvate carboxykinase is accelerated in vivo. These findings suggest that metabolic adaptation of kidney cortex in response to liver functional impairment plays an important role early after carbon tetrachloride administration.


Vasoconstriction of the isolated communicating cerebral artery induced by field electrical stimulation.

The vasoconstrictor effect elicited by field electrical stimulation of the posterior communicating cerebral artery of the goat was analyzed before and after treatment with pharmacological agents to find out if the adrenergic system was involved in this response. For this purpose, trains of 300 square wave pulses (1-32 Hz, 0.5 msec.) at supramaximal voltage were applies to these arteries producing a frequency-dependent increase in tension. The vasoconstrictor response was significantly reduced by tetrodotoxin (3 x 10(-6) M), phentolamine (10(-6) M) and bretylium (5 x 10(-4) M), but it was not modified by cocaine (10(-6) M). The contraction produced by electrical stimulation of arterial segments from goats pretreated with reserpine (0.02 mg/kg/day for three days) and from goats on which a bilateral superior cervical gangliectomy had been performed 12 days previously, was significantly reduced as compared with controls. These results show that a large part of the vasoconstrictor response of the goat cerebral vessels to field electrical stimulation is mediated by an adrenergic mechanism.


Kinetics of intestinal sugar transport, in vivo.

Sugar absorption by the small intestine has been studied in rat and hamster in vivo, with luminal perfusion, during 1 minute successive periods. Transport is calculated as the difference between absorption and diffusion. The diffusion component is evaluated in the presence of phlorizin or as absorption of sorbose. The resulting KT values for glucose and galactose (rat: 7.7 and 10 mM; hamster: 10 and 14 mM) and 3-0-methyl-glucose (hamster: 25-33 mM) are quite lower than those previously obtained in vivo, but still higher than those in vitro. The physiological levels of glucose in the intestine of normally fed animals imply that the diffusion component plays an important role in the proximal regions of the small intestine, especially in rat.