Streptococcal infections in sucking pigs. 1. Epidemiological investigations.

The investigation comprises 5,811 litters and 55,641 liveborn pigs. Among the pigs which died before weaning, infection with haemolytic streptococci (HS) was determined in 1,338. This corresponds to 2.4 per cent of the liveborn pigs (Table I). In the examined herds the incidence of fatal cases with HS infections ranged from 1.2 to 3.8 per cent. The highest incidence was observed in litters born by gilts (Table II) and in litters with more tha 11 pigs (Table III). HS infections were identified in 17.5 per cent of the examined litters, and in most of the litters only one pig was lost (Table IV). A marked seasonal variation was observed, with a predominance of HS during the winter period (Table V). Analyses of the influence of some possible determinative factors revealed the highest incidence among the progeny of sows which were housed separately during pregnancy (Table VI), whereas herd size and the hygiene level did not exert any influence on the frequency of HS. The incidence of fatal HS infections was higher in herds where tail docking and clipping of the canine teeth were performed than in herds where these procedures were omitted (Table VII). Most of the death with HS infections (53.8 per cent) occurred among pigs less than 14 days of age (Table VIII). The main diagnoses of the pigs with streptococcal infections are presented in Table IX. A survey of the isolation frequency of HS from various organs is given in Table X. The most frequently isolated serogroups were group-C (40.2 per cent) and group-L (31.3 per cent) (Table XI). Preliminary investigations on the source of infection and the pathogenesis are reported (Tables XII and XIII). In two herds, 8 of 10 sows carried HS on mucosal surfaces at the time of farrowing, and in 6 of 10 examined litters, HS bacteraemias were observed in pigs during the first days of life. Furthermore, an analysis showed that part of the sowa (109) lost pigs with HS infections in several (2-6) subsequent litters (Tables XIV) and XV).


Restoration of leukemia virus-suppressed immunocytes in vitro by peritoneal exudate cells.

Depressed antibody responsiveness to sheep erythrocytes in mice infected with Friend leukemia virus continued in vitro when spleen cell cultures from infected animals were cultured in the presence of antigen. Addition of PE cells from normal donor mice to the immunologically depressed splenocyte cultures resulted in a marked restoration of antibody responsiveness. Restoration of the immune response was PE cell dose-dependent; a ratio of 1 PE cell per 10 splenocytes resulted in the largest numbers of PFC's. These results suggest that impaired antibody responsiveness by spleen cell cultures from FLV-infected mice may be due, in part, to effects on antigen-processing macrophages, since restoration of immune responsiveness occurs by PE cell supplements.


A spectrophotometric assay for measuring the uptake of actinobolin by components of human enamel.

A spectrophotometric assay was developed for measuring the uptake of the antibiotic actinobolin by hydroxylapatite (HAP) or powdered human enamel. The assay is sufficiently sensitive to detect less than 2.0 mug actinobolin/ml of: 0.01 M sodium phosphate buffer at pH 5.5, 7.0, or 8.0; deionized water; deionized water containing 1% salivary supernatant; or each of the above indicated solvent systems containing 1-5 parts per million sodium fluoride. The utility of the assay system has been demonstrated by date which show that approximately 5-7 mug of actinobolin are bound per 10 mg of HAP or powdered enamel.


Humoral antibody response in mice after single dose exposure to lead or cadmium.

A single dose of lead administered orally or intraperitoneally (IP) to mice stimulated formation of IgM antibody. Cadmium caused an increase in IgM antibody formation when injected ip but resulted in a slight decrease when given orally. Lead, orally or ip, significantly reduced IgG antibody but the IgG antibody response decreased only when cadmium was given orally and increased when injected ip. Since responses vary according to route of administration, experiments should be designed so that experimental exposure will simulate natural exposure in order to develop comparable data.


Effects of estradiol and prolactin on growth of rat mammary adenocarcinoma cells in monolayer cultures.

The effects of estradiol and ovine prolactin on the growth of a rat mammary adenocarcinoma cell line were investigated. The action of estradiol was dose-dependent. At less than or equal to 1 mug/ml it did not influence growth, at 5-10 mug/ml it was inhibitory, and at 20 mug/ml it was toxic. Prolactin alone had little effect on growth. However, the inhibitory effect of estradiol could be counteracted by a high concentration of prolactin. It appears, therefore, that the growth of cultured rat mammary adenocarcinoma cells can be regulated by the ratio of prolactin to estradiol: When the ratio is high growth is favored; when it is low, growth is inhibited.


The intermolecular cross-links in uterine collagens of guinea pig, pig, cow, and human beings.

The intermolecular cross-links have been studied in the uterine insoluble collagen of guinea pig, pig, cow, and human beings with a single given procedure. After NaB3H4 reduction, there are three intermolecular cross-links; namely, dihydroxylysinonorleucine, hydroxylysinonorleucine, and histidinohydroxymerodesmosine. In human uterine collagen samples these reduced cross-links are present in equal amounts. The reduced intermolecular collagen cross-links of uterine leiomyoma are very similar to those of the normal uterine tissue. Dihydroxylysinonorleucine is the principal reduced cross-link in uterine collagen of guinea pig, pig, and cow. Alkaline hydrolysis reveals that dehydrodihydroxylysinonorleucine and dehydrohydroxylysinonorleucine occur in vivo as glycosylated derivatives.


Interaction effects of d-amphetamine treatment and ambient temperature on rat's food intake.

The "thermoregulatory theory of hunger" posits that rats placed in a cold environment should increase the amount of food intake, while rats placed in a hot environment should decrease their food intake. d-Amphetamine causes hyperthermia among rats kept at warm ambient temperature, and results in hypothermia among animals kept in a cold environment. d-Amphetamine-caused-hyperthermia should therefore result in decreased eating behavior, and d-amphetamine-caused hypothermia should result in increased eating behavior. One must take into account the fact that d-amphetamine is an anorexic drug. The interaction between (a) ambient temperature, (b) body temperature and (c) food intake were tested on groups of rats injected with various doses of d-amphetamine (1.5-15 mg/kg) and placed in ambient temperatures ranging from 4-37 degrees C. No increase in food intake was revealed under any dosage or temperature condition. The decrease in food intake found with d-amphetamine treated animals could not be explained in the "thermoregulatory theory of hunger". Our data indicate that d-amphetamine anorexic effects and thermal effects are mediated by different mechanisms.


Effect of lithium and other alkali metals on brain chemistry and behavior. II. Intracranial self-stimulation behavior.

Rats implanted with bipolar electrodes aimed at the medial forebrain bundle (MFB) were trained to self-stimulate. Six daily injections of 2 mEq/kg of the chloride salts of Li+, Rb+ or Cs+ were administered and the rate of intracranial self-stimulation (ICSS) was recorded. Lithium caused a reversible decrease in ICSS rate, beginning on the second day and returning to pretreatment rate on the fourth day of injections. The decrease was more pronounced in animals with high baseline rate (over 500 responses/10 min) than in low responders. Rubidium enhanced ICSS rate whereas cesium had no effect. These results agree with other accumulating data showing the opposite effects of Li+ and Rb+, but their relevance to effective disorders is not clear.


Effect of lithium and other alkali metals on brain chemistry and behavior. I. Glutamic acid and GABA in brain regions.

Glutamic acid and GABA concentrations were measured in brain areas of rats injected with the chloride salts of Li+, Na+, K", Rb+ or Cs+ for 5 days. Regional changes in brain glutamic acid and GABA were found in animals after lithium, rubidium or cesium, but not potassium, compared to sodium treatments. Increased glutamic acid and GABA levels, caused by lithium and rubidium, were found in brain structures (hypothalamus and amygdala) known to be involved in emotional behavior. Whether these changes are associated with the effective use of lithium and, perhaps, of rubidium in affective disorders remains obscure.


Changes in fixed-interval behavior during chronic morphine treatment and morphine abstinence in rats.

Rats previously trained to a fixed-interval schedule (FI 2 min) were treated twice daily with saline or morphine hydrochloride (final dose 40 mg/kg i.p.) for 44 days. On day 45 an abstinence state was induced by withdrawing morphine or by giving nalorphine (1 mg/kg i.p.). Operant behavior was recorded on alternate days during the period of chronic treatment and during the withdrawal phase (21 days). It was found that the number of lever presses decreased significantly during the first days of morphine administration but increased later over the control values. The quarter-life was not changed during this period. Morphine withdrawal and nalorphine treatment both caused a further increase in lever presses that lasted about 11 days. Again quarter-life was not changed. These results indicate that the effects of morphine on FI behavior in rats not only undergo tolerance but are actually reversed during the chronic treatment. The data obtained during the withdrawal phase are discussed in relation to the secondary abstinence syndrome described by Martin et al. (1963).


Effects of thymoleptics on behaviour associated with changes in brain dopamine. I. Potentiation of dopa-induced gnawing of mice.

The thymoleptics imipramine, desipramine, protriptyline, nortriiptyline, chlorimipramine and amitriptyline all potentiate gnawing of mice induced by Dopa following decarboxylase inhibitior Ro 4-4602. The gnawing behavior is probably associated with the increase in brain dopamine resulting from this treatment. Thymoleptics also affect other types of behaviour associated with brain dopamine. The relevance of these effects to clinical antidepressive effect and their possible utilization for preclinical screening tests is discussed.


Effects of lesions of the ventromedial hypothalamus on naloxone-induced morphine withdrawal in rats.

A previous report indicated that lesions of the hypothalamic ventromedial nucleus suppressed autonomic signs of withdrawal from morphine. The present experiment was designed to determine whether such lesions suppressed a second class, skeletal responses of withdrawal, as well. Naloxone-precipitated withdrawal was compared in previously-addicted VMN-lesioned and sham animals, and drug-naive VMN-lesioned and sham animals. The lesion failed to suppress any signs of withdrawal in the addicted lesioned animals as compared with the shams. An attempt was made to explain the discrepancy between these and earlier published results on the basis of differing experimental designs. Implications of these results for possible dissociation of tolerance and dependence effects or possible plasticity of the brain in regard to drug effects were discussed. Further experiments were proposed in which time of lesion is manipulated in relation to the induction of dependence.


Relative biological effectiveness of negative pi mesons for the immune response in mice.

Immunologically competent mouse spleen cells were exposed to negative pi mesons in the entrance plateau or at the peak of the dose distribution at a maximum dosage of 5 rads/min. or to 60Co gamma rays at 4.96 rads/min. Survival curves from cells irradiated in vitro but incubated in vivo yielded RBE values of 2.15 for the peak and 1.84 for the entrance plateau at a surviving fraction of 0.1. The dose-rate dependence of antibody-forming spleen cells for both 60Co gamma rays and the lot-LET components of the pion beam is discussed. The authors suggest that these RBE values constitute an upper limit for normal mammalian cells exposed to pions and tha the RBE with clinically useful dose rates may be significantly lower than those reported here.


Extended field radiotherapy in non-Hodgkin's lymphoma.

Sixteen patients with laparotomy-proved Stages I-III non-Hodgkin's lumphoma were treated with high dose extended field irradiation. All patients obtained complete remission and 75% remain continually free of disease for 22+ to 63+ months. When the extent of disease is carefully delineated by a thorough staging procedure which includes laparotomy, irradiation alone may cure a high percentage of patients.


Angiographic and radionuclide characteristics of hepatic angiosarcoma found in vinyl chloride workers.

Hepatic angiosarcoma, recently discovered in a large series of vinyl chloride workers, demonstrates characteristic angiographic and radionuclide changes. Tumors exhibiting central hypovascularity with puddling are usually surrounded by a peripheral stain. A negative peripheral defect is demonstrated on hepatic scan. Healing hepatic infarction secondary to wedged hepatic venography creates a false-positive lesion on angiography similar to angiosarcoma. Splenomegaly and systemic venous hypertension develop in a number of these patients.


Isoamylases in blood, urine, and tissue homogenates from some experimental mammals.

The isoamylase patterns of the serum, urine, and various tissue extracts of some mammalian species were studied with the aid of agarose gel electrophoresis followed by incubation with a starch-dye polymer. In the dog and cat mainly one fraction of amylase, derived from the pancreatic gland, was found in the serum and in the urine. In the rabbit, identical isoamylases were produced by the salivary and pancreatic glands and possibly also by the duodenum; they were detectable in serum and were excreted in the urine in partly changed form. In the rat, the salivary isoamylase was clearly differentiated from the pancreatic isoamylases in serum and urine. Skeletal muscle also produced a starch-degrading enzyme, but no conclusive evidence of hepatic amylase production was found. In the mouse, the salivary and pancreatic isoamylases of serum and urine were clearly separated. Evidence of amylase production was found in the liver and duodenum. These amylases belonged to the pancreatic group of isoamylases. In the guinea-pig, the salivary and pancreatic isoamylases differed from one another in their electrophoretic migration rates; in the serum and urine only salivary isoamylases were detectable. In the Golden Syrian hamster, the salivary glands, the pancreatic glands, and the small intestine-fallopian tube differed from each other in respect of the groups of isoamylases they produced. The pancreatic isoamylase was never seen in the serum or the urine.


Environmental stimulation reduces learning deficits in experimental cretinism.

Behavioral deficits in adult rats exposed perinatally to thiouracil were substantially reduced or elimated by a 5-week period of "superenriched" postweaning rearing conditions before testing. This treatment resulted in remediation of hypothyroid rats' deficits in maze learning, maze retention, and resistance to extinction of bar-pressing; the facilitative effect persisted for more than 4 months. These behavioral results were consistent with neurohistological findings from studies of early thyroid deficiency and postweaning environmental stimulation in rats.


Use of bovine heterografts in intravenous therapy.

Thirteen bovine heterografts were placed in nine patients: three for renal dialysis, four for treatment of diabetes mellitus, and six for cancer chemotherapy. One graft became occluded on the night of operation. One graft caused dilation of distal veins sufficient for dialysis and was never used; this graft was occluded by a blow ten months later. Two grafts were thrombosed by poor puncture technic, one after three months' use and one after seven months' use. One graft became infected, then thrombosed, and was never used. The remaining eight have served as intravenous conduits for 6 to 19 months. Despite the problems we have encountered with these grafts, we believe that their use is the procedure of choice in cancer patients with limited life spans, even when such patients have available and satisfactory saphenous veins. The establishment of a bovine heterograft requires less time than establishment of a saphenous vein graft and requires only regional or local anesthesia--both advantages in seriously ill patients.


Left ventricular diastolic pressure-volume relations in man.

Diastolic function of the left ventricle was analysed in patients with different cardiac diseases: acute and chronic volume overload (in aortic and mitral incompetence), pressure overload and inappropriate ventricular hypertrophy (aortic stenosis and hypertrophic cardiomyopathy), congestive cardiomyopathy, and constrictive pericarditis. Most patients were receiving digitalis therapy at the time of study. A constant exponential relation between pressure and volume was assumed, and pressure-volume curves were constructed from two points: the instantaneous pressure-volume relation at beginning-diastole and at end-diastole. The determinants of left ventricular end-diastolic pressure were studied. Left ventricular end-diastolic pressure depended on the beginning-diastolic pressure and volume (O point), the slope of the pressure-volume curve (m), and the volume which distended the ventricle in diastole. In chronic volume loading and in congestive cardiomyopathy the curves were flatter than normal, so that left ventricular end-diastolic pressure was only slightly increased despite the large volume filling the ventricle. In pressure overload and in constrictive pericarditis the curves were steeper than normal. Acute changes in volume were accomplished by a shift up or down the pressure-volume curve but in these patients the slope was not altered: the ventricle had not had time to adapt and end-diastolic pressure was greatly increased.


Urodynamic assessment of stress incontinence and its therapeutic implications.

Urethral fibrosis and sphincter incompetence commonly are associated in the genesis of stress incontinence. Other factors are often associated, such as bladder hyperactivity and increased demand on the sphincter mechanism created by contracted or large atonic bladder or polyuria. The frequent association of several factors and the limited information given by the classical methods suggest a need for the routine use of objective urodynamic studies in the assessment of stress incontinence. A more conservative, better oriented, therapeutic approach may result from this concept.


[Dyspnoea due to intrathoracic haemorrhage and haemangiosarcoma in a horse (author's transl)].

Post-morten examination of a fourteen-year-old mare of the Gelderland breed, which had been treated for severe dyspnoea and had subsequenlty died, revealed the presence of haemothorax, atelectasis of the lung and a metastasized haemangiosarcoma of the left ovary. The haemothorax could have resulted from rupture of one of the metastases.


Some serological specificities of blood group H-like substance present in the higher fungus, Collybia velutipes.

Blood group H-like activity was found in Collybia velutipes. The H-like substance extracted from fruit-bodies of this species was markedly specific for eel anti-H reagent.


Tubular bodies of human endothelial cells in an extracellular location.

The specimen was surgically obtained from a 37 year old female with a cerebellar tumor. The diagnosis of this tumor is still inconclusive, because light microscopic and ultrastructural examination of the tumor showed features that were compatible with either hemangioblastoma or renal cell carcinoma metastatic to the cerebellum. Tubular bodies have heretofore been described as being restricted to an intracytoplasmic location in endothelial cells. Discharge of tubules from these organelles into the vascular lumen and the presence of tubules in the extracellular space between an endothelial cell and a pericyte were observed ultrastructurally in vessels from this tumor. Although this report dealt with only a single pathological case, these findings would support a reasonable postulate of discharge of tubular bodies or their tubules into the extracellular space.


Immunological specificity and correlation of diagnostic tests for bronchial allergy to Cladosporium herbarum.

A total of 104 children with allergic bronchial asthma were included in studies comparing the results of RAST and skin testing with each other and with the results of bronchial challenges using different concentrations of extracts of Cladosporium herbarum. Prick tests predicted bronchial allergy to the mould in 83-96% of the cases compared to 74-83% for RAST predicting such bronchial allergy. Bronchial reactions to top concentrations of the extracts were considered immunologically non-specific and probably due to contents of irritants in nost instances.


N-acetyltransferase and hydroxyindole-O-methyltransferase activity in intraocular pineal transplants: diurnal thythm as evidence for functional sympathetic adrenergic innervation.

Immature rat pineal grafts were transplanted bilaterally to the anterior eye chamber of adult male rats. The transplants matured and became sympathetically innervated from the host iris and synthesized 5-hydroxytryptamine as revealed by fluorescence histochemistry. Transplants were used to investigate whether the newly formed nerve terminals were functional and thus could induce a rhythm in pineal N-acetyltransferase (NAT) enzyme activity and hydroxyindole-O-methyl transferase (HIOMT) enzyme activity. The in situ pineal glands from the recipient animals exhibited NAT and HIOMT levels and diurnal variations of enzyme activities no different from control rats without transplants. Sympathetically innervated transplants showed lower NAT enzyme activity than the in situ pineals but did yield a highly significant increase in darkness NAT activity as compared to light NAT activity (20:1). Sympathetically denervated transplants showed a much smaller rise in darkness NAT enzyme activity as compared to light values (1.8:1) but the rhythm was still statistically significant (p less then 0.01). Sympathetically innervated transplants had a higher HIOMT activity in darkness than in light (2.7:1)9 The HIOMT activity of the sympathetically denervated grafts was invariably low. Protein contents of transplants were found to be significantly lower than in situ pineal protein content but failed to show a diurnal variation.


Effects of source and concentration of thrombin, and divalent cations, on thrombin time of heparinized plasma.

The effects of the source and concentration of thrombin, and those of divalent cations, on the thrombin time (TT) of heparinized plasma were investigated. A correlation between TT and the heparin concentration was obtained only when the thrombin was of human origin and when it was reconstituted in divalent cation solutions. Relatively small variations in thrombin concentration resulted in marked differences in TT of heparinized plasma. Bovine thrombin gave a very prolonged TT of heparinized plasma compared with human thrombin, though the two thrombins gave identical TT's for non-heparinized control plasma. Divalent cation solution, in which thrombin was reconstituted, had a profound influence on TT of heparin plasma. When thrombin was reconstituted in 0.1 M MnCl2 solution, the TT of a plasma containing 0.5 unit heparin per ml. was the same as that of a plasma containing no heparin. The reliability of the thrombin time test as a means of monitoring heparin anticoagulation must be established by individual laboratories via extensive testing of clinical samples.


Pigeons breeders' disease. I. Serum immunoglobulin concentrations; IgG, IgM, IgA and IgE antibodies against pigeon serum.

The clinical course of a patient with severe acute and chronic hypersensitivity pneumonitis of the pigeon breeders' disease (PBD) type was evaluated. A significant remission of symptomatic, roentgenographic and pulmonary function abnormalities occurred after cessation of exposure to antigen. Immunoglobulin G (IgG), A (IgA) and M (IgM) antibody activity against pigeon serum was demonstrated in the patient's serum by a solid phase radioimmunoassay (RIA) technic. The levels of these antibodies fell subsequent to elimination of antigen inhalation. The RIA technic was used to demonstrate IgG, IgA and IgM antibody activity in single serum samples of four other patients with PBD, and this technic may have diagnostic value. Although no immunoglobulin E (IgE) antibody was demonstrable by RIA, a heat-liable, reaginic antibody was also detectable in the serum of the primary case. In addition, Arthus type cutaneous reactivity was passively transferred to the skin of a volunteer subject using heated serum from a patient with PBD.


Neural control of cochlear blood flow.

Effects of intraarterial and intravenous injections of autonomic nervous system agents on cochlear blood flow were studied in order to investigate the neural control of the inner ear vessels. Blood flow changes in the inner ear of the guinea pig were measured with an electrical impedance plethysmograph. Rather weak control of the vertebrobasilar and labyrinthine arteries by the sympathetic nervous system of the alpha-receptor type did appear to exist. Beta-receptors of the sympathetic nerve appeared to be non-existent in the cochlear vessels, and parasympathetic modulation was not evident.


Localization of left ventricular outflow obstruction by cross-sectional echocardiography.

Cross-sectional echocardiographic studies were performed using a high resolution real time mechanical sector scanner in 70 patients with left ventricular outflow obstruction. Seven separate obstructive patterns were recorded in these patients. An area of aortic narrowing just distal to the aortic valve at the superior border of the left atrium was noted with supravalvular aortic stenosis. With congenital valvular aortic stenosis there was an increase in echo production by the thickened aortic leaflets. During systole these prominent leaflet echoes curved inward toward the center of the aortic root reflecting the systolic doming of the valve. With calcific aortic stenosis, the calcification produced an area of dense linear echoes attached in varying degrees to either the anterior or posterior border of the aortic root. At the subvalvular level three obstructive patterns were recorded; with a discrete subvalvular obstructive membrane two linear echoes apparently produced by the inner margins of the obstructing membrane were recorded in the outflow tract. With more extensive fibromuscular narrowing of the subvalvular area, there was inward bowing of the echoes from both the anterior and posterior walls of the outflow tract. In one case this was a dense shelf-like mass of echoes extending downward from the basal portion of the interventricular septum toward the mid-portion of the anterior mitral leaflet with corresponding systolic anterior motion of the mitral leaflet. In patients with idiopathic hypertrophic subaortic stenosis there was systolic anterior motion of the anterior mitral leaflet beginning just distal to the point of coaptation of the mitral leaflets and extending distally toward the papillary muscles. This report suggests that the enlarged field of vision and spatial orientation provided by the cross-sectional echocardiographic technic should improve our ability to record and characterize areas of obstruction to left ventricular outflow.


The interpretation and significance of the fractional postcoital test.

The investigation was designed to objectively determine the clinical usefulness of the fractional postcoital test. Forty-three normal subjects had midcycle cervical mucus collection at various times after insemination. There was a significant correlation between the number of motile sperm at the internal os level and the total sperm count within the cervical mucus. The median internal os count was 15 motile sperm per high-power field with a lower 95% confidence limit of five motile sperm per high-power field. Therefore, the fractional postcoital test is useful clinically as it is a physiologic indication of sperm transport in cervical mucus.


Periovulatory changes in ovarian temperature in ewes.

Thermistors were implanted in intact ewes, and ovarian and aorta temperatures were recorded for 72 hours, following the removal of a progesterone implant intended to induce estrus. Serum levels of luteinizing hormone (LH) were measured hourly over a 10 hour period beginning at the onset of estrus. Ovaries were examined by laparotomy at the end of each experiment. Estrus behavior, LH surge, and a fresh corpus luteum were all found to be present in four, and absent in two, of a total of six experiments. To remove variations in basal body temperature, ovarian temperatures were measured relative to aorta temperature at all times. In the nonovulating ewes, both mean ovarian temperatures varied at random, whereas in the ovulating ewes they decreased by approximately 0.15 degrees C. to reach a minimum 1 hour before the time of maximum rate of increase in LH. The ovulating ovaries differed from the contralateral ovaries (where ovulation did not occur) in two respects: the mean temperature in the ovulating ovaries was lower by 0.02 to 0.10 degrees C. at all times, and its preovulatory decrease began several hours earlier. When taken in conjunction with published data on secretion and on the local and systemic effect of estradiol, these findings, are consistent with the hypothesis that ovarian estradiol induces an increase in ovarian blood flow. A heat-sink effect of the uterine mass due to its proximity to the ovaries may also be involved.


Effects of progesterone, prostaglandin F2alpha and its analogue ICI 81008 on the excitability and threshold of the uterus.

Forty-eight uterine strips were excised from 24 New Zealand white rabbits and studied in vitro. Sixteen strips were examined when eight animals were 25 days pregnant, 24 strips when 12 animals were about 12 hours postpartum, and eight strips about 12 hours after four animals received a single dose of 5 mg. progesterone (P) at spontaneous delivery. When after repeated exposures to electric fields (60 cycles per second, alternating current, of optimum strength, four seconds' duration at intervals of 30 seconds) the approximately 0.5 Gm. strips developed approximately 40-50g wall tension (WT) in steady state, the field strength was reduced in graded steps from 12 v per 5 cm. to 10, 8, 6, 4 and 3 v per 5 cm. and WT recorded. By measuring the effect on WT of "decreasing electric field stimulation" (DEFS), myometrical excitably and threshold were characterized and quantitated. The technique is based on the relationship between the fraction of myometrial cells activated in the total cell population and WT. As the stimulus is decreased in graded steps from optimal to increasingly suboptimal, DEFS activates fewer and fewer cells reflected by the decrease in WT. Threshold is defined by the strength of the minimum electric field which provokes WT and subthreshold by the field strength which fails to excite. Thus fractional WT averages the excitability of cells in the tissue and thus DEFS characterizes this important parameter of uterine function and quantitates threshold under a variety of regulatory conditions. The comparative study of excised uteri in three different endocrine states showed that the regulatory conditions of normal pregnancy (P levels 9 ng. per milliliter) suppressed excitability and increased threshold (to 6 v per 5 cm.). Post partum (P levels 1 ng. per milliliter) excitability increased and threshold decreased (to 4 v per 5 cm.), unless P treatment prevented this characteristic change by suppressing excitability and increasing threshold (to 6 v per 5 cm.). Both regulatory agents, prostaglandin F2alpha (PGF2alpha) and its analogue ICI 81008, increased excitability and decreased threshold significantly in picogram per milliliter concentrations. However, this effect was observed only when the P levels were low. These compounds had little effect, even in manogram per milliliter concentrations, when the P levels were high. The studies also revealed a close relationship between threshold and spontaneous uterine activity. Low threshold promoted while high threshold suppressed spontaneous activity. In similar concentrations the oxytocic actions of PGF2alpha and ICI 81008 were similar but the effect of ICI 81008 was prolonged through strong binding at myometrical sites.


Stimulation of subretinal neovascularization.

In a 59-year-old woman with subretinal neovascularization associated with angioid streaks, argon photocoagulation successfully obliterated the neovascular membrane. It appeared, however, to stimulate the rapid ingrowth of other subretinal new vessels near the site of treatment.


Argon laser photomydriasis.

Argon laser photomydriasis was used to enlarge 20 miotic pupils in 18 open-angle glaucoma patients, with beneficial visual results in patients properly selected before treatment. During eight months of observation, significant complications such as persistent iritis and lens changes did not occur. An increase in intraocular pressure occasionally occurred shortly after treatment, but chronic exacerbation of underlying glaucoma was not observed. Argon laser iris photocoagulation in rabbit eyes showed localized atrophy of the iris sphincter and stroma within the treatment zones. Discrete, anterior lens opacities occurred only at high-power levels, and these appeared to be nonprogressive during the eight-week observation period.


A specific receptor for retinol binding protein as detected by the binding of human and bovine retinol binding protein to pigment epithelial cells.

By means of autoradiographic techniques the specific plasma carrier of retinol, namely retinol binding protein (RBP) in a radioactive form (retinol-125I.RBP), bound specifically in vivo to the choroidal surface of intact, isolated bovine pigment epithelial cells. The retinol-125I.RBP did not bind to the retinal surface of the pigment epithelial cells nor did not bind to photoreceptors. Retinol is normally provided to the retina from the blood via a specific complex formation with a receptor on the chordial surface of the pigment epithelial cells. Retinol metabolism might be deranged in some diseases through a defect in the pigment epithelial receptor for RBP.


Cellular mechanisms involved in cyclic stromal renewal of the uterus. II. The albino rat.

During the first four days postpartum, heterophils (polymorphonuclear leucocytes) and macrophages occur in the intercellular compartement of the luminal epithelium of the uterine endometrium. Cytochemical and ultrastructural evidence indicates that transepithelial emigration of these stromal cells to the uterine cavity is occurring. This event takes place while the luminal epithelium is proliferating in response to the estrogenic stimulus of the postpartum estrus. Heterophil emigration precedes that of the macrophages and is most conspicuous during days 1 and 2. Although it has been established that collagen fibrils occur in uterine phagocytes (Schwarz and Güldner, '67) assumed to be macrographes (Parakkal, '69, '72), their precise role in collagen degradation remains undefined. It seems likely that the emigrating macrophages, heavily laden with phagolysosomal derivatives and lipid droplets, are hauling the remnants of the intercellular substance out of the endometrium during days 2-4 postpartum. Ultrastructural evidence indicates that the emigrating macrophage punctures the basal lamina and passes through the intercellular compartment of the luminal epithelium by active penetration. Another mode of macrophagic egress operates in the deep stroma of the endometrium and myometrium where lymphatic drainage occurs. Macrophages accumulate in the perilymphatic stroma as well as within lymphatic vessels. Thus macrophagic emigration through the luminal epithelium and lymphatic vessels may provide a cellular mechanism for elimination of the intercellular stromal substance in the regressing uterus. Transepithelial emigration is a mechanism which operates also in the marsupial uterus (Padykula and Taylor, '76), and thus may be a fundamental mechanism among subprimate mammals that fulfills in part the function that menstruation effects in primates.


Socio-economics of allergy.

The Medicare (Title XVIII) program in 1965 began a new era in American medicine. For the first time medical utilization review committees began to monitor medical care. Professional standards review organizations (PSRO's) will not determine if medical care is necessary, up to standards and the most economical. The National Health Planning & Resources Development Act, signed into law in January, 1975, will perform health planning, health regulation and resource development. A National Health Insurance Plan, when passed, will combine all government health agencies into one with complete control of American medicine. This article emphasizes the need for the physician (allergist) to be aware of what is going on and how he should cope with the problems with which he will be faced.


Enzyme activities associated with arabitol and mannitol biosynthesis and catabolism in Schizophyllum commune.

Enzymes of polyol metabolism were studied in basidiospore germination of Schizophyllum commune during periods of in vivo arabitol and mannitol pool depletion (growth on glucose-asparagine) and during their subsequent synthesis (growth on acetate-NH+4). Optimal conditions for assays were established and specific activities of enzymes employing D-arabitol, D-mannitol, D-ribulose, D-fructose and D-xylulose as substrates. were traced. Inquiries into the products formed during these reactions showed that D-ribulose generated arabitol while D-fructose produced mannitol with D-xylulose giving rise to xylitol. The dehydrogenase reactions were further investigated using polyacrylamide disc gel electrophoresis. Here was revealed the existence of at least two separate enzymatic activities pertaining to the catabolism of arabitol and mannitol. Also noted were the electrophoretic patterns when D-sorbitol, ribitol, xylitol and ethanol were used as substrates


[Urinary bladder organ culture with a continuous nutrient system].

A system of flowing nutrition for organic cultures has been developed with possible observation of explants at small magnifications of microscope. The nutrient fluid circulates by the gravity. The proposed method permits sustaining the vital capacity of explants of the urinary bladder mucosa of young rats with reservation of characteristic organotypical structures and phenomena of the epithelium proliferation as long as 7 weeks. The described method may be used when modelling different pathological processes in tissues.


[Postimplantation development of rat embryos following application of injurious agents to male gametes].

It was shown that in the embryos whose fathers had been subjected to x-ray irradiation, there appeared pathological alterations involving all parts of the embryo, resulting in high postimplantation mortality. In contrast to x-ray irradiation, chloridine affecting male gametes did not result in the increased embryonic death rate and disorders in embryogenesis as compared with controls. It permitted a conclusion of the process of rat spermatogenesis being resistant to this preparation.


[The development of yolk circulation in normal rat embryos].

To reveal the developing vessels of the yolk placenta the erythrocytes were stained with benzidine. The development of vessels was studied in vivo and in transplantation of embryos in the homologous blood serum. The pattern of branching of blood vessels in the yolk sac of 12-day embryos was established. The development of the blood circulatory system started on the 9,5 day (the anlage of sanguineous islands), the definitive state was acquired by the 12th day. The development of vessels in vitro after removal of the parietal layer of the placenta is dependent on the mophological stage at the moment of transplantation. In explantation of embryos with 2--3 pairs of somites which are being already formed, the yolk vessels develop as those in control. In transplantation of presomite embryos the development of vessels is sharply disturbed, in transplantation of embryos of the egg cylinder stage the vessels are not developed. The inducing role of the yolk placenta perietal layer in the development of blood vessels in the vascular layer is supposed.


Use of a passive hemagglutination inhibition test for monitoring levels of serum carcinoembryonic antigen following surgical therapy.

A technique of passive hemagglutination inhibition (PHI) has been used to monitor levels of carcinoembryonic antigen (CEA) in human sera following surgical therapy. CEA was coupled to human type O-negative erythrocytes in the presence of bis-diazotized benzidine. Pre-operative and post-operative sera from 11 patients with primary adenocarcinomas of the gastrointestinal tract and from one patient with ulcerative colitis were then tested for their capacity to inhibit the agglutination of the sensitized cells in the presence of a predetermined amount of goat anti-CEA serum. Positive sera were defined as those which inhibited agglutination at dilutions of greater than 1:8. The pre-operative sera from 11 of the 12 patients inhibited agglutination at dilutions of 1:16 or greater. The one negative serum was from a patient with primary adenocarcinoma of the colon in the stage of Dukes' C. At one month post-resection, the PHI titer of six patients with colon cancer and of the patient with ulcerative colitis was less than or equal to 1:8. However, by 4 months post-resection, all but 3 of the patients had PHI titers in the positive range. These elevated titers were accompanied by recurrence of tumor growth and/or metastatic dissemination. A radioimmunoassay was used to quantitate CEA in 22 of the sera which had been tested by PHI. When positive sera were defined as those which inhibited agglutination at dilutions of greater than 1:8 and contained CEA in excess of 5 ng per ml, the results of the two procedures were in agreement for 17 of the 22 specimens. Five sera, representative of 2 patients with colon cancer, were false negative by PHI.


Heritability of personality traits in adult male twins.

Personality test data from the California Psychological Inventory were collected on 99 pairs of identical and 99 pairs of fraternal adult male twins. Heritabilities were comuted for all 18 scales and compared to the heritabilities for "pure" scales with overlapping items omitted. Two of the pure scales, Responsibility and Femininity, had zero heritabilities, whereas all of the full scales had moderate to high heritabilities. It was concluded that item overlap has contributed significantly to previous failures to find evidence for the differential heritability of personality traits as measured by the CPI. CPI items were classified into genetic or environmental categories and separate factor analyses of items in these categories revealed more differences than similarities in factor structure. The genetic personality factors included Conversational Poise, Compulsiveness, and Social Ease. Environmental factors included Confidence in Leadership, Impulse Control, Philosophical Attitudes, Intellectual Interest, and Exhibitionism. Compared to the genetic factors, each of the environmental factors accounted for only a  very small percentage of the variance.


Resemblance in appearance and the equal environments assumption in twin studies of personality traits.

The equal environments hypothesis of twin methodology was examined for the variable of similarity of appearance as it affects the personality ratings of young twins. There were two separate samples, the first with 95 pairs of same-sex twins and the second with 111 pairs. The average age of the twins in both samples was 3-1/2 years. Mothers rated their twins on four personality traits and on confusability of appearance. Not surprisingly, identical twins were markedly more similar in appearance than fraternal twins. The effect of this inequality on the personality ratings of the two types of twins was examined by correlating ratings of similarity of appearance with the absolute difference on the four personality traits for each pair of twins. None of the correlations was significant for the identical twins, suggesting that greater resemblance in appearance in identical twins does not make them more similar in personality. Indeed, the data suggested a contrast effect in which identical twins who were easily mistaken in appearance tended to be rated as less similar in personality. Thus, although similarity of appearance may create unequal environments for the two types of twins, it does not appear to bias twin studies in the direction of inflated heritabilities, at least for rating studies of the personality of young twins.


Chromosomal determinants of intermale aggressive behavior in inbred mice.

A behavioral genetic system has been investigated in which the Y chromosome of DBA/1/Bg mice makes an incremental contribution to the adult aggression of B10D1F1 hybrid mice. Crosses with C57BL/10/Bg, C57BL/6/Bg, and DBA/2/Bg have identified a minimum of one incremental and one decremental (suppressor) genetic factor (in addition to the Y chromosome) which are autosomal and which affect the expression of adult intermale aggression in these strains.


Effects of genotype on differential behavioral responsiveness to progesterone and 5alpha-dihdroprogesterone in mice.

Thirty female CD-1 mice, 30 female Swiss-Webster mice, 45 hybrid female mice of the strain SWCD1F1, AND 45 HYBRId female mice of the strain CD1SWF1 were ovariectomized and administered estradiol benzoate once weekly for 6 weeks. Estrogen injections were followed 2 days later by injections of progesterone, dihydroprogesterone (DHP), or oil and the animals were tested for receptivity 7 hr later. Over the six tests, there was a progressive increase in the frequency of lordosis responses in all strains following progesterone treatment. However, lordosis scores varied widely across animals within strains. Following DHP treatment, lordosis frequency was not increased in the Swiss-Webster strain. Females in the other strains did show a progressive increase in lordosis frequency over weeks. The data indicate that the hybrid strains develop the potential to respond to DHP and thus behave like the CD-1 strain, suggesting that sensitivity to DHP is a dominant trait.


Ebstein's anomaly. Genetic study of 26 families.

The families of 26 patients with Ebstein's anomaly were examined. There were 120 first-degree relatives, 100 of whom were living, and 93 of these were examined. Information was available on 14 of the 20 who had died. No case of Ebstein's anomaly was found among the first-degree relatives, but 2 had ventricular septal defects and another, who died at 7 months, was said to have had congenital heart disease. In more distant relatives there were 6 with congenital heart disease, including 2 with ventricular septal defects and 2 with Fallot's tetralogy.


Treatment of erythema nodosum and nodular vasculitis with potassium iodide.

Twenty-four of twenty-eight patients with erythema nodosum and sixteen of seventeen patients with nodular vasculitis responded to treatment with potassium iodide. Relief of symptoms occurred within 2 days. The average duration of treatment was 3 weeks and the lesions took an average of 2 weeks to resolve. The possible mode of action of potassium iodide is discussed and an immunosuppressive effect mediated by heparin is suggested.


The action of a urea-lactic acid ointment in ichthyosis with particular reference to the thickness of the horny layer.

The effect of urea-lactic acid ointment on the scales of ichthyotic skin was assessed using the 'cell swelling' technique of Christophers & Kligman. The thickness of the horny layer and of the scales was reduced both by the ointment and by the base. The formation of scales was shown to differ from that in psoriasis where the scale forms at the apex of th a rete peg and is symmetrical whereas in ichthyosis the separation of the scale may be at an entirely different depth at one margin. There is an increase in the number of 'T' cells in X-linked recessive ichthyosis.


Protective action of beta-carotene against lethal photosensitization of fibroblasts in vitro.

Cell culture experiments using haematoporphyrin photosensitized bovine hoof fibroblasts and long-wave uv-irradiation revealed two distinct and separable patterns of lethal photosensitization according to two different sensitization procedures: (1) Photosensitization of cell membranes by short exposure (5 min) of cells to haematoporphyrin. (2) Cytoplasmic photosensitization elicited by a 2 h exposure of cells to haematoporphyrin. Cell membrane photosensitization was reversible by incubation of cells in serum which removed surface bound haematoporphyrin; cytoplasmic photosensitization was irreversible. Beta-carotene was tested in these two systems and the following results were obtained: (1) Preincubation of bovine hoof fibroblasts in beta-carotene protects from lethal haematoporphyrin photosensitization. (2) Protection with beta-carotene is achieved against both types of photosensitization. (3) The protective effect of beta-carotene depends upon the duration of pretreatment, reaching a maximum after 7 days. (4) Beta-carotene protection is maintained even after trypsinization of bovine hoof fibroblasts and withdrawal of beta-carotene from the medium for 24 h or more. (5) Haematoporphyrin sensitized bovine hoof fibroblasts show a distinct pattern of red fluorescence for each type of photosensitization. Incubation of bovine hoof fibroblasts in beta-carotene prior to haematoporphyrin photosensitization results in a pronounced reduction of red fluorescence. Some of these data indicate that beta-carotene acts, at least in cell membrane photosensitization, at the level of the cell membrane into which it appears to be incorporated.


Investigations into the influence of posture on renal plasma flow and glomerular filtration rate during late pregnancy.

Renal plasma flow and glomerular filtration rate were investigated in three positions (supine, left lateral and sitting) in a group of eighteen healthy women during late pregnancy and again after the puerperium. No difference in renal function could be attributed to the position adopted. However, an unexplained decrease in both of the indices occurred during the course of prolonged infusion in any position.


Placental glycogen.

The quantity and distribution of glycogen has been studied in 86 placentae from the last trimester of pregnancy and 8 of 8 to 16 weeks gestational age. In the first trimester glycogen concentrations were high, between 4-5 to 6-5 mg/g of blood-free tissue, but from about 12 weeks to term the concentrations were within a narrow range around 1-5 mg/g. The level did not deviate appreciably from normal in a range of clinical conditions: diabetes, intrauterine growth retardation, pre-eclampsia or acute fetal distress, and was unaffected by the length of labour and whether or not the mother had been given an infusion of dextrose. Nor was it affected by a wide range of glucose concentrations in the maternal and fetal plasma and in the placental tissue itself or by insulin concentrations in either circulation. After the first few weeks of pregnancy glycogen in the placenta was shown to be restricted to the vicinity of major fetal blood vessels. Here it may be presumed to act as an energy reserve for vasomotor activity. All the evidence suggests that any importance placental glycogen may have is likely to be local, in relation to the placental vessels; a more general role, as an emergency energy source for the fetus, seems unlikely.


New primary cancers in patients originally presenting with carcinoma of the cervix.

A total of 4502 patients with carcinoma of the cervix was studied: in 113 patients 116 other primary neoplasms were found and tumours of lung, breast, colon and rectum occurred most frequently. Most of the patients in our series died with the other primary present. Treatment of the cancer of the cervix by radiotherapy seemed to play no role in the induction of anot;er primary cancer.


The combined effect of nonsteroidal anti-oestrogens and sex steroids on the growth of rat uterine adenocarcinoma cells in tissue culture.

Nonsteroidal anti-oestrogenic drugs, tamoxifen and clomiphene citrate, at concentrations higher than 0.001 mug/ml reduced the colony forming ability of cells derived from a rat uterine adenocarcinoma in vitro. The 50 per cent inhibitory dose of these drugs was about one-hundredth of that of sex steroids. When the cells were treated with combinations of these nonsteroidal anti-oestrogenic drugs and the 50 per cent inhibitory dose (8 mug/ml) of progesterone, a synergistic effect on the inhibition of colony formation was observed. In contrast to progesterone, oestradiol-17beta (the 50 per cent inhibitory dose of which was about 16 mug/ml) suppressed additively the colony formation only in combination with low doses of anti-oestrogenic drugs.


Prevention of the respiratory distress syndrome in premature infants by antepartum glucocorticoid therapy.

A trial of antepartum dexamethasone therapy was carried out in 55 mothers in whom premature delivery threatned between 28 to 36 weeks gestation in the hope of reducing the incidence of respiratory distress syndromes (RDS). The control group was made up of 62 mothers who delivered prematurely in the same gestational age without any treatment. In the treated group isoxsuprine was used to delay delivery when necessary. The respiratory dif infants (8.3 per cent) than in the controls (35.2 per cent; p less than 0.001). The difference was more marked in babies of under 32 weeks gestation. Considering only cases with intact membranes the incidence of RDS was significantly (p less than 0.01) lower in the treated group. Early neonatal mortality was 6.6 per cent in the treated group and 38 per cent (p less than 0.0001) in the controls. In 12 cases the L/S ratio was measured during dexamethasone administration and in the majority of these the L/S ratio rose sharply to mature values following treatment. This rise was observed as soon as 48 hours after beginning of dexamethasone. Antepartum isoxsuprine in the treated group had no apparent effect on the incidence of RDS. No adverse effects of steroid therapy were observed. This trial confirms the studies of others that antepartum glucocorticoid can significantly reduce the incidence of RDS in premature infants.


Artificial rearing of pigs. 5. The effect of different proportions of beef tallow or soya-bean oil and dried skim milk in the diet on growth, feed utilization, apparent digestibility and carcass compostion.

1. Diets containing different proportions of skim milk and fat, either beef tallow or soyabean oil, supplemented with fat-soluble vitamins were given to 2-d-old pigs. Each fat source was used in three diets containing approximately 280, 350 and 420 g fat, and 260, 235 and 210 g protein/kg dry matter respectively. 2. The diets were given as a milk containing 200 g solids/l during a 26 d experiment. The pigs were given the diet at hourly intervals according to a scale based on live weight. 3. Increasing the energy content of the diet, with the accompanying decrease in protein content, had no effect on live-weight gain or feed: gain ratio (g feed dry matter/g live-weight gain) (other than a slight reduction in live-weight gain when beef tallow was used), or on nitrogen retention. However, the fat content of the carcass of the 28-d-old pig was increased, and its protein and ash content were decreased. 4. The apparent digestibilities of the fatty acids ranged from 0-96 to 1-00. The faeces from pigs given the soya-bean-oil diets contained some eicosanoic, docosanoic and tetracosanoic acids, presumably of bacterial origin. In general, palmitic and stearic acids were slightly less well digested than oleic and linoleic acids.


C18 unsaturated fatty acid hydrogenation patterns of some rumen bacteria and their ability to hydrolyse exogenous phospholipid.

1. A number of rumen bacteria isolated because of their ability to deacylate phosphatidyl choline, were found, in addition, to hydrogenate polyunsaturated fatty acids. 2. The most active lipolytic organisms had an unusual pattern of hydrogenation of dietary fatty acids in that alpha-linolenic acid was hydrogenated only as far as trans-11, cis-15-octadecadienoic acid.


Preparation of cross-linked dimers of pancreatic ribonuclease.

The cross-linking reaction between diimido esters and ribonuclease has been studied in terms of the yield of cross-linked dimer with optimum activity toward double-stranded RNA. With dimethyl suberimidate the most satisfactory conditions were condensation for 15 min at pH 7.5-8.0 at 21 degrees C with 1.25 mol equiv of the diimido ester and a protein concentration of 6%. The dimer (yield 20%) had 19 unmodified NH2 groups out of a theoretical 20 for a molecule in which two such groups are involved in the cross-linkage; the activity toward poly(A)-poly(U) in 0.14 M salt solution by spectrophotometric assay was 8.5 times that of the monomeric enzyme toward the same substrate.


Molecular motion and order in single-bilayer vesicles and multilamellar dispersions of egg lecithin and lecithin-cholesterol mixtures. A deuterium nuclear magnetic resonance study of specifically labeled lipids.

Deuterium (2H) nuclear magnetic resonance (NMR) quadrupole splittings and relaxation times have been measured for a variety of specifically deuterated lipids intercalated in lamellar-multibilayer dispersions and single-bilayer vesicles of egg lecithin and lecithin-cholesterol mixtures. The deduced order parameters and relaxation times vary with position of deuteration, acyl chain length, unsaturation, and temperature. The order parameters and spinlattice relaxation times T1 indicate rapid intramolecular motions of restricted amplitude in both the choline head group and hydrocarbon chains. The ordering profile for the acyl chains is similar to that predicted by statistical-mechanical theory. The order parameters yield estimates of the bilayer thickness and linear coefficient of expansion in close agreement with the x-ray determinations. A comparison of the deuterium and electron spin resonance spinprobe order parameters demonstrates the perturbation of the bilayer by the bulky nitroxide probe. The transverse relaxation time T2 for single-bilayer vesicles is quantitatively accounted for by a simple modification of classical relaxation theory which takes into account the modulation of the static quadrupole interaction by rapid local molecular motions and the modulation of the residual quadrupole interaction by the slower overall tumbling of the vesicle. It is unambiguously demonstrated that molecular motion and order in single-bilayer vesicles are very similar to those in lamellar multibilayers. Significant differences occur only for a few segments near the terminal methyl groups of the acyl chains, where the order parameters for vesicles are 10-30% smaller than those found for lamellae. The incorporation of cholesterol in lecithin bilayers is shown to increase the degree of orientational order in vesicles and lamellae, and to increase the hydrodynamic radius of vesicles. Thus, single-bilayer vesicles and multilamellar dispersions of phospholipids are equally useful models for biological membranes. They yield equivalent information about the internal organization and mobility of lipid bilayers, when the spectral manifestations of overall vesicle motion are correctly taken into account.


Reactivity of fibrinogen and fibrinopeptide A containing fibrinogen fragments with antisera to fibrinopeptide A.

Two antisera used in the radioimmunoassay for human fibrinopeptide A (FPA) which appear to have different immunochemical specificities have been tested for cross-reactivity with fibrinogen and with three fragments of fibrinogen which contain the FPA sequence. These fragments were the three-chain, NH2-terminal disulfide knot (N-DSK) produced by CNBr cleavage of fibrinogen, the reduced, carboxymethyl Aalpha chain portion of the N-DSK, and fragment E produced by plasmin digestion of fibrinogen. One antiserum (R-2) showed high specificity for free FPA and less than 2% cross-reactivity with fibrinogen or the FPA-containing fragments. The other antiserum (R-33) possessed a much higher degree of cross-reactivity with the FPA-containing fragments. Synthetic and native fibrinopeptides were found to be indistinguishable in the assay system with either antiserum. As a result of these studies, an hypothesis has been developed concerning the nature of the antigenic determinants on FPA which favor measurement of free FPA and limit cross-reactivity with larger, FPA-containing peptides.


[Studies on the cell wall of yeast of the genus Rhodotorula. X. Isolation and purification of cell-wall glycoproteins from Rhodotorula rubra (author's transl)].

Following ethylene diamine treatment of the cell wall of Rhodotorula rubra, a water soluble fraction has been isolated. This fraction can be resolved into three glycoproteins and one protein. The major part is a glycoprotein, purified to homogeneity which has a molecular weight of 64 000. The glyco-part of this protein contains mannose, glucose and one residue of glucosamine. After pronase treatment, the presence of an ""Asparaginyl-N-acetylglucosamine" linkage is established by the existence of one aspartic acid residue and one glucosamine residue. After permethylation, the initial data give some evidence that the branching points in the molecule were the carbon atoms 3 and (or) 6 of the mannose moiety and that some glucose moieties are bound to the non-reducing terminal end.


Enzymic and immunochemical properties of lysozyme. XIII. Accurate delineation of the reactive site around the disulfide 6-127 by immunochemical study of beta-propiolactone lysozyme derivative and of synthetic disulfide peptides.

In previous reports from this laboratory it was shown that an antigenic reactive site resides around the sequences 6-13 and 126-128 linked by the disulfide 6-127. The present work provides a strong support for the location of the reactive site by an independent approach. It also determines accurately the boundaries of the reactive site. 1. The two methionine residues in lysozyme were carboxyethylated by reaction with beta-propiolactone. The electrophoretically homogeneous derivative had no other modified amino acids and showed no conformational changes, relative to native lysozyme, as determined by ORD and CD measurements. However, it exhibited a slight increase in disulfide reducibility relative to native lysozyme and its lytic activity was about half that of native lysozyme, probably as a result of the slight conformational change. On the other hand, the antigenic reactivity of the derivative was equal to that of native lysozyme with several goat and rabbit antisera to lysozyem. It was therefore concluded that methionines 12 and 105 were not parts of antigenic reactive sites in native lysozyme. 2. Eleven peptides, corresponding to various sequences on the two sides of the disulfide 6-127 (i.e. two groups of peptides) were synthesized, purified and characterized. One group (A) of peptides comprised sequences 3-14, 5-14, 6-14, 5-13, 5-12 and an analog of sequence 5-14 in which methionine 12 is replaced by glycine. The second group (B) of peptides comprised sequences 125-129, 125-128, 126-128, 127-128, and 125-127. From groups A and B, nine disulfide-containing peptides (see Fig. 2) were synthesized, purified, characterized and their immunochemical interactions with antisera to native lysozyme studied. Towards each of the antisera studied here, Phe-3, Gly-4, Arg-5, Arg-125 and Leu-129 were not essential parts of the reactive site. On the other hand, Arg-14, Lys-13, Gly-126 and with some antisera Arg-128 were each critical for the reactivity of the site. Peptides from group A alone or group B alone did not inhibit the reaction of lysozyme with its antisera, confirming our previous findings that the integrity of the disulfide bond is essential for bringing the two distant (in sequence) parts of the site together. Finally, replacement of Met-12 by glycine did not influence the immunochemical reactivity of the site, confirming the above conclusion that neither of the two methionine residues takes part in interaction of lysozyme with its antibodies. An accurate delineation of the antigenic reactive site is, therefore derived here and its shape in the three-dimensional structure of native lysozyme is described.


On the significance of the carbohydrate moieties of bovine prothrombin for clotting activity.

Purified bovine prothrombin has been treated with different mixtures of glycosidases. Upon incubation of the prothrombin for 30 h with a combination of neuraminidase, alpha- and beta-galactosidase and beta-N-acetylglucosaminidase in 4 mM diisopropylfluorophosphate at pH 5.3 and 30 degrees C, about 70% of the carbohydrates were removed without affecting the coagulation activity. All the sialic acid and about half of the mannose, galactose and glucosamine residues were removed by this treatment.


The analysis of the molecular species of fetal rabbit lung phosphatidylcholine by consecutive chromatographic techniques.

The major molecular species of pulmonary phosphatidylcholine in the fetal rabbit were analyzed as the diacylglycerol acetate derivatives. After fractionation by Ag+ thin-layer chromatography according to the degree of unsaturation, the intact diacylglycerol acetates were analyzed by gas-liquid chromatography to obtain the carbon number composition. The methyl esters of these acetates were used to obtain the fatty acid profiles. The composition of the molecular species was derived from these sets of data. The proportions of 16 : 0/16 : 0, 14: 0/16 : 0 and 16 : 0/16 : 1 increased with gestation, while 16 : 0/18 : 1 decreased. The concentration of 16 : 0/16 : 0 increased about 50% the last two days of gestation while 16 : 0/16 : 1 increased about 300%. The possibility that 16 : 0/16 : 1 is a precursor of 16 : 0/16 : 0 via biohydrogenation is discussed.


Characterization of the repetitious human DNA families.

Human DNA isolated from HeLa cells or human placental tissue has been fractionated on hydroxyapatite at COt 1.0. The 25% of total DNA isolated at COt 1.0 is composed of 3% foldback DNA and 22% which renatures by second-order kinetics and can be resolved into five renatured DNA families banding at distinct densities in CsC1 gradients. The individual renatured DNA families were isolated and their physical properties including reassociation kinetics determined. A two-component kinetic analysis was used to resolve kinetic heterogeneity. The three lightest density DNA families possess satellite DNA-like properties. The two heaviest density DNA families were shown to contain reassociated highly repetitious DNA as well as single-stranded, middle-repetitious DNA sequences, suggesting interspersion. The middle repetitious DNA sequences are thought to be related in these two DNA families.


Analysis of plant RNA polymerase I transcript in chromatin and nuclei.

Chromatin isolated (pH 8.0) from soybean hypocotyl contains only RNA polymerase I activity as judged by its elution at low ionic strength (0.11 M ammonium sulfate) from DEAE-cellulose and DEAE-Sephadex, its total resistance to alpha-amanitin, and lack of preference for poly(dA-dT). The in vitro RNA product from this chromatin contains rRNA as a major component (36%) with little or no symmetry of transcription. The transcript from nuclei, where both RNA polymerases I and II are active, shows a dramatic increase in % rRNA (from 35 to 65%) when alpha-amanitin is present during synthesis. These observations suggest that plant RNA polymerase I is similar to animal RNA polymerase I in both its insensitivity to alpha-amanitin and preferential transcription of rRNA genes.


Isolation of variant lymphoma cells with reduced growth requirements for extracellular calcium and magnesium and enhanced oncogenicity.

By exposing an established cell line of malignant mouse lymphocytic cells (L5178Y) to a culture environment low in calcium and magnesium, we have isolated and maintained in continuous culture a variant population with reduced growth requirements for the cations. The variant cells are larger, have enhanced aggregability, tend to form dispersed colonies in semisolid medium, and have increased oncogenicity. Variants and their progenitors share similar morphology, maximum proliferative rate, and stability of phenotype. The significance of these findings is discussed and an analogy suggested between the selective influence of calcium and magnesium deprivation in vitro and the evolution of thymic dysplasias in divalent cation-deprived rodents.


Studies of possible absorption of a flame retardant from treated fabrics worn by rats and humans.

An investigation was made of the possible migration of a flame retardant, tris (2,3-dibromopropyl) phosphate (TBPP), commercially used in childrens sleepwear, to the skin of rats and humans and subsequent absorption. When the pure chemical was applied directly to the shaved skin of a rat, the hydrolysis product, 2,3-dibromopropanol (DBP), appeared in the urine. The 10,000 X g supernatant fraction of rat liver hydrolyzed TBPP to DBP. When TBPP-finished fabrics were worn by a rat, an adult male and a 5-year-old boy for up to 9 days, DBP was not detected in the urine.


Stimulant properties of bromocriptine on central dopamine receptors in comparison to apomorphine, (+)-amphetamine and L-DOPA.

1. The activity of bromocriptine has been investigated in tests for the stimulation of central dopaminergic mechanisms. The results obtained have been compared with those of apomorphine, (+)-amphetamine and L-DOPA. 2. Bromocriptine (2.5 to 10 mg/kg) induced stereotyped sniffing and licking in rats. The stereotypy was more intense than that induced by L-DOPA and less intense than that of apomorphine and (+)-amphetamine over the dose ranges studied. 3. In rats lesioned unilaterally in the substantia nigra by local injection of 6-hydroxydopamine, bromocriptine, like apomorphine and L-DOPA, induced turning contralateral to the side of the lesion. The smallest dose of bromocriptine to induce turning was 0.5 mg/kg. 4. Reserpine-induced catalepsy in mice was antagonized by bromocriptine, with an ED50 of 1.8 mg/kg. It was intermediate in potency to apomorphine and L-DOPA. 5. Spontaneous locomotor activity in mice was stimulated by bromocriptine in a dose-dependent manner from 2.5 to 10 mg/kg after an initial suppression of activity. 6. In all experiments, bromocriptine was characterized by a prolonged duration of activity after a delay in the onset of effect. 7. The stereotyped behaviour induced by bromocriptine was inhibited by prior administration of pimozide, reserpine or alpha-methyl-p-tyrosine. 8. Bromocriptine-induced turning behaviour was abolished by pretreatment with pimozide, and reduced after alpha-methyl-p-tyrosine treatment. 9. The results obtained support the conclusion that bromocriptine acts by stimulating dopamine receptors in the central nervous system and that intact catecholamine synthesis and granular amine storage mechanisms are necessary for it to bring about its effects.


Hostility in drug dependent individuals: its relation to specific drugs, and oral or intravenous use.

Although a number of studies have suggested that hostility and drug dependence may be related, there are few systematic studies of this issue. Using the Hostility and Direction of Hostility Questionnaire, the present study compares several drug-dependent groups of patients. Results showed that the intravenous in-patient group was more hostile on several variables than their out-patient counterparts, and also more hostile than an oral in-patient group. Barbiturate abusers were found to have high levels of hostility; amphetamine abusers were the least hostile group, and narcotic dependent patients were intermediate between the two. Correlations between scales of the HDHQ were all positive, and most were both high and statistically significant, suggesting that hostility represents a relatively generalized trait in drug-dependent subjects. The results are discussed both in terms of patient selection factors--the differential pressures on different types of patients, and in terms of direct drug effects. It is suggested that the hostility of drug-dependent patients may represent an important problem of personal functioning and may require special attention in treatment programmes.


The spouses of attempted suicides: a personality study.

The 16 PF was administered to 30 female attempted suicides and their spouses, to 20 male attempted suicides and their spouses and to 50 control men and their spouses. Both the female and male attempted suicides show personality disturbance, but there are also sex differences. The female attempted suicides and their spouses appear to share similar personality characteristics, but the spouses of male attempted suicides appear quite dissimilar from their husbands. The effect of the personality of the spouses is briefly discussed in the context of marital relationships of attempted suicides.


Thyrotoxicosis and lithium.

Two cases are presented in which treatment with lithium was complicated by thyrotoxicosis. The underlying physiological mechanisms are discussed. Lithium suppresses thyroid function, so the early stages of thyrotoxicosis may be clinically undetectable. The symptoms and signs of thyrotoxicosis may be confused with the side effects of lithium, and if lithium is withdrawn severe rebound thyrotoxicity may occur. Furthermore, some of the side effects of lithium may be aggravated by thyrotoxicity. These cases provide further evidence of the importance of routine screening of thyroid function before starting treatment with lithium.


The daily rhythm of plasma tryptophan and tyrosine in depression.

The study dealt with the level of and diurnal alterations in the concentration of tryptophan, free tryptophan and tyrosine in the blood plasma of 20 inhibited depression patients and 10 healthy controls. The results suggested that there was no distinct relationship between either the total plasma tryptophan or plasma tyrosine level and depression. On the other hand, the free plasma tryptophan level was, at all the times of day at which measurements were made, either significantly or almost significantly higher in the patients than in the controls. It was further found that the results of measurement were related to the patients' clinical improvement, as measured by the Hamilton test, in such a way that after four weeks of treatment the free plasma tryptophan level in 'poorly improved' patients continued to be significantly higher in comparison with the controls, whereas the values for the 'well improved' patient group did not differ greatly from the corresponding values for the control group any longer. It may be hypothesized that the rise in the free plasma tryptophan in depressive patients might represent an effort made by the peripheral body to compensate for the slowed-up serotonin metabolism of the brain, whereby the tryptophan mobilized from the periphery would serve as a sort of 'endogenous antidepressant' provided by the organism itself.


Psychosocial consequences of therapeutic abortion King's termination study III.

A follow-up study is reported of a consecutive series of 360 women who underwent termination of first trimester pregnancies by vacuum aspiration. Each patient received brief counselling before termination. Follow-up examinations were carried out by means of detailed, structured interviews at three months and between 15 months and two years (mean: 18 months) after termination. Outcome was assessed in terms of psychiatric symptoms, guilt feelings, and adjustment in marital and other interpersonal relationships, sexual responsiveness and work record. Compared with ratings of psychosocial adjustment before termination, significant improvement had occurred at follow-up in respect of psychiatric symptoms, guilt feelings and interpersonal and sexual adjustment; there was no significant change in marital adjustment. Adverse psychiatric and social sequelae were rare.


Testicular involvement in the retroperitoneal fibrosis syndrome.

A case of retroperitoneal fibrosis involving the testicle is presented. The widespread extent of the retroperitoneal fibrosis syndrome is reviewed briefly. The literature contains little information concerning the aetiology of testicular involvement in the disease process, which generally affects the para-aortic tissues. The physical signs mimic testicular neoplasm. A common embryological derivation of the tissues affected is postulated.


Ascites and hydrothorax in association with struma ovarii.

A case is presented of ascites and hydrothorax in association with struma ovarii. Nine previously reported cases are reviewed and the possible causes of the ascites and hydrothorax discussed.


Assessment of the obstetric flying squad in an urban area.

The experience of an obstetric flying squad in an urban area over one year was reviewed. Very few calls were found to be justifiable, and it is concluded that few if any circumstances in modern obstetric practice merit continuing the flying squad in the urban area.


Congenital malformation associated with intrauterine contraceptive device.

Two infants with fibular aplasia and related limb-reduction defects were born to mothers who were using copper-containing intrauterine contraceptive devices. The possibility of a casual association is consistent with the known hazards of intrauterine devices and cannot be excluded on the available experimental evidence. More information is urgently needed, and searches, including radiography of placenta and pelvis, should be made for such devices in mothers who have used them in the past and who give birth to malformed infants.


Surgical treatment of female infertility: value of paradoxical oophorectomy.

The outcome of surgical treatment for infertility in 111 women has been reviewed. The procedures used, depending on the lesions present, were: myomectomy; tubal implantation, anastomosis, and salpingostomy; division of adhesions; ovarian wedge resection; and "paradoxical" oophorectomy. The results are analysed by comparing pregnancy rates after surgery with those for the total time of exposure. Only for division of adhesions and oophorectomy were statistically significant results obtained. Many of the pregnancies, however, occurred soon after operations that had been preceded by long periods of infertility. With single tube patency, which had been proved at laparotomy, contralateral oophorectomy appeared to be of value. In the light of these observations we suggest that in cases of tubal ectopic gestation salpingo-oophorectomy should be considered in preference to salpingectomy when the opposite tube and ovary are healthy. Wedge resection for the Stein-Leventhal syndrome effectively restored ovulatory activity.


Monoamine neurotoxins: selective and delayed effects on behavior in colonies of laboratory rats.

Male laboratory rats were raised in two colonies, each of 27 rats, and then given intraventricular injections of the norepinephrine neurotoxin 6-hydroxydopamine (6-OHDA) or the serotonin neurotoxin 5,6-dihydroxytryptamine (5,6-DHT) or saline. They were then returned to their enclosure and behavior during the next 50 days was observed. Shortly after neurotoxin injections the 6-OHDA rats spent more time in the burrows than controls and when out were inactive. The 5,6-DHT rats in contrast spent more time in the open than controls, ran more in activity wheels, approached humans, and fought more. Fighting, mounting, and hoarding in the colony gradually increased for 25 days; during this time the status of the 6-OHDA animals fell progressively whereas the 5,6-DHT animals increased in dominance. Social behavior returned to more normal levels after 50 days. Several successive stages of behavioral alterations occur following neurotoxin injections.


Alphathesin, a new steroid anaesthetic agent.

This is a study of 220 patients, most of them out-patients, who were anaesthetized with Alphatehsin. Although the use of Alphathesin has not been discussed in depth, one can say that it is not a substitute for other intravenous anaesthetics available at the present time. Alphathesin, however, deserves further study as it may be able to supply new solutions to new problems which are encountered daily in our specialty, particularly in the field of out-patient surgery.


Provision of endogenous and exogenous humidity for the Bain breathing circuit.

The endogenous humidity produced by a partial rebreathing system, the Bain Breathing Circuit, was measured clinically and experimentally. The addition of humidification by interposing a Garthur Vapor Condenser (HME) or a Bennett Cascade heated humidifier into the system was also studied. Without supplemental humidity, the Bain Breathing Circuit probably meets marginal requirements for preservation of ciliary morphology and function during endotracheal anaesthesia. However, additional humidity is needed to prevent alteration in pulmonary mechanics. The HME is a beneficial adjunct to the Bain Breathing Circuit, raising humidity to near acceptable levels, especially if ambient temperatures range from 24 degrees to 26 degrees C. However, the deadspace of the HME is 17 ml, which might limit its use in children. The Bennett Cascade humidifier plus the Bain Breathing Circuit satisfies minimal suggested humidity requirements at ambient reservoir water temperatures of 24 degrees to 26 degrees C. Heating the reservoir water to maximum heat capacity increased humidity but caused marked water condensation along the inner fresh gas tube of the Bain Breathing Circuit.


Autoradiography of [3H]thymidine-labeled Chlamydia psittaci 6BC in mononuclear phagocytes.

Incorporation of tritiated [3H]thymidine by Chlamydia psittaci 6BC was achieved by growing the parasites in chick embryo yolk sac explants which were exposed to exogenous labeled thymidine. These labeled, purified chlamydiae were next observed by autoradiography within mouse peritoneal macrophages. The number of silver grains remained constant in the cytoplasm of macrophages throughout the developmental cycle of the parasite. The proliferation of labeled chlamydiae in macrophages was confirmed by Giemsa staining and immunofluorescence. Chlamydiae have never been successfully labeled with thymidine in earlier studies when assayed in cultured mammalian fibroblasts. It is suggested that a critical factor in the successful incorporation thymidine in chlamydiae may be the host-parasite system used.


Electron-microscopic study of Herpesvirus macaca in human fibroblasts.

An electron microscopic study of the morphology of Herpesvirus macaca, a serologically distinct infectious agent isolated from the leukocytes of rhesus monkeys, was performed. WI-38 fibroblast monolayers were infected with the virus and examined 18 days later. The morphology of Herpesvirus macaca was, in general, typical of the herpesvirus group. Enveloped virus particles observed via negative-stain technique had a diameter of 145-155 nm. An inner capsid composed of hexagonal capsomeres had a diameter of 100-110 nm and surrounded a central core. While enveloped forms appeared to be present within the nuclei of infected cells, they were not found in the cytoplasm except within vacuolar structures. Associated changes were found in the morphology of infected cells, including intracytoplasmic myelin figures.


Regulatory properties of yeast nitrate reductase in situ.

A simple and rapid procedure to make  yeast cells permeable by agitating with toluene-ethanol, (TE) 1:4, v/v was developed. The permeated cells retained their ability to catalyze certain enzyme reactions. Temperature and duration of agitation during TE treatment played an important role in retention of the catalytic potential of permeated cells. The in situ assay using permeated cell preparations was more sensitive even in the absence of added cofactors than in the vitro assay in detecting assimilatory nitrate reductase (NAD(P)H:nitrate oxidoreductase, EC 1.6.6.2) (NAR) activity in Candida utilis. Using in situ assay technique, different mechanisms regulating the biosynthesis of NAR in C. utilis were investigated. Nitrogen starvation did not lead to derepression of NAR. NO3-ions were absolutely essential for induction and maintenance of high levels of NAR activity. Cells grown on ammonium nitrate possessed relatively lower levels of NAR. Kinetics of NAR induction were followed as a function of time and inducer concentration. The influence of various cations on the induction of NAR by nitrate was investigated. A wide range of D-amino acids induced NAR synthesis. Of 22 L-amino acids tested only phenylalanine induced significant levels of NAR. Various intermediates of the pathway of nitrate reduction influenced the rate of NAR induction. There was a rapid disappearance of in vivo activity of the enzyme of induced yeast cells on nitrogen starvation, and the rate of loss was accelerated by the presence of NH4+.


Alterations in the ultrastructure of Chlamydia psittaci 6BC harvested from the allantoic fluid of chick embryos.

The allantoic fluid of chick embryos infected with Chlamydia psittaci is routinely used as a source of material for the study of the chemical and biological properties of the chlamydiae. We have examined pellets recovered from this allantoic fluid by low- and high-speed centrifugation, as well as high-speed pellets which had been stored at -70 degrees C, and we find that all of the pleomorphic forms of the chlamydiae are present in these materials. The reticulate bodies and large intermediate bodies are always seen to be morphologically damaged in that their cell envelopes are modified and in that they are distended and occasionally 'leaky.' No morphological evidence of damage was seen in small intermediate bodies or in elementary bodies in any of the materials which were examined. Thus the chlamydial population recovered from the allantoic fluid of infected chick embryos has been modified by selective damage to the least-condensed particles. We propose that the release of lysosomal enzymes from the host cell may coincide with the release of the chlamydia and that these enzymes may be responsible for this selective damage.


Ultrastructure and lipid identification during conidium germination of Stemphylium sarcinaeforme.

Multicelled conidia of Stemphylium sarcinaeforme germinate in water forming several germ tubes. Individual cells within conidia are connected by pores which are plugged in ungerminated conidia and open in germinated ones. During germination, vacuoles enlarge, endoplasmic reticulum profiles increase in number, and mitochondria change from spherical to elongate. The germ tube wall is laid down at the site of emergence from the conidium. Shortly after germination, a septum with a central pore forms where ther germ tube emerged. The germ tube wall is surrounded by a fibrillar sheath. Lipid bodies are closely associated with vacuoles during germination. The ultrastructural location of lipid was found by extraction of conidia with lipid solvents. Total lipid decreases from 14.4% of the dry weight of ungerminated conidia to 13.4% of the dry weight of conidia germinated for 10 h. No qualitative changes occurred in the major lipid classes of conidia during germination. The activities of lipase and acid phosphatase were detected in ungerminated and germinated conidia.


Effects of phenylthiourea on growth and sclerotial formation of Sclerotium rolfsii and Whetzelinia sclerotiorum.

The growth of Sclerotium rolfsii and Whetzelinia sclerotiorum was reduced when 5 X 10(-4) to 2 X 10(-3) M 1-phenyl-2-thiourea (PTU) was incorporated into synthetic media and potato dextrose agar (PDA). Whetzelinia sclerotiorum produced heavy aerial mycelia and few, if any, sclerotia in synthetic glucose-nitrate liquid medium containing 10(-3) and 2 X 10(-3) M PTU. At the same PTU concentrations in PDA. W. sclerotiorum formed abnormal sclerotia covered with a yellowish green exudate. Sclerotium rolfsii produced unusual patterns of aerial mycelia and no sclerotia on media containing 2 X 10(-3) M PTU. With 5 X 10(-4) M PTU, S. rolfsii produced sclerotial initials and some of these developed into atypical clumps of sclerotia. A yellow pigment developed when S. rolfsii grew on media containing PTU.


Soybean flower-to-seed movement of epiphytic bacteria.

Epiphytic tracer bacteris (a Pseudomonas sp. and an Arthrobacter sp.) from soybean buds were introduced into open flowers of greenhouse-grown soybean plants. Of the 177 resulting pods cultured after surface disinfection, tracers were recovered from within 24. Seed from two of these pods also carried tracers.


Computerized transaxial tomography: its role in the post-operative tumor case.

The role of computerized transaxial tomography (CTT) of the brain in 100 post-operative tumor cases is assessed. CTT proves an accurate method of determining tumor recurrence and in evaluating such complications as intracerebral hemorrhage, subdural or extradural hemorrhage, cerebral infarction, hydrocephalus and shunt patency. Its accuracy decreases the need for interventional procedures. Its usefulness may be limited by the presence of metal clips or plates, by radio-opaque contrast media or intracranial air.


Cancer of the remaining breast: radiologic contribution to diagnosis.

Between 1953 and 1973 the mean incidence of a first breast cancer in northern Alberta was 0.47 per 1000 women. However, in women who had had a first breast cancer the crude incidence of a second primary cancer in the opposite breast was 1.3%. The rate of discovery of a second primary cancer increased after a multidisciplinary approach was instituted at the follow-up clinics. Mammography has proved to be valuable in diagnosis. By this technique 19 (36.5%) of the 52 cancers occurring in the remaining breast were identified when they were clinically unsuspected.


Control of recurrent supraventricular tachycardia with amiodarone hydrochloride.

Amiodarone hydrochloride, a new antiarrhythmic agent, controlled a recurrent supraventricular arrhythmia, refractory to conventional medical treatment, in a 57-year-old patient with an anomalous conduction system and idiopathic cardiomyopathy. For the 11 months that the patient has been taking the drug her arrhythmia has not recurred. This drug has produced no important side effects in this patient.


Intra-articular injuries of the elbow: pitfalls of diagnosis and treatment.

Poor results in treating fractures and dislocations about the elbow may be avoided if the surgeon is aware of the possible injuries, examines good radiographs of both elbows, and treats the injury promptly and appropriately. A displaced fracture of the lateral or medial condyle of the humerus should be suspected if there is a flake fracture of the adjoining metaphysis; open reduction and internal fixation give better results than closed reduction. A shear fracture of the capitulum humeri can only be seen on a lateral radiograph; excision of the fragment, followed by mobilization, is sufficient for a good functional result. Dislocation of the elbow in a child may avulse the medial epicondyle, which sometimes lodges in the joint; it is essential to recognize this and remove the fragment without delay to avoid early degenerative arthritis. An apparently isolated fracture of the ulna should alert the surgeon to the possibility of a dislocation of the radial head; the dislocation and the fracture must be reduced and stabilized to conserve elbow function.


Self-induced water intoxication in a schizophrenic patient.

Water intoxication occurred in a 53-year-old woman with chronic simple schizophrenia and poorly controlled diabetes. For several years she had had a compulsive habit of drinking excessive amounts of water. Coma, fever, convulsions and other neurologic signs appeared suddenly, and she had severe hyponatremia. Her condition improved rapidly when the electrolyte abnormality was corrected.


A clinical histologic, and immunologic study of a case of metastatic malignant melanoma undergoing spontaneous remission.

A patient with biopsy-proven dermal recurrent malignant melanoma who refused therapy, and who was observed to undergo clinical regression during the period of November 1972 through June 1974 was studied to define the histologic features of spontaneous remission, and to evaluate the immune response as measured by in vitro assays of lymphocyte cytotoxicity and serum effects during the course of regression. Biopsy of regressed areas showed the following histologic features: 1) absence of malignant melanoma cells in basal layers of epidermis with relative increase in basal layer clear cells; 2) dermal inflammatory reaction with lymphocytic infiltrate, melanophages, and degenerate malignant melanocytes; and 3) dermal reactive vascular proliferation and interstitial edema progressing to reparative dermal fibrosis. Using a microcytotoxicity assay with two established allogeneic melanoma cell cultures as target cells, a statistically significant (p less than 0.01) increase in lymphocyte cytotoxicity values was observed over the clinical time course of regression. No significant serum cytotoxic or serum blocking effects were detectable. These findings are consistent with an immunologic basis for the spontaneous remission of the dermal melanoma metastases present in this patient.


Histopathologic spectrum of vaginal adenosis and related changes in stilbestrol-exposed females.

A total of 98 colposcopically directed biopsies were obtained from the vagina, cervix, and cervicovaginal ridge (hood) of 80 young women believed to have had intrauterine exposure to stilbestrol (DES). Specific investigation of the patient's medical records corroborated the history of maternal stilbestrol administration in 36 patients (45%), while in the remainder the drug history was regarded as presumptive since medical records were unavailable for review. The findings did not differ significantly in those biopsies taken from patients with confirmed or presumptive drug histories. Histologic evidence of vaginal adenosis was detected in vaginal biopsies from 43 patients. In 30 cases (70%) benign Müllerian-type glandular epithelium was in the superficial vaginal wall, residing on the mucosal surface and/or in the lamina propria. The glandular epithelium predominantly was of endocervical type, but in six instances it resembled endometrial or fallopian tubal epithelium. The glands were accompanied by varying degrees of squamous metaplasia in 22 cases. When extensive the metaplasia produced transformation zones similar to those seen in the normal cervix. Vaginal biopsies of adenosis from the other 13 patients (30%) revealed squamous metaplasia without demonstrable glands due to complete transformation of all antecedent glandular epithelium by squamous metaplasia. Our studies indicate that squamous metaplasia is a  component of major importance in the natural history of adenosis and that the concept of adenosis should be broadened to include those examples comprised exclusively of metaplastic epithelium. In such examples metaplasia is identified by the immaturity and poor glycogenation of the squamous cells and their accompanying squamous pegs which often contain residual gland openings or squamous "eddies." Similar findings were present in biopsies of seven cervicovaginal ridges and in cervical biopsies from 37 patients, except for the absence of endometrial or tubal type glands in the latter site. Although no adenocarcinomas were detected, six patients had squamous dysplasia of the vagina and/or cervix. In no case were premalignant or dysplastic changes  of glandular cells found. Our findings support the thesis that stilbestrol-associated adenosis represents anomalous embryologic localization of the original squamocolumnar junction in the vagina rather than in the cervix. It is closely related to so-called cervical "erosions." The development of squamous metaplasia accounts for modifications in the clinical and histologic appearances by producing transformation zones which then may be subject to the same oncogenic  stimuli for squamous neoplasia as are their counterparts in the cervix.


Clear cell carcinoma of the endometrium: an analysis of 21 cases.

Twenty-one cases of clear cell carcinoma of the endometrium are analysed in an effort to characterize the histologic features and biologic behavior of  this type of neoplasm in the uterus and thereby to shed further light on the histogenesis of clear cell carcinoma in the female genital tract. The clinical profile of the patients closely paralleled that of women with the usual types of carcinoma of the endometrium. Fifteen (71%) were stage I, five were stage II, and one was stage IV at diagnosis. An assessment of the clinical stage and depth of myometrial invasion are useful in predicting the prognosis. The actuarial survival for all stages is 55.3% at 5 years, which is somewhat lower than that of adenocarcinoma of the endometrium in general. Operation alone or combined with radiation therapy is the treatment of choice for stage 1 clear cell carcinoma of the endometrium. The most cogent evidence for a müllerian rather than a mesonephric origin for clear cell carcinoma in the female genital tract is its presence in the endometrium, a Müllerian derivative. More specific points that support this concept are the findings of clear cell carcinoma confined to an otherwise benign endometrial polyp in two instances, the initimate admixture of clear cell and typical adenocarcinoma in three other instances, and the absence of mesonephric remnants in any of the 21 cases.