Voluntary control of penile tumescence.

This study investigated the voluntary control of penile tumescence in the absence of external erotic stimulation. Twelve experimental subjects were given analogue visual feedback and monetary rewards for increase in penile diameter as measured by a strain gauge. Twelve control subjects were given no analogue feedback and noncontingent rewards but the same instructions to maximize erections. While both groups were capable of voluntary penile tumescence, significantly improved performance was observed in the experimental group. Two distinct psychophysiological patterns of voluntary penile tumescence were observed. A "tension" pattern was associated with marked heart rate acceleration, irregular respiration, and variable penile response. A "relaxation" pattern was associated with stable heart rate, regular respiration, and smooth tumescence curves. In using these procedures for the treatment of sexual dysfunctions, it is suggested that feedback and reward be given for a combined pattern of sexual and autonomic responses.


Measuring body image. Preliminary report on a new method.

A new, very simple and inexpensive METHOD FOR MEASUREING BODY IMage is described. A number of female patients with different somatic complaints were investigated. A specific patterning of body image related to the localization of somatic complaints is revealed. Anorexic and obese patients have an overall larger body image while the distortions in other conditions mostly go on the elevation in the vertical axis. Different aspects of this way of measuring body image are discussed, but the difference of the patterning is clear. This is a preliminary report on the new method.


Hypnosis, stimulus preference and autonomic response.

We investigated whether stimuli consisting of beautiful and ugly colours as judged by human subjects elicit different autonomic response patterns. The autonomic functions recorded were heart rate (HR) respiration rate, skin conductance, number of GSFs (nGSR) and also eye movements, as an index of somatic activity. In order to obtain strong responses, i.e. to avoid inhibition of 'natural' responses by anxiety due to the laboratory setting, we made use of post-hypnotic suggestions regarding the nature of the stimuli the subjects were to expect. It appeared that for all but one autonomic function differences could be found between beautiful and ugly stimuli, in the sense that during the ugly stimuli more 'activation' occurred. The direction of HR change during the beauriful stimuli was opposite to those of the other functions. Effect of hypnosis on autonomic response could be substantiated for HR and nGSR. Apart from hypnosis it seems likely that the whole experimental set-up may have helped to reduce 'experimental anxiety'. One may conclude that response specificity for pleasant and unpleasant stimuli seems to exist.


Negative affect and plasma testosterone: a longitudinal human study.

The association between mood and plasma testosterone was investigated. Every second day for 2 months, a Multiple Affect Adjective Checklist was filled out by 20 young men. Blood samples taken at the same time were analyzed for testosterone concentration. Relationships between hostility, anxiety, and depression and plasma testosterone levels were tested both within and across individuals. Intrasubject correlation coefficients between affects and hormone were fairly evenly distributed between positive and negative values, some significant on either side. Intersubject correlation coefficients were all positivie. Between depression and testosterone, the correlation was significant only at the 10% level; between the other two affects and testosterone, the correlations were not significant.


Studies of endocrine and affective functions in complex flight manoeuvres.

Endocrine and metabolic changes, as well as affective functions, were studied in eight healthy volunteers anticipating and executing a prearranged sequence of aerobatic flight. Control measurements were made at complete physical and mental rest. The following were determined: anxiety and hostility levels, blood glucose, cholesterol, triglyceride, plasma free fatty acids (FFA), serum thyroxine (T4), corticosteroids, prolactin, growth hormone, immunoreactive insulin and urinary excretion of VMA. The pattern of response was uniform in all subjects. Significant changes were seen in plasma FFA, corticosteroids, growth hormone and immunoreactive insulin following aerobatic flight. Anticipation of flight induced anxiety arousal and significant directional changes in plasma FFA, corticosteroids, as well as in VMA excretion. Hostility scores were highest immediately upon termination of flight.


Osteogenesis imperfecta. A clinical and biochemical study of a generalized connective tissue disorder.

The clinical features of 62 patients with the diagnosis of osteogenesis imperfecta, a generalized connective tissue disorder, have been reviewed. The structural polymeric collagen of the skin has been examined by biochemical and histological methods in 21 of these patients and in two further patients with osteogensis imperfecta who died soon after birth. The results provide evidence of heterogeneity within this group of patients. Three main types of disorder are recognizable: those patients with dominantly inherited mild bone disease, blue sclerae and low amounts of polymeric collagen; those who occur sporadically, with severe bone disease, normal coloured sclerae and polymeric collagen of reduced stability; and occasional infants with severe bone disease who die at birth or soon after and whose polymeric collagen appears to be abnormal. It is speculated that these differences could be due to distinct abnormalities of collagen metabolism.


Absorption of DNA in the region of vacuum-uv (3-25 eV).

By means of a device that might be considered a modern version of "Ulbricht's sphere" the absorption spectrum and the photoelectric emission of calf thymus DNA was measured in the region of 3 to 25 eV (400 to 50 nm). A tentative explanation of the general shape of the absorption spectrum and of its 6 maxima is given. The results permit a much better insight into some biologic effects of vacuum-uv to be gained than hitherto possible.


Absorption of circularly polarized gamma-radiation in L- and D-amino acids.

No difference within the experimental error (approximately 10(-3)) was observed in the absorption of right- and left-circularly polarized gamma-radiation in L- and D-tryptophan and tyrosine. For the measurements the 14.4 keV transition of 57Fe was used and the analysis of circularly polarized gamma-radiation was performed by Mössbauer method.


Do one-hit chromosome exchanges exist? Dose-response relation for irradiated human lymphocytes.

It is demonstrated that the expectation of a quadratic dose-response relation for two-hit aberrations is not correct. In fact the theoretical curve is changed from near-quadratic to near-linear when the dose increases and fits well the experimental data on production of exchanges in human lymphocytes by radiation. The commonly used relation y = alphaD + betaD2 shows systematic deviations from the observed frequencies. Therefore, no reason exists to postulate some fraction of exchanges to be produced by a one-hit mechanism.


Concepts of microdosimetry II. Probability distributions of the microdosimetric variables.

This is the second part of an investigation of microdosimetric concepts relevant to numerical calculations. Two different types of distributions of the microdosimetric quantities are discussed. The sampling procedures are considered, which lead from the initial pattern of enregy transfers, the so-called inchoate distribution, to the distribution of specific energy and their mean values. The dependence of the distributions of specific energy on absorbed dose is related to the sampling procedures.


Mechanisms involved in the chemical inhibition of the eosin-sensitized photooxidation of trypsin.

A large series of compounds was screened for ability to protect trypsin from eosin-sensitized photodynamic inactivation. Eosin-sensitized photooxidation reactions of this type typically proceed via the triplet state of the dye and often involve singlet state oxygen as the oxidizing entity. In order to determine the mechanisms by which trypsin is protected from photoinactivation, a number of good protective agents (inhibitors) and some non-protective agents were selected for more detailed flash photolysis studies. Good inhibitors such as p-phenylenediamine, n-propyl gallate, serotonin creatinine sulfate and p-toluenediamine competed efficiently with oxygen and with trypsin for reaction with the triplet state of eosin. The inhibitors were shown to quench triplet eosin to the ground state and/or reduce triplet eosin to form the semireduced eosin radical and an oxidized form of the inhibitor. In the latter case, oxidized inhibitor could react by a reverse electron transfer reaction with the semi-reduced eosin radical to regenerate ground state eosin and the inhibitor. The good inhibitors also competed effectively with trypsin for oxidation by semioxidized eosin, thus giving another possible protective mechanism. Non-inhibitors such as halogen ions and the paramagnetic ions Co++, Cu++ and Mn++ reacted only slowly with triplet and with seimioxidized eosin. The primary pathway for the eosin-sensitized photooxidation of trypsin at pH 8.0 involved singlet oxygen, although semioxidized eosin may also participate.


Remarks on oxygen effects.

Oxygen concentration will influence the alpha- and beta-effect (two-component theory of radiation effects) independently. The beta-effect is reduced by a dose-modifying factor gamma. Oxygen, in competition with enzyme repair actions fortifies a part of the beta-lesions and this model leads to a simple equation for the factor gamma. The alpha-effect is also enhanced by oxygen. Measurements of OER indicate that the reduction of the effect from aerobic to anoxic condition might be about 70%. The functional dependence of oxygen concentration has not been investigated. For small oxygen concentrations of 0.15 to 0.5 muM/l and doses below 1000 R Révész and Littbrand have found that oxygen can protect the irradiated cells and thus increase survivals with about 10%. This is explained as a scavenger action where radical hydrogen atoms are oxidized and hydrated electrons captured by oxygen moelcules. When the oxygen concentration is increased, or with higher doses, the usual sensitizing effect of oxygen exceeds the protection effect. The influence of oxygen on alpha-effects are mainly connected with indirect radiation effects and thus depend on temperature and milieu.


Rdiasensitivity and radiation-induced mutability: an empirical relationship.

The total genome size of various species can apparently define the radiation-induced mutability and radiosensitivity for these species. An empirical expression has been derived which relates the radiation-induced mutation rates of different species to their total DNA content and radiation-induced inactivation rates.


Analytical model for the temperature dependence of the circulation pattern in upper extremities.

An analytical model for the circulation in the upper extremities of man is studied under the condition that the hand is immersed in water at different temperatures. The arterial and venous system is represented by one artery and two veins. One of the veins lies close to the deep lying artery; the other one is a cutaneous vein. The model permits a qualitative description of the dependence on temperature of the rate of heat loss of the hand as a function of the rate of blood flow and the water temperature, by means of parameters which determine the behaviour of the considered system. One parameter accounts for the relative amount of the rate of blood flow along deep and cutaneous veins. Comparison with experiment leeds to the following results. At water temperatures 0Hw higher than 25 degrees C about 10% of the blood is returning through the deep vein; for water temperatures lower than 13 degrees C this percentage becomes about 80%. In between the circulation pattern changes gradually. The influence of the counter-current effect, between the artery and the deep vein, on the heat loss of the hand is studied. The arterial blood temperature at the entrance in the hand is compared with the available experimental results.


Fixation, retention and exhalation of carrier-free 11C-labeled carbon monoxide by man.

Carrier-free 11C-labeled carbon monoxide was produced by proton irradiation of a nitrogen gas flow target via the 14N(p, alpha)11C process followed by on-line reduction of the predominantly formed 11C-carbon dioxide with a yield of 0.4 mCi/muAmin. After appropriate quality control about 2 mCi of carrier-free 11C-carbon monoxide in 500 ml on nitrogen gas were inhaled by test subjects in one breath. The 11C-activity distribution was then followed in vivo by scanning above thorax, head, liver, thigh and os sacrum; simultaneously the 11c-activity of the blood was also followed by batch measurement. The data indicate that part of the 11C-activity migrates from the blood into the intercellular space, while another part is exhaled. The 11C-activity leaves the individual organs with a biological half-life ranging from about 120 to 200 min, a time which is short as compared to the one observed for 51Cr-labeled erythrocytes. A radio gas chromatographic analysis of the exhaled air showed that the 11C-activity leaves the body exculsively in the form of 11C-labeled carbon monoxide. Consequently, metabolism of the 11CO into 11CO2 or other compounds can be excluded.


Renal function and intra/extravascular distribution spaces in the rat after supralethal whole-body x-irradiation.

Renal function and distribution of 51Cr-EDTA in intra/extravascular space has been studied in rats suffering from the gastro-intestinal syndrome after supralethal doses of X-irradiation. Urine excretion and glomerular filtration were found to decrease until 50 hr p.i. Urine excretion and, in a less degree, glomerular filtration rate increase then to a peak at 67 hrs before falling off to zero values before death. The extravascular space was found to be expanded in several organs from 60 hrs on (kidney, liver, stomach, intestine). Only in kidney where weight follows changes in extravascular space, a return to normal values is seen before death. An expansion in extravascular space due to a reduced re-extraction into intravascular space and diminished excretion constant can also be discerned beginning early after exposure on the basis of compartmental analysis of the blood activity-time curves. It is postulated that the changes observed reflect a state of shock developing slowly after irradiation and entering its irreversible stage 60 to 65 hrs after exposure.


Regional blood flow in rats exposed to supralethal doses of whole body x-irradiation.

Relative blood flow in different organs of the supralethally (3 kR) whole body X-irradiated rat was studied using labeled 15 mu microspheres. Immediately after irradiation blood flow in brain diminishes. From 10 to 20 hrs a phase of increase in blood flowing to many parenchymal organs ensues. A second maximum 45 to 50 hrs and a third one at 60 hrs. In most organs except in brain and liver relative blood flow diminishes before death. The genesis of these changes as signs of a slowly developing shock is discussed.


Concepts of microdosimetry. III. Mean values of the microdosimetric distributions.

This is the last part of an investigation of microdosimetric concepts relevant to numerical calculations. A formula is derived which permits the computation of the dose average lineal energy, yC, or the corresponding average of the specific energy without the need to determine the probability distributions, f(y) or f1(z). A detailed treatment is given for two cases of practical importance. The first case corresponds to spherical sites with diameters of the order of 1 mum and to neutrons up to 15 MeV. The second case corresponds to microscopic sites which are small enough that the change of the stopping power of charged particles traversing the site can be neglected.


Arbovirus growth in Aedes aegypti mosquitoes throughout their viable temperature range.

After intrathoracic inoculation of laboratory-bred Aedes aegypti mosquitoes with 3 Yukon isolates of California encephalitis (CE) virus (showshoe hare subtype), Northway (NOR) and Murray Valley encephalitis (MVE) viruses, viral replication was observed following incubation at 13, 21, 35 and 39 degrees C, which constituted the full temperature range of viability of A. aegypti. Rates of viral replication were reduced at low temperatures and accelerated at high temperatures. Virus-specific immunoperoxidase staining of mosquito salivary glands occurred regularly after thoraces attained maximum infectivity levels. At 13 and 21 degrees C, mosquitoes were infected by 10 to 100 times less CE and MVE viruses than mice, but about 10 times more NOR virus was required to infect mosquitoes than mice.


Effect of DEAE-dextran on protein synthesis in HeLa cells.

Concentrations of DEAE-dextran which are currently used to stimulate the interaction between animal cells and natural or synthetic polynucleotides, inhibit protein synthesis in HeLa cells. This inhibition results from the blocking of more than one of the steps in protein synthesis, including transport of amino acids. The results support the hypothesis that enhancement of cellular competence for infection by viral RNA involves interference with initiation of cellular protein synthesis.


The physics of diagnostic ultrasound.

Sound waves progress through a medium at a velocity that is characteristic of that medium. In a particular medium, wavelength and frequency are inversely related, so that short wavelengths can only be obtained at higher frequencies. A beam of sound will not be directional unless the object that is sending (or reflecting) it is at least several times longer than the wavelength. In tissue directional beams of 1 cm or less in width can be produced at frequencies of 1 MHz or more. Other things being equal, the higher the frequency, the narrower the beam. The attenuation of beams of sound in tissue at ultrasonic frequencies is directly and almost linearly related to frequency in that the higher the frequency, the greater the attenuation and the weaker the return signals. In choosing an operating frequency for a particular purpose, one must therefore bear in mind that the advantages of the higher frequencies (i.e., better resolution, both in range and azimuth) are obtained at the bost of a shorter effective range. Accordingly, one makes the best compromise by selecting the highest frequency that permits a range adequate for the purpose. In scanning the abdomens of adults where the range may be fairly long, a 2 MHz transducer is used. For cardiac studies in pediatric patients where the range is shorter and the structures smaller, a 5 MHz probe can be used. In the globe of the eye the structures are minute, the medium one in which losses are quite low and the range is very short, permitting the use of frequencies in the 10 to 20 MHz range.


Ultrasonic examination of the pancreas.

Gray scale scanners allow the demonstration of much more anatomical detail than was possible with the older type scanners. The initial step in the ultrasonic examination of the pancreas is display of the anatomical detail of the portal vasculature which provides a guidepost to the pancreas. Pancreatitis is characterized by a diffusely enlarged echo-free pancreas. Pancreatic pseudocyst is almost always an echo-free unilocular fluid collection. The size of a pancreatic pseudocyst can be measured so that progress can be assessed. Pseudocysts located in the region of the tail of the pancreas may be best demonstrated by scanning from the back over the left kidney. Pancreatic pseudocysts may be partly solid. Pancreatic carcinoma appears as a localized relatively echo-free, poorly defined solid mass which attenuates the ultrasound beam. Pancreatic carcinoma smaller than 2 cm in diameter are particularly difficult to diagnose by ultrasonic examination. Pancreatic carcinoma may be difficult to distinguish from chronic pancreatitis. Dilated bile ducts can be demonstrated and point to extrahepatic biliary obstruction. Serial ultrasonic scans have been suggested as a means of monitoring the response of pancreatic tumors to therapy. The relative diagnostic value of endoscopic retrograde cannulation of the pancreatic ducts and ultrasound has not as yet been established. Ultrasonic examination is easier to perform and less expensive than any other pancreatic imaging procedure other than the upper gastrointestinal barium examination.


Ultrasonography of the thyroid gland.

Ultrasound has proven to be helpful in the assessment of the thyroid gland and in particular of solitary hypofunctioning thyroid nodules. In 94% of cases differentiation can be made between solid and cystic lesions. This information is of importance to the clinician in deciding on the course of therapy. The ability to accurately measure thyroid gland size, the size of individual nodules, and to follow these with serial measurements during therapy, is also useful. Gray scale ultrasound may provide the additional benefit of differentiating between benign and malignant thyroid tumore. More study of this new technique is necessary before any final conclusions can be drawn as to its accuracy in the diagnosis of thyroid carcinoma.


Radiation therapy planning with ultrasound.

Diagnostic ultrasound is a relatively new diagnostic modality which is a practical method of acquiring anatomical information important in radiation treatment planning. Patient contour, port margins, location of tumors and normal structures, and tissue inhomogeneities can be recorded simply, safely, rapidly, and accurately. This information can then be utilized in developing radiation therapy plans that deliver irradiation more precisely to the malignant disease while avoiding normal structures. The proper application of ultrasound in radiation therapy planning has the potential of significantly improving cure rates and minimizing complication rates in the treatment of patients with malignant disease.


Liver, gallbladder, and spleen.

Ultrasonic imaging is a successful method of evaluating upper abdominal anatomy. The size, shape, and contour of the liver, spleen, and gallbladder can be adequately defined. Ultrasound is a major tool in the diagnosis of jaundice for it can differentiate between extrinsic jaundice in patients who may require surgical intervention and intrinsic jaundice in a patient who requires only medical attention. The diagnosis and location of cysts, abscesses, and solid masses can be determined by echography with a high degree of accuracy. In patients with abdominal disturbances ultrasonic imaging is more than just an extension of the physical examination, it is a means of further refining the probabilities in the diagnosis of disease entities. It should no longer be considered a mere curiosity, but a unique diagnostic tool in the armamentarium of the modern physician.


Echographic diagnosis of lesions of the abdominal, aorta and lymph nodes.

The development of echographic diagnostic procedures for abdominal aortic aneurysms and enlarged abdominal lymph nodes has been discussed. The echographic method is suitable in several ways for the initial diagnosis, determination of extent, differential diagnosis, as well as follow-up of these abdominal lesions. The criteria for diagnosis and differential diagnosis have been presented and the advantages of the method and its limitations reviewed.


[Course of atypical psychoses].

An attempt was made to classify the atypical psychoses according to cross-sectional psychopathological criteria. We were able to separate two groups from a group of benign schizophrenics. The latter served more as a comparison group and were in every way similar to the nuclear group, except for a better social prognosis. Group C (atypical manic depressive illnesses) which was closer to manic depressive illness than the other two groups, differs from it by thought disorders and delusional experiences. In the further course of the illness, after a few schizophrenic symptoms had appeared once or repeatedly during the acute stage, the typical features of manic depressive illness came more and more to the fore. In group A (mixed psychotic syndrome) manic depressive and schizophrenic symptom complexes appeared for quite some time during the acute stage with approximately equal clarity and significance. In the further course, during which manic depressive phases as well as schizophrenic thrusts can make their appearances, one can often see the development of a 'hypomanic defect'. Systematised delusions, as well as grimacing and circumstantiality, can also persist frequently. On the whole, however, it is difficult to recognize the defect states from their original state once the illness has settled down. A classification of the atypical psychoses and their differentiation from typical manic depressive illness or nuclear schizophrenia is necessary, at least, because of the worse, respectively better, social prognosis of the atypical psychoses. This investigation should be continued further by using as control groups bi- and unipolar affective psychoses and nuclear schizophrenics with a severe course. The subgroups of the atypical psychoses will be used to evaluate different long-term therapies in a further study.


[Psychological investigations on patients with breast carcinoma (A pilot study)].

A pilot study was undertaken on patients with breast carcinoma to establish guidelines for improvements in patient care and health education. Of 113 patients who were asked to attend for examination after they had completed ray therapy only 40 turned up. After a half hour exploration the patients were asked to fill in the following: a complaints inventory questionnaire according to Hess; the Raven's progressive matrices; the Minnesota Multiphasic Personality Inventory; the 16-PF of Cattell et al., and a questionnaire regarding attitudes to the illness. The connections between fear and length of delay were discussed. It appears possible to distinguish neurotic from non-neurotic patients with carcinoma. A few working hypotheses were developed which could be tested on a larger number of patients.


Suicidal behaviour. An attempt to modify the environment. Part IV.

A study was undertaken of 76 males patients (following suicidal attempts) admitted in 1962 and 1963 to Holywell Hospital, a psychiatric hospital in Antrim, Norther Ireland. Their age, psychiatric condition, personality, intelligence, civil state, social class, religion, etc., were reviewed and the findings were compared with the findings in: (a) 100 suicidal females treated in the same hospital for the same reason in the same 2 years; (b) a group of 45 suicidal males admitted to the same hospital in 1971, and (c) a group of 91 suicidal female subjects treated in Holywell in 1971. The aim of the inquiry was to find out: (a) whether there were any sex-linked differences between these groups; (b) whether there were any changes in methods used in suicidal attempts in the last decade, and (c) whether our hypothesis about gain-motivation in many suicidal attempts was correct. The results of the study showed that: (a) sex and all personal and social factors reviewed were of little significance in the incidence of suicidal attempts and in the methods employed in their execution; (b) in both 1971 groups there was a shift from violent to non-violent means, and (c) two-thirds of all patients, irrespective of sex, social class, religion, etc., not only claimed having tried to achieve some personal gains, but apparently did achieve them by their suicidal behaviour. This seems to support our hypothesis that in many cases suicidal behaviour is in fact an attempt to modify the environment to the patient's benefit.


Sulpiride in school phobia.

Sulpiride was administered to 21 children with school phobia. All had shown some depressive symptoms in addition and had been treated by nonpharmacological measures. 13 of them returned to school within a few days and depressive symptoms disappeared eventually (the recovered group). In 3, behaviour at home returned to their premorbid status, but school refusal persisted (the improved group). In the remaining 5, no improvement was observed. In comparison to the present writer's previous experience with imipramine and benzodiazepines, the response to sulpiride in school-phobic children is more rapid and remarkable.


Confabulation of denial in senile dementia. An experimental study.

Some forms of confabulation ('confabulation of denial') seem due to the need to deny demential dissolution by replacing information pointing to illness with expressions suggesting normal health and efficiency. Seventy-six unselected patients affected by senile dementia were investigated in order to study the relationships between confabulation of denial and (a) stage attained by the demential process; (b) degree of memory loss, and (c) personality features and cultural models of the patients. Confabulations of denial were absent in the initial and the most advanced stages of dementia, whereas they frequently occurred in the stages of state and of evolution of illness. Memory loss did not seem to be directly responsible of the symptom, while personality features and social cultural models seemed to have a definite valence in the development of confabulation of denial. Some implications of these findings are discussed.


[Stimulation of renin secretion in vitro by a factor in serum of rats (author's transl)].

The stimulating effect of rat serum on renin release from kidney slices of this species was demonstrated. This "renin-releasing-factor" is not dialysable. It can be activated at 56 degree C. The factor is found in the gamma-Globulin and the albumin fraction of serum. Its role is discussed in a possible system of humoral regulation of RAS in the manner of a feed back mechanism including a releasing system.


Disaccharidases in rat small intestinal mucosa following cytostatic treatment with adriamycin.

Our studies have shown that appropriate doses of adriamycin can reduce the activities of the intestinal disaccharidases in the rat. At higher doses, in addition to morphological changes in the intestinal mucosa, a considerable fall in disaccharidase activities also occurs. This functional impairment can be seen for a period of several days after the morphological restitution of the mucosa. Appropriate studies of the small intestinal mucosa in man will have to be undertaken to show whether similar impairment occurs at therapeutic doses.


Immunopathological lymph node findings in Hodgkin's disease: correlation to survival.

217 diagnostic lymph nodes biopsies from cases of Hodgkin's disease were classified according to the criteria established by the Rye Conference. These were later subdivided into survival groups using immunopathological parameters solely. In the light of findings based upon 63 cases whose progress has been followed, it appears that the classification of Hodgkin's disease according to immunopathological parameters may serve to eliminate many of the inconsistencies encountered with the utilization of classical procedures, especially in the correlation between histopathological analysis and prognosis. The new classification consists of three groups: I. Long survivals (greater than 5 years): extensive lymph node preservation of antibody mediated (average approximately 65%) and cell mediated (average approximately 37%) immunity, and/or a nodular birefringent fibrosis-hyalinosis. - - - (15,9%). II. Medium survivals (less than or equal to 5 greater than 2 years): partial lymph nodes preservation of antibody mediated (average approximately 42%) and/or cell mediated (average approximately 17%) immunity, and/or numerous epithelioid cal to 2 years): minimal lymph node antibody mediated (average approximately 7%) and cell mediated (average approximately 1%) immunological activity, no epithelioid cell infiltrates and no birefringent fibrosis-hyalinosis. - - - (41,2%).


[Ultrastructural aspects in the pathogenesis of desoxycholat--pancreatitis (author's transl)].

After intraperitoneal application of desoxycholate in cells of exocrine pancreas, ultrastructural alterations are observed. Initial changes are seen in mitochondria and focal parts of the endoplasmic reticulum. In later experimental stages there is sizable increase in the extent of the initially focal degradations, in such a way that great areas of the cytoplasm are involved. It is remarkable to note, that there are no indications about any disturbance in the synthesis and excretion of zymogen granules. The described morphological alterations will be discussed as conceivably being caused primarily by an irritation in the lipoid metabolism of the membrane.


Renal function following branch-artery ligation in the canine kidney.

Viable kidney mass has been reduced in dogs by branch-artery ligation combined with uninephrectomy. 1. When viable kidney remnants amount to about 1/4 of the original kidney mass dogs survive in apparent good health with moderate azotaemia; with 1/8 to 1/10 kidney remnants azotaemia is progressive and uraemic death supervenes within some days. 2. Reduction of renal blood flow and of glomerular filtration rate to about one-fourth of their respective control values seems to be compatible with survival; with further reduction death ensues. An inverse and linear relationship between NPN and GFR on a log-log basis has been found. 3. Mean nephron blood flow is equally enhanced in both the more and the less severely infarcted kidneys. On the other hand, mean nephron glomerular filtration is increased when about one half of the kidney is viable, but decreased with more extensive infarction. 4. Mean nephron vascular resistance is diminished; considering the pronounced decrease in Ein, i.e. filtration fraction, predominance of postglomerular vasodilatation is assumed. The formation of non-filtering, actively perfused nephrons is taken into consideration.


Functional, biochemical and morphological alterations in the intestines of rats with an experimental blind-loop syndrome.

In rat self-filling blind loops and in the contiguous regions of the intestinal tract, considerable functional impairment, accompanied by pronounced morphological transformations of the mucosa, has been observed. The histological alterations consist of mucosal hypertrophy and a reduction in the villus height: crypt length ratio, which is indicative of a hyper-regenerative change. Various enzyme activities of the epithelial cells are reduced and the absorption otinal juices is greatly altered in favour of the free acids. Two mec,anisms have 0een dicids, or meta0olites from bacterial degradation, on the absorptive epithelium; 2. Reduced cellular maturity in response to the effect of bile acids and/or bacteria on the lifespan of the cells.


[New possibilities for demonstration of some biogenous amines in the adrenal by X-ray microanalysis (author's transl)].

Technical possibilities for the histochemical demonstration of some biogenous amines with the scanning electron-microscope and X-ray microanalysis were shown by using argentaffine and chromaffine reactions. Objects were adrenals of adult minipigs. Beside morphologic studies the amounts of silver or chromium can be determined semiquantitatively by the intensity of the specific X-radiate from "sum up-analysis" out of punctual areas. Furthermore the high amine concentrations in the adrenal medulla permit the performance of "line-analysis" and of "element-distribution-pictures" for silver or chromium. At the points chosen for analysis the concentration of epinephrine + norepinephrine is six times as high in the adrenal medulla as in the cortex; for norepinephrine alone it is only three times higher. Line-analysis shows that the concentration of katecholamines in the cortex is very low in the periphery and high near the medulla. The chromaffine reaction for serotonin leads to a distinct chromium peak in the medulla with a distribution quotient of 4.6 : 1 versus the cortex showing that there must be remarkable amounts of serotonin in the adrenal medulla, inspite of the fact that serotonin cannot by synthetized there from its natural precursor.


Stimulation by phenylephrine of myocardial alpha-adrenoceptors in the left ventricle of the cat.

In the anesthetized cat phenylephrine in doses of 10(-8), 3 x 10(-8) and 10(-7) moles/kg caused an increase of dp/dt(max.) of the left ventricle without altering the heart rate. This cardiostimulating effect was inhibited by the alpha-adrenolytic drug phentolamine (10(-6) moles/kg). The beta-adrenolytic agent prindolol (10(-7) moles/kg), which inhibited the increase of dp/dt(max) evoked by isoprenaline as well as by noradrenaline did not influence the positive inotropic effect of phenylephrine, thus favouring the view that there exist myocardial alpha-adrenoceptors in the ventricle of the cat.


Myocardial damage during protracted anaphylactic shock in guinea pigs.

In ovalbumin-sensitized, mepyramine-treated guinea pigs protracted anaphylactic shock was elicited by i.v. injection of antigen. Diffuse or focal necrosis of myocardial cells was found in animals which died in protracted shock, as well as perivascular and interstitial edema. The antigen effects could be partially imitated by i.v. infusion of high amounts of adrenaline into nonsensitized guinea pigs. When adrenaline was infused during protracted anaphylactic shock, the catecholamine effects did not add to the histological effects of the antigen. Rather, the morphological alterations in the hearts were reduced, whereas the survival times were not increased, but decreased. - The findings are discussed in view of the nature of protracted anaphylactic shock.


Protection of the intestinal mucosa during ischaemia by intraluminal perfusion.

The function of the intestinal mucosa immediately after one hour's ischaemia was examined by means of tests in vivo and in vitro. During the ischaemia, the intestinal loop was perfused with media of different compositions, in an attempt to assess which provided the best protection of the epithelium from the deleterious effects of the ischaemia. The absorption of water, ions and glucose was then monitored in vivo, and the uptake of phenylalanine and beta methyl-glucoside by slices of mucosa was determined in vitro. The unprotected mucosa loses all active transport capacity in vitro following one hour's ischaemia, and is the site of a pronounced loss of water and ions into the lumen in vivo. Glucose absorption in vivo is also abolished. If the loop is perfused during the ischaemia with glucose-containing Krebs bicarbonate buffer, much of the transport capacity in vitro is retained; the loss of ions and water is prevented, and glucose absorption in vivo occurs. Perfusion during the ischaemia with other media, such as isotonic mannitol, Krebs bicarbonate buffer, or Ringer-lactate solution, results in a marked protection of the mucosa, in comparison with the unperfused loop, but the effects are not as pronounced as those of the glucose-containing buffer. It is concluded that the act of perfusing the intestine is the most beneficial factor, but that the presence of glucose in the perfusate does afford added protection.


The lymphatic drainage of the liver capsula and hepatic parenchyma.

The lymphatics transport of bilirubin and of 131I-albumin absorbed from the liver capsula was studied in dogs during the early stage of complete biliary obstruction. Bilirubin transport by the right lymph trunc was only 1,5% of the transport by the thoracic duct. Labelled protein absorbed from the Glisson's capsule is transported both by the right lymph duct and the thoracic duct. During an infusion of large amounts of fluid under high pressure into the bile duct labelled protein is transported from the liver parenchyma almost exclusively by the thoracic duct. After the occlusion of about 70% of the lymphatics draining the liver the increase in the transport of the labelled protein by the right duct accounted only for on insignificant fraction of the loss from the thoracic duct lymph. It is concluded, that lymph formed in the hepatic parenchyma is transported by vessels joining the thoracic duct. Capsular lymphatics run both to the thoracic and the right lymph duct. There is practically a complete functional division of the superficial and deep lymphatics of the liver.


The effect of "ouabain" on the ultrastructure of cerebral arterioles and surrounding tissue, studied by a cannulation of a cerebral artery.

A technique for cannulation of a parietal branch of the middle cerebral artery is described by which high but local concentrations of substances can be achieved in cortical vessels. Using this technique it was shown that ouabain, a specific inhibitor of the Na+-K+-ATPase enzyme system, can produce alterations in the blood brain barrier (BBB) permeability as seen by the passage of Evans Blue into cortical tissue. Electron microscopy revealed changes in the endothelium of cerebral arterioles ranging from an increase in the number of vesicles and vacuoles to complete breakdown of cytoplasm and membranes. Swelling of the peri-arteriolar end feet of protoplasmic astroglia and of dendrites was characteristic of tissue surrounding affected arterioles. Swollen fibrous astrocytes, oligodendrocytes and microglia were not seen even in areas of vasogenic edema. These results are discussed in terms of current ideas of the BBB and astroglial function.


Transport of H2 and SF6 in the lung.

The dead spaces for hydrogen and sulfur hexafluoride are predicted from the solution of a partial differential equation, applied to Weibel's morphometric data of the lung, and including longitudinal convection and diffusion coupled with instantaneous radial diffusion. Traces of H2 and SF6 were washed in and out of the lungs of two normal subjects. Dead spaces for both gases were calculated from the wash-out curves by a least squares analysis. Prediction and experiment agree in the case of H2. The model overestimates the dead space for SF6 particularly for large tidal volumes and for high breathing frequencies. Several factors which can contribute to this disagreement are considered. From simulation experiments it is evident, that the dead space for SF6 is highly sensitive to factors which influence molecular dispersion in the region of respiratory bronchioles. Cardiogenic mixing and some sort of flow-dependent mixing in this zone cannot be ruled out. However, the experimental data can also be explained by choosing another set of morphometric data for the alveolated airways.


A method for measuring the spatial distribution of tissue oxygen removal rates.

Distributions of oxygen removal rates are measured over cut surfaces of samples of recently excised tissue. The samples are initially equilibrated with a gas of known oxygen tension and the surface is occluded by bringing it into contact with the end of a glass rod which has a number of polarographic electrodes embedded in it. The oxygen removal rate in mm Hg/sec is calculated from the rate of fall of surface oxygen tension. 91 electrodes are arranged in an array with 0.5 mm separation and each gives an estimate of the oxygen removal rate with a spatial resolution of a few hundred microns. An artificial medium of uniform and controllable respiration rate was used to test the system. Spatial variations in oxygen removal rate were demonstrated in some transplantable rodent tumours.


Central and peripheral neural respiratory activity in the mature sheep foetus and newborn lamb.

Activity from respiratory neurones in the medulla, the phrenic and intercostal nerves was recorded in 25 foetal sheep, exteriorized a few days before term from ewes given a spinal anaesthetic, and from nine newborn lambs, anaesthetized with an allobarbitone-urethane mixture. In 12 foetuses, there was little or no sustained respiratory activity, central activity consisting of tonically discharging expiratory and other neurones and silent inspiratory neurones. In the remaining 13 foetuses, respiratory activity was periodic or continuous and it was possible to confirm that the motor component of the respiratory reflex was mature, that apnoea was not due to medullary depression, that foetal respiration was unaffected by chemoreceptor stimulation, by noise, by light, by electrical stimulation of the sciatic nerve and only slightly by inflation or deflation of the lungs. All these stimuli were effective shortly after birth. Occlusion of the umbilical cord caused poorly sustained gasps in the "non-breathing" foetuses and in the "breathing" foetuses, abolition of inspiratory and expiratory activity in the medulla and the onset of gasps and flattening of the electro-corticogram. Rhythmic respiration resumed after release of the cord with a latency which varied with the duration and severity of the asphyxia. This type of respiratory depression was not reflex but due to a direct, central action of hypoxia. The sequence of respiratory events at birth is discussed.


The effect of variations in airflow pattern on gas exchange. A theoretical study.

It has been shown that gas exchange between the alveolar space and pulmonary capillary blood is affected by the pattern of airflow at the mouth in the non-homogeneous lung. The present theoretical study shows that even in the homogeneous lung, the pattern of airflow can affect gas exchange. When tidal volume, inspiratory and expiratory times remain constant, variations in the pattern of airflow result in significantly different values of steady state arterial PO2 and PCO2. This difference in steady state blood gases is exaggerated by low levels of minute ventilation and by long inspiratory times, but is unaffected by changes in the diffusion coefficient of the alveolar-capillary membrane.


Mycoplasmas and 'diphtheroids' in rheumatoid arthritis.

The failure to isolate conventional mycoplasmas from 88 synovial membranes and 119 synovial fluids from patients with proven rheumatoid arthritis using a variety of culture media and techniques agrees with the results of recent workers and suggests that these organisms are unlikely to play a role in the aetiology of the disease. In contrast, 'diphtheroid' organisms were isolated from 27 to 30% of rheumatoid specimens, but not from cultures of non-rheumatoid material. A significantly higher incidence of raised agglutination titres to C. acnes and to a 'diptheroid' isolated from a patient with rheumatoid arthritis in sera from patients with rheumatoid arthritis supports the conclusion that these organisms are present in the joints in such patients, though their role in this disease has yet to be established.


Rheumatoid synovitis: complement and immune complexes.

The pattern of complement component utilization within the joint space of patients with RA is consistent with activation by immune complexes. Immunogluorescent studies of SF leukocytes revealed intracytoplasmic inclusions of immunoglobulins and complement components, particularly in cells from SF with low complement levels and containing materials which precipitated with either C1q and/or rheumatoid factor. RA patients with low levels of SF complement tended to have an unremitting course, subcutaneous nodules, and to have been treated with gold. Their joints had more periarticular demineralization, joint space narrowing, cortical impaction by X-ray; and synoviocytic giant cells, fibrosis, lymphocytes, congestion, and fibrin exudation by pathologic examination than did joints of RA patients without low levels of SF complement. Patients with systemic hypocomplementemia had active classical RA with evidence of severe joint involvement and vasculitis. These findings suggest that rheumatoid inflammation of joints is mediated by immunologic activation of the complement system.


Co-cultivation of human cell lines with synovial fluids of patients with rheumatoid arthritis.

We have interpreted the above findings as implying that the changes seen may have arisen as a result of co-cultivation, albeit accidental, of Chang cells and cells derived from RA synovial tissue or fluid. A further obvious approach to this problem is to attempt deliberately to repeat the co-cultivation of Chang cells with RA synovial fluids.


Thermal inactivation and gradient studies of the active agent in rheumatoid arthritis.

Ten day embryonated eggs have been used for testing supernatants of pooled RA synovial tissues for the presence of the RA-active agent. A high thermal resistance of the agent was observed up to 40 min of heating both at 100 and 121 degrees C with complete loss of infectivity only after 60 min at 121 degrees C. The high thermal resistance at 121 degrees C suggested that the active agent does not depend on a double-stranded DNA or RNA. It probably has no protein component and has a minimal number of subunits for replication. The CsC1 ultracentrifugation identified a concentration of high infectivity at densities in the range of 1.440-1.490 g/ml in five experiments.


Complement activation in seropositive and seronegative rheumatoid arthritis. 125I-C1q binding capacity and complement breakdown products in serum and synovial fluid.

1. The detection and quantitation of immune complex-like material in synovial fluid and in serum from patients with joint diseases was done through the measurement of the capacity to bind radiolabeled C1q. It was found that 65% of synovial fluid samples from seropositive or seronegative RA patients had a high C1q binding capacity as compared to other joint diseases. Immune complex-like material was also detected in 63% of serum samples from seropositive RA patients. 2. The existence of C3 or C3PA breakdown products in synovial fluid from most of the synovial fluids from RA patients probably reflects an activation of the complement system occurring in both forms of the disease. C3PA breakdown products were never found in degenerative or post-traumatic joint diseases and only occasionally in other inflammatory arthritis. Apart from their pathogenic significance, these results may have some interest for the clinical investigation of patients with joint diseases.


Screening of cellular immunity in patients with rheumatoid arthritis by phytohaemagglutinin skin test.

Phytohaemagglutinin (PHA) skin test was used for screening of non-specific cell-mediated immunity in 30 patients with rheumatoid arthritis (RA) and its results compared with those obtained in age- and sex-matched controls with non-inflammatory rheumatic diseases. Purified protein derivative (PPD) of M. tuberculosis was used for testing of specific cell-mediated immunity in the same two groups. The reactivity to both PHA and PPD was found to be significantly lower in patients with RA, indicating the decreased cell-mediated immunity in this disease, as compared to controls.


A diagnostic study of patients with upper abdominal pain.

197 consecutive, non-acute, medical patients who presented with upper abdominal pain were subjected to a standard programme of investigation. The investigation represents an attempt to supplement general clinical experience with exact data. In about half the patients no cause of the pain was found and a diagnosis of X-ray negative dyspepsia was made by elimination. It is concluded that a special research effort is needed to explain the complaint in this large group of patients. Duodenal ulcer was twice as common as gastric ulcer, and two patients suffered from gastric cancer. The diagnostic value of the symptomatology was analysed, but only the relation of pain to meals was found to be of diagnostic interest. In particular, the probability of duodenal ulcer was low and that of X-ray negative dyspepsia high, if the pain was provoked by eating. The age, sex, and acid production also had diagnostic value.


Amino acid pattern in plasma before and after jejuno-ileal shunt operation for obesity.

The amino acid pattern in plasma was studied in a reference group (n=26) and in three groups of massive obese subjects (n=9, 8, and 9 respectively) before and at intervals after jejuno-ileostomy. The obese subjects had preoperatively an amino acid pattern significantly different from that in the reference group. The concentrations of lysine, tyrosine, 1/2 cystine, and glutamic acids were higher, and aspargin, glutamine, serine, and glycine were lower than in the reference group. During the post-operative period the amino acid pattern changed significantly; thus serine, glycine, and taurine increased and valine, lysine, leucine, tryptophan, thyrosine, 1/2 cystine, and citrulline decreased. The amino acid pattern in the obese group with the longest post-operative observation time and a stable body weight differed significantly from that in the reference group only with regard to a low valine concentration and high concentration of taurine and glutamatic acid.


The early effect of trimipramine (Surmontil) on gastric secretion in man.

The early effect of the trycyclic and antidepressive compound trimipramine (Surmontil; Pharma Rhodia) was examined in 10 patients with dyspeptic complaints. The gastric secretion was examined twice for one hour before, and one hour after, intramuscular injection of 1 mg histalog per kg body weight. In random order trimipramine was given perorally as two 50 mg tablets 3 hours before one of the gastric secretion tests. A significant decrease was found in volume and acid output of basal secretion after the peroral dose of trimipramine. The concentration and output of acid as well as the concentration of pepsin were significantly altered. After stimulation with histalog a significant reduction was found for volume and acid output, whereas the output of pepsin was unchanged. The reduction of acid secretion and volume could be ascribed to an anticholinergic effect of the drug.


A sensitive method for the biological assay of secretin and substances with "secretin-like" activity in tissues and biological fluids.

The isolated perfused pancreas is extremely sensitive to secretin and can be used to assay very small quantities of secretin. The addition of theophylline to the perfusate increases the sensitivity of the preparation 4 to 10 fold so that in a good preparation as little a 0.001 C.U. may be detected. Secretin-like activity was detected in biopsy samples of jejunal mucosa taken perorally from man, in the blood of some patients suffering from a profuse watery diarrhoea, and in a metastatic tumour obtained from one such patient. It was also observed that 1 clinical unit of secretin was equal to 4.4 Crick, Harper, Raper units.


Endoscopic retrograde brush cytology (ERBC) of the biliary and pancreatic ducts.

A new device with a brushing tube that can be introduced through the biopsy channel of the duodenoscope (Olympus JF B) used for cannulation of the papilla of Vater is reported. In 17 patients in whom ERCP had demonstrated ductal abnormalities, an endoscopic retrograde brush cytology (ERBC) was performed. A cytological diagnosis of malignancy was made in 8 patients and a possible malignancy in 2 cases. Seven cases were operated upon, and a malignant tumor was found in 6. In one case a malignant tumor was found at autopsy. Histological examination was performed in 6 cases and showed adenocarcinoma in all.. Two patients with malignant cells and ERCP-findings of suspected pancreatic carcinoma were not operated upon. The tumours were localized in 1 case to the papilla of Vater, in 2 to the biliary duct, in 4 to the pancreatic head, and in 2 cases to the pancreatic corpus. No complications occured. It is concluded that this technique provides information supplementary to that of other diagnostic procedures.


Surface electron microscopical changes of the gastric mucosa in experimental porcine stress ulceration.

Gastric mucosal changes in 8 piglets subjected to a transient hypovolaemic shock were studied using scanning electron microscopy (SEM). The mucosal lesions during the shock were characterized by progressive degenerative changes in the mucous membrane of the stomach. These surface changes included flattening or swelling of the individual cells. The flattening of the mucous membrane was later connected with red cell diapedesis through it. These changes were most typical in the areas of haemorrhagic gastritis and preceded the ulcer formation. Following retransfusion, the affected epithelial lining appeared greatly distended over the oedematous lamina propria, with almost complete loss of structural detail. Masses of red blood cells were seen to emerge through the epithelium as an indication of subepithelial haemorrhage. It is possible that the injured epithelium is actually broken down by the pressure of the underlying mucosal haemorrhage and oedema. At later stages, the ulcerated areas showed complete loss of epithelial cells and thus the underlying structureless lamina propria, covered by necrotic cell remnants, blood cells and fibrin, was denuded.


Complete biliocolic fistula.

A case of postoperative complete biliocolic fistula is described. The patient had 10 daily voluminous motions of diarrhoea and lost 14 kg in weight in the course of two months. Increased faecal fat excretion was demonstrated. Treatment with oral tetracyclines resulted in cessation of the watery diarrhoea and some weight gain, but steatorrhoea persisted. Closure of the biliocolic fistula with re-established bile flow to the proximal small intestine cured the patient. A discussion of the case based on the present knowledge of bile salt metabolism and bile salt- bacterial interrelationship is presented.


The use of neutral red as a peroperative test of vagal innervation.

The cervical vagi were stimulated electrically in four groups of dogs after the intravenous injection of 10 ml of 1% neutral red. One group had intact vagi, the second group had denervation of the distal parietal cell area of the stomach, the third group proximal parietal cell denervation, and the last group had had a complete transthoracic truncal vagotomy. The area of stomach secreting neutral red was significantly related to the insulin-stimulated acid secretion. This technique may provide the basis of a test of residual vagal innervation of parietal cells during vagotomy operations in man.


Secretin dose-response in health and chronic pancreatic inflammatory disease.

Stepwise increasing doses of secretin (0.078, 0.233, 0.7, and 2.1 U/kg-h) were given to 12 healthy volunteers (HV) and to patients with a history of chronic pancreatic inflammatory disease of more than five years (CP5, 12 patients) and two years or less (CP2, 9 patients). The maximal bicarbonate response (Vmax) and the half maximal dose of secretin (Km) were calculated for each individual. Bicarbonate responses below that in HV were found in the majority of CP5 and in one-third of CP2. Vmax showed no superiority to the responses to the three largest doses of secretin in the diagnosis of bicarbonate secretory deficiency. In CP2 bicarbonate responses above that in HV were frequently found with the small doses of secretin. No evidence of hypersecretion was found. The findings suggested, however, that the early stage of chronic pancreatic inflammatory disease may be associated with an increased sensitivity to secretin. Km was poorly reproducible and showed no diagnostic ability. Large doses of secretin stimulated the secretion of proteolytic enzymes, but the diagnostic efficiency was less than for bicarbonate. The output of calcium varied markedly in CP2 and CP5. The bicarbonate/calcium ratio, however, was almost invariably lowered in these patients and showed diagnostic superiority to bicarbonate secretion.


Patterns of gastrin components in serum during feeding in normal subjects and duodenal ulcer patients.

The contribution of the different gastrin components to the gastrin response to a protein-rich meal was studied. Pooled or individual samples of venous blood drawn at intervals in 12 normal subjects and 16 patients with duodenal ulcers were fractionated on Sephadex G 50 superfine columns of various lengths. Total gastrin immunoreactivity and concentrations of various components were measured radioimmunochemically. The changes in total serum concentration of immunoreactive gastrin were principally due to changes in component II ('big gastrin') and III ('little gastrin'). The predominant pattern in both groups was an early increase in component III and a later and smaller increase in component II. Total gastrin response was largest in the patients with duodenal ulcer, and this was due mainly to component III. Furthermore, fasting samples also showed a relatively higher concentration of component III in the ulcer patients. This study shows that 'little gastrin' is the more important component in the gastrin response to stimulation by food. Serum concentrations of total gastrin immunoreactivity are alike in normal subject and duodenal ulcer patients, but the findings indicate that increased levels of 'little' gastrin may be characteristic of duodenal ulcer disease. Since 'little gastrin' is more potent than 'big gastrin', this would agree with the hypersecretion of acid in duodenal ulcer.


CEA levels at recurrence and metastases; importance for detecting secondary disease.

The relation of CEA plasma levels to prognostic factors was studied in 170 patients with various stages of colo-rectal cancer. Several parameters of known relevance for the prognosis were analyzed. Among the patients with involvement of regional lymph nodes at the time of the primary, 53% had a raised CEA value (greater than 5 ng/ml serum) as opposed to 21% when this was not the case (p less than 0.05%). When serosal break-through had occured, 47% of the patients had raised values compared to 21% of those with no serosal break-through (p less than 0.02%). After radical surgery, all patients who remained healthy acquired persistent low plasma CEA, giving the assay a prognostic value. Altogether 20 patients had local recurrences without distant metastases and were thus potential candidates for a re-operation for cure. 70% had raised CEA plasma values, giving the assay a better than expected usefulness in the clinical follow-up, the significance of the difference from operated and healthy patients or healthy control persons being high, p less than 0.001%. The secondary rise in CEA appeared to be unconnected with whether or not the primary tumor had been accompanied by raised plasma CEA. The localization and the histopathological differentiation of the primary tumor seemed to be of less importance for the serum CEA than the dissemination of the tumor.


Carcinoembryonic antigen in hereditary adenomatosis of the colon and rectum.

Hereditary adenomatosis of the colon and rectum (ACR) invariably leads to malignant transformation unless the patients undergo prophylactic operations. The serum level of carcinoembryonic antigen (CEA) was determined in 130 individuals belonging to different ACR-families. Fifty-six of them were operated upon with colectomy, 27 affected individuals were still not operated on, and 47 were unaffected first degree relatives. Around 20 percent of the patients in each of these groups had moderately raised CEA serum levels compared to unrelated healthy subjects. Since the serum values were low or only moderately raised and occurred in all groups, the determination of serum levels cannot be generally used to indicate malignant transformation of adenomas. However, assays of the tissue CEA content in six histologically verified adenomas showed values similar to those of overt colonic carcinomas. This opens up stimulating possibilities of investigating the CEA activity in serum and tissues of chosen individuals with ACR.


Transplacental passage of foetal blood cells.

With the brightly fluorescent Y chromatin as a marker, the proportion of foetal lymphocytes in maternal blood was found to be 0.02-0.16% in 7 of 11 primigravidae bearing a boy, but not a single XY mitosis was found among 112,000 leucoagglutinin-stimulated mitoses from the same women. The proportion of foetal lymphocytes did not change appreciably during pregnancy (first appearance detected at 15 weeks' gestation), nor were there any unequivocal foetal erythrocytes in spite of ABO and Rh compatibility. These findings suggest that foetal lymphocytes pass actively into the mother's blood relatively early during pregnancy. The cells are protected from immunological elimination, and therefore may remain in the maternal blood for long periods. They are a valuable potential source of material for antenatal foetal diagnosis.


Activated reptilase clot retraction of dog platelet-rich plasma: differences with human platelet-rich plasma.

The retraction of dog platelet-rich plasma (PRP) clotted with Reptilase in the presence of inducers and inhibitors of the platelet adhesion-aggregation reaction was studied. In contrast to human cells, dog platelets fail to support retraction in an ADP-Reptilase system. With Thrombofax as aggregation inducer, slight (without additional CaCl2-MgCl2) to moderate (with additional CaCl2-MgCl2) retraction occurs. In contrast to human samples, such retraction is inhibited by platelet release inhibitors. Electron-microscopic examinations show that Thrombofax, but not ADP, induces the formation of large cytoplasmic protrusions from dog platelets. Such formation is inhibited by release-inhibitors. The results of the study support the concept that platelet pseudopod formation, rather than the release reaction, is a prerequisite for clot retraction.


Colitis associated with clindamycin therapy.

Clindamycin (7-chloro-7-deoxylincomycin) may induce mild or severe colitis. In 28 months, clindamycin-associated diarrhea was encountered in 8 patients who had received oral therapy. Severe, acute colitis was seen in 4 older patients, 3 of whom had acute pseudomembranous colitis and one who had an adynamic ileus mimicking an acute abdomen. Mild colitis with protracted diarrhea occurred in 4 younger patients who had mild, nonspecific inflammation in the rectum which responded to symptomatic treatment. The mechanism and true incidence of diarrhea as a sequel of clindamycin therapy are unknown. In all 8 patients, the use of clindamycin was arbitrary. Because of potentially serious gastrointestinal disturbance, including acute pseudomembranous colitis, clindamycin should be reserved for anaerobic and other serious infections.


Stone disease in urinary diversion.

An increased incidence of calculus formation has been discovered in various forms of urinary diversion. The etiologic factors involved are discussed and a hypothesis is advanced as an explanation. Preventive therapy for calculus formation and surgical removal of existing calculi are reviewed.


A study on the biochemical genetics of abnormal hemoglobins.

In recent years, there were found in China 2 kinds of hemoglobin-M (Hb M Shanghai-1, Hb M Shanghai-2) and 2 kinds of unstable hemoglobin (Hb Shanghai-1, Hb Shanghai-2), amoung which the propositus of Hb Shanghai-2 proved to be a heterozygote for both unstable hemoglobin gene and beta-thalassaemia gene. This article gives an account of the biochemical analysis and genetic studies of these four kinds of abnormal homoglobins. Besides, we present here also the records of 2 family pedigrees of alpha-thalassaemia, and found in the blood of a patient a small quantity of another abnormal hemoglobin constituent in addition to Bart's hemoglobin and hemoglobin H. On these bases, a new hypothesis concerning the heredity of alpha-thalassaemia disease is proposed.


Subarachnoid hemorrhage secondary to ruptured intracranial aneurysm during pregnancy.

Rupture of an intracranial aneurysm is a rare obstetric complication. Its clinical course during pregnancy is similar to that in non-pregnant patients. Prompt diagnosis by analysis of cerebrospinal fluid and by arteriography followed closely by surgical intervention when indicated yields the best results. If labor ensues, vaginal delivery (unless contraindicated) is preferred by most clinicians.


Cerebrospinal rhinorrhea: diagnosis and management.

The role of the otolaryngologist in the diagnosis and management of cerebrospinal fluid rhinorrhea is discussed. One hundred eight cases of cerebrospinal rhinorrhea were studied with emphasis on cause, localization, and treatment. Extracranial approaches produce minimal morbidity and should be considered as possible treatment for every patient with cerebrospinal rhinorrhea with leaks located in the frontoethmoid complex, cribriform plate, or sphenoid sinus region.


Guillain-Barre syndrome: review of the literature, case presentation, and physiatric management.

Total care of patients with Guillain-Barre syndrome, particularly the physiatric management during the acute, recovery, and chronic stages of the disease, is very important. The methods of physiatric treatment stress body positioning, bed rest, respiratory care, limited or no activity during the acute stage, gradual increase in activity, and proportionally less bed rest during the recovery phase. Described are 30 consecutive patients admitted to a department of physical medicine and rehabilitation for care. With close and proper management, more than 60% of the patients achieved satisfactory and almost complete recovery, and over 20% had fair recovery. Major problems were respiratory deficit, easy fatigability, and the possibility of relapse. Care should be tailored for each individual and assessed from day to day.


Clinical and epidemiologic features of Rocky Mountain spotted fever in Mississippi, 1933-1973.

During the period 1933-1973, 169 cases of Rocky Mountain spotted fever (RMSF) were either reported by physicians or detected in a retrospective survey of hospitals and practicing physicians in Mississippi. The epidemiologic characteristics of 119 cases and the clinical features of 75 serologically confirmed cases are summarized in this communication and compared with other published reviews of RMSF. Although the percentage of reported fatal cases decreased overall since 1950, 9 of 49 reported cases (18%) in Mississippi were fatal during the period 1969-1972. The yearly number of reported cases of RMSF in Mississippi increased fourfold from 1970-1973. In the past 40 years, only 5 cases of RMSF have been reported from the Mississippi delta, a flat agricultural region that includes over one fourth of the total population of the state.


XYY syndrome, stigmatization, social class, and aggression: study of 15 cases.

This is a paper about the relationship of stigmatization to social class in XYY individuals, and of this relationship to manifestations of agressive behavior. The sample comprised 15 men and youths with the XYY syndrome; 8 were identified in a survey of institutions for males with behavior disorders and 7 were privately referred. All had been stigmatized by physique and appearance and/or behavior. The most frequent stigmatizing features were excessive height for age, excessive impulsiveness in behavior, and excessive temper tantrums in childhood; these were present in all cases. Antisocial or law-breaking behavior was present in 13 cases. Stigmatization did not correlate with socioeconomic class, rated according to the Shevky and Bell scale as modified to suit the study. However, the consequences of stigmatization were class related in that the lower the class, the greater the chance that the XYY individual would spend time in the penal as well as the medical system of society.


The retrotracheal triangle in pediatric patients.

The retrotracheal triangle is the posterior superior mediastinum and usually is well outlined on the routine lateral chest roentgenogram. It has characteristic features, and careful evaluation of this area on routine roentgenogram will be of assistance in identifying abnormalities producing respiratory or feeding difficulties in infants and children. Anomalies occurring in this area include vascular structures, esophageal lesions, tumor masses, and inflammatory lesions.


Thermography.

As thermographic equipment is improved and as physicians gain experience in its use, thermography gradually is gaining importance as a diagnostic aid in a wide range of disease processes. The technic is finding increasing acceptance in diagnosis of breast disease particularly as an adjunct to mammography. The American Cancer Society and the National Cancer Institute are in the process of establishing 20 demonstration centers for breast cancer detection using thermography, mammography, and physical examinations. Although all of the centers are not at present fully staffed with personnel experienced in thermographic interpretation, the project promises to give a better basis for cost estimates for screening with the thermography as compared to present systems. The technologic knowledge exists for the development of improved scanning infrared cameras with magnetic tape storage and dynamic display. These systems will lend themselves to quantitative measurements and semiautomatic interpretation which can improve the accuracy and reduce the cost of mass screening for breast cancer. Although additional clinical research is necessary, thermography has numerous applications in a variety of disease states. In the future, total body thermography may well become an important part of medical screening examinations.


[Fertility disturbances on cattle farms (author's transl)].

This paper deals with the problem of subfertility on farms and covers such aspects as the previous relevant history of the farm, the analysis of fertilisation results, and possible causes of a farm's subfertility. Since imperfection in the management generally form the most important cause of the problem, this point is treated in greater detail. Particularly the detection of oestrus and perinatal hygiene are discussed.


[Preliminary performance test in saddle horses (author's transl)].

The study of the literature on a preliminary performance test for saddle horses (stallions) is concerned with European countries. Interest is found to be increasing in the various countries. Performance of the test in the Netherlands (since 1966) is described and the various criteria of evaluation are discussed in detail. The intensity of selection based on this test is referred to. In 1974, it was 78 per cent in the Netherlands. Part of studies on the relationship between some results of testing are reviewed. The traction test shows a very low coefficient of correlation with the other parts of the examination. The contemplated analysis of the results of progeny groups is discussed. In the comment, the fact is stressed that there should be more international co-operation in this field. Finally, the preliminary performance test is considered as part of the criteria adopted in the selection of saddle horses in the future.


[Clinical experience of Ethrane inhalation anaesthesia compared with halothane inhalation anaesthesia in dogs (author's transl)].

Anaesthesia was carried out in fourteen cases as part of the present study, ethrane being used in eight and halothane in six cases. Each group included an experimental dog in which surgery was not performed. The others were patients which had to undergo a surgical procedure. In addition to clinical impressions, the following parameters were recorded: the pulse and heart rates, the electrocardiogram, the systolic pressure and the capnogram. In view of the small number of and marked variation in patients, only cautious conclusions could be drawn. Attention is drawn to the fact that cardiovascular complications may occur when large doses of the anaesthestics are administered. These large doses were constantly required to maintain a sufficiently deep anaesthesia when ethrane was used. The amount of ethrane utilized therefore was definitely larger than was that of halothane. Ethrane had the advantage that recovery from anaesthesia was mor rapid and smoother. Personal experience showed that satisfactory anaesthesia may be produced by either anaesthetic. Secondary considerations may therefore be an important factor in making a choice between the two agents.


[Nitrate poisoning in store cattle (author's transl)].

Twelve eighteen-month-old calves contracted nitrate poisoning as a result of overfeeding with turnips. Four animals died before treatment was instituted. Intravenous injection of methylene blue resulted in prompt and complete recovery of the other animals.


Morphometric estimation of brain swelling and atrophy.

A morphometric method was presented to estimate brain swelling or atrophy from the geometric characteristics of the pontine cross section. The ratio of the area (A) to the perimeter squared (L2) was termed "area factor" (f) and used as a factor indicating circularity. Normal standards for the net cross-sectional area (Ap) and the area factor (f) of the pons measured on paraffin sections were 3.43 approximately 4.87 cm2 and 0.0684 approximately 0.0740, respectively. Values exceeding these ranges suggested brain edema. The pontine area factors (f) of the control cases under 60 years of age were less spread out than Ap, whereas they exhibited larger individual variations over that age presumably as a result of varying involution of the brain. A close correlation was found between Ap and water content of the cerebral white matter, except in pontine hemorrhage. The correlation was particularly marked in the group of cerebral diseases other than stroke. The longitudinal length of the basis pontis (lp) was essentially the same in the normal brain and even in the stoke group excluding pontine and cerebellar hemorrhage. In severe brain swelling the pontine longitudinal length was rather reduced.


Consecutive radiography of breast slices for estimation of glandular volume and detection of small subclinical lesions. A comparison between Japan and Hawaii Japanese.

A technique of consecutive radiography of the serially sliced breast was evolved and applied to a comparative study on the breast of Japanese in Japan (75 subjects) and Hawaii (49). Increased mammary fat accounts for an increase in the size of the Hawaii Japanese breast (mean; 152.4 cm3) in comparison with that in Japan (82.5 cm3). However, the glandular volume calculated from the radiography and lobular structures in histology were not significantly different in the two groups. A small subclinical lesion measuring over 3 mm in diameter in a histological section was radiographically detected. In Hawaii, duct-epithelial hyperplasia and apocrine metaplasia were significantly more prevalent in Japan, and the former lesion was most conspicuous in the large mammary gland.


Effects of diagnostic ultrasound irradiated during foetal stage on emotional and cognitive behaviour in rats.

Our previous work demonstrated that the prenatally irradiated ultrasound of even a low-intensity might affect the functional development of the brain of offspring in rats. In the present study, in order to investigate the emotional and cognitive behaviour of offspring of rats that received the irradiation of a diagnostic ultrasound on the 9th day of gestation, the following three experiments were carried out: 1) The emotional reactivity of the offspring was measured by the open-field technique. 2) The same reactivity was further evaluated in terms of the excape response from electroshock. 3) The cognitive function of the offspring was assessed through the discrimination learning and the discrimination reversal learning. The offspring of irradiated rats showed significantly more distinct vocalization response to handling in the open-field test and significantly more distinct escape response from the electroshock, when compared with the two control rats (untreated control and sham-irradiated control). From these findings it may be suggested that the emotional behaviour in rats can be influenced by a low-intensity ultrasound irradiated during foetal stage. On the other hand, as for the cognitive behaviour, the results of the present study suggest no adverse effect on it.


Pyelonephritis and hypertension.

Blood pressure changes were followed up for 1-12 years (average; 3.8 years) in 46 cases of confirmed postoperative chronic pyelonephritis which had undergone ureterocutaneostomy, nephrostomy or other urologic operations. Diastolic blood pressure levels averaged 82 mmHg before operation, and 89 mmHg in the chronic stage after the operation. The incidence of hypertension (over 100 mmHg diastolic pressure) was 7% before the operation, but rose to 30% in the chronic stage. Application of an "age- and sex-adjusted score" also served to confirm a mean increase in blood pressure through the development of chronic pyelonephritis. No correlation was found between renal function and blood pressure. Nor was there any definite relationship between family history of hypertension and high blood pressure. In the 14 cases observed for plasma renin activity, values were found to be in the normal range.


Histologic host response to primary methylcholanthrene-induced sarcomas in rats immunized with allogeneic tumors.

Lymphocytic infiltration was observed in 44 of 51 (86%) 3-methylcholanthrene (MCA)-induced sarcomas in rats which had been intensively immunized with allogeneic tumors. Eleven of 29 (38%) tumors with intense lymphocytic infiltration and 5 of 15 (33%) tumors with moderate lymphocytic infiltration were "negative" in autologous transplantation. On the other hand, all of 7 tumors accompanied with slight or no lymphocytic infiltration were "positive".


Androsterone. The structure by force-field calculations.

The structure of androsterone was calculated by the force-field (molecular mechanics) method. Plots of the calculated structure are compared with those of the X-ray structure, and found to have all of the atoms in the same positions to within 0.1 A. The regular Dreiding model structure differs substantially from these calculated and experimental structures, atomic positions being up to 0.9 A removed from where they should be.


Measurement of bile acid synthesis by 14CO2: the metabolism of propionyl CoA.

The relationship between 14CO2 evolution from the catabolism of [26 or 2714C] cholesterol to bile acids was studied in rats with biliary fistulae. When equal quantities of [26 or 2714C] cholesterol and [414C] cholesterol were administered, there was a significant linear relationship between 14CO2 expiration in the breath and [414C] bile acid excreted in the bile. Bile acid synthesis calculated as the ratio of 14CO2: molar specific activity of biliary cholesterol correlated highly with biliary bile acid excretion in the bile acid depleted rat. Phenobarbital, a known inducer of gamma-amino levulenic acid formation from succinyl CoA did not alter the relationship between the 14CO2 estimation of bile acid synthesis and biliary bile acid excretion, indicating that the relationship between [26 or 2714C] cholesterol side chain cleavage and 14CO2 formation was not altered. Phenobarbital, however, did cause a reduction in bile acid synthesis measured by 14CO2 evolution and by biliary bile acid excretion. The 14CO2 method underestimated bile acid excretion. 8.7% in untreated and phenobarbital treated rats respectively. Since 11% of the radioactivity which was expired as 14CO2 was isolated as bile acids, radioactivity cleaved as [1 or 314C] propionyl CoA may enter cholesterol-bile acid biosynthesis resulting in the underestimation of bile acid synthesis. To test whether radioactivity from propionyl CoA enters steroid biosynthesis [114C] propionate and [214C] propionate were given to untreated biliary fistula rats and the biliary lipids excreted in 60 hours were analyzed. Incorporation of radioactivity into cholesterol and bile acids was greater after the administration of [214C] propionate than after [114C] propionate than after [114C] propionate, suggesting that radioactivity from propionyl CoA may enter steroid biosynthesis by metabolic events in which the methylene and carboxyl carbon atoms are differentiated. Although the use of 14CO2 expiration from [26 or 2714C] cholesterol catabolism underestimates the rate of bile acid synthesis, it should have many applications because of the constant relationship between 14CO2 formation and cholesterol side chain cleavage.


Structural analogs of 1alpha,25-dihydroxycholecalciferol: preparation and biological assay of 1alpha-hydroxypregnacalciferol.

The synthesis of 1alpha-hydroxypregnacalciferol, a side chain analog of 1alpha,25-dihydroxycholecalciferol (1alpha,25-dihydroxyvitamin D3), is described. Pregnenolone acetate was converted in five steps to 5-pregnen-1alpha,3beta-diol. Conversion of the diol to pregna-5,7-diene-1alpha,3beta diol diacetate followed by ultraviolet irradiation gave the corresponding previtamin derivative. Thermal isomerization, hydrolysis and chromatography then furnished the desired analog, 1alpha-hydroxypregnacalciferol. The compound was tested in vivo for its effect on intestinal calcium transport, serum calcium and phosphate levels and bone calcification, and in vitro for its effect on bone resorption. When given to intact rats, either as a single dose or in repeated daily doses, the analog even at high dose levels, exhibited no biological activity. The compound stimulated bone resorption in vitro, but only at high concentrations.


Synthesis of specifically deuterium-labelled pregnanolone and pregnanediol sulphates for metabolic studies in humans.

A synthesis is reported of 3beta-hydroxy-5alpha-pregnan-20-one sulphate and the disulphate and 3-monosulphate of 5alpha-pregnane-3beta,20alpha-diol, labelled specifically with deuterium in high isotopic purity for metabolic studies in humans. Base-catalyzed equilibration of 3beta-hydroxy-5alpha-25R-spirostan-12-one (hemcogenin, II) with deuterium oxide, followed by removal of the 12-keto group and degradation of the sapogenin side-chain afforded 3beta-hydroxy-5alpha-[11,11-2H2]pregn-16-en-20-one (VII). Further deuterium atoms were introduced at the 3alpha and 20beta positions by reductions with sodium borodeuteride and lithium aluminum deuteride, respectively. These reactions led to 3beta-hydroxy-5alpha-[3alpha,11,11-2H3]pregnan-20-one (X; isotopic purity 87.2%) and 5alpha-[3alpha,11,11,20beta-2H4]pregnane-3beta,20alpha-diol (XIV; isotopic purity 83.9%). The 3-sulphate of the pregnanolone and the 3,20-disulphate of the pregnanediol were prepared directly form the free alcohols, while the 3-monosulphate of the pregnanediol was obtained via 5alpha-[3alpha,11,11,20beta-2H4]pregnane-3beta,20alpha-diol 20-acetate (XVII).


The reaction of 5alpha-cholestan-6alpha-ol with phosphorus pentachloride and with thionyl chloride.

GC analysis of the reaction product of 5alpha-cholestan-6alpha-ol and phosphorus pentachloride indicated the presence of 6alpha-chloro-5alpha-cholestane, 6beta-chloro-5alpha-cholestane, 5,6beta-dichloro-5alpha-cholestane, and traces of cholest-5-ene; a computerised GC-MS system furnished visual reproductions of the gas chromatograms, but failed to yield corresponding mass chromatograms because of decomposition of the chlorides in the molecular separator. GC analysis of the reaction product of 5alpha-cholestan-6alpha-ol and thionyl chloride showed the formation of 6alpha-chloro-5alpha-cholestane, cholest-5-ene, 5-chloro-5alpha-cholestane, and traces of four unidentified substances, whilst the GC-MS system furnished visual reproductions of the gas chromatograms, but again failed to yield corresponding mass chromatograms.


Stimulation of testosterone production by isolated rabbit ovarian follicles in the presence of luteinizing hormone and phenylmethylsulfonyl fluoride.

Luteinizing hormone (LH) causes a dramatic increase in steroidogenesis by isolated rabbit follicles which secrete testosterone as a major product. In order to determine whether the source of this testosterone could be from stores of cholesterol esters rabbit follicles were incubated with LH and phenylmethylsulfonyl fluoride (PMSF) an inhibitor of cholesterol esterase. No inhibition of testosterone production could be detected in the presence of PMSF indicating that cholesterol esters are not precursors for testosterone synthesis by rabbit follicles.


The excretion of metabolites of testosterone and of estradiol in male patients with chronic renal failure.

Intravenous infusions of 14C-testosterone (Te) either alone or in combination with 3H-estradiol (E2) were given to five normal male subjects, twelve male patients on haemodialysis (HD) treatment and to one patient with a very restricted renal function. The elimination of radioactivity was measured in urine, HD fluid and faeces. Urinary excretion diminished with renal function. It was negligible at a creatinine clearance of less than one ml per minute. A quarter of both isotopes was eliminated by six HD treatments within  three weeks. No difference was found in this respect between nephrectomized patients and those who were still in possession of their kidneys. The main excretion occurred in the stools. E2 metabolites, and to a lesser extent Te metabolites, appeared in the faeces within 24 hours, which might be explained by biliary excretion only. More 3H (E2 metabolites) than 14C (Te metabolites) was found in the faeces; more 14C than 3H found in HD fluid.


Obstacles to family planning practice in urban Morocco.

Sixty in-depth interviews with mothers living in a urban slum of Morocco probed resistances to practicing modern methods of fertility control and began to shed light on some of the reasons family planning programs often fail to reach illiterate target populations. Economic insecurity and the disintegration of the support networks of the traditional extended family complicate the difficult lives of young mothers in the urban slum. While such factors tend to encourage smaller families, the uncertainties and complexities of the socioeconomic structure contribute to the problems blocking access to modern methods of fertility control.


How doctors in Bolivia and the Philippines view sterilization.

Attitudes toward sterilization of 165 Bolivian obstetrican/gynecologists surveyed in 1974 and those of a randomly selected group of 200 Philippine family planning physicians studied in 1972 are described. Although the attitudes of Bolivian respondents were less favorable to sterilization, a majority of both groups of physicians favored making sterilization available under certain conditions. In Bolivia, physicians with more favorable attitudes toward sterilization were more likely to be younger, to be male, to have a lower degree to religiosity, and to regard high fertility as a problem for the family rather than the state or society. Tentative explanations are offered for the differences in attitudes between the two groups of physicians. Finally, the increasing demand for, and availability of, sterilization in Latin America is noted.


The containment of world population growth.

The world has reached the present position of unprecedentedly rapid population growth not by achieving uniquely high fertility but by bringing about extraordinarily low mortality. The high growth rate and the built-in momentum of the age structure are obstacles to achievement of an acceptable standard of living for most of the world's population. Although government population programs have the potential to curb this growth rate, this potential has not been realized, and such programs are too often perceived both by their administrators and the population concerned as an end in themselves rather than a means toward a better standard of living. It is in this latter perspective, and in the context of the total development process, that population programs should be implemented.


The health of mother and child in rural Central Africa.

In the Great Lakes Region of Central Africa, the population suffers from severe proteo-caloric malnutrition, with adverse affects on maternal and child health. Improvement of maternal nutrition would lead to rapid consecutive pregnancies, reducing the length of time each child could be breastfed and reducing the protein available to each child. Hence, the authors recommend modern birth spacing methods in combination with programs to improve the health of mother and child.


[Some quantitative characteristics of the frog retinal rod outer segments].

Retinal rod outer segments in frogs were studied by means of light microscopy, refractometry, microspectrophotometry, and electron microscopy. Analysis of the data obtained shows that an unidentified substance, which makes up about 50% of outer segment dry weight, is lost during routine biochemical investigations. The protein parts of the rhodopsin molecules make up 85% of the outer segments proteins and 25% of outer segment dry weight. Rhodopsin molecules can be arranged in a square array with a unit cell side of about 7 nm on one side of each disk membrane. Lipids in a single membrane occupy only 2 nm, and disk membranes are strongly hydrated.


[Differential reaction of condensed and diffuse chromatin to polyamines. II. Effect of putrescine on the chromatin of mitotic chromosomes].

The response of euchromatin and heterochromatin to putrescine was studied using chinese hamster mitotic chromosomes with heterochromatic segments delayed in condensation due to BUdR treatment. These heterochromatic segments did not react to the condensing effect of putrescine looking during metaphase still more elongated. Additional decondensed segments occurred in chromosomes. This is interpreted as the condensing effect of putrescine on euchromatic segments which accelerates transition of the cells into metaphase with preserved BUdR-induced chromosomal decondensation.


[Evaluation of the size of the proliferative pool and the length of the mitotic cycle according to the accumulation curve of labelled cells].

Abnormal increase of the accumulation curve of H3-thymidine labelled cells for the systems with proliferative pool Pc less than 1 (rat mesothelium and the basal cells of the epithelium of the hamster cheek pouch) is due to stimulation of cell transition from R1 phase to the regulatory G1r phase (the dichophase) within G1 period of the mitotic cycle. The stimulation was assumed to depend on the radiation and transmutation defects in DNA due to H3 disintegration, and to occur when the stream of labelled cells reached the G1r phase. Proliferative pool and the duration of mitotic cycle can be estimated by means of coordinates of the abnormal curve.


[3-dimensional growth (spheroid formation) of tumor cells in diffusion chambers].

The three-dimension growth -- spheroidoformation of tumor cells of the primary MX-induced sarcoma in mice BALB/c, C57BL, and C3H/Sn, was studied. The tumor cells were cultured on millipore filters of the diffusion chambers implanted into the peritoneal cavity of normal syngeneic mice.


[Penetration of anti-lysosome serum in macrophages and the localization of anti-lysosome antibodies in their structures].

Penetration of antilysosomal sera into living macrophages, their localization on subcellular structures, and their effects upon the cell, were studied by means of immunofluorescence technique. The rabbit antilysosomal (antimembrane) immune globulins were found to be ingested by the mouse macrophages and to exert obvious effect upon the macrophage function. The specificity of used antisera was confirmed by findings obtained with fixed macrophages.


[Electron microscopic study of the interaction between neoplastic fibroblasts and the substrate in tissue culture].

Electron microscope study of neoplastic L fibroblasts was carried out in 15, 30, 60, and 90 min after their attachment to solid substratum. Comparative analysis of neoplastic and normal fibroblasts at the same stages was carried out. Spreading rate of L fibroblasts proved slower than that of normal fibroblasts. Primary reaction of neoplastic cells was disturbed on the contact with substratum: it was morphologically manifested in changing of structure of the cell lower surface. Bundles of microfilaments were absent from the neoplastic fibroblasts' cytoplasm. The above changes, apparently, may entail the lesser degree of spreading and the weaker attachement of neoplastic fibroblasts to the substratum.


[Kinetic dimensions of cells and crypts in irradiated intestinal epithelium of mice].

The average value of axial cryptal section area and cell section area on it were studied during 8 days after total X-ray irradiation of male mice (400 rad). A small reducing of cryptal area (20%) during destructive period (1-2 days) is followed by a big overshoot (60%) during regenerative time (3-7 days). The cryptal sizes in regenerative period deviate from a steady state more than during destructive time. There are two high waves of abnormal growth of cell sizes above the steady level: the first one during destructive time and the second one during regeneration. This level seems to be near to minimal sizes of cryptal proliferative cells which are necessary for proliferation. It means that normal intestinal epithelium is a very economical and stabilized system. It is possible to evaluate quantitatively the associated with proliferation flow of substance per crypt cell for normal and irradiated intestine by means of index Iv where I is mitotical index and v - the cell volume. Cell hypertrophy at the time of regeneration on the 4th-7th days and later after irradiation (130-160%), was revealed. The crypt cell hypertrophy is the factor of destabilization of irradiated intestinal epithelium.


[Study of the soluble proteins of the skin of young cattle in the presence of ultraviolet irradiation in vivo and in vitro].

The effect of ultraviolet irradiation on the quantity of soluble proteins in skin and content of SH-groups in them, immunoelectrophoretic, electrophoretic properties and amino acid composition of soluble skin proteins was studied under ultraviolet irradiation of calfs and solutions of those proteins in vitro. Ultraviolet rays are established to affect the total content of soluble proteins and SH-groups under ultraviolet irradiation of the animals and these proteins solutions in vitro, but the character of the obtained changes is different in both cases. The quantity of soluble proteins in the animal skin depends on the irradiation frequency. In the composition of the calf skin soluble proteins 14 proteins were found immunologically similar to the blood serum proteins of these animals. Ultraviolet irradiation of the soluble skin proteins in vivo and in vitro does not affect their amino acid composition.